Republic National Life Insurance Company v. Blain

415 S.W.2d 463, 1967 Tex. App. LEXIS 2178
CourtCourt of Appeals of Texas
DecidedApril 14, 1967
Docket16893
StatusPublished
Cited by2 cases

This text of 415 S.W.2d 463 (Republic National Life Insurance Company v. Blain) 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
Republic National Life Insurance Company v. Blain, 415 S.W.2d 463, 1967 Tex. App. LEXIS 2178 (Tex. Ct. App. 1967).

Opinion

DIXON, Chief Justice.

Republic National Life Insurance Company, hereinafter called Republic, has appealed from a summary judgment against it for the sum of $7,600, being $5,000 death benefits, 12 per cent penalty and $2,000 attorney’s fee under a group policy and a certificate on the life of Allen J. Blain, deceased.

On January 1, 1948 Republic issued its group policy of life insurance No. 284 to Texas Public Employees Association, hereinafter called T.P.E.A. Coverage was made available to all eligible members of T.P.E.A. This group policy continued in force and effect through December 31, 1964.

Blain had been an employee of Texas State Hospital at Terrell, Texas. There is no question that for a number of years many of the employees of the Hospital, including Blain, were insured under Republic’s group policy No. 284 issued to T.P.E.A. Blain had been issued certificate No. 37011.

On November 30, 1963 Blain suffered a serious heart attack and retired as an active employee of the Hospital. Republic’s group policy covered retired employees and contained a provision for extended coverage of insurance and waiver of payment of premiums during total disability. On February 18, 1964 Republic accepted Blain as being totally disabled and informed him that his life insurance had been extended and payment of premiums waived during his total disability as provided in policy No. 284.

On February 6, 1964 Republic amended its master policy No. 284 with T.P.E.A. The policy amendment was submitted to the Commissioner of Insurance, was stamped “Approved by Order No. 15494 Feb. 7, 1964, Commissioner of Insurance, State of Texas,” and became a part of the policy on February 7, 1964. Material parts of this amendment are copied later in this opinion.

In April 1964 a majority of the employees of the Hospital voted to change and did change the Hospital group coverage from the T.P.E.A. program under Republic’s policy No. 284 to group coverage under a policy offered to them by National Bankers Life Insurance Company, hereinafter called National.

On May 6, 1964 the business manager of the Hospital signed a certificate that the Hospital had a group insurance program in effect on that date providing coverage for “Active and Retired Employees of this Department”; that the insurance carrier was National and that Blain was eligible for benefits under the policy. On the same date Blain signed a written authorization to the State Employees Retirement System (not to be confused with T.P.E.A.) directing that group insurance premium payments *465 to Republic be discontinued and that deductions in the future be paid to National, the cancellation to become effective May 31, 1964. 1

On July 31, 1964 Republic wrote a letter informing Blain that pursuant to the amendment of February 7, 1964 his insurance coverage had been cancelled as of May 1, 1964. This letter was as follows:

“You were notified by us on February 18, 1964 that your application had been approved for waiver of premium on your life insurance coverage under policy number 284, issued to the Texas Public Employees Association.
“This policy was amended to provide that effective May 1, 1964, and thereafter, insurance for retired personnel would be terminated in the event the unit from which an individual retired adopted a formal program of insurance and certain minimum enrollment was not maintained. Since your eligibility for insurance has terminated in accordance with this provision, there is no longer a necessity for waiver of premium.”

Blain replied to the above letter protesting the cancellation of his life insurance coverage. He also wrote a letter of protest to the Commissioner of Insurance at Austin. Republic wrote additional letters on August 7, 1964 and August 24 reiterating that Blain’s insurance had been cancelled.

On October 6, 1964 Blain returned to work for the Hospital. The State Retirement Claims Officer on November 4, 1964 notified Blain that his group insurance premium to National had been deducted from his September retirement benefits for the month of October, but in view of the ter-, mination of his disability and his return to work on October 6, 1964 payments would not thereafter be deducted. In the letter Blain was advised to make arrangements for his coverage with National as an active employee of the Hospital.

Copies of Blain’s cancelled payroll check from the State Comptroller’s office for October in the amount of $159.53 and the cancelled check for $175.72 are a part of the record before us. Appellant says they confirm the fact that Blain had resumed work for “compensation and profit” on October 6, 1964.

On November 30, 1964 Blain died.

The suit against Republic was filed March 19, 1965 by appellee Helen F. Blain, widow of the deceased and the named beneficiary in certificate No. 37011. However, on March 22, 1965 Helen F. Blain filed a *466 separate suit, this one against National under the group policy issued by National, which she alleges included coverage or at least should have included coverage on the life of her husband.

In her petition in her suit against National Mrs. Blain alleges that in April 1964 at a meeting of employees of the Hospital, which meeting she and her husband attended, the agent and representative of National represented orally and in writing that if the employees would change their group coverage from Republic to National no one would suffer loss of any benefit or eligibility due to the change; and that the case of her husband was specifically mentioned, National’s agent being informed that Blain at the time had a waiver of premiums on disability in effect with Republic.

Mrs. Blain further alleged in her petition against National that at the above meeting National distributed a printed pamphlet urging the Hospital employees to change their group life insurance coverage from Republic to National. The pamphlet contained this paragraph:

“6. NABLICO guarantees that no one will suffer loss of any benefit or eligibility due to change from TPEA coverage to NABLICO coverage.”

It was at this meeting that the employees voted to make the change in coverage from Republic to National.

Appellee does not claim that she is entitled to recover from both insurance companies.

Prior to the trial of this case Republic filed a motion to consolidate the two causes of action so that it could be determined in one trial which of the two insurance companies is liable. National filed an answer contesting the motion. The motion was overruled. Trial proceeded in the suit against Republic alone with the result that judgment was rendered against Republic from which this appeal has been taken. So far as the record shows the separate suit against National is still pending.

PROVISIONS OF GROUP POLICY NO. 284

The master policy, group policy No. 284, issued to T.P.E.A. by Republic contained these provisions :

“ * * * this the 1st day of January 1948, the Effective Date of this Contract, and the date from which all Contract months and years shall be calculated.1’ (Emphasis ours.)

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Related

Republic National Life Insurance Company v. Blain
425 S.W.2d 347 (Texas Supreme Court, 1968)
Ex parte Cottrell
416 S.W.2d 429 (Court of Criminal Appeals of Texas, 1967)

Cite This Page — Counsel Stack

Bluebook (online)
415 S.W.2d 463, 1967 Tex. App. LEXIS 2178, Counsel Stack Legal Research, https://law.counselstack.com/opinion/republic-national-life-insurance-company-v-blain-texapp-1967.