Twin City Fire Insurance Company v. Gibson

488 S.W.2d 565, 1972 Tex. App. LEXIS 2939
CourtCourt of Appeals of Texas
DecidedNovember 22, 1972
Docket8237
StatusPublished
Cited by33 cases

This text of 488 S.W.2d 565 (Twin City Fire Insurance Company v. Gibson) 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
Twin City Fire Insurance Company v. Gibson, 488 S.W.2d 565, 1972 Tex. App. LEXIS 2939 (Tex. Ct. App. 1972).

Opinion

JOY, Justice.

This is a workmen’s compensation case wherein judgment was rendered in favor of plaintiff-appellee Raymond Gibson for total and permanent disability and against defendant-appellant Twin City Fire Insurance Company. Affirmed.

Appellee, at the time the alleged injury occurred which is the basis of this suit, was employed as a journeyman lineman for Southwestern Public Service Company in Plainview, Hale County, Texas. It is stipulated that a claim was received by the Industrial Accident Board (hereinafter referred to as Board) stating, in part, that appellee had sustained an injury to his left shoulder while lifting an electric line and that as a result of the injury, appellee was permanently disabled. The claim before the Board further stated that the injury occurred in Plainview, Hale County, Texas. The claim was acted upon favorably to ap-pellee and appellant appealed from this determination. It is undisputed that the original petition filed by appellee in the district court gave the location and date which ap-pellee sustained an injury as January 16, 1970, in Plainview, Hale County, Texas. However, an amended petition was filed by appellee prior to trial on the merits which alleged the location and date of the injury as being sustained on or about January 16 or 23, 1970 in Castro County, Texas. Otherwise, the basic allegations contained in the claim before the Board and the amended petition of appellee are essentially the same. Appellant filed a plea to the jurisdiction of the court asserting a fatal variance between the claim before the Board and the claim presented in the amended petition of appellee. This plea was overruled and trial was to a jury. Judgment was entered in favor of appellee for total and permanent disability. Appellant has duly perfected appeal from the trial court’s judgment assigning 75 points of error, such points being grouped into several categories.

Appellant, in points of error nos. 1 through 8 and 48, 50 and 53, asserts primarily that there is a fatal variance between the appellee’s claim before the Board and his amended petition upon which the case went to trial, and that the court erred in failing to submit various special issues pertinent thereto. Appellant contends that the claim before the Board listed the place and time of the injury asserted by appellee to have been in Plainview, Hale County, Texas on January 16, 1970 and the amended petition of appellee lists the injury to have been in Castro County, Texas on or about January 16, or 23, 1970, and therefore the claim presented by this lawsuit was not presented to the Board and the court lacked jurisdiction to hear the case.

One of the initial requirements of our Workmen’s Compensation Statute is that a claim for benefit under the act must first be presented to the Board. The Board must have an opportunity to pass upon the claim before it may be presented in court. Appeal from the decision of the Board is trial de novo in the district court with the jurisdictional requirement that the claim before the court has been presented to the Board. Hartford Accident & Indemnity Co. v. Choate, 126 Tex. 368, 89 S.W.2d 205 (1936). Various interpretations of this rule have been expressed in case law. One *570 interpretation of the rule is to allow a claimant to enlarge his claim where injuries are generally described before the Board. It has been stated that the purpose of filing the claim is to give sufficient information so that a proper basis for investigation, hearing and determination of the claim is presented. In the case before us the nature of the injury complained of by appellee is not the basis of appellant’s contention that there is a fatal variance. The claim before the Board and the petition before the court reflect the same basic description and nature of injury. The basis of appellant’s attack upon the jurisdiction of the court is couched in terms of a variance in the date and location of the injury.

We do not believe the difference in the date and location of the alleged injury is a fatal variance under the facts before us. We take judicial cognizance that Hale and Castro Counties are adjacent to each other. Appellant relies upon the case of Solomon v. Massachusetts Bonding & Insurance Company, 347 S.W.2d 17 (Tex.Civ.App.—San Antonio 1961, writ ref’d) for the proposition that a variance in the time and location as stated in the claim before the Board and the petition before the court upon trial is fatal and the court has no jurisdiction. In the Solomon case the variance was two and a half years in time and 100 miles of distance and this discrepancy was held to be too great. We agree that an extensive variance in location and time süch as that in the Solomon case would be fatal. However, the Solomon case is distinguishable and not applicable to the facts of the case before us. We do not believe there is an absolute guideline by which a variance is determined to be fatal or permissible. The rule in Texas as re-examined and enunciated in the case of Johnson v. American General Insurance Company, 464 S.W.2d 83 (Tex.Sup.1971) is as follows: “If the Board has had jurisdiction to pass upon the claim, and if there is a fair and substantial identity of the claim . thereafter sued upon in court, then there is no fatal variance.” The critical factor under this test has been referred to as the “identity of the claim.”

In the case before us, the only variance between the claim before the Board and the claim presented in the district court was in relation to place and time. The nature and extent of the injury was identical. We do not believe the slight discrepancy in time and location of the alleged injury is fatal under the facts of this case and appellant’s points of error nos. 1 through 8 and 48, 50 and 53 are overruled.

Appellant, in points of error nos. 9 through 22, complains of ruling of the trial court by which appellant was restricted from the introduction of certain evidence, to wit:

(1) The sustaining of objections to witness Lloyd Davis’ testimony preventing him from testifying as to the details of the “sickness” and “accident” program furnished by Southwestern Public Service.
(2) Preventing appellant from showing numerous instances wherein appellee claimed benefits under the “sickness” program.
(3) In limiting the testimony of Lloyd Davis from giving reasons for ap-pellee’s discharge.
(4) In limiting appellant in his cross-examination of appellee in regard to the allegation that appellee had changed his story between the time he presented his claim to the Board and the time of trial.
(5) In preventing appellant’s counsel from showing a prior inconsistent position taken by appellee.
(6) In excluding the testimony of Lloyd Davis as to various payroll checks issued by Southwestern Public Service which were under the company’s “sickness” program rather than the “accidental” injury program and the *571 exclusion of various time sheets to the same effect.
(7) In excluding the terms and provisions of Southwestern Public Service Company’s health and accident policy.

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Bluebook (online)
488 S.W.2d 565, 1972 Tex. App. LEXIS 2939, Counsel Stack Legal Research, https://law.counselstack.com/opinion/twin-city-fire-insurance-company-v-gibson-texapp-1972.