Travelers Insurance Company v. Warren

447 S.W.2d 698, 1969 Tex. App. LEXIS 1945
CourtCourt of Appeals of Texas
DecidedNovember 13, 1969
Docket433
StatusPublished
Cited by5 cases

This text of 447 S.W.2d 698 (Travelers Insurance Company v. Warren) 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. Warren, 447 S.W.2d 698, 1969 Tex. App. LEXIS 1945 (Tex. Ct. App. 1969).

Opinion

*700 DUNAGAN, Chief Justice.

This is a workman’s compensation case. Oleta Warren brought suit against The Travelers Insurance Company in the District Court of Cherokee County alleging that she sustained an injury on or about October 13, 1965, while working for her employer, East Texas Handbag Company, and/or Texas Tasty Treats, Inc., and/or Texas Creative Arts, Inc., in Cherokee County, Texas. (All of these names were used before the Industrial Accident Board.) She alleged in her petition that while she was carrying a stack of material in her arms, she suddenly and accidentally received a twisting-type injury and sprain to her low back. The case was tried to a jury which found that the appellee, Oleta Warren, sustained accidental injury on or about October 13, 1965, in the course and scope of her employment with East Texas Handbag Company, and/or Texas Creative Arts, Inc., and/or Texas Tasty Treats, Inc., and that such injury resulted in total permanent incapacity with such incapacity beginning October 13, 1965. The jury further found that on or about the day Mrs. Warren returned to work she was advised by her employer, Mrs. Goldalie Balsum, that her claim for compensation had been filed with the proper authorities and that there was nothing further for her to do in connection with her claim; that Mrs. Warren believed the statements made by Mrs. Balsum; that she relied upon such statements and continued to so rely up until her claim was filed in September, 1967; that Mrs. Warren’s reliance upon the statements of Mrs. Balsum constituted “good cause” for not filing her claim for compensation sooner than it was actually filed. Judgment was entered for the appellee and from such judgment, this appeal has resulted.

Appellant first contends that there is no evidence to support the jury’s finding that “good cause” existed for the failure of ap-pellee to file her claim with the Industrial Accident Board until September 12, 1967. We agree with this contention, and, therefore, it becomes unnecessary to decide the other points of error brought forward by appellant.

The evidence shows that the appellee was injured on October 13, 1965, while working as an employee for one or all of the above named companies. Appellee did not file her claim with the Industrial Accident Board until September 12, 1967, which was some 23 months after the date of injury. Immediately after the accident occurred, Mrs. Warren was taken to the hospital where she remained for two or three weeks. Upon being discharged from the hospital, she went to her home where she remained for two or three weeks before returning to work for the same employer.

Mrs. Warren testified on direct examination that the first day she returned to work, which was five or six weeks after her injury, her employer, Mrs. Balsum, told her that a compensation claim had been filed; that she believed Mrs. Balsum’s statement ; and that she relied upon the statement until she finally contacted her lawyer in September, 1967, when she first learned that no claim had been filed.

The conversation with Mrs. Balsum was at least partially confirmed by Mrs. Balsum herself, who testified that she “probably did” tell Mrs. Warren that her injury had been reported to a representative of the defendant-appellant insurance company, who was expected to do what was necessary to take care of the claim.

On cross-examination of Mrs. Warren, it developed that on the day she returned to work, she went to Mrs. Balsum’s office and endorsed over to her the workmen’s compensation checks she had received, because she had been paid her full salary while she was off from work. She testified that, when she signed or endorsed those checks, she thought her claim, was through and that she would get no more benefits from the insurance company.

After returning to her job, appellee worked for some 18 months on the same job doing the same kind of work that she *701 had done before the accident. Mrs. Warren took her vacation over the July 4th week-end and the following week-end in 1967. After returning from her vacation around the middle of July, 1967, she informed Mrs. Teasdale, the company’s bookkeeper, that she was quitting, and walked off her job without giving any reason therefor.

Appellee applied for unemployment compensation benefits on July 31, 1967, August 7, 1967, August 14, 1967, August 21, 1967, August 28, 1967, September 4, 1967, September 11, 1967, September 22, 1967, and October 2, 1967. On September 9, 1967, appellee signed her claim for workmen’s compensation benefits in her attorney’s office. The record shows that her claim was received and filed with the Industrial Accident Board on September 12, 1967. This lawsuit was instituted on December 14,1967.

Appellee does not claim that she did not know of the serious nature or extent of her injury and for that reason, she failed to “timely” file her claim. Mrs. Warren’s sole excuse for not filing her claim sooner than she did was that she relied on the statement of her employer, Mrs. Balsum, made some time in November, 1965, that her claim was filed with the insurance company. This statement of Mrs. Balsum was made some 22 months prior to the filing of her claim.

It is undisputed that appellee in this case did not file her claim for compensation until some 23 months after the date of injury. It is well settled in this state that unless a workmen’s compensation claimant has “good cause” for a delay in filing his claim, compensation is barred if the filing of the claim is not made within six months of the date of injury. Article 8307, Sec. 4a, Vernon’s Ann.Tex.Civ.St. It is also well settled that a claimant relying upon “good cause” for failure to file his claim within the statutory period is charged with the duty of prosecuting his claim to that degree of diligence which a reasonably prudent person would exercise under the same or similar circumstances. Texas Employers’ Insurance Association v. Brantley, 402 S.W.2d 140 (Tex.Sup., 1966).

It is likewise well settled as to the filing of a claim for compensation that the claimant is under a duty of continuing diligence, and, if a claim is not filed within the six-month period after the accident, the claimant must prove that “good cause” existed until the day the claim was actually filed. It is not enough to show that “good cause” may have existed at some time during the period before the claim was filed. Texas Casualty Insurance Company v. Beasley, 391 S.W.2d 33 (Tex.Sup., 1965) ; Petroleum Casualty Co. v. Dean, 132 Tex. 320, 122 S.W.2d 1053 (1939); Hartford Accident & Indemnity Co. v. Hardin, 252 S.W.2d 752 (Tex.Civ.App., Fort Worth, 1952, writ, ref.). Therefore, under the well established law of this state, Mrs. Warren was charged with the duty of prosecuting her claim with that degree of diligence which a reasonably prudent person would have exercised under the same or similar circumstances. In view of the above test, the issue presented under the contention here under discussion is simply this: Would an ordinarily prudent person have relied some 22 months upon the statement of Mrs.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Knight v. Myers
748 P.2d 896 (Court of Appeals of Kansas, 1988)
Houston Fire & Casualty Insurance Co. v. Lee
521 S.W.2d 739 (Court of Appeals of Texas, 1975)
Travelers Insurance Company v. Rowan
499 S.W.2d 338 (Court of Appeals of Texas, 1973)
Liberty Mutual Insurance Company v. Wilson
495 S.W.2d 579 (Court of Appeals of Texas, 1973)
Villarreal v. Aetna Insurance Company
465 S.W.2d 797 (Court of Appeals of Texas, 1971)

Cite This Page — Counsel Stack

Bluebook (online)
447 S.W.2d 698, 1969 Tex. App. LEXIS 1945, Counsel Stack Legal Research, https://law.counselstack.com/opinion/travelers-insurance-company-v-warren-texapp-1969.