Texas Employers' Ins. Ass'n v. Jones

70 S.W.2d 1014, 1934 Tex. App. LEXIS 446
CourtCourt of Appeals of Texas
DecidedApril 18, 1934
DocketNo. 9316.
StatusPublished
Cited by17 cases

This text of 70 S.W.2d 1014 (Texas Employers' Ins. Ass'n v. Jones) 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
Texas Employers' Ins. Ass'n v. Jones, 70 S.W.2d 1014, 1934 Tex. App. LEXIS 446 (Tex. Ct. App. 1934).

Opinions

This suit was instituted in the district court by appellant, Texas Employers' Insurance Association, for the purpose of setting aside an award made to appellee V. L. Jones by the State Industrial Accident Board. Appellee replied by filing his cross-action, and upon a trial before a jury he was awarded a judgment in the sum of $7,327.44, from which Judgment appellant has prosecuted this appeal.

Appellee V. L. Jones was totally and permanently injured while doing concrete form work on the Thomas Jefferson High School building. Walsh, Burney Key were the general contractors on this job, and the cement form work was being done by Elmer Sigler Company, a corporation, under a contract in which Elmer Sigler Company was described as the subcontractor. The Southern Surety Company was the carrier of the workmen's compensation insurance of the general contractor, and appellant, Texas Employers' Insurance Association, was the carrier of the workmen's compensation insurance of Elmer Sigler Company; the policy covering all work done by this company in the state of Texas.

Walsh, Burney Key were able to secure workmen's compensation insurance at a lower rate than Elmer Sigler Company, and so it was decided between the two contracting companies that the general contractor should carry all of the insurance on all the employees on the job. It was attempted to carry this agreement into effect by attaching a rider to the policy of Walsh, Burney Key, through an indorsement which reads as follows:

"Endorsement
"Effective October 15, 1930.
"Not valid unless countersigned by a duly authorized agent.

"It is understood and agreed that this policy is extended to cover work done on cost plus basis by Elmer Sigler Company in connection with this construction of senior high school building at San Antonio, Texas, exclusively.

"Subject otherwise to all conditions, agreement and limitations of the policy as written, except as herein specifically provided.

"Attached to and forming part of Policy No. UF — 301 — 515097, issued by Southern Surety Company of New York to Walsh, Burney Key, of San Antonio, Texas.

"Countersigned at San Antonio, Texas, this 7th day of November, 1930. "Coleman Co. Authorized Agent. "F. V. Kurth, President. "[Stamped] Received Nov. 8, 1930, Casualty Insurance Commissioner, Austin, Texas.

"Coleman Co., Gen'l Agents,

"11th Floor Alamo Nat'l Bank Bldg. San Antonio, Texas."

The insurance commissioner rejected this indorsement and declined to approve the same.

After this Endorsement was rejected by the insurance commissioner, the two contracting companies and the two insurance companies got together and agreed among themselves that the Southern Surety Company should be regarded as the carrier of the workmen's compensation insurance of the men engaged in the concrete form work on this school building and should be entitled to the premiums, and under this agreement the Southern Surety Company collected all the premiums on this job and appellant did not receive any premiums from Elmer Sigler Company covering men engaged in concrete form work on this building. However, this last agreement seems to have been entered into in November, 1930, while appellee V. L. Jones was injured in October, 1930.

When Jones was injured, the Southern Surety Company acknowledged its liability, agreed that Jones was permanently and totally injured, paid all of his doctor and hospital bills, and further paid him compensation at the rate of $20 per week for a year and a half, when the Southern Surety Company became insolvent and was unable to continue its payments.

Appellee then employed lawyers who at once filed a claim against appellant, Texas Employers' Insurance Association, and secured from the Industrial Accident Board an award against appellant at the rate of $20 per week for a period of 401 weeks. The judgment in the district court was in effect to sustain this award, only a lump sum settlement was given instead of a weekly payment.

Appellant contends that appellee did not show a good reason for not filing his claim with the Industrial Accident Board within the six months required by law. Appellee *Page 1016 testified that the Southern Surety Company acknowledged liability in his cause, paid his doctor and hospital bills, and allowed him compensation in the maximum amount of $20 per week and paid same for a year and a half, at which time it went into the hands of a receiver and stopped payments; that by this action of the Southern Surety Company he was lulled into a feeling of security and did not know that the true carrier of his workmen's compensation insurance was appellant until the payments ceased by the Southern Surety Company, and then for the first time he discovered what he contends the true facts were, and immediately filed his claim with the board.

This question was submitted to the jury in special issue No. 2 of the court's charge in the following form:

"Do you find from a preponderance of the evidence that V. L. Jones had a good cause for not filing his claim with the Industrial Accident Board prior to April 9, 1932. Answer `Yes' or `No.'

"By the term `good cause' is meant such a cause as would have excused a man exercising ordinary care situated as V. L. Jones was situated after the accident and prior to April 9, 1932, from filing a claim for compensation with the Industrial Accident Board."

We conclude that the evidence raised the issue and that the question and instruction were in proper form and met the requirements of the law.

Appellant next complains of the action of the trial court in refusing its specially requested issue, which would have asked the jury whether or not the policy issued by appellant to Elmer Sigler Company had been canceled as to this high school building. It was contended that this policy had been canceled as to this job by an oral agreement between the two insurance companies and the two contractors, but this action had not been authorized by the commissioner of insurance.

We conclude that, where an insurance company issues to a contractor a policy of insurance covering its employees engaged in the general business of the contractor throughout the state, such policy cannot be canceled as to a particular job except by a written indorsement approved by the commissioner of insurance of Texas. This is the provision of article 4913, R.S. 1925, which reads as follows:

"Art. 4913. Uniform policy

"The Commission shall prescribe a uniform policy for workmen's compensation insurance and no company or association shall thereafter use any other form in writing workmen's compensation insurance in this State, provided that any company or association may use any form of endorsement appropriate to its plan of operation, if such endorsement shall be first submitted to and approved by the Commission, and any contract or agreement not written into the application and policy shall be void and of no effect and in violation of the provisions of this chapter, and shall be sufficient cause for revocation of license to write workmen's compensation insurance within this State."

Appellant next complains of the trial court's refusal to give his second special requested issue, which was as follows: "Do you find from the preponderance of the evidence that Elmer Sigler Company was only a supervising agent of Walsh, Burney Key on the Spanish Acres High School job?"

The Spanish Acres High School is now known as the Thomas Jefferson High School building. We do not think the court committed error in refusing to submit this issue. In the first place, it is an evidentiary issue having only a bearing on the ultimate issue which was whether or not V. L.

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70 S.W.2d 1014, 1934 Tex. App. LEXIS 446, Counsel Stack Legal Research, https://law.counselstack.com/opinion/texas-employers-ins-assn-v-jones-texapp-1934.