International Travellers' Ass'n v. Votaw. , 1917 Tex. App. LEXIS 807 ( 1917 )

In a plea in due form and filed in due order of pleading appellant asserted a privilege it claimed to be sued only in Dallas county where, alone, it transacted business. The claim was based upon the fact that it was a "mutual assessment accident insurance corporation" without capital stock and without lodges, and, upon provisions in its by-laws, in Votaw's application for the certificate, and in the certificate itself, that any suit thereon should be filed in that county. In its first assignment appellant complains of the action of the court in overruling its said plea. The contention is that, because it was a "mutual assessment accident insurance company" within the meaning of article 4798, Vernon's Statutes, it was not subject to the provision in article 4744, authorizing suit on a policy issued by an "accident insurance company" to be prosecuted in the county where the beneficiary named therein resided. A like contention made by appellant on its appeal against Branum,169 S.W. 389, was overruled by the Court of Civil Appeals for the Third District; that court holding that the provisions specified in the application, by-laws and certificate were void because in contravention of said article 4744. It is insisted that the conclusion of the court in that case was wrong because of the provision in said article 4798, which is a part of chapter 5, tit. 71, that "mutual assessment accident insurance companies" "shall be subject only to the provisions of this chapter." The argument is that article 4744 did not apply because it was not a part of said chapter 5. Contrary to the conclusion reached in the Branum Case, we think the effect of the provision in article 4798 specified was to make article 4744 and other provisions of statutes relating to ordinary accident insurance companies not included in said chapter 5 inapplicable to a "mutual assessment accident insurance company," and that appellant, therefore, had a right to contract as it did that it should be sued only in Dallas county on certificates it issued. American Ins. Co. v. Collins, 149 S.W. 554. But we think it nevertheless does not appear from the record before us that the trial court erred when he overruled the plea. It was filed during a term of the court which began on the first Monday in July, 1916. There is nothing in the record showing that it was' called to the attention of the court during that term, or during the term of the court which began on the first Monday in September, 1916, nor until December 12, 1916, during the term which began on the first Monday in November, 1916. If appellant was not in the attitude of having waived the right it had to insist upon its plea (Aldridge v. Webb, 92 Tex. 122, 46 S.W. 224; Spencer v. James,10 Tex. Civ. App. 327, 31 S.W. 540, 43 S.W. 556; Watson v. Mirike,25 Tex. Civ. App. 527, 61 S.W. 538; Creswell Cattle Co. v. Waldstein, 28 S.W. 260; Bonart v. Lee, 46 S.W. 906), it should have seen to it that it so appeared in the record sent to this court.

It will be noted that it was provided in the by-law set out in the statement above that appellant should not be liable for the indemnity stipulated for if the death of the insured was

"a result, wholly or partially, directly or indirectly, of any of the following causes, conditions or acts * * * to wit * * * while the insured is acting as a sailor or soldier while engaged in military or naval service, voluntary or unnecessary exposure to danger or obvious risk of injury or death."

Appellant insists that it conclusively appeared from the testimony that Votaw's death was due to "voluntary or unnecessary exposure to danger or obvious risk of injury or death" on his part, within the meaning of the by-law, and that the trial court, therefore, erred when he refused to instruct the jury to find in its favor. We are inclined to think it conclusively appeared from the testimony that Votaw's death was the result of voluntary exposure "to danger or obvious risk of injury or death," but do not agree, because it was, that the trial court should have instructed the jury as requested. When the provision in the by-law invoked is considered with reference to the language preceding and following it, its meaning is (obviously, we think) ambiguous. It may be construed to mean, as appellant contends it does, that appellant was not to be liable for the indemnity if the death of the insured was due to "voluntary or unnecessary exposure to danger or obvious risk of injury or death" on his part, or it may, perhaps with more reason, be construed to mean that appellant should not be liable if the insured was killed whileacting as a sailor or soldier engaged in either military or naval service or voluntary or unnecessary exposure, etc. A rule applying in the construction of such contracts is stated in 1 C.J. 414, as follows:

"It is well settled as a general rule that a policy of accident insurance is to be liberally construed as against the insured, although strictly construed against the insurer. In case there is any ambiguity in the policy the rule is that all provisions, conditions, or exceptions which in any way tend to work a forfeiture of the policy or limit or defeat liability thereunder should be construed most strongly against those for whose benefit they are inserted and most favorably toward those against whom they are meant to operate and this rule is applicable to purely benefit accident policies as well as to the ordinary accident policy. Accordingly the court will adopt the construction most favorable to the insured when a doubt arises in respect to the application, exceptions to or limitations of liability, or clauses creating forfeitures or relating to matters subsequent to the attaching of the liability, the rule being specially applicable to the latter."

And see, as illustrating the rule: Accident Asso. v. Fulton, 79 F. 423, 24 C.C.A. 654; Carr v. Ins. Co., 100 Mo. App. 602, 75 S.W. 180. If, as we think it is, the provision is susceptible of two meanings, one of which would operate to relieve the insurer of liability and the other of which would operate to the contrary, the rule would require the adoption of the latter.

But if the provision in question should be construed as meaning what appellant contends it does, we still would be of the opinion it did not operate to relieve appellant of liability to appellee. It appears from Votaw's application for the certificate, which became a part of same when it was issued, that he stated his business or occupation to be that of general manager for a railway company. It appeared from uncontradicted testimony on the trial that in traveling as he was at the time he was killed he was engaged in discharging duties he owed a railway company as its assistant general manager. The contrary not appearing from the testimony, we think it should have been assumed that the duties of a general manager and his assistant of a railroad company were the same. The application of the provision in question, if construed as appellant contends it should be, should, we think, be limited to "voluntary and unnecessary exposure to danger or obvious risk of injury or death" by Votaw while not engaged in the discharge of duties devolving upon him as general manager for a railway company. Any exposure to danger Incurred by Votaw in the discharge of such duties would not have been "unnecessary" in the sense that word must have been used, if the provision was intended to apply to him while acting as manager for a railway company; and clearly, we think, it should not be held that the parties contemplated that appellant should not be liable if the death of Votaw was due to "voluntary" exposure by him to danger in the discharge of the duties of the business his application for the insurance notified appellant he was engaged in. To so hold would be to say appellant was not bound to indemnify against risks it knew it was the insured's duty to incur in his business or occupation and against which, presumably, the insured meant to provide when he applied for the insurance. Therefore, we think it ought to have been assumed that the parties to the contract did not contemplate that the provision in question should apply if Votaw should be killed while discharging the duties of manager for a railway company. 1 C.J. 434 et seq.; 4 Cooley's Briefs on Insurance, 3176 et seq.; Wilson v. Accident Asso., 53 Minn. 470, 55 N.W. 626; Richards v. Ins. Co.,18 S.D. 287, 100 N.W. 428, 67 L.R.A. 175; Ward's Adm'r v. Ins. Co.,80 Vt. 321, 67 A. 821; Dailey v. Masonic Mutual Asso., 102 Mich. 289,57 N.W. 184, 26 L.R.A. 171; Benefit Asso. v. Jackson, 114 Ill. 533, 2 N. B. 414.

What has just been said applies as well to the contention made that a further provision in said by-law exempted appellant from liability if the insured was killed while riding a "motor inspection car." If it was Votaw's duty as general manager for the railway company to ride such cars, as undisputed testimony showed it was, appellant was chargeable with knowledge of the fact (Brink v. Accident Asso., 55 Hun, 606, 7 N.Y.S. 847), and should not, we think, have been relieved of liability if Votaw was killed while riding such a car. But it conclusively appeared that Votaw was not riding a "motor inspection car" at the time he was killed, but was riding a "motor section car," which, according to the testimony, was in material respects unlike a "motor inspection car."

It follows from what we have said that we are of the opinion the trial court might properly have peremptorily instructed the jury to find in appellee's favor on the question appellant sought to make as to its liability. And of course it also follows that we therefore think appellant has no right to complain because of issues in that respect which the court submitted, nor because of issues he refused to submit to the jury.

Another one of appellant's by-laws provided as follows:

"A payment on a benefit hereunder shall become due and payable * * * ninety days after the receipt by the secretary at Dallas, Texas, of the proofs herein provided for. * * * In case of any liability in excess of $1,000 incurred hereunder said association reserves the right to pay such claims in five equal payments until the entire claim is paid."

It is insisted that the judgment is erroneous because it is in appellee's favor "for the bulk sum of $5,000," whereas, appellant having pleaded said by-law, the judgment should have provided that the sum be paid in five annual installments. In appellant's appeal against Branum referred to above, the Court of Civil Appeals held to the contrary of the contention appellant makes here on the ground that it must have exercised the option it claimed to pay in installments within 90 days after proofs of loss were filed with it. We concur in the ruling made in the Branum Case and overrule appellant's contention.

The contention made that the judgment, so far as it was for appellee for $1,000 as attorney's fees and $600 as damages, or penalties, was not authorized by law, and therefore is erroneous, will be sustained. As noted above, it was provided in article 4798 that a "mutual assessment accident insurance company" should "be subject only to the provisions" of chapter 5, tit. 71. Article 4746 which authorizes, on conditions specified, a recovery against an accident insurance company of such fees and damages, is not a part of said chapter 5, but is a part of chapter 2 of said title.

The judgment will be so reformed as to award appellee a recovery against appellant of $5,000 and interest thereon from December 12, 1916, and, as so reformed, will be affirmed.