Standard Fire Insurance Co. v. Morgan

745 S.W.2d 310, 31 Tex. Sup. Ct. J. 69, 1987 Tex. LEXIS 389, 1987 WL 1358
CourtTexas Supreme Court
DecidedNovember 10, 1987
DocketC-5959
StatusPublished
Cited by27 cases

This text of 745 S.W.2d 310 (Standard Fire Insurance Co. v. Morgan) is published on Counsel Stack Legal Research, covering Texas Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Standard Fire Insurance Co. v. Morgan, 745 S.W.2d 310, 31 Tex. Sup. Ct. J. 69, 1987 Tex. LEXIS 389, 1987 WL 1358 (Tex. 1987).

Opinions

OPINION

HILL, Chief Justice.

We granted writ in this workers’ compensation case to review the court of appeals’ holding that prejudgment interest was recoverable on medical expenses owed. We reverse that holding, but otherwise affirm the judgment of the court of appeals.

On June 27, 1979, Jimmie Morgan was injured while working as a salesperson for Jim Walters Homes. The Standard Fire Insurance Company, which provided workers’ compensation insurance for Jim Walters Homes, paid Morgan compensation benefits and some of her medical expenses. Morgan filed suit to obtain additional compensation and medical benefits from Standard.

Following a jury trial, the trial court rendered judgment that Standard pay Morgan $26,460 for past due compensation benefits, $3,078 for the prejudgment interest that accrued on the past due benefits, $6,854 for medical expenses that Standard had refused to pay, all of her future medical expenses, and $9,095 for attorneys’ fees. The court of appeals affirmed the trial court’s judgment in part and reversed and remanded in part. 718 S.W.2d 880. Standard argues that the judgment of the court of appeals should be reversed because (1) there was no evidence to support the jury’s finding that Morgan had good cause for filing her claim late; (2) Morgan did not properly establish her average weekly wage rate; and, (3) Morgan is not entitled to recover prejudgment interest on her medical expenses.

TIMELINESS OF MORGAN’S CLAIM

When Morgan’s injury occurred, the Workers’ Compensation Act provided that an injured employee could not initiate a proceeding for compensation or medical benefits unless he either filed a claim before the Industrial Accident Board withm six months of his injury or showed good cause for filing an untimely claim. TEX. REV.CIV.STAT.ANN. art. 8307, § 4a (Vernon 1967): see Lee v. Houston Fire and Casualty Ins. Co., 530 S.W.2d 294, 296 (Tex.1975). In this case, the jury found that Morgan was injured on June 28, 1979. The trial court determined that, as a matter of law, Morgan filed a claim with the Industrial Accident Board on July 22, 1980. Neither of these findings is disputed by either party. However, Standard does contend that there is no evidence to support the jury’s finding that Morgan had good cause for filing her claim nearly 13 months after her injury. We disagree.

In determining whether there is any evidence to support a jury’s finding, “an appellate court must consider only the evidence and the inferences tending to support the finding and disregard all evidence and inferences to the contrary.” Garza v. Alviar, 395 S.W.2d 821, 823 (Tex.1965). In addition, “this court has always recognized that because the injured employee, coming under the terms of the Workers’ Compensation Act, is denied his common law rights, the Act should be liberally construed in the worker’s favor.” Navarette v. Temple Indep. School Dist., 706 S.W.2d 308, 309 (Tex.1986). Morgan testified that, at the time of her injury, her employer promised that “everything would be taken care of.” On the basis of this testimony, the jury could properly conclude that Morgan reasonably believed that her employer would file her claim before the Industrial Accident Board in a timely manner. See Lee, 530 S.W.2d at 297 (reliance on employer’s statements may constitute good cause for filing late). We therefore affirm the court of appeals’ judgment to the extent it held that there was some evidence of good cause for Morgan’s late filing.

MORGAN’S AVERAGE WEEKLY WAGE RATE

The amount of past due compensation benefits that an injured employee is entitled to recover is based, in part, on his [312]*312average weekly wage rate; thus, he cannot recover any past due benefits in excess of the minimum statutory benefits unless he properly establishes his average weekly wage. See, e.g., Aetna Ins. Co. v. Gidden, 476 S.W.2d 664, 665 (Tex.1972). Standard argues that Morgan should not be allowed to recover past due compensation benefits because her average weekly wage rate was not legally established. We disagree.

Pursuant to TEX.R.CIV.P. 169, Morgan requested Standard to admit, inter alia, the following two facts: (1) Standard employed “at least one other employee of the same class as [Morgan], in the same or similar employment as [Morgan], in the same or a neighboring place, who worked at least 210 days during the year immediately preceding the date [of Morgan’s injury],” and (2) that employee “had an average daily wage of at least $60 during the period that she worked in the year next preceding the date [of Morgan’s injury].” Standard did not mail the answers to these requests to Morgan within 10 days of receiving them. Nor did Standard serve the answers to the requests on Morgan within 10 days of receiving them. Thus, under the rules of procedure in effect during the trial of this cause, Standard was deemed to have admitted the truth of the requests. TEX.R.CIV.P. 169(1). And, because Standard never requested the trial court to withdraw or amend the admissions, the admitted facts were conclusively established. TEX.R.CIV.P. 169(2). As incontestable facts, these admissions establish that Morgan’s average weekly wage rate was, as a matter of law, at least $346. TEX.REV. CIV.STAT.ANN. art. 8309, § 1(2) (Vernon 1967).

Of course, a jury could not award Morgan a greater average weekly wage rate than the rate she pleaded. E.g., Socony Vacuum Oil Co. v. Aderhold, 150 Tex. 292, 300, 240 S.W.2d 751, 756 (1951) (judgment must conform to the pleadings). In her pleading, Morgan claimed her wage rate had been $60 a day. Thus, under her pleadings, a jury could not have awarded her a weekly wage rate in excess of $346. Therefore, because Standard could not argue that Morgan’s average weekly wage rate was less than $346 and Morgan was not entitled to receive more than $346, we hold that Morgan’s average weekly wage rate was established at $346 as a matter of law.

At the time of Morgan’s injury, an employee with an average weekly wage rate of $346 was entitled to receive $105 in compensation benefits for each week of total incapacity. TEX.REV.CIV.STAT. ANN. art. 8306, §§ 10, 29 (Vernon Supp. 1987). Thus, Morgan was entitled to $105 in benefits for each week she was totally incapacitated. And, given the jury’s finding that Morgan only had a weekly earning capacity of $150 during the time she was partially incapacitated, Morgan was also entitled to receive $105 for each week she was partially incapacitated. TEX.REV. CIV.STAT.ANN. art. 8306, §§ 11, 29 (Vernon Supp.1987).

The trial court’s judgment that Morgan was entitled to $26,460 for past due compensation benefits was based on the jury’s finding that Morgan’s average weekly wage rate was $375. Using the average weekly wage rate of $375 in its calculations of Morgan’s compensation benefits, the trial court determined that Morgan was entitled to receive $105 for each week she was either totally or partially incapacitated.

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Bluebook (online)
745 S.W.2d 310, 31 Tex. Sup. Ct. J. 69, 1987 Tex. LEXIS 389, 1987 WL 1358, Counsel Stack Legal Research, https://law.counselstack.com/opinion/standard-fire-insurance-co-v-morgan-tex-1987.