Provident Life & Accident Ins. Co. v. Deckard

179 S.W.2d 828, 1944 Tex. App. LEXIS 689
CourtCourt of Appeals of Texas
DecidedMarch 16, 1944
DocketNo. 2582.
StatusPublished
Cited by3 cases

This text of 179 S.W.2d 828 (Provident Life & Accident Ins. Co. v. Deckard) 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
Provident Life & Accident Ins. Co. v. Deckard, 179 S.W.2d 828, 1944 Tex. App. LEXIS 689 (Tex. Ct. App. 1944).

Opinion

RICE, Chief Justice.

This suit was brought by Nathan Deck-ard and others against The Provident Life & Accident Insurance Company to recover certain benefits claimed to be due and payable under the terms of an insurance contract issued by defendant on the life of Lizzie Deckard.

The trial was before the court, without the intervention of a jury. Judgment was rendered for plaintiff in the total sum of $310.57, being the amount plaintiffs asserted was due under the terms of the policy, together with the 12% statutory penalty and $50 attorney’s fees. Defendant has appealed.

It is defendant’s contention that, the judgment of the trial court is excessive for the reason that, under the terms of the insurance contract and the stipulated facts, the defendant was not obligated to pay the principal sum of $200 named in the policy, and the amount which plaintiffs were entitled to recover under the terms of the policy and the stipulated facts was the sum of $32.66, which sum had theretofore been duly tendered by defendant.

It was stipulated that defendant issued its “Unlimited National Special Policy” on the life of Lizzie Deckard on April 7, 1920; that the insured became ill and totally disabled on or about the 20th day of August, 1942, and remained in such condition until October 8, 1942, when she died as a result of such illness; that the policy was in full force and effect at the date of her death, all premiums having been paid; that due proof of loss was made and the amount of $32.66 was shown to be due the insured under the policy prior to her death, which amount was duly tendered by defendant and such tender has been maintained in full satisfaction of the obligation of defendant under the terms of the policy. While other facts were stipulated, we do not consider them material to the questions raised on this appeal.

The insurance contract is captioned:

“The Unlimited National Special Policy Provides Indemnity for Accident, Sickness, Accidental Death and Natural Death, as Herein Provided.”

Then follows the name of the defendant and the consideration.

The next paragraph states the defendant insured Lizzie Deckard against:

“The Insuring Clause
“(1) The effects resulting directly and exclusively of all other causes, from bodily injuries sustained during the life of .this policy, solely through External, Violent and Accidental Means (excluding suicide, sane or insane, or any attempt thereat), hereinafter called ‘such injury’, and,
“(2) The effects resulting from sickness which is contracted and begins ditring the life of this policy and after it has been maintained in continuous force for thirty days, hereinafter called ‘such sickness’, as follows: .
“Part I. The Principal Sum ($200.00) 'Increasing to ($-) Monthly Accident Indemnity Twenty ($20.00) Dollars Monthly Sickness Indemnity Twenty ($20.00) Dollars.”

Parts II, III and IV cover indemnities against accident.

Part V, on the second or inside page, is denominated “Health Insurance”, and contains the provisions for indemnity in case of sickness.

Part X, on the second page, is denominated "Natural Death”, and reads as follows :

“Or, if such sickness for which indemnity is payable under Part V results in the death of the insured after this policy has been maintained in force without delinquency for forty-five days, the Company will pay as additional indemnity on account of such death a stun equal to One Month’s Indemnity under Part V for total disability, during the first six months this policy shall be in force without delinquency. After this policy has been maintained in continuous force for not less than six months without delinquency the amount payable will be a sum equal to Two Months’ Indemnity under Part V. If the Insured is fifty and under sixty years of age, the Company will pay One-Half the above amounts.”

Defendant contends that the foregoing provision is controlling in this case, and, when properly construed, means that had the insured died as the result of “such sickness” within forty-five days from the *830 date of the policy, no natural death benefits would have been payable; if death had occurred after the policy had been in force forty-five days and before the policy had been in force for a period of six months, the amount of natural death benefits would be a sum equal to one month’s indemnity under Part V; that if death occurred from “such sickness” after the policy had been in force for not less than six months, the amount payable would be a sum equal to two months indemnity under Part V; that if insured was fifty years of age and under sixty at the time of his death due to “such sickness”, then the amount payable would be one-half of either one month’s indemnity or two months’ indemnity, based upon the length of time the policy had been in force. It was the further contention of defendant, based upon its construction of the language of Part X, above set out, that since deceased had attained the age of sixty years and was therefore not under sixty, no death benefit accrued under Part X of the policy; and that the only benefits that did accrue under the policy (Part V) were the sick benefits covering the period from August 20, 1942, to October 8, 1942, or the sum of $32.66.

Plaintiffs take the position that the construction placed by defendant on its policy is too restrictive of its liability thereunder; and that subdivision (2) of paragraph two on the first page of the policy, denominated in the lefthand margin in bold black type, “The Insuring Clause”, and Part I immediately following, fixes the liability of defendant in the sum of $200.00 in case the death of the insured resulted from sickness. This subdivision insured the deceased against:

“(2) The effects resulting from sickness which is contracted and begins during the life of this policy and aftdr it has been maintained in continuous force for thirty days, hereinafter called ‘such sickness’, as follows:
“Part I. The principal Sum ($200.00) Increasing to ($-) Monthly Accident Indemnity Twenty ($20.00) Dollars. Monthly Sickness Indemnity Twenty ($20.-00) Dollars.”

Plaintiffs further argue that death being one of the effects resulting from sickness, and it being stipulated that the insured died as a result of sickness, the liability of the defendant to them by virtue of the above-quoted provision of the policy is the sum of $200, in addition to the indemnity admittedly due by the defendant by reason of the fact that the insured was ill for two months before her death. .

In reply to this, defendant takes the position that said provision of the insurance contract applies only when the insured suffers, by reason of accident, loss of life, loss of both eyes, loss of both hands, loss of both feet, loss of one eye and one foot, and a percentage of the principal sum in other contingencies resulting from an accident.

Article 4733, Vernon’s Civil Statutes, as' amended by the Acts of the 47th Leg. 1941, c.

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Bluebook (online)
179 S.W.2d 828, 1944 Tex. App. LEXIS 689, Counsel Stack Legal Research, https://law.counselstack.com/opinion/provident-life-accident-ins-co-v-deckard-texapp-1944.