Watkins v. United States Casualty Co.

141 Tenn. 583
CourtTennessee Supreme Court
DecidedApril 15, 1919
StatusPublished
Cited by17 cases

This text of 141 Tenn. 583 (Watkins v. United States Casualty Co.) is published on Counsel Stack Legal Research, covering Tennessee Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Watkins v. United States Casualty Co., 141 Tenn. 583 (Tenn. 1919).

Opinion

Mr. Justice McKinney

delivered the opinion of the Court.

These suits were instituted by the complainant, Dr. Henry C. Watkins, against the defendant Casualty Companies to recover on two accident policies issued to him by the respective defendant companies for the loss of an eye.

The evidence in the two cases is identical. The cases were heard together, and we will dispose of both cases in this opinion.

On May 24, 1914, the United States Casualty Company issued a life and accident policy to the complainant in the principal sum of $7,500. Among other losses insured against the policy insured Dr. Watkins against the loss of the entire sight of one eye, irrecoverably, in the sum of $3,750.

The policy was issued for one year; was renewed each succeeding year, and was in force at the time of the accident resulting in the loss of his left eye. • The policy contained the following provision:

“Written notice of an injury or of the beginning of any' disability from sickness must be given by the insured or the beneficiary within forty days, to the company at its home office in New York City, or to a duly authorized agent of the company in the town, city or county in which the insured shall reside at the time of the giving of such notice, unless such notice shall be shown not to have been reasonably possible, in which [586]*586event snob, notice must be given as soon as may become reasonably possible. When claim is made for loss resulting from injury, proof of loss, under oatb, must be -furnished to tbe company at its borne office in New York City within ninety days from tbe date of loss of life, or sight, or limb, or band, or foot, and within ninety days from tbe date of tbe termination of loss of time or other disability, as defined herein.”

In May, 1913, the defendant, Metropolitan Casaulty Insurance Company, issued to Dr. Watkins its policy, by which it agreed to pay $9,000 in case of death and $4,500 for the loss of one eye. This policy was renewed from year to year, and was in force when the injury complained of was received.

This policy contained the following clause:

“Clause 12. Written notice must be given the company at its home office in New York City, or to any of its duly authorized agents, of any accident or injury for which a claim is to made, with full particulars thereof and the full name and address of the insured, within twenty-one days from the date of the accident or injury, unless the giving of such notice within such time shall not be reasonably possible, in which event such notice must.be so given as soon as reasonably possible.”

On January 17, .1917, Dr. Watkins entered his home and observed his wife standing with her back to him. He slipped up behind her and punched her in the ribs. It startled her, and she threw up her hand hitting hinn in the left eye, or rather, the doctor had on rimless glasses, and she hit the glasses and drove them against his eye. The pain for something like half an hour was excruciating and he testified that from that [587]*587time on he knew that there was something the matter with his eye. However, he did not think it was anything serious, and thought the trouble would eventually pass away. H.e had no idea that he would lose his eye. His wife examined his eye at the time of the accident, and discovered nothing wrong, except that the eye was a little red.

Dr. Watkins is a practicing physician, and did not quit work at all on account of this accident; had no idea of making any claim for weekly indemnity, and in fact did not make any. His eye did not become normal as he thought it would, and he probably became apprehensive that there was something serious about the injury, though he did not think that he had lost his eye. So that, on February 27th, forty-one days after the accident, he had Dr. Lewis, an eye specialist, to examine his eye, and learned for the first time that he had lost his eye. On the same day he gave both defendant companies notice.

Dr. Lewis testified that the injury was caused by a hemorrhage of the retina, produced by an injury to the eye. That upon an examination of the interior of the eye he found a degenerative change in the retina; that by degenerative change was meant the death of the tissues; the loss of their functioning powers; the substance of the eyeball had deteriorated; that the injury was not complete just after the accident; that the degeneration was not complete possibly for days and weeks that all hemorrhages do not cause degenerative changes; that it may be absorbed and the eye not injured.

[588]*588It does not appear therefore just how soon after the accident the degeneration took place, but it is manifest that Dr. Watkins did not know that he had lost his eye until February 27, 1917, and immediately upon ascertaining that he had sustained an injury that was covered by his policies he gave the companies notice.

Dr. Lewis examined this eye again on November 13, 1918, and saw no change, and says he will never recover sight in this eye.

The chancellor dismissed both bills on the idea that the provisions in the respective policies as to notice had not been complied with.

Notice was given forty-one days after the accident. The United States Casualty Company policy provided that: “Written notice of an injury must be given by the insured to the company or its agent within forty days, unless such notice shall be shown not to have been reasonably possible, in which event such notice must be given as soon as may become reasonably possible.”

In this case the accident occurred on January 17th. The policy provided no indemnity for such an accident, and the complainant had no claim against the company until he lost his eye. We will assume, for the sake of argument, that the vision in this eye became extinct on February 17th, a month after the accident, and at which time the company became liable to the complainant.

Under these facts has the complainant forty days from January 17th, or forty days from February 17th within which to give the notice?

[589]*589The Complainant had no claim against the defendant until February 17th. Can this policy be construed to mean that, whenever the insured happens to an accident that may possibly produce an injury at some future time that is covered by the policy, the insured has to give notice within the prescribed time from the date of the accident?

Take, for example the facts in the case of Hughes v. Central Accident Ins. Co., 222 Pa., 462, 77 Atl., 923. On December 14, 1904, Hughes, while riding ón a passenger train got a cinder in his eye. Several weeks afterwards he realized there was some impairment o£ his vision. lie went to Dr. Zigler an eye specialist, and was advised that a cataract was forming on his eye as a result of the cinder accident, the result being that he lost his vision. The insurance company was given notice on January 27, 1905.

In this particular case the policy provided for immediate notice, which the courts construe to be within a reasonable time. But suppose in that case the policy had provided for notice within ten days, would the complainant be barred because he did not notify the company within ten days after the accident, when as a matter of fact the injury for which the company was liable did not result for many days thereafter?

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Bluebook (online)
141 Tenn. 583, Counsel Stack Legal Research, https://law.counselstack.com/opinion/watkins-v-united-states-casualty-co-tenn-1919.