Standard Acc. Ins. Co. v. Brock

1 S.W.2d 678
CourtCourt of Appeals of Texas
DecidedJanuary 4, 1928
DocketNo. 2936.
StatusPublished
Cited by7 cases

This text of 1 S.W.2d 678 (Standard Acc. Ins. Co. v. Brock) 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
Standard Acc. Ins. Co. v. Brock, 1 S.W.2d 678 (Tex. Ct. App. 1928).

Opinion

RANDOLPH, J.

Appellde, Brock, filed this suit against appellant company to recover on an insurance policy given him to compensate him in the event of sickness.

All matters of fact as well as of law were submitted to the trial court, and, upon hearing the pleadings and evidence, he rendered judgment for the plaintiff. Erorn this judgment, the company has taken an appeal.

The appellant makes the following propositions of error for our consideration, the decision of which controls the disposition of this case:

First. That the plaintiff declaring upon an insurance policy, which he sets out in *679 his petition, must show that injury or loss is covered by the provisions of the policy.

Second. Plaintiff, making the policy a part of the petition, which policy required continuous confinement to his house and therein to be regularly treated and visited by a physician, for which an indemnity of $100 per month was allowed, and his allegations showing that he was not so confined, visited, or treated, do not bring him within the provisions of such policy, allowing such amount of indemnity.

Third. There being no evidence to show plaintiff was necessarily and continuously confined within his home by reason of his sickness, and that he was therein regularly visited and treated by a registered physician for 3 months and 20 days, and the policy providing indemnity at $100 per month only, under such conditions, it was error for the court to render judgment that for 3 months and 20 days he was so disabled, confined, treated, and visited, and, upon such finding, to award plaintiff the sum of $366.-67 indemnity by reason thereof.

The plaintiff’s petition sets out the following cause of action in alleging the character of his sickness:

“3. That said plaintiff, on or about the 11th day of April, 1925, went to a certain dentist’s office for the purpose of having a tooth extracted, to wit, Bloom & Bloom, dentists in the city of Lubbock, Lubbock county, Tex. That said dentists after examining said tooth, and without the consent or permission of this plaintiff, injected some character of medicine, which is unknown to this plaintiff, in and around the gum of said tooth and then did extract said tooth. That immediately thereafter the jawbone of plaintiff became infected and swollen to the extent that plaintiff was by reason thereof, and by reason of the excruciating pain suffered by plaintiff, totally disabled from performing any and every kind of business and labor and was necessarily and continuously confined within his house and was therein under the professional care and attendance of and regularly visited by a legally qualified registered physician, within the terms, meaning, and intent of said policy, for a period of 3 months and 20 days, and for a period of 30 days thereafter was partially incapacitated from pursuing his ordinary work and occupation.

“4. That if the court should find that plaintiff was not necessarily and continuously confined within his home and that he was not regularly visited by a legally qualified registered physician, then plaintiff would show that by'reason of the nature of his ailment and disability, to wit, the serious infection of the jawbone, the plaintiff could not obtain the necessary medical treatment in his home, and on account of the fact that the treatment required not only the extensive use of medicines of various kinds, but required the use of the operating tools, utensils, and equipment usually found in a hospital or physician’s office and parlors, it was impossible and impractical for his physician to visit him within his home, and, plaintiff being a poor man, wap unable to go to a hospital and continuously remain there until cured, and, by reason of the premises, plaintiff Says that his sickness and disability comes within the meaning and purview of the terms of said policy because, he says, that if he was not continuously confined to Ms home that it was due to the absolute necessity of being carried to the doctor’s office for treatment, and that if his physician did not visit him within his home, nevertheless, he treated plaintiff in his office for the reasons given above, and because it was impossible and impracticable to give plaintiff the necessary treatment elsewhere.”

The following clause of the insurance policy contains the provision relied on to authorize the judgment in this case:

“Paragraph E. Subject to all of the provisions and limitations of section 3 of the insuring clause, in the event that the insured shall suffer from, any bodily sickness or disease not hereinafter excepted, the company will pay the monthly indemnity as specified in the insuring clause, per month, or at that rate for any proportionate part of a month, for a period not exceeding twelve (12) months, as the insured, solely by reason of such sickness, shall be necessarily and continuously confined within the house and therein be under the professional care and attendance of, and therein be regularly visited by, a legally qualified registered physician.”

The plaintiff testified as follows:

“After this policy was issued to me, I was sick. The first trouble I had was a bad tooth-appeared to be bad tooth. I suffered quite a bit for something like a week or ten days, and got to where I thought I had better consult a dentist about it, and I went down to Bloom & Bloom, dentists, and I told them I thought I had a bad tooth, and they made an examination of the tooth, with the result that they decided it ought to be extracted, and they proceeded to 'extract the tooth; and after the tooth had been extracted something like an hour or an hour and a half, why this trouble set in, I can’t hardly explain it, I went to several physicians, and they didn’t seem to understand what it was. The way it affected me was all the way around my face on that side, from chin to ear, on the left-hand side of my face. It 'just seemed sorter like the jawbone was fixing to break out of the jaw, and that continued for about 30 days or over that time. I consulted with some four or five different physicians, Dr. Lattimore and Dr. Hall, and Doctors Starnes & Castleberry and others, you know, around town here; I don’t remember who all I did consult, but some five or six physicians, and none of them could give me anything for it, or give me any advice, just advised me to take asperin, things like that, and it didn’t have any effect on me, and it went on that way about four or five weeks, and of course I knew there must be something wrong, and I consulted Dr. Hutchinson, and he wanted to take an X-ray, and we had the X-ray took, and he couldn’t find anything that he thought could be the cause of the trouble, and then a swelling come out of my jaw here, and just gradually moved till it got right here, and it got to be about the size of a hen egg, and he decided it had better be lanced. They didn’t understand what it was caused it. This lump on my jaw finally got to be about the size of a hen egg.

*680 “When I went to Bloom & Bloom to have my tooth extracted, they injected something in my jaw. He didn’t say anything to me about injecting anything into my gums. I told him to examine the tooth, to see what he thought about it, and he said he thought it needed extracting, and I told him if it did to go ahead, so he proceeded to fix up the medicine. I didn’t ask him what it was and he fixed' me up and said that would be all right.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Untitled Texas Attorney General Opinion
Texas Attorney General Reports, 2002
National Central Life Insurance Co. v. Anderson
443 S.W.2d 786 (Court of Appeals of Texas, 1969)
Penrose v. Commercial Travelers Insurance Co.
275 P.2d 969 (Idaho Supreme Court, 1954)
American Casualty Co. v. Horton
152 S.W.2d 395 (Court of Appeals of Texas, 1941)

Cite This Page — Counsel Stack

Bluebook (online)
1 S.W.2d 678, Counsel Stack Legal Research, https://law.counselstack.com/opinion/standard-acc-ins-co-v-brock-texapp-1928.