Travelers Insurance Company v. Solomon

454 S.W.2d 765, 1970 Tex. App. LEXIS 2483
CourtCourt of Appeals of Texas
DecidedMarch 18, 1970
DocketNo. 6072
StatusPublished

This text of 454 S.W.2d 765 (Travelers Insurance Company v. Solomon) 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 Company v. Solomon, 454 S.W.2d 765, 1970 Tex. App. LEXIS 2483 (Tex. Ct. App. 1970).

Opinion

OPINION

FRASER, Chief Justice.

Mr. R. R. Solomon received a jury verdict in his favor against Travelers Insurance Company for anticipatory breach of an insurance contract. The contract was an accidental disability policy issued by appellant to appellee. Under the policy appellant agreed to pay the sum of $200.00 per month during the period of any total disability sustained by appellee which commenced within 30 days after he received accidental injuries. The policy defines “total disability” as meaning an inability of the insured to perform any and every duty pertaining to his occupation during the first 24 months of any period of disability; thereafter, the term is defined to mean complete inability of the insured to [766]*766engage in any and every occupation or employment for wage or profit.

The appellee sustained accidental injuries on November 4, 1963 and was paid the full policy benefits for a period of 24 months after, because he was unable to perform every duty pertaining to his occupation during that period of time. The appellant, at the expiration of the two-year period, took the position that appellee was not unable to engage in any occupation or employment, and therefore paid no further benefits after the said two-year period.

The case was tried to a jury, and the jury found that the appellant denied further liability without just excuse; that the appellee was totally and permanently disabled; and that he was entitled to recover the sum awarded to him. The appellant takes the position that the trial court erroneously submitted to the jury for its consideration the anticipatory breach of the contract, improperly submitted the issue of total disability to the jury, and improperly submitted the issue as to the amount the appellee was entitled to recover.

The appellant submits that the court committed error as illustrated by its first four points wherein the court allegedly erred in permitting recovery for unmatured benefits when there was no anticipatory breach of the policy of the appellant; because there is no evidence to support the jury’s answer to Special Issue No. 1 which inquired whether the appellant denied liability to the appellee without just excuse; because there is' insufficient evidence to support the jury’s answer to Special Issue No. 1; and lastly because the trial court erred in permitting recovery for unmatured benefits for an anticipatory breach of the contract because the answer to Special Issue No. 1 is so contrary to the great weight of the evidence as to be clearly wrong. We believe these points must be sustained for the following reasons.

The accidental disability policy issued by appellant to appellee for a premium of $4.00 per month provides payments of $200.00 per month for periods of total disability resulting from accidental bodily injuries. The policy further provides: “ ‘Total disability’ as used herein means complete inability of the Insured to engage in any and every occupation or employment for wage or profit, but during the first 24 months of any period of disability the Insured shall be deemed totally disabled while he is unable to perform any and every duty pertaining to his occupation and is not engaged in any occupation or employment for wage or profit.” The policy of insurance describes the insured as a “Driver Truck & Bulldozer”. The insured sustained injuries on November 4, 1963, injuring his arm and shoulder. The company paid him $200.00 a month for two years. After November 7, 1965, the company made no further payments, basing its position on the result of medical reports furnished to appellant by doctors treating the. appellee. The appellant took the position that in as much as the doctor said appellee might be able to do some light type of work, it was no longer obligated on the ground that it had not been established that appellee could not engage in any type of work whatever. Prior to the trial, neither the appellee nor his attorney furnished appellant any medical reports or other evidence to indicate that Mr. Solomon qualified for benefits beyond those already paid to him. Appellant takes the position that the policy was never can-celled, but payments were merely stopped under the company’s interpretation of the policy definition of “total disability”. With this position we must agree. A somewhat similar case was before the courts in the case of Universal Life & Accident Ins. Co. v. Sanders, 129 Tex. 344, 102 S.W.2d 405 (1937). In that case the Commission of Appeals (opinion adopted) speaking through Commissioner Hickman said:

“It is not to be understood that we are extending the doctrine of anticipa[767]*767tory breach so as to make it applicable to cases where the insurer merely denies liability or claims defenses under the terms of the policy. The Pollack opinions limit its application to cases in which the obligor absolutely repudiates the obligation without just excuse. As stated in Mobley v. New York Life Insurance Co., 295 U.S. 632, 55 S.Ct. 876, 878, 79 L.Ed. 1621, 99 A.L.R. 1166: ‘Mere refusal, upon mistake or misunderstanding as to matters of fact or upon an erroneous construction of the disability clause, to pay a monthly benefit when due is sufficient to constitute a breach of that provision, but it does not amount to a renunciation or repudiation of the policy. Daley v. People’s Bldg. & Sav. Ass’n, 178 Mass. 13, 18, 59 N.E. 452.’ ”

Ten years later, Justice Hickman, in Sanders v. Aetna Life Ins. Co., 146 Tex. 169, 205 S.W.2d 43 (1947), again wrote on this question, this time for the Supreme Court. In that case suit was filed to recover benefits under a group benefit policy. After proof of total and permanent disability was submitted to the insurance company, the insurer wrote to the claimant’s lawyer denying the claim on the ground that the claimant, Mr. Sanders, was not conclusively and permanently disabled. In passing upon the anticipatory breach, Justice Hickman referred to the earlier opinion which he had written and stated as follows: '

“The contention of Sanders that he should be awarded a lump sum recovery by this Court for the full fifty months of disability on the ground of anticipatory breach cannot be sustained. The insurance company has not repudiated the policy, but it stands on it and denies that the facts entitle Sanders to recover thereon. In that situation Sanders is not entitled to a judgment for unmatured installments. New York Life Ins. Co. v. English, 96 Tex. 268, 72 S.W. 58; Universal Life & Accident Ins. Co. v. Sanders, 129 Tex. 344, 102 S.W.2d 405.”

In Continental American Life Insurance Co. v. McCain, 412 S.W.2d 666 (Tex.Civ.App., 1967), the court of civil appeals held that the insurance company was liable for future installments because of an anticipatory breach. The court there stated:

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Related

Mobley v. New York Life Insurance
295 U.S. 632 (Supreme Court, 1935)
Tucker v. Bankers Life & Casualty Co.
406 P.2d 628 (Washington Supreme Court, 1965)
Continental American Life Insurance Co. v. McCain
412 S.W.2d 666 (Court of Appeals of Texas, 1967)
Continental American Life Insurance Co. v. McCain
416 S.W.2d 796 (Texas Supreme Court, 1967)
Continental Casualty Company v. Boerger
389 S.W.2d 566 (Court of Appeals of Texas, 1965)
Metropolitan Life Ins. Co. v. Greene
93 S.W.2d 1241 (Court of Appeals of Texas, 1936)
New York Life Insurance v. English
72 S.W. 58 (Texas Supreme Court, 1903)
Citizens National Bank v. Texas & Pacific Railway Co.
150 S.W.2d 1003 (Texas Supreme Court, 1941)
Universal Life & Accident Insurance v. Sanders
102 S.W.2d 405 (Texas Supreme Court, 1937)
Sanders v. Aetna Life Insurance
205 S.W.2d 43 (Texas Supreme Court, 1947)
Daley v. People's Building, Loan & Saving Ass'n
178 Mass. 13 (Massachusetts Supreme Judicial Court, 1901)

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Bluebook (online)
454 S.W.2d 765, 1970 Tex. App. LEXIS 2483, Counsel Stack Legal Research, https://law.counselstack.com/opinion/travelers-insurance-company-v-solomon-texapp-1970.