Resolving Competing Claims For Attorney’s Fees in the Final Judgment–Fort Worth, Texas Contracts Law Attorneys

IN THE SUPREME COURT OF TEXAS
════════════
NO. 14-0279
════════════
FARM BUREAU COUNTY MUTUAL INSURANCE COMPANY,
PETITIONER,
v.
CRISTIL ROGERS, RESPONDENT
════════════════════════════════════════════════════
ON PETITION FOR REVIEW FROM THE
COURT OF APPEALS FOR THE SIXTH DISTRICT OF TEXAS
════════════════════════════════════════════════════
PER CURIAM
This case presents the familiar issue of whether a trial court’s order, issued without a full trial and containing a Mother Hubbard clause, is final for purposes of appeal. In this declaratory judgment action involving insurance coverage, the court of appeals held that the trial court’s order denying the insurer’s motion for summary judgment is not final because the insured did not file a cross-motion for summary judgment. We agree that the order is not final, but for a different reason: it did not resolve the parties’ competing requests for attorney’s fees. We therefore affirm the court of appeals’ dismissal of this appeal.
Farm Bureau County Mutual Insurance Company filed this declaratory judgment action against its insured, Cristil Rogers, seeking a declaration that it had no duty to defend or indemnify her in an underlying tort action (the Dominguez suit)1 and requesting an award of court costs and
1 The plaintiffs in the Dominguez suit sought damages for injuries they sustained when they were thrown from their horses while riding along FM 906 in Lamar County, Texas. Their petition alleged that, as Rogers drove past them in a pickup truck, a dog leaped from the bed of the truck and charged at the horses, causing them to buck and throw the plaintiffs. The plaintiffs alleged that Rogers proximately caused their injuries by negligently failing to secure her dog. Rogers sought coverage of these claims under her automobile insurance policy with Farm Bureau.
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attorney’s fees under the Uniform Declaratory Judgments Act (UDJA). See TEX. CIV. PRAC. & REM. CODE § 37.009 (authorizing courts in a declaratory judgment action to award “costs and reasonable and necessary attorney’s fees as are equitable and just”). Rogers answered the suit and prayed for recovery of her court costs and attorney’s fees under the Texas Deceptive Trade Practices Act (DTPA), even though she asserted no claims for relief under the DTPA.
Farm Bureau later moved for summary judgment. Rogers opposed the motion but did not file a cross-motion seeking summary judgment in her favor. After a hearing on Farm Bureau’s motion, the trial court entered an “Order Denying Plaintiff Farm Bureau[’s] . . . Motion for Summary Judgment.” The order decreed that (1) Farm Bureau “has a duty to defend [Rogers] in or as to” the Dominguez suit; (2) Farm Bureau “has a duty to indemnify [Rogers] in or as to” the Dominguez suit; (3) “[a]ll court costs are taxed against the party incurring same”; and (4) “[a]ny and all relief sought in this cause which is not expressly granted herein is DENIED.” The order did not expressly address the parties’ claims for attorney’s fees.
The court of appeals dismissed Farm Bureau’s appeal for want of jurisdiction, holding that an order denying a motion for summary judgment cannot be final and appealable unless the opposing party filed a cross-motion for summary judgment. Farm Bureau petitioned for this Court’s review. Relying on our decision in Lehmann v. Har-Con Corp., 39 S.W.3d 191 (Tex. 2001), Farm Bureau argues that the trial court’s order is a final and appealable judgment because it disposed of all parties and claims, even though Rogers did not file a cross-motion for summary judgment seeking that relief. Rogers responds by arguing that the order is not a final judgment because it did not dispose of the parties’ competing claims for attorney’s fees. In reply, Farm Bureau argues that Rogers’ request for attorney’s fees under the DTPA was defective and the trial
3
court implicitly denied both parties’ requests for attorney’s fees by expressly taxing court costs to each party and denying “[a]ny and all relief . . . which is not expressly granted herein.”2
We agree with Farm Bureau that the fact that Rogers did not file a cross-motion for summary judgment did not preclude the trial court from entering a “final” judgment. As we explained in Lehmann, “the language of an order or judgment can make it final, even though it should have been interlocutory, if that language expressly disposes of all claims and all parties.” Lehmann, 39 S.W.3d at 200. If the trial court’s intent to enter a final judgment is “clear from the order, then the order is final and appealable, even though the record does not provide an adequate basis for rendition of judgment.” Id. In that case, “the judgment is final—erroneous, but final.” Id. But we agree with Rogers that the order at issue here did not dispose of all parties and claims, because neither the language taxing court costs nor the Mother Hubbard clause disposed of the parties’ claims for attorney’s fees.
In Lehmann, we held that “a judgment issued without a conventional trial is final for purposes of appeal if and only if either [1] it actually disposes of all claims and parties then before the court, regardless of its language, or [2] it states with unmistakable clarity that it is a final judgment as to all claims and all parties.” Lehmann, 39 S.W.3d at 192–93. We explained that “[a]n order does not dispose of all claims and all parties merely because it is entitled ‘final’, or because the word ‘final’ appears elsewhere in the order, or even because it awards costs.” Id. at 205 (emphasis added). “Rather, there must be some other clear indication that the trial court intended the order to completely dispose of the entire case.” Id. Attempting to resolve decades of confusion,
2 We need not consider Farm Bureau’s argument that Rogers’ claim for attorney’s fees is defective because, even if it is, Farm Bureau’s own claim for attorney’s fees remains pending. See Barshop v. Medina Cnty. Underground Water Conserv. Dist., 925 S.W.2d 618, 637–38 (Tex. 1996) (holding that failure to “substantially prevail[ ]” on a declaratory judgment claim does not preclude recovery of attorney’s fees under the UDJA).
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we held that “the inclusion of a Mother Hubbard clause—by which we mean the statement, ‘all relief not granted is denied’, or essentially those words—does not indicate that a judgment rendered without a conventional trial is final for purposes of appeal.” Id. at 203–04. Mother Hubbard clauses are problematic because they are open to interpretation. Id. at 204. Sometimes a Mother Hubbard clause “mean[s] only that the relief requested in the motion—not all the relief requested by anyone in the case—and not granted by the order is denied,” and sometimes it “may also have no intended meaning at all, having been inserted for no other reason than that it appears in a form book or resides on a word processor.” Id. We thus rejected the notion that a Mother Hubbard clause gives “any indicia of finality in any order not issued after a conventional trial.” Id.
After Lehmann, we confirmed that the disposition of a claim for court costs does not dispose of a claim for attorney’s fees, even when doing so would also dispose of all parties and claims. See McNally v. Guevara, 52 S.W.3d 195, 196 (Tex. 2001). In McNally, the defendants filed a motion for summary judgment but failed to request summary judgment on their counterclaim for attorney’s fees. Although the trial court’s order granted the motion and taxed court costs against the plaintiff, we concluded that “[n]othing in the trial court’s judgment, other than its award of costs to the defendants, suggests that it intended to deny the defendants’ claim for attorney fees. The award of costs, by itself, does not make the judgment final.” Id. Consistent with our statement in Lehmann, we held that the resolution of a claim for court costs did not dispose of a claim for attorney’s fees and did not serve as an indicium of finality. See id.; Lehmann, 39 S.W.3d at 205.
This case is slightly different from McNally because, although Farm Bureau failed to expressly request attorney’s fees in its motion for summary judgment, it argues that the Mother Hubbard clause, not just the disposition of court costs, effectively denied the claim for attorney’s
5
fees. However, the reasoning of Lehmann and McNally control our decision here. Interpreting Mother Hubbard clauses in the manner Farm Bureau urges would necessarily run afoul of Lehmann because it would allow such clauses to serve as indicia of finality for purposes of appeal—the very function we prohibited in Lehmann. Thus, Mother Hubbard clauses do not, on their face, implicitly dispose of claims not expressly mentioned in the order, including claims for attorney’s fees. Instead, there must be evidence in the record to prove the trial court’s intent to dispose of any remaining issues when it includes a Mother Hubbard clause in an order denying summary judgment. See Lehmann, 39 S.W.3d at 205–06; McNally, 52 S.W.3d at 196. To hold otherwise would simply resurrect the issues we put to rest in Lehmann and McNally, albeit in a slightly different form.
Like the movant in McNally, Farm Bureau failed to request an award of attorney’s fees in its motion for summary judgment or to attach evidence supporting its claim for fees. Thus, as in McNally, there is no reason to presume that the trial court considered the issue when ruling on Farm Bureau’s motion. The order’s language taxing court costs is of no import because our decision in McNally established that such language does not, alone, evince a trial court’s intent to dispose of attorney’s fees. And most importantly, the parties presented no evidence from the record suggesting that the trial court intended the Mother Hubbard clause to deny attorney’s fees to either party.3 In the absence of evidence of the trial court’s intent with respect to the parties’ claims for attorney’s fees, we find that the trial court’s order did not dispose of all parties and claims.
3 As noted above, Farm Bureau did not need to “substantially prevail[ ]” in a suit under the UDJA to receive attorney’s fees. See Barshop, 925 S.W.2d at 637–38. Thus, the trial court did not dispose of the issue simply by ruling against Farm Bureau with respect to its duty to defend and indemnify Rogers.
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Accordingly, without hearing oral argument, we affirm the court of appeals’ judgment dismissing the appeal for want of jurisdiction. TEX. R. APP. P. 59.1.
OPINION DELIVERED: January 30, 2015

Williams, McClure & Parmelee is dedicated to high quality legal representation of businesses and insurance companies in a variety of matters. We are experienced Texas civil litigation attorneys based in Fort Worth who know Texas courts and Texas law. For more information, please contact the law firm at 817-335-8800. The firm’s new office location is 5601 Bridge Street, Suite 300, Fort Worth, Texas 76112.

Martindale AVtexas[2]

Causation in the Texas Multiple Motor Vehicle Accident Case– Fort Worth, Texas Insurance Defense Attorneys

IN THE SUPREME COURT OF TEXAS

NO. 13-0978

JLG TRUCKING, LLC, PETITIONER, v. LAUREN R. GARZA, RESPONDENT

ON PETITION FOR REVIEW FROM THE COURT OF APPEALS FOR THE FOURTH DISTRICT OF TEXAS

Argued February 26, 2015 JUSTICE LEHRMANN delivered the opinion of the Court. This case requires us to review the trial court’s exclusion of evidence on relevance grounds. The plaintiff was involved in two car accidents approximately three months apart. After the second accident, she sued the opposing driver in the first accident and alleged that this collision caused her injuries. The defendant sought to present two alternative defensive theories. First, the defendant presented expert testimony that the plaintiff’s injuries were degenerative and thus not trauma-related at all. Alternatively, the defendant contended that the second accident caused her injuries. On the plaintiff’s pretrial request, and because of the lack of expert testimony supporting the defendant’s alternative theory, the trial court excluded all evidence of the second accident on relevance grounds. The trial court rendered judgment on the jury’s verdict for the plaintiff, and the court of appeals affirmed. We hold that evidence of the second accident was relevant to the central issue of whether the defendant’s negligence caused the plaintiff’s damages. We further hold that the trial court committed harmful error in excluding the evidence, and particularly in refusing to allow crossexamination of the plaintiff’s expert on the subject. Accordingly, we reverse the court of appeals’ judgment and remand the case for a new trial.

I. Background On July 16, 2008, Lauren Garza was traveling south on U.S. Highway 83 in Zapata County when an 18-wheeler driven by a JLG Trucking, LLC employee rear-ended her truck. An ambulance was called to the scene but did not transport Garza to the hospital. Instead, Garza testified that her aunt took her to a nearby emergency clinic where x-rays were taken, although the record contains no medical records from the clinic regarding that visit. Five days later Garza saw an orthopedic surgeon, Dr. Guillermo Pechero, complaining of neck and back pain. An x-ray showed some straightening of the lordotic curve, which Dr. Pechero concluded was associated with muscle spasms in the neck. Dr. Pechero prescribed physical therapy, which Garza underwent for roughly eleven weeks. On October 9, 2008, shortly after ceasing physical therapy, Garza was involved in a second car accident. She was taken by ambulance from the scene of the accident to a hospital on an immobilization board with a hard collar to prevent movement in her neck. At the hospital, Garza complained of pain in her head, neck, and chest. On October 31, Garza returned to Dr. Pechero for a follow-up visit, complaining of continuous pain in her neck that radiated into her shoulders. Dr. Pechero ordered an MRI, which revealed that Garza had two herniated discs in her neck. Dr. 2 Pechero began a conservative treatment of primarily medication in hopes of avoiding surgery, but a March 2009 nerve study revealed that a nerve at the site of the herniations had become compressed, and a second MRI in August 2011 showed two additional herniated discs in her neck. Garza underwent spinal fusion surgery in January 2012. The surgerywas successful, and at the time of trial Garza was “doing well.” However, Garza lives with a scar on her neck, reduced neck mobility, the permanent presence of hardware from the surgery, and the possibility of future surgery. Garza sued JLG, alleging that the employee driver’s negligence proximately caused her injuries and seeking damages for past and future medical expenses, loss of earning capacity, physical pain, mental anguish, physical impairment, and disfigurement. Garza’s treating physician, Dr. 1 Pechero, served as her expert witness to testifythat the July2008 accident caused the herniated discs. JLG designated Dr. Bruce Berberian, a neuroradiologist, as its expert witness to testify that Garza was suffering from degeneration of her discs, and not a trauma-related injury at all. JLG also intended to introduce evidence of the October accident as an alternative cause of Garza’s injuries, although JLG did not designate an expert to testify in support of that theory. Garza filed a pretrial motion to exclude any evidence of the second accident on the grounds that such evidence was not relevant, or that its probative value was substantially outweighed by the unfair prejudice or confusion it would cause the jury, because “there is no causal connection between the injuries [Garza] is complaining of and the subsequent collision.” After a hearing, the trial court granted Garza’s motion to exclude. Garza named the employee as a defendant, but it appears that he was never served with citation. Garza also 1 asserted claims against JLG for negligent entrustment and gross negligence, but those claims were not submitted to the jury. 3 Dr. Pechero testified by deposition at trial that the July accident caused Garza’s injuries. He noted that Garza exhibited neck pain after that accident and that the October MRI revealed injuries consistent with a rear-end collision.

One portion of the deposition played to the jury contained the following exchange between Dr. Pechero and Garza’s counsel: Q. Now, up to this point in the treatment of her you took a history, correct? A. Correct. Q. And Lauren indicated to you that she had not had any or been involved in any other accidents other than the one from July — July 16th of 2008; is that correct? A. I don’t think I asked her one way or the other on that. . . . . Q. Well, you took a history, correct? A. Correct. Q. All right. And let’s take a look at the July 21st note real quick. A. Okay. Are you referring to the October note, or the July note? Q. The July note. A. Oh, okay. In the July note, she did not have any other history of injury.

Taking the position that this testimony opened the door to questions concerning the second accident, JLG renewed its objection to the exclusion of all mention or evidence of that accident. The trial court upheld its earlier exclusion ruling, and JLG submitted an offer of proof as to the testimony that would have been elicited from Dr. Pechero and the evidence that would have been presented in 4 support of the second accident as an alternative cause. JLG’s offer of proof included the police report regarding the second accident, photos of Garza’s vehicle after the second accident, medical records documenting Garza’s emergency treatment after that accident, and Dr. Pechero’s testimony that he had not reviewed those medical records. Garza responded with an offer of proof consisting of Dr. Pechero’s testimony that he had relied on Dr. Berberian’s testimony that the second accident did not cause Garza’s injuries to rule out that possibility. The jury found that JLG’s employee’s negligence proximately caused the July accident and awarded her $1,166,264.48 in damages.2 JLG appealed the trial court’s judgment on the verdict, arguing that evidence of the second accident was relevant and that its exclusion amounted to harmful error because it prevented JLG from holding Garza to her burden of proving that JLG caused her injuries. The court of appeals affirmed, holding that the trial court did not abuse its discretion in excluding evidence of the second accident because “expert testimony would be required to establish any . . . causal link between the second collision and Garza’s injuries.” __ S.W.3d __, __ (Tex. App.—San Antonio 2013). II. Analysis We review a trial court’s exclusion of evidence for an abuse of discretion. Interstate Northborough P’ship v. State, 66 S.W.3d 213, 220 (Tex. 2001). Erroneous exclusion of evidence is reversible only if it probably resulted in an improper judgment. Id.; TEX. R. APP. P. 44.1(a)(1). The jury awarded $108,135.48 for past medical expenses, $110,000.00 for future medical expenses, 2 $583,693.00 for future loss of earning capacity, $42,048.00 for past physical pain, $252,288.00 for future physical pain, $5,000.00 for past physical impairment, $57,600.00 for future physical impairment, and $7,500.00 for future disfigurement. The jury awarded $0 for past loss of earning capacity, past and future mental anguish, and past disfigurement. 5 In this case, the disputed evidence was excluded as irrelevant, and so the rules of evidence governing relevance are the starting point of our analysis. A. Evidence of the Second Accident Is Relevant to the Issue of Causation Rule 401 broadly defines relevant evidence to include “evidence having any tendency to make the existence of any fact that is of consequence to the determination of the action more probable or less probable than it would be without the evidence.” TEX.R. EVID. 401. Evidence that is not relevant is inadmissible, while relevant evidence is admissible unless otherwise excluded by law. TEX. R. EVID. 402. Relevance also governs the scope of cross-examination in Texas, as the rules allow witnesses to be cross-examined “on any matter relevant to any issue in the case.” TEX. R. EVID. 611(b). And it is well established that “any fact which bears upon the credit of a witness would be a relevant fact, . . . whether it goes to his indisposition to tell the truth, his want of opportunity to know the truth, his bias, interest, want of memory, or other like fact.” Evansich v. Gulf, C. & Santa Fe R.R. Co., 61 Tex. 24, 28 (1884). Finally, relevant evidence “may be excluded if its probative value is substantially outweighed by the danger of unfair prejudice, confusion of the issues, or misleading the jury.” TEX. R. EVID. 403. JLG argues that evidence of the second accident is relevant to the causation element of Garza’s negligence claim. We agree.

Establishing causation in a personal injury case requires a plaintiff to “prove that the conduct of the defendant caused an event and that this event caused the plaintiff to suffer compensable injuries.” Burroughs Wellcome Co. v. Crye, 907 S.W.2d 497, 499 (Tex. 1995). For example, when an accident victim seeks to recover medical expenses, she must show both “what all the conditions were” that generated the expenses and “that all the conditions 6 were caused by the accident.” Guevara v. Ferrer, 247 S.W.3d 662, 669 (Tex. 2007). Further, “expert testimony is necessary to establish causation as to medical conditions outside the common knowledge and experience of jurors.” Id. at 665. Finally, we have held that “if evidence presents ‘other plausible causes of the injury or condition that could be negated, the [proponent of the testimony] must offer evidence excluding those causeswith reasonable certainty.’” Transcontinental Ins. Co. v. Crump, 330 S.W.3d 211, 218 (Tex. 2010) (quoting Merrell Dow Pharm., Inc. v. Havner, 953 S.W.2d 706, 720 (Tex. 1997) (alteration in Crump) (emphasis in Crump omitted)); see also Harris v. Belue, 974 S.W.2d 386, 393–94 (Tex. App.—Tyler 1998, pet. denied) (rejecting the argument that the plaintiff failed to negate other probable causes of her injury in light of the lack of factual support in the record for those proposed causes). In this case, Garza sought to prove that the negligence of JLG’s employee caused the July accident. She also sought to prove by expert testimony from Dr. Pechero that this accident caused the herniated discs in her neck along with all of the associated pain, medical expenses, loss of 3 earning capacity, impairment, and disfigurement. JLG sought to undermine Garza’s theory and Dr. Pechero’s testimony by presenting evidence of the October 2008 accident as an alternative cause of those injuries. Garza argues that the record does not support a connection between the October accident and her injuries, rendering the evidence properly excluded. Garza relies in part on Farmers Texas County Mutual Insurance Co. v. Pagan, 453 S.W.3d 454 (Tex. App.—Houston [14th Dist.] 2014, no pet.). In Pagan, the plaintiff alleged that various Garza did not seek to recover medical expenses associated with her emergency treatment immediately after 3 the second accident. 7 neck and shoulder injuries were caused by a March 2008 car accident. Id. at 458. The defendant sought to introduce evidence of an April 2009 “horse incident,” which the trial court excluded. Id. 4 at 459–60. The court of appeals affirmed, holding that the trial court “could reasonably conclude that informing the jury about a horse incident with no apparent connection to the lasting injuries at issue in this case would confuse the issues and mislead the jury.” Id. at 463. The court noted in pertinent part that (1) the interrogatory response in which Pagan identified the horse incident did not mention any resulting neck or shoulder injuries, (2) the medical records associated with the incident noted only “contusions” resulting from the fall, and x-rays showed that her spine and shoulders were normal, and (3) records from Pagan’s family doctor indicating that she complained of neck and shoulder pain at a visit after the horse incident did not reference the incident itself. Id. Regardless of whetherPaganwas correctlydecided, which we need not address, the evidence of a connection between the proposed alternative cause and the plaintiff’s injuries that the court found lacking in Pagan is present in this case. JLG’s offer of proof indicates that, as a direct result of the second accident, Garza was transported to a hospital on an immobilization board and constrained with a hard c-collar around her neck, she complained of neck pain once she arrived, and she returned to Dr. Pechero three weeks later for the first time since the conclusion of her physical therapy with complaints of continuous pain in her neck radiating into her shoulder. At that time, the MRI revealed the herniated discs. The circumstances surrounding the second accident and its The evidence of the facts surrounding that incident is inconsistent. Some evidence indicates that Pagan fell 4 off a horse, other evidence indicates that she was “trampled,” and still other evidence indicates that she fell while leading the horse on foot. 453 S.W.3d at 459–60. 8 aftermath provide the necessary factual support to present the second accident as a “plausible cause” of Garza’s injuries.5 Significantly, the exclusion of the second accident curtailed JLG’s ability to probe Dr. Pechero’s conclusions about causation by asking him to explain why he discounted the second accident as an alternative cause. JLG’s offer of proof shows that, in formulating his opinion, Dr. Pechero did not review the records from Garza’s emergency treatment after the second accident, which included the statements reflecting that Garza was experiencing neck pain in its wake. According to Garza’s responsive offer of proof, Dr. Pechero’s only explanation for ruling out the second accident as the cause of the herniations was that he relied on Dr. Berberian’s testimony to that effect. But Dr. Berberian concluded that neither accident caused Garza’s injuries, calling into question the credibility of the methods underlying Dr. Pechero’s approach. Cf. E.I. du Pont de Nemours & Co. v. Robinson, 923 S.W.2d 549, 559 (Tex. 1995) (upholding the exclusion of expert testimony when the expert failed to “carefully consider [and rule out] alternative causes”); see also 6 TEX.R.EVID. 607 (“The credibility of a witness may be attacked by any party . . . .”). JLG could not adequatelycross-examineDr. Pechero on those methods without discussing the improperlyexcluded evidence. Certainly, expert testimony in support of the alternative cause would lend support to its plausibility. And in 5 some cases, expert testimony may in fact be necessary to elevate a proposed alternative cause from theoretically possible to plausible. But this is not that case. JLG did not move to exclude Dr. Pechero’s testimony in the trial court. We cite Robinson because it highlights 6 the significance of alternative causes when a plaintiff must prove causation by expert testimony. 9 B. The Court of Appeals Erroneously Conflated Relevance and Evidentiary Sufficiency The court of appeals held that the trial court correctly excluded evidence of the second accident because “no expert testimony was proffered to establish that the second collision caused any of Garza’s injuries.” __ S.W.3d at __.

As support for its holding, the court of appeals relied on a line of cases addressing the necessity of expert medical testimony to prove causation in the personal-injury context. As discussed below, in doing so the court of appeals conflated the concepts of relevance and evidentiarysufficiency and improperly shifted the burden of proof to the defendant.

Principal among the cases cited by the court of appeals was Guevara v. Ferrer, 247 S.W.3d 662 (Tex. 2007). That case, like this one, involved a car accident that a jury found the defendant caused. Id. at 663, 665. The plaintiff, who had a complicated medical history that included hypertension, heart disease, and kidney failure, complained of stomach pains and received emergency treatment, including abdominal surgery, immediately after the accident. Id. at 663–64. Following that surgery, he spent three-and-a-half months in the hospital, two weeks in a continuing care facility, and two more weeks in another medical facility. Id. at 664. His family sought to recover all the medical bills generated by his stays at the hospital and both facilities, which exceeded $1 million, but did not present expert medical evidence to prove that the accident caused those expenses to be incurred. Id. at 664–65. We held that, while “the evidence [was] legally sufficient to support a finding that some of his medical expenses [such as those associated with his postaccident treatment in the emergency room] were causally related to the accident,” it was “not legally sufficient to prove what the conditions were that generated all the medical expenses or that the 10 accident caused all of the conditions and the expenses for their treatment.” Id. at 669–70 (emphases added). In Guevara, we applied the well-established general rule, cited above, that “expert testimony is necessary to establish causation as to medical conditions outside the common knowledge and experience of jurors.” Id. at 665 (citing cases). And we did so in the context of considering the legal sufficiency of non-expert evidence to support a finding of causation. But we did not hold that the lack of expert testimony rendered any of the evidence irrelevant or otherwise admissible.

In fact, relevance was not at issue in Guevara. In this case, although the court of appeals was purporting 7 to analyze relevance, in effect it was improperly analyzing whether the evidence was legally sufficient to support a finding that the second accident caused Garza’s injuries. But JLG did not have the burden to prove causation; Garza did. It was Garza’s burden to prove that the first accident caused her injuries, and, as discussed above, the record in this case sufficiently demonstrates that the second accident is at least relevant to that inquiry even without an expert proponent. Further, JLG did not rule out the relevance of the second accident by presenting expert testimony that Garza’s injuries were degenerative and not trauma-induced. Parties may plead conflicting claims and defenses in the alternative so long as they have a “reasonable basis in fact [and] law.” Low v. Henry, 221 S.W.3d 609, 615 (Tex. 2007). In turn, parties may present evidence of alternative, and even inconsistent, theories of relief, leaving to the jury to “choose the theory that it believes based upon its resolution of the conflicting evidence.” Wilson v. Whetstone, No. 03-08- We did confirm in Guevara that “evidence of temporal proximity . . . between an event and subsequently 7 manifested conditions” is not irrelevant to causation, although “temporal proximity . . . does not, by itself, support an inference of medical causation.” 247 S.W.3d at 667–68. 11 00738-CV, 2010 WL 1633087, at *10 (Tex. App.—Austin April 20, 2010, pet. denied) (mem. op.) (holding that the plaintiff’s claim and evidence of the parties’ acquiescence to the alleged property boundary line were not fatal to her adverse possession claim, even assuming that the claims were mutually exclusive); see also In re Arthur Andersen LLP, 121 S.W.3d 471, 482 n.32 (Tex. App.—Houston [14th Dist.] 2003, orig. proceeding) (noting that a defendant could deny liability for conspiracy while simultaneously alleging that third parties were also liable for conspiracy). But the burden still falls on the plaintiff to establish the elements of her cause of action. In this case, as explained above, the burden was on Garza, the plaintiff, to establish both that JLG caused the July 2008 accident and that this accident caused her injuries. Part of that burden was to exclude with reasonable certainty other plausible causes of her injuries supported by the record. Crump, 330 S.W.3d at 218. JLG’s decision to present Dr. Berberian’s testimony in support of its theory that Garza’s injuries were degenerative—which the jury apparently found unpersuasive—did not relieve Garza of that burden. The defendant’s responsibility “is not that of proving, but the purely negative one of repelling or making ineffective the adversary’s attempts to prove.” James B. Thayer, The Burden of Proof, 4 HARV.L.REV. 45, 56 (1890). In its efforts to repel Garza’s attempts to prove her case, JLG was entitled to present evidence of the second accident to the jury, which was relevant to Garza’s theory of causation irrespective of Dr. Berberian’s testimony. The trial court therefore abused its discretion in excluding that evidence. C. Reversible Error The trial court’s error in excluding evidence of the second accident is reversible only if it probably caused the rendition of an improper judgment. TEX. R. APP. P. 44.1(a)(1).

We have 12 declined to establish any “specific test” for determining whether evidentiary error resulted in an improper judgment, but we have held that the appellate court must review the entire record, “considering the state of the evidence, the strength and weakness of the case, and the verdict.” Reliance Steel & Aluminum Co. v. Sevcik, 267 S.W.3d 867, 871 (Tex. 2008) (internal quotation marks and citation omitted). We explained in Sevcik that “if erroneously admitted or excluded evidence was crucial to a key issue, the error was likely harmful.” Id. at 873. “By contrast, admission or exclusion is likely harmless if the evidence was cumulative, or if the rest of the evidence was so one-sided that the error likely made no difference.” Id. In this case, the evidence of the second accident was crucial to whether JLG’s negligence caused Garza’s injuries, and the harm in its exclusion was compounded by JLG’s curtailed cross-examination of Dr. Pechero. Accordingly, we hold that the trial court’s exclusion of evidence regarding the second accident was reversible error requiring a new trial.8 III. Conclusion The trial court abused its discretion in excluding evidence of the second accident, which was relevant to whether JLG’s negligence caused Garza’s damages. Accordingly, we reverse the court of appeals’ judgment and remand the case to the trial court for a new trial in accordance with this opinion. JLG did not contest on appeal the finding that its negligence caused the first accident. It asserted only that 8 the erroneously excluded evidence tainted the findings as to the damages caused by that accident. However, because liability was contested in the trial court, both liability and damages must be remanded. Estrada v. Dillon, 44 S.W.3d 558, 562 (Tex. 2001) (per curiam) (applying TEX. R. APP. P. 44.1(b)).

OPINION DELIVERED: April 24, 2015

Williams, McClure & Parmelee is dedicated to high quality legal representation of businesses and insurance companies in a variety of matters. We are experienced Texas civil litigation attorneys based in Fort Worth who know Texas courts and Texas law. For more information, please contact the law firm at 817-335-8800. The firm’s new office location is 5601 Bridge Street, Suite 300, Fort Worth, Texas 76112.

Martindale AVtexas[2]

The Doctrine of Forum Non Conveniens in Texas Civil Litigation–Fort Worth, Texas Civil Litigation Attorneys

IN THE SUPREME COURT OF TEXAS

NO. 12-0946

IN RE BRIDGESTONE AMERICAS TIRE OPERATIONS, LLC, RELATOR

ON PETITION FOR WRIT OF MANDAMUS

Argued November 5, 2014
JUSTICE LEHRMANN delivered the opinion of the Court.
Before us once again is the Texas-resident exception to the forum-non-conveniens statute.
We consider whether the exception—which allows a plaintiff residing in Texas to maintain a lawsuit
here even when the suit would otherwise be subject to dismissal for forum non conveniens—applies
in a case in which two nonresident minors sue by a next friend who is a Texas resident. The minors
themselves reside in Mexico with their grandparents, who are the minors’ legal guardians under
Mexican law. We hold that the Texas-resident exception does not apply and that the trial court
abused its discretion in refusing to dismiss the case on forum-non-conveniens grounds. Accordingly,
we conditionally grant mandamus relief.
I. Background
This case arises from a June 2009 car accident in Mexico. Armando Alvarado was driving
a 1996 Ford Explorer on a highway near Monterrey in the State of Nuevo Leon. His wife, Maria
Isabel Rodriguez, and their two minor children were passengers. The Explorer’s left rear tire
allegedly failed, causing a rollover that killed Armando and Maria and injured the children. At the
time of the accident, the family resided in Nuevo Leon. The children’s maternal grandparents
became the children’s legal guardians by operation of Mexican law and took custody of the children
in Nuevo Leon.
Gilberto Rodriguez, a Texas resident who is the children’s maternal uncle, filed a wrongfuldeath
lawsuit “as next friend” of the children in Texas against Bridgestone Americas Tire
Operations, LLC (Bridgestone), a Delaware company that manufactured the allegedly defective tire.
Other defendants included Gutierrez Brothers, Inc., doing business as Gutierrez Auto Sales, and that
company’s individual owners, brothers Juan, Jaime, and Manuel Gutierrez.1 Gutierrez Auto Sales,
which is in Hidalgo County, Texas, had purchased the used Explorer from a New Jersey Acura
dealership through a New Jersey auction house on July 12, 2007.2 Approximately two weeks later,
Gutierrez Auto Sales sold the Explorer to wholesaler Librado Leal, a company based in Nuevo Leon,
“For Export Only.” The accident occurred almost two years later. The record does not reflect when
or where the tire at issue was put on the Explorer, and nothing in the record suggests that the tire was
manufactured in Texas.
Bridgestone filed a motion to dismiss for forum non conveniens, arguing that the case
belonged in Mexico, not Texas. The trial court denied the motion, and Bridgestone filed a petition
1 The original petition named only Bridgestone and Jaime Gutierrez d/b/a Gutierrez Auto Sales as defendants.
The operative Third Amended Petition names Gutierrez Brothers, Inc., and all three Gutierrez brothers.
2 The Explorer’s first two owners were New Jersey residents.
2
for writ of mandamus in the court of appeals. In denying relief, the court of appeals held that the
case may not be dismissed on forum-non-conveniens grounds because the plaintiff, next-friend
Rodriguez, is a Texas resident. 387 S.W.3d 840, 848 (Tex. App.—Beaumont 2012). Bridgestone
now seeks mandamus relief in this Court, arguing that the trial court abused its discretion in denying
Bridgestone’s motion to dismiss.
II. Analysis
The doctrine of forum non conveniens, which originated in the common law and is now
codified in Texas, “comes into play when there are sufficient contacts between the defendant and the
forum state to confer personal jurisdiction upon the trial court, but the case itself has no significant
connection to the forum.” In re Pirelli Tire, LLC, 247 S.W.3d 670, 675–76 (Tex. 2007). Texas’s
forum-non-conveniens statute provides:
If a court of this state, on written motion of a party, finds that in the interest of justice
and for the convenience of the parties a claim or action to which this section applies
would be more properly heard in a forum outside this state, the court shall decline to
exercise jurisdiction under the doctrine of forum non conveniens and shall stay or
dismiss the claim or action.
TEX. CIV. PRAC. & REM. CODE § 71.051(b).3 Notwithstanding this mandatory language, courts “may
not stay or dismiss a plaintiff’s claim [on forum-non-conveniens grounds] if the plaintiff is a legal
resident of this state.” Id.§ 71.051(e). This so-called Texas-resident exception “ensure[s] access to
Texas courts for Texas plaintiffs.” In re Ford Motor Co., 442 S.W.3d 265, 269 (Tex. 2014).
3 The statute applies to actions for personal injuries or wrongful death. TEX. CIV. PRAC. & REM. CODE
§ 71.051(i).
3
We have held that a trial court’s erroneous denial of a forum-non-conveniens motion cannot
be adequately remedied on appeal and therefore warrants mandamus relief. In re Gen. Elec. Co., 271
S.W.3d 681, 685 (Tex. 2008). We review the trial court’s forum-non-conveniens ruling for an abuse
of discretion. Id.
A. Application of the Texas-Resident Exception
When the Texas-resident exception outlined in subsection 71.051(e) applies, a case may not
be dismissed on forum-non-conveniens grounds no matter how tenuous its connection to Texas. In
this case, as discussed above, Texas-resident Rodriguez brought a wrongful-death suit on behalf of
two nonresident minors to recover damages for their parents’ deaths. Rodriguez may not assert a
personal cause of action under Texas’s wrongful-death statute and has sued solely in his capacity as
next friend of his nephews. See TEX. CIV. PRAC. & REM. CODE § 71.004(a) (“An action to recover
damages as provided by [the wrongful-death statute] is for the exclusive benefit of the surviving
spouse, children, and parents of the deceased.”). Bridgestone argues that Rodriguez’s Texas
residency does not foreclose dismissal for two reasons: (1) Rodriguez lacked authority to sue as the
children’s next friend because they had a legal guardian, and (2) even if the children could sue by
next friend, a next friend is not a “plaintiff” whose residency may trigger the exception. We address
these contentions in turn.
1. Next-Friend Representation
We first address whether Texas Rule of Civil Procedure 44 allowed the children to sue
through a next friend. When we analyze Texas’s procedural rules, we apply the same rules of
construction that govern the interpretation of statutes. Ford Motor Co. v. Garcia, 363 S.W.3d 573,
4
579 (Tex. 2012). That is, we look first to the rule’s language and construe it according to its plain
meaning. In re Christus Spohn Hosp. Kleberg, 222 S.W.3d 434, 437 (Tex. 2007). At the same time,
we bear in mind that the rules are given a liberal construction in order to obtain “a just, fair, equitable
and impartial adjudication of the rights of litigants under established principles of substantive law.”
TEX. R. CIV. P. 1.
Rule 44, which is derived from a statute that was originally enacted in 1893,4 governs the
institution of suit by next friend and provides:
Minors . . . who have no legal guardian may sue and be represented by “next
friend” under the following rules:
(1) Such next friend shall have the same rights concerning such suits as
guardians have, but shall give security for costs, or affidavits in lieu thereof, when
required.
(2) Such next friend or his attorney of record may with the approval of the
court compromise suits and agree to judgments, and such judgments, agreements and
compromises, when approved by the court, shall be forever binding and conclusive
upon the party plaintiff in such suit.
TEX. R. CIV. P. 44.5 The only other procedural rule to mention next friends is Rule 173, which
requires the court to appoint a guardian ad litem for a party represented by a next friend or guardian
if “the next friend or guardian appears to the court to have an interest adverse to the party” or if the
parties agree. TEX. R. CIV. P. 173.2(a). Bridgestone argues that Rule 44’s plain language allows suit
4 Act approved Feb. 11, 1893, 23d Leg., R.S., ch. 6, § 1, 1893 Tex. Gen. Laws 433 (former TEX. REV. CIV.
STAT. art. 3498u) (repealed) (“[A]ny minor having a sufficient cause of action, and who has no legal guardian, can bring
suit in any of the courts of this State by next friend.”).
5 The federal rule governing next-friend representation uses similar but not identical language: “A minor or
incompetent person who does not have a duly appointed representative [which includes a general guardian, a committee,
a conservator, and a like fiduciary] may sue by a next friend or by a guardian ad litem.” FED. R. CIV. P. 17(c).
5
by a next friend only when the minor has “no legal guardian” and that the minor plaintiffs in this case
have legal guardians: their grandparents.
The parties do not dispute that, under the law of the State of Nuevo Leon where the children
reside, the children’s grandparents automatically became the children’s legal guardians upon the
death of their parents.6 However, the court of appeals concluded that, because no Texas court had
accepted the grandparents’ guardianship established in Mexico, “the minors had no legal guardian
in Texas,” and next-friend representation was appropriate under Rule 44. 387 S.W.3d at 846.
Bridgestone contends that this interpretation improperly adds words to the rule and that “no legal
guardian” means just that: “no legal guardian.”
Bridgestone’s argument has appeal, but it leaves out a very important inquiry. The
significance of a minor’s having a legal guardian in the context of Rule 44 is that, when a minor
already has a guardian who may sue on his behalf, the minor does not need next-friend representation
in order to litigate his claims. For Rule 44 to make sense, it must be construed to enable minors to
prosecute their claims—through a next friend—when they otherwise could not through a legal
guardian. It follows that, if a legal guardian has been appointed or recognized in another jurisdiction,
6 At oral argument, Rodriguez’s attorney asserted that the grandparents had executed an affidavit renouncing
their status as guardians for health reasons. That affidavit was executed on December 12, 2011—seven months after the
underlying lawsuit was filed—and is a bit unclear. The grandparents aver that they have custody of the children and
“have provided them with all care required for the welfare of the children,” but also that they “are in total agreement”
that Rodriguez “take charge” of the children. Nothing in the record suggests that the children have ever lived with
Rodriguez or that Rodriguez has petitioned any court for guardianship. Further, Bridgestone’s Mexican-law expert
testified without opposition that the grandparents would be required to petition a competent court to be excused from
their guardianship duties, and the record does not reflect that such action was taken. Finally, we note that Rodriguez
submitted, with a post-submission brief, copies of two federal tax returns purporting to show that he claimed the children
as dependents in 2009 and 2010. We grant Bridgestone’s motion to strike this evidence, which is not in the mandamus
record.
6
but that guardian lacks authority to sue on the minor’s behalf in Texas and has no legal basis for
obtaining such authority, the minor may sue by next friend under Rule 44.7 In this case, then,
whether the children could sue by next friend turns on whether their grandparents could have filed
suit in Texas on the children’s behalf as their guardians. If they could not, Rule 44 steps in.
Bridgestone summarily argues that the grandparents’ guardian status entitled them (and only
them) to bring the underlying suit, but Bridgestone fails to address the potential limitations on a
guardian’s authority outside the jurisdiction in which he was appointed or otherwise designated. The
U.S. Supreme Court recognized long ago that “[t]he authority of a guardian, like that of an executor
or administrator, appointed by a court of one state, is limited to that state, and he cannot sue in a
court . . . held within any other state, except so far as authorized to do so by its laws.” Morgan v.
Potter, 157 U.S. 195, 197 (1895) (noting that “[t]he statutes of Kansas do authorize executors or
administrators appointed in another state to sue and be sued as such in Kansas,” but “they confer no
such general authority upon guardians appointed in another state”); cf. Faulkner v. Reed, 241 S.W.
1002, 1007 (Tex. Comm’n App. 1922, holding approved) (“An administrator, appointed by the
courts of Ohio, could not, by virtue of said appointment sue or be sued in the courts of Texas, or in
any way act as a legal representative of said estate in Texas. An administrator is the agent solely of
the court appointing him, clothed with authority to administer only such assets as are within the
jurisdiction of the court making such appointment.”).
7 Nothing in the rule prevents the foreign guardian and the next friend from being the same person.
7
Our courts of appeals have recognized this principle over the years in addressing challenges
to next-friend representation, starting with Bonner v. Ogilvie, 58 S.W. 1027 (Dallas 1900, no writ).
In that case, a child’s mother appointed as his legal guardian in Louisiana sued on his behalf in her
capacity as guardian. Id. at 1028. The court held that the mother’s appointment as guardian in
Louisiana “would not give her authority to sue as such guardian in Texas, but it would not deprive
her of the power to sue in this state as next friend.” Id.
As Bridgestone points out, Bonner was decided before this Court adopted the Texas Rules
of Civil Procedure. However, Rule 44’s “no legal guardian” language tracks the 1893 statute from
which the rule is derived, and courts have relied on Bonner to interpret Rule 44. In Henderson v.
Shell Oil Co., for example, a guardian appointed by a Missouri court sued in Texas on behalf of his
ward, also a Missouri resident, regarding a tract of land in Texas that the ward owned. 179 S.W.2d
386, 386 (Tex. Civ. App.—Fort Worth), rev’d on other grounds and dismissed for want of
jurisdiction, 182 S.W.2d 994 (Tex. 1944). The court noted that “the only capacity in which [the
Missouri guardian] could be recognized as having the right to bring the suit is that of ‘next friend.’”
Id. at 388. This conclusion was reiterated in Herrin v. Falcon, in which the court of appeals held
that a father appointed by a Louisiana court to be his minor son’s guardian properly brought suit in
Texas “as next friend” where no ancillary or original guardianship proceeding had been brought in
Texas. 198 S.W.2d 117, 122 (Tex. Civ. App.—Beaumont 1946, writ ref’d n.r.e.).
8
Evaluating these decisions requires an examination of the Texas Guardianship Code, which
includes provisions governing guardians’ authority to file suit on behalf of their wards.8 In Texas,
the term “guardian” encompasses both a “guardian of the person” and a “guardian of the estate” of
a minor or other incapacitated person. TEX. EST. & G’SHIP CODE § 1002.012(b). “A guardian of the
estate of a ward appointed in this state” has authority to sue for damages on the minor’s behalf. Id.
§ 1151.104(a)(1) (emphasis added). However, like the Kansas statute at issue in Morgan, Texas’s
guardianship statutes confer no such general authority on guardians appointed or recognized in other
jurisdictions. In limited circumstances in which a nonresident ward owns property in Texas, the
Code provides a mechanism by which a guardian appointed in another jurisdiction may “be
appointed and qualified as guardian or coguardian” of the ward’s estate located here. Id.
§§ 1252.051–.053. But a nonresident guardian of a nonresident ward with no connection to Texas
beyond a possible lawsuit simply has no authority to sue on behalf of the ward in Texas in his
capacity as guardian.9
8 The Legislature recently amended and recodified Texas’s guardianship statutes, which were formerly housed
in the Probate Code but, effective January 1, 2014, are now contained in the Estates and Guardianships Code. Act of
June 17, 2011, 82d Leg., R.S., ch. 823, § 1.02, 2011 Tex. Gen. Laws 1917. Because the amendments do not affect our
analysis, we will cite the current versions of the statutes in this opinion.
9 We note that we disagree with Bonner and Herrin to the extent they hold that a child’s parent is not a legal
guardian qualified to sue on his child’s behalf in that capacity. Under Texas law, a parent has the right to represent his
child in legal proceedings and the duty to manage the child’s estate unless a guardian of the estate has been appointed.
TEX. FAM. CODE § 151.001(a)(4), (7). A parent thus typically qualifies as a legal guardian for purposes of Rule 44, and
his minor child may not sue by next friend. See In re KC Greenhouse Patio Apartments LP, 445 S.W.3d 168, 172 (Tex.
App.—Houston [1st Dist.] 2012, orig. proceeding); see also R.H. v. Smith, 339 S.W.3d 756, 759, 764 (Tex.
App.—Dallas 2011, no pet.) (holding that a father had no right to represent his minor child in a lawsuit when the child’s
grandparents had been appointed the minor’s managing conservators).
9
Accordingly, in this case, although the children’s grandparents are recognized as the
children’s guardians under the law of Nuevo Leon where they reside, they have no authority to sue
in that capacity on the children’s behalf in Texas. To avoid depriving the children of the ability to
pursue their claims before they turn eighteen, Rule 44 allows them to do so by next friend.
Accordingly, we agree with the court of appeals that, for purposes of Rule 44, the children could sue
by next friend. We therefore turn to whether Rodriguez, as a next friend, qualifies as a “plaintiff”
who may take advantage of the forum-non-conveniens statute’s Texas-resident exception.
2. Status of Next Friend
As noted above, a plaintiff’s claim may not be stayed or dismissed on forum-non-conveniens
grounds if the plaintiff is a legal resident of Texas. TEX. CIV. PRAC. & REM. CODE § 71.051(e). In
determining whether Rodriguez is a plaintiff for purposes of this provision, we focus on the specific
statutory definition of “plaintiff,” but we also consider that definition in the context of the entire
forum-non-conveniens statute and chapter 71 as a whole. See CHCA Woman’s Hosp. v. Lidji, 403
S.W.3d 228, 232 (Tex. 2013) (“We analyze statutory language in context, considering the specific
section at issue as well as the statute as a whole.”). We presume the Legislature enacted the statute
“with complete knowledge of the existing law and with reference to it.” Acker v. Tex. Water
Comm’n, 790 S.W.2d 299, 301 (Tex. 1990).
The forum-non-conveniens statute defines the term “plaintiff” as follows:
“Plaintiff” means a party seeking recovery of damages for personal injury or
wrongful death. In a cause of action in which a party seeks recovery of damages for
personal injury to or the wrongful death of another person, “plaintiff” includes both
that other person and the party seeking such recovery. The term does not include a
counterclaimant, cross-claimant, or third-party plaintiff or a person who is assigned
10
a cause of action for personal injury, or who accepts an appointment as a personal
representative in a wrongful death action, in bad faith for purposes of affecting in any
way the application of this section.
TEX. CIV. PRAC. & REM. CODE § 71.051(h)(2). In the context of this case, we consider whether
Rodriguez, as a next friend, qualifies as “a party seeking recovery of damages for personal injuries
or wrongful death.” We hold that he does not.
The status of a next friend under Texas law is well settled. “In a suit by a ‘next friend,’ the
real party plaintiff is the child and not the next friend.” Gracia v. RC Cola–7-Up Bottling Co., 667
S.W.2d 517, 519 (Tex. 1984); accord Safeway Stores of Tex. v. Rutherford, 111 S.W.2d 688, 689
(Tex. 1938). Indeed, we long ago stated that “the next friend is not a party to the suit instituted by
a minor by his aid.” Martin v. Weyman, 26 Tex. 460, 468 (1863) (citation omitted); see also Gulf,
C. & S. F. Ry. Co., 1 S.W. 161, 163 (Tex. 1886) (“When it appears with certainty . . . that the action
[by next friend] is based on the right of the minor; that the relief sought is such as the minor alone
would be entitled to on the facts pleaded, and that this is sought for the use and benefit of the minor;
then we are of the opinion that the minor is the real plaintiff, whatsoever may be the formula used.”).
The U.S. Supreme Court has similarly stated:
It is the infant, and not the next friend, who is the real and proper party. The next
friend, by whom the suit is brought on behalf of the infant, is neither technically nor
substantially the party, but resembles an attorney, or a guardian ad litem, by whom
a suit is brought or defended in behalf of another.
Morgan, 157 U.S. at 198. This is consistent with our longstanding recognition that a minor’s lack
of capacity to sue, unlike standing, is not a jurisdictional defect and that a challenge to capacity may
be waived. Austin Nursing Ctr. v. Lovato, 171 S.W.3d 845, 849 (Tex. 2005).
11
In light of this well-settled law, we cannot conclude that a next friend is “a party seeking
recovery of damages for personal injury or wrongful death.” TEX. CIV. PRAC. & REM. CODE
§ 71.051(h)(2). That description fits the persons who are authorized to bring a wrongful-death action
under section 71.004, but not the person serving as a conduit when the ones authorized to bring the
action are minors. As such, a next friend’s legal residency in Texas does not trigger the forum-nonconveniens
statute’s Texas-resident exception. So interpreted, the statute’s plain language serves
its purpose of “ensur[ing] access to Texas courts for Texas plaintiffs.” In re Ford Motor Co., 442
S.W.3d at 269. Texas courts have no responsibility to protect the interests of next friends, who
themselves must protect and advance the interests of the minors suing through them. That is, next
friends have no interest in keeping a case in Texas beyond the interests of the minors they represent.
If the minors whose wrongful-death claims are being prosecuted are not Texas residents, their right
to access Texas courts does not trump a defendant’s right to dismissal for forum non conveniens.
The court of appeals interpreted the statute differently, relying principally on the language
excluding personal representatives appointed in bad faith from qualifying as plaintiffs. The specific
language at issue states: “The term [plaintiff] does not include . . . a person . . . who accepts an
appointment as a personal representative in a wrongful death action, in bad faith for purposes of
affecting in any way the application of this section.” TEX. CIV. PRAC. & REM. CODE § 71.051(h)(2).
The court concluded, and Rodriguez argues, that this exclusion demonstrates that the Legislature
intended a next friend to qualify as a plaintiff for purposes of the Texas-resident exception unless
the defendant shows the next friend was appointed in bad faith. We disagree.
12
Considering this language in the context of chapter 71 as a whole, as we must, we read this
exclusion to apply to the prosecution of a wrongful-death action by an executor or administrator
under subsection 71.004(c). Section 71.004 provides:
(a) An action to recover damages [for wrongful death] is for the exclusive benefit of
the surviving spouse, children, and parents of the deceased.
(b) The surviving spouse, children, and parents of the deceased may bring the action
or one or more of those individuals may bring the action for the benefit of all.
(c) If none of the individuals entitled to bring an action have begun the action within
three calendar months after the death of the injured individual, his executor or
administrator shall bring and prosecute the action unless requested not to by all those
individuals.
An executor or administrator thus has express statutory authority to bring an action that wrongfuldeath
beneficiaries could have brought but chose not to. When that happens, the executor or
administrator—i.e., the personal representative—is the only possible party plaintiff.10 See In re Ford
Motor Co., 442 S.W.3d at 281 (noting that a personal representative qualifies as a party “seek[ing]
recovery of damages for personal injury to or the wrongful death of another person” (quoting TEX.
CIV. PRAC. & REM. CODE § 71.051(h)(2))). In turn, the bad-faith exclusion precludes such a plaintiff
from taking advantage of the Texas-resident exception when he accepted the appointment “in bad
faith for purposes of affecting in any way the application of this section.” Id. § 71.051(h)(2).
10 Section 71.012 is also instructive. Entitled “Qualification of Foreign Personal Representative,” section 71.012
provides that, when an executor or administrator of a nonresident’s estate “is the plaintiff” in a wrongful-death action,
that “foreign personal representative” need not apply for letters testamentary “to bring and prosecute the action” so long
as he has complied with the statutory requirements for the probate of a foreign will. TEX. CIV. PRAC. & REM. CODE
§ 71.012. This lends further support to our interpretation of “personal representative,” as used in the Texas-resident
exception, to apply to executors or administrators exercising their authority to sue under subsection 71.004(c). See also
TEX. EST. & G’SHIP CODE § 22.031(a) (defining “personal representative” to include: an executor and independent
executor; an administrator, independent administrator, and temporary administrator; and their successors).
13
The court of appeals’ overly broad reading of the bad-faith exclusion stretches the definition
of plaintiff beyond the breaking point. If the term “personal representative” as used in section
71.051 were broad enough to include a next friend, we see no principled reason why it would not
also include a guardian ad litem, an attorney ad litem, or an amicus attorney.11 See Morgan, 157 U.S.
at 198 (noting that a next friend resembles a guardian ad litem). Yet it would be absurd to classify
a guardian ad litem as a plaintiff, and, for the reasons discussed above, it makes no more sense to
so classify a next friend. We note that, had the children at issue been adults when suit was filed, the
Texas-resident exception clearly would not have applied. Allowing them to take advantage of the
exception and maintain a suit in Texas merely because they are minors who lack capacity to
represent themselves in litigation defies logic as well as the statute’s plain language and purpose.
In sum, we hold that the Texas-resident exception does not foreclose dismissal of this action
for forum non conveniens. Accordingly, we turn to whether the forum-non-conveniens factors
mandate dismissal.
B. Application of Forum-Non-Conveniens Factors
As noted above, the forum-non-conveniens statute mandates the stay or dismissal of a
personal-injury or wrongful-death action when the court “finds that in the interest of justice and for
the convenience of the parties [the action] would be more properly heard in a forum outside this
state.” TEX. CIV. PRAC. & REM. CODE § 71.051(b). In short, the statute requires dismissal of a case
11 Next friends generally are not appointed. They simply act on behalf of the minor unless and until the court
steps in to protect the minor in the event of a conflict of interest. TEX. R. CIV. P. 44, 173; see also Saldarriaga v.
Saldarriaga, 121 S.W.3d 493, 498 (Tex. App.—Austin 2003, no pet.) (noting that Rule 44 “does not provide for any
kind of procedure for the appointment of a next friend,” but “merely gives minors and incapacitated persons the ability
to sue and appear by a representative”).
14
that “has no significant connection to the forum.” In re Pirelli Tire, LLC, 247 S.W.3d 670, 675–76
(Tex. 2007).
The statute lists six factors for consideration in evaluating a forum-non-conveniens motion.
Specifically, the court must consider whether:
(1) an alternate forum exists in which the claim or action may be tried;
(2) the alternate forum provides an adequate remedy;
(3) maintenance of the claim or action in the courts of this state would work
a substantial injustice to the moving party;
(4) the alternate forum, as a result of the submission of the parties or
otherwise, can exercise jurisdiction over all the defendants properly joined to the
plaintiff’s claim;
(5) the balance of the private interests of the parties and the public interest of
the state predominate in favor of the claim or action being brought in an alternate
forum, which shall include consideration of the extent to which an injury or death
resulted from acts or omissions that occurred in this state; and
(6) the stay or dismissal would not result in unreasonable duplication or
proliferation of litigation.
Id. § 71.051(b)(1)–(6). Our decision in Pirelli Tire guides the application of these factors to this
case.
The facts of the two cases are strikingly similar. Pirelli Tire involved an alleged tire failure
leading to a rollover accident in Mexico that caused the death of a Mexican resident who was in the
truck at the time of the accident. 247 S.W.3d at 673. Two years before the accident, a Texas
dealership had purchased the truck at an auction in another state and sold it eleven days later to a
Mexican citizen who imported it into Mexico the same day, where it was used and serviced until the
15
accident. Id. The tire was not manufactured in Texas, and the tire’s manufacturer, Pirelli Tire, was
not formed in Texas, nor did it maintain its principal place of business here. Id. The decedent’s
family sued Pirelli Tire for negligence and strict liability in designing and manufacturing the tire.
Id. Pirelli Tire filed a motion to dismiss for forum non conveniens, which the trial court denied. Id.
Applying the factors listed above, we granted Pirelli Tire’s petition for writ of mandamus.
We held that Pirelli Tire had demonstrated the availability of an adequate forum by stipulating that
it would submit to personal jurisdiction in Mexico and would not assert a statute-of-limitations
defense, and that Mexico was not rendered an inadequate forum merely because its laws may have
been “less favorable” to the plaintiffs. Id. at 677–78. We also held that private-interest factors
favored a Mexican forum, noting that “key evidence and witnesses concerning damages [were] in
Mexico,” including a witness to the accident, the accident investigators and medical personnel,
witnesses most likely to be familiar with the condition and maintenance of the truck and the tire, the
truck’s owner, and the accident scene itself. Id. at 678–79. We also noted that evidence concerning
the tire’s design and manufacture was in Georgia or Iowa, not Texas. Id. at 679. Finally, we held
that the public interests involved “strongly favor[ed] Mexico,” as Mexico has a “paramount” interest
in seeing that its citizens are compensated for their injuries as well as interests in the safety of
Mexican highways and products within its borders. Id. We concluded that “it is unfair to impose
upon the citizens of [the Texas forum county] the cost and administrative burden of a complex
products-liability suit with no significant connection to Texas.” Id.
Like Pirelli Tire, this case involves: Mexican citizens and residents involved in a car accident
in Mexico; an alleged failure of a tire manufactured in the United States, but not in Texas; and brief
16
ownership of the subject vehicle by a Texas dealership approximately two years before the accident,
followed by ownership and maintenance of the vehicle in Mexico. Also like Pirelli Tire, key
evidence and witnesses relating to the accident, the vehicle, the tire, and damages are in Mexico, and
the evidence concerning the tire’s design and manufacture may be in the United States, but it is not
in Texas. These similarities would seem to render Pirelli Tire dispositive of the forum-nonconveniens
analysis.12 However, Rodriguez argues that this case is distinguishable from Pirelli Tire
because of the presence of Texas defendants in the suit. As noted above, in addition to Bridgestone,
the plaintiffs sued the Texas dealership—and its individual owners—that had owned the Explorer
for two weeks in 2007 before selling it to a wholesaler for export to Mexico.13 The petition alleged
that the dealership was liable for selling the vehicle with a recalled tire.
Rodriguez asserts that Mexico’s courts lack personal jurisdiction over these defendants—one
of whom has affirmatively stated that he will not submit to such jurisdiction—rendering Mexico an
inadequate alternate forum. See TEX. CIV. PRAC. & REM. CODE § 71.051(b)(4) (requiring
consideration of whether “the alternate forum, as a result of the submission of the parties or
otherwise, can exercise jurisdiction over all the defendants properly joined to the plaintiff’s claim”).
We need not address whether a showing that the Mexico courts lack jurisdiction over the Gutierrez
12 We found that the trial court had abused its discretion in Pirelli Tire even though the applicable version of
the forum-non-conveniens statute permitted, but did not require, the trial court to dismiss for forum non conveniens when
it found no significant connection to Texas under the enumerated factors. See Act of May 27, 1997, 75th Leg., R.S., ch.
424, § 1, sec. 71.051, 1997 Tex. Gen. Laws 1680, 1680, amended by Act of June 2, 2003, 78th Leg., R.S., ch. 204,
§ 3.04, sec. 71.051, 2003 Tex. Gen. Laws 847, 854. As amended in 2003, the current version of the statute requires
dismissal upon such a finding. TEX. CIV. PRAC. & REM. CODE § 71.051(b).
13 The plaintiffs in Pirelli Tire initially sued both Pirelli and the Texas dealership that had briefly owned the
vehicle. 247 S.W.3d at 673 n.1. However, the plaintiffs nonsuited the dealer in exchange for Pirelli Tire’s agreement
not to remove the case to federal court. Id. The dealer thus played no role in our forum-non-conveniens analysis.
17
defendants would be dispositive of the forum-non-conveniens analysis because the only record
evidence on the subject is that such jurisdiction exists.14 Bridgestone’s Mexican-law expert testified
that the Mexico courts would have jurisdiction over all defendants, both because Bridgestone had
agreed to submit to Mexico’s jurisdiction and because the “denial of justice” doctrine allows a
Mexico court to “seize jurisdiction” if a foreign court has rejected a case on forum-non-conveniens
grounds. Rodriguez did not designate an expert to counter these conclusions and thus presented no
evidence to support his interpretation of Mexican law. Accordingly, the presence of the Texas
defendants does not meaningfully distinguish this case from Pirelli Tire for purposes of evaluating
the adequacy of the alternate forum as part of the forum-non-conveniens analysis.15
As they did in Pirelli Tire, the forum-non-conveniens factors “clearly and overwhelmingly
favor a Mexican forum for resolution of this dispute.” 247 S.W.3d at 679. Accordingly, we hold
that the trial court abused its discretion in denying Bridgestone’s motion to dismiss.
14 Factually, Rodriguez’s inclusion of claims against the dealership does not provide much of a distinction from
Pirelli Tire. Notably, neither the New Jersey dealer that sold the Explorer to the Texas dealership nor the wholesaler
that imported the car to Mexico were sued, even though it is unclear when the tire at issue was put on the Explorer. The
principal claims in the case involve the allegedly defective design and manufacture of the failed tire. As in Pirelli Tire,
“[t]he happenstance that the truck was in Texas for [less than a month] before it was sold and imported to Mexico is
simply insufficient to provide Texas with any interest in this case.” Id. at 679.
15 To the extent Rodriguez claims Mexico is an inadequate forum because the defendants have not waived any
limitations defenses, we agree with Bridgestone that the record does not support this assertion. Leaving aside that
Rodriguez did not make this argument in the trial court, nothing in the record suggests that Mexican law differs from
Texas law on the running of limitations on a minor’s claim. TEX. CIV. PRAC. & REM. CODE § 16.001(a)(1), (b) (stating
that the statute of limitations on a minor’s claims does not begin to run until the minor turns eighteen). While we do not
necessarily presume that the laws of Mexico and Texas are identical, at best the absence of evidence in the record renders
us unable to evaluate Rodriguez’s implied assertion that statute-of-limitations issues affect the forum-non-conveniens
analysis.
18
III. Conclusion
We hold that Texas law allows minors to sue by next friend when they have a legal guardian
who is not authorized to sue in Texas in that capacity. We also hold that a next friend is not a
plaintiff for purposes of the forum-non-conveniens statute’s Texas-resident exception. Finally, we
hold that application of the forum-non-conveniens factors mandates dismissal of this case as a matter
of law. Accordingly, we conditionally grant Bridgestone’s petition for writ of mandamus and order
the trial court to vacate its order denying Bridgestone’s motion to dismiss. We further order the trial
court to “set terms and conditions for . . . dismissing [this] action . . . as the interests of justice may
require, giving due regard to the rights of the parties to the claim or action,” in a manner that is
consistent with this opinion. TEX. CIV. PRAC. & REM. CODE § 71.051(c). The writ will issue only
if the trial court fails to comply.
_________________________________
Debra H. Lehrmann
Justice
OPINION DELIVERED: April 24, 2015

Williams, McClure & Parmelee is dedicated to high quality legal representation of businesses and insurance companies in a variety of matters. We are experienced Texas civil litigation attorneys based in Fort Worth who know Texas courts and Texas law. For more information, please contact the law firm at 817-335-8800. The firm’s new office location is 5601 Bridge Street, Suite 300, Fort Worth, Texas 76112.

Martindale AVtexas[2]

Umbrella Insurance Policies and Texas Non Subscriber Coverage Issues–Fort Worth, Texas Non Subscriber Defense Attorneys

IN THE UNITED STATES COURT OF APPEALS
FOR THE FIFTH CIRCUIT
No. 08-11052
AMERICAN INTERNATIONAL SPECIALTY LINES INSURANCE CO.,
Plaintiff-Appellant,
v.
RENTECH STEEL LLC; PRESTON TEEL; LESA CROSSWHITE;
JENNINGS TEEL,
Defendants-Appellees.
Appeal from the United States District Court
for the Northern District of Texas (Abilene Division)
Before KING, BARKSDALE, and ELROD, Circuit Judges.
JENNIFER WALKER ELROD, Circuit Judge:
This case addresses whether an insurance policy that excludes coverage
for an “obligation” incurred under “any workers’ compensation law” bars
coverage for a judgment that an employee recovers in a negligence action against
a Texas employer that does not subscribe to the Texas workers’ compensation
system. Because the Texas Workers’ Compensation Act (“TWCA”) imposes no
obligation on a nonsubscriber to compensate an employee for injuries sustained
due to the employer’s own negligence, we find that the exclusion is not
applicable. Accordingly, we AFFIRM the district court’s summary judgment in
favor of defendants-appellees.
United States Court of Appeals
Fifth Circuit
F I L E D
September 21, 2010
Lyle W. Cayce
Clerk
Case: 08-11052 Document: 00511239102 Page: 1 Date Filed: 09/21/2010
No. 08-11052
I.
Plaintiff-Appellant American International Specialty Lines Insurance Co.
(“AISLIC”) appeals from the district court’s summary judgment in favor of
defendants, holding that AISLIC’s umbrella insurance policy (“the AISLIC
policy”), issued to Rentech Boiler Systems, Inc., covered the negligence claims
that Preston Teel, Lesa Crosswhite, and Jennings Teel (“the Teels”) asserted
against Rentech Steel, L.L.C. in the underlying litigation and the resulting
judgment. Rentech Steel, Rentech Boiler Systems, Inc., and Renz Family
Partnership, Ltd. are entities under the control of or owned by a common
owner/entity. Rentech Steel, a nonsubscriber to the Texas workers’
compensation insurance system, maintained both a primary indemnity policy,
which is not implicated in this case, and the AISLIC Policy. Rentech Steel
shared the AISLIC Policy with Rentech Boiler Systems, a subscriber to the
workers’ compensation system, but they maintained separate primary policies
due to their differing statuses in relation to the workers’ compensation system.
The underlying litigation commenced when sixteen-year-old Preston Teel
sustained severe injuries while working at Rentech Steel’s manufacturing
facility in Abilene, Texas. Following the incident, the Teels sued Rentech Steel
in state court for gross negligence, negligence, and negligence per se. Lexington
Insurance Company, Rentech Steel’s primary insurer, initially defended Rentech
Steel in the litigation. But after Lexington Insurance denied further coverage,
AISLIC assumed Rentech Steel’s defense as the umbrella insurer. A few weeks
before trial was to begin, AISLIC sought a declaratory judgment that it had no
obligation to defend or indemnify Rentech Steel in the lawsuit. On the first day
of trial, Rentech Steel entered Chapter 7 bankruptcy. According to Rentech
2
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No. 08-11052
Steel, the bankruptcy was necessary because AISLIC would not pay for the suit.
The bankruptcy court, however, lifted the stay and permitted the case to proceed
to trial on the condition that any recovery would be limited to the proceeds of the
AISLIC insurance policy.
The jury found for the Teels on their negligence and negligence per se
claims, but it did not find gross negligence on the part of Rentech Steel. The
court then entered a judgment against Rentech Steel for $12,470,000 in actual
damages, which was reduced to $10,570,000 after applying a settlement credit.
Rentech Steel has appealed the judgment, and AISLIC has continued to defend
Rentech Steel under a reservation of rights during the appeal. As a consequence
of the state-court judgment, the Teels became proper claimants to Rentech
Steel’s insurance policy.
Shortly after the state court entered its judgment, AISLIC filed a
declaratory judgment action in federal court seeking to establish that it had no
duty to either defend Rentech Steel in the underlying state-court lawsuit or to
indemnify Rentech Steel for the judgment because the AISLIC policy’s “Various
Laws” exclusion excluded coverage for any “obligation of the Insured under . . .
any workers’ compensation, disability benefits, or unemployment compensation
law, or any similar law.” AISLIC moved for summary judgment, arguing that
a negligence claim filed against a nonsubscribing employer is an obligation
arising under the TWCA, not state common law, so the Teels’ judgment against
Rentech Steel was necessarily an “obligation” under Texas’s workers’
compensation law—an obligation explicitly excluded from coverage under the
“Various Laws” exclusion. The Teels and Rentech Steel opposed AISLIC’s
motion.
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No. 08-11052
The district court denied AISLIC’s summary-judgment motion, holding
that the judgment against Rentech Steel did not fall within the Policy’s “Various
Laws” exclusion. The order explained that, although the TWCA deprives
appellees of the right to assert a common-law negligence or negligence per se
claim against a subscribing employer, the Act imposed no “obligation” on a
nonsubscribing employer to compensate an employee for injuries resulting from
the employer’s negligence, but merely limited an employer’s defenses against an
employee’s common-law claims. Alternatively, the court held that, because the
“Various Laws” exclusion was ambiguous, Texas law required that the exclusion
be interpreted against AISLIC and in favor of coverage where appellees’
interpretation of the exclusion was reasonable.
Following the district court’s denial of AISLIC’s motion for summary
judgment, appellees filed for summary judgment on the ground that the AISLIC
policy’s “Various Laws” exclusion did not bar coverage of the judgment against
Rentech Steel, which the district court granted. This appeal followed.
II.
We review a district court’s summary judgment de novo, applying the same
legal standards that the district court applied, viewing the evidence in the light
most favorable to the nonmoving party. Am. Int’l Specialty Lines Ins. Co. v.
Canal Indem. Co., 352 F.3d 254, 259–60 (5th Cir. 2003). We affirm “only if
there is no genuine issue of material fact and one party is entitled to prevail as
a matter of law.” Cedyco Corp. v. PetroQuest Energy, LLC, 497 F.3d 485, 488
(5th Cir. 2007) (citations omitted). Where, as here, parties have filed crossmotions
for summary judgment, each motion must be considered separately
because each movant bears the burden of showing that no genuine issue of
4
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No. 08-11052
material fact exists and that it is entitled to a judgment as a matter of law.
Shaw Constructors v. ICF Kaiser Engr’s, Inc., 395 F.3d 533, 538–39 (5th Cir.
2004).
III.
At issue in this case is whether an employee’s negligence action against an
employer that does not subscribe to the Texas workers’ compensation system is
an “obligation” under the TWCA, such that it is excluded under the AISLIC
Policy’s “Various Laws” exclusion. The AISLIC Policy’s “Various Laws”
exclusion provides:
This insurance does not apply to any obligation of the Insured
under any of the following:
1. the Employee Retirement Income Security Act of 1974
(including amendments relating to the Consolidated
Omnibus Budget Reconciliation Act of 1985), or any
amendment or revision thereto, or any similar law; or
2. any workers’ compensation, disability benefits or
unemployment compensation law, or any similar law.
Because Texas law governs this claim, we employ the principles of Texas
contract construction in interpreting the “Various Laws” exclusion. Texas law
provides that insurance policies are construed according to common principles
governing the construction of contracts, and the interpretation of an insurance
policy is a question of law for a court to determine. New York Life Ins. Co. v.
Travelers Ins. Co., 92 F.3d 336, 338 (5th Cir. 1996). Limiting our inquiry to the
four corners of the underlying complaint and the four corners of the insurance
policy, we interpret the contract to discern the intention of the parties from the
language expressed in the policy. See Amerisure Ins. Co. v. Navigators Ins.
5
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No. 08-11052
Co., 611 F.3d 299, 309 (5th Cir. 2010). “No single provision taken alone will be
given controlling effect; rather, all the provisions must be considered with
reference to the whole instrument.” See Coker v. Coker, 650 S.W.2d 391, 393
(Tex. 1983) (citations omitted). Where, as here, the disputed provision is an
exclusion, the insurer bears the burden of establishing that the exclusion
applies. Guaranty Nat’l Ins. Co. v. Vic Mfg. Co., 143 F.3d 192, 193 (5th Cir.
1998).
Whether a contract is ambiguous is a question of law. Kelley-Coppedge,
Inc. v. Highlands Ins. Co., 980 S.W.2d 462, 464 (Tex. 1998). An ambiguity does
not arise simply because the parties present conflicting interpretations; it “exists
only if the contractual language is susceptible to two or more reasonable
interpretations.” Am. Mfrs. Mut. Ins. Co. v. Schaefer, 124 S.W.3d 154, 157 (Tex.
2003) (citation omitted). “If policy language is worded so that it can be given a
definite or certain legal meaning, it is not ambiguous,” and the court construes
it as a matter of law without admitting evidence for the purpose of creating an
ambiguity. Id.; see Univ. C.I.T. Credit Corp. v. Daniel, 243 S.W.2d 154, 157 (Tex.
1951). But if the policy language is ambiguous, we construe it “strictly against
the insurer and liberally in favor of the insured,” Barnett v. Aetna Life Ins. Co.,
723 S.W.2d 663, 666 (Tex. 1987), and an “even more stringent construction is
required” where the ambiguity pertains to an “exception or limitation on [the
insured’s] liability under the policy,” Gulf Chem. & Metallurgical Corp. v.
Associated Metals & Minerals Corp., 1 F.3d 365, 369 (5th Cir. 1993).
Consequently, we must adopt the “construction of an exclusionary clause urged
by the insured as long as that construction is not itself unreasonable, even if the
construction urged by the insurer appears to be more reasonable or a more
6
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No. 08-11052
accurate reflection of the parties’ intent.” Glover v. Nat’l Ins. Underwriters, 545
S.W.2d 755, 761 (Tex. 1977).
Employing these principles, we find no ambiguity in the language of the
“Various Laws” exclusion. The exclusion plainly excludes from coverage only
those legal obligations imposed by “any workers’ compensation . . . law.” This
provision is straightforward. If Texas’s workers’ compensation law imposes a
duty upon Rentech Steel to compensate the Teels for the injuries Preston Teel
incurred due to Rentech Steel’s negligence, the exclusion applies and bars
coverage. Hence, the only question before the court concerns the proper
interpretation of Texas law: does the TWCA obligate a nonsubscribing employer
to compensate an employee for injuries sustained as a result of the employer’s
own negligence, or is such compensation a duty under Texas common law? 1
IV.
AISLIC and appellees disagree on two fundamental aspects of Texas law:
(1) whether an employee’s negligence claim against a nonsubscribing employer
arises under the TWCA or common law, and (2) if it arises under the TWCA,
whether the TWCA imposes an “obligation” upon a nonsubscriber to compensate
an employee for injuries caused by its own negligence. AISLIC contends that the
provision of the TWCA addressing negligence actions against nonsubscribers,
codified at section 406.033 of the Texas Labor Code, wholly supplanted the Texas
common-law claim with a statutory claim. According to AISLIC, because the
TWCA creates the cause of action under which the Teels sued Rentech Steel for
Although AISLIC challenges both its duties to indemnify and defend Rentech Steel, 1
which are separate duties creating separate causes of action under Texas law, see Amerisure,
611 F.3d at 309–10, the parties agree that the applicability of the “Various Laws” exclusion
is determinative of whether AISLIC owes both duties.
7
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No. 08-11052
negligence, the TWCA necessarily imposes an obligation on Rentech Steel to pay
the Teels’ judgment. AISLIC premises its theory on the fact that section 406.033
deprives nonsubscribing employers of certain defenses available at common law
and sets out an employee’s burden of proof in negligence cases. Tex. Labor Code
§ 406.033 (b), (c).
Appellees contend that AISLIC can prove neither that the TWCA creates
the cause of action for negligence against a nonsubscriber, nor that section
406.033 imposes any “obligation” on a nonsubscriber to pay a judgment to an
employee for injuries caused by negligence. According to appellees, rather than
displacing the common law, section 406.033 “simply leaves the common law
intact with one modification: as a carrot-and-stick incentive to participate in the
compensation program, the TWCA deprives nonsubscribers of some traditional
common-law defenses.” But regardless of what law creates the cause of action,
appellees argue that section 406.033 is devoid of any language creating an
“obligation” for nonsubscribing employers to compensate employees for accidents
resulting from negligence, so the exclusion does not apply.
Where, as here, the proper resolution of the case turns on the
interpretation of Texas law, we “are bound to apply [Texas] law as interpreted
by the state’s highest court.” Barfield v. Madison Cnty., Miss., 212 F.3d 269,
271–72 (5th Cir. 2000). Because the Texas Supreme Court has never ruled on
whether the Texas Workers’ Compensation Act “obligates” a nonsubscribing
employer to compensate an employee for injuries sustained due to employer
negligence, we must make an “Erie guess” as to how the Texas Supreme Court
would rule upon the issue based on
(1) decisions of the [Texas] Supreme Court in analogous cases, (2)
the rationales and analyses underlying [Texas] Supreme Court
8
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decisions on related issues, (3) dicta by the [Texas] Supreme Court,
(4) lower state court decisions, (5) the general rule on the question,
(6) the rulings of courts of other states to which [Texas] courts look
when formulating substantive law and (7) other available sources,
such as treatises and legal commentaries.
Hodges v. Mack Trucks, Inc., 474 F.3d 188, 199 (5th Cir. 2006) (quoting
Centennial Ins. Co. v. Ryder Truck Rental, Inc., 149 F.3d 378, 382 (5th Cir.
1998)).
Turning first to the text of section 406.033, nothing in the text indicates
that the Texas Legislature intended to impose a legal “obligation” on a
nonsubscriber to compensate an injured employee. The statute simply specifies
that, “[i]n an action against an employer who does not have workers’
compensation insurance coverage to recover damages for personal injuries or
death sustained by an employee in the course and scope of employment,” the
defendant employer is deprived of certain defenses available at common law,
though other defenses remain available. § 406.033(a), (b). It also clarifies that
the common-law negligence standard continues to apply: “the plaintiff must
prove negligence of the employer or of an agent or servant of the employer acting
within the general scope of an agent’s or servant’s employment.” § 406.033(c).
Although we believe that this statute, on its face, does no more than
modify the defenses available at common law, and does not create a cause of
action that usurps the common-law cause of action, we “are emphatically not
permitted to do merely what we think best; we must do that which we think the
[Texas] Supreme Court would deem best.” Jackson v. Johns-Manville Sales
Corp., 781 F.2d 394, 397 (5th Cir. 1986) (en banc). Thus, we consider the
9
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relevant authorities to determine how the Texas Supreme Court would interpret
section 406.033.
A. Texas Cases
In making our Erie guess, we look first to those Texas Supreme Court
cases that, while not deciding the issue, provide guidance as to how the Texas
Supreme Court would decide the question before us. Our preeminent Erie-guess
authorities, language and decisions from the Texas Supreme Court, suggest that
the court would find that a negligence claim against a nonsubscriber is a
common-law claim, and that section 406.033 imposes no “obligation” upon
Rentech Steel to pay the Teels’ judgment. The Texas Supreme Court in Kroger
Company v. Keng, 23 S.W.3d 347, 349 (Tex. 2009), indicated in dicta that a
negligence claim against a non-subscriber is modified by the TWCA, but remains
a claim at common law. In that case, the court addressed whether Chapter 33
of the Texas Civil Practice and Remedies Code required the district court to
submit a comparative-responsibility question to the jury in a negligence action
against a nonsubscriber, or alternatively, whether section 406.033 prevented the
jury from considering comparative responsibility. The Texas Supreme Court
explained in dicta that the TWCA
allow[s] injured workers, whose employers subscribed to workers’
compensation insurance, to recover without establishing the
employer’s fault and without regard to the employee’s negligence.
In exchange, the employees received a lower, but more certain,
recovery than would have been possible under the common law.
Employers were, however, allowed to opt out of the system, resulting
in their employees retaining their common-law rights. 2
The Texas Supreme Court went on to explain that the purpose of enacting section 2
406.033 was to discourage employers from choosing to opt out by depriving them of certain
traditional common-law defenses to an employee’s negligence action. Kroger, 23 S.W.3d at
10
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No. 08-11052
Id. at 349–50 (emphasis added). This suggests that the right to bring a claim
against a nonsubscriber for negligence remains what it has always been—a right
arising under common law.
AISLIC, however, argues that this case supports exactly the opposite
conclusion: that such a claim is an obligation arising under the TWCA because
the TWCA “governs” the negligence cause of action. AISLIC reads Kroger as
“unequivocally stat[ing] that the [TWCA] governs an employee’s personal-injury
claim against a nonsubscribing employer,” as the Texas Supreme Court there
explained that
Labor Code § 406.033, which is part of the Workers’ Compensation
Act, governs an employee’s personal-injury action against his or her
employer, when the employer is a nonsubscriber under the Act.
. . . .
In enacting section 406.033 and its predecessors, the
Legislature intended to delineate explicitly the structure of an
employee’s personal-injury action against his or her nonsubscribing
employer. Section 406.033(a) prescribes the defenses that are
unavailable to a nonsubscriber; section 406.033(c) dictates the
defenses that implicate the employee’s conduct and on which an
employer may rely; and section 406.033(d) provides the employee’s
burden of proof . . . .
23 S.W.3d 347, 349–51 (Tex. 2000). Thus, according to AISLIC, because the
TWCA governs an employee’s negligence claim against a nonsubscriber, it also
provides an obligation for the nonsubscriber to compensate the injured employee.
Not so. We agree that this language in Kroger indicates that a negligence
claim against a nonsubscriber must proceed within the parameters delineated
in section 406.033. But it does not follow that simply by virtue of governing the
350.
11
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No. 08-11052
claim, the TWCA also “obligates” Rentech Steel to pay the Teels’ judgment.
Many common-law claims are “governed” by statutes of limitations, but those
statutes neither give rise to the cause of action they govern, nor do they obligate
any party to pay a judgment arising from a governed claim. See Texas Civ. Prac.
& Rem. Code § 16.003(a), (b) (providing a two-year statute of limitations for such
common-law claims as trespass, injury to the estate or property of another,
conversion of personal property, taking or detaining the personal property of
another, personal injury, and forcible entry and detainer); Porterfield v. Ethicon,
Inc., 183 F.3d 464, 467 (5th Cir. 1999) (citing section 16.003(a) for the premise
that “a two-year statute of limitations governs personal injury actions.”
(emphasis added)). Because it is clear that AISLIC’s chain of logical
assumptions is missing a key link, we must conclude that Kroger provides no
support for AISLIC’s theory.
Moreover, in Kroger, the Texas Supreme Court explicitly declined to adopt
the appellate court’s reasoning, favorable to AISLIC, that a suit against a
nonsubscriber is “‘an action to collect workers’ compensation benefits under the
workers compensation laws of this state.’” See Kroger, 23 S.W.3d at 352 (quoting
Texas Civ. Prac. & Rem. Code § 33.002(c)(1)). The court reserved that question
for another day, and instead affirmed the appellate court’s decision that no
comparative-responsibility jury instruction was required on the ground that no
such jury instruction was possible because section 406.033 precludes a finding
of comparative responsibility. Id. Thus, we do not read Kroger to suggest that
the TWCA imposes an obligation on Rentech Steel to compensate the Teels for
Preston’s injuries.
12
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No. 08-11052
Further, the Texas Supreme Court’s decision in Fairfield Insurance Co. v.
Stephens Martin Paving, L.P., demonstrates that, even where the TWCA sets
certain parameters on an employee’s claim against a nonsubscriber, it does not
necessarily transform the claim into an obligation under the TWCA. 246 S.W.3d
653, 659 (Tex. 2008). In Fairfield, the Texas Supreme Court held that the
standard-form employers’ liability policy—the same policy AISLIC issued to
Rentech Steel, containing the very same “Various Laws” exclusion—did not
exclude coverage for claims of gross negligence against nonsubscribers. See id.
This holding is significant because Texas Labor Code section 408.001(b), the
provision of the TWCA governing gross-negligence claims against
nonsubscribers, specifies the employee’s burden of proof in that action: the
employee must prove that the employee’s “death was caused by an intentional
act or omission of the employer or by the employer’s gross negligence.” Tex. 3
Lab. Code § 408.001(b). Fairfield thus belies AISLIC’s contention that section
406.033 subsumed the common law because it “specif[ies] the employee’s burden
of proof and the defenses available to the employer.” Where the TWCA provides
the employee’s burden of proof for both gross-negligence and negligence claims,
and the former are unquestionably covered by the insurance policy, the statute’s
provision of the employee’s burden of proof cannot provide the basis for a
contrary result here.
Though the decisions and dicta of the Texas Supreme Court weigh more
heavily in our Erie analysis, we also consider those decisions of Texas appellate
courts in determining how the Texas Supreme Court would rule on this issue.
Further, section 408.001 goes on to define “gross negligence” as “the meaning assigned 3
by Section 41.001, Civil Practices and Remedies Code.” Tex. Lab. Code § 408.001(c).
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No. 08-11052
AISLIC invites us to follow Robertson v. Home State County Mutual Insurance
Company, —S.W.3d—, 2010 WL 2813488 (Tex. App.—Ft. Worth, 2010, no pet.),
which held that the employee’s judgment for damages against his
nonsubscribing employer was an “obligation” under workers’ compensation law,
excluded from coverage by the “Various Laws” exclusion in his employer’s
liability policy. We decline this invitation, as Robertson is inconsistent with 4
both the relevant Texas Supreme Court caselaw and the plain reading of section
406.033. See Warfield v. Byron, 436 F.3d 551, 558 (5th Cir. 2006) (finding that,
where authorities were split, the Texas Supreme Court would adopt the view
that was most consistent with the “plain reading” of the statute).
We consider Robertson to be unpersuasive because it conflates “governs”
with “obligates,” and because it fails to account for the Texas Supreme Court’s
decision in Fairfield. See Robertson, 2010 WL 2813488, at *5. The Robertson
court grounded its holding that no coverage existed on the statute’s provision of
the plaintiff’s burden of proof, id. at *7. This conflicts, however, with Fairfield’s
holding that the standard employers’ liability policy covered claims for gross
negligence, though the TWCA sets the standard of proof for those claims as well,
See Fairfield, 246 S.W.3d at 657. We are convinced by the plain language of
section 406.033 and by Fairfield that the Texas Supreme Court would not follow
Robertson, so we do not defer to it. Mem’l Hermann Healthcare Sys., Inc., v.
Eurocopter Deutschland, GMBH, 524 F.3d 676, 678 (5th Cir. 2008) (explaining
that we need not defer to an intermediate state appellate court decision where
we are “convinced by other persuasive data that the highest court of the state
But see In re Autotainment Partners, 183 S.W.3d 532, 537 (Tex. App.—Houston [14th 4
Dist.] 2006, no pet.) (holding that a negligence claim against a nonsubscriber for workers’
compensation benefits does not arise under the TWCA).
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would decide otherwise.”); see also Warfield, 436 F.3d at 558 (holding that the
Texas Supreme Court would follow those decisions that were most consistent
with the “plain reading” of the statute).
B. Decisions From Other Courts
Although Texas cases provide greater guidance for our Erie analysis, we
may likewise “consider, among other sources, treatises, decisions from other
jurisdictions, and the ‘majority rule.’” SMI Owen Steel Co. v. Marsh USA, Inc.,
520 F.3d 432, 437 (5th Cir. 2008) (citation omitted); see also Amerisure Ins. Co.
v. Navigators Ins. Co., 611 F.3d 299, 311 (5th Cir. 2010). Here, we have the
benefit of a number of federal cases interpreting the TWCA, and we consider 5
these cases in determining whether the Texas Supreme Court would conclude
that section 406.033 imposes an obligation on Rentech Steel to pay the Teels’
judgment.
We generally consider decisions from other states to the extent they are relevant, but 5
the decisions AISLIC submits are largely inapposite because, unlike most other states, Texas
grants employers the right to choose whether to participate in the workers’ compensation
system. In AISLIC’s cases, the courts considered how nonsubscribers were acting illegally
under state law, but Rentech Steel is not similarly situated. See Indian Harbor Ins. Co. v.
Williams, 998 So. 2d 677, 678–79 (Fla. Ct. App. 2009); Weger v. United Fire & Cas. Co., 796
P.2d 72, 74 (Colo. Ct. App. 1990); Hanover Ins. Co. v. Ramsey, 539 N.E.2d 537, 538 (Mass.
1989); Florida Ins. Guar. Ass’n v. Revoredo, 698 So. 2d 890, 892–93 (Fla. Ct. App. 1997);
Tri-State Constr., Inc. v. Columbia Cas. Co., 692 P.2d 899, 903 (Wash. App. 1984); cf. Liberty
Mut. Ins. Co. v. United Nat’l Ins. Co., 731 P.2d 167, 168–70 (Haw. 1987) (addressing a different
issue).
In states where employers are compelled to participate in the workers’ compensation
system, there is a stronger argument that employers who fail to participate in the mandatory
system are nevertheless “obligat[ed]” by law to compensate injured employees. See 21 Eric
Mills Holmes & Mark S. Rhodes, Holmes’ Appleman on Insurance 2d, § 132.5 (Lexis Nexis ed.
2002) (“The [policy] exclusion excludes ‘any obligation’ of the insured under a workers’
compensation, disability benefits, or unemployment compensation, or any similar law.
Including the word ‘obligation’ means that no coverage applies when (1) an insured has
statutory coverage and it applies to a loss or (2) an insured should have obtained the statutory
protection that applies to a loss.”).
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We begin this analysis by considering Middleton v. Texas P&L Co., a
Supreme Court decision examining the TWCA only a few years following its
1913 enactment. 249 U.S. 152 (1919). The TWCA withstood constitutional
challenge in the Texas Supreme Court in 1916, but with United States Supreme 6
Court review imminent, the Texas Legislature amended the Act while the appeal
was pending to allow workers to forego workers’ compensation remedies and
thereby retain their common-law rights of action. See Ferguson v. Hosp. Corp.
Int’l, 769 F.2d 268, 271 (5th Cir. 1985). In 1919, the Supreme Court affirmed
the Texas Supreme Court and held that the statute was constitutional.
Middleton, 249 U.S. at 155. In describing the Act, the Court explained that the
TWCA shielded employers from common-law suits, but “[e]mployers who do not
become subscribers are subject as before to suits for damages based on
negligence.” Id. (emphasis added). Negligence suits preceding the enactment of
the TWCA were unquestionably suits under common law. Therefore, the
Supreme Court’s statement leaves little doubt that it interpreted the TWCA as
not fundamentally changing the characterization of common-law negligence
claims against nonsubscribers.
We are also guided by those federal decisions that have considered the
question whether an action against a nonsubscriber arises under common law
or the TWCA. Rentech Steel argues that we should follow Pyle v. Beverly
Enters.-Tex., 826 F. Supp. 206, 209 (N.D. Tex. 1993), holding that negligence
Middleton v. Texas P. & L. Co., 185 S.W. 556, 561-62 (1916) (rejecting an employee’s 6
challenge that the statute’s requirement that he accept compensation under his employer’s
compensation policy in lieu of common-law damages constituted a deprivation of property
without due process in violation of the Fourteenth Amendment).
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No. 08-11052
claims against nonsubscribers exist independently of the TWCA. In that well- 7
reasoned opinion, Judge Fitzwater considered whether the plaintiff’s negligence
suit against her nonsubscribing employer arose under the TWCA, such that it
was not preempted by ERISA. The court held that they were not so preempted
because the plaintiff’s
state court petition does not seek recovery pursuant to the TWCA.
It clearly alleges common law claims of negligence, intentional
infliction of emotional distress and breach of duty of good faith and
fair dealing. These are not causes of action that are created by the
TWCA; they exist independently. Moreover, the fact that the TWCA
deprives employers of certain defenses to negligence claims does not
mean that claims by employees against nonsubscribing employers
are brought pursuant to the TWCA. See Eurine v. Wyatt Cafeterias,
Inc., 1991 WL 207468 at *2 (N.D. Tex. Aug. 21, 1991) (Sanders, C.J.)
(“A cause of action does not arise under workers’ compensation laws
merely because the workers’ compensation statute deprives the
defendant of certain defenses to the cause of action.”).
Id.
This approach, we believe, is consistent with the Texas Supreme Court’s
approach in Kroger v. Keng, 23 S.W.3d 347 (Tex. 2000), and with the history of
the TWCA, see Nunez, 771 F. Supp. at 167–68 (“When the Texas Legislature put
a workers’ compensation law into effect in 1917 it, for all practical purposes,
abolished the right of an employee to bring a common-law action against an
employer having workers’ compensation insurance coverage. However, the
Legislature preserved the common law right of action for the employees of an
See also Nunez v. Wyatt Cafeterias, Inc., 771 F. Supp.165, 167–68 (N.D. Tex. 1991) 7
(holding that by bringing a cause of action against his nonsubscribing employer, the plaintiff
had “but exercised his common law rights, as those rights have been enhanced by the workers’
compensation laws of Texas”).
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employer who elected not to carry workers’ compensation insurance, and
enhanced those rights by a statutory provision that prevented an employer in
such an action from asserting defenses that theretofore had been available to
employers.”).
AISLIC, however, contends that we must consider those district-court
decisions holding that claims against nonsubscribers are not removable to
federal court under 28 U.S.C. § 1445(c), the federal statute addressing
“nonremovable actions,” because such claims “arise” under the TWCA. See
Figueroa v. Healthmark Partners, 125 F. Supp. 2d 209, 210 (S.D. Tex. 2000); see
also Smith v. Tubal-Cain Indus., Inc., 196 F. Supp. 2d 421, 423 (E.D. Tex. 2001);
Dean v. Tex. Steel Co., 837 F. Supp. 212, 214 (N.D. Tex. 1993). But see Eurine
v. Wyatt Cafeterias, Inc., No. 3-91-0408-H, 1991 WL 207468, at *2 (N.D. Tex.
Aug. 21, 1991) (unpublished) (holding that, for the purposes of section 1445(c),
a negligence action against a nonsubscriber is a common-law claim that does not
arise out of the TWCA). We find these cases to be of limited value because
section 1445(c) does not require the court to determine whether the TWCA
imposes an “obligation” on a nonsubscriber to pay a judgment to an employee
injured as a result of the employer’s negligence. It provides only that “a civil
action in any State court arising under the workmen’s compensation laws of such
state may not be removed to any district court of the United States.”
Further, even if we assume arguendo that a claim that “arises under” the
TWCA becomes an “obligation” under that law, the section 1445(c) cases
nevertheless remain an imperfect litmus test for how the Texas Supreme Court
would resolve the case before us. This is because of the deference courts afford
to the congressional intent behind the removal statute, which is not applicable
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here. As the district court explained in Figueroa, “Section 1445(c) denotes an
effort by Congress to restrict the district courts’ diversity jurisdiction in order to
relieve the collectively overburdened docket of the federal courts. Courts have
therefore construed section 1445(c) broadly in order to further this purpose.”
Figueroa, 125 F. Supp 2d. at 211 (internal citations omitted). This broad
construction was also apparent in Smith, where the court found that a
negligence claim “aro[se] under” the TWCA simply because “[n]egligence actions
against nonsubscribing employers are expressly contemplated by Texas workers’
compensation law; indeed, several common-law defenses have been eliminated
by statute.” Smith, 196 F. Supp. 2d at 423 (citation omitted). We do not
comment on whether the TWCA’s mere “contemplat[ion]” of a cause of action
provides sufficient justification to deny removal under section 1445(c), but it is
no proof at all that the TWCA actually “obligate[s]” a nonsubscriber to
compensate an employee for negligence-induced injury.
Likewise, Illinois National Insurance Co. v. Hagendorf Construction Co.,
337 F. Supp. 2d 902 (W.D. Tex. 2004), is similarly unpersuasive. In that case,
the court held that a policy exclusion, similar to the one considered here,
excluded coverage for an employee’s negligence claim against a nonsubscriber
because the claim arose under the TWCA. See id. at 905. We are disinclined to 8
follow this decision for four reasons. First, though the Texas appellate court in
Kroger followed the reasoning that the federal district court would later apply
in Hagendorf, the Texas Supreme Court expressly declined to adopt that
reasoning, and decided the case on other grounds. Kroger v. Keng, 23 S.W.3d
The exclusion in Hagendorf excluded “[a]ny obligation for which the insured or the 8
insured’s insurer may be held liable under any workers compensation, disability benefits or
unemployment compensation law or any similar law.” Hagendorf, 337 F. Supp. 2d at 904.
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347 (Tex. 2000). This inspires little confidence that the court would opt to follow
that decision in this instance. Second, Hagendorf’s holding is grounded on
Figueroa, Smith, and Dean—decisions that were decided using a broad
construction of the term “arising under,” a construction that we do not apply
here. Illinois Nat’l, 337 F. Supp. 2d at 905 (citing Figueroa,125 F. Supp. 2d 209;
Smith, 196 F. Supp. 2d 421; Dean, 837 F. Supp. 212). Third, just as in the
removal cases, Hagendorf held that the exclusion applied because the negligence
claims were “commenced pursuant” to the TWCA, but this reasoning does not
hold water. The text of the exclusion does not purport to exclude claims
“commenced pursuant” to any workers’ compensation law. The language
required the court to determine whether the TWCA actually imposed an
obligation on the nonsubscriber to compensate an employer for injuries caused
by negligence. The court did not do so.9
Finally, we find Hagendorf unreliable because the three decisions upon
which the court premised its holding—Figueroa, Smith, and Dean—derive their
respective holdings, at least in part, from a misreading of Foust v. City Insurance
Co, 704 F. Supp. 752 (W.D. Tex. 1989) (Gee, J., sitting by designation). These
courts interpreted Foust’s language—that employers “depart the general
common-law tort system” upon hiring workers regardless of whether they choose
to subscribe to the workers’ compensation system—as implying that the
common-law claims had been extinguished. Id. at 753; see also Figueroa, 125 F.
Supp. 2d at 211 (quoting Foust, 704 F. Supp. at 753); Smith, 196 F. Supp. 2d at
423 (same); Dean, 837 F. Supp. at 214 (same). This interpretation conflicts with
For these same reasons, we 9 are not persuaded by Markel Insurance Company, Inc. v.
Spirit of Texas Cheer & Gymnastics, No. 4:08-CV-758-Y, 2010 WL 3283051 (N.D. Tex. Aug. 19,
2010), which followed Hagendorf. See id. at *6.
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Foust’s language just sentences later: depending on whether an employer
subscribed to the workers’ compensation system, the TWCA either “admitted
[the employer] to the worker’s compensation system or removed its defenses and
relegated it to Texas common law, shorn of [its] defenses.” Foust, 704 F. Supp.
at 753 (emphasis added). Accordingly, we hold that a negligence claim against
a nonsubscriber is not an “obligation” imposed by the TWCA.
V.
Alternatively, assuming arguendo that the “Various Laws” exclusion is
ambiguous, summary judgment for appellees would still be proper if their
interpretation of the exclusion is reasonable. See Amerisure 10 Ins. Co. v.
Navigators Ins. Co., 611 F.3d 299, 309 (5th Cir. 2010) (explaining that we must
adopt the “interpretation of the exclusionary clause urged by the insured if it is
‘not itself unreasonable,’ even if the insurer’s interpretation seems ‘more
reasonable or a more accurate reflection of the parties’ intent.’” (citation
omitted)). The district court stated in its alternative holding that the phrase
“any obligation . . . under any workers’ compensation . . . law” could be
We reject AISLIC’s argument that the district court was prohibited from finding 10
ambiguity sua sponte, as we have previously held that “[t]he interpretation of the contract and
determination of ambiguity, however, is a matter of law, and the court ‘may conclude that a
contract is ambiguous even in the absence of such a pleading by either party.’” In re Newell
Indus., Inc., 336 F.3d 446, 449 n.5 (5th Cir. 2003) (quoting Sage St. Assocs. v. Northdale
Constr. Co., 863 S.W.2d 438, 445 (Tex. 1993)). As this court has observed, this scenario rarely
presents itself. Brooks, Tarlton, Gilbert, Douglas & Kressler v. U.S. Fire Ins. Co., 832 F.2d
1358, 1365 (5th Cir. 1987) (citations omitted) (“An allegation of ambiguity. . . is of pivotal
importance. Moreover, ‘[a]s necessity is the mother of invention, so is ambiguity the father of
multiple reasonable constructions, and where lawyers are involved, one never lacks an eager
parent of either gender.’ . . . It is interesting, therefore, that the allegation of ambiguity in this
case came, not from the parties, but from the district court.”).
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interpreted to incorporate only workers’ compensation benefits, not a judgment
in a negligence suit. It explained that
the “Various Laws”exclusion could be interpreted as only excluding
claims already covered by workers’ compensation benefits rather
than excluding all claims of employees, whether filed to collect
workers’ compensation benefits or damages by common-law. In such
a case, there is more than one plausible interpretation of the
“Various Laws” exclusion. Thus, applying the provisions of the
“Various Laws” exclusion to the dispute before the Court produces
an uncertain or ambiguous result, and the exclusion will be
interpreted against AISLIC and in favor of coverage.
We agree with the district court that an “obligation” under “workers’
compensation law” could be interpreted to refer only to benefits paid by the
workers’ compensation system, as the meaning of the term obligation has “many,
wide, and varied meanings” that depends on the context in which the word is
used. See Black’s Law Dictionary (9th ed. 2009). Where negligence claims
against nonsubscribers, at least traditionally, have been recognized as arising
under common law, we conclude that it is reasonable to interpret the “Various
Laws” exclusion to exclude only mandatory benefit payments.
CONCLUSION
In summary, AISLIC has failed to meet its burden of proving that the
“Various Laws” exclusion bars coverage of the Teels’ claims and the judgment
against Rentech Steel. AISLIC has not shown that the Texas Supreme Court
would conclude either that a negligence claim against a nonsubscriber arises
under the TWCA rather than common law, or that Texas Labor Code section
406.033 imposes any obligation upon Rentech Steel to pay the Teels’ judgment.
For these reasons, we AFFIRM the judgment of the district court.
22
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Williams, McClure & Parmelee is dedicated to high quality legal representation of businesses and insurance companies in a variety of matters. We are experienced Texas civil litigation attorneys based in Fort Worth who know Texas courts and Texas law. For more information, please contact the law firm at 817-335-8800. The firm’s new office location is 5601 Bridge Street, Suite 300, Fort Worth, Texas 76112.

Martindale AVtexas[2]

Timely Contest by Insurance Carrier in Texas Workers’ Compensation Claims–Fort Worth, Texas Workers’ Compensation Attorneys

Appeals Panel Decision Manual – Liability/Compensability Issues

Timely Contest by Insurance Carrier 

Overview

In Continental Casualty Company v. Downs, 81 S.W.3d 803 (Tex. 2002), the Texas Supreme Court held that taking some action within seven days is what entitles the IC to a 60-day period to investigate or deny compensability. In Southwestern Bell Telephone Company L.P. v. Mitchell, 276 S.W.3d 443 (Tex. 2008), the Texas Supreme Court noted that less than nine months after Downs was decided the Legislature amended the statute to make clear that an IC who failed to comply with Section 409.021(a) did not waive the right to contest the compensability of the injury, and overruled the Downs case. Therefore, the determination of IC wavier based on a seven-day waiver period is error and must be reversed. Prior APDs applying the seven-day waiver period have been overruled by the Mitchell case. Any APDs cited within this manual that discuss a seven-day waiver period are not cited for that proposition.

An IC is liable for accrued benefits if it fails to dispute compensability of the injury within 15 days after receiving written notice of the claimed injury. Section 409.021; Section 124.3(a)(1). If the IC disputes compensability of the claimed injury after 15 days, but within 60 days of receiving written notice of the claimed injury, the IC is liable for all accrued benefits up until the time of dispute. Section 124.3(a)(2). Once the IC files a dispute with the Division, before the 60th day after receiving written notice of the injury, the IC is no longer liable for further benefits unless the Division determines that the injury is in fact compensable.

If the IC fails to dispute compensability of the claimed injury within 15 days of receiving written notice, but does successfully dispute compensability within 60 days of receiving written notice, and if the IW is being treated in a network as provided for in House Bill 7, Section 8.016, the IC’s maximum liability for accrued medical benefits prior to the dispute is limited to $7,000.00. Texas Insurance Code Section 1305.153. The $7,000.00 limit is effective for claims with a DOI on and after the date of the contract establishing the certified network.

If the IC does not dispute the claimed injury within 60 days after it received written notice of the claimed injury, the IC waives the right to dispute the compensability of the claimed injury unless the IC can prove that there is newly discovered evidence that could not have reasonably been discovered earlier. Section 409.021(d). An IC that contests compensability of the claimed injury after 60 days on the basis of newly discovered evidence is liable for, and must continue to pay, all benefits due until the Division has made a finding that the evidence could not have been reasonably discovered earlier. Section 124.3(c)(2).

Defense Waived. If the IC waives the right to contest compensability of the claimed injury due to its failure to take the action required by Section 409.021, at a minimum the IC waives:

1. The exceptions (IC defenses) listed in Section 406.032. These include:

(A) The right to assert that the injury occurred while the IW was in a state of intoxication. APD 030663-s.
(B) The right to assert that the injury occurred by the IW’s willful attempt to injure himself or to unlawfully injure another person. APD 992365.
(C) The right to assert that the injury was caused by a third person due to personal animosity. APD 992365.
(D) The right to assert that the injury arose out of voluntary participation in an off-duty recreational, social, or athletic activity that did not constitute part of the IW’s work-related duties.
(E) The right to assert that the injury arose out of an act of God.
(F) The right to assert the IW’s horseplay was a producing cause of the injury.

2. The right to assert that no injury occurred in the course and scope of employment. Cont’l Cas. Ins. Co. v. Williamson, 971 S.W.2d 108 (Tex. App.-Tyler 1998, no pet.); Zurich Am. Ins. Co. v. Gill, 173 S.W.3d 878 (Tex. App.-Fort Worth 2005, pet. denied); Alexander v. Lockheed Martin Corp., 188 S.W.3d 348 (Tex. App.-Forth Worth 2006, pet. denied); Lopez v. Zenith Ins. Co., 229 S.W.3d 775 (Tex. App.-Eastland 2007, pet. denied); State Office of Risk Mgmt. v. Peeples, No. 07-04-0408-CV, 2006 Tex. App. LEXIS 6511 (Amarillo July 25, 2006, pet. denied)(mem. op.); APD 041065; APD 032610. However, Williamson held that if the HO finds there was no injury and that finding is not against the great weight and preponderance of the evidence, the IC’s waiver cannot create an injury as a matter of law.

In Zurich American Insurance Company v. Gill, 173 S.W.3d 878 (Tex. App.-Fort Worth 2005, pet. denied), the IW had suffered from allergy problems since childhood; however, in June 2000 she began suffering increased problems. The IW discovered tiles in the office she worked in contained stachybotrys mold, and the IW was medically diagnosed with allergic rhinitis and maxillary sinusitis. She filed a worker’s compensation claim, and although the IC received notice of the IW’s claim in May 2001 it did not contest compensability of the alleged injury until January 8, 2002. The HO found, among other things, that the IW sustained injuries that were ordinary diseases of life – specifically, chronic allergic rhinitis and maxillary sinusitis – and that these injuries were not an occupational disease. The court noted that Continental Casualty Insurance Company v. Williamson, 971 S.W.2d 108 (Tex. App.-Tyler 1998, no pet.), which held that if the IW does not have an injury the IC’s failure to contest compensability cannot create an injury, did not apply to the facts of this case because the HO found that the IW sustained an injury. Williamson is limited to situations where there is a determination that the IW did not have an injury as opposed to cases where there is an injury that was determined by the HO not to have been causally related to the employment. Here the IW’s condition met the definition of “injury”, so she did sustain an injury, a key finding in the determination of whether the IC was liable for benefits when it did not meet the deadline for contesting compensability. The court held that although the IW’s condition was an ordinary disease of life, not incident to a compensable injury or occupational disease, her condition was an “injury” under Section 401.011(26). The court concluded that the IW had an injury, the IC did not contest the compensability of the injury, and thus the IC owes medical benefits to the IW.

In Alexander v. Lockheed Martin Corporation, 188 S.W.3d 348 (Tex. App.-Forth Worth 2006, pet. denied) the IW had a pre-existing condition but filed a workers’ compensation claim asserting an injury occurred on October 17, 2002. The IC paid benefits within the seven-day waiver period but did not contest the compensability of the claimed injury within the 60-day waiver period set forth in Section 409.021(c). The IC later filed a dispute claiming that it should be able to reopen the issue of compensability because it had newly discovered evidence of a pre-existing condition which the IC did not receive until after the 60-day waiver period. The HO found that the IW had an injury but that the injury did not occur in the course and scope of employment. The HO also determined that the IC waived its right to contest compensability. The IC only appealed the waiver and disability determinations. The court held that the IC waived its right to contest compensability of the injury despite the HO’s finding that the injury did not occur in the course and scope of employment.

In Lopez v. Zenith Insurance Company, 229 S.W.3d 775 (Tex. App.-Eastland 2007, pet. denied) the HO held that the IW did not sustain a compensable injury in the course and scope of employment on March 21, 2003, and that the IC did not waive the right to contest compensability because the IW did not have a compensable injury. The AP reversed because Continental Casualty Insurance Company v. Williamson, 971 S.W.2d 108 (Tex. App.-Tyler 1998, no pet.) applies when there is a finding of no injury but not when there is a finding of no compensable injury. Medical records showed the IW had an injury. The court agreed with the interpretation that there is a distinction between an injury and a compensable injury, at least in part to effectuate the legislative intent behind Section 409.021. The court pointed out that the statute requires an IC to make a prompt initial decision and creates an incentive for ICs to initially pay benefits if there is any question about the compensability of a claim. The court stated that pre-existing conditions are not normally compensable and the effect of a waiver holding is to require an IC to pay benefits for an injury that may be a non-compensable, pre-existing condition, however, the court noted that in Alexander v. Lockheed Martin Corporation, 188 S.W.3d 348 (Tex. App.-Forth Worth 2006, pet. denied) and Zurich American Insurance Company v. Gill, 173 S.W.3d 878 (Tex. App.-Fort Worth 2005, pet. denied) and in this case the medical records indicated that the IW had an injury, whereas in Williamson a doctor noted that there was no injury. The court further noted that the language of Section 409.021 does not support a construction that exempts medical issues from this process. The appeals court held that the trial court erred when it held that as a matter of law the HO’s finding of no injury in the course and scope of employment prohibited the application of the waiver provision.

In State Office of Risk Management v. Peeples, No. 07-04-0408-CV, 2006 Tex. App. LEXIS 6511 (Amarillo, July 25, 2006, pet. denied)(mem. op.), the court noted that the IW had been medicated for pre-existing back problems at the time of the April 1, 2002 incident. The court stated that the HO made reference to his medications and to a diagnosis of a degenerative disc made by the IW’s TD. The TD’s report described the IW’s “history of chronic low back pain” and commented that he exhibited all the classical findings of spinal stenosis. The court disagreed with the IC that the HO’s finding that on April 1, 2002, during the course and scope of employment the IW did not injure himself or cause harm to his body was a determination that the IW had no injury. The court agreed with the AP that Continental Casualty Insurance Company v. Williamson, 971 S.W.2d 108 (Tex. App.-Tyler 1998, no pet.) did not apply.

3. The right to assert that the IW failed to give timely notice of the claimed injury in accordance with Section 409.002. Zurich Am. Ins. Co. v. Gill 173 S.W.3d 878 (Tex. App.-Fort Worth 2005, pet. denied); APD 022027-s.

4. The right to assert that the IW failed to timely file a claim for compensation in accordance with Section 409.004. Southern Ins. Co. v. Brewster, 249 S.W.3d 6 (Tex. App.-Houston [1st Dist.] 2007, pet. denied); APD 022091-s.

5. The right to assert that the IW has made an election of remedies. APD 030793-s.

Determination of Waiver. [Cross reference. Issue Not Previously Raised (P01)]. Whether an IC has waived the right to contest compensability pursuant to Section 409.021 is a distinct issue which must be properly raised. In evaluating a Section 409.021 waiver case, the fact finder must consider and resolve the following:

1. Was the issue timely and properly raised, and if not, does good cause exist to add the issue:

a. The IW raised the issue of IC waiver for the first time in his appeal of the HO’s CCH decision. There was no evidence that the issue of IC waiver was raised at the BRC, or that the parties consented to adding the issue, or that good cause existed for not properly raising the issue. The AP refused to consider the issue because it was raised for the first time on appeal. APD 011436.

b. The HO resolved the disputed issues by determining that the IC did not waive the right to contest compensability of the claimed injury, but further determined that the IW sustained a compensable injury and had resulting disability. The IC appealed the injury and disability determinations to the AP. The IW did not file a response to the appeal, nor did she appeal the HO’s waiver determination. The AP reversed the HO’s injury and disability determinations, and rendered a decision that the IW did not sustain a compensable injury and, therefore, did not have disability. The IW filed a petition in district court seeking judicial review and asserted that the IC had waived the right to contest compensability. The IC filed a motion for summary judgment asserting that the IW was barred from raising the waiver issue because she failed to raise it before the AP. The district court granted summary judgment in favor of the IC. The IW appealed and the court of appeals affirmed the district court’s ruling. Judicial review is limited to the issues decided by the AP. A party may not raise an issue in the trial court which was not raised before the AP. Krueger v. Atascosa County, 155 S.W.3d 614 (Tex. App.-San Antonio 2004, no pet.).

c. At the CCH on remand the issues before the HO were (1) who is the correct IC for the DOI and (2) does the IC have liability for benefits prior to the date the IC filed notice of denial pursuant to Section 124.3. The IW requested to add an issue of IC waiver of the claimed injury but the attorney representing both ICs at the CCH objected on the grounds that an IC waiver issue had not previously been raised. The HO declined to add the issue, and determined the correct IC and that the correct IC waived the right to contest compensability of or liability for the claimed injury because the IC failed to file a denial within 60 days of receiving first written notice of the injury. The IC appealed and argued that the HO decided an issue not before her by incorporating IC waiver in her decision. The AP disagreed, noting that Section 124.3 covers both IC liability for accrued benefits for failure to dispute by the 15th day after receiving first written notice of the claimed injury as well as IC waiver of the right to contest compensability of the claimed injury if not disputed on or before the 60th day after receiving first written notice of the claimed injury pursuant to Section 124.3(b). APD 081665-s. [Cross-reference: Other Procedural Issues (P00)]

2. When did the IC receive its first written notice of the claimed injury, thereby triggering the start of the period of time to contest compensability of the claimed injury:

a. When an IW asserts that the IC has waived the right to contest compensability, the IW has the burden to prove when the IC received the first written notice of injury; once that is done, the burden shifts to the IC to prove that it timely filed a dispute. APD 051656.

i. Self-insured. For a claim for workers’ compensation benefits based on a compensable injury that occurs on or after September 1, 2003, written notice to a certified self-insured occurs only on written notice to the qualified claims servicing contractor designated by the certified self insurer under Section 407.061(c). Section 409.021(f) (added by Acts 2003, 78th Leg., ch. 939, Section 1). See also Section 409.021(f)(1) (added by Acts 2003, 78th Leg., ch. 1100, Section 1)

ii. Political subdivision self-insured individually or collectively. For a claim for workers’ compensation benefits based on a compensable injury that occurs on or after September 1, 2003, written notice to a political subdivision that self-insures, either individually or collectively through an interlocal agreement as described by Section 504.011, occurs only on written notice to the intergovernmental risk pool or other entity responsible for administering the claim. Section 504.002(d); APD 070912. See also Section 409.021(f)(2) (added by Acts 2003, 78th Leg., ch. 1100, Section 1).

b. Written notice to the IC does not have to be contained on an Employer’s First Report of Injury. Written notice can be established by showing that the IC received any communication, regardless of its source, that fairly informs the IC of the IW’s name, DOI, identity of the employer, and information asserting the injury was work related. Section 124.1(a); APD 032668.

c. If the IC receives an unwritten notice of injury which contains all of the information required by Section 124.1(a), the IC must immediately create a written record. Section 124.1(d).

3. On what date did the IC properly dispute compensability of the claimed injury:

a. Once it is established when the IC received the first written notice of injury, the IC has the burden to prove that it timely filed a proper dispute. APD 051656.

b. A dispute must be filed with the Division and the IW, and must contain the following information:

i. The IC must use plain language notices with language and content prescribed by the Division;

ii. Notice that the IW has the right to request a BRC and include the means for the IW to obtain additional information from the Division regarding the IW’s claim;

iii. The notice must contain a full and complete statement describing the IC’s actions and its reasons for such actions; and

iv. The statement must contain sufficient claim-specific information to enable the IW to understand the IC’s position or action taken. Sections 409.022, 124.2, and 124.3.

c. To determine whether the IC’s dispute is specific enough to comply with Sections 409.022 and 124.2(f), the AP will look at a fair reading of the reasoning listed to determine if the contest is sufficient. No magic words are required. The key point to be determined is whether, when read as a whole, any of the reasons listed by the IC would be a defense to compensability that could prevail in a subsequent proceeding and whether the grounds listed, when considered together, encompass a controversion or dispute on the basic issue that an injury was not suffered within the course and scope of employment. APD 022145. Whether an IC’s dispute is sufficiently specific is a question of fact for the HO to resolve. APD 971404.

d. The grounds for denial of the claim specified in the IC’s dispute constitute the only basis for the IC’s defense on the issue of compensability in a subsequent proceeding, unless the defense is based on newly discovered evidence that could not reasonably have been discovered at an earlier date. Section 409.022(b).

An issue at the CCH was whether the IC is relieved of liability because the IW failed to file a claim within one year after the DOI as required by Section 409.003. The IC denied benefits in a Notice of Denial of Compensability/Liability and Refusal to Pay Benefits (PLN-1); however, the IC did not contest compensability of the claim based on the IW’s failure to file a claim within one year. The HO found that although the IW contended at the CCH the IC had waived the defense of the IW’s untimely filing by not raising that defense in its PLN-1, that issue was not contained in the BRC report, was not requested in a response to the BRC report to be added as an issue at the CCH, and was not actually litigated at the CCH. The AP found evidence that the issue had been actually litigated by the parties and therefore addressed it. The HO determined that the IC is relieved of liability under Section 409.004 because the IW failed to file a claim within one year of the DOI. The AP reversed the HO’s determination and rendered a decision that the IC is not relieved of liability under Section 409.004 because, under Section 409.022(b), the IC waived the right to contest based on failure to file a claim within one year. APD 060631-s.

For injuries occurring on or after September 1, 2003, an IC may file as many disputes as it wishes within the initial 15-day period, and does not have to prove that there was newly discovered evidence for the additional filings within that time period.

e. A dispute of benefit entitlement is not a dispute of compensability/liability.

The IC filed a Notice of Disputed Issue(s) and Refusal to Pay Benefits (PLN-11) within 15 days of receiving written notice of injury disputing entitlement to TIBs. The IC filed a Notice of Denial of Compensability/Liability and Refusal to Pay Benefits (PLN-1) after the 15th day but before the 60th day after receipt of written notice of the injury. The HO held that the IC’s defense on compensability was limited to the disability defense listed on the PLN-11 filed within 15 days of receiving written notice of injury. The AP reversed and rendered a new decision that the IC’s defense on compensability is not limited to the disability defense listed on the PLN-11 filed with the Division within 15 days of written notice. The dispute of benefit entitlement is not a dispute of compensability/liability, and in filing a dispute of benefit entitlement, the IC retains the right to contest compensability and liability of a claim within the 60-day period, subject to Section 124.3. APD 072002-s.

4. If the IC did not dispute compensability of the claimed injury within the waiver period, did the IC present newly discovered evidence that could not reasonably have been discovered earlier, which would allow the IC to reopen the issue of compensability?

a. An IC that has accepted an IW’s claimed injury, either expressly or, for injuries that occurred on or after September 1, 2003, by failure to dispute within the 60-day time period, may still dispute compensability of the claim if the IC can prove that the dispute is based on evidence that could not reasonably have been discovered earlier with the exercise of due diligence. Section 409.021(d); APD 94224.

b. A two-prong test is used to determine whether an IC may reopen the issue of compensability. First it must be determined whether the IC exercised due diligence in obtaining the evidence. Second it must be determined whether the IC exercised due diligence in contesting compensability upon discovering the new evidence. Whether the IC should be allowed to re-open the issue of compensability pursuant to Section 409.021(d) is a question of fact for the HO to resolve. APD 002920.

5. Extent of injury disputes:

In State Office of Risk Management v. Lawton, 2009 Tex. LEXIS 629 (Tex. August 28, 2009), the Texas Supreme Court held that the 60-day period for challenging compensability of an injury does not apply to a dispute over the extent of injury if the basis for the extent of injury dispute could have been discovered by a reasonable investigation within the 60-day waiver period. Therefore, a determination that an IC has waived an extent of injury because that injury or condition was reasonably discoverable within the 60-day waiver period is error and must be reversed. Any prior APDs ruling that an IC has waived an extent of injury because the IC could have discovered that injury or condition by a reasonable investigation during the 60-day waiver period are overruled by the Lawton case, and future decisions will apply Lawton.

 

Williams, McClure & Parmelee is dedicated to high quality legal representation of businesses and insurance companies in a variety of matters. We are experienced Texas civil litigation attorneys based in Fort Worth who know Texas courts and Texas law. For more information, please contact the law firm at 817-335-8800. The firm’s new office location is 5601 Bridge Street, Suite 300, Fort Worth, Texas 76112.

Martindale AVtexas[2]

Texas Workers’ Compensation Labor Code Definitions–Texas Workers’ Compensation Defense Attorneys

TEXAS LABOR CODE CHAPTER 401. GENERAL PROVISIONS

SUBCHAPTER B. DEFINITIONS


Sec. 401.011. GENERAL DEFINITIONS. In this subtitle:

(1) “Adjuster” means a person licensed under Chapter 4101, Insurance Code.

(2) “Administrative violation” means a violation of this subtitle, a rule adopted under this subtitle, or an order or decision of the commissioner that is subject to penalties and sanctions as provided by this subtitle.

(3) “Agreement” means the resolution by the parties to a dispute under this subtitle of one or more issues regarding an injury, death, coverage, compensability, or compensation. The term does not include a settlement.

(4) “Alien” means a person who is not a citizen of the United States.

(5) “Benefit” means a medical benefit, an income benefit, a death benefit, or a burial benefit based on a compensable injury.

(5-a) “Case management” means a collaborative process of assessment, planning, facilitation, and advocacy for options and services to meet an individual’s health needs through communication and application of available resources to promote quality, cost-effective outcomes.

(6) “Certified self-insurer” means a private employer granted a certificate of authority to self-insure, as authorized by this subtitle, for the payment of compensation.

(7) “Child” means a son or daughter. The term includes an adopted child or a stepchild who is a dependent of the employee.

(8) “Commissioner” means the commissioner of workers’ compensation.

(9) “Commute” means to pay in a lump sum.

(10) “Compensable injury” means an injury that arises out of and in the course and scope of employment for which compensation is payable under this subtitle.

(11) “Compensation” means payment of a benefit.

(12) “Course and scope of employment” means an activity of any kind or character that has to do with and originates in the work, business, trade, or profession of the employer and that is performed by an employee while engaged in or about the furtherance of the affairs or business of the employer. The term includes an activity conducted on the premises of the employer or at other locations. The term does not include:

(A) transportation to and from the place of employment unless:

(i) the transportation is furnished as a part of the contract of employment or is paid for by the employer;

(ii) the means of the transportation are under the control of the employer; or

(iii) the employee is directed in the employee’s employment to proceed from one place to another place; or

(B) travel by the employee in the furtherance of the affairs or business of the employer if the travel is also in furtherance of personal or private affairs of the employee unless:

(i) the travel to the place of occurrence of the injury would have been made even had there been no personal or private affairs of the employee to be furthered by the travel; and

(ii) the travel would not have been made had there been no affairs or business of the employer to be furthered by the travel.

(12-a) “Credentialing” has the meaning assigned by Chapter 1305, Insurance Code.

(13) “Death benefit” means a payment made under this subtitle to a legal beneficiary because of the death of an employee.

(13-a) “Department” means the Texas Department of Insurance.

(14) “Dependent” means an individual who receives a regular or recurring economic benefit that contributes substantially to the individual’s welfare and livelihood if the individual is eligible for distribution of benefits under Chapter 408.

(15) “Designated doctor” means a doctor appointed by mutual agreement of the parties or by the division to recommend a resolution of a dispute as to the medical condition of an injured employee.

(16) “Disability” means the inability because of a compensable injury to obtain and retain employment at wages equivalent to the preinjury wage.

(16-a) “Division” means the division of workers’ compensation of the department.

(17) “Doctor” means a doctor of medicine, osteopathic medicine, optometry, dentistry, podiatry, or chiropractic who is licensed and authorized to practice.

(18) “Employer” means, unless otherwise specified, a person who makes a contract of hire, employs one or more employees, and has workers’ compensation insurance coverage. The term includes a governmental entity that self-insures, either individually or collectively.

(18-a) “Evidence-based medicine” means the use of current best quality scientific and medical evidence formulated from credible scientific studies, including peer-reviewed medical literature and other current scientifically based texts, and treatment and practice guidelines in making decisions about the care of individual patients.

(19) “Health care” includes all reasonable and necessary medical aid, medical examinations, medical treatments, medical diagnoses, medical evaluations, and medical services. The term does not include vocational rehabilitation. The term includes:

(A) medical, surgical, chiropractic, podiatric, optometric, dental, nursing, and physical therapy services provided by or at the direction of a doctor;

(B) physical rehabilitation services performed by a licensed occupational therapist provided by or at the direction of a doctor;

(C) psychological services prescribed by a doctor;

(D) the services of a hospital or other health care facility;

(E) a prescription drug, medicine, or other remedy; and

(F) a medical or surgical supply, appliance, brace, artificial member, or prosthetic or orthotic device, including the fitting of, change or repair to, or training in the use of the appliance, brace, member, or device.

(20) “Health care facility” means a hospital, emergency clinic, outpatient clinic, or other facility providing health care.

(21) “Health care practitioner” means:

(A) an individual who is licensed to provide or render and provides or renders health care; or

(B) a nonlicensed individual who provides or renders health care under the direction or supervision of a doctor.

(22) “Health care provider” means a health care facility or health care practitioner.

(22-a) “Health care reasonably required” means health care that is clinically appropriate and considered effective for the injured employee’s injury and provided in accordance with best practices consistent with:

(A) evidence-based medicine; or

(B) if that evidence is not available, generally accepted standards of medical practice recognized in the medical community.

(23) “Impairment” means any anatomic or functional abnormality or loss existing after maximum medical improvement that results from a compensable injury and is reasonably presumed to be permanent.

(24) “Impairment rating” means the percentage of permanent impairment of the whole body resulting from a compensable injury.

(25) “Income benefit” means a payment made to an employee for a compensable injury. The term does not include a medical benefit, death benefit, or burial benefit.

(25-a) “Independent review organization” has the same meaning as in Section 1305.004(a)(11), Insurance Code.

(26) “Injury” means damage or harm to the physical structure of the body and a disease or infection naturally resulting from the damage or harm. The term includes an occupational disease.

(27) “Insurance carrier” means:

(A) an insurance company;

(B) a certified self-insurer for workers’ compensation insurance;

(C) a certified self-insurance group under Chapter 407A; or

(D) a governmental entity that self-insures, either individually or collectively.

(28) “Insurance company” means a person authorized and admitted by the Texas Department of Insurance to do insurance business in this state under a certificate of authority that includes authorization to write workers’ compensation insurance.

(29) “Legal beneficiary” means a person entitled to receive a death benefit under this subtitle.

(30) “Maximum medical improvement” means the earlier of:

(A) the earliest date after which, based on reasonable medical probability, further material recovery from or lasting improvement to an injury can no longer reasonably be anticipated;

(B) the expiration of 104 weeks from the date on which income benefits begin to accrue; or

(C) the date determined as provided by Section 408.104.

(31) “Medical benefit” means payment for health care reasonably required by the nature of a compensable injury and intended to:

(A) cure or relieve the effects naturally resulting from the compensable injury, including reasonable expenses incurred by the employee for necessary treatment to cure and relieve the employee from the effects of an occupational disease before and after the employee knew or should have known the nature of the disability and its relationship to the employment;

(B) promote recovery; or

(C) enhance the ability of the employee to return to or retain employment.

(31-a) “Network” or “workers’ compensation health care network” means an organization that is:

(A) formed as a health care provider network to provide health care services to injured employees;

(B) certified in accordance with Chapter 1305, Insurance Code, and rules of the commissioner of insurance; and

(C) established by, or operates under contract with, an insurance carrier.

(32) “Objective” means independently verifiable or confirmable results that are based on recognized laboratory or diagnostic tests, or signs confirmable by physical examination.

(33) “Objective clinical or laboratory finding” means a medical finding of impairment resulting from a compensable injury, based on competent objective medical evidence, that is independently confirmable by a doctor, including a designated doctor, without reliance on the subjective symptoms perceived by the employee.

(34) “Occupational disease” means a disease arising out of and in the course of employment that causes damage or harm to the physical structure of the body, including a repetitive trauma injury. The term includes a disease or infection that naturally results from the work-related disease. The term does not include an ordinary disease of life to which the general public is exposed outside of employment, unless that disease is an incident to a compensable injury or occupational disease.

(34-a) “Orthotic device” means a custom-fitted or custom-fabricated medical device that is applied to a part of the human body to correct a deformity, improve function, or relieve symptoms related to a compensable injury or occupational disease.

(35) “Penalty” means a fine established by this subtitle.

(35-a) “Prosthetic device” means an artificial device designed to replace, wholly or partly, an arm or leg.

(36) “Repetitive trauma injury” means damage or harm to the physical structure of the body occurring as the result of repetitious, physically traumatic activities that occur over time and arise out of and in the course and scope of employment.

(37) “Representative” means a person, including an attorney, authorized by the commissioner to assist or represent an employee, a person claiming a death benefit, or an insurance carrier in a matter arising under this subtitle that relates to the payment of compensation.

(38) “Research center” means the research functions of the Texas Department of Insurance required under Chapter 405.

(38-a) “Retrospective review” means the utilization review process of reviewing the medical necessity and reasonableness of health care that has been provided to an injured employee.

(39) “Sanction” means a penalty or other punitive action or remedy imposed by the commissioner on an insurance carrier, representative, employee, employer, or health care provider for an act or omission in violation of this subtitle or a rule, order, or decision of the commissioner.

(40) “Settlement” means a final resolution of all the issues in a workers’ compensation claim that are permitted to be resolved under the terms of this subtitle.

(41) “Subjective” means perceivable only by an employee and not independently verifiable or confirmable by recognized laboratory or diagnostic tests or signs observable by physical examination.

(42) “Treating doctor” means the doctor who is primarily responsible for the employee’s health care for an injury.

(42-a) “Utilization review” has the meaning assigned by Chapter 4201, Insurance Code.

(42-b) “Utilization review agent” has the meaning assigned by Chapter 4201, Insurance Code.

(42-c) “Violation” means an administrative violation subject to penalties and sanctions as provided by this subtitle.

(43) “Wages” includes all forms of remuneration payable for a given period to an employee for personal services. The term includes the market value of board, lodging, laundry, fuel, and any other advantage that can be estimated in money that the employee receives from the employer as part of the employee’s remuneration.

(44) “Workers’ compensation insurance coverage” means:

(A) an approved insurance policy to secure the payment of compensation;

(B) coverage to secure the payment of compensation through self-insurance as provided by this subtitle; or

(C) coverage provided by a governmental entity to secure the payment of compensation.

Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993. Amended by Acts 1997, 75th Leg., ch. 1443, Sec. 1, eff. Sept. 1, 1997; Acts 2003, 78th Leg., ch. 275, Sec. 2, eff. Sept. 1, 2003.

Amended by:

Acts 2005, 79th Leg., Ch. 265 (H.B. 7), Sec. 3.003, eff. September 1, 2005.

Acts 2007, 80th Leg., R.S., Ch. 133 (H.B. 1003), Sec. 1, eff. September 1, 2007.

Acts 2007, 80th Leg., R.S., Ch. 134 (H.B. 1006), Sec. 1, eff. September 1, 2007.

Acts 2007, 80th Leg., R.S., Ch. 147 (S.B. 458), Sec. 1, eff. September 1, 2007.

Acts 2009, 81st Leg., R.S., Ch. 1330 (H.B. 4290), Sec. 13, eff. September 1, 2009.

Sec. 401.012. DEFINITION OF EMPLOYEE. (a) In this subtitle, “employee” means each person in the service of another under a contract of hire, whether express or implied, or oral or written.

(b) The term “employee” includes:

(1) an employee employed in the usual course and scope of the employer’s business who is directed by the employer temporarily to perform services outside the usual course and scope of the employer’s business;

(2) a person, other than an independent contractor or the employee of an independent contractor, who is engaged in construction, remodeling, or repair work for the employer at the premises of the employer; and

(3) a person who is a trainee under the Texans Work program established under Chapter 308.

(c) The term “employee” does not include:

(1) a master of or a seaman on a vessel engaged in interstate or foreign commerce; or

(2) a person whose employment is not in the usual course and scope of the employer’s business.

(d) A person who is an employee for the purposes of this subtitle and engaged in work that otherwise may be legally performed is an employee despite:

(1) a license, permit, or certificate violation arising under state law or municipal ordinance; or

(2) a violation of a law regulating wages, hours, or work on Sunday.

(e) This section may not be construed to relieve from fine or imprisonment any individual, firm, or corporation employing or performing work or a service prohibited by a statute of this state or a municipal ordinance.

Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993. Amended by Acts 1997, 75th Leg., ch. 456, Sec. 6, eff. Sept. 1, 1997.

Sec. 401.013. DEFINITION OF INTOXICATION. (a) In this subtitle, “intoxication” means the state of:

(1) having an alcohol concentration to qualify as intoxicated under Section 49.01(2), Penal Code; or

(2) not having the normal use of mental or physical faculties resulting from the voluntary introduction into the body of:

(A) an alcoholic beverage, as defined by Section 1.04, Alcoholic Beverage Code;

(B) a controlled substance or controlled substance analogue, as defined by Section 481.002, Health and Safety Code;

(C) a dangerous drug, as defined by Section 483.001, Health and Safety Code;

(D) an abusable glue or aerosol paint, as defined by Section 485.001, Health and Safety Code; or

(E) any similar substance, the use of which is regulated under state law.

(b) The term “intoxication” does not include the loss of normal use of mental or physical faculties resulting from the introduction into the body of a substance:

(1) taken under and in accordance with a prescription written for the employee by the employee’s doctor; or

(2) listed under Subsection (a) by inhalation or absorption incidental to the employee’s work.

(c) On the voluntary introduction into the body of any substance listed under Subsection (a)(2)(B), based on a blood test or urinalysis, it is a rebuttable presumption that a person is intoxicated and does not have the normal use of mental or physical faculties.

Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993. Amended by Acts 1995, 74th Leg., ch. 76, Sec. 14.48, eff. Sept. 1, 1995; Acts 1999, 76th Leg., ch. 1426, Sec. 1, eff. Sept. 1, 1999.

Martindale AVtexas[2]

 

 

 

 

 

 

 

 

 

 

 

Texas Pay Day Law Appeals–Texas Employment Attorneys

Texas Payday Law Appeals — Texas Workforce Commission

Overview

An appeal is your written notice that you disagree with a TWC decision and want your case decided through the appeal process. State law gives TWC sole authority in disputed wage claims; no other state agency or official can affect the outcome of an appeal. To participate in an appeal you must meet submission deadlines.

The appeal process is structured so that you do not need an attorney. You may choose to have an attorney or other person represent you at your own expense.

There are three levels of appeal. You start with the first level, and if you disagree with that decision, you may proceed through the other levels.

  1. Appeal to the Appeal Tribunal
  2. Appeal to the Commission
  3. Motion for Rehearing or Appeal to a Civil Court

Appeal to the Appeal Tribunal

The first step in the appeals process is an appeal to the Appeal Tribunal. The Appeal Tribunal is the name the Texas Payday Law gives to hearing officers who hold wage claim hearings. Each appeal case has only one hearing officer.

The first appeal is a telephone hearing, except that when a sign-language interpreter is required the hearing may be in-person instead.

The claimant and employer may present testimony, witnesses, and documents relevant to its case. During the Appeal Tribunal hearing, the hearing officer will determine what is relevant and make sure that the record is complete. After the hearing, the hearing officer will mail a decision to the interested parties.

How to Appeal a Determination

These instructions are for the first step in the appeals process, which is an appeal to the Appeal Tribunal. The first step is to appeal in writing to TWC.

You must appeal in writing within 21 calendar days from the date that we mail you the Preliminary Wage Determination Order, which is shown at the top of that form. If the twenty-first day falls on a federal or state holiday, you have until the next business day to submit your appeal.

You can submit your written appeal online, in person at your Workforce Solutions office, or by mailing or faxing your appeal letter to the Special Hearings Department at the address or fax number on your Preliminary Wage Determination Order. You cannot submit an appeal by e-mail or over the telephone. If you choose to fax the information, keep the paperwork that indicates successful transmission of your appeal.

Your letter or appeal form must include:

  • Your name
  • Wage claim number
  • Your Social Security Number or TWC Tax ID number
  • Your current address
  • The date TWC mailed you the Preliminary Wage Determination Order
  • A copy of the Preliminary Wage Determination Order, if possible
  • Any dates on which you will not be able to participate in a hearing

Keep a copy of your appeal for your records.

Accommodations for Your Hearing

Inform us in writing as early as possible if you need accommodations for the appeal hearing:

  • If you or your witnesses need interpreters – include needed languages
  • If you or your witnesses have a hearing impairment
  • If you need access to a telephone or fax machine

Appeal Hearing Notification Details

It may take six to eight weeks to receive a hearing information packet with information about your appeal. TWC will mail you the packet ten to twenty days before your hearing.

The hearing information packet includes:

  • The Notice of Telephone Hearing, which includes the date and time of hearing, the telephone number to call for the hearing, and the name and contact information of the hearing officer assigned to the hearing
  • Instructions on how to participate in the hearing
  • Instructions on how to submit documents for the telephone hearing to the hearing officer and to the other side
  • The claim issues up for discussion

Change Your Address

It is important that you keep your mailing address up to date because we will mail the hearing information packet and appeal decision to the address in our records. Change your address with us as needed in writing by mail or fax to the Special Hearings address or fax number listed under Contact Information.

Preparing for Your Hearing

Allow enough time for your hearing. How long the hearing takes depends on many things, including the number of witnesses, documents, and issues in the case. Usually, hearings take from one hour to four hours to complete.

It is important to prepare all of the documentation, witnesses and evidence that you need to support your side of the issues. It is your responsibility to make sure that both the hearing officer and the other side receive copies of all the documents you wish to refer to before the hearing date. This will increase your credibility and allow the hearing officer to make a just determination of the facts.

Document Evidence You Want to Present at Your Hearing

Case documentation could include:

  • Letters and memos
  • Timecards
  • Pay stubs or payroll records
  • Employee handbooks
  • Written authorizations for deductions from wages
  • Employment agreements
  • Commission agreements and invoices

All documents must relate directly to the issues on the hearing notice. Be ready to tell who prepared the evidence and how it helps your case.

Any documents you want to present during the hearing must be provided to the hearing officer and to the other party in your appeal (the employee or the employer) if applicable.

  • For a telephone hearing, mail or fax a copy of all of the documents you want to present to the hearing officer and to the other party. Send them as far in advance as possible. Documents cannot be used if they are not provided in enough time before the hearing begins.
  • The hearing officer’s address and fax number is on the first page of the hearing information packet. If there is another party in your case, that person’s mailing address is also on the first page.
  • For an in-person hearing, you can bring the documents with you or send them in advance.

Calling Witnesses & Notifying the Hearing Officer

If you wish to call witnesses, they should have personal (first-hand) knowledge about the background, policies, incidents, or events regarding the issues on the hearing notice. For example, they either saw the incident, heard a supervisor say something directly, or saw the paperwork connected to the event.

Contact your witnesses before the hearing and have them arrange their schedules so they can participate in the hearing.

During the hearing, you must give the hearing officer your list of witnesses and the contact phone numbers. Have your witnesses remain available for the call until the hearing officer or you release them from the hearing.

If your hearing is in person, simply have your witnesses appear at the hearing location at the time and date for the hearing, or they may participate by phone as stated above.

If You Need to Subpoena Witnesses

A subpoena is a written legal order that requires a person to appear at a hearing to testify or produce documents for a hearing.

Subpoenas may be issued at the discretion of the hearing officer. A request for a subpoena will be granted only after the hearing officer determines that the records or witnesses requested to be subpoenaed are relevant to the issues on appeal.

TWC pays the applicable fees for issuing a subpoena.

Withdrawing Your Appeal

If you no longer want to proceed with the hearing, you have the option to withdraw your appeal. Only the individual who filed the appeal can withdraw or cancel the appeal.

The withdrawal of your appeal must be done in writing or recorded by contacting the hearing officer and also must contain the specific words that you wish to “withdraw your appeal.”

The appeal can be withdrawn either before or during the hearing.

Participating in Your Appeal Hearing

Before the Hearing

For telephone hearings, you must provide a phone number where we can reach you for the hearing. Provide your contact information on the day of your hearing, at least 10 minutes before your hearing is scheduled to begin. You can give us your phone number in one of two ways:

  • Register online at C2T Online Registration, https://tx.c2tinc.com/register, and follow the instructions on that web site. You will need your Case Number.
  • Call TWC at our toll-free number shown on your Notice of Hearing and speak with the receptionist.

If you do not call in on time, you may not be allowed to participate in the hearing.

Beginning the Hearing

When it is time for the hearing, the hearing officer will call you and connect all parties and witnesses to a conference call. The hearing will begin when everyone is connected.

All of the hearings are scheduled for the Central Time zone. If you have any questions about when you should call, please call the toll-free number listed on the Notice of Hearing.

Why You Should Participate

It is very important that you provide your phone number for your hearing before the scheduled hearing time and that you take part in your appeal hearing. The hearing officer makes their decision based entirely on the evidence given at the appeal hearing.

If you find you cannot participate in the hearing for any reason, mail or fax a written postponement request as soon as you can. TWC rules allow hearing officers to delay or reschedule hearings only in specific, limited cases.

What Happens in the Appeal Tribunal Hearing

All hearings are recorded. The law requires the hearing officer to give a very specific opening statement at the beginning of each hearing. This opening statement includes:

  • Information identifying the case for the record
  • What determination and issues are on appeal
  • Who is taking part in the hearing
  • Each party’s rights
  • The procedures used for the hearing

The hearing officer will put everyone who will speak under oath, and then answer questions about the opening statement before hearing any testimony.

If you have more than one person present, you must designate one primary representative, which may be you or your chosen representative. That primary representative will be able to:

  • Question the witnesses
  • Give their own testimony
  • Look at and object to documents

Order of Testimony in a Hearing

The hearing officer will hear statements from each side in turn, one witness at a time. The hearing officer will question the witnesses, and then allow them to add relevant information.

The witness’s primary representative will be able to question the witness. The other side can then question the witness. The hearing will follow this procedure until everyone has spoken.

The hearing officer will discuss any documents that were sent in by either party or that are part of the case file. Documents will be admitted into evidence after ruling on any objections by either side.

The hearing officer will then let both sides add any new testimony before ending the hearing.

What to Do If You Did Not Participate in the Appeal Hearing

If you did not participate in the Appeal hearing and disagree with the decision, you can submit a request to reopen your case at the Appeal Tribunal level within 14 calendar days after the mailing date of the decision. However, you must show that you had a good reason for missing the prior hearing.

After the Hearing

After the hearing is complete, the hearing officer will mail you a written decision, usually within five to ten working days.

Request an Audio Recording of Your Hearing

You can request a copy of the CD recording of your hearing. Your written request must include identifying information: your name, appeal number, the last four digits of your Social Security number, and your telephone number and mailing address.

Mail or fax your request in writing to the TWC Special Hearings Department:

  • Special Hearings
    Texas Workforce Commission
    Attn: CD Duplication
    101 E 15th St, Rm 406
    Austin, TX, 78778
  • Fax: 512-463-9318, Attention: CD Duplication

It usually takes one to two weeks for you to receive your copy. The first copy is free; there is a small charge for any additional copies. Only parties to the appeal can request a copy of the recording.

Appeal to the Commission

If you disagree with the results of the Appeal Tribunal, you may appeal to the Texas Workforce Commission. The Commission will rule on your case after reviewing the Appeal Tribunal decision and listening to the recorded hearing. E-mail questions to commission.appeals@twc.state.tx.us.

You must appeal in writing within 14 calendar days from the date TWC mailed you the Appeal Tribunal decision. The mailing date is printed on the coversheet of your appeal decision.

You can submit your written appeal online, in person at your Workforce Solutions office, or by mailing or faxing your appeal letter to Commission Appeals at the address or fax number in the instructions included with your Appeal Tribunal decision. You cannot file an appeal by e-mail or over the telephone. If you choose to fax the information, keep the paperwork that indicates successful transmission of your appeal.

Commission Appeal Process

A reviewing attorney in Commission Appeals will review the audio-recording of your hearing. The attorney will also review all other evidence accepted at your first appeal hearing. The reviewing attorney will make a recommendation to the Commission regarding the decision in the case.

The Commissioners will review the recommendation separately and will decide whether or not to follow it. Then the Commission will vote on the case and issue a written decision. They may order an additional hearing to gather more evidence, but they usually do not.

We will mail you the decision from the Commission.

If you disagree with the Commission decision, you have two options: a Motion for Rehearing, or an appeal to a civil court.

Motion for Rehearing

If you disagree with the Commission decision, you may request a Motion for Rehearing by the Commission within 14 calendar days after the date TWC mailed you the Commission decision. TWC will grant the Motion for Rehearing only if you show these three things

  • Important new information about your case
  • A compelling reason why you did not present the new information earlier
  • Why you think the new information could change the Commission decision

You can submit your written Motion for Rehearing online, in person at your nearest Workforce Solutions office, or by mailing or faxing your letter to Commission Appeals at the address or fax number in the instructions included with your Commission decision. You cannot file a Motion for Rehearing by e-mail or telephone. If you choose to fax the information, keep the paperwork that indicates successful transmission of your Motion for Rehearing.

If you ask for a rehearing and the Commission denies it, you can still appeal that decision to a civil court.

Appeal to a Civil Court

You may appeal to a civil court within 30 calendar days after the date TWC mailed you the Commission decision. You must have completed all the appeal steps available through TWC, except the optional Motion for Rehearing, before appealing to a civil court. The instructions for submitting an appeal to a civil court are included with the Commission decision.

 

Williams, McClure & Parmelee is dedicated to high quality legal representation of businesses and insurance companies in a variety of matters. We are experienced Texas civil litigation attorneys based in Fort Worth who know Texas courts and Texas law. For more information, please contact the law firm at 817-335-8800. The firm’s new office location is 5601 Bridge Street, Suite 300, Fort Worth, Texas 76112.

Martindale AVtexas[2]

Suits to Collect on McGregor Act Footnote Payment Bond in Texas Construction Law– Fort Worth, Texas Construction Law Attorneys

United Fire & Casualty Company v. Boring & Tunneling Company of America (pdf)
(Tex.App.- Houston [1st Dist.] Feb. 11, 2010)(Keyes) (construction bond, notice provisions of the
McGregor Act substantially complied with; sworn statement was defective in that notary signature and
seal was missing, but issue overruled as a  technicality)
AFFIRM TC JUDGMENT: Opinion by Justice Evelyn Keyes
Before Justices Keyes, Hanks and Sharp
01-08-00487-CV  United Fire & Casualty Company v. Boring & Tunneling Company of America d/b/a
Bortunco   Appeal from 270th District Court of Harris County
Trial Court Judge:  Hon. Brent Gamble
O P I N I O N

On cross motions for summary judgment in a suit to collect on a McGregor Act Footnote payment
bond, the trial court granted summary judgment in favor of appellee, Boring & Tunneling Company of
America (“Bortunco”), and denied the motion of appellant, United Fire & Casualty Company (“United
Fire”). In two issues, United Fire argues that (1) Bortunco failed to substantially comply with the notice
provisions of the McGregor Act; and (2) it did not waive its right to, nor is it estopped from, asserting
notification defects.
We affirm.

BACKGROUND

Golf Services Group contracted with Harris County and the City of Houston to complete two different
water line projects and, in compliance with the McGregor Act, obtained a payment bond through United
Fire to ensure that any subcontractors would be paid if Golf Services defaulted. Golf Services
subcontracted with Bortunco in May 2004 to complete the boring and tunneling work on the projects.
Bortunco completed all work and fully performed its obligations under its agreement with Golf Services,
but Golf Services failed to pay Bortunco for its work.

Bortunco sent notices to United Fire that it was seeking to collect against the payment bond for the
services it had provided. Among the notices that Bortunco sent was one dated October 14, 2005,
relating a claim for work and material expenses incurred in July and August of 2005. Bortunco sent the
notice on a “sworn statement form,” and an agent for Bortunco signed the statement, but the notary did
not attach a seal or signature. Bortunco’s notice comported with the statute in all other respects.
Bortunco’s notice also requested that United Fire notify Bortunco if the claim was deficient in “any way.”
United Fire received the notice and sent a letter acknowledging receipt of the claim and informing
Bortunco that it would investigate the claim. The letter United Fire sent Bortunco stated, “Neither this
letter, or any investigation by the Surety, should be construed to be a waiver of any rights under the
bond.” United Fire did not object to the missing notary signature and seal.

On December 14, 2005, nearly two months after the claim filing deadline, Bortunco noticed that the
original sworn statement was missing a notary seal and sent an identical sworn statement with a notary’
s signature and seal. United Fire responded on January 11, 2006 with the same letter it had sent the
first time.

Neither Golf Services nor United Fire, as the surety on Golf Service’s payment bond, paid Bortunco for
the work it completed, and, on February 7, 2006, Bortunco filed suit against both Golf Services and
United Fire seeking recovery of the contract balances on both projects in the amount of $438,389.74.
Subsequently, Bortunco and United Fire settled the majority of Bortunco’s claims except for work and
material expenses Bortunco incurred in July and August 2005. United Fire moved for summary
judgment on the ground that Bortunco was not entitled to recover the remaining expenses because it
had failed to give proper notice, specifically arguing that the October 14, 2005 notice lacked a sworn
statement of account as required by the McGregor Act. United Fire supported its motion for summary
judgment with copies of the October 14 and December 14 notices.

Bortunco filed its own motion for summary judgment and response to United Fire’s motion, arguing that
its notice substantially complied with the McGregor Act notice provisions, or, alternatively, that United
Fire “waived strict compliance with the notice provisions of the McGregor Act” and should be “estopped
from demanding strict compliance.” In addition to copies of the relevant notices and United Fire’s
responses, Bortunco supported its motion for summary judgment with the affidavit of Joe Gibbs
averring that the notary had placed him under oath and that he had sworn to and signed the sworn
statement of account dated October 14, 2005 in the notary’s presence, and that the notary’s oversight
resulted in the missing signature and seal. Bortunco also provided the affidavit of the notary averring
that Gibbs did swear to the contents of the sworn statement under oath and signed it in her presence
and stating, “[T]he absence of my signature is solely indicative of a clerical error committed by me; Mr.
Gibbs swore to and signed the Sworn Statement of Account under oath and in my presence and I
simply neglected to place thereon my signature and seal as notary before mailing it to the surety and
contractor. . . .”

On December 12, 2007, the trial court granted Bortunco’s motion for summary judgment, awarding
Bortunco the $142,542.75 it claimed for the July and August 2005 work, and denied United Fire’s
motion without an opinion. United Fire appeals.

Standard of Review

We review a trial court’s grant or denial of summary judgment de novo. Provident Life & Accident Ins.
Co. v. Knott, 128 S.W.3d 211, 215 (Tex. 2003). To prevail on a traditional summary judgment motion,
the movant has the burden of proving that it is entitled to judgment as a matter of law and that there
are no genuine issues of material fact. Tex. R. Civ. P. 166a(c); Cathey v. Booth, 900 S.W.2d 339, 341
(Tex. 1995). When both parties move for summary judgment and the trial court grants one motion and
denies the other, the reviewing court should review the summary judgment evidence presented by both
sides, determine all questions presented and render the judgment that the trial court should have
rendered. Tex. Workers’ Comp. Comm’n v. Patient Advocates, 136 S.W.3d 643, 648 (Tex. 2004).

McGregor Act and Substantial Compliance

United Fire contends that the notice Bortunco sent did not include a “sworn statement” as required by
the McGregor Act because the notice did not have a notary seal or signature. Therefore, United Fire
contends Bortunco failed to adhere to notice provisions in the McGregor Act and is not entitled to
payment. Bortunco avers it substantially complied with the McGregor Act because the document was
only defective as a result of the notary’s clerical error.

The legislature passed the McGregor Act to ensure payment to subcontractors because they may not
place a lien against a public building. Suretec Ins. Co. v. Myrex Ind., 232 S.W.3d 811, 813 (Tex. App.—
Beaumont 2007, no pet.); Ramex Constr. Co. v. Tamcon Serv. Inc., 29 S.W.3d 135, 139 (Tex. App.—
Houston [14th Dist.] 2000, no pet.). It was not intended to set up “technical tricks, traps, and stumbling
blocks to the filing of legitimate notices of claims,” but “to provide a simple and direct method of giving
notice and perfecting claims.” Agree Corp. & Seaboard Sur. Co. v. Solis, 932 S.W.2d 39, 52–53 (Tex.
App.—Beaumont 1995), rev’d on other grounds, 951 S.W.2d 384 (Tex. 1997). The notice requirements
were also intended “to protect the prime contractor from incurring double liability [and to relieve them
of] liability for claims not asserted before retainage is paid in full.” Commercial Union Ins. Co. v. Spaw-
Glass Corp., 877 S.W.2d 538, 540 (Tex. App.—Austin 1994, writ denied).

The McGregor Act requires general contractors to secure a bond from a surety, allows a subcontractor
to sue the surety for unpaid balances for work and materials, and awards reasonable attorneys’ fees.
Id.; see Tex. Gov’t Code Ann. §§ 2253.021, 2253.073 (Vernon 2008). To recover under the act, a
claimant or subcontractor must provide notice to the general contractor and the surety in writing. Tex.
Gov’t code § 2253.041. The McGregor Act further provides that the notice must conform to the
following requirements:

(b)     The notice must be mailed on or before the 15th day of the third month after each month in which
any of the claimed labor was performed or any of the claimed material was delivered.

(c)     The notice must be accompanied by a sworn statement of account that states in substance:

(1)     the amount claimed is just and correct; and

(2)     all just and lawful offsets, payments, and credit known to the affiant have been allowed.

(d)     The statement of account shall include the amount of any retainage applicable to the account
that has not become due under the terms of the public work contract between the payment bond
beneficiary and the prime contractor or between the payment bond beneficiary and a subcontractor.

Tex. Gov’t Code Ann. § 2253.041(b)–(d) (Vernon 2008).

The McGregor Act is remedial in nature, and, therefore, “[t]he statute is to be given the most
comprehensive and liberal construction possible.” Ramex, 29 S.W.3d at 139; see also City of LaPorte
v. Taylor, 836 S.W.2d 829, 832 (Tex. App.—Houston [1st Dist.] 1992, no writ). As a result, case law has
established that adherence to notification deadlines requires strict compliance, but substantial
compliance is adequate for the other notice provisions. Cf. Commercial Union Ins., 877 S.W.2d at 540
(holding that claimants could not recover when they failed to give any notice); Suretec Ins. Co., 232 S.
W.3d at 816 (failure to provide notice by 15th day of month not saved by substantial compliance);
Capitol Indem. Corp. v. Kirby Rest. Equip. & Chem. Supply Co., 170 S.W.3d 144, 147 (Tex. App.—San
Antonio 2005, pet. denied) (holding “sworn certificate” that did not precisely comport with statutory
language sufficient); U.S. Fid. & Guar. Co. v. Parker Bros. & Co., 437 S.W.2d 880, 881–82 (Tex. Civ.
App.—Houston [1st Dist.] 1969, writ ref’d n.r.e.) (claimant substantially complied with notice provisions
although sworn statements were sent to general contractor and unsworn statements sent to surety).
Substantial compliance has been defined as “compliance with the ‘essential requirements of a statute’”
and occurs when an actor’s deviation does not seriously impede the legislative purpose of the statute.
See Stratton v. Austin Indep. Sch. Dist., 8 S.W.3d 26, 30 (Tex. App.—Austin 1999, no pet.).

United Fire cites several cases which have held that late notification did not substantially comply with
the McGregor Act. See, e.g., Laboratory Design & Equip., Inc. v. Brooks Dev. Auth., No. 04-07-00284-
CV, 2008 WL 36614, at *3 (Tex. App.—San Antonio, no pet.) (holding that notice mailed one year late
and failure to provide any sworn statement whatsoever with notice prevented subcontractor from
recovering against payment bond). However, the issue here is not one of late notification. United Fire
argues that Bortunco’s notice was deficient because it lacked the notary signature and seal, not
because the notice was untimely. Nor did Bortunco’s notice fail to provide any sworn statement
whatsoever. Therefore, Laboratory Design and the other cases United Fire relies on are
distinguishable. Footnote

We conclude that this case is similar to Acme Brick. In Acme Brick, the claimant sent an otherwise
correct notice with the affiant’s signature in the wrong place on the sworn statement. Acme Brick, a Div.
of Justin Indus., Inc. v. Temple Assoc., 816 S.W.2d 440, 441 (Tex. App.—Waco 1991, writ denied). The
document contained a notice of claim, factual statement that the claims were just and correct, the
signature of the affiant, and the notary’s certification of the statement with a seal. Id. The court held
that the document did qualify as an affidavit, but stated, “Moreover, even if the statement was not an
affidavit, the McGregor Act requires only substantial compliance with its notice provisions. . . . We find
the notices sent by Acme to [the prime contractor and surety] substantially complied with the notice
provisions of the McGregor Act.” Id. (citing Featherlite Bldg. Prods. Corp. v. Constructors Unlimited,
Inc., 714 S.W.2d 38, 69 (Tex. App.—Houston [14th Dist.] 1986, writ ref’d n.r.e.).

Here, although Bortunco’s sworn statement is missing the official certification by the notary to qualify
as a affidavit, it is uncontested that Bortunco’s agent swore to the statement before an “officer
authorized to administer oaths” and signed the statement in the notary’s presence. Likewise, the notice
otherwise supplies the statutorily required statements and information and was delivered by the
required deadline. Bortunco’s notification was only deficient because of the nortary’s clerical error in
failing to attach her signature and seal before mailing the document.

We also note that United Fire received actual notice within the statutory deadline Footnote and that, as
soon as Bortunco noticed the clerical omission, it sent an identical notice and sworn statement, this
time with the notary’s signature and seal. Bortunco’s notary’s failure to affix a seal and signature to the
sworn statement did not expose the prime contractor or the surety to increased liability, nor did it
prevent United Fire from having actual notice of the claims Bortunco was making against the payment
bond, especially in light of the fact that Bortunco apparently submitted numerous notices in compliance
with the McGregor Act in the course of its dealings with United Fire.

Because Bortunco’s sworn statement met the essential requirements of the statute in providing actual
notice to United Fire of Bortunco’s claims against the bond and adequately protected both Golf
Services and United Fire from undue liability, we hold that the document substantially complied with the
McGregor Act’s notice provisions. To hold otherwise would require that we set up “technical tricks,
traps, and stumbling blocks to the filing of legitimate notices of claims” rather than providing “a simple
and direct method of giving notice and perfecting claims” as the legislature intended. See Agree Corp.,
932 S.W.2d at 52–53. Therefore, Bortunco met its burden of proving that it was entitled to judgment as
a matter of law and that there were no genuine issues of material fact. See Tex. R. Civ. P. 166a(c);
Cathey, 900 S.W.2d at 341.

We overrule United Fire’s first issue.

Because we have determined that Bortunco’s notice substantially complied with the requirements of
the McGregor Act, we do not need to address United Fire’s argument that it is not estopped and did not
waive its right to assert notification defects.

CONCLUSION

We affirm the judgment of the trial court.

Evelyn V. Keyes

Justice

[FN] Chapter 2253 of the Texas Government Code is commonly referred to as the“McGregor Act.” See Tex. Gov’t Code
Ann. §§ 2253.001–.079 (Vernon 2008 &Supp. 2009).  The McGregor Act requires general contractors to secure payment
bonds on public works projects because subcontractors cannot secure liens on public buildings and provides the
procedure for collecting on the bonds. Id.

[FN] A surety’s actual notice has been discussed and used in some cases to establish substantial compliance. See
Redland Ins. Co. v. Sw. Stainless, L.P., 181 S.W.3d 509,512 (Tex. App.—Fort Worth 2005, no pet.) (holding that because
surety received actual notice, need of subcontractor to comport with statutory requirement that noticebe sent certified
mail was negated); Tex-Craft Builders, Inc. v. Allied Constructors of Houston, Inc., 465 S.W.2d 786, 792 (Tex. Civ. App.—
Tyler 1971, writ ref’d n.r.e.)(discussing possibility that surety’s actual knowledge and notice of details of claim could be
sufficient to establish substantial compliance with McGregor Act).

Williams, McClure & Parmelee is dedicated to high quality legal representation of businesses and insurance companies in a variety of matters. We are experienced Texas civil litigation attorneys based in Fort Worth who know Texas courts and Texas law. For more information, please contact the law firm at 817-335-8800. The firm’s new office location is 5601 Bridge Street, Suite 300, Fort Worth, Texas 76112.

Martindale AVtexas[2]

Apportionment of Fault in Negligence Lawsuits in Texas– Fort Worth, Texas Insurance Defense Attorneys

IN THE SUPREME COURT OF TEXAS

NO. 13-0136

NABORS WELL SERVICES, LTD. F/K/A POOL COMPANY TEXAS, LTD.
AND LAURO BERNAL GARCIA,
PETITIONERS,
v.
ASUNCION ROMERO, INDIVIDUALLY AND AS REPRESENTATIVE OF THE
ESTATE OF AYDEE ROMERO, DECEASED, AND AS NEXT FRIEND OF
EDGAR ROMERO AND SAUL ROMERO; ESPERANZA SOTO, INDIVIDUALLY
AND AS NEXT FRIEND OF ESPERANZA SOTO, GUADALUPE SOTO,
MARIA ELENA SOTO; AND MARTIN SOTO,
RESPONDENTS

ON PETITION FOR REVIEW FROM THE
COURT OF APPEALS FOR THE EIGHTH DISTRICT OF TEXAS

Argued October 9, 2014
JUSTICE BROWN delivered the opinion of the Court.
For more than forty years evidence of a plaintiff’s failure to use a seat belt has been
inadmissible in car-accident cases. That rule, which this Court first announced in 1974, offered
plaintiffs safe harbor from the harshness of an all-or-nothing scheme that barred recovery for even
the slightest contributory negligence. Moreover, the Court reasoned that although a plaintiff’s failure
to use a seat belt may exacerbate his injuries, it cannot cause a car accident, and therefore should not
affect a plaintiff’s recovery.
In 1985 the Legislature jumped in to statutorily prohibit evidence of use or nonuse of seat
belts in all civil cases. It repealed that law in 2003, leaving our rule to again stand alone. But much
has changed in the past four decades. The Legislature has overhauled Texas’s system for
apportioning fault in negligence cases—a plaintiff’s negligence can now be apportioned alongside
a defendant’s without entirely barring the plaintiff’s recovery. And unlike in 1974, seat belts are now
required by law and have become an unquestioned part of daily life for the vast majority of drivers
and passengers.
These changes have rendered our prohibition on seat-belt evidence an anachronism. The rule
may have been appropriate in its time, but today it is a vestige of a bygone legal system and an oddity
in light of modern societal norms. Today we overrule it and hold that relevant evidence of use or
nonuse of seat belts is admissible for the purpose of apportioning responsibility in civil lawsuits.
I
This case arises from a collision between a Nabors Well Services, Ltd. transport truck and
a Chevrolet Suburban with eight occupants—three adults and five children. Both vehicles were
traveling southbound on two-lane U.S. Highway 285 in rural West Texas. As the transport truck
slowed to make a left turn into a Nabors facility, Martin Soto, the Suburban’s driver, pulled into the
opposing traffic lane and attempted to pass the transport truck. As Soto passed, the transport truck
began its left turn and clipped the Suburban, which careened off the highway and rolled multiple
2
times. The evidence is disputed as to whether the transport truck used a turn signal and for how long
and whether Soto could have passed the transport truck within the legal passing zone.
Aydee Romero, an adult passenger, was killed in the accident. Martin, his wife Esperanza
Soto, and all five children—Esperanza, Guadalupe, and Marielena Soto, and Edgar and Saul
Romero—suffered injuries. There is conflicting evidence as to which occupants were belted and
which were ejected from the Suburban. A responding state trooper wrote in his report that all
occupants were unrestrained except Marielena and the elder Esperanza. But both of them, along with
the younger Esperanza, testified they did not use seat belts, while Martin and Guadalupe testified
they wore theirs. Guadalupe testified all occupants were ejected except for Martin and Edgar, but
Edgar testified he was ejected. And an EMS report stated one of the family members reported at the
scene that seven of eight occupants were ejected.
The Soto and Romero families sued Nabors and its truck driver. At trial, Nabors sought to
offer expert testimony from a biomechanical engineer, James Funk, Ph.D., that seven of the eight
Suburban occupants were unbelted (all except Martin, the driver), that five of those seven were
ejected from the vehicle, and that the failure to use seat belts caused the passengers’ injuries and the
one fatality. Nabors also hoped to introduce evidence of a citation issued to Soto for driving without
properly restraining the child passengers as well as testimony from the plaintiffs as to who was
unbelted and who was ejected.
Following our precedent in Carnation Co. v. Wong, 516 S.W.2d 116 (Tex. 1974), the trial
court excluded all evidence of nonuse of seat belts. Additionally, the trial court separately excluded
portions of Dr. Funk’s testimony on Robinson grounds, specifically, that Dr. Funk was unqualified
3
to opine that the failure to use seat belts caused the unbelted occupants’ injuries. See E.I. du Pont
de Nemours & Co. v. Robinson, 923 S.W.2d 549 (Tex. 1995). The trial court emphasized that even
if it had allowed seat-belt evidence, it would have excluded Dr. Funk’s injury-causation testimony
under Robinson. The jury found Nabors 51% and Soto 49% responsible for the accident, and
awarded the Soto and Romero families collectively just over $2.3 million.
The court of appeals affirmed the trial court’s judgment based solely on the Carnation
prohibition on seat-belt evidence. The court of appeals did not separately consider whether the trial
court properly excluded Dr. Funk’s injury-causation testimony under Robinson. We granted review
to consider the current viability of Carnation in light of the Legislature’s repeal of its statutory ban
on seat-belt evidence.
II
A
Texas’s earliest cases on the admissibility of seat-belt evidence first appeared in the late
1960s. They culminated in this Court’s 1974 decision in Carnation to severely limit admissibility
of seat-belt evidence. The context within which these cases arose is instructive. First, there was no
law requiring seat-belt use; in fact, a federal mandate that seat belts be installed as standard
equipment on all new passenger vehicles was barely in its infancy. Brian T. Bagley, The Seat Belt
Defense in Texas, 35 ST. MARY’S L.J. 707, 717 (2004). And second, Texas courts operated under an
unforgiving all-or-nothing rule in negligence cases that entirely barred a plaintiff from recovery if
the plaintiff himself was negligent in any way. Parrot v. Garcia, 436 S.W.2d 897, 901 (Tex. 1969).
4
The first court of appeals to address the issue was quick to point out that no statute required
seat-belt use and no Texas authority supported a common-law duty to use seat belts. See Tom Brown
Drilling Co. v. Nieman, 418 S.W.2d 337, 340–41 (Tex. Civ. App.—Eastland 1967, writ ref’d n.r.e.).
And in lieu of forging a new path, some courts of appeals were able to dispose of the issue on the
ground that defendants had no evidence the failure to use seat belts caused the plaintiffs’ injuries.
See United Furniture & Appliance Co. v. Johnson, 456 S.W.2d 455, 459 (Tex. Civ. App.—Tyler
1970, writ dism’d); Nieman, 418 S.W.2d at 341. Others grappled with the evidentiary difficulties
of admitting seat-belt evidence. See Red Top Taxi Co. v. Snow, 452 S.W.2d 772, 779 (Tex. Civ.
App.—Corpus Christi 1970, no writ) (holding evidence of nonuse of seat belts irrelevant to “the
liability issues involving the [plaintiff’s] alleged contributory negligence”); Sonnier v. Ramsey, 424
S.W.2d 684, 689 (Tex. Civ. App.—Houston [1st Dist.] 1968, writ ref’d n.r.e.) (declining to decide
whether a common-law duty to use a seat belt exists, but suggesting if so it “should be considered
in connection with damages rather than liability”). At least one court seized the opportunity to
declare there was no common-law duty to use a seat belt and that the omission was not actionable
negligence because the plaintiff could not reasonably foresee the effects of a failure to use a seat belt.
See Quinius v. Estrada, 448 S.W.2d 552, 554 (Tex. Civ. App.—Austin 1969, writ ref’d n.r.e.). By
the time this Court weighed in, all courts of appeals that reached the issue had either decided a
failure to use seat belts was not actionable negligence or left the issue undecided. None supported
admitting seat-belt evidence with the aim of reducing or negating a plaintiff’s recovery.
This Court first encountered the issue in Kerby v. Abilene Christian College, in which the
driver of a linen truck, Kerby, was ejected through the open sliding door of his truck after colliding
5
with an ACC bus. 503 S.W.2d 526, 526 (Tex. 1973). The jury found Kerby negligent and 35%
responsible for his injuries. Id. at 527. The trial court accordingly reduced Kerby’s recovery by 35%,
but the court of appeals tossed his award entirely because under the law at the time his contributory
negligence barred any recovery whatsoever. Id.
This Court reversed both lower courts and restored Kerby’s recovery in full, reasoning that
“[c]ontributory negligence must have the causal connection with the accident that but for the conduct
the accident would not have happened.” Id. at 528. Accordingly, “negligence that merely increases
or adds to the extent of the loss or injury occasioned by another’s negligence is not such contributory
negligence as will defeat recovery.” Id. In so holding, the Court drew “a sharp distinction between
negligence contributing to the accident and negligence contributing to the damages sustained.” Id.
The Court further likened the facts of Kerby to earlier cases in which courts of appeals held the
failure to use a seat belt was not “actionable negligence” or “contributory negligence such that would
bar recovery,” and underscored the “conceptual difficulty of applying the mitigation[-]of[-]damages
concept to Plaintiff’s conduct antedating the negligence of the Defendant.” Id. In so doing, the Court
declared seat-belt evidence incompatible with the only two legal doctrines—contributory negligence
and failure to mitigate damages—that arguably could accommodate it.
A year later in Carnation v. Wong, the jury found plaintiffs involved in a car accident
negligent for failing to use seat belts. 516 S.W.2d at 116. The jury attributed 50% of the fault for the
husband’s injuries against him and 70% of the fault for the wife’s injuries against her. Id. The trial
court reduced the Wongs’ awards correspondingly, but the court of appeals overturned those
reductions. Id. Finding no reversible error, this Court refused to grant the writ of error in Carnation,
6
but accompanied that refusal with an opinion correcting the court of appeals’ too-expansive reading
of Kerby. Id. Contrary to the court of appeals’ interpretation, the Kerby Court did not rule there was
no common-law duty to use seat belts. And the Carnation Court stopped short of that holding as
well. Instead, the Court focused on the difficulty of applying the “various legal theories” supporting
admissibility of seat-belt evidence in the available legal framework. Id. The Court rejected out of
hand “those cases barring completely plaintiff’s recovery based on contributory negligence,” noting
only that “our courts have not followed such an approach.” Id. (citations omitted). The Court also
acknowledged that other jurisdictions had considered seat-belt evidence under mitigation-ofdamages
and apportionment-of-damages theories, but could “find no reported appellate decision
where a court has actually relied upon either of these two theories to uphold definitively a trial
court’s reduction of plaintiff’s recovery from defendant based on the plaintiff’s failure to wear
available seat belts.” Id. at 117 (citations omitted). With that, the Court announced: “We now hold
that . . . persons whose negligence did not contribute to an automobile accident should not have the
damages awarded to them reduced or mitigated because of their failure to wear available seat
belts.” Id.
B
About a decade after Carnation, the federal government began to push seat-belt-use
initiatives that would give rise to the first seat-belt laws in Texas and in several other states. In 1984,
the National Highway Traffic Safety Administration issued a regulation requiring all passenger
vehicles beginning with the 1990 model year to include passive-restraint systems unless states
constituting two-thirds of the nation’s population adopted mandatory seat-belt laws. See Federal
7
Motor Vehicle Safety Standard; Occupant Crash Protection, 49 Fed. Reg. 28,962-01 (July 17, 1984)
(codified as amended at 49 C.F.R. § 571.208). The Texas Legislature, along with many others,
responded, and in 1985 for the first time made it a criminal offense for anyone fifteen years or older
to ride in a front seat unbelted, and further placed on drivers a responsibility to properly restrain
children under fifteen riding in a front seat. Act of June 15, 1985, 69th Leg., R.S., ch. 804, § 1,
sec. 107C, 1985 Tex. Gen. Laws 2846, 2846–47, repealed by Act of May 23, 1995, 74th Leg, R.S.,
ch. 165, § 24(a), 1995 Tex. Gen. Laws 1870, 1870–71. The new law further provided that: “Use or
nonuse of a safety belt is not admissible evidence in a civil trial.” Id. This outright prohibition of
seat-belt evidence, seemingly for any purpose, was broader than the rule adopted in Carnation,
which simply held seat-belt evidence was inadmissible to reduce a plaintiff’s recovery. See
Carnation, 516 S.W.2d at 117. And with that prohibition, Carnation was mothballed—not stricken
from the books but preempted by a stricter statutory prohibition.
Texas’s seat-belt law has expanded in its applicability over the years. In 2004, when the car
accident at issue in this case occurred, Texas law required a driver to properly restrain most children
riding anywhere in the vehicle. Act of June 14, 2001, 77th Leg., R.S., ch. 910, § 2, 2001 Tex. Gen.
Laws 1821, 1821–22 (amended 2005) (current version at TEX. TRANSP. CODE § 545.413(b)). Today,
anyone fifteen years or older in any seat is required to buckle up, and drivers have a responsibility
to make sure anyone seventeen years or younger anywhere in the vehicle is properly restrained. TEX.
TRANSP. CODE §§ 545.413(a), (b). The prohibition against seat-belt evidence in civil trials remained
intact throughout the law’s evolution until 2003, when the Legislature repealed the provision as part
of the sweeping House Bill 4 tort-reform legislation. Act of June 11, 2003, 78th Leg., R.S., ch. 204,
8
§ 8.01, 2003 Tex. Gen. Laws 863, 863 (repealing TEX. TRANSP. CODE §§ 545.412(d), 545.413(g)).
The Legislature did not replace the prohibition with any language affirming the use of seat-belt
evidence—it simply struck the provision altogether.
III
A
Nabors argues legislative history reveals the purpose of the repeal was to begin allowing seatbelt
evidence in civil trials. The families argue that if the Legislature intended that, it could have
enacted language favoring admissibility or overruling Carnation. We simply take the Legislature’s
action at face value—it once had something specific to say about seat-belt evidence, and now it does
not. See Girouard v. United States, 328 U.S. 61, 69 (1946) (“It is at best treacherous to find in
Congressional silence alone the adoption of a controlling rule of law.”); Brown v. De La Cruz, 156
S.W.3d 560, 566 (Tex. 2004) (“[L]egislative silence . . . may reflect many things, including implied
delegation to the courts or administrative agencies, lack of consensus, oversight, or mistake.”). But
everyone in this case agrees the statutory repeal revived this Court’s holding in Carnation, a
common-law rule subsumed for eighteen years by a broader statutory prohibition but never
overruled. The question is whether that rule, established more than forty years ago, should still stand
today. To answer, we will not strain to determine legislative intent behind the Legislature’s statutory
repeal and subsequent silence; instead, what the Legislature has said will guide us. And while the
Legislature now says nothing about seat-belt evidence specifically, it has said much since Carnation
about the assignment of responsibility in negligence lawsuits.
9
The evolution of Texas’s system for attributing fault in negligence cases over the past four
decades is well documented. At the time Kerby and Carnation were tried, Texas “followed the all-ornothing
system of contributory negligence.” Dugger v. Arredondo, 408 S.W.3d 825, 830 (Tex.
2013). “Under contributory negligence, if a plaintiff was even one percent at fault, he or she could
not recover.” Id.; see also Parrot, 436 S.W.2d at 901. In 1973, the Legislature adopted article 2212a,
the first comparative-negligence statute, evincing “‘a clear policy purpose to apportion negligence
according to the fault of the actors.’” Dugger, 408 S.W.3d at 830 (quoting Parker v. Highland Park,
Inc., 565 S.W.2d 512, 518 (Tex. 1978)); see also Act of April 9, 1973, 63d Leg., R.S., ch. 28,
§§ 1–2, 4–5, art. 2212a, 1973 Tex. Gen. Laws 41, 41–43, repealed by Act of June 16, 1985, 69th
Leg., R.S., ch. 959, § 1, sec. 33.001, 1985 Tex. Gen. Laws 3242, 3270–71. Later, the Legislature
replaced article 2212a with the comparative-responsibility framework in chapter 33 of the Civil
Practice and Remedies Code. See TEX. CIV. PRAC. & REM. CODE §§ 33.001–.004; Act of June 16,
1985, 69th Leg., R.S., ch. 959, § 1, secs. 33.001–.004, 1985 Tex. Gen. Laws 3242, 3270–71,
amended by Act of June 16, 1987, 70th Leg., 1st C.S., ch. 2, §§ 2.03–.12, secs. 33.001–.004, 1987
Tex. Gen. Laws 37, 41–44; JCW Electrs., Inc. v. Garza, 257 S.W.3d 701, 703 (Tex. 2008) (setting
out the evolution of comparative-fault rules in Texas). In 1995, the Legislature modified Chapter 33
by replacing comparative responsibility with proportionate responsibility. Act of May 18, 1995, 74th
Leg., R.S., ch. 136, § 1, 1995 Tex. Gen. Laws 971, 971–75 (amended 2003) (current version at TEX.
CIV. PRAC. & REM. CODE §§ 33.001–.004). Section 33.003(a) now provides:
The trier of fact, as to each cause of action asserted, shall determine the percentage
of responsibility, stated in whole numbers, for the following persons with respect to
each person’s causing or contributing to cause in any way the harm for which
10
recovery of damages is sought, whether by negligent act or omission, by any
defective or unreasonably dangerous product, by other conduct or activity that
violates an applicable legal standard, or by any combination of these:
(1) each claimant;
(2) each defendant;
(3) each settling person; and
(4) each responsible third party who has been designated under Section
33.004.
Gone is the “harsh system of absolute victory or total defeat.” See Parker, 565 S.W.2d at 518. Under
proportionate responsibility, the fact-finder apportions responsibility according to the relative fault
of the actors, thus allowing a plaintiff to recover while reducing that recovery by the percentage for
which the plaintiff was at fault. As long as the plaintiff’s own responsibility does not exceed 50%,
he is entitled to a recovery reduced by his responsibility percentage. TEX CIV. PRAC. & REM. CODE
§§ 33.001, 33.012. And the statute casts a wide net over conduct that may be considered in this
determination, including negligent acts or omissions as well as any conduct or activity that violates
an applicable legal standard. The directive is clear—fact-finders should consider each person’s role
in causing, “in any way,” harm for which recovery of damages is sought. The question we now face
is whether the “sharp distinction” between occurrence-causing and injury-causing negligence this
Court drew in Kerby is still viable in light of the Legislature’s current mandate. In other words, can
a plaintiff’s failure to use a seat belt, though it did not cause the car accident, limit his recovery if
it can be shown that the failure to use a seat belt caused or contributed to cause his injuries?
B
This Court has never absolved plaintiffs of a duty to use seat belts, nor has it held seat-belt
evidence irrelevant. Rather, in Kerby and Carnation, the Court struggled with the mismatch between
11
the character of seat-belt evidence and the legal doctrines that might support its admission. One
option was to treat it as evidence of a plaintiff’s failure to mitigate his damages—a doctrine typically
applied to a post-occurrence action, such as when a plaintiff fails to follow his doctor’s treatment
instructions. See, e.g., Moulton v. Alamo Ambulance Serv., Inc., 414 S.W.2d 444, 447 (Tex. 1967)
(“We recognize the universality of the rule that an injured person cannot recover damages which can
be avoided by that care and treatment of his injury which an ordinary prudent person would exercise
in the same or similar circumstances . . . .”). Courts were accustomed to instructing juries to consider
a plaintiff’s failure to mitigate when awarding damages, but the doctrine proved awkward when
applied to pre-occurrence actions—how can one mitigate damages that have not yet occurred? See
Kerby, 503 S.W.2d at 528. The other option was to treat seat-belt nonuse as contributory negligence,
which would entirely bar a plaintiff’s recovery. But the Court dismissed this option. See Carnation,
516 S.W.2d at 116 (“We reject those cases barring completely plaintiff’s recovery based on
contributory negligence; our courts have not followed such an approach.”) (citations omitted). So
under the existing legal framework, there simply was no vehicle to logically or fairly admit seat-belt
evidence.
The holdings in Kerby and Carnation are best viewed as examples of a class of common-law
doctrines designed to blunt the austerity of an all-or-nothing contributory-negligence scheme and
ensure an equitable civil-justice system for all Texans. After the Legislature adopted comparative
negligence in 1973, this Court “sought to abolish those doctrines directed to the old choice between
total victory and total defeat for the injured plaintiff.” French v. Grigsby, 571 S.W.2d 867, 867 (Tex.
1978) (abolishing doctrine of last clear chance or discovered peril). More than forty years later, “‘we
12
have discarded categories like imminent[-]peril, last-clear-chance, and assumption-of-the-risk in
favor of a general submission of comparative negligence.’” Del Lago Partners., Inc. v. Smith, 307
S.W.3d 762, 772 (Tex. 2010) (quoting Jackson v. Axelrad, 221 S.W.3d 650, 654 (Tex. 2007)). But
we are still occasionally called on to shake off vestiges of our defunct contributory-negligence
scheme. As recently as 2013, for example, we held the common-law unlawful-acts doctrine could
not coexist alongside proportionate responsibility. Dugger, 408 S.W.3d at 827.
The systematic elimination of outmoded ameliorative doctrines has led to speculation about
the continued viability of the “sharp distinction” we recognized in Kerby. So far, however, the Court
has stopped short of a formal declaration that proportionate responsibility incorporates both
occurrence-causing and injury-causing conduct. See Thomas v. Uzoka, 290 S.W.3d 437, 444 n.2
(Tex. App.—Houston [14th Dist.] 2009, pet. denied) (observing the Legislature “may have intended
to abolish the common-law distinction between a plaintiff’s ‘occurrence-causing’ and ‘injurycausing’
negligence”); Comm. on Pattern Jury Charges, State Bar of Tex., Texas Pattern Jury
Charges: General Negligence, Intentional Personal Torts, Workers’ Compensation PJC 4.1 cmt. at
53 (2014) (“The Committee is unable to determine whether the [L]egislature, by using ‘injury’ in
section 33.011(4), intended to abolish the distinction between ‘occurrence-causing’ and ‘injurycausing’
contributory negligence and mandate the use of ‘injury’ to the preclusion, at any time, of
‘occurrence.’”). The Third Restatement has specifically cited Carnation as an example of how
“[s]ome courts used to forgive a plaintiff of pre-accident negligence that merely aggravated the
injury.” RESTATEMENT (THIRD) OF TORTS: APPORTIONMENT OF LIAB. § 3 Reporter’s Note, cmt. b
at 39 (2000) (emphasis in original). Of such decisions, the Restatement observes:
13
They gave various rationales for this rule, including that the legislature had not
mandated the conduct, that counting the conduct would constitute a windfall for the
defendant, and that a plaintiff should not have to foresee and guard against the
possibility of a defendant’s negligence. None of these rationales provides an adequate
account for the rule, because each of them could be applied with equal force to
ordinary contributory negligence. . . . [T]he most satisfactory explanation is that
courts were hostile to the harsh consequences of contributory negligence as an
absolute bar to recovery and developed the rule as an ameliorative device.
Comparative responsibility eviscerates that rationale.
Id. at 39–40 (internal citations omitted).
C
Our precedents holding that a plaintiff’s injury-causing negligence cannot reduce a plaintiff’s
recovery cannot stand if today’s proportionate-responsibility statute contradicts those precedents.
And we hold it does. We recently observed in Dugger that the proportionate-responsibility statute
“indicates the Legislature’s desire to compare responsibility for injuries rather than bar recovery,
even if the claimant was partly at fault or violated some legal standard.” Dugger, 408 S.W.3d at 832
(emphasis added). Although we did not then directly address the distinction between injury-causing
and occurrence-causing negligence drawn by Kerby, our reference to “injuries” was not
accidental—it reflected the language chosen by the Legislature in the proportionate-responsibility
statute. Under that scheme, the fact-finder must allocate the “percentage of responsibility” for each
claimant, defendant, settling person, and responsible third party. TEX. CIV. PRAC. & REM. CODE
§ 33.003(a). And “percentage of responsibility” is defined as:
that percentage, stated in whole numbers, attributed by the trier of fact to each
claimant, each defendant, each settling person, or each responsible third party with
respect to causing or contributing to cause in any way, whether by negligent act or
omission, by any defective or unreasonably dangerous product, by other conduct or
activity violative of the applicable legal standard, or by any combination of the
14
foregoing, the personal injury, property damage, death, or any other harm for which
recovery of damages is sought.
Id. § 33.011(4) (emphasis added).
Section 33.011(4) directs the fact-finder to assign responsibility to plaintiffs who cause or
contribute to cause “in any way” personal injury or death. Similarly, section 33.003(a) also holds
plaintiffs accountable for “causing or contributing to cause in any way the harm for which recovery
of damages is sought.” “In any way” can mean only what it says—there are no restrictions on
assigning responsibility to a plaintiff as long as it can be shown the plaintiff’s conduct “caused or
contributed to cause” his personal injury or death. See United States v. Gonzales, 520 U.S. 1, 5
(1997) (“[T]he word ‘any’ has an expansive meaning, that is, ‘one or some indiscriminately of
whatever kind.’”) (quoting WEBSTER’S THIRD NEW INTERNATIONAL DICTIONARY 97 (1976)). We
cannot maintain a “sharp distinction” between two categories of evidence when the Legislature has
instructed fact-finders to consider conduct that was “in any way” a cause of the plaintiff’s damages.
Furthermore, sections 33.003(a) and 33.011(4) focus the fact-finder on assigning
responsibility for the “harm for which recovery of damages is sought”—two examples of which are
“personal injury” and “death”—and not strictly for the underlying occurrence, such as a car accident.
This distinction recognizes plaintiffs do not sue simply because they were involved in a car accident;
they sue because they suffered damages for which they have not been compensated. See Nabors
Drilling, U.S.A., Inc. v. Escoto, 288 S.W.3d 401, 404 (Tex. 2009) (“Negligence actions in Texas
require ‘a legal duty owed by one person to another, a breach of that duty, and damages proximately
caused by the breach.’”) (quoting D. Houston, Inc. v. Love, 92 S.W.3d 450, 454 (Tex. 2002)).
15
Though the facts of the occurrence, such as who caused the car accident, shape the narrative of the
case and rightly contribute to the fact-finder’s responsibility apportionment, the proportionateresponsibility
statute specifies the apportionment should ultimately be based on responsibility for
the damages suffered, in this case personal injury and death. Accordingly, the question is not simply
who caused the car accident, but who caused the plaintiff’s injuries.
We believe most reasonable people considering who caused a plaintiff’s injuries in a car
accident would not lean on a logical distinction between occurrence-causing and injury-causing
conduct. Rather, most would say a plaintiff who breaks the law or otherwise acts negligently by not
using a seat belt is at least partially responsible for the harm that befalls him. This is true even if he
did not cause the car accident, provided it can be shown the failure to buckle up exacerbated his
injuries. It is this common-sense approach, and not a philosophical abstraction articulated over forty
years ago, that our proportionate-responsibility statute captures. We do not suggest there is no logical
difference between occurrence-causing and injury-causing conduct. The sharpest rhetorical argument
against admitting seat-belt evidence has been that failure to use a seat belt cannot cause an accident,
and it is those who cause accidents who should pay. But it is equally true that failure to use a seat
belt will sometimes exacerbate a plaintiff’s injuries or lead to his death. Accordingly, the conclusion
is unavoidable that failure to use a seat belt is one way in which a plaintiff can “cause[] or
contribut[e] to cause in any way” his own “personal injuries” or “death.” TEX. CIV. PRAC. & REM.
CODE §§ 33.003(a), 33.011(4). The proportionate-responsibility statute calls for an apportionment
of fault for “personal injuries” and “death” rather than for the underlying occurrence that introduced
16
a sequence of events in which the end result is potentially influenced by whether the plaintiff acted
unreasonably or even broke the law.
Given the statute’s plain language, and without any statutory language preserving the
distinction set out in Kerby or our holding in Carnation, we conclude that, for purposes of the
proportionate-responsibility statute, the Legislature both intends and requires fact-finders to consider
relevant evidence of a plaintiff’s pre-occurrence, injury-causing conduct. This comports with the
modern trend in tort law toward “abolishing doctrines that give all-or-nothing effect to certain types
of plaintiff’s negligence based on the timing of the plaintiff’s and defendant’s negligence” and
instead considering “the timing of the plaintiff’s and defendant’s negligence [as] factors for assigning
percentages of responsibility.” RESTATEMENT (THIRD) OF TORTS: APPORTIONMENT OF LIAB. § 3,
Reporter’s Note, cmt. b at 41. We do not quarrel with the approach this Court took when it decided
Kerby and Carnation. We simply reach the issue again under a different legal system that considers
seat-belt evidence in a way the contributory-negligence scheme could not. Accordingly, although we
must overrule Kerby and Carnation to effect today’s decision, we do not reject them as mistaken
jurisprudence, but as once-prudent measures that have outlived their usefulness.
D
Today’s holding opens the door to a category of evidence that has never been part of our
negligence cases, but we need not lay down a treatise on how and when such evidence should be
admitted. Seat-belt evidence has been unique only in that it has been categorically prohibited in
negligence cases. With that prohibition lifted, our rules of evidence include everything necessary to
handle the admissibility of seat-belt evidence. As with any evidence, seat-belt evidence is admissible
17
only if it is relevant. See TEX. R. EVID. 401, 402. And relevance is the trial court’s province. See id.
104(a). The defendant can establish the relevance of seat-belt nonuse only with evidence that nonuse
caused or contributed to cause the plaintiff’s injuries. And the trial court should first consider this
evidence, for the purpose of making its relevance determination, outside the presence of the jury. See
id. 104(c). Otherwise, the jury will have already heard evidence of nonuse before such evidence has
been deemed relevant. Expert testimony will often be required to establish relevance, but we decline
to say it will be required in all cases. And, of course, like any other evidence, even relevant seat-belt
evidence is subject to objection and exclusion under Rule 403.
Our holding should likewise not introduce any confusion into how to construct a jury charge
when seat-belt evidence or any other pre-occurrence, injury-causing conduct is admitted. Under
section 33.003(a), the fact-finder may consider relevant evidence of a plaintiff’s failure to use a seat
belt as a “negligent act or omission” or as a violation of “an applicable legal standard” in cases where
the plaintiff was personally in violation of an applicable seat-belt law. See TEX. CIV. PRAC. & REM.
CODE § 33.003(a). And in cases in which an unrestrained plaintiff was not personally in violation
of a seat-belt law, the fact-finder may consider whether the plaintiff was negligent under the
applicable standard of reasonable care. This scenario is likely to arise when children are among the
passengers of the plaintiff’s vehicle. Most children do not violate seat-belt laws by failing to restrain
themselves; rather, it is the driver upon whom the law places the responsibility to properly restrain
them. Nonetheless, a minor is still held to the degree of care that would be exercised by an
“ordinarily prudent child of [the same] age, intelligence, experience and capacity . . . under the same
or similar circumstances.” Rudes v. Gottschalk, 324 S.W.2d 201, 204 (Tex. 1959). The jury may
18
further apportion third-party responsibility to the person upon whom the law places the burden to
properly restrain the child.
There also should be no confusion on the relationship of this holding with the existing
failure-to-mitigate-damages doctrine. A plaintiff’s failure to mitigate his damages traditionally
occurs post-occurrence and, as noted in Kerby, the doctrine does not readily translate in the preoccurrence
context. 503 S.W.2d at 528 (noting “conceptual difficulty of applying the mitigation[-
]of[-]damages concept to Plaintiff’s conduct antedating the negligence of the Defendant”). That
distinction remains. A plaintiff’s post-occurrence failure to mitigate his damages operates as a
reduction of his damages award and is not considered in the responsibility apportionment. It is only
the plaintiff’s pre-occurrence, injury-causing conduct that should be considered in the responsibility
apportionment.
Lastly, there is no need, as some have suggested, to deviate from a single apportionment
question. See Bagley, supra, at 736–37 (suggesting two fault analyses). A jury can consider a
plaintiff’s pre-occurrence, injury-causing conduct alongside his and other persons’ occurrencecausing
conduct. In crashworthiness cases, for instance, a product defect often “causes or enhances
injuries but does not cause the accident”; nonetheless, “[t]he jury is asked to apportion responsibility
between all whose actions or products combined to cause the entirety of the plaintiff’s injuries.”
Duncan v. Cessna Aircraft Co., 665 S.W.2d 414, 428 (Tex. 1984). This exercise may at times prove
challenging for jurors, but no more so than what they already face in distilling the multiple factors
they must consider in one responsibility allocation. There is nothing about injury-causing conduct
19
that renders it incompatible with being considered alongside occurrence-causing conduct in one
responsibility apportionment for the harm suffered by the plaintiff.
E
Today’s holding is rooted in statutory interpretation and the unavoidable conclusion that our
proportionate-responsibility statute both allows and requires fact-finders to consider pre-occurrence,
injury-causing conduct. But the arguments against allowing seat-belt evidence, including some urged
by the families in this case, transcend statutory interpretation and touch on themes of general fairness
and fundamental principles of tort law. We respond to them because we believe our holding is not
merely correct statutory interpretation; it also promotes sound public policy.
Attitudes toward use of seat belts have evolved drastically since the early 1970s. When we
decided Kerby and Carnation, seat-belt use was not required by law. Car manufacturers had only
recently been required to install seat belts as standard equipment on all passenger vehicles, but
relatively few people wore them—as few as 14% nationwide in 1984, the year before Texas enacted
its first seat-belt law. Peter Scaff, The Final Piece of the Seat Belt Evidence Puzzle, 36 HOUS. L.
REV. 1371, 1378 n.43 (1999). But in the intervening time since seat-belt use became the law, that
number has jumped to 84%. NAT’L HIGHWAY TRAFFIC SAFETY ADMIN., DEP’T OF TRANSP., DOT
HS 811 651, TRAFFIC SAFETY FACTS, CRASH STATS–SEAT BELT USE IN 2011 1–2 (Aug. 2012). And
Texas boasts an even higher usage rate of 93.7%. Id.
A wealth of research has established that seat belts reduce injuries and save lives. According
to the National Highway Traffic Safety Administration, seat belts prevent more than 11,000 deaths
each year. NAT’L HIGHWAY TRAFFIC SAFETY ADMIN., DEP’T OF TRANSP., DOT HS 810 649,
20
PRIMARY ENFORCEMENT SAVES LIVES–THE CASE FOR UPGRADING SECONDARY SAFETY BELT LAWS
25 (Sept. 2006). And while ejection is “one of the most injurious events that can happen to a person
during a crash,” seat belts are up to 99% effective at preventing “total ejections.” Id. The percentage
of seat-belt nonuse in fatal accidents is alarming. For example, in 2012, between 48% and 54% of
people killed in car accidents were not using seat belts. NAT’L HIGHWAY TRAFFIC SAFETY ADMIN.,
DEP’T OF TRANSP., DOT HS 812 070, TRAFFIC SAFETY FACTS, 2012 DATA–PASSENGER VEHICLES
4 (Sept. 2014). But we will not belabor the point with statistics. To do so suggests there is still
legitimate debate over the propriety of seat-belt use. That debate has long ended. Seat-belt laws are
now in effect in every state, and the vast majority of Texans buckle up on a regular basis. Yet until
today a contradictory legal system punished seat-belt nonuse with criminal citations while allowing
plaintiffs in civil lawsuits to benefit from juries’ ignorance of their misconduct.
Perhaps the most common argument against seat-belt evidence is one we have already
addressed—that the failure to use a seat belt does not cause an accident, and it is those who cause
accidents who should pay. But as we have pointed out, our legal system now takes a broader view
toward assigning responsibility for a plaintiff’s damages. So although this argument points out a
logical distinction between occurrence-causing and injury-causing conduct, it engages a debate the
Legislature has settled—the distinction does not immunize a plaintiff from his own injury-causing
conduct.
Some argue that admitting seat-belt evidence violates the principle that a plaintiff is not
required to anticipate the negligent or unlawful conduct of another. See Humble Oil & Refining Co.
v. Martin, 222 S.W.2d 995, 1001 (Tex. 1949) (noting the “general axiom that a person is not bound
21
to anticipate the negligence of others”). But this has never been a steadfast rule of tort law. Rather,
it is a guiding principle the law has balanced with the duty everyone has to guard against foreseeable
risks—a duty that has been recognized at least since Palsgraf v. Long Island R. Co., 162 N.E. 99
(N.Y. 1928). See also The Kroger Co. v. Keng, 23 S.W.3d 347, 351 (Tex. 2000) (“Contributory
negligence contemplates an injured person’s failure to use ordinary care in regard to his or her own
safety.”). We have consistently held that foreseeability turns on existence of a general danger, not
awareness of the exact sequence of events that produces the harm. See, e.g., Mellon Mortg. Co. v.
Holder, 5 S.W.3d 654, 655 (Tex. 1999) (collecting cases). The general danger of driving is obvious
to everyone. The NHTSA reports that in 2012, the most recent year for which data is available,
nearly ten million passenger-vehicle accidents occurred, causing injuries to two million people—and
these numbers encompass only accidents reported to police. NAT’L HIGHWAY TRAFFIC SAFETY
ADMIN., DEP’T OF TRANSP., DOT HS 812 070, TRAFFIC SAFETY FACTS, 2012 DATA–PASSENGER
VEHICLES 1 (Sept. 2014). From the rural Texan who braves harrowing two-lane highways to the
urban commuter who plans his route to avoid daily accident-related congestion, the dangers of
driving are ubiquitous. So when it comes to foreseeing the general hazard of automobile travel,
“[t]here is nothing to anticipate; the negligence of other motorists is omnipresent.” Law v. Superior
Court, 755 P.2d 1135, 1141 (Ariz. 1988). Indeed, by enacting seat-belt laws, the Legislature has
required motorists to anticipate the negligence of others.
Finally, some insist that admitting seat-belt evidence provides a windfall for defendants who
will be relieved of paying the full damages caused by their negligence. But the reverse is equally
arguable—a plaintiff whose injuries were exacerbated by failure to use a seat belt benefits from the
22
jury’s ignorance of his own conduct. The result is certainly an oddity: the unbelted plaintiff is likely
to be punished with a criminal citation carrying a monetary fine from the police officer investigating
the accident, but in the civil courtroom his illegal conduct will be rewarded by monetary
compensation. There are no windfalls under the rule we announce today. Even when trial courts
properly admit seat-belt evidence, defendants will still be held liable for the damages they caused,
but not the injuries the plaintiff caused by not using a seat belt.
IV
The families argue we need not reconsider the seat-belt evidence prohibition in
Carnation because without Dr. Funk’s injury-causation testimony, excluded on Robinson grounds,
Nabors has no evidence the plaintiffs’ failure to use seat belts caused their injuries or the lone
fatality. Nabors argues the jury could have inferred injury causation from other evidence even
without the excluded expert testimony. Specifically, Nabors suggests ejection itself gives rise to a
reasonable inference that the occupant was unbelted, and that Dr. Funk’s “biomechanical testimony”
alone would have established the plaintiffs “would not have been flung around inside—nor ejected
from—the Suburban if they had been wearing their seat belts.”
The trial court relied on our precedent in prohibiting seat-belt evidence but insisted it would
have struck Dr. Funk’s injury-causation testimony on Robinson grounds even if seat-belt evidence
were allowed. Nabors argued to the court of appeals that the trial court abused its discretion in
excluding Dr. Funk’s injury-causation testimony, but the court of appeals affirmed the trial court’s
judgment solely on the ground that seat-belt evidence was properly excluded. It did not address the
independent Robinson issues.
23
We decline to consider whether the trial court acted within its discretion in limiting Dr.
Funk’s testimony or whether Nabors had sufficient injury-causation evidence without Dr. Funk’s full
testimony. Those issues were not considered by the court of appeals and were not fully briefed to this
Court. Instead, this appeal has turned on whether Carnation should still stand. We believe any
remaining issues will be elucidated with the Carnation prohibition no longer in place and that the
parties will benefit from the opportunity to narrow their focus at the court of appeals to these
remaining issues.
* * *
We hold relevant evidence of use or nonuse of seat belts, and relevant evidence of a
plaintiff’s pre-occurrence, injury-causing conduct generally, is admissible for the purpose of
apportioning responsibility under our proportionate-responsibility statute, provided that the
plaintiff’s conduct caused or was a cause of his damages. Accordingly, we reverse the court of
appeals’ judgment and remand this case to the court of appeals for further proceedings consistent
with this opinion.
_____________________________
Jeffrey V. Brown
Justice
OPINION DELIVERED: February 13, 2015

Williams, McClure & Parmelee is dedicated to high quality legal representation of businesses and insurance companies in a variety of matters. We are experienced Texas civil litigation attorneys based in Fort Worth who know Texas courts and Texas law. For more information, please contact the law firm at 817-335-8800. The firm’s new office location is 5601 Bridge Street, Suite 300, Fort Worth, Texas 76112.

Martindale AVtexas[2]

Necessity and Nature of Venue in Texas Civil Litigation–Texas Civil Litigation Attorneys

Court of Appeals of Texas,Dallas.
Rutilio Ignacio VELASCO, Individually and a/n/f
Josue Velasco, A Minor, Erick Velasco, A Minor,
and Steven Velasco, A Minor, and as Representative
of The Estate of Gloria Oviedo Velasco, Appellant
v.
TEXAS KENWORTH COMPANY, Texas Kenworth
Company d/b/a MHC Kenworth-Dallas,
Texas Kenworth Company d/b/a MHC Kenworth-
Fort Worth, Texas Kenworth Company d/b/a Texas
Kenworth Co. Dallas, Texas Kenworth Company d/
b/a Texas Kenworth Co. Fort Worth, Texas Kenworth
Corporation and Mark Sims, Appellees.
No. 05-03-01160-CV.
Aug. 17, 2004.
Rehearing Overruled Sept. 30, 2004.
Background: Husband of driver killed in accident,
individually, as representative of driver’s estate, and
on behalf of minor children, brought wrongfuldeath
action against manufacturer of tractor involved
in accident, and against individual. After
transfer of venue from county where accident occurred,
the 192nd Judicial District Court, Dallas
County, Merrill Hartman, J., granted summary
judgment for defendants. Husband appealed.
Holding: The Court of Appeals, Joseph B. Morris,
J., held that venue lay in county where accident occurred.
Vacated and remanded.
West Headnotes
[1] Venue 401 8.2
401 Venue
401I Nature or Subject of Action
401k8 Actions for Torts
401k8.2 k. Particular Torts. Most Cited
Cases
Pursuant to venue statute, venue for wrongful-death
case brought by husband of driver killed in multivehicle
accident lay in county where accident occurred,
where driver died, where bid for tractor involved
in accident was submitted and opened by
county authorities, and where individual defendant
talked to county authorities. V.T.C.A., Civil Practice
& Remedies Code § 15.002(a)(1).
[2] Venue 401 1.5
401 Venue
401I Nature or Subject of Action
401k1.5 k. Nature and Necessity of Venue in
Action. Most Cited Cases
A plaintiff has the first choice to fix venue in a
proper county. V.T.C.A., Civil Practice & Remedies
Code § 15.002(a)(1).
[3] Appeal and Error 30 1043(8)
30 Appeal and Error
30XVI Review
30XVI(J) Harmless Error
30XVI(J)6 Interlocutory and Preliminary
Proceedings
30k1043 Interlocutory Proceedings
30k1043(8) k. Objections to Venue
and Motions for Change of Venue. Most Cited
Cases
It is reversible error to transfer venue from a proper
venue, even if the county of transfer would have
been proper if originally chosen by the plaintiff.
V.T.C.A., Civil Practice & Remedies Code §
15.002(a)(1).
[4] Appeal and Error 30 840(1)
30 Appeal and Error
30XVI Review
30XVI(A) Scope, Standards, and Extent, in
General
30k838 Questions Considered
30k840 Review of Specific Questions
144 S.W.3d 632 Page 1
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and Particular Decisions
30k840(1) k. In General. Most
Cited Cases
To determine whether a trial court improperly
transferred venue in a case, an appellate court must
consider the entire record, including any trial on the
merits. V.T.C.A., Civil Practice & Remedies Code
§ 15.002(a)(1).
[5] Venue 401 33
401 Venue
401III Change of Venue or Place of Trial
401k33 k. Power and Duty of Court in General.
Most Cited Cases
If there is any probative evidence that supports venue
in the county of suit, the trial court must deny a
transfer; this is true even if the evidence preponderates
to the contrary. V.T.C.A., Civil Practice &
Remedies Code § 15.002(a)(1).
[6] Venue 401 2
401 Venue
401I Nature or Subject of Action
401k2 k. Place in Which Action May Be
Brought or Tried in General. Most Cited Cases
Venue statute limits the number of counties where
venue can be maintained to those with a substantial
connection with the lawsuit. V.T.C.A., Civil Practice
& Remedies Code § 15.002(a)(1).
*632 M. Kevin Queenan, Queenan Law Firm, P.C.,
DeSoto, for Appellant.
*633 James L. Williams, Williams, Peters &
Parmelee, P.C., and Carolyn Mitchell, Law Office
of Carolyn Mitchel, Fort Worth, for Appellee.
Before Justices MORRIS and
WHITTINGTON.FN1
FN1. The Honorable Tom James, Retired,
Court of Appeals, Fifth District of Texas at
Dallas, was a member of the panel at the
time this case was argued and submitted
for decision. Due to his retirement from
the Court, Justice James did not participate
in the issuance of this opinion.
SeeTEX.R.APP. P. 41.1(a) & (b).
OPINION
Opinion by Justice MORRIS.
In this wrongful death case, appellant Rutilio Ignacio
Velasco, individually and as next friend to
Josue Velasco, a minor, Erick Velasco, a minor,
and Steven Velasco, a minor, and as Representative
of the Estate of Gloria Oviedo Velasco, appeals the
trial court’s final judgment dismissing his claims
with prejudice. On appeal, appellant makes three
general arguments: first, he asserts his case was improperly
transferred from Johnson County to Dallas
County; second, he claims the Johnson County trial
court erred in granting summary judgment to appellee
Mark Sims; and third, he contends the Dallas
County trial court erred in denying his motion for a
continuance and granting summary judgment to appellees
Texas Kenworth Company, Texas Kenworth
Company d/b/a MHC Kenworth-Dallas, Texas Kenworth
Company d/b/a MHC Kenworth-Fort Worth,
Texas Kenworth Company d/b/a Texas Kenworth
Co. Dallas, Texas Kenworth Company d/b/a Texas
Kenworth Co. Fort Worth and Texas Kenworth
Corporation. Because we conclude appellant’s case
was transferred to Dallas County in error, we vacate
the Dallas County trial court’s final summary judgment
and remand the case to that court for transfer
back to the trial court in Johnson County.
Appellant filed this lawsuit after his wife died in a
multi-vehicle collision in Johnson County, Texas.
In his petition, appellant alleged that a used Kenworth
semi-tractor purchased by Johnson County
from the Kenworth appellees shortly before the accident
had faulty brakes and was a proximate cause
of the collision. Appellant asserted claims for negligence,
strict liability, breach of warranty, and misrepresentation.
FN2 Kenworth filed an answer
denying each allegation in appellant’s petition and
filed a motion to transfer the case from Johnson
County to Dallas County. Appellant amended his
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petition to include Mark Sims as defendant. Appellant
asserted venue was proper in Johnson County
because it is the location where a substantial part of
the events or omissions giving rise to his claims occurred
and because appellee Mark Sims resided in
Johnson County. Sims moved for and was granted
summary judgment. The trial court then granted
Kenworth’s motion to transfer appellant’s lawsuit to
Dallas County. In Dallas, Kenworth filed a traditional
and a no-evidence motion for summary judgment.
The trial court granted summary judgment in
Kenworth’s favor and rendered a final judgment incorporating
all of the previous interlocutory orders.
It is from this judgment that appellant appeals.
FN2. Appellant also asserted claims
against the previous owners of the vehicle,
Unimin Corporation and Unimin Texas
Company, L.P. The Unimin defendants
were granted summary judgment by the
Johnson County trial court.
[1][2][3][4][5] In his first point of error, appellant
complains about the trial court’s order transferring
his lawsuit from Johnson *634 County to Dallas
County.FN3 Texas venue law is well-established.
The plaintiff has the first choice to fix venue in a
proper county. See Wilson v. Texas Parks & Wildlife
Dept., 886 S.W.2d 259, 261 (Tex.1994). It is reversible
error to transfer venue from a proper venue
even if the county of transfer would have been
proper if originally chosen by the plaintiff. See id.
at 262. To determine whether a trial court improperly
transferred the case, we must consider the entire
record, including any trial on the merits. Ruiz
v. Conoco, Inc., 868 S.W.2d 752, 758 (Tex.1993).
If there is any probative evidence that supports venue
in the county of suit, the trial court must deny
the transfer. Bonham State Bank v. Beadle, 907
S.W.2d 465, 471 (Tex.1995). This is true even if
the evidence preponderates to the contrary. Id.
FN3. In addition to opposing the trial
court’s transfer order on the merits, appellant
also claims that Kenworth waived the
venue issue by “waiting almost a year to
seek a hearing on its motion.” Because appellant
has provided no argument or authority
to support this contention, appellant
does not present the issue for review.
SeeTEX.R.APP. P. 38.1(h).
[6] In the case before us, appellant relies on section
15.002(a)(1) of the Texas Civil Practices and Remedies
Code to establish venue in Johnson County.
This section provides that venue is proper in the
county where “all or a substantial part of the events
or omissions giving rise to the claim occurred.”
TEX. CIV. PRAC. & REM.CODE ANN. §
15.002(a)(1) (Vernon 2002). This provision limits
the number of counties where venue can be maintained
to those with a substantial connection with
the lawsuit. Chiriboga v. State Farm Mut. Auto. Ins.
Co., 96 S.W.3d 673, 681 (Tex.App.-Austin 2003,
no pet.). Appellant’s factual basis for maintaining
venue in Johnson County is that Johnson County is
where the accident occurred, where appellant’s wife
died, where the bid for the semi-tractor was submitted
and opened by Johnson County representatives,
and where Sims talked to Johnson County representatives
about the semi-tractor. Thus, appellant
contends, Johnson County became the site for a
substantial part of the facts giving rise to his
claims. We agree.
Appellant’s wrongful death claim arose when his
wife died in the accident in Johnson County. See
Ray v. Farris, 887 S.W.2d 164, 166
(Tex.App.-Texarkana 1994,rev’d on other
grounds, 895 S.W.2d 351 (Tex.1995)). Additionally,
appellant’s petition complains about the failure
of Kenworth to inform or warn Johnson County
about the dangerous condition of the semi-tractor,
the breach of various warranties contained in the
bid proposal, and misrepresentations made to Johnson
County with respect to the character or quality
of the semi-tractor. Appellant complains that these
omissions or acts occurred at the time the bid was
delivered to Johnson County representatives in
Johnson County. Because a substantial number of
the essential facts upon which appellant’s claims are
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based occurred in Johnson County, we conclude
venue was proper in Johnson County.
Conceding that there is no dispute that appellant’s
claim arose when the accident occurred in Johnson
County, Kenworth argues that for purposes of a
venue analysis under subsection (a)(1), we must focus
solely on the defendant’s action or inaction giving
rise to appellant’s claims. Specifically, Kenworth
asserts that because appellant’s petition alleges
that it failed to properly repair, service, or inspect
the brakes on the semi-tractor, Tarrant County
is the proper venue under subsection (a)(1) because
that is where these alleged acts or omissions occurred.
FN4 Initially, we *635 note that there is no
indication that the present venue statute contemplates
only one county can satisfy the requirements
of subsection (a)(1). Indeed at least one appellate
court has concluded more than one county may
qualify as proper venue under subsection (a)(1)
provided a “substantial part of the event or omissions”
giving rise to the claim occurred there. See
Southern County Mut. Ins. Co. v. Ochoa, 19
S.W.3d 452, 458 (Tex.App.-Corpus Christi 2000).
Therefore, to succeed on its motion to transfer,
Kenworth had to establish that no substantial part
of the events giving rise to appellant’s claims occurred
in Johnson County, not merely that a substantial
part of the events or omissions occurred in
another county. Kenworth has failed to do so. Even
assuming that Tarrant County qualified as a county
where a substantial part of the events or omissions
giving rise to appellant’s cause of action occurred,
there was probative evidence that Johnson County
also satisfied subsection (a)(1)’s requirements. Accordingly,
the trial court erred in transferring the
case from Johnson County.
FN4. Although Kenworth argued in the trial
court that the appropriate venue under
subsection (a)(1) was Tarrant County,
Kenworth requested the trial court to transfer
the case to Dallas County under subsection
(a)(3) because that is where its principal
place of business is located.
Although our research has revealed no Texas case
directly on point, we find support for our conclusion
in several federal cases. Because subsection
(a)(1) appears to have been patterned after a federal
venue statute, we may presume the legislature intended
to adopt the construction placed on that
wording by the federal courts and look to federal
cases to guide our interpretation of the state
statute.FN5 See id at 457. The ninth circuit has
reasoned that because the harm a plaintiff experienced
occurred in Nevada, venue was proper there
as the location where a substantial part of the
events and omission giving rise to the claim occurred.
See Myers v. Bennett Law Offices, 238
F.3d 1068, 1075 (9th Cir.2001). In product liability
cases against manufacturers, other courts have
stated the accident or crash constituted a substantial
part of the events giving rise to the claim such that
venue is appropriate where the crash or accident occurred.
Cali v. E. Coast Aviation Serv., Ltd., 178
F.Supp.2d 276, 282 (E.D.N.Y.2001) (venue proper
where airplane crashed); Roll v. Tracor, Inc., 26
F.Supp.2d 482, 485 (W.D.N.Y.1998) (venue proper
where accident occurred); and Dwyer v. Gen. Motors
Corp., 853 F.Supp. 690, 692 (S.D.N.Y.1994).
Contrary to Kenworth’s position, federal courts
have interpreted the subsection (a)(1)’s federal
counterpart to allow venue in a district where acts
or omissions closely related to the legal action occurred,
even if none of those acts or omissions were
the act or omission that allegedly caused the injury.
See e.g., Ciena Corp. v. Jarrard, 203 F.3d 312,
315-16 (4th Cir.2000).
FN5. The federal statute provides venue in
a diversity action may be placed in “a judicial
district in which a substantial part of
the events or omission giving rise to the
claim occurred.” 28 U.S.C. § 1391(a)(2).
Because the accident, appellant’s wife’s death, and
other events of which appellant complains occurred
in Johnson County, we conclude that Johnson
County has a close connection to this lawsuit and
that the requirements of subsection (a)(1) have been
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satisfied. We therefore sustain appellant’s first point
of error. Because our determination on the venue
question is dispositive, we do not address appellant’s
remaining points of error. SeeTEX.R.APP. P.
47.1.
We vacate the judgment of the trial court and remand
this case to the trial *636 court for transfer to
the Johnson County trial court for further proceedings
consistent with this opinion.
Tex.App.-Dallas,2004.
Velasco v. Texas Kentworth Co.
144 S.W.3d 632
END OF DOCUMENT
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Williams, McClure & Parmelee is dedicated to high quality legal representation of businesses and insurance companies in a variety of matters. We are experienced Texas civil litigation attorneys based in Fort Worth who know Texas courts and Texas law. For more information, please contact the law firm at 817-335-8800. The firm’s new office location is 5601 Bridge Street, Suite 300, Fort Worth, Texas 76112.

Martindale AVtexas[2]