130 S.W. 769 | Tex. App. | 1910
This is a suit by defendant in error against plaintiff in error on a life insurance policy issued October 15th, 1906, to Owen Ford, who died from a pistol wound on December 7th, 1906. Two special defenses are set up against recovery.
First. That the insured died by the act of his own hand in violation of the warranty in his application for the insurance that "I will not die by my own act, whether sane or insane, during the period of one year next following the date of issue of said policy."
Second. That the insured further stated in his application: "I am insured in other companies and associations as follows: $5,000 Equitable of New York and in no others," and warranted this statement to be true, when in fact it was not true, he having at that time the following certificates in fraternal assessment orders and local societies: Order of Pendoe, $1,225.00; Loyal Americans, $2,000.00; Friends in Need, $449.00; and Home Benefit Society of San Marcos, $254.00. Also that he, in addition to the fraternal and local society insurance, had an accident policy in the United States Casualty Company for $5,000.00. The case was tried before the court without a jury, and judgment rendered for defendant in error for the face of the policy, $2,000, with six percent interest thereon from January 31st, 1907, $240.00, as statutory damages, and $500.00 attorney's fees. The case is before this court on the record, without findings of law and fact by the trial court.
1. The first four assignments of error are grouped together and the group followed by one proposition and the proposition by one statement in the brief for plaintiff in error, and defendant in error objects *415
to our considering these assignments as in violation of Rule 30 for the Courts of Civil Appeals. The assignments complain of the trial court overruling four special exceptions to plaintiff's First Amended Supplemental Petition. It is permissible to group assignments which relate to the same subject, although not commendable; but when they are such as to permit grouping, each should be supported by its own proposition. Neal v. Galveston, H. S. A. Ry. Co., 37 Texas Civ. App. 235[
2. The fifth assignment of error is that the court erred in overruling defendant's special exception to the fifth paragraph of plaintiff's First Amended Supplemental Petition wherein it is alleged in substance, that defendant did not give notice to the insured during his life, nor within any reasonable time after his death to the beneficiary, that it repudiated the contract of insurance and denied liability upon the ground of misrepresentations. The exception is that the matters alleged in said fifth paragraph "are no defense to any of the facts set up by the defendant as plaintiff alleges that she received a letter from defendant (which letter she is hereby notified to produce upon the trial of this case or secondary evidence of its contents will be introduced) in which this defendant denied liability on said policy in toto, and refused the payment thereof." An examination of the record shows that plaintiff only alleged in her First Amended Original Petition "that defendant, by its written communication of Jan. 31, 1907, declined and refused to pay said sum of $2,000.00 or any part thereof," but it is not alleged upon what ground defendant based its refusal to pay. We do not think it necessary to a proper decision of the case to pass upon the question whether the defendant was required to give notice to either the insured during his life or to his beneficiary after his death that it repudiated the contract for misrepresentations; and we would not feel warranted in reversing the case if we found it necessary to pass upon this question, as the case was tried by the court without a jury, and no findings of law and fact are in the record, it being the duty of this court in the absence of findings of law and fact by the trial court not to disturb the judgment if it can be based upon other pleadings and evidence in support of the same. Barton v. American National Bank, 8 Texas Civ. App. 224[
3. The seventh assignment of error is that the court erred in rendering judgment for the defendant in error as the uncontradicted evidence shows that the insured did not disclose in his application the full *416 amount of insurance on his life at the time he applied for the policy here involved. The application was the printed form used by the company and furnished to its agents, and contained twenty printed questions and statements. Two of these question-statements, the 18th and 19th, and the answers thereto, are set out in the statement of facts, as follows: "18. I have been accepted for insurance under the following policies in this company: $1,000 Ten Pay. Income Policy." "19. I am insured in other companies and associations as follows: $5,000 Equitable of New York and in no others."
To the colon is the printed language of the Company and after it the applicant's statement written down by the agent of the Company, who testified that the meaning of the 19th statement was that the applicant was "not insured in any other insurance company."
The application is expressly made a part of the contract, and all statements and answers in it by the insured, as well as those made by him to the medical examiner, whether material or not, are made warranties.
While the rules for the construction of insurance contracts are simple and well settled, their application to the question here involved is not altogether satisfactory and the question itself does not seem to have been the subject of but very few decisions. The courts of almost every State have determined whether or not fraternal insurance orders and accident insurance companies are within the meaning of their respective insurance statutes and the cases are almost equally divided. They aid very little in solving the question whether fraternal and accident insurance are within the meaning of a statement like the one before us, as the decision in each instance depends almost entirely upon the wording of the statute and the legislative intent, and not upon what is commonly understood by the term "insurance." We think the question should be determined from the decisions that are free of statutory construction and by the rules applicable to insurance contracts. From these decisions we find the rule to be that if there is no room for the insured as a fair and intelligent person not to conclude from the question that fraternal and accident insurance were not intended to be included in his answer, then his failure to give the same vitiates the contract. On the other hand, if he could reasonably conclude that such insurance was not intended, then its omission does not render the contract void.
In Newton v. Southwestern Mut. Life Assn.,
In Mutual Rec. Life Ins. Co. v. Dobler, 137 Fed., 550, the questions and answers were: "Have you now any insurance on your life? If so, where, when taken, for what amounts and what kinds of policies? A. $5,000 Washington Life. Combination bonds. May, 1900. Have you any other insurance? A. None." The applicant had a policy in an accident company. The court says: "In any view of the case, we think that the most that can be claimed in behalf of the plaintiff in error for the questions so propounded to the applicant was that they were so worded as to leave it uncertain whether they called for a disclosure of accident insurance which he carried at that time. If the insurance company in its printed application employed ambiguous terms or words of doubtful import, it can not complain if they were construed as they were by the applicant, or if the agent so advised *420
him of their meaning. The agent was appointed for the purpose of procuring applications and it is reasonable to assume that, in discharging his duties to the company it was within the scope of his power to construe for an applicant for insurance doubtful phrases, if any there were in the application." . . . In Continental Life Insurance Co. v. Chamberlain,
While there is some conflict in the cases as to whether a statement of the general character of the one under consideration should be held to cover insurance in fraternal orders and accident companies as well as insurance in regular insurance companies, yet we think that when all things are taken into consideration it is but reasonable and just to hold that an inquiry like the one in this case, in an application for insurance in a regular insurance company refers only to insurance in regular companies or at least an applicant would be reasonably justified in concluding that such was the case. The printed part of the eighteenth statement in the application is: "I have been accepted for insurance under the following policies in this Company." This is followed by the nineteenth, the printed part of which is: "I am insured in other companies and associations, as follows." The nineteenth inquiry when read in connection with the eighteenth is certainly sufficient to lead one to conclude that the information called for was life insurance evidenced by policies in regular insurance companies and not insurance evidenced by certificates in fraternal orders and by accident policies. It is true that certificates in fraternal orders and accident policies are insurance in the broad sense of that term, but the courts have always recognized that there is a difference between a certificate in a fraternal or mutual benefit order, an accident policy and ordinary life insurance, based upon the inherent differences in the forms and kinds of insurance. 3 Am. Eng. Ency. of Law, 990, 991, and notes; Supreme Conclave v. Cappella, 41 Fed., 1; Thomas v. Grand Lodge,
The eighth assignment of error is: "The court erred in rendering judgment for plaintiff because the proof is clear and uncontradicted that the pistol with which the insured, Owen Ford, shot himself, could not have been fired by accident and could have been fired only by deceased." In other words, that the evidence conclusively establishes that the insured intentionally shot himself. As the judgment of the trial court is against this contention, and, as said by Justice Brown in Grand Fraternity v. Melton,
Can it be said that no other inference can be drawn from the evidence than that the insured fired the pistol with suicidal intent or that it procludes a reasonable doubt to the contrary? We think not. It is true that the evidence might be said to be conclusive that the pistol could only be fired by pulling the trigger; but this, in our opinion, is not sufficient to completely overcome either the presumption against selfdestruction or the presumption of accident. It is well settled that in the absence of satisfactory evidence as to the death being accidental or suicidal, the presumption is in favor of death by accident. Mutual Life Ins. Co. v. Whiswell,
We are of the opinion that the trial court erred in giving plaintiff below judgment for twelve percent damages and attorney's fee. The penalty by way of damages and attorney's fee given by article 3071, Revised Statutes, 1895, for failure of an insurance company to pay within the time specified in the policy, when demand for payment has been made upon it, is strictly statutory, and in order for a party to be entitled to this statutory penalty he must allege and prove facts that bring him strictly within the provisions of the statute. The only proof of demand for payment by plaintiff in this case is that she made up and forwarded defendant proofs of death on the forms furnished her by it, that defendant, within a short time after it received the proofs of death, notified plaintiff that it would not pay the policy, and that she filed suit on the policy against defendant. The word "demand," in its verbal form, is the calling for a thing due or claimed to be due, a request made upon another to do a particular act under a claim of right on the part of the person requesting; and while formal words are not necessary to constitute a demand and any words which are understood by both parties to be a demand are sufficient, as a general rule, and filing of suit may operate in many instances as a demand, still we are of the opinion that the statute calls for an actual demand after the policy is due, and that the mere filing of a suit is not such a demand as is contemplated by statute. The evidence in this case fails to show that a demand for payment was made within the meaning of the statute, and the judgment for $240.00 damages and $500.00 attorney's fees is here set aside and rendered for the plaintiff in error. Lester v. Piedmont Life Ins. Co.,
Reformed and affirmed.
Writ of error refused with written opinion. Mutual Life Ins. Co. v. Ford, and Ford v. Mutual Life Ins. Co.,