Texas Overweight and Oversize Loads Law–DMV–Texas Trucking Defense Law

OVERSIZE/OVERWEIGHT LOAD PERMITS Motor carriers transporting a vehicle and/or load exceeding Texas legal size and weight limits must obtain an oversize/overweight permit from the TxDMV. Texas legal size limits are 8 feet 6 inches wide, 14 feet high, and 65 feet in length.* Texas legal gross weight is 80,000 pounds and includes specific limits on axle group weights (single axle – 20,000 pounds, tandem – 34,000 pounds, triple – 42,000 pounds, etc.). For additional information on permit requirements, to download forms, or to submit an online permit application, visit www.txdmv.gov (search “Oversize”) or call TxDMV at 1-800-299-1700 (option 1). *Legal lengths: Truck and trailer combination – 65 feet Truck-tractor – unlimited Truck-tractor combination – overall length unlimited but trailer is limited to 59 feet Semi-trailer (single unit) – 59 feet (double trl) – 28 1/2 feet

 

 

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.

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Certificates of Assumption in Texas Automobile Insurance Policies

Texas Administrative Code Rule Section 5.11
A certificate of assumption may be attached only to an automobile insurance policy issued for an insurer for which a reinsurance assumption agreement has been approved by a commissioner’s order pursuant to 28 Texas Administrative Code §7.604. For utilization under this section, the Texas Department of Insurance adopts by reference a certificate of assumption form which is published by the Texas Department of Insurance and available from the Automobile Division, P.O. Box 149104, Mail Code 104-1A, Austin, Texas 78714-9104.

 

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.

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Chapter 46 and Texas Law on Weapons

Chapter 46: Weapons

Sec. 46.01. DEFINITIONS. In this chapter:

(1) “Club” means an instrument that is specially designed, made, or adapted for the purpose of inflicting serious bodily injury or death by striking a person with the instrument, and includes but is not limited to the following:

(A) blackjack;

(B) nightstick;

(C) mace;

(D) tomahawk.

(2) “Explosive weapon” means any explosive or incendiary bomb, grenade, rocket, or mine, that is designed, made, or adapted for the purpose of inflicting serious bodily injury, death, or substantial property damage, or for the principal purpose of causing such a loud report as to cause undue public alarm or terror, and includes a device designed, made, or adapted for delivery or shooting an explosive weapon.

(3) “Firearm” means any device designed, made, or adapted to expel a projectile through a barrel by using the energy generated by an explosion or burning substance or any device readily convertible to that use. Firearm does not include a firearm that may have, as an integral part, a folding knife blade or other characteristics of weapons made illegal by this chapter and that is:

(A) an antique or curio firearm manufactured before 1899; or

(B) a replica of an antique or curio firearm manufactured before 1899, but only if the replica does not use rim fire or center fire ammunition.

(4) “Firearm silencer” means any device designed, made, or adapted to muffle the report of a firearm.

(5) “Handgun” means any firearm that is designed, made, or adapted to be fired with one hand.

(6) “Illegal knife” means a:

(A) knife with a blade over five and one-half inches;

(B) hand instrument designed to cut or stab another by being thrown;

(C) dagger, including but not limited to a dirk, stiletto, and poniard;

(D) bowie knife;

(E) sword; or

(F) spear.

(7) “Knife” means any bladed hand instrument that is capable of inflicting serious bodily injury or death by cutting or stabbing a person with the instrument.

(8) “Knuckles” means any instrument that consists of finger rings or guards made of a hard substance and that is designed, made, or adapted for the purpose of inflicting serious bodily injury or death by striking a person with a fist enclosed in the knuckles.

(9) “Machine gun” means any firearm that is capable of shooting more than two shots automatically, without manual reloading, by a single function of the trigger.

(10) “Short-barrel firearm” means a rifle with a barrel length of less than 16 inches or a shotgun with a barrel length of less than 18 inches, or any weapon made from a shotgun or rifle if, as altered, it has an overall length of less than 26 inches.

(11) “Switchblade knife” means any knife that has a blade that folds, closes, or retracts into the handle or sheath and that opens automatically by pressure applied to a button or other device located on the handle or opens or releases a blade from the handle or sheath by the force of gravity or by the application of centrifugal force. The term does not include a knife that has a spring, detent, or other mechanism designed to create a bias toward closure and that requires exertion applied to the blade by hand, wrist, or arm to overcome the bias toward closure and open the knife.

(12) “Armor-piercing ammunition” means handgun ammunition that is designed primarily for the purpose of penetrating metal or body armor and to be used principally in pistols and revolvers.

(13) “Hoax bomb” means a device that:

(A) reasonably appears to be an explosive or incendiary device; or

(B) by its design causes alarm or reaction of any type by an official of a public safety agency or a volunteer agency organized to deal with emergencies.

(14) “Chemical dispensing device” means a device, other than a small chemical dispenser sold commercially for personal protection, that is designed, made, or adapted for the purpose of dispensing a substance capable of causing an adverse psychological or physiological effect on a human being.

(15) “Racetrack” has the meaning assigned that term by the Texas Racing Act (Article 179e, Vernon’s Texas Civil Statutes).

(16) “Zip gun” means a device or combination of devices that was not originally a firearm and is adapted to expel a projectile through a smooth-bore or rifled-bore barrel by using the energy generated by an explosion or burning substance.

Sec. 46.02. UNLAWFUL CARRYING WEAPONS.

(a) A person commits an offense if the person intentionally, knowingly, or recklessly carries on or about his or her person a handgun, illegal knife, or club if the person is not:

(1) on the person’s own premises or premises under the person’s control; or

(2) inside of or directly en route to a motor vehicle that is owned by the person or under the person’s control.

(a-1) A person commits an offense if the person intentionally, knowingly, or recklessly carries on or about his or her person a handgun in a motor vehicle that is owned by the person or under the person’s control at any time in which:

(1) the handgun is in plain view; or

(2) the person is:

(A) engaged in criminal activity, other than a Class C misdemeanor that is a violation of a law or ordinance regulating traffic;

(B) prohibited by law from possessing a firearm; or

(C) a member of a criminal street gang, as defined by Section 71.01.

(a-2) For purposes of this section, “premises” includes real property and a recreational vehicle that is being used as living quarters, regardless of whether that use is temporary or permanent. In this subsection, “recreational vehicle” means a motor vehicle primarily designed as temporary living quarters or a vehicle that contains temporary living quarters and is designed to be towed by a motor vehicle. The term includes a travel trailer, camping trailer, truck camper, motor home, and horse trailer with living quarters.

(b) Except as provided by Subsection (c), an offense under this section is a Class A misdemeanor.

(c) An offense under this section is a felony of the third degree if the offense is committed on any premises licensed or issued a permit by this state for the sale of alcoholic beverages.

Sec. 46.03. PLACES WEAPONS PROHIBITED.

(a) A person commits an offense if the person intentionally, knowingly, or recklessly possesses or goes with a firearm, illegal knife, club, or prohibited weapon listed in Section 46.05(a):

(1) on the physical premises of a school or educational institution, any grounds or building on which an activity sponsored by a school or educational institution is being conducted, or a passenger transportation vehicle of a school or educational institution, whether the school or educational institution is public or private, unless pursuant to written regulations or written authorization of the institution;

(2) on the premises of a polling place on the day of an election or while early voting is in progress;

(3) on the premises of any government court or offices utilized by the court, unless pursuant to written regulations or written authorization of the court;

(4) on the premises of a racetrack;

(5) in or into a secured area of an airport; or

(6) within 1,000 feet of premises the location of which is designated by the Texas Department of Criminal Justice as a place of execution under Article 43.19, Code of Criminal Procedure, on a day that a sentence of death is set to be imposed on the designated premises and the person received notice that:

(A) going within 1,000 feet of the premises with a weapon listed under this subsection was prohibited; or

(B) possessing a weapon listed under this subsection within 1,000 feet of the premises was prohibited.

(b) It is a defense to prosecution under Subsections (a)(1)-(4) that the actor possessed a firearm while in the actual discharge of his official duties as a member of the armed forces or national guard or a guard employed by a penal institution, or an officer of the court.

(c) In this section:

(1) “Premises” has the meaning assigned by Section 46.035.

(2) “Secured area” means an area of an airport terminal building to which access is controlled by the inspection of persons and property under federal law.

(d) It is a defense to prosecution under Subsection (a)(5) that the actor possessed a firearm or club while traveling to or from the actor’s place of assignment or in the actual discharge of duties as:

(1) a member of the armed forces or national guard;

(2) a guard employed by a penal institution; or

(3) a security officer commissioned by the Texas Private Security Board if:

(A) the actor is wearing a distinctive uniform; and

(B) the firearm or club is in plain view; or

(4) a security officer who holds a personal protection authorization under Chapter 1702, Occupations Code, provided that the officer is either:

(A) wearing the uniform of a security officer, including any uniform or apparel described by Section 1702.323(d), Occupations Code, and carrying the officer’s firearm in plain view; or

(B) not wearing the uniform of a security officer and carrying the officer’s firearm in a concealed manner.

(e) It is a defense to prosecution under Subsection (a)(5) that the actor checked all firearms as baggage in accordance with federal or state law or regulations before entering a secured area.

(f) It is not a defense to prosecution under this section that the actor possessed a handgun and was licensed to carry a concealed handgun under Subchapter H, Chapter 411, Government Code.

(g) An offense under this section is a third degree felony.

(h) It is a defense to prosecution under Subsection (a)(4) that the actor possessed a firearm or club while traveling to or from the actor’s place of assignment or in the actual discharge of duties as a security officer commissioned by the Texas Board of Private Investigators and Private Security Agencies, if:

(1) the actor is wearing a distinctive uniform; and

(2) the firearm or club is in plain view.

(i) It is an exception to the application of Subsection (a)(6) that the actor possessed a firearm or club:

(1) while in a vehicle being driven on a public road; or

(2) at the actor’s residence or place of employment.

Sec. 46.04. UNLAWFUL POSSESSION OF FIREARM.

(a) A person who has been convicted of a felony commits an offense if he possesses a firearm:

(1) after conviction and before the fifth anniversary of the person’s release from confinement following conviction of the felony or the person’s release from supervision under community supervision, parole, or mandatory supervision, whichever date is later; or

(2) after the period described by Subdivision (1), at any location other than the premises at which the person lives.

(b) A person who has been convicted of an offense under Section 22.01, punishable as a Class A misdemeanor and involving a member of the person’s family or household, commits an offense if the person possesses a firearm before the fifth anniversary of the later of:

(1) the date of the person’s release from confinement following conviction of the misdemeanor; or

(2) the date of the person’s release from community supervision following conviction of the misdemeanor.

(c) A person, other than a peace officer, as defined by Section 1.07, actively engaged in employment as a sworn, full-time paid employee of a state agency or political subdivision, who is subject to an order issued under Section 6.504 or Chapter 85, Family Code, under Article 17.292 or Chapter 7A, Code of Criminal Procedure, or by another jurisdiction as provided by Chapter 88, Family Code, commits an offense if the person possesses a firearm after receiving notice of the order and before expiration of the order.

(d) In this section, “family,” “household,” and “member of a household” have the meanings assigned by Chapter 71, Family Code.

(e) An offense under Subsection (a) is a felony of the third degree. An offense under Subsection (b) or (c) is a Class A misdemeanor.

(f) For the purposes of this section, an offense under the laws of this state, another state, or the United States is, except as provided by Subsection (g), a felony if, at the time it is committed, the offense:

(1) is designated by a law of this state as a felony;

(2) contains all the elements of an offense designated by a law of this state as a felony; or

(3) is punishable by confinement for one year or more in a penitentiary.

(g) An offense is not considered a felony for purposes of Subsection (f) if, at the time the person possesses a firearm, the offense:

(1) is not designated by a law of this state as a felony; and

(2) does not contain all the elements of any offense designated by a law of this state as a felony.

Sec. 46.041. UNLAWFUL POSSESSION OF METAL OR BODY ARMOR BY FELON.

(a) In this section, “metal or body armor” means any body covering manifestly designed, made, or adapted for the purpose of protecting a person against gunfire.

(b) A person who has been convicted of a felony commits an offense if after the conviction the person possesses metal or body armor.

(c) An offense under this section is a felony of the third degree.

Sec. 46.05. PROHIBITED WEAPONS.

(a) A person commits an offense if he intentionally or knowingly possesses, manufactures, transports, repairs, or sells:

(1) an explosive weapon;

(2) a machine gun;

(3) a short-barrel firearm;

(4) a firearm silencer;

(5) a switchblade knife;

(6) knuckles;

(7) armor-piercing ammunition;

(8) a chemical dispensing device; or

(9) a zip gun.

(b) It is a defense to prosecution under this section that the actor’s conduct was incidental to the performance of official duty by the armed forces or national guard, a governmental law enforcement agency, or a correctional facility.

(c) It is a defense to prosecution under this section that the actor’s possession was pursuant to registration pursuant to the National Firearms Act, as amended.

(d) It is an affirmative defense to prosecution under this section that the actor’s conduct:

(1) was incidental to dealing with a switchblade knife, springblade knife, or short-barrel firearm solely as an antique or curio; or

(2) was incidental to dealing with armor-piercing ammunition solely for the purpose of making the ammunition available to an organization, agency, or institution listed in Subsection (b).

(e) An offense under this section is a felony of the third degree unless it is committed under Subsection (a)(5) or (a)(6), in which event, it is a Class A misdemeanor.

(f) It is a defense to prosecution under this section for the possession of a chemical dispensing device that the actor is a security officer and has received training on the use of the chemical dispensing device by a training program that is:

(1) provided by the Commission on Law Enforcement Officer Standards and Education; or

(2) approved for the purposes described by this subsection by the Texas Private Security Board of the Department of Public Safety.

(g) In Subsection (f), “security officer” means a commissioned security officer as defined by Section 1702.002, Occupations Code, or a noncommissioned security officer registered under Section 1702.221, Occupations Code.

Sec. 46.06. UNLAWFUL TRANSFER OF CERTAIN WEAPONS

.

(a) A person commits an offense if the person:

(1) sells, rents, leases, loans, or gives a handgun to any person knowing that the person to whom the handgun is to be delivered intends to use it unlawfully or in the commission of an unlawful act;

(2) intentionally or knowingly sells, rents, leases, or gives or offers to sell, rent, lease, or give to any child younger than 18 years any firearm, club, or illegal knife;

(3) intentionally, knowingly, or recklessly sells a firearm or ammunition for a firearm to any person who is intoxicated;

(4) knowingly sells a firearm or ammunition for a firearm to any person who has been convicted of a felony before the fifth anniversary of the later of the following dates:

(A) the person’s release from confinement following conviction of the felony; or

(B) the person’s release from supervision under community supervision, parole, or mandatory supervision following conviction of the felony;

(5) sells, rents, leases, loans, or gives a handgun to any person knowing that an active protective order is directed to the person to whom the handgun is to be delivered; or

(6) knowingly purchases, rents, leases, or receives as a loan or gift from another a handgun while an active protective order is directed to the actor.

(b) In this section:

(1) “Intoxicated” means substantial impairment of mental or physical capacity resulting from introduction of any substance into the body.

(2) “Active protective order” means a protective order issued under Title 4, Family Code, that is in effect. The term does not include a temporary protective order issued before the court holds a hearing on the matter.

(c) It is an affirmative defense to prosecution under Subsection (a)(2) that the transfer was to a minor whose parent or the person having legal custody of the minor had given written permission for the sale or, if the transfer was other than a sale, the parent or person having legal custody had given effective consent.

(d) An offense under this section is a Class A misdemeanor, except that an offense under Subsection (a)(2) is a state jail felony if the weapon that is the subject of the offense is a handgun.

Sec. 46.07. INTERSTATE PURCHASE

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A resident of this state may, if not otherwise precluded by law, purchase firearms, ammunition, reloading components, or firearm accessories in another state. This authorization is enacted in conformance with 18 U.S.C. Section 922(b)(3)(A).

Sec. 46.10. DEADLY WEAPON IN PENAL INSTITUTION

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(a) A person commits an offense if, while confined in a penal institution, he intentionally, knowingly, or recklessly:

(1) carries on or about his person a deadly weapon; or

(2) possesses or conceals a deadly weapon in the penal institution

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(b) It is an affirmative defense to prosecution under this section that at the time of the offense the actor was engaged in conduct authorized by an employee of the penal institution.

(c) A person who is subject to prosecution under both this section and another section under this chapter may be prosecuted under either section.

(d) An offense under this section is a felony of the third degree.

Sec. 46.11. PENALTY IF OFFENSE COMMITTED WITHIN WEAPON-FREE SCHOOL ZONE

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(a) Except as provided by Subsection (b), the punishment prescribed for an offense under this chapter is increased to the punishment prescribed for the next highest category of offense if it is shown beyond a reasonable doubt on the trial of the offense that the actor committed the offense in a place that the actor knew was:

(1) within 300 feet of the premises of a school; or

(2) on premises where:

(A) an official school function is taking place; or

(B) an event sponsored or sanctioned by the University Interscholastic League is taking place.

(b) This section does not apply to an offense under Section 46.03(a)(1).

(c) In this section:

(1) “Institution of higher education” and “premises” have the meanings assigned by Section 481.134, Health and Safety Code.

(2) “School” means a private or public elementary or secondary school.

Sec. 46.12. MAPS AS EVIDENCE OF LOCATION OR AREA

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(a) In a prosecution of an offense for which punishment is increased under Section 46.11, a map produced or reproduced by a municipal or county engineer for the purpose of showing the location and boundaries of weapon-free zones is admissible in evidence and is prima facie evidence of the location or boundaries of those areas if the governing body of the municipality or county adopts a resolution or ordinance approving the map as an official finding and record of the location or boundaries of those areas.

(b) A municipal or county engineer may, on request of the governing body of the municipality or county, revise a map that has been approved by the governing body of the municipality or county as provided by Subsection (a).

(c) A municipal or county engineer shall file the original or a copy of every approved or revised map approved as provided by Subsection (a) with the county clerk of each county in which the area is located.

(d) This section does not prevent the prosecution from:

(1) introducing or relying on any other evidence or testimony to establish any element of an offense for which punishment is increased under Section 46.11; or

(2) using or introducing any other map or diagram otherwise admissible under the Texas Rules of Evidence.

Sec. 46.13. MAKING A FIREARM ACCESSIBLE TO A CHILD

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(a) In this section:

(1) “Child” means a person younger than 17 years of age.

(2) “Readily dischargeable firearm” means a firearm that is loaded with ammunition, whether or not a round is in the chamber.

(3) “Secure” means to take steps that a reasonable person would take to prevent the access to a readily dischargeable firearm by a child, including but not limited to placing a firearm in a locked container or temporarily rendering the firearm inoperable by a trigger lock or other means.

(b) A person commits an offense if a child gains access to a readily dischargeable firearm and the person with criminal negligence:

(1) failed to secure the firearm; or

(2) left the firearm in a place to which the person knew or should have known the child would gain access.

(c) It is an affirmative defense to prosecution under this section that the child’s access to the firearm:

(1) was supervised by a person older than 18 years of age and was for hunting, sporting, or other lawful purposes;

(2) consisted of lawful defense by the child of people or property;

(3) was gained by entering property in violation of this code; or

(4) occurred during a time when the actor was engaged in an agricultural enterprise.

(d) Except as provided by Subsection (e), an offense under this section is a Class C misdemeanor.

(e) An offense under this section is a Class A misdemeanor if the child discharges the firearm and causes death or serious bodily injury to himself or another person.

(f) A peace officer or other person may not arrest the actor before the seventh day after the date on which the offense is committed if:

(1) the actor is a member of the family, as defined by Section 71.003, Family Code, of the child who discharged the firearm; and

(2) the child in discharging the firearm caused the death of or serious injury to the child.

(g) A dealer of firearms shall post in a conspicuous position on the premises where the dealer conducts business a sign that contains the following warning in block letters not less than one inch in height:

“IT IS UNLAWFUL TO STORE, TRANSPORT, OR ABANDON AN UNSECURED FIREARM IN A PLACE WHERE CHILDREN ARE LIKELY TO BE AND CAN OBTAIN ACCESS TO THE FIREARM.”

Sec. 46.14. FIREARM SMUGGLING

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(a) A person commits an offense if the person knowingly engages in the business of transporting or transferring a firearm that the person knows was acquired in violation of the laws of any state or of the United States. For purposes of this subsection, a person is considered to engage in the business of transporting or transferring a firearm if the person engages in that conduct:

(1) on more than one occasion; or

(2) for profit or any other form of remuneration.

(b) An offense under this section is a felony of the third degree, unless it is shown on the trial of the offense that the offense was committed with respect to three or more firearms in a single criminal episode, in which event the offense is a felony of the second degree.

(c) This section does not apply to a peace officer who is engaged in the actual discharge of an official duty.

(d) If conduct that constitutes an offense under this section also constitutes an offense under any other law, the actor may be prosecuted under this section, the other law, or both.

Sec. 46.15. NONAPPLICABILITY.

(a) Sections 46.02 and 46.03 do not apply to:

(1) peace officers or special investigators under Article 2.122, Code of Criminal Procedure, and neither section prohibits a peace officer or special investigator from carrying a weapon in this state, including in an establishment in this state serving the public, regardless of whether the peace officer or special investigator is engaged in the actual discharge of the officer’s or investigator’s duties while carrying the weapon;

(2) parole officers and neither section prohibits an officer from carrying a weapon in this state if the officer is:

(A) engaged in the actual discharge of the officer’s duties while carrying the weapon; and

(B) in compliance with policies and procedures adopted by the Texas Department of Criminal Justice regarding the possession of a weapon by an officer while on duty;

(3) community supervision and corrections department officers appointed or employed under Section 76.004, Government Code, and neither section prohibits an officer from carrying a weapon in this state if the officer is:

(A) engaged in the actual discharge of the officer’s duties while carrying the weapon; and

(B) authorized to carry a weapon under Section 76.0051, Government Code;

(4) a judge or justice of a federal court, the supreme court, the court of criminal appeals, a court of appeals, a district court, a criminal district court, a constitutional county court, a statutory county court, a justice court, or a municipal court who is licensed to carry a concealed handgun under Subchapter H, Chapter 411, Government Code;

(5) an honorably retired peace officer or federal criminal investigator who holds a certificate of proficiency issued under Section 1701.357, Occupations Code, and is carrying a photo identification that:

(A) verifies that the officer honorably retired after not less than 15 years of service as a commissioned officer; and

(B) is issued by a state or local law enforcement agency;

(6) a district attorney, criminal district attorney, county attorney, or municipal attorney who is licensed to carry a concealed handgun under Subchapter H, Chapter 411, Government Code;

(7) an assistant district attorney, assistant criminal district attorney, or assistant county attorney who is licensed to carry a concealed handgun under Subchapter H, Chapter 411, Government Code;

(8) a bailiff designated by an active judicial officer as defined by Section 411.201, Government Code, who is:

(A) licensed to carry a concealed handgun under Chapter 411, Government Code; and

(B) engaged in escorting the judicial officer; or

(9) a juvenile probation officer who is authorized to carry a firearm under Section 142.006, Human Resources Code.

(b) Section 46.02 does not apply to a person who:

(1) is in the actual discharge of official duties as a member of the armed forces or state military forces as defined by Section 431.001, Government Code, or as a guard employed by a penal institution;

(2) is traveling;

(3) is engaging in lawful hunting, fishing, or other sporting activity on the immediate premises where the activity is conducted, or is en route between the premises and the actor’s residence or motor vehicle, if the weapon is a type commonly used in the activity;

(4) holds a security officer commission issued by the Texas Private Security Board, if the person is engaged in the performance of the person’s duties as an officer commissioned under Chapter 1702, Occupations Code, or is traveling to or from the person’s place of assignment and is wearing the officer’s uniform and carrying the officer’s weapon in plain view;

(5) acts as a personal protection officer and carries the person’s security officer commission and personal protection officer authorization, if the person:

(A) is engaged in the performance of the person’s duties as a personal protection officer under Chapter 1702, Occupations Code, or is traveling to or from the person’s place of assignment; and

(B) is either:

(i) wearing the uniform of a security officer, including any uniform or apparel described by Section 1702.323(d), Occupations Code, and carrying the officer’s weapon in plain view; or

(ii) not wearing the uniform of a security officer and carrying the officer’s weapon in a concealed manner;

(6) is carrying a concealed handgun and a valid license issued under Subchapter H, Chapter 411, Government Code, to carry a concealed handgun of the same category as the handgun the person is carrying;

(7) holds an alcoholic beverage permit or license or is an employee of a holder of an alcoholic beverage permit or license if the person is supervising the operation of the permitted or licensed premises; or

(8) is a student in a law enforcement class engaging in an activity required as part of the class, if the weapon is a type commonly used in the activity and the person is:

(A) on the immediate premises where the activity is conducted; or

(B) en route between those premises and the person’s residence and is carrying the weapon unloaded.

(c) The provision of Section 46.02 prohibiting the carrying of a club does not apply to a noncommissioned security guard at an institution of higher education who carries a nightstick or similar club, and who has undergone 15 hours of training in the proper use of the club, including at least seven hours of training in the use of the club for nonviolent restraint. For the purposes of this subsection, “nonviolent restraint” means the use of reasonable force, not intended and not likely to inflict bodily injury.

(d) The provisions of Section 46.02 prohibiting the carrying of a firearm or carrying of a club do not apply to a public security officer employed by the adjutant general under Section 431.029, Government Code, in performance of official duties or while traveling to or from a place of duty.

(e) The provisions of Section 46.02 prohibiting the carrying of an illegal knife do not apply to an individual carrying a bowie knife or a sword used in a historical demonstration or in a ceremony in which the knife or sword is significant to the performance of the ceremony.

(f) Section 46.03(a)(6) does not apply to a person who possesses a firearm or club while in the actual discharge of official duties as:

(1) a member of the armed forces or state military forces, as defined by Section 431.001, Government Code; or

(2) an employee of a penal institution.

(g) The provisions of Sections 46.02 and 46.03 prohibiting the possession or carrying of a club do not apply to an animal control officer who holds a certificate issued under Section 829.006, Health and Safety Code, and who possesses or carries an instrument used specifically for deterring the bite of an animal while the officer is in the performance of official duties under the Health and Safety Code or is traveling to or from a place of duty.

(h) Repealed by Acts 2007, 80th Leg., R.S., Ch. 693, Sec. 3(1), eff. September 1, 2007.

(i) Repealed by Acts 2007, 80th Leg., R.S., Ch. 693, Sec. 3(2), eff. September 1, 2007.

(j) The provisions of Section 46.02 prohibiting the carrying of a handgun do not apply to an individual who carries a handgun as a participant in a historical reenactment performed in accordance with the rules of the Texas Alcoholic Beverage Commission.

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.

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RIMS ERM Conference 2015 Program Now Available

 

The RIMS ERM Conference 2015 program is now available. Join us on October 26-27 in Chicago and attend practical ERM presentations led by experienced speakers from DePaul University, Five Guys Enterprises, Harley-Davidson, PwC, The Kraft Heinz Company, Walgreen’s and more.

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]

OSHA Safety: El Paso, Texas Manufacturing Company Faces Fines–Texas Workplace Safety Law

OSHA News Release: With long history of violations, El Paso, Texas, company faces more than $321K in federal fines [07/13/2015]

With long history of violations, El Paso, Texas, company faces more than $321K in federal fines

D&D Manufacturing ignores worker safety repeatedly, allows operation of defective press

EL PASO, Texas — With a history of safety violations dating back 15 years, an El Paso metal stamping plant is no stranger to warnings from the U.S. Department of Labor’s Occupational Safety and Health Administration.

OSHA issued 13 safety and health citations to D&D Manufacturing Inc. today following a recent inspection prompted by a formal complaint. The inspection identified 13 safety and health citations for exposing workers to amputations and other serious injuries from unsafe machinery, including a violation for ignoring the danger of allowing employees to work with a defective 500-ton metal press that the company knew had repeatedly dropped without warning.

Completed under OSHA’s National Emphasis Program on Amputations, the inspection resulted in $321,750 in proposed department fines for D&D. This inspection follows one in December 2014 that resulted in 36 federal citations for serious safety violations.

“D&D is aware of the dangers at its production facility, but has done nothing to correct them. An employee could have been seriously injured,” said Diego Alvarado Jr., OSHA’s area director in El Paso. “There is no reason, or excuse for a company to ignore basic safety requirements.”

OSHA cited the company for four willful, one repeated, six serious and two other violations. In addition to allowing workers to use the defective press, D&D did not ensure that employees on the production floor wore appropriate eye protection, given the risk of flying metal particles blinding them.

Additionally, the company failed to make sure employees used hearing protection in areas where noise levels were above the acceptable limits. The repeated violation was for failing to have all illuminated exit signs lit.

View the citations at https://www.osha.gov/ooc/citations/D_D_Manufacturing_1018388_0710_15.pdf

D&D Manufacturing fabricates stamped, metal components for equipment manufacturers. The company has headquarters in Bolingbrook, Illinois, and employs about 37 workers in El Paso. It also has a facility in Mexico. D&D has 15 business days from receipt of its citations to comply, request an informal conference with OSHA’s El Paso area director, or contest the citations and penalties before the independent Occupational Safety and Health Review Commission.

To ask questions, obtain compliance assistance, file a complaint, or report amputations, eye loss, workplace hospitalizations, fatalities or situations posing imminent danger to workers, the public should call OSHA’s toll-free hotline at 800-321-OSHA (6742) or the agency’s El Paso Area Office at 915-534-6251.

Under the Occupational Safety and Health Act of 1970, employers are responsible for providing safe and healthful workplaces for their employees. OSHA’s role is to ensure these conditions for America’s working men and women by setting and enforcing standards, and providing training, education and assistance. For more information, visit http://www.osha.gov.

OSHA News Release: [07/13/2015]
Contact Name: Diana Petterson or Juan Rodriguez
Phone Number: (972) 850-4710 or x4709
Email: Petterson.Diana@dol.gov or Rodriguez.Juan@dol.gov
Release Number: 15-1354-DAL

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]

Coverage Dispute, Insured Versus Insurer–Texas Insurance Defense Litigation Case

United States District Court,
N.D. Texas,
Dallas Division.
CENTEX HOMES, a Nevada
General Partnership, Plaintiff,
v.
LEXINGTON INSURANCE COMPANY, Defendant.
No. 3:13–cv–719–BN. | Signed
March 24, 2014. | Filed March 25, 2014.

Opinion
MEMORANDUM OPINION & ORDER ON
DEFENDANT’S MOTION FOR PARTIAL
SUMMARY JUDGMENT REGARDING
RIGHT TO CONTROL DEFENSE
DAVID L. HORAN, United States Magistrate Judge.
*1 Defendant Lexington Insurance Company (“Defendant”
or “Lexington”) has filed a motion for partial summary
judgment. See Motion for Partial Summary Judgment
regarding Right to Control Defense [Dkt. No. 43]. Plaintiff
Centex Homes (“Plaintiff” or “Centex”) filed a Response
[Dkt. Nos. 60 & 61], and Defendant filed a Reply [Dkt. No.
67].
Plaintiff also filed a motion to strike evidence submitted by
Defendant with its reply, see Dkt. No. 68, to which Defendant
filed no response. No response having been filed, and the
Court having not considered any of the evidence in reaching
its decision, Plaintiff’s motion to strike [Dkt. No. 68] is
DENIED as moot.
The Court makes the following rulings with respect to
Defendant’s Motion for Partial Summary Judgment.
Background
This case involves a coverage dispute between an insured and
insurer. Plaintiff is primarily in the business of designing,
developing, and constructing condominiums and other
housing complexes throughout the country. See Dkt. No. 66
at 2. In constructing these condominium projects, Plaintiff
purchases “wrap” insurance policies that cover Plaintiff as
a general contractor and all subcontractors performing work
in connection with the insured project. See id. at 3. Plaintiff
purchased five such wrap policies from Defendant, but only
two of these policies are at issue in Defendant’s Motion for
Partial Summary Judgment, so the Court will only summarize
the facts related to the two relevant policies.
The following facts are undisputed. The Element
Development Project (“Element”) involves an eight-story
condominium built by Plaintiff in San Diego, California. See
Dkt. No. 66 at 3. Plaintiff purchased a “wrap” policy on
the Element Project (the “Element Policy”). See id. Under
the Element Policy, there is an “each occurrence” limit
of $5,000,000 and a “Retained Amount” of $500,000 for
“each occurrence.” See Dkt. No. 63–2 at 1. In other words,
Defendant is not obligated to make any payments under
the Element Policy until Plaintiff has reached its Retained
Amount of $500,000. The Element Policy mandated a “Joint
Defense Approach,” which reflects that the named insured
would cooperate with Defendant in connection with the
investigation, defense, and resolution of any occurrence,
offense, claim, or suit under the Policy. See Dkt. No. 43–1
at 65. In April 2009, members of the Element Homeowners’
Association filed suit in California against Plaintiff (the
“Element Litigation”) for several causes of action, including
construction defects. See id. at 4; Dkt. No. 63–5 at 1 (Second
Amended Complaint in Element Litigation). Plaintiff and
Defendant offer different accounts as to what transpired after
the Element Litigation was filed, as detailed below.
The Astoria Development Project (“Astoria”) involves a
15–building condominium project located in Sacramento,
California. See Dkt. No. 66 at 5. Plaintiff purchased a
“wrap” policy on the Astoria Project (the “Astoria Policy”).
See Dkt. No. 66 at 3. Under the Astoria Policy, there is
an “each occurrence” limit of $5,000,000 and a “Retained
Amount” of $150,000 for “each occurrence.” See Dkt. No.
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63–2 at 1. In other words, Defendant is not obligated to make
any payments under the Astoria Policy until Plaintiff has
reached its Retained Amount of $150,000. The Astoria Policy
also mandated a “Joint Defense Approach,” which reflects
that the named insured would cooperate with Defendant in
connection with the investigation, defense, and resolution
of any occurrence, offense, claim, or suit under the Policy.
See Dkt. No. 43–1 at 22. In February 2011, members of the
Astoria Owners’ Association filed suit in California against
Plaintiff (“Astoria Litigation”) for several causes of action,
including construction defects. See Dkt. No. 43–1 at 85.
Plaintiff and Defendant offer different accounts as to what
transpired after the Astoria Litigation was filed, as detailed
below.
*2 Plaintiff and Defendant disagree with respect to the
following: Plaintiff’s exhaustion of the retention amounts
under the Policies; the timing of Defendant’s agreement
to provide a defense; Defendant’s reservation of rights
explanation; Defendant’s payment of defense costs; and
when Defendant provided notification that Plaintiff’s selected
counsel—Newmeyer & Dillion—was not acceptable.
Defendant claims that Plaintiff did not provide the proof
of its payment and satisfaction of the applicable Retained
Amounts for both the Astoria Litigation and Element
Litigation (collectively, the “Underlying Litigation”), as
required under the Policies, until much later than Plaintiff
claims that it did. See Dkt. No. 43 at 5. Defendant further
contends that it immediately told Plaintiff that it would not
agree to Newmeyer & Dillion’s continuing its representation
of Plaintiff in the Underlying Litigation and that this
information is covered in its Claim Account Instructions,
which Defendant provided to its insureds. See Dkt. No. 43–
1 at 119–136. Defendant takes the position that, in the face
of Defendant’s stance on legal counsel, Plaintiff refused to
switch counsel in violation of Plaintiff’s obligations under the
Element and Astoria Policies. See Dkt. No. 43–1 at 140–142.
Plaintiff counters that it properly provided Defendant with
notice of the Underlying Litigation and that, in that timely
notice, Plaintiff informed Defendant that Newmeyer &
Dillion was acting as counsel. See Dkt. No. 63–4 at 75 (¶¶ 9–
11) (Element); Dkt. No. 63–6 at 23 (Astoria). Plaintiff claims
that it provided the proof of its payment and satisfaction
of the applicable Retained Amounts sooner than Defendant
alleges: April 2012 for Astoria, see Dkt. No. 63–6 at 35, and
November 15, 2011 for Element, see Dkt. No. 63–3 at 90.
Plaintiff contends that Defendant did not agree to defend the
Astoria Litigation until November 2012, see Dkt. No 63–1 at
4 (¶ 20), and did not agree to defend the Element Litigation
until April 2012, see id. at 5 (¶ 31). Plaintiff reports that
Defendant made no payments on the Astoria Litigation until
April 2013 and did not provide a reservation of rights until
October 2013. See Dkt. No. 63–1 at 3 (¶ 18). As for the
Element Litigation, Plaintiff states that Defendant made no
payments until April 2013 and did not provide a reservation of
rights until April 2012. See Dkt. No. 63–1 at 6 (¶ 33); Dkt. No.
63–3 at 52–89. Plaintiff contends that Defendant has not made
all payments required under the Policies and has improperly
refused to let Plaintiff select its defense counsel.
Plaintiff brought this lawsuit against Defendant on January
10, 2013 in Texas state court. See Dkt. No. 1. The case
was removed to this Court. Plaintiff asserts several causes
of action, which Defendant denies. Defendant also brings
counterclaims, including the declaratory judgment action on
which it now seeks summary judgment.
Legal Standards
*3 Under Fed.R.Civ.P. 56, summary judgment is proper
“if the movant shows that there is no genuine dispute as to
any material fact and the movant is entitled to judgment as
a matter of law.” FED. R. CIV. P. 56(a). A factual “issue
is material if its resolution could affect the outcome of the
action.” Weeks Marine, Inc. v. Fireman’s Fund Ins. Co., 340
F.3d 233, 235 (5th Cir.2003). “A factual dispute is ‘genuine,’
if the evidence is such that a reasonable [trier of fact] could
return a verdict for the nonmoving party.” Crowe v. Henry,
115 F.3d 294, 296 (5th Cir.1997).
If the moving party seeks summary judgment as to his
opponent’s claims or defenses, “[t]he moving party bears the
initial burden of identifying those portions of the pleadings
and discovery in the record that it believes demonstrate the
absence of a genuine issue of material fact, but is not required
to negate elements of the nonmoving party’s case.” Lynch
Props., Inc. v. Potomac Ins. Co., 140 F.3d 622, 625 (5th
Cir.1998). “Once the moving party meets this burden, the
nonmoving party must set forth”—and submit evidence of
—“specific facts showing a genuine issue for trial and not rest
upon the allegations or denials contained in its pleadings.” Id.;
Little v. Liquid Air Corp., 37 F.3d 1069, 1075 (5th Cir.1994)
(en banc).
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The Court is required to view all facts and draw all reasonable
inferences in the light most favorable to the nonmoving party
and resolve all disputed factual controversies in favor of the
nonmoving party—but only if both parties have introduced
evidence showing that an actual controversy exists. See
Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 255, 106 S.Ct.
2505, 91 L.Ed.2d 202 (1986); Boudreaux v. Swift Transp.
Co., Inc., 402 F.3d 536, 540 (5th Cir.2005); Lynch Props.,
140 F.3d at 625. “Unsubstantiated assertions, improbable
inferences, and unsupported speculation are not sufficient
to defeat a motion for summary judgment,” Brown v. City
of Houston, 337 F.3d 539, 541 (5th Cir.2003), and neither
will “only a scintilla of evidence” meet the nonmovant’s
burden, Little, 37 F.3d at 1075. Rather, the non-moving party
must “set forth specific facts showing the existence of a
‘genuine’ issue concerning every essential component of its
case.” Morris v. Covan World Wide Moving, Inc., 144 F.3d
377, 380 (5th Cir.1998). If, “after the nonmovant has been
given an opportunity to raise a genuine factual issue,” “the
record, taken as a whole, could not lead a rational trier of fact
to find for the non-moving party, then there is no genuine
issue for trial.” DIRECTV, Inc. v. Minor, 420 F.3d 546,
549 (5th Cir.2005); Steadman v. Texas Rangers, 179 F.3d
360, 366 (5th Cir.1999). The Court will not assume “in the
absence of any proof … that the nonmoving party could or
would prove the necessary facts” and will grant summary
judgment “in any case where critical evidence is so weak
or tenuous on an essential fact that it could not support a
judgment in favor of the nonmovant.” Little, 37 F.3d at 1075.
“Rule 56 does not impose upon the district court a duty to
sift through the record in search of evidence to support a
party’s opposition to summary judgment,” and “[a] failure on
the part of the nonmoving party to offer proof concerning
an essential element of its case necessarily renders all other
facts immaterial and mandates a finding that no genuine issue
of fact exists.” Adams v. Travelers Indem. Co. of Conn.,
465 F.3d 156, 164 (5th Cir.2006) (internal quotation marks
omitted).
*4 If, on the other hand, “the movant bears the burden of
proof on an issue, either because he is the plaintiff or as
a defendant he is asserting an affirmative defense, he must
establish beyond peradventure all of the essential elements
of the claim or defense to warrant judgment in his favor.”
Fontenot v. Upjohn Co. ., 780 F.2d 1190, 1194 (5th Cir.1986).
The “beyond peradventure” standard imposes a “heavy”
burden. Cont’l Cas. Co. v. St. Paul Fire & Marine Ins. Co.,
No. 3:04–cv–1866–D, 2007 WL 2403656, at *10 (N.D.Tex.
Aug.23, 2007). The moving party must demonstrate that there
are no genuine and material fact disputes and that the party
is entitled to summary judgment as a matter of law. See,
e.g., Martin v. Alamo Cmty. Coll. Dist., 353 F.3d 409, 412
(5th Cir.2003). On such a motion, the Court will, again,
“draw all reasonable inferences in favor of the non-moving
party.” Chaplin v. NationsCredit Corp., 307 F.3d 368, 372
(5th Cir.2002).
Analysis
Lexington moves for summary judgment on Count One of
its counterclaims, which seeks declaratory judgment on the
following three issues: (a) Defendant has the right to control
the defense of Centex in the Astoria and Element Litigation;
(b) Plaintiff is not entitled to the appointment of independent
counsel under California Civil Code § 2860; and (c) Plaintiff
breached its duty to cooperate under the Astoria Policy and
Element Policy by refusing to acknowledge that Defendant
had a right to control the defense and select counsel and
by insisting that Defendant continue to pay Newmeyer &
Dillion’s fees and costs.
As an initial matter, the parties disagree as to whether
California or Texas law applies to Defendant’s declaratory
judgment claims. Defendant argues that California law
applies and that, under California Civil Code section 2860,
Plaintiff was not entitled to independent counsel. See Dkt. No.
43; Dkt No. 67. Plaintiff contends that Texas law applies and
that, under Texas law, Plaintiff was entitled to independent
counsel. See Dkt. No. 61. Both parties argue that, even if the
other jurisdiction’s law applies, its position is correct.
Because the parties disagree on which law applies, and on
whether the outcome under each law differs, the Court must
first undertake a choice-of-law analysis. Once the choiceof-
law analysis is complete, the Court will turn to whether
summary judgment is appropriate on any of Defendant’s
declaratory judgment causes of action.
1. Texas Law Applies to Defendant’s Declaratory
Judgment Claims Regarding Right to Control and
Selection of Independent Counsel.
Before deciding which state’s substantive law should control
the issues raised by the parties here, “the Court must first
determine which choice-of-law rules should be applied.” In
re Soporex, Inc. ., 446 B.R. 750, 761 (Bankr.N.D.Tex.2011).
Here, both parties assert that Texas choice-of-law rules should
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determine the applicable laws in this case. See Dkt. No. 43 at
8–9; Dkt. No. 61 at 20–21.
*5 Texas courts utilize the “most significant relationship”
test to determine which state’s law applies to a particular
substantive issue. See Coghlan v. Wellcraft Marine Corp.,
240 F.3d 449, 452 n. 2 (5th Cir.2001) (citing Duncan v.
Cessna Aircraft Co., 665 S.W.2d 414, 421 (Tex.1984)). This
test is based on the Restatement (Second) of Conflict of
Laws and utilizes a multi-factor methodology to determine
which state has the most significant relationship to the
substantive issues involved in a dispute. See Duncan, 665
S.W.2d at 421. Deciding which state’s laws should govern
an issue “is a question of law for the court to decide.”
Hughes Wood Products, Inc. v. Wagner, 18 S.W.3d 202,
204 (Tex.2000) (citing Duncan, 665 S.W.2d at 421); see
also McKinney BB v. U.S. Realty Advisors, LLC, No. 01–
11483, 2003 U.S.App. LEXIS 28011, at *18 (5th Cir. Jan.
24, 2003) (“[T]he question of which state’s law to apply
is a question of law.”); Janvey v. Suarez, No. 3:10–cv–
2581–N, 2013 WL 5663107, at *3 (N.D.Tex. Oct.17, 2013).
But this legal determination involves a factual inquiry. See
Hughes Wood Products, 18 S.W.3d at 204; Janvey, 2013
WL 5663107, at *3. That is, “the party urging application of
another state’s substantive law [must] furnish the Court with
‘sufficient information’ to establish that the law of another
state applies.” Janvey v. Alguire, 846 F.Supp.2d 662, 671
(N.D.Tex.2011) (quoting Holden v. Capri Lighting, Inc., 960
S.W.2d 831, 833 (Tex.App.-Amarillo 1997, no pet.)) (internal
quotations omitted). Absent such sufficient information, “
‘the failure to provide adequate proof of choice of law …
results in a presumption that the law of the foreign jurisdiction
is identical to the law of Texas.’ ” Id. (quoting Pittsburgh
Corning Corp. v. Walters, 1 S.W.3d 759, 769 (Tex.App.-
Corpus Christi 1999, pet. denied)) (internal brackets omitted).
When two states’ laws are substantially the same, this
precludes the need to undertake a choice-of-law analysis. See
Lexxus Int’l, Inc. v. Loghry, 512 F.Supp.2d 647, 668 n. 17
(N.D.Tex.2007); cf. Fraud–Tech, Inc. v. Choicepoint, Inc.,
102 S.W.3d 366, 377–78 (Tex.App.-Fort Worth 2003, pet.
denied) (“Before undertaking a choice of law analysis, we
look to whether a conflict of law exists. If no conflict exists on
the issues, we need not decide which state’s laws govern.”).
Because no choice-of-law analysis would be required if
California and Texas law were consistent on the issues, the
Court must first determine if the laws of each jurisdiction
differ with respect to (1) duty to defend, and by extension
duty to control the defense, and (2) the independent counsel
analysis.
a. Duty to Control the Defense.
Neither party appears to dispute the allegation that Defendant
had a duty to defend the lawsuit, subject to Defendant’s
reservation of rights. See Dkt. No. 117 at 2–3. Under Texas
law, once the insured has a duty to defend, included in
that duty right is the right to control the defense and to
select counsel. See N. County Mut. Ins. Co. v. Davalos, 140
S.W.3d 685, 688 (Tex.2004) (finding that an insurer’s “right
to defend” a lawsuit encompasses “the authority to select
the attorney who will defend the claim and to make other
decisions that would normally be vested in the insured as the
named party in the case.”). Similarly, under California law,
if an insurer has a duty to defend, it may control the defense,
including the selection of counsel. See Safeco Ins. Co. of Am.
v. Sup.Ct., 71 Cal.App.4th 782, 787, 789–90, 84 Cal.Rptr.2d
43 (Cal.Ct.App.1999).
*6 But Plaintiff contends that summary judgment is
not warranted on Defendant’s declaratory judgment count
regarding duty to control because, at the least, there is a
fact issue regarding whether Defendant breached its duty
to defend by its unreasonable delay in accepting its duty
to defend, paying Plaintiff’s defense costs, and/or providing
Defendant’s coverage position with respect to the Underlying
Litigation, see Dkt. No. 66 at 11–12, in which case Defendant
had no right to control the defense or select counsel. The
choice-of-law issue with respect to duty to defend, then, is
whether Texas and California law are consistent with respect
to what constitutes a breach of a duty to defend and whether a
breach of a duty to defend forfeits the insured’s right to control
the defense.
Under California law, when the insured breaches its duty to
defend, it forfeits its right to control the defense of the action
or settlement. See Intergulf Dev. v. Sup.Ct., 183 Cal.App.4th
16, 20–21, 107 Cal.Rptr.3d 162 (Cal.Ct.App.2010). An
insurer will breach its duty to defend where it unreasonably
fails to provide benefits due under the policy, such as
providing counsel. See id.; Dynamic Concepts v. Truck
Ins. Exch., 61 Cal.App.4th 999, 1010, 71 Cal.Rptr.2d 882
(Cal.Ct.App.1998). Similarly, under Texas law, where a
breach of the duty to defend is caused by an unreasonable
delay, the insurer forfeits its right to defend and, by extension,
its right to select the counsel of its choosing. See Kirby Co.
v. Hartford Casualty Ins. Co., No. 3:02–cv–1616, 2004 WL
2165367, at *4 (N.D.Tex. Sept.23, 2004) (citing Rhodes v.
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Chicago Ins. Co., 719 F.2d 116, 120 (5th Cir.1983)). Thus,
the laws of each jurisdiction are consistent on this issue, and
Texas law will apply.
The next issue is whether each jurisdiction’s law is the same
with respect to when an exception to the insurer’s right to
select counsel exists.
b. Selection of Independent Counsel.
Under Texas law, the insurer with a duty to defend has a
right to select the insured’s counsel unless a conflict of interest
exists. See State Farm Mut. Auto. Ins. Co. v. Traver, 980
S.W.2d 625, 627–28 (Tex.1998); Rx.com Inc. v. Hartford
Fire Ins. Co., 426 F.Supp.2d 546, 559 (S.D.Tex.2006). A
reservation of rights letter may create a potential conflict,
but the fact that an insurer issues a reservation of rights
letter or provides a defense subject to a reservation of rights
does not, standing alone, create a conflict that permits the
insured to select its own counsel. See Partain v. Mid–
Continent Specialty Ins. Servs., Inc., 838 F.Supp.2d 547,
567 (S.D.Tex.2012) ( “[R]eservation of rights letters do not
‘necessarily create a conflict between the insured and the
insurer.’ Rather, a reservation of rights letter ‘only recognizes
the possibility that such a conflict may arise in the future.’
” (internal citations omitted)); Davalos, 140 S.W.3d at 689.
To determine whether a conflict of interest exists, the Court
must determine whether “the facts to be adjudicated in the
liability lawsuit are the same facts upon which coverage
depends,” and, if so, the conflict of interest will prevent the
insurer from conducting the defense. Davalos, 140 S.W.3d
at 689. Thus, for a real conflict of interest to exist, it must
be apparent that the facts on which coverage depends will be
ruled on judicially in the underlying lawsuit. See Partain, 838
F.Supp.2d at 567.
*7 Under California law, an insurer may also select the
insured’s counsel unless a conflict of interest exists. See
CAL. CIV.CODE § 2860(a) (“If the provisions of a policy
of insurance impose a duty to defend upon an insurer and
a conflict of interest arises which creates a duty on the part
of the insurer to provide independent counsel to the insured,
the insurer shall provide independent counsel to represent the
insured unless … the insured expressly waives, in writing, the
right to independent counsel.”).
Thus, under both Texas and California law, an insurer having
the right to control the defense has the right to select the
insured’s defense counsel unless a conflict of interest exists.
The only remaining issue is whether the conflict of interest
standard is the same under California and Texas law.
According to California Civil Code § 2860(b), a conflict of
interest may exist where an insurer has reserved its rights
on an issue and the outcome of the coverage issue can be
controlled by the counsel retained by the insurer. See CAL.
CIV.CODE § 2860(b). In California, as in Texas, merely
tendering a reservation of rights does not create a conflict of
interest warranting independent counsel. See Park Townsend,
LLC v. Clarendon Am. Ins. Co., No. 12–CV–04412, 2013
WL 3475176, at *8 (N.D.Cal. July 10, 2013). Likewise, the
conflict of interest must be actual, not merely potential. See
Dynamic Concepts, 61 Cal.App.4th at 1007, 71 Cal.Rptr.2d
882.
California courts, and the legislature, have provided several
scenarios in which an actual conflict of interest may exist. See
CAL. CIV.CODE § 2860; Gafcon, Inc. v. Ponsor & Assocs.,
Inc., 98 Cal.App.4th 1388, 1421–22, 120 Cal.Rptr.2d 392
(Cal.Ct.App.2002); Park Townsend, 2013 WL 3475176, at
*8. Included in those scenarios are two situations that might
apply in the instant case: (1) the insurer reserves its rights
on a given issue and the outcome of that coverage issue can
be controlled by the insurer’s retained counsel, or (2) any
other situation where an attorney who represents the interests
of both the insurer and the insured finds that his or her
representation of the one is rendered less effective by reasons
of his or her representation of the other. See Park Townsend,
2013 WL 3475176, at *8.
While the language in Texas decisions describing an actual
conflict of interest may be different from that found in Texas
cases, the analysis is not. Accord Rx.com Inc., 426 F.Supp.2d
at 559 (“A conflict of interest does not arise unless the
outcome of the coverage issue can be controlled by counsel
retained by the insurer for the defense of the underlying
claim.”). At bottom, California cases hold that, if the issues in
the underlying lawsuit would also resolve the coverage issues,
the counsel selected by the insurer might have reason to take
a position that would undermine the insured’s best position
in the underlying lawsuit. One way to reach that conclusion
is for a court to analyze whether the issue or issues related
to the coverage dispute would be those that the court in the
underlying litigation would adjudicate. See Park Townsend,
2013 WL 3475176, at *10 (analyzing whether the results of
underlying lawsuit will disadvantage insured’s position in the
coverage dispute).
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*8 As such, the conflict of interest standard is essentially the
same under both Texas and California law. Having found that
there is no difference in the two states’ laws as it relates to this
conflict of interest standard, Texas law will apply.
2. Summary Judgment is Not Warranted on Defendant’s
Declaratory Judgment Causes of Action.
Defendant seeks summary judgment on three counts for both
the Astoria and Element causes of action. First, Defendant
seeks a declaration that it has the right to control the
defense of Centex in the Astoria and Element causes of
action. Defendant also seeks a declaration that Plaintiff is
not entitled to the appointment of independent counsel under
California Civil Code § 2860. Finally, encompassing both of
the first two declaratory judgment requests, Defendant seeks
a declaration that Plaintiff breached its duty to cooperate
under the Astoria Policy and Element Policy by refusing to
acknowledge Defendant had a right to control the defense
and select counsel and by insisting Defendant continue to pay
Newmeyer & Dillion’s fees and costs.
a. Defendant’s claim that it has the right to control the
defense of Centex in the Astoria and Element causes of
action.
Because the parties do not dispute the duty to defend,
and by extension the right to control the defense, the only
issue is whether there was a breach by Defendant that
precluded it from exercising its right to control. If so, then
no declaratory judgment claim is warranted. Plaintiff argues
against summary judgment on the grounds that Defendant
unjustifiably and unreasonably delayed in acknowledging its
duty to defend, issuing its reservation of rights, and paying the
applicable defense costs, thereby forfeiting its right to control
the defense of the Underlying Litigation. See Dkt. No. 61 at
27–29.
Plaintiff relies primarily on the holding in Kirby Co.
v. Hartford Cas. Ins. Co., No. 3:02–cv–1616, 2004 WL
4528937 (N.D.Tex. Sept. 23, 2004), but the Court finds that
the circumstances in the instant case are not as clear cut.
The court in Kirby found that the evidence conclusively
established that the insurer’s delay was not warranted and was
unreasonable. See id. at *3. Here, the parties have presented
conflicting evidence regarding the extent of Defendant’s delay
in responding to Plaintiff’s request for coverage; the reasons
for any alleged delay, which bears on whether it was justified
or excusable; and generally whether the length of any alleged
delay was such that it constituted a breach. For instance,
Defendant presents evidence that, pursuant to the terms of
the Astoria and Element Policies, once it received evidence
that Plaintiff had actually exhausted the Retained Amounts
on the Astoria and Element Policies—meaning it received
the invoices and evidence of payments made—it accepted
defense of the actions, subject to a general reservation of
rights. See Dkt. No. 67 at 17; Dkt. No. 43–1 at 141 & 194.
But Plaintiff contends and presents evidence that it exhausted
the Retained Amounts earlier than Defendant states and that
Defendant delayed by an allegedly unreasonable amount of
time in responding to Plaintiff’s request for defense and
payment of its defense costs. See Dkt. No. 61 at 27–29; Dkt.
No. 63–6 at 35; 63–3 at 12, 83, & 90. Defendant claims
that any alleged delay on its party was justified by Plaintiff’s
failure to provide the appropriate documents, see Dkt. No. 67
at 17–18.
*9 Having a established a conflict of evidence exists, the
Court must view all evidence of record in the light most
favorable to Plaintiff. In doing so, the Court concludes that
Defendant has failed to show that there is no genuine dispute
as to any material fact and that summary judgment is not
warranted on Defendant’s first declaratory judgment claim at
this time.
The Court also notes that Plaintiff argues that, because
Defendant stated in a deposition that, if Texas law applied,
Plaintiff would have the right to control the defense,
including its selection of counsel, summary judgment is
inappropriate. See Dkt. No. 61 at 23. The Court is not denying
summary judgment on the basis of this testimony alone. First,
Defendant did not make such an explicit statement but rather
said “it would likely be allowed.” Dkt. No. 61 at 23. Second,
Defendant clearly is not arguing as much and says so in
its briefing. See Dkt. Nos. 43 & 67. This testimony does,
however, lend support to a finding that a fact issue exists as
to what Defendant believes and what the facts support.
Having reviewed the evidence of record, the Court finds
nothing to support a finding that summary judgment is proper
as a matter of law, and therefore Defendant’s motion for
summary judgment is DENIED as to this claim.
b. Defendant’s claim that Plaintiff is not entitled to the
appointment of independent counsel under California
Civil Code § 2860.
As explained above, under Texas law, an insured is entitled
to independently select his counsel in certain circumstances.
But a reservation of rights letter alone does not necessarily
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create such circumstances. See Partain, 838 F.Supp.2d at
567; Davalos, 140 S.W.3d at 689. Rather, it is only when
“the facts to be adjudicated in the liability lawsuit are the
same facts upon which coverage depends” that a conflict of
interest exists that prevents the insurer from conducting the
defense. Davalos, 140 S.W.3d at 689. In other words, it must
be apparent that the facts on which coverage depends will also
be adjudicated in the underlying litigation. See Partain, 838
F.Supp.2d at 567.
In the Astoria Litigation, the plaintiffs alleged four causes
of action. See Dkt. No. 43–1 at 95–104. The plaintiffs
first alleged that the construction violated several sections
of California Civil Code § 896, a de facto building code
defining the standards a structure must meet. See CAL.
CIV.CODE § 896. The plaintiffs’ allegations include the
following violations: structural and other defects permitting
unintended water to enter the structure; construction
that does not meet government codes; electrical and
mechanical systems defects causing unreasonable risk of fire;
cracks that display significant vertical displacement or are
excessive in the exterior of the building; roofing materials
improperly installed; air conditioning not meeting California
Code Regulations; dryer ducts improperly installed; and
construction of structures in a manner so as to impair
the occupants safety. See Dkt. No. 43–1 at 96–97. The
plaintiffs further allege the defendants, including Plaintiff,
made negligent misrepresentations regarding the building’s
components; regarding whether the structures had been
properly inspected and met all applicable building codes;
regarding whether all known defects had been disclosed and
reserve budgets met certain standards; regarding whether
the defendants anticipated a need for special assessments
related to major components; and regarding whether
any obligations could be properly discharged under the
appropriate documents. See id. at 98. The plaintiffs also
brought causes of action for breach of fiduciary duty for many
of the same reasons on which their other causes of action were
based and for violating the Governing Documents of the sale.
See id. at 100–103.
*10 Defendant agreed to defend Plaintiff, subject to a
reservation of rights. Defendant offered both a general and
a specific reservation of rights. See Dkt. No. 63–3 at 13–16.
The reservation of rights stated that “Lexington reserves the
right to decline coverage for the claim to the extent that it
does not constitute property damage as defined in the policy.”
Dkt. No. 63–3 at 14. While there are several more specific
reservations of rights, the only one that Plaintiff indicates
might conflict with the causes of action to be litigated in the
Astoria Litigation is the reservation of rights for any coverage
for certain “business risks.” See Dkt. No. 61 at 25; Dkt. No.
63–3 at 15.
In the underlying Element Litigation, the plaintiffs asserted
two causes of action in the second amended complaint. See
Dkt. No. 63–5 at 1. The first cause of action again relates
to violations of the California Civil Code building standards,
including structural violations resulting in ongoing significant
cracks in concrete foundations and exterior walls; unintended
water and/or leaks and intrusion; violations in fire safety
systems; and defects in the windows, doors, and component
systems. See Dkt. No. 63–5 at 13–17. The plaintiffs also
allege the defendants breached the fiduciary duty owed to the
plaintiffs as a result of the alleged deficiencies and violations.
See id. at 17–18.
Again, Defendant agreed to defend, subject to a reservation
of rights. See Dkt. No. 43–1 at 197–204. In its reservation of
rights, Defendant states that the Policy at issue does not cover
“property damage … arising out of … a defect, deficiency,
inadequacy, or danger condition in ‘your product’ or ‘your
work.’ ” Dkt. No. 61 at 25; 63–3 at 56.
The Court cannot grant summary judgment on Defendant’s
declaratory judgment claim as requested because California
law does not apply to the selection of independent counsel
in this case. That said, after reviewing the current record, the
Court does not find that summary judgment in Defendant’s
favor is proper at this juncture, even under Texas law. A
review of the reservation of rights and the accompanying facts
does not establish as a matter of law that any findings in the
Underlying Litigation would not affect Defendant’s coverage
claims. Defendant argues that, because the construction
causes of action are based upon strict liability—either the
defects exist or they do not—and because other causes of
action will make no findings of intent or on whether the
claims constitute property damage caused by an occurrence,
the results of the Underlying Litigation would have no bearing
on coverage. See Dkt. No. 67 at 12–14.
In response, Plaintiff does not specifically point this Court
to evidence of a conflict that absolutely exists or of
Defendant’s selected counsel’s taking a position that is at odds
with Plaintiff’s favored course of action in the Underlying
Litigation. Rather, Plaintiff presents arguments regarding,
and evidence that, the findings in the Underlying Litigation
could ultimately affect Plaintiff’s coverage rights. See Dkt.
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No. 61 at 25. For instance, it could be that product defects
or workmanship errors by other parties could exist in the
Underlying Litigation, and the Court cannot determine, based
on the record before it, whether it would behoove any party, in
the Underlying Litigation or the coverage litigation, to focus
blame on those entities or defects. Plaintiff appears to indicate
that any such decisions could create a conflict of interest.
See Dkt. No. 61 at 25. Defendant has presented insufficient
evidence that it is not planning to take any positions that might
affect its coverage responsibilities.
*11 Defendant did not present evidence that proves, as a
matter of law, it would not be in its interest to take positions
in the Underlying Litigation that might support its position
regarding coverage. Viewing all facts and draw all reasonable
inferences in the light most favorable to Plaintiff, the Court
cannot, on this record or at this time, conclude that there is
no genuine dispute as to any material fact and grant summary
judgment in Defendant’s favor on this declaratory judgment
claim. As such, Defendant’s motion for summary judgment
on this claim is DENIED.
c. Defendant’s claim that Plaintiff breached its duty to
cooperate under the Astoria Policy and Element Policy
by refusing to acknowledge Defendant had a right to
control the defense and select counsel and by insisting
Defendant continue to pay Newmeyer & Dillion’s fees
and costs.
Defendant’s remaining request for summary judgment on its
declaratory judgment counterclaim also fails. As the Court
has found that summary judgment is proper on neither
Defendant’s right to control defense or Plaintiff’s right (or lack
thereof) to select independent counsel, a finding that Plaintiff
breached its duty to cooperate under the Astoria Policy and
Element Policy by refusing to acknowledge Defendant had a
right to control the defense and select counsel and by insisting
Defendant continue to pay Newmeyer & Dillion’s fees and
costs likewise cannot be made at this time. Neither party
presents evidence to the contrary.
As such, Defendant has not shown that there is no genuine
dispute as to any material fact, and Defendant’s motion for
summary judgment on this declaratory judgment action is
DENIED.
Conclusion
Defendant’s Motion for Partial Summary Judgment [Dkt. No.
43] is DENIED, and Plaintiff’s motion to strike [Dkt. No. 68]
is DENIED as moot.
SO ORDERED.
MEMORANDUM OPINION & ORDER
ON PLAINTIFF’S MOTION TO DISMISS
DEFENDANT’S COUNTERCLAIMS
This is a civil action related to the defendant’s duty to
defend and accompanying obligations. See Dkt. No. 66.
Plaintiff Centex Homes filed a Motion to Dismiss certain
of Defendant Lexington Insurance Company’s affirmative
defenses and counterclaims. See Dkt. No. 35. Defendant
filed its response [Dkt. No. 51] and Plaintiff filed a reply
[Dkt. No. 56], asserting their respective positions. Plaintiff’s
Motion to Dismiss Defendant’s Counterclaims [Dkt. No. 35]
is DENIED.
Background
In its most recent pleading, Plaintiff asserts causes of action
for breach of contract and violations of Chapters 541 and
542 of the Texas Insurance Code. See Dkt. No. 66 at 11–
13. 1 In its Answer to Plaintiff’s Fourth Amended Complaint
and Counterclaim (“Answer”), Defendant asserted numerous
affirmative defenses and certain counterclaims. Plaintiff
argues that the Court should strike or dismiss Defendant’s
counterclaims because they are subsumed by, and redundant
of, Plaintiff’s affirmative claims and Defendant’s affirmative
defenses and because they fail to state a claim on which
relief can be granted. More specifically, Plaintiff argues that
Defendant’s claim for declaratory relief is “nothing more
than a recitation of the same affirmative defenses it has
pleaded in opposition to Plaintiff’s Second Amended Original
Complaint” and therefore does not raise any new issue that is
not already subsumed within Plaintiff’s complaint. See Dkt.
No. 35 at 2. Plaintiff claims that Defendant’s counterclaims
for breach of contract and breach of the implied covenant of
good faith should be dismissed for failure to state a claim
on which relief can be granted. See id. Plaintiff contends
that, under both Texas and California law, an insured’s duty
to cooperate is only a condition precedent to coverage and
cannot give rise to an affirmative cause of action by an insurer.
See id.; Dkt. No. 56 at 14–20.
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1 Plaintiff filed its Motion to Dismiss in relation to its
Second Amended Complaint and Defendant’s Second
Amended Answer. However, at an August 9, 2013
hearing, the Court requested that Plaintiff file an
amended Complaint to properly identify the member
entities of Centex Real Estate Holding, L.P. as well
as the principal place of business of each of Centex’s
general partners. Plaintiff further amended its complaint
on November 6, 2013. The amendments were all
related to the party identification. Defendant filed its
Fourth Amended Answer in response to the amended
complaints. As such, the substance of the allegations in
the Fourth Amended Complaint and Answer remain the
same as those found in the second amended complaint
and answer. Because the Fourth Amended Answer and
Complaint are the live pleadings, however, the Court will
refer to those documents throughout the course of this
Opinion.
*12 Defendant responds that its request for declaratory
relief duplicates neither Plaintiff’s claims nor Defendant’s
affirmative defenses and that Plaintiff does not provide any
examples or evidence suggesting otherwise. See Dkt. No. 51
at 3–6. As to Defendant’s breach of contract and covenant
of good faith claims, Defendant argues that California law
and Texas law differ on the issue, that California law does
recognize such affirmative causes of action, that California
law applies, and that Defendant therefore sufficiently stated a
viable claim on which relief may be granted.
Legal Standards
1. Motions to Strike under Federal Rule of Civil Procedure
12(f).
Under Federal Rule of Civil Procedure 12(f), the Court
“may strike from a pleading an insufficient defense or any
redundant, immaterial, impertinent, or scandalous matter.”
FED. R. CIV. P. 12(f). The power to strike a pleading is
within the Court’s discretion but should be sparingly used. See
United States v. Coney, 689 F.3d 365, 379 (5th Cir.2012). The
motion to strike on grounds of immateriality or impertinence
“ ‘should be granted only when the pleading to be stricken
has no possible relation to the controversy.’ ” Id. (quoting
Augustus v. Bd. of Pub. Instruction, 306 F.2d 862, 868 (5th
Cir.1962)). Further, matter is not “scandalous” for purposes
of Rule 12(f) if it is “directly relevant to the controversy at
issue and [is] minimally supported in the record.” Id.
With regard to striking alleged defenses, “although motions to
strike a defense are generally disfavored, a Rule 12(f) motion
to dismiss a defense is proper when the defense is insufficient
as a matter of law.” Kaiser Aluminum & Chemical Sales,
Inc. v. Avondale Shipyards, Inc., 677 F.2d 1045, 1057 (5th
Cir.1982).
“Both because striking a portion of a pleading is a drastic
remedy, and because it often is sought by the movant simply
as a dilatory tactic, motions under Rule 12(f) are viewed with
disfavor and are infrequently granted.” Jacobs v. Tapscott,
No. 3:04–cv1968–D, 2004 WL 2921806, at *2 (N.D.Tex.
Dec.16, 2004), aff’d on other grounds, 277 F. App’x 483 (5th
Cir.2008). And Rule 12(f) only applies to pleadings as defined
by Fed.R.Civ.P. 7(a). See, e.g., 5C Charles Alan Wright et
al., FED. PRAC. & PROC. 1380 & n. 8.5 (3d ed. 2012)
(“Rule 12(f) motions only may be directed towards pleadings
as defined by Rule 7(a); thus motions, affidavits, briefs, and
other documents outside of the pleadings are not subject to
Rule 12(f).”); Groden v. Allen, No. 3:03–cv–1685–D, 2009
WL 1437834, at *3 (N.D.Tex. May 22, 2009) (Rule 12(f)
“does not permit the Court to strike motions or matters within
them because the rule applies only to pleadings”).
2. Motions to Dismiss under Federal Rule of Civil
Procedure 12(b)(6).
In deciding a Federal Rule of Civil Procedure 12(b)(6)
motion, the Court must “accept all well-pleaded facts as true,
viewing them in the light most favorable to the plaintiff.” In
re Katrina Canal Breaches Litig., 495 F.3d 191, 205–06 (5th
Cir.2007) (internal quotations omitted). To state a claim on
which relief may be granted, plaintiff must plead “enough
facts to state a claim to relief that is plausible on its face,”
Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 570, 127 S.Ct.
1955, 167 L.Ed.2d 929 (2007), and must plead those facts
with enough specificity “to raise a right to relief above the
speculative level,” id. at 555. “A claim has facial plausibility
when the plaintiff pleads factual content that allows the court
to draw the reasonable inference that the defendant is liable
for the misconduct alleged.” Ashcroft v. Iqbal, 556 U.S.
662, 678, 129 S.Ct. 1937, 173 L.Ed.2d 868 (2009). “The
plausibility standard is not akin to a ‘probability requirement,’
but it asks for more than a sheer possibility that a defendant
has acted unlawfully.” Id. “A claim for relief is implausible on
its face when ‘the well-pleaded facts do not permit the court to
infer more than the mere possibility of misconduct.’ ” Harold
H. Huggins Realty, Inc. v. FNC, Inc., 634 F.3d 787, 796 (5th
Cir.2011) (quoting Iqbal, 556 U.S. at 679).
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*13 While, under Federal Rule of Civil Procedure 8(a)(2),
a complaint need not contain detailed factual allegations, the
plaintiff must allege more than labels and conclusions, and,
while a court must accept all of the plaintiff’s allegations as
true, it is “ ‘not bound to accept as true a legal conclusion
couched as a factual allegation.’ ” Iqbal, 556 U.S. at
678 (quoting Twombly, 550 U.S. at 555). A threadbare or
formulaic recitation of the elements of a cause of action,
supported by mere conclusory statements, will not suffice.
See id.
A court cannot look beyond the pleadings in deciding a Rule
12(b) (6) motion. See Spivey v. Robertson, 197 F.3d 772,
774 (5th Cir.1999). Pleadings in the Rule 12(b)(6) context
include attachments to the complaint. See In re Katrina Canal
Breaches Litig., 495 F.3d 191, 205 (5th Cir.2007). Documents
“attache[d] to a motion to dismiss are considered to be part of
the pleadings, if they are referred to in the plaintiff’s complaint
and are central to her claim.” Collins v. Morgan Stanley
Dean Witter, 224 F.3d 496, 498–99 (5th Cir.2000) (internal
quotation marks omitted). “Although the Fifth Circuit has not
articulated a test for determining when a document is central
to a plaintiff’s claims, the case law suggests that documents
are central when they are necessary to establish an element
of one of the plaintiff’s claims. Thus, when a plaintiff’s
claim is based on the terms of a contract, the documents
constituting the contract are central to the plaintiff’s claim.”
Kaye v. Lone Star Fund v. (U.S.), L.P., 453 B.R. 645, 662
(N.D.Tex.2011). “However, if a document referenced in the
plaintiff’s complaint is merely evidence of an element of the
plaintiff’s claim, then the court may not incorporate it into the
complaint.” Id.
In addition, “it is clearly proper in deciding a 12(b)(6) motion
to take judicial notice of matters of public record.” Norris v.
Hearst Trust, 500 F.3d 454, 461 n. 9 (5th Cir.2007); accord
Tellabs, Inc. v. Makor Issues & Rights, Ltd., 551 U.S. 308,
322, 127 S.Ct. 2499, 168 L.Ed.2d 179 (2008) (directing courts
to “consider the complaint in its entirety, as well as other
sources courts ordinarily examine when ruling on Rule 12(b)
(6) motions to dismiss, in particular, documents incorporated
into the complaint by reference, and matters of which a court
may take judicial notice”).
Analysis
Plaintiff argues that the Court should strike Defendant’s
declaratory judgment claims because they are subsumed by
the resolution of Plaintiff’s affirmative claims and because
they are redundant of Defendant’s affirmative defenses.
Plaintiff also contends that Defendant’s remaining causes
of action must be dismissed because such claims do not
constitute affirmative causes of action for a defendant under
Texas or California law.
1. Defendant’s declaratory judgment actions are not
redundant.
Plaintiff moves to strike Defendant’s claim for declaratory
relief because the claims are “nothing more than a recitation”
of the same affirmative defenses that Defendant pleaded and
the affirmative claims that Plaintiff asserted. See Dkt. No. 35
at 2. More specifically, Plaintiff claims that the declaratory
relief sought overlaps with Defendant’s Second, Fifth, Ninth,
Tenth, and Seventeenth Affirmative Defenses. See id. at 3–
4. Plaintiff does not specifically identify the overlap between
its claims and Defendant’s claims but states only that the
counterclaims are “subsumed” by matters raised in Plaintiff’s
complaint. Id. at 4.
*14 In response Defendant argues that Plaintiff does
not identify any of its allegations that mirror Defendant’s
request for declaratory relief and that all of the cases on
which Plaintiff relies involve a situation wherein a plaintiff’s
affirmative claims and a defendant’s counter claims mirror
one another. See Dkt. No. 51 at 3. Even if that were not the
case, Defendant contends that its affirmative defenses and
requests for declaratory relief are distinct. See id .
Federal courts have broad discretion to grant or refuse
declaratory judgment. See Torch, Inc. v. LeBlanc, 947 F.2d
193, 194 (5th Cir.1991). Federal Rule of Civil Procedure 12
does permit a court to strike or dismiss a counterclaim on the
basis that it is redundant. To do so, however, the Court should
consider “whether the declaratory judgment ‘serves a useful
purpose’ by asking ‘whether resolution of plaintiff’s claim,
along with the affirmative defenses asserted by defendants,
would resolve all questions raised by the counterclaim.’ ” In
re ATP Oil & Gas Corp., No. 12–36187, 2013 WL 5308862,
at *1 (Bankr.S.D.Tex. Sept.18, 2013); see also Redwood
Resort Props., LLC v. Homes Co. Ltd., No. 3:06–cv–1022–
D, 2007 WL 1266060, at *4–*5 (N.D.Tex. Apr.30, 2007).
This analysis requires the Court to determine whether what
a counterclaim requests is the opposite of the affirmative
causes of action pleaded. See ATP Oil & Gas Corp., 2013
WL 5308862 at *1; Redwood Resort Props., LLC, 2007 WL
1266060 at *4–*5. In undertaking this analysis, the Court
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should consider “potential qualitative differences between
merely prevailing in Plaintiff’s lawsuit, and receiving an
affirmative declaration of rights to a declaratory judgment.”
Blackmer v. Shadow Creek Ranch Development Co. Ltd.
P’ship, No. H–07–681, 2007 WL 7239968, at *1 (S.D.Tex.
June 26, 2007). This is so even when “[t]here is a high
degree of congruence” between Defendant’s counterclaims
and affirmative defenses. Id.
Plaintiff did not specify which of its affirmative causes of
action subsumed Defendant’s declaratory judgment actions.
In its Breach of Contract cause of action, Plaintiff alleges
that—and thereby necessitates a judicial finding whether
—Defendant breached its obligations by (1) its failure to
pay and/or (2) its unreasonable delay in (i) accepting its
duty to defend and/or pay Plaintiff’s defense costs and (ii)
providing Defendant’s coverage position with respect to the
underlying litigation. See Dkt. No. 66 at 11–12. This cause
of action would also include determining whether Defendant
had a duty to defend, but neither party seems to dispute
that allegation. See Dkt. No. 117 at 2–3. Plaintiff also
alleges the Defendant’s failure to make payments, or its delay
in making payments, violated the Texas Insurance Code.
Plaintiff alleges additional violations of the Texas Insurance
Code, including Defendant’s failure to attempt in good faith to
effectuate a prompt, fair, and equitable settlement of a claim
with respect to which Defendant’s liability had become clear;
to provide a reasonable explanation of Defendant’s failure
to pay all claims; to provide a reservation of rights letter
within a reasonable time frame; and to conduct a reasonable
investigation before failing to pay defense costs. See Dkt. No.
66 at 12–13.
*15 In its declaratory judgment cause of action, Defendant
seeks a declaration that (1) Defendant has a right to control
the defense of the relevant claims; (2) Plaintiff is not entitled
to appoint independent counsel under California Civil Code;
and (3) Plaintiff’s refusal to acknowledge that Defendant has
the right to control the defense and select counsel and its
insistence that Defendant continue to pay the fees and costs
of the law firm selected by Plaintiff was a breach of Plaintiff’s
duty to cooperate under the relevant policies. See Dkt. No. 73
at 19–20.
These claims are not redundant. If Defendant had requested a
declaratory judgment that it had timely and properly accepted
its duty to defend and to pay Plaintiff’s defense costs and that
it had provided Defendant’s coverage position with respect to
the underlying litigation, then the claims would be redundant.
So too would there be redundancy if Defendant sought a
declaration that it did not fail (1) to make payments in a
timely fashion; (2) to attempt in good faith to effectuate
a prompt, fair, and equitable settlement of a claim; (3) to
provide a reasonable explanation of Defendant’s failure to pay
all claims; (4) to provide a reservation of rights letter within
a reasonable time frame; and (5) to conduct a reasonable
investigation before failing to pay defense costs.
Instead, Defendant seeks a different declaration—essentially,
that it had the right to control the defense and appoint
the counsel. Under Plaintiff’s Complaint, the Court could—
hypothetically—find that Defendant breached its duties and
violated the Texas Insurance Code without an affirmative
determination regarding whether Defendant had a right to
control the defense and appoint counsel.
Plaintiff provides the Court with a comparison of the
affirmative defenses that it contends are redundant to
Defendant’s declaratory judgment actions. See Dkt. No. 56
at 11. The Court reviewed the requests and the affirmative
defenses, and, while some level of similarity does exist,
they are not redundant. A declaration that Defendant has a
right to control the defense is not the same as an assertion
that Defendant has no liability because Plaintiff’s acts were
unauthorized. The Court could—again, hypothetically—find
that Plaintiff’s acts were unauthorized but make no finding as
to why they were unauthorized. And a reservation of rights
to contend that a law other than Texas law applies is not a
declaration that Plaintiff cannot appoint independent counsel
under California law. These examples demonstrate “the
potential qualitative difference between merely prevailing in
Plaintiff’s lawsuit, and receiving an affirmative declaration of
rights pursuant to a declaratory judgment .” Blackmer, 2007
WL 7239968 at *1.
The Court also notes that in many decisions on which
Plaintiff relies, the courts dismissed the plaintiff’s declaratory
judgment actions because they were redundant of other
causes of action pleaded by plaintiff.See Dkt. No. 56 at 13
(citing Cypress/Spanish Ft. I, L.P. v. Prof’l Serv. Indus., Inc.,
814 F.Supp.2d 698, 710 (N.D.Tex.2011); Kougl v. Xspedius
Mgmt. Co. of Dallas/Fort Worth, L.L.C., No. 3:04–cv–2518–
D, 2005 U.S. Dist. LEXIS 10557, at *14–*15 (N.D. Tex. June
1, 2005)). That is not the situation here.
*16 In light of the fact that Rule 12(f) motions are
often viewed with disfavor and are infrequently granted, the
Court concludes that Plaintiff did not meet its burden under
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Rule 12(f) for the Court to strike Defendant’s declaratory
judgment claims. The Court finds that declaratory judgment
counterclaim is not a mirror image of Plaintiff’s causes of
action or redundant of its own affirmative defenses.
As such, the Court DENIES Plaintiff’s motion to strike
Defendant’s declaratory judgment causes of action.
2. Dismissal of Defendant’s counterclaims under Rule
12(b)(6) is not warranted.
To determine whether Defendant sufficiently pleaded a cause
of action under Rule 12(b)(6), the Court must determine
whether the alleged causes of action—breach of contract and
good faith—can stand as affirmative causes of action. This
turns on a choice-of-law analysis.
Before deciding which state’s substantive law should control
the issues raised by the parties here, “the Court must first
determine which choice-of-law rules should be applied.” In
re Soporex, Inc. ., 446 B.R. 750, 761 (Bankr.N.D.Tex.2011).
Here, both parties assert that Texas choice-of-law rules should
determine the applicable laws in this case. See Dkt. No. 51 at
6; Dkt. No. 56 at 9.
As noted by both parties, Texas courts utilize the “most
significant relationship” test to determine which state’s law
applies to a particular substantive issue. See Coghlan v.
Wellcraft Marine Corp., 240 F.3d 449, 452 n. 2 (5th Cir.2001)
(citing Duncan v. Cessna Aircraft Co., 665 S.W.2d 414, 421
(Tex.1984)). This test is based on the Restatement (Second)
of Conflict of Laws and utilizes a multi-factor methodology
to determine which state has the most significant relationship
to the substantive issues involved in a dispute. See Duncan,
665 S.W.2d at 421. Deciding which state’s laws should govern
an issue “is a question of law for the court to decide.”
Hughes Wood Products, Inc. v. Wagner, 18 S.W.3d 202, 204
(Tex.2000) (citing Duncan, 665 S.W.2d at 421). See also
McKinney BB v. U.S. Realty Advisors, LLC, No. 01–11483,
2003 U.S.App. LEXIS 28011, at *18 (5th Cir. Jan. 24, 2003)
(“[T] question of which state’s law to apply is a question
of law.”); Janvey v. Suarez, No. 3:10–cv–2581–N, 2013
WL 5663107, at *3 (N.D.Tex. Oct.17, 2013). But, this legal
determination involves a factual inquiry. See Hughes Wood
Products, 18 S.W.3d at 204; Suarez, 2013 WL 5663107, at
*3. That is, “the party urging application of another state’s
substantive law [must] furnish the Court with ‘sufficient
information’ to establish that the law of another state applies.”
Janvey v. Alguire, 846 F.Supp.2d 662, 671 (N.D.Tex.2011)
(quoting Holden v. Capri Lighting, Inc., 960 S.W.2d 831,
833 (Tex.App.-Amarillo 1997, no pet.)) (internal quotations
omitted). Absent such sufficient information, “the failure
to provide adequate proof of choice of law … results in
a presumption that the law of the foreign jurisdiction is
identical to the law of Texas.” Alguire, 846 F.Supp.2d at 671
(quoting Pittsburgh Corning Corp. v. Walters, 1 S.W.3d 759,
769 (Tex.App.-Corpus Christi 1999, pet. denied)) (internal
brackets omitted). When two states’ laws are substantially
the same, this precludes the need to undertake a choice-oflaw
analysis. See Lexxus Int’l, Inc. v. Loghry, 512 F.Supp.2d
647, 668 n. 17 (N.D.Tex.2007); cf. Fraud–Tech, Inc. v.
Choicepoint, Inc., 102 S.W.3d 366, 377–78 (Tex.App.-Fort
Worth 2003, pet. denied) (“Before undertaking a choice of
law analysis, we look to whether a conflict of law exists. If no
conflict exists on the issues, we need not decide which state’s
law applies.”).
*17 Because no choice-of-law analysis would be required
if California and Texas law were consistent on this issue,
the Court must first determine if these jurisdictions’ laws
differ with respect to whether Defendant’s alleged breach
constitutes an affirmative cause of action. Defendant alleges
Plaintiff was “mandated to cooperate” with Defendant under
the terms of some of the policies and that Plaintiff breached
this duty. Dkt. No. 73 at 21. Defendant’s breach of implied
covenant of good faith and fair dealing claim is also based on
Plaintiff’s alleged failure to cooperate. See id.
Plaintiff states that the cases on which Defendant relies
do not support Defendant’s contention that these causes of
action are plausible even under California law. Rather than
explicitly citing to or relying on cases denying that such
a cause of action exists, however, Plaintiff distinguishes
the cases on which Defendant relies and cites to several,
mostly dated California cases that, on review, do not fully
support its position. See Dkt. No. 56 at 15–18. While an
insured’s breach of a cooperation clause can act as a defense
to its breach of contract claim, see Cybernet Ventures,
Inc. v. Hartford Ins. Co. of the Midwest, 168 F. App’x
850, 852 (9th Cir. Feb.23, 2006), California courts also
recognize an affirmative cause of action, sounding in breach
of contract, for the causes of action asserted by Defendant,
see Sierra Pac. Indus. v. Am. States Ins. Co., 883 F.Supp.2d
967, 976–77 (E.D.Cal.2012); Travelers Prop. v. Centex
Homes, No. C 10–02757 CRB, 2011 WL 1225982, at *6
(N.D.Cal. Apr.11, 2011) (“The right to control the defense
imposes upon an insured the duty to cooperate with the
insurer with regards to its defense. Failure to comply with a
Centex Homes v. Lexington Ins. Co., Slip Copy (2014)
© 2014 Thomson Reuters. No claim to original U.S. Government Works. 13
policy’s cooperation clause constitutes breach of the insurance
contract.” (internal citations omitted)); Cal. Fair Plan Assoc.
v. Politi, 220 Cal.App.3d 1612, 1618–19, 270 Cal.Rptr. 243
(Cal.Ct.App.1990) (finding that an insurer could bring an
affirmative breach of covenant of good faith and fair dealing
claim but could only recover contract damages). In fact,
under California law, an “insurer’s duty is unconditional
and independent of the performance of plaintiff’s contractual
obligations.” Gruenberg v. Aetna Ins. Co. ., 9 Cal.3d 566, 108
Cal.Rptr. 480, 510 P.2d 1032, 10401 (Cal.1973). This stands
in contrast to the position put forth by Plaintiff that “ ‘the only
applicable case law treats cooperation clauses as conditions
precedent, relieving an insurer of liability rather than creating
an affirmative cause of action against its insured.’ ” Dkt. No.
35 at 6–7 (quoting The Phila. Indem. Ins. Co. v. Stebbins Five
Companies, Ltd., No. 3:02–cv–1279–M, 2002 WL 31875596
(N.D.Tex. Dec.20, 2002)).
Plaintiff correctly points out that Texas does not recognize
an affirmative cause of action for a breach of cooperation
clause or breach of good faith. See Progressive County Mut.
Ins. Co. v. Trevino, 202 S.W.3d 811, 815–16 (Tex.App.-San
Antonio 2006, no pet.); Evanston Ins. Co. v. Tonmar, L.P.,
669 F.Supp.2d 725, 732 (N.D.Tex.2009); Phila. Indem. Ins.
Co., 2002 WL 31875596 at *6. To support its contention
that Texas recognizes such a cause of action, Defendant
relies on cases that are not on point. See Dkt. No. 51 at
9 (citing USAA County Mut. Ins. Co. v. Cook, 241 S.W.3d
93, 101 (Tex.App.-Houston [1st Dist.] 2007, no pet.); CGL
Underwriters v. Edison Chouest Offshore, inc., 8 F.3d 21,
at *7–*8 (5th Cir. Oct.22, 1993)). The decisions on which
Defendant relies do discuss a “breach of the co-operation
clause” found in insurance policies but do so in the context of
a breach of cooperation clause defense. Such a defense does
exist: A defendant may assert that a breach of such a duty
relieved the insurer of liability under the policy, see Filley v.
Ohio Cas. Ins. Co., 805 S.W.2d 844, 847 (Tex.App.-Corpus
Christi 1991, writ denied), but that is not the same as an
affirmative cause of action.
*18 Thus, Texas and California law do differ on this issue.
The Court must therefore undertake a choice-of-law analysis
to determine which law applies.
“Under Texas choice-of-law principles, contract disputes are
governed by ‘the law of the state with the most significant
relationship to the particular substantive issue.’ ” W.R. Grace
& Co. v. Cont’l Cas. Co., 896 F.2d 865, 873 (5th Cir.1990)
(citing Duncan, 665 S.W.2d at 421); Schneider Nat. Transp.
v. Ford Motor Co., 280 F.3d 532, 536 (5th Cir.2002).
This is the test articulated by the Restatement (Second) of
Conflict of Laws sections 188 and 193 and their comments.
Defendant maintains that the location of the insured risk
receives controlling weight in determining the proper law to
be applied. See Dkt. No. 51 at 6. According to Defendant,
because the insurance contracts cover insured projects located
in California—the Astoria Project and the Element Project—
the parties’ presumed intention would be that California law
applies because that is almost certainly where any liability for
property damages or bodily injury would arise. See id. at 6–
7. Plaintiff did not reply to Defendant’s argument, relying on
its contention that no conflict of law exists.
Restatement (Second) of Conflict of Laws section 188
provides that “[t]he rights and duties of the parties with
respect to an issue in contract are determined by the local law
of the state which, with respect to that issue, has the most
significant relationship to the transaction and the parties….”
RESTATEMENT (SECOND) OF CONFLICT OF LAWS
§ 188(1) (1971). Section 188 attempts to “unearth[ ] and
uphold[ ] contracting parties’ intent as to the governing law.”
Mayo v. Hartford Life Ins. Co., 354 F.3d 400, 404 (5th
Cir.2004). While several types of contacts are provided in
Section 188, Section 193 further provides that the validity
of an insurance contract, and the rights created thereby,
should be determined by the law of the state where the
insured risk is located. See RESTATEMENT (SECOND)
OF CONFLICT OF LAWS § 193; see also Fulcrum Ins.
Co. v. Barber, 2006 WL 4511947, at *3 (W.D.Tex. Oct.24,
2006) (“It does not matter where the particular act which
invokes the policy’s coverage happens. ‘Instead, the court
must look to the principle location of the insured risk during
the term of the policy to determine the location of the subject
matter of the contract.’ ” (internal citations omitted)). Section
193 also states that its choice-of-law provision based on the
location of the insured risk applies “unless with respect to
the particular issue, some other state has a more significant
relationship … to the transaction and the parties, in which
event the local law of the other state will be applied.” Id.;
see also Zurich Am. Ins. Co. v. Vitus Marine, LLC, No. H–
11–3022, 2011 WL 4972025, at *4 (S.D.Tex. Oct.19, 2011)
(finding a state to have more significant relationship than
the insured’s location where the dispute involved contract
negotiation and the negotiation occurred in a state other than
the one in which the insured was located).
*19 The Court is of the opinion that California law applies to
Defendant’s counterclaims. Defendant’s counterclaims relate
Centex Homes v. Lexington Ins. Co., Slip Copy (2014)
© 2014 Thomson Reuters. No claim to original U.S. Government Works. 14
only to the Astoria Policy and Element Policy. These policies
cover condominiums located in California. See Dkt. No. 73 at
22–23. Moreover, Plaintiff alleges that Defendant breached
its duty to defend related to cases filed and litigated in
California, the causes of action asserted against Plaintiff in
those cases involve primarily California law, and Plaintiff’s
counsel representing it in connection with the California
condominiums is located in California. See Dkt. No. 66 at 4–
5. Where the events giving rise to the litigation, the defense
costs, and the attorneys are all located in one state, that
state’s law applies. See Schneider Nat. Transp., 280 F.3d
at 536 (where the litigation giving rise to a case occurred
in Texas, the defense costs were incurred in Texas, and
the defending attorneys were located in Texas, Texas has
the most significant relationship to the substantive issues to
be resolved and Texas law was appropriate). Accordingly,
California law should apply.
As explained above, this Court is not persuaded by Plaintiff’s
argument that, under California law, Defendant cannot
proceed on its breach of duty to cooperate and breach of
duty of good faith and fair dealing claims as a matter of law.
Moreover, accepting all well-pleaded facts as true, viewing
them in the light most favorable to Defendant, as the Court
must, Defendant has met its pleading burden. See In re
Katrina Canal Breaches Litig., 495 F.3d at 205–06. In its
counterclaims, Defendant provides a factual foundation and
allegations that put Plaintiff on notice of its claims. See Dkt.
No. 73 at 21–22. Plaintiff does not seem to argue otherwise. In
any event, such allegations constitute more than a threadbare
or formulaic recitation of the elements of a cause of action.
See Iqbal, 556 U.S. at 678.
As such, Plaintiff’s motion to dismiss Defendant’s second and
third causes of action is DENIED.
Conclusion
Plaintiff’s Motion to Dismiss Defendant’s Counterclaims
[Dkt. No. 35] is DENIED.
SO ORDERED.

 

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]

Determining Negligence of Children In Texas Civil Litigation Cases

For the most part, in Texas, a child who is beneath the age of five is incapable of negligence as a matter of law.  Yarborough v. Berner, 467 S.W.2d 188, 190 (Tex. 1971).  Where the negligence of a child above the age of five is at issue, the child=s negligence is to be judged by a standard of conduct applicable to a child of the same age and not by that standard that is applicable to an adult.  Yarborough, supra; Rudes v. Geottschalk, 324 S.W.2d 201, 204 (1959); Dallas Railway and Terminal Company v. Rogers, 218 S.W.2d 456 (1949); Texas and Pacific and Railway Co. v. Krump, 115 S.W. 26 (1909); Texas and Pacific Railway Co. v. Phillips, 42 S.W. 852 (1897); and Missouri Kansas and Texas Railway Co. v. Rogers, 36 S.W. 243 (1896).  The pattern jury charge  section 2.3, Child’s Degree of Care, defines the standard as follows:

Negligence, when used with respect to the conduct of a child, means failing to do that which an ordinary prudent child of the same age, experience, intelligence, and capacity would have done under the same or similar circumstances or doing that which such a child would not have done under the same or similar circumstances.

Ordinary care, when used with respect to the conduct of a child, means the degree of care that an ordinary prudent child of the same age, experience, intelligence, and capacity would have used under the same or similar circumstances.

The lower end of the age bracket is clearly five in the State of Texas, but there seems to be less clarity as to what the high end of the bracket will be.  In Austin v. Hoffman, 379 S.W.2d 103 (Tex. App. – Austin 1964, n.w.h.), the Court stated “it would appear that if a child is under the common law bracket of fourteen, the Texas Courts apply the standard of care applicable to children, on the other hand, if a child is above the age of fourteen, the adult standard of care is applied, unless it be shown that the child is wanting discretion or laboring under the handicap of some mental disability.”  Austin v. Huffman, 379 S.W.2d 107.

 

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]

Trench Collapse Seriously Injures Employee, OSHA Fines Texas Employer $424K For Safety Law Violations

OSHA News Release: Trench collapse seriously injures worker, leads to $424K fine for employer [07/22/2015]

Trench collapse seriously injures worker, leads to $424K fine for employer

Hassell Construction cited for egregious safety violations in Richmond, Texas collapse

HOUSTON — One minute he was working in the 8-foot trench below ground. The next, he was being buried in it. His co-workers came to his rescue, digging him out with their bare hands. Moments after they pulled the injured man to safety, the unprotected trench collapsed again. His injuries were serious and led to his hospitalization.

The man’s Houston-area employer, Hassell Construction Co. Inc. knew the Richmond, Texas excavation site was dangerous, but failed to protect its workers.

Today, the U.S. Department of Labor’s Occupational Safety and Health Administration cited Hassell Construction for 16 safety violations, including six egregious willful violations for failing to protect workers inside an excavation from a cave-in. The company faces penalties totaling $423,900.

“For more than 2,500 years, man has known how to prevent deadly trench collapses. It is absolutely unacceptable that employers continue to endanger the lives of workers in trenches,” said Assistant Secretary of Labor for Occupational Safety and Health Dr. David Michaels. “An employer is responsible for providing a workplace safe from hazards. Hassell Construction failed to do that in this case.”

In addition to the willful violations, Hassell was cited for nine serious violations, including failing to remove debris from the edge of the excavation. The company also did not provide a safe means to get in and out of the excavation for workers or conduct atmospheric testing inside excavations after a sewer leak.

“Trench cave-ins are preventable,” said John Hermanson, OSHA’s regional administrator in Dallas. “There are long-established, basic precautions. They’re not new, and they’re not secret. Hassell Construction knew its trenches weren’t safe, but still put its workers in harm’s way.”

OSHA has placed the company in its Severe Violator Enforcement Program. The program concentrates resources on inspecting employers who have demonstrated indifference towards creating a safe and healthy workplace by committing willful or repeated violations, and/or failing to abate known hazards. It also mandates follow-up inspections to ensure compliance with the law.

The citations Hassell Construction received are available here.

Hassell Construction employs about 150 employees to help construct water and sewer lines in the Houston area. Its workers compensation insurance carrier is Liberty Mutual. The employer has 15 business days from receipt of its citations to comply, request an informal conference with OSHA’s Houston South area director, or contest the citations and penalties before the independent Occupational Safety and Health Review Commission.

To ask questions, obtain compliance assistance, file a complaint, or report amputations, eye loss, workplace hospitalizations, fatalities or situations posing imminent danger to workers, the public should call OSHA’s toll-free hotline at 800-321-OSHA (6742) or the agency’s Houston South office at 281-286-0583 or its Houston North office at 281-591-2438.

Under the Occupational Safety and Health Act of 1970, employers are responsible for providing safe and healthful workplaces for their employees. OSHA’s role is to ensure these conditions for America’s working men and women by setting and enforcing standards, and providing training, education and assistance. For more information, visit http://www.osha.gov.

OSHA News Release: [07/22/2015]
Contact Name: Diana Petterson or Juan Rodriguez
Phone Number: (972) 850-4710 or x4709
Email: Petterson.Diana@dol.gov or Rodriguez.Juan@dol.gov
Release Number: 15-1429-DAL

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]

Insurance Premium Installment Plans–Texas Insurance Defense Litigation

Court of Appeals of Texas, Austin.

 

FARMERS TEXAS COUNTY MUTUAL INSURANCE COMPANY, Appellant,

Irene Romo and Fenn Ratcliffe, Individually and on Behalf of All Other Persons Similarly Situated, Cross-Appellants,

v.

Irene ROMO and Fenn Ratcliffe, Individually and on Behalf of All Other Persons Similarly Situated, Appellees,

Farmers Texas County Mutual Insurance Company and USAA County Mutual Insurance Company, Cross-Appellees.

No. 03-06-00335-CV.

 

 

April 15, 2008.

 

Justices PATTERSON, PEMBERTON and WALDROP.

 

OPINION

 

  1. ALAN WALDROP, Justice.

 

In this declaratory judgment action, Plaintiffs Irene Romo and Fenn Ratcliffe challenge the propriety of installment payment plan fees charged by USAA County Mutual Insurance Company and an affiliate of Farmers Texas County Mutual Insurance Company for providing installment payment plans to auto insurance policyholders. Romo and Ratcliffe claim that the charges to policyholders for electing to pay premiums in installments pursuant to the payment plans are not authorized by the Texas Insurance Code, violate the filed rate doctrine, and breach the parties’ contracts of insurance. They seek recovery of the installment payment plan fees they have paid and also seek to have a class certified consisting of similarly situated policyholders.

 

The trial court rendered declarations that (1) the installment fees at issue are subject to certain filing requirements under the Texas Insurance Code, but (2) county mutual insurance companies were not subject to these filing requirements until December 1, 2004, when they became rate regulated, and therefore, (3) the charges were not prohibited by the insurance code prior to December 1, 2004. Farmers and the Plaintiffs appeal.FN1Farmers argues that the fees in question have never been and are not now subject to filing requirements under the insurance code provision in question and, alternatively, even if the fees are subject to such filing requirements, the Plaintiffs have no private right of action under the insurance code provisions at issue to recover the fees they paid. The Plaintiffs argue that the fees in question have been subject to filing requirements since the companies began charging the fees, that they are entitled to declarations that the filed rate doctrine applies to the fees prior to December 1, 2004, and that since neither insurer filed these charges with the Department of Insurance, the insurers were not entitled to collect the fees.

 

FN1. USAA did not appeal because it had not collected any of the type of fees in dispute after December 1, 2004.

 

We conclude that the installment fees at issue were not subject to the filing requirements alleged by the Plaintiffs under either the current version of the applicable statute or its predecessor. Therefore, we reverse the district court’s declarations to the contrary.

 

Background

 

Farmers and USAA are county mutual insurance companies formed under the laws of the State of Texas and each has a certificate of authority from the Commissioner of Insurance to do business in the State of Texas. They both write six-month private passenger auto insurance policies in Texas. In addition, an affiliate of USAA writes twelve-month residential property renters policies in Texas.

 

From October 1987 to October 2002, Romo (together with her husband who is now deceased) was insured under a series of six-month private passenger auto policies written by Texas Farmers Insurance Company. Texas Farmers Insurance Company withdrew from the private passenger auto insurance market in Texas and, in October 2002, the Romos’ policy was replaced by a private passenger auto policy written by Farmers Texas County Mutual Insurance Company, one of the defendants in this case. This policy has since been renewed every six months to the present. From November 2002 to the present, Ratcliffe has been insured under a series of six-month private passenger auto policies written by USAA County Mutual Insurance Company.

 

*2 Both Romo and Ratcliffe were offered the option of paying the premiums for their policies in monthly installments rather than in a single lump sum when due, and both elected to do so. The option to pay in monthly installments included an additional service fee for the installment plan that varied depending on the size of the premium payment.FN2The parties stipulate that both options, (1) paying premiums in full upon renewal without incurring a service fee and (2) paying premiums in monthly installments together with a service fee, were disclosed to Romo and Ratcliffe, and that each voluntarily elected to pay premiums in installments along with the service fee.

 

FN2. The installment fees at issue for the named plaintiffs varied between $3.00 and $6.50 per month.

 

The installment payment plan offered to Farmers’s insureds has, since 1984, been offered by Farmers Insurance Exchange (“FIE”), an affiliate of Farmers.FN3 Farmers’s insureds, such as Romo, who wish to take advantage of an installment payment plan sign a Monthly Payment Plan Agreement with FIE that includes an agreement to pay the monthly service fee. FIE then collects premium payments on behalf of Farmers as well as the service fee provided for in the Monthly Payment Plan Agreement. FIE forwards the insurance premium on to Farmers and retains the service fee pursuant to a 1984 Administrative Servicing Agreement between it and Farmers.

 

FN3. It is undisputed that Farmers and FIE are “affiliates” under the Holding Company Systems Regulatory Act. Tex. Ins.Code Ann. § 823.003 (West 2007).

 

The Administrative Servicing Agreement, filed with the State Board of Insurance in 1991, provides that FIE will perform “premium collection services” on behalf of Farmers for “policyholders of [Farmers] who elect to remit premiums on a monthly payment plan.”The Administrative Servicing Agreement also provides that the service charges for providing the installment payment plan are not premiums for insurance, but are charges for the services of FIE, and are the property of FIE. This arrangement for premium collection services to be performed by FIE for Farmers was deemed approved by the Commissioner of Insurance by operation of law pursuant to the Holding Company Systems Regulatory Act and has never been disapproved or challenged by the Commissioner of Insurance. SeeTex. Ins.Code Ann. § 823.103 (West 2007); Act of May 27, 1991, 72d Leg., R.S., ch. 242, § 8.03, 1991 Tex. Gen. Laws 939, 1016-17, codified at former Tex. Ins.Code art. 21.49-1, § 4(d), recodified by Act of May 22, 2001, 77th Leg., R.S., ch. 1419, § 1, sec. 823.103, 2001 Tex. Gen. Laws 3658, 3700.

 

USAA offered its insureds three different installment payment plans without using the services of a subsidiary or affiliate company. USAA insureds such as Ratcliffe who elected to pay their premiums in installments forwarded the service fee for the installment plan directly to USAA together with each premium payment. As of May 1, 2004, USAA had stopped assessing a fee for any of its installment payment plans.

 

Romo and Ratcliffe originally filed this action in August 2003 seeking relief individually as well as class relief for a class of similarly situated policyholders. They claim that section 912.201 of the insurance code and its predecessor-article 17.25, section 6 of the insurance code-required Farmers and USAA to file a schedule of the amounts they or their affiliates charged policyholders for electing to pay their auto insurance premiums in installments over time rather than in a single lump sum when due.FN4They asserted claims for declaratory relief to have these fees declared subject to the filing requirements of section 912.201 and its predecessor as well as subject to the filed rate doctrine. The Plaintiffs claim that, as a consequence of the filing requirements and the filed rate doctrine, the defendants’ collection of the fees was illegal and/or a breach of contract because a schedule of the fees had not been filed with the Department of Insurance. Romo and Ratcliffe also asserted three causes of action for damages: (1) overcharge, (2) breach of contract, and (3) money had and received.

 

FN4. The claims are not based on an allegation that the service fees were not disclosed or were misrepresented in any way. There is no dispute that the fees were fully and accurately disclosed both to the Plaintiffs and to the Texas Department of Insurance, and that the Plaintiffs voluntarily elected to use the offered installment plans and pay the additional fees. The crux of the Plaintiffs’ claims is that the insurers were required to file the amount of the service fees with the Texas Department of Insurance and, unless the amounts were filed, policyholders could not be charged these fees whether they and the Department of Insurance were aware of the fees or not.

 

Defendants Farmers and USAA answered and filed counterclaims for declaratory relief seeking declarations that the installment payment plan fees in question are not subject to the filing requirements of section 912.201 or its predecessor, and even if they were, the filed rate doctrine did not operate to bar their collection of the fees. Thus, their collection of the fees was authorized and legal. Since the cross-claims for declaratory relief were questions of law that would govern whether the underlying class claims could go forward, the parties agreed to sever the claims for declaratory relief from the claims for damages and filed cross-motions for summary judgment in the severed declaratory judgment action. The parties stipulated to the material facts relating to their claims for declaratory relief. On appeal, Farmers and USAA also assert that there is no private right of action under section 912.201 and, therefore, the trial court lacked subject matter jurisdiction over the Plaintiffs’ claims for declaratory relief because Romo and Ratcliffe do not have standing to pursue those claims.

 

Standard of Review

 

We review the summary judgment de novo. Joe v. Two Thirty Nine Joint Venture, 145 S.W.3d 150, 156 (Tex.2004). The standards for reviewing a summary judgment are well established: (1) the movant must demonstrate that there is no genuine issue of material fact and that it is entitled to judgment as a matter of law; (2) in deciding whether a disputed issue of material fact exists that would preclude summary judgment, we take all evidence favorable to the non-movant as true; and (3) we indulge every reasonable inference and resolve any doubts in favor of the non-movant. Nixon v. Mr. Prop. Mgmt. Co., 690 S.W.2d 546, 548-49 (Tex.1985). When, as here, both parties file motions for summary judgment and the court denies both in part and grants both in part, we must review the summary judgment evidence presented by both sides, decide all questions presented, and render the judgment that the trial court should have rendered. See City of Garland v. Dallas Morning News, 22 S.W.3d 351, 356 (Tex.2000). The material facts relating to the nature of the installment plan service fees are not in dispute. Consequently, whether the service fees at issue are subject to filing requirements under section 912.201 of the insurance code and its predecessor is a question of law.

 

Subject Matter Jurisdiction

 

Subject matter jurisdiction is essential to the authority of a court to decide a case. Texas Ass’n of Bus. v. Texas Air Control Bd., 852 S.W.2d 440, 443 (Tex.1993). Standing is implicit in the concept of subject matter jurisdiction and is a component of subject matter jurisdiction. Id. at 443-45.Thus, a plaintiff must have standing for the court to have subject matter jurisdiction to decide the merits of the claims. Id.;State Bar of Tex. v. Gomez, 891 S.W.2d 243, 245 (Tex.1994). Subject matter jurisdiction is never presumed and is an issue that may be raised for the first time on appeal, and a lack of subject matter jurisdiction on the part of the court cannot be waived by the parties. Texas Ass’n of Bus., 852 S.W.2d at 443-45.

 

Farmers and USAA argue on appeal that the Plaintiffs do not have a private right of action to enforce or seek a remedy for any potential violations of, or failures to comply with, section 912.201. They assert that the power to enforce section 912.201 rests exclusively with the Department of Insurance and the Commissioner of Insurance, and that the Plaintiffs’ claims for declaratory relief in this case “arise under or are premised on” an alleged violation of section 912.201 and its predecessor. Therefore, Farmers and USAA conclude, the Plaintiffs lack standing to pursue their claims for declaratory relief in this case because those claims necessarily involve an adjudication of whether Farmers and USAA have failed to comply with section 912.201.

 

Plaintiffs Romo and Ratcliffe counter that they are not seeking to pursue a private cause of action for a violation of section 912.201 and its predecessor. Rather, they argue, they are pursuing claims for breach of contract as well as common law claims for money had and received and overcharge that happen to turn on whether Farmers and USAA filed the amounts they have charged in accordance with section 912.201. They contend that if Farmers and USAA failed to file the amount of the installment payment plan fees in accordance with section 912.201 and its predecessor, such a failure would give rise to a breach of the parties’ contracts of insurance under the theory that the insurers are only allowed by law to contract for amounts that are filed pursuant to section 912.201. Charging any amount not filed in accordance with section 912.201, they argue, is illegal and is a breach of contract because insurers are allowed by law to collect only “lawfully prescribed rates” pursuant to their contracts of insurance. Romo and Ratcliffe’s theory is as follows:

 

  • contracts of insurance require insurers to charge only lawfully prescribed amounts;

 

  • by virtue of the filed rate doctrine, lawfully prescribed amounts for the policies involved in this case are those amounts filed with the Department of Insurance in accordance with section 912.201 and its predecessor;

 

  • Farmers and USAA did not file the installment payment plan fees in accordance with section 912.201;

 

  • the installment payment plan fees, therefore, are not lawfully prescribed amounts that may be charged;

 

  • by charging and collecting the fees Farmers and USAA breached their contracts of insurance with Romo and Ratcliffe giving rise to claims for breach of contract as well as related claims for money had and received and overcharge; and,

 

  • Romo and Ratcliffe have standing to seek declaratory relief as to whether the filed rate doctrine and, as a corollary, section 912.201 apply to the installment payment plan fees at issue not as a private cause of action for a failure to comply with section 912.201, but as a part of their contract dispute.

 

The jurisdictional issue here is the Plaintiffs’ standing to have their request for declaratory relief adjudicated rather than the merits of the underlying cause of action for breach of contract. In this instance, the standing issue is distinct from the merits. In such cases, a court should not adjudicate the merits of the parties’ claims in deciding the issue of standing. See Bland Indep. Sch. Dist. v. Blue, 34 S.W.3d 547, 554-55 (Tex.2000); In re Sullivan, 157 S.W.3d 911, 920 (Tex.App.-Houston [14th Dist.] 2005, orig. proceeding). Romo and Ratcliffe have sought declaratory relief as to the application of a statute and the application of the filed rate doctrine to certain items potentially addressed by that statute. They have pleaded that they seek this relief in connection with their underlying claim for breach of contract.FN5The connection of section 912.201 to the request for declaratory relief here is that an alleged failure to comply with the filing requirements of section 912.201 coupled with charging an unfiled amount constitutes a breach of the contract of insurance. The Plaintiffs claim the failure to comply with section 912.201 while charging the installment payment plan fees is a breach of contract and they will seek remedies for that breach. This may or may not be a viable claim, but this is the allegation. It does not imply a private right of action to sue for a violation of section 912.201. The underlying dispute relating to the request for declaratory relief is for breach of contract. The alleged noncompliance with the statute is simply one component of the alleged breach of contract. Whether there is any merit to this theory or any merit or viability to the underlying breach of contract claim is an inquiry appropriate for a disposition on the merits of the underlying claim rather than disposition as a matter of standing and jurisdiction with respect to the request for declaratory relief in this case.

 

FN5. The underlying causes of action for breach of contract, money had and received, and overcharge have been severed into a separate cause number to allow resolution of the claims for declaratory relief in this case. We address standing in this case only with regard to the requested declaratory relief. We express no opinion as to the Plaintiffs’ standing with respect to the underlying causes of action in the severed cause.

 

Romo and Ratcliffe have standing to seek a judicial resolution of the legal questions of whether the statute at issue and the filed rate doctrine apply in the manner that they claim affects the amounts that the insurers are allowed to charge under their contracts of insurance. As policyholders alleging a breach of the insurance contract they have a justiciable interest in the resolution of the questions. We hold that the trial court had subject matter jurisdiction to address the questions presented by the claims for declaratory relief in this case.

 

Filing Requirements Under the Statute

 

The Plaintiffs’ claims are based on the argument that former article 17.25, section 6 of the insurance code and its amended version currently in force, section 912.201, required and continue to require county mutual insurance companies to file with the Department of Insurance a schedule of the amounts they charge insureds for allowing payments to be made in installments. Former article 17.25, section 6 provided:

 

Sec. 6. Such companies shall file with the Board a schedule of its rates, the amount of policy fee, inspection fee, membership fee, or initial charge by whatever name called, to be charged its policyholders or those applying for policies.

 

Act of June 7, 1951, 52d Leg., R.S., ch. 491, § 1, art. 17.25, sec. 6, 1951 Tex. Gen. Laws 868, 1043 [hereinafter 1951 Act], repealed by Act of May 22, 2001, 77th Leg., R.S., ch. 1419, § 31(a), 2001 Tex. Gen. Laws 3658, 4208 [hereinafter 2001 Act].Article 17.25, section 6 was recodified and replaced effective June 1, 2003, see 2001 Act, § 33, 2001 Tex. Gen. Laws at 4201, by section 912.201 of the insurance code, which provides:

A county mutual insurance company shall file with the department a schedule of the amounts the company charges a policyholder or an applicant for a policy, regardless of the term the company uses to refer to those charges, including “rate,” “policy fee,” “inspection fee,” “membership fee,” or “initial charge.” A county mutual insurance company shall file premium, expense, and loss experience data with the department in the manner prescribed by the commissioner. An insurer shall file the schedules and data required under this section according to rules promulgated by the commissioner.

 

Tex. Ins.Code Ann. § 912.201 (West 2007).

 

The text of article 17.25, section 6 was first enacted in 1947 as article 4860a-20, section 2a(d) of the Texas Revised Civil Statutes. See Act of June 5, 1947, 50th Leg., R.S., ch. 367, § 1, sec. 2a(d), 1947Tex. Gen. Laws 739, 741, repealed by 1951 Act, § 4, 1951 Tex. Gen. Laws at 1094. It was recodified in 1951 without change as article 17.25, section 6 of the insurance code, see 1951 Act, § 1, art. 17.25, sec. 6, 1951Tex. Gen. Laws at 1049 (repealed 2001), and the text remained unchanged by the legislature until the statute was again recodified as section 912.201 effective 2003, see 2001 Act, § 1, sec. 912.201, 2001Tex. Gen. Laws at 3975. The recodification of article 17.25, section 6 was part of the state’s ongoing statutory revision and codification program begun in 1963. The program contemplates a topic-by-topic revision of the state’s general and permanent statute law without substantive change. Tex. Ins.Code Ann. § 30.001(a) (West 2007).

 

Former article 17.25, section 6 required county mutual insurance companies to file a schedule of two types of charges to “policyholders or those applying for policies”:

 

(1) the company’s rates; and

 

(2) the amount of policy fee, inspection fee, membership fee, or initial charge by whatever name called.

 

See 1951 Act, § 1, art. 17.25, sec. 6, 1951Tex. Gen. Laws at 1043 (repealed 2001). The installment payment plan fees at issue in this case do not fall into either of these categories. They are not a rate nor a component of a rate. Nor are they an initial charge for a policy that might go by a variety of labels such as “policy fee,” “inspection fee,” or “membership fee.” It is undisputed by the parties that the installment payment plan fees at issue are a charge associated with the company’s providing an optional plan for a policyholder to pay his or her premium in installments. The parties have stipulated that a policyholder may avoid these charges altogether and receive the same insurance coverage by paying the premium for the policy in full when due. Therefore, since the fees at issue are not a rate or an initial charge for a policy, former article 17.25, section 6 did not require county mutual insurers to file a schedule of amounts they or their affiliates charged for providing the option to pay premiums in installments. Accordingly, the trial court erred in declaring that the installment fees are charges covered by former article 17.25, section 6.

 

This interpretation is consistent with the regulatory structure implemented by the Department of Insurance. Since 1992, the Department has required auto insurers other than county mutual insurers to offer an installment payment plan pursuant to Rule 14 of the Texas Automobile Rules and Rating Manual. Rule 14 was made applicable to county mutual insurers in 1997 pursuant to Personal Auto Policy (“PAP”) Special Instruction No. 11, which is part of the policy form that county mutual insurers are required to use in Texas. Rule 14 both requires auto insurers to make an installment payment plan available to policyholders and expressly allows the insurers to charge a regulated fee for making the plan available. It is undisputed that Farmers and USAA were in compliance with Rule 14 during all relevant time frames.

 

Former article 17.25, section 6 was in force at the time Rule 14 was originally promulgated and at the time that the Department of Insurance made Rule 14 applicable to county mutual insurers. The Department of Insurance has never taken the position that the fees authorized by Rule 14 were required to be filed pursuant to former article 17.25, section 6 or its successor section 912.201. It is undisputed that the Department has been responsible for the enforcement of former article 4860a-20, section 2a(d), former article 17.25, section 6, and current section 912.201 since 1947 and that the Department has never required a county mutual insurer to file the amount of a service charge for an installment payment plan pursuant to these statutes. The Department has a specific regulatory scheme with respect to installment payment plans and the fees insurers are allowed to charge with respect to those plans. The Department does not consider former article 17.25, section 6 and its successor section 912.201 part of that regulatory scheme. “Construction of a statute by the administrative agency charged with its enforcement is entitled to serious consideration, so long as the construction is reasonable and does not contradict the plain language of the statute.”Tarrant Appraisal Dist. v. Moore, 845 S.W.2d 820, 823 (Tex.1993); see State v. Public Util. Comm’n of Tex., 883 S.W.2d 190, 196 (Tex.1994) ( “[T]he contemporaneous construction of a statute by the administrative agency charged with its enforcement is entitled to great weight.”); Texas Employers’ Ins. Ass’n v. Holmes, 196 S.W.2d 390, 395 (Tex.1946) (“[T]he practical interpretation of the Act by the agency charged with the duty of administering it is entitled to the highest respect from the courts.”); Stanford v. Butler, 181 S.W.2d 269, 273 (Tex.1944) (“The contemporaneous construction of an act by those who are charged with the duty of its enforcement … is worthy of serious consideration as an aid to interpretation, particularly where such construction has been sanctioned by long acquiescence.”(quoting 39 TEX. JUR.Statutes § 125 (1936))). The Department of Insurance’s practical construction of former article 17.25, section 6 and its regulatory scheme for dealing with premium installment payment plans including the charges for those plans are consistent with the language of the statute and entitled to serious consideration. Nothing in the language of former article 17.25, section 6 requires the adoption of an interpretation inconsistent with the interpretation and practice of the Department of Insurance.

 

The Department of Insurance continued its regulatory scheme relating to premium installment payment plans and did not require schedules of charges for those plans to be filed even after former article 17.25, section 6 was replaced by section 912.201. The Department’s treatment of the statute before and after the 2003 recodification process was the same. This is, of course, consistent with the proposition that the recodification process did not make a substantive change. SeeTex. Ins.Code Ann. § 30.001(a). However, the question of whether the recodification of article 17.25, section 6-now section 912.201-did, in fact, involve a substantive change (even if inadvertent) to now require that the installment payment plan charges at issue are subject to filing requirements raises an additional issue.

 

Romo and Ratcliffe point to the language of the recodified statute and argue that the recodified version requires county mutual insurers to file a schedule of any amount that the company charges a policyholder or applicant for a policy regardless of what the charge is for. Romo and Ratcliffe rely on the following language in section 912.201:

 

A county mutual insurance company shall file with the Department a schedule of the amounts the company charges a policyholder or an applicant for a policy, regardless of the term the company uses to refer to those charges….

 

Id.§ 912.201. This language is, from a grammatical standpoint, a structural change from the language of former article 17.25, section 6. It uses essentially the same words, but moves the clauses around in a way that allows for an argument that, whether deliberate or not, the meaning of the statute was changed in the recodification process. See Fleming Foods of Tex., Inc. v. Rylander, 6 S.W.3d 278, 286 (Tex.1999) (when specific provisions of a “nonsubstantive” codification are direct, unambiguous, and cannot be reconciled with prior law, the codification rather than the prior, repealed statute must be given effect). The reshuffling of the clauses in the statute certainly alters the clear statement in former article 17.25, section 6 that limited the charges covered to two specific categories-(1) a rate, and (2) an initial charge for a policy (by whatever name called). The structure of the recodified statute provides less clear guidance as to what charges are covered and what charges are not.

 

On its face, the new language could conceivably be read as requiring county mutual insurers to file a schedule of any amount they charge policyholders (or applicants for policies) for literally anything. However, there are a number of problems with this construction. If read to apply to any charge, the statute would cover any type of charge by an insurance company-whether or not the charge was related to the insurance policy or the insurance relationship-simply because the person charged also happened to be a policyholder or an applicant for a policy. For example, there would be nothing to limit the statute’s application to amounts a company might charge a person for renting a piece of property owned by the company, or for amounts the company might charge for using a company parking garage if the person charged also happened to be a policyholder. Such an extraordinarily broad reading of the statute would be possible, but not reasonable.

 

The legislature plainly intended the statute to require county mutual insurers to file amounts that they charge “a policyholder” or “an applicant for a policy” that relate to the policy of insurance.FN6This is evidenced by the fact that the list of examples of charges “included” under the statute’s coverage are all charges tied to the purchase of the insurance policy-rate, policy fee, inspection fee, membership fee, or initial charge. “Includes” is a term of enlargement and not of limitation or exclusive enumeration and does not create a presumption that components not expressed are excluded. Tex. Gov’t Code Ann. § 311.005(13) (West 2005). However, the principle of statutory construction known as ejusdem generis limits the breadth of general terms in a statute when the statute gives examples or a list of what is intended to be covered. “[W]hen words of a general nature are used in connection with the designation of particular objects or classes of persons or things, the meaning of the general words will be restricted to the particular designation.”See State v. Fidelity & Deposit Co. of Md., 223 S.W.3d 309, 312 (Tex.2007) (quoting Hilco Elec. Coop. v. Midlothian Butane Gas Co., 111 S.W.3d 75, 81 (Tex.2003)). In other words, the principle of ejusdem generis directs that the term “charges” as used in section 912.201-since it is used generally without any definition-be interpreted to include only charges of the same kind, class, or nature as the types of charges listed in the statute.Id.

 

FN6. Farmers and USAA argue that the language of section 912.201 mandates this interpretation because the codified version of the statute should be read in such a way that the words “for a policy” modify the term “charges” rather than the term “applicant.” This grammatical maneuver would make the statute literally apply only to charges “for a policy” made to a policyholder or an “applicant” as opposed to any charge (unconstrained by modifying language) an insurer might make to a policyholder or an “applicant for a policy.” However, the history of the text of section 912.201 does not support this reading. Former article 17.25, section 6 applied to amounts “to be charged policyholders or those applying for policies.”The nonsubstantive revision represented by section 912.201 uses the phrase “amounts the company charges a policyholder or applicant for a policy.”It is apparent that the codifiers were attempting to follow their statutory mandate to restate the law “in modern American English to the greatest extent possible,” and replaced the phrase “those applying for policies” with the phrase “applicants for policies.” SeeTex. Ins.Code Ann. § 30.001(b) (West 2007). Whether the replacement improved or modernized the English in the statute is debatable. However, it is more reasonable-in light of the fact that the 2003 codification of article 17.25, section 6 was intended to be nonsubstantive-to read the phrase “for a policy” to be associated with the term “applicant” rather than the term “charges.”

 

In addition, reading the statute to include charges that have nothing at all to do with the insurance policy arguably runs afoul of the principle of statutory construction that we consider the consequences of a particular construction and not construe a statute in a manner that will produce absurd results. Tex. Gov’t Code Ann. § 311.023 (West 2005); see Fleming Foods, 6 S.W.3d at 284;see also State v. Hodges, 92 S.W.3d 489, 494 (Tex.2002). To construe the statute to apply to any and all charges an insurer might make to a policyholder regardless of whether those charges relate to the insurance policy-e.g. parking garage fees for visitors to the company’s building who happen to be policyholders or cafeteria charges to employees who use the company’s cafeteria and are also policyholders-would lead to absurd and plainly unintended results. As the Texas Supreme Court noted in State v. Hodges, the construction of the statute advocated by Hodges in that case was linguistically possible, but it was not reasonable nor required by the statute’s language, and the court declined to adopt it. 92 S .W.3d at 495. Similarly, here it is possible to construe the recodified statute as applying to charges made by an insurer regardless of their connection to the policy of insurance, but such a construction is not reasonable in light of the purpose of the statute, the history of the statute, the text read as a whole, the regulatory scheme in place addressing the charges at issue, and the potential consequences of such a broad construction. Thus, given the history and text of section 912.201, we are of the view that it should be interpreted to include only those charges that are of the same kind, class, or nature as a rate, policy fee, inspection fee, membership fee, or initial charge.

 

Another problem with the construction advocated by Romo and Racliffe is that it runs counter to the stated legislative intention that the 2003 codification be without substantive change. Tex. Ins.Code Ann. § 30.001(a). The Plaintiffs’ construction would necessarily entail a dramatic change in this statute-a change at odds with the Department of Insurance’s regulatory enforcement of the statute. It would involve changing the charges covered from two specific categories that are expressly associated with the policy of insurance to anything an insurer might find itself charging a policyholder, whether the charge relates to the insurance relationship or something else altogether. Such an inadvertent change is certainly possible, as demonstrated by Fleming Foods of Texas, Inc. v. Rylander, 6 S.W.3d 278 (Tex.1999). The court held in that case that if the change occurs in clear, unambiguous language in the recodified version of the statute, we are obligated to enforce the statute as written and give effect to the intention of the legislature as expressed in the unambiguous words of the statute unless there is an obvious error, such as a typographical error, or application of the literal language of the statute would produce an absurd result. Fleming Foods, 6 S.W.3d at 284-85. The change in the statute at issue here, however, is not the same sort of change that the court was faced with in Fleming Foods.Here, the change in the structure of the statute does not dictate a single construction that is so clear, unambiguous, and without absurd result that we are compelled to give it effect. Rather, the recodified statute, while conceivably subject to the construction advocated by the Plaintiffs, can be and is more reasonably construed in a more limited fashion when read as a whole with appropriate principles of statutory construction applied.

 

Construing section 912.201 to apply to charges that are of the same kind, class, or nature as a rate or an initial charge for a policy has the benefit of reconciling the history of the statute, the Department of Insurance’s regulatory view of the statute, the existence of a specific, separate regulatory structure to deal with the installment payment plan fees at issue, and the fact that the codification of section 912.201 was intended to be done without substantive change. The Plaintiffs’ construction would put these various factors in conflict and create unnecessary problems in the enforcement and application of section 912.201. Consequently, we hold that section 912.201, as currently formulated, applies to charges made by county mutual insurers that are of the same kind, class, or nature as a rate or an initial charge for a policy regardless of what that charge is called. As noted previously, the installment payment plan fees at issue in this case are not such a charge. Accordingly, the trial court erred in declaring that the installment fees are charges covered by section 912.201.

 

Conclusion

 

Our conclusion that former article 17.25, section 6 and its successor section 912.201 do not apply to the installment payment plan fees at issue in this case effectively moots any question regarding the application of the filed rate doctrine, and we do not reach that issue. We reverse declarations 1, 2, and 3 in the Final Declaratory Judgment entered by the district court in this cause and hold as follows:

 

  1. The fees charged by Farmers Texas County Mutual Insurance Company and USAA County Mutual Insurance Company for making an installment payment plan available for the payment of premiums on automobile insurance policies are not charges covered by Texas Insurance Code section 912.201 or its predecessor, former Texas Insurance Code article 17.25, section 6, and are not required to be filed with the Texas Department of Insurance pursuant to those statutes; and

 

  1. The collection of the service charges from Plaintiffs Irene Romo and Fenn Ratcliffe by Farmers Texas County Mutual Insurance Company and USAA County Mutual Insurance Company, respectively, for providing an installment payment plan for the automobile insurance premiums paid by Plaintiffs Irene Romo and Fenn Ratcliffe is not prohibited by law for failure of Farmers Texas County Mutual Insurance Company and USAA County Mutual Insurance Company to have filed a schedule of such charges with the Department of Insurance pursuant to Texas Insurance Code section 912.201 or its predecessor, former Texas Insurance Code article 17.25, section 6.

 

Our holding is limited to the legal questions of (1) the construction of section 912.201 and its predecessor as stated and (2) whether the charges at issue are subject to the filing requirements of those statutes. We offer no opinion as to the propriety of the charges in any other context or with respect to any other law.

 

 

 

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 Employers Fined By OSHA When a Temporary Construction Worker Is Injured After Being Denied Safety Equipment

OSHA News Release: Texas worker injured after being denied safety equipment; employers cited [07/22/2015]

Texas worker injured after being denied safety equipment; employers cited

OSHA fines Cotton Commercial USA and Gardia Construction more than $367K

HOUSTON — Despite his request for a safety harness, a temporary worker without fall protection on a roof later fell 12 feet through the roof. His fall resulted in his hospitalization with fractured arms and severe contusions.

The employer, Cotton Commercial USA Inc. in Katy, Texas, waited three days to report the injury, an investigation by the U.S. Department of Labor’s Occupational Safety and Health Administration found. Federal law requires employers to report such incidents within 24 hours.

OSHA today fined Cotton Commercial $362,500 for seven safety violations, including one willful and four willful egregious. The violations include failing to provide fall protection for four workers, failure to promptly report the hospitalization of an employee resulting from a workplace incident, and not training employees in the use of fall protection and ladders. Cotton Commercial citations are available here.

Gardia Construction, which provided the laborers to Cotton Commercial, received a citation for one serious violation and a fine of $4,900, for failing to conduct frequent and regular inspections of the job site where its laborers worked. The Gardia citations are available here.

“Falls kill workers, but they are preventable,” said Assistant Secretary for Occupational Safety and Health Dr. David Michaels. “Cotton Commercial denied its workers the safety equipment they are required to provide, and the company intentionally waited several days to report the incident and misled OSHA’s inspectors.”

Staffing agencies and host employers are jointly responsible for maintaining a safe work environment for temporary workers. This includes ensuring that OSHA’s training, hazard communications and record-keeping requirements are fulfilled.  And for construction workers, this responsibility includes ensuring that frequent and regular inspections of worksites are conducted.

“Cotton Commercial was well aware of how to prevent safety hazard and, in fact, on the following day Cotton made sure all workers were provided with the required safety equipment. It shouldn’t have to take a serious injury for a company to comply with the law,” said OSHA Regional Administrator John Hermanson.

Cotton Commercial employs about 227 workers and operates throughout the U.S. The company provides remediation services for commercial and residential structures damaged from disasters. At the time of the accident, Texas Mutual provided company employees with workers compensation insurance. Its current provider is Affordable Insurance of Texas. Gardia Construction, located in Gretna, La., employs about 80 workers and provides labor to Cotton Commercial. Gardia does not carry workers compensation insurance.

Both employers have 15 business days from receipt of its citations to comply, request an informal conference with OSHA’s Houston South area director, or contest the citations and penalties before the independent Occupational Safety and Health Review Commission.

To ask questions, obtain compliance assistance, file a complaint, or report amputations, eye loss, workplace hospitalizations, fatalities or situations posing imminent danger to workers, the public should call OSHA’s toll-free hotline at 800-321-OSHA (6742) or the agency’s Houston South office at 281-286-0583 or its Houston North office at 281-591-2438.

Under the Occupational Safety and Health Act of 1970, employers are responsible for providing safe and healthful workplaces for their employees. OSHA’s role is to ensure these conditions for America’s working men and women by setting and enforcing standards, and providing training, education and assistance. For more information, visit http://www.osha.gov.

OSHA News Release: [07/22/2015]
Contact Name: Diana Petterson or Juan Rodriguez
Phone Number: (972) 850-4710 or x4709
Email: Petterson.Diana@dol.gov or Rodriguez.Juan@dol.gov
Release Number: 15-1411-DAL

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]