Ætna Life Ins. Co. v. Tipps

98 S.W.2d 375
CourtCourt of Appeals of Texas
DecidedOctober 29, 1936
DocketNo. 3398
StatusPublished
Cited by9 cases

This text of 98 S.W.2d 375 (Ætna Life Ins. Co. v. Tipps) 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
Ætna Life Ins. Co. v. Tipps, 98 S.W.2d 375 (Tex. Ct. App. 1936).

Opinion

PELPHREY, Chief Justice.

The Oak Cliff Pharmacy of Dallas, Tex., in September, 1925, took out an insurance policy for its employees under the “Group Plan” with appellant. Among these employees was appellee, who had worked for them many years. The policy contained a provision that:

“If total disability of the insured begin after the date of this policy and before age sixty, and if due proof be furnished the Company after such disability has existed for a period of six months and if such disability presumably will during lifetime prevent the insured from pursuing any occupation for wages or profit,. * * * the insured shall be deemed to be totally disabled within the meaning of this policy.

“Upon surrender of this policy and' upon receipt at the Home Office of the Company, during the continuance of this policy, of due proof of such total and' permanent disability, the Company will' waive further payment of premiums for' the insurance and will pay to the insured, in lieu of all other benefits, the sum then insured.”

On July 1, 1932, appellee was injured, and on February 18, 1935, filed this suit in the district court of Dallas county, seeking to recover the face of the policy, $500 attorney’s fee, and 12 per cent, penalty.

On June 26th following he filed an amended petition in which the policy was set out and more specifically alleging the facts showing him to be permanently disabled.

Appellant answered by general demurrer; a general denial; specially denied that appellee was totally and permanently disabled; specially denied that appellee had furnished proof that his disability had existed for a period of six months as provided in-the policy; specially denied that appellee had surrendered the policy as required by the policy; and specially alleged that the policy had lapsed for nonpayment of premiums.

In response to special issues the jury found: (1) That appellant had issued the-policy sued on to appellee; (2) that, the Oak Cliff Pharmacy had paid appellant the premiums on the policy until January, 1935; (3) that appellee became totally disabled after the date of the policy issued to him; (4) that such disability presumably would prevent appellee from pursuing any occupation for wages or profit during his lifetime; (5) that appellee, through his attorney, had made demand upon appellant for blank forms upon which to furnish proof of disability; (6) that appellant failed to furnish such forms; (7) that at the time of such demand, ap-pellee had been disabled for a period of more than six months; (8) that appellant denied liability to appellee under the policy; (9) that such denial was more than thirty days prior to the filing of the original petition; (10) that $500 was a reasonable attorney fee; and (11) that, appellee was forty-six years of age.

[377]*377From a judgment in favor of appellee based upon these findings, this appeal has been perfected.

Opinion.

Appellant seeks a reversal of the judgment because the court permitted appellee to testify that during the fall of 1932 he ■wrote to appellant at its home office and that a man representing himself as an agent of appellant came to see him in Oak Cliff and after showing him the letter he had written appellant told him that appellant would pay him nothing; because the trial court, after permitting the introduction of such testimony, refused to permit appellant to withdraw its announcement of ready and continue the case on the ground that appellant had been surprised by such testimony; because appellee had introduced no evidence that he had made due proof of his permanent disability and that same had existed for a period of six months; because the court improperly submitted the issue as to a denial of liability of appellant; because the finding of the jury in answer to such issue was not warranted by the credible evidence; because several issues as to uncontroverted facts were submitted; and because the finding on the question of attorney fees was contrary to the undisputed facts.

The only exception taken to appellee’s testimony about the writing of the letter and the visit from the purported agent was that it had not been shown that the man was connected with appellant. The fact that the purported agent had denied liability for appellant was brought out on cross-examination and not objected to.

Appellee’s testimony shows that he wrote a letter to appellant at its home office, and that a short while later a man with that letter in his possession came to .his home, and after telling him that he represented appellant, denied liability on the policy .for appellant.

These circumstances are certainly sufficient to establish the agency of the man, and therefore the admission of the evidence furnishes no basis for a reversal of the judgment.

Counsel for appellant was permitted to testify that he had received a photostatic copy of the entire file relative to appellee’s claim and that it contained no such letter as that claimed to have been written by appellee in the fall of 1932.

The evidence, while it may be in a measure hearsay, certainly brought out all the facts relative to the purported letter which appellant could have developed if it had been granted a continuance. We find no error in the court’s action in refusing the continuance under the facts before us.

Appellant, at the conclusion of the evidence, requested the trial court to instruct the jury to return a verdict in its favor on the ground that appellee had never made due proof of his disability, and makes the court’s refusal the basis for one of its assignments of error.

It is undisputed that appellee’s attorney wrote appellant two letters, one on October 26, 1934, and another on December 26, 1934, advising it that appellee had been injured on July 1, 1932, and that such injuries had resulted in total permanent disability.

Appellee, in his amended petition, alleged that he had furnished due proof of his disability in compliance with the terms of the policy and, in addition, that his attorneys had written the letter of October 26th; that appellant had received it and had refused to either answer it or furnish the requested forms for proof of disability; and that by so doing had waived the right to demand further proofs.

Appellee here counters with the contention that the letter of October 26th, in the absence of a definition of the term “due proof” in the policy, was sufficient proof, and especially where appellant remained silent after a request for forms, and that appellant’s action in remaining silent after receiving the two letters supported the finding of the jury that appellant had denied liability under the policy and thereby waived the furnishing of further proofs of disability.

With both contentions we agree. The letter of October 26th advised appellant of the date of appellee’s injury; that such injury had resulted in total permanent disability, and revealed the fact that such disability had continued for a period of more than two years, which would certainly indicate that it presumably would during appellee’s lifetime prevent him from pursuing any occupation for wages or profit.

This conclusion has not been reached without difficulty, but as said by Wal-thall, J., in American National Insurance Co. v. Callahan (Tex.Civ.App.) 51 S.W.[378]*378(2d) 1083, 1086: “In the absence of a meaning given the words, ‘furnish,’ ‘due’ and ‘proof,’ the words are given their usual meaning in ordinary language.”

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Bluebook (online)
98 S.W.2d 375, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tna-life-ins-co-v-tipps-texapp-1936.