Washington Nat. Ins. Co. v. Curry

97 S.W.2d 525
CourtCourt of Appeals of Texas
DecidedSeptember 26, 1936
DocketNo. 12007.
StatusPublished
Cited by6 cases

This text of 97 S.W.2d 525 (Washington Nat. Ins. Co. v. Curry) 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
Washington Nat. Ins. Co. v. Curry, 97 S.W.2d 525 (Tex. Ct. App. 1936).

Opinion

BOND, Justice.

Appellee, Sam Curry, filed this suit against appellant, Washington National Insurance Company, to recover on an insurance policy, which, by its terms, creates a liability of the company to pay to appel-lee $10 weekly benefits for a term of 104 weeks, (a) for each day the insured is by reason of illness under -the care of a physician and necessarily .confined to bed, or *526 (b) for each day the ins'ured is by reason of accidental injury, of which there is external evidence, disabled from performing work of any nature; provided in each case (a) and (b) such confinement or disability is not less than 4 consecutive days and a certificate by a duly licensed and practicing physician is furnished as required by the policy. The policy requires that: “The insured shall not be entitled (o any benefits for sickness or accident under this policy unless a certificate on the Company’s form by a regularly licensed and practicing physician who is satisfactory to the Company, showing the nature of the sickness or injury, shall first be furnished the Company or its authorized agents; and if the sickness or accidental disability of .the insured shall continue for more than one week, a like certificate must likewise be furnished at the beginning of each week of sickness or accidental disability.”

Appellee alleged that he sustained an accidental injury on or about July 7, 1930, by getting creosote in his eyes, resulting in a diseased condition which totally destroyed his vision, of which there was external evidence, and on account of which he was disabled from performing work of any nature, was continuously confined to his bed since the date of his injury, and was totally and permanently incapacitated to work; afid that he requested of the insurance company forms for making the certificates, as required by the policy, and the company refused to furnish such forms, thus waiving the requirements of the policy as to furnish certificates of a duly licensed and practicing physician.

The case was submitted to a jury on special issues, and its verdict, in effect, finds that Sam Curry on or about July 7, 1930, got creosote in his eyes, resulting in blindness within 30 days thereafter, of which there was external evidence, which totally disabled him to perform work or labor, and necessarily and continuously, from that date, confined him to his bed;_ that Sam Curry gave notice to the insurance company of his disability, and on July 7, 1930, applied for and demanded of the company blanks for the purpose of making the proof of his disability, as required by the policy, which application and demand was refused by the company. On the verdict, the court rendered judgment for the weekly benefits, with statutory penalty and attorney fees.

The appellant, by pleadings and evidence, controverts the issues and the findings of the jury, and we are of the opinion that the findings of the jury are supported by appellee’s evidence and adopt same for the purpose of this opinion as the findings of this court. The disposition we make of this appeal makes it unnecessary to relate the testimony bearing on the findings.

It will be observed from the findings of the jury that the issues bear evidence only of an accidental injury to appellee, resulting in his disability from performing work of any nature; and not by reason of illness “under the care of a physician and necessarily confined to bed-.” As we interpret the policy, the provision “under the care of a physician and necessarily confined to bed” are conditions precedent for the payment of benefits for disabilities by reason of illness and not for benefits due to accidental injury.

As explanatory of the provisions of the policy affecting disability by reason of illness, the trial court gave the following instructions: “You are instructed that by the term ‘necessarily, totally and continuously confined to bed’, as used in the Court’s charge and the policy sued upon herein, does not mean, a constant literal restraint within the plaintiff’s bed, or the taking of exercise, and sitting in the sunshine as a part of plaintiff’s treatment, would not mean that he was not at such times necessarily confined to the bed as contemplated by the policy or contract in evidence in this case.”

It is clear, we think, that this explanatory provision of the charge has weight only on issues which might be submitted to the jury effecting liability by reason of illness. The illness disability provision of the policy is conditioned, among other things, that the insured shall be “under the care of a physician and necessarily confined to bed.” The clause “confined to bed” in such cases must not be given a literal construction. It is evident, we think,that the clause means that, the disability by reason of illness must reach that extent and be that severe, as ordinarily the party afflicted would be confined to bed. The term “confined to bed” evidently depicts only the extent of the illness, an evi-dentiary condition, and should not be literally applied'by a court or jury. So, on the issue of disability by reason of illness, we think the explanatory charge would have been proper; but, as we view this record, appellant’s liability, if any, rests on appel-lee’s disability due to accidental injury to *527 his eyes, which disabled him from performing work of any nature. There is not sufficient evidence of illness of the insured, or that the insured was “under the care of a physician and necessarily confined to bed,” as to come under the conditions precedent for appellee’s recovery therefor; and for that reason the charge, though correct in form, should not have been given on issues arising from pleadings and evidence of disabilities by reason of accidental injury. The policy does not require the insured to be “confined to bed” as a ■condition precedent for disability benefits due by reason of accidental injury.

On the trial appellee, in proof of his allegations that the extent of his injuries produced blindness, offered in evidence, ■over appellant’s objections, the testimony •of Dr. Fred Wyatt to the effect that he examined appellee’s eyes in May, 1934, 2 years after the alleged accidental disability ■occurred, and he found appellee was totally blind resulting from glaucoma; that he could not determine how long this condition had lasted, but evidently for many months or years; and, that his condition •was chronic, and during this time his eyesight became gradually dimmer and finally -produced blindness. We think the testimony was admissible.

It is settled rule in this state that any fact or circumstance logically related to any issue in the case, either directly or by inference, which conduces to any reasonable degree to establish the probability of that issue, should go to the jury. Gulf, C. & S. F. Ry. Co. v. Downs (Tex.Civ.App.) 70 S.W.(2d) 318. Sam Curry and his wife, Delia Curry, testified that in July, 1930, appellee had the accident of getting creosote into his eyes, which produced -external evidence of inflammation, swelling, pain, and excess flow of fluid, which •resulted gradually in the total loss of his •eyesight. The related symptoms, Dr. Wy■att’s testimony reveals, causes glaucoma, which would finally and gradually cause “blindness, thus disabling the. one afflicted from performing any kind of work. The weight of Dr. Wyatt’s testimony necessarily rests upon the reasons given by the oth■er witnesses in support of his testimony. ■Our conclusion, therefore, is that there was no error of the.

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Bluebook (online)
97 S.W.2d 525, Counsel Stack Legal Research, https://law.counselstack.com/opinion/washington-nat-ins-co-v-curry-texapp-1936.