Trevino v. American National Insurance

140 Tex. 500
CourtTexas Supreme Court
DecidedFebruary 3, 1943
DocketNo. 7982
StatusPublished
Cited by12 cases

This text of 140 Tex. 500 (Trevino v. American National Insurance) is published on Counsel Stack Legal Research, covering Texas Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Trevino v. American National Insurance, 140 Tex. 500 (Tex. 1943).

Opinion

Mr. Presiding Judge Smedley

delivered the opinion of the Commission of Appeals, Section B.

Petitioner, Anita Trevino, beneficiary in a policy insuring the life of her brother, sued respondent, American National Life Insurance Company, insurer, for the face value of the policy, for twelve per cent, thereof as damages and for reasonable attorney’s fees. Upon a verdict favorable to respondent, judgment was rendered by the trial court that petitioner take [502]*502nothing by her suit, which judgment was affirmed by the Court of Civil Appeals. 159 S. W. (2d) 202. The amount in controversy is less than $1,000.00 but jurisdiction was taken by this Court because the case involves the construction of a statute.

The policy which is dated March 21, 1938, contains the following provision: “Provided, however, that no obligation is assumed by the Company prior to the date hereof nor unless on said date the Insured is alive and in sound health.” The incontestable clause of the policy in compliance with Section 3, of Article 4732, Revised Civil Statutes of 1925, is: “After a period of two years from the date borne by this Policy, it shall not be contested on any ground affecting its original validity.”

The jury found in answer to special issues that the insured was in ill health when the policy was issued and that the insurer, its agents and representatives did not know that the insured was then in ill health. The third special issue relating to the reasonable amount of attorney’s fees was not answered.

The insured died April 27, 1938. The suit on the policy was filed July 29, 1938. Respondent, on August 15, 1938, filed its original answer consisting of a general demurrer and a general denial. On February 15, 1941, more than two years after the date of the policy, respondent filed its first amended original answer, in which it alleged that the policy was void and unenforceable because the insured was in ill health when the policy was issued and because the insured fraudulently represented that he was not suffering from any illness or disease.

The controlling question is whether the insurer within two years from the date borne by the policy contested the policy “on any ground affecting its original validity.” The Court of Civil Appeals held that the general denial filed within the two-year period constituted such contest within the meaning of the incontestable clause contained in the policy. The writ of error was granted on account of that ruling.

The language of the incontestable clause and of the statute (Sec. 3, Art. 4732) in the- use of the words “contested” and “incontestable” contemplates and intends to require the institution within the specified period of a proceeding in court to cancel the policy on account of original invalidity or the filing, [503]*503within that period in a suit brought on the policy, of an answer setting up a ground of original invalidity to defeat recovery. American Natl. Ins. Co. v. Welsh (Com. App.) 22 S. W. (2d) 1063, (Civ. App.) 3 S. W. (2d) 946; Southern Surety Co. v. Benton (Com. App.) 280 S. W. 551; Humpston v. State Mutual Life Insurance Co., 148 Tenn. 439; 256 S. W. 438, 31 A. L. R. 78; Mutual Reserve Fund Life Ass’n. v. Austin, 73 C. C. A. 498, 142 Fed. 398, 6 L. R. A. (N. S.) 1064.

The general denial filed by respondent within the two-year period was not, in our opinion, a contest within the meaning of the incontestable clause. Respondent did not thereby plead ill health of the insured or fraudulent representations by him as a ground of invalidity or as a defense to recovery, on the policy. The original answer in most general terms denied the averments of the petition and contained no allegations attacking the policy on account of original invalidity. The petition alleged the execution and delivery of the policy. Upon its face the policy was valid. “Until contested by the company, it had such force as upon its face it purported to have.” Mutual Reserve Fund Life Ass’n. v. Austin, 73 C. C. A. 498, 142 Fed. 398, 6 L. R. A. (N. S.) 1064, 1067.

The plaintiff suing on the policy is not required either to plead or to prove that he was in sound health when the policy was issued or that he made no false representations as to his health. Ill health of the insured and fraudulent representations by him as to the condition of his health are extrinsic facts, matters of defense, upon which the insurer may rely in contesting the policy that evidences its liability. It has the burden of alleging and proving those facts. Southern Surety Co. v. Benton (Com. App.) 280 S. W. 551; American Natl. Ins. Co. v. Fawcett, 162 S. W. 10; American Natl. Ins. Co. v. Anderson, 179 S. W. 66; National Life & Accident Ins. Co. v. Taree, 8 S. W. (2d) 291; National Life & Accident Ins. Co. v. Doman, 31 S. W. (2d) 865; Washington Fidelity Natl. Ins. Co. v. Stewart, 54 S. W. (2d) 838; Dorsey Life Ass’n. v. Davis, 90 S. W. (2d) 270; The Piedmont and Arlington Life Insurance Co. v. Ewing, 92 U. S. 377, 23 L. Ed. 610.

In American National Insurance Company v. Lawson, 133 Texas 146, 127 S. W. (2d) 294, it is held that the provision that no obligation is assumed by the company unless on the date of the policy the insured is in sound health “should be [504]*504construed as a condition precedent to the policy’s becoming effective.” But the case does not hold that the insured has the burden of pleading and proving that he was in good health when the policy was issued. As to the original validity of the policy, the insured makes a case, prima facie, when he pleads and proves the execution and delivery of the policy. The insurer by pleading and proving extrinsic facts showing the breach of the condition precedent avoids the policy, which, because it has been issued and delivered and is valid on its face, is to be regarded, until so avoided, as valid and subsisting. Carpenter v. The Providence Washington Ins. Co., 10 Pet. 495, 509-510, 10 L. Ed., 1044, 1050; Mutual Reserve Fund Life Ass’n. v. Austin, 73 C. C. A. 498, 142 Fed. 398, 6 L. R. A. (N.S.) 1064.

The general denial puts the plaintiff upon proof of every fact essential to his case. By it issue is joined upon all of the material facts asserted by the plaintiff except those which are required to be denied under oath. Rule 20 for district and county courts (old rules) ; Rule 92, Texas Rules of Civil Procedure; Stayton’s Method of Practice in Texas Courts, p. 786, sec. 733, W. L. Moody & Co. v. Rowland, 100 Texas 363, 370, 99 S. W. 1112. “Under his plea of general denial, a defendant may introduce any testimony which goes to disprove the facts alleged and proved by the plaintiff, but cannot avoid the legal consequence of such facts, unless he plead the matters in avoidance upon which he relies.” Good v. Chiles (Com. App.) 57 S. W. (2d) 1100; W. L. Moody v. Rowland, supra; Smothers v. Field, Thayer & Co., 65 Texas 435.

In this case the facts essential to petitioner’s case, the material facts asserted in her petition, are the issuance and delivery by respondent of the policy insuring the life of her brother for $357.00 payable to her as beneficiary, the payment of the premiums, the death of the insured, the making of proof of death, and the demand for payment. She did not allege, and as has been said she was not required to allege, that the insured was in sound health when the policy was issued or that he made no false representations as to his health.

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140 Tex. 500, Counsel Stack Legal Research, https://law.counselstack.com/opinion/trevino-v-american-national-insurance-tex-1943.