Travelers Insurance Co. v. Garcia

360 S.W.2d 415, 1962 Tex. App. LEXIS 2713
CourtCourt of Appeals of Texas
DecidedAugust 1, 1962
DocketNo. 10986
StatusPublished
Cited by2 cases

This text of 360 S.W.2d 415 (Travelers Insurance Co. v. Garcia) 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
Travelers Insurance Co. v. Garcia, 360 S.W.2d 415, 1962 Tex. App. LEXIS 2713 (Tex. Ct. App. 1962).

Opinion

ARCHER, Chief Justice.

This is a workmen’s compensation case involving Sections 12e and 12b of Article 8306, Vernon’s Ann.Civ.St., which deal with the tender of surgical treatment and the relative duties and liabilities of the parties thereunder. In this case the Trial Court disregarded jury findings that Plaintiff refused tendered surgery which would have effected a cure or materially and beneficially improved his condition and which would not have been more than ordinarily dangerous. Having disregarded these findings, the Trial Court entered judgment for total and permanent disability in accordance with the remaining jury findings. The sole question before this Court is whether the Trial Court erred in disregarding the jury findings which would limit defendant’s liability.

The one point of error is as follows:

“The Trial Court erred in overruling Defendant’s Motion for Judgment on the Verdict, in granting Plaintiff’s Motion for Judgment, in disregarding the jury’s answers to Special Issues Nos. 10, 11, and 12, entering judgment for Plaintiff.”

Since there appears to be no dispute as to the facts in this case, we will consider the propriety of the action of the Court in entering the judgment.

The gravamen of this case is the failure of the Industrial Accident Board to comply strictly with Sections 12e and 12b of Article 8306, V.A.C.S., which deal with the tender of treatment, admission of liability, the duties of the Board and the liabilities of the parties.

There is no question but that liability was admitted and treatment tendered by the Association, and that demand was made on the Board to require plaintiff to submit himself to surgery. In response thereto, the Board appointed Dr. Oliver, a doctor of medicine specializing in orthopedic surgery, who did examine the plaintiff and determined that he had a herniated inter-vertebral disc and that curative surgery was called for and that such surgery would effect a cure or materially and beneficially improve plaintiff’s condition; that it would not be more than ordinarily unsafe and so informed the plaintiff who indicated to Dr. Oliver that he did not want surgery performed.

Plaintiff had told Dr. Day and Dr. Price that he did not wish to submit himself to surgery. No other physician advised plaintiff that surgery would not benefit him or that such surgery would be unusually dangerous to him.

After receipt of the doctor’s reports and their expert opinions, all of which had been reduced to writing and filed with [417]*417the Board, and being all of the evidence and record information the Board had before it, the Board did not state in writing upon unanimous order and deliver to the employee and the Association directing the employee at a time and place therein stated to submit himself to an operation for said injury, as provided in Art. 8306, Secs. 12b and 12e.

By an award or order the Board, on April 7, 1961, made the following findings:

“Named insurer is ordered to pay employee $35.00 per week for not exceeding 100 consecutive weeks beginning 9-13-59 for temporary total disability.
“The Board finds that named insurer filed a Demand for Surgery. Said Demand for Surgery is hereby denied as named employee has declined same.
“8.X Orders: The carrier to deduct from this award and to pay to the above named attorneys a fee on the unpaid portion of this award in the amount of 15% of the amount ordered paid.
“This is the final award of the Board. Any claim for additional medical, hospital, nursing, chiropractic and medical expense should be made within 6 months from the date of this award. If you are dissatisfied with this award and desire to appeal it, you must give the Board written notice within 20 days from the date this award is entered and thereafter file suit in court within 20 days from the receipt of notice by the Board.”

It is apparent that the Board has not complied with Art. 8306, Sec. 12e and consequently the employee has not legally been given an opportunity to submit to an operation, or to refuse to submit to such operation.

The plaintiff gave notice of intention to appeal and timely filed this suit.

Art. 8307, Sec. 5 provides in part that the Trial Court shall determine the issues in such cause instead of the Board upon trial de novo and places the burden of proof upon the party claiming compensation.

The plaintiff alleged that as a result of injuries received he is wholly and totally incapacitated for the usual and customary tasks of a workman and that such will continue for a period of 401 weeks, and that he is entitled to receive the sum of $35.00 per week, and sought judgment.

The defendant plead that a surgical operation would effect a cure or materially and beneficially improve plaintiff’s condition and an operation had been tendered at its own expense but that plaintiff did not agree to submit to surgery, and alleged the action of the Board as has been hereinabove recited and that plaintiff is entitled to be compensated for a period not exceeding one year; that plaintiff’s refusal to submit to surgery is an injurious practice which tends to imperil or retard his recovery. The defendant also alleged that it had paid the plaintiff for 83 weeks of compensation benefits amounting to $2,-870.00 and prayed that plaintiff take nothing.

The plaintiff moved the Court to instruct the defendant not to introduce any evidence during the trial pertaining to the possible or probable curative benefits of surgery, or in anywise mention surgical procedures or the results thereof. This motion was refused by the Court.

On trial before a jury the oral depositions of Dr. Price and Dr. Oliver were introduced into evidence, which were to the effect that an operation was called for and that such would cure or materially benefit the plaintiff and that such an operation would not be more than ordinarily unsafe.

The plaintiff testified as to examinations by the doctors and as to their statements to him concerning surgery.

[418]*418The Court submitted twelve issues to the jury and in answer to issues Nos. 1 and 2 the jury found that the plaintiff’s injuries were total and permanent. In answer to issues Nos. 10, 11 and 12 the jury found that the plaintiff refused to submit himself to surgery as tendered to him and that the operation tendered would have materially and beneficially improved plaintiff’s condition and that the operation would not have been more than ordinarily unsafe.

On motion of plaintiff the Trial Judge disregarded the findings in Special Issues Nos. 10, 11 and 12 and entered judgment for plaintiff. The defendant filed its motion for judgment on the verdict of the jury, which was refused.

We believe that the Trial Court erred in disregarding the answers of the jury to Special Issues Nos. 10, 11 and 12.

In Traders & General Ins. Co. v. Wilkinson, Tex.Civ.App., 261 S.W.2d 863, error ref., N.R.E., the Court went into detail in discussing and determining a hernia case under Sec. 12b, Art. 8306 and held that the Trial Court erred in disregarding the findings of the jury to the effect that an operation was safe and it reversed and rendered judgment limiting compensation to one year as provided in Sec. 12b.

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Related

Garcia v. Travelers Insurance Company
365 S.W.2d 916 (Texas Supreme Court, 1963)
TEXAS EMPLOYERS'INSURANCE ASSOCIATION v. Ellis
365 S.W.2d 676 (Court of Appeals of Texas, 1963)

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Bluebook (online)
360 S.W.2d 415, 1962 Tex. App. LEXIS 2713, Counsel Stack Legal Research, https://law.counselstack.com/opinion/travelers-insurance-co-v-garcia-texapp-1962.