Pacific Mut. Life Ins. Co. of California v. Berryhill

69 S.W.2d 784, 1934 Tex. App. LEXIS 1459
CourtCourt of Appeals of Texas
DecidedMarch 15, 1934
DocketNo. 2972.
StatusPublished
Cited by6 cases

This text of 69 S.W.2d 784 (Pacific Mut. Life Ins. Co. of California v. Berryhill) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pacific Mut. Life Ins. Co. of California v. Berryhill, 69 S.W.2d 784, 1934 Tex. App. LEXIS 1459 (Tex. Ct. App. 1934).

Opinion

HIGGINS, Justice.

On January 24,1922, appellant issued to ap-pellee a policy of insurance. The terms of the contract pertinent to a consideration of questions here presented read:

“Should the insured, before attaining the age of sixty years and while this Policy is in full force and no premium thereon in default, become so disabled as to be totally and permanently unable to perform any work, or engage in any occupation or profession for wages, compensation or profit, or suffer the irrecoverable loss of the entire sight of both eyes, or the use of both hands or feet or of one hand and one foot, the Company will waive the payment of future premiums and pay the Insured One Hundred Dollars immediately on receipt of due proof of such disability or loss and a like sum on the first day of each month thereafter as long as the Insured shall live, and such waiver of premiums and payments to the Insured shall not affect any other benefits or values granted under the conditions of the Policy, provided, however, as follows:
“Should the Insured at any time thereafter, when required by the Company, (such requirement, however, not to be exacted more frequently than once a year) be unable to furnish due proof of the continuance of his right to *786 the foregoing benefits, the Company will discontinue the same and require the payment of any premiums which may thereafter become due under the conditions of the policy, but no reimbursement shall be required for any premiums waived or monthly payments made.”

On May 3, 1932, through the accidental discharge of a shotgun, appellee was shot in his left hand and right foot.

Upon the theory that such injury had caused the irrecoverable loss of the use of such hand and foot, appellee brought this suit to recover seven past-due monthly installments of $100 each, the statutory 12 per cent, penalty and attorney’s fee.

The first question submitted inquired whether on May 3, 1932, plaintiff suffered the irrecoverable loss of the use of his left hand.

The second question made like inquiry concerning the right foot.

In this connection the court charged that the “irrecoverable loss of the use of a hand or a foot is the total permanent loss of the functions of said member to the' extent that said member is of no practical use or benefit, without reasonable hope or expectation of regaining the use of such member.”

An instruction requested by defendant was given which reads: “In connection with Questions 1 and 2 you are instructed that the phrase ‘irrecoverable loss of the use’ means whether the member is so injured that there is no reasonable probability that the member will ever be of any practical use. If the member is so injured, there is such irrecoverable loss of the use, but if it is not so injured, then ■there is no such loss of the use.”

Both of the questions stated were answered in the affirmative.

The third question inquired what would be a reasonable attorney’s fee for the institution and prosecution of plaintiff’s claim upon the policy. This was fixed at $1,500. In connection with this question, the court charged: “That you may take into consideration the nature and c-har-acter of such services, the amount involved, the interest at stake, the services performed, the length of time occupied in the performance of such services.”

Judgment was rendered in plaintiff’s favor, finding he “suffered the irrecoverable loss of the use of one hand and one foot, to wit: his left hand and right foot, on the 3rd day of May, A. D. 1932,” and awarding recovery of the monthly payments sued for, with 12 percent. penalty and attorney’s fee of $1,500 to be taxed as costs.

Our conclusions disposing of the questions raised will be briefly stated. Extended discussion is regarded as unnecessary.

The court’s definition of irrecoverable loss of the use of a hand or foot, in connection with the charge requested by defendant, is correct. Citizens’ M. L. I. Ass’n v. Kennedy (Tex. Civ. App.) 57 S.W.(2d) 265; Modern Order of Praetorians v. Taylor, 60 Tex. Civ. App. 217, 127 S. W. 260; Brotherhood, etc., v. Britton (Tex. Civ. App.) 292 S. W. 286, 287; United States v. Clapp (C. C. A.) 63 F.(2d) 793.

It is not objectionable as being upon the weight of the evidence. Charges general in their nature and undertaking to instruct the jury as to the law arising upon the facts are improper in special issue submissions, but the definition given cannot properly be regarded as of such nature. Missouri, K. & T. Ry. Co. v. Long (Tex. Com. App.) 299 S. W. 854.

The testimony of plaintiff and Drs. Mas-son and Clark is ample to show an irrecoverable loss of the use by plaintiff of his left hand and right foot, as the term was defined by the court. It is true there is testimony by other medical experts that the functions of such members have not been entirely destroyed, and there is a chance of saving the same so they will be of some use, but such testimony presented only an issue of fact for the jury’s determination which was resolved in the Xfiaintiff’s favor. The finding made is controlling in the state of the evidence.

Complaint is made of that portion of the judgment adjudging plaintiff had suffered the irrecoverable loss on May 3, 1932, of the use of one hand and one foot. Error is also assigned to the refusal to incorporate in the judgment a provision that it was without prejudice to the rights of the defendant in .any future litigation and protecting defendant in its right to discontinue payments should plaintiff in the future be unable to furnish due proof of the continuance of his right to the monthly payments.

The basic issue in the ease as made by the pleadings and evidence and. upon which the rights of the parties depend is whether the plaintiff has suffered the irrecoverable loss of the use of one hand and one foot. The plaintiff’s right to recover the sums sued for depends upon an affirmative showing that he has suffered such loss. It was proper to expressly adjudicate the controlling issue in the case, though, in truth, it added nothing to what would have been the legal effect of a judgment simply awarding a recovery of the sums sued for. A judgment of the latter nature by necessary implication would have been *787 res judicata of the issue of irrecoverable loss. Great Southern L. I. Co. v. Johnson (Tex. Com. App.) 25 S.W(2d) 1093, 1094; Beasley v. Pacific M. L. I. Co., 158 Tenn. 346, 13 S.W.(2d) 330.

And we are of the further opinion the court properly refused to incorporate a no prejudice provision in the judgment, thus leaving undetermined the controlling issue in the ease and permitting future litigation over the same.

It has been established by judicial decree the plaintiff has- suffered the irrecoverable loss alleged. Under the terms of the policy and the fact thus established, he is entitled to payments of $100 per month as long as he lives and to be relieved of the payment of future premiums. The provision of the policy, giving defendant the right to discontinue such payments in the event plaintiff should be hereafter unable to furnish due proof, can have no proper application where the issue of an irrecoverable loss has been judicially ascertained and established.

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69 S.W.2d 784, 1934 Tex. App. LEXIS 1459, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pacific-mut-life-ins-co-of-california-v-berryhill-texapp-1934.