United States Fidelity and Guaranty Co. v. Herzik

359 S.W.2d 914, 1962 Tex. App. LEXIS 2689
CourtCourt of Appeals of Texas
DecidedJune 14, 1962
Docket13962
StatusPublished
Cited by17 cases

This text of 359 S.W.2d 914 (United States Fidelity and Guaranty Co. v. Herzik) 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
United States Fidelity and Guaranty Co. v. Herzik, 359 S.W.2d 914, 1962 Tex. App. LEXIS 2689 (Tex. Ct. App. 1962).

Opinion

COLEMAN, Justice.

This is a suit for death benefits under the Texas Workmen’s Compensation Act. Based on a jury verdict the trial court entered a judgment for the plaintiff.

Barbara H. Herzik was the wife of Frank J. Herzik, who died October 16, 1959, while engaged in the performance of his duties as an oven loader for Schott’s Bakery, Inc. Appellee’s claim for compensation was filed with the Industrial Accident Board July 30, 1960. The jury found that appellee was physically incapacitated to file a claim for compensation from October 16, 1959, through April, 1960, a period of 6½ months, *916 and that good cause existed for not filing the claim sooner than it was filed.

The jury finding of “good cause” was based on findings that appellee believed that Schott’s Bakery, Inc. would take care of all her insurance claims and that she did not know she was required to file a claim within six months from the date of her husband’s death. The second basis is untenable. Mistake of law or ignorance of the law will not justify delay in filing a claim for compensation beyond the six month period provided in the Workmen’s Compensation Act. LaCour v. Continental Casualty Co., 163 S.W.2d 676, Tex.Civ.App., error ref.; Sandage v. Traders & General Ins. Co., 140 S.W.2d 871, Tex.Civ.App., error ref.; Texas Employers Insurance Ass’n v. Doss, 301 S.W.2d 473, Tex.Civ.App., error ref., n. r. e.; Petroleum Casualty Co. v. Dean, 132 Tex. 320, 122 S.W.2d 1053. There was no issue submitted to the jury, and no finding, that appellee’s ignorance of the fact that her deceased husband’s employer carried Workmen’s Compensation insurance constituted a good cause for failure to file her claim.

The evidence on which the jury found that Schott’s Bakery, Inc. would take care of all of appellee’s insurance claims consisted of the testimony of appellee that she received a telephone call from someone “high-up” in the company, Mr. Jack Freeborn, who called her about the insurance. He told her he was sorry about Mr. Herzik and that he had a check for her. He then asked if she wished to come and get it. When she told him that she wasn’t able to come and get it by herself, he said, “I will send it out. I will take care of everything.” She testified that she guessed the check was for life insurance that her husband had paid for and that she didn’t know whether it had anything to do with Workmen’s Compensation insurance. She never did see or hear from Mr. Freeborn after she got the check. Mrs. Herzik had very little education or business experience of any kind. She testified that prior to the time she consulted her lawyer in July, 1960, she had never heard of the Workmen’s Compensation Law and knew nothing about its requirements. In answer to a question by appellant’s attorney she said that all of her conversation with Mr. Freeborn was about the life insurance check. She further testified on cross-examination that she didn’t know there was a Workmen’s Compensation Law, or that Schott’s Bakery had Workmen’s Compensation insurance, or that she had to file a claim in six months and that she could have picked up the telephone and called her lawyer to ask about Workmen’s Compensation and that the reason she didn’t do it was because she didn’t know anything about Workmen’s Compensation. On redirect examination she stated that she relied on Mr. Freeborn’s statement that he would take care of everything concerning the insurance. She then testified again that the only reason the claim wasn’t filed at a proper time was that she didn’t know what the law was. She further testified that no one representing appellant or Schott’s Bakery, Inc., told her that they would handle her claim for her.

The general rule applicable to the facts of this case is concisely stated in LaCour v. Continental Casualty Co., supra, as follows:

“It has been uniformly held that the test for ‘good cause’ for delay in filing a claim before the Board is that of ordinary prudence, that is, whether the injured employee has prosecuted his claim for .compensation with that degree of diligence that an ordinarily prudent person would have exercised under the same or similar circumstances and that the question as to whether he has exercised such degree of diligence is ordinarily a question of fact, but that, where the evidence, taken most strongly in favor of the claimant, admits of .but one reasonable conclusion, negativing good cause, the question becomes one of law. Texas Indemnity Ins. Co. v. Cook, Tex.Civ.App., 87 S.W.2d 830, *917 writ refused; Maryland Casualty Co. v. Merchant, Tex.Civ.App., 81 S.W.2d 794.”

Appellee has frankly stated that she did not know that the employer had Workmen’s Compensation insurance. She knew nothing about the law concerning injuries received in the course of employment. She testified positively several different times that her ignorance of the law and of the fact that the company had procured Workmen’s Compensation insurance were the only reasons she did not file her claim. She also testified that she relied on the statement made by Freeborn that he would take care of everything. The jury reasonably •could have believed that had she not relied on this statement she would have caused an investigation to be made which would have resulted in knowledge of the fact that the company had provided Workmen’s Compensation insurance for the benefit of its employees and that her claim must be filed within six months. The fact that the company did voluntarily “take care of everything” in relation to the life policy would be a circumstance to be considered by the jury. Appellee’s physical and mental condition at the time the statement was made, as well as her lack of education and business experience, might properly be considered by the jury in determining whether an ordinary prudent man under the same or similar circumstances would have delayed in filing the claim as long as she did. We cannot say that the evidence taken most strongly in favor of the claimant admits of but one reasonable conclusion, negativing good cause.

An employer is not required by law to become a subscriber under the Workmen’s Compensation Act. While the Act provides for constructive notice to employees of an employer’s election to accept the terms of the Act, it has been held that this provision does not apply to beneficiaries of deceased employees. Texas Employers’ Ins. Ass’n v. McGrady, 296 S.W. 920, Tex.Civ.App., writ dism.; Employers’ Liability Assur. Corporation v. Mills, 81 S.W.2d 1028, Tex.Civ.App., writ dism.; Hurd v. Republic Underwriters, 105 S.W.2d 428, Tex.Civ.App., writ dism.

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Bluebook (online)
359 S.W.2d 914, 1962 Tex. App. LEXIS 2689, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-fidelity-and-guaranty-co-v-herzik-texapp-1962.