automobile liability policy endorsement excluding Personal Injury Protection coverage for one driver
How later courts described this case
- automobile liability policy endorsement excluding Personal Injury Protection coverage for one driver
- automobile liability policy endorsement excluding Personal Injury Protection coverage for one driver was against public policy
- ”[S] tatutes and ordinances express the public policy of the state as it existed at the time of their adoption. Subject to constitutional limitations, however, that policy may be changed by the Legislature at any time.”
- assignment of right to challenge will to one who had elected to take under will
Written by the judges who cited it.
The opinion
IN THE SUPREME COURT OF TEXAS
IN THE SUPREME COURT OF TEXAS
════════════
No. 04-0728
════════════
Fairfield Insurance Company,
Appellant,
v.
Stephens Martin Paving, LP;
Carrie Bennett,
Individually and as
Representative of the Estate of
Roy Edward Bennett,
Deceased, and as Next Friend of
Lane Edward Bennett, Cody
Lee Bennett, and April Anne Bennett, Minors, Appellees
════════════════════════════════════════════════════
On Certified Question from the United
States
Court of Appeals for the Fifth
Circuit
════════════════════════════════════════════════════
Argued November 9,
2004
Justice Hecht, joined by
Justice Brister, Justice Medina, and Justice Willett , concurring.
The United States Court of Appeals for the Fifth Circuit has certified to
us [1] this question: “Does Texas public policy
prohibit a liability insurance provider from indemnifying an award for punitive
damages imposed on its insured because of gross negligence?” [2] As usual, the Circuit “disclaim[s] any
intention or desire that the Supreme Court of Texas confine its reply to the
precise form or scope of the question certified.” [3] The Court answers “no” for the workers’
compensation insurance at issue in the federal court action, but the Circuit’s
question is broader and deserves a fuller response than the Court gives. The
Court provides some insight into the relevant considerations, but I would add to
them and describe in more detail the way they should be analyzed. Most of what I
say is consistent with the Court’s opinion, and to that extent I join it.
I
I begin with a few general observations.
Texas
law recognizes and protects a broad freedom of contract. We have repeatedly said
that:
if there is one thing which more than another public policy
requires it is that men of full age and competent understanding shall have the
utmost liberty of contracting, and that their contracts when entered into freely
and voluntarily shall be held sacred and shall be enforced by Courts of justice.
Therefore, you have this paramount public policy to consider — that you are not
lightly to interfere with this freedom of contract. [4]
Still, freedom
of contract is not unbounded. “As a rule, parties have the right to contract as
they see fit as long as their agreement does not violate the law or public
policy.” [5]
We have voided contractual provisions that are contrary to public
policy, [6] including insurance policy provisions. [7] But we have also recognized that
“[c] ourts must exercise judicial restraint in deciding
whether to hold arm’s-length contracts void on public policy grounds”. [8] We observed long ago:
According to the well-known dictum of an English judge, public
policy “is a very unruly horse, and when you once get astride it, you never know
where it will carry you.” This striking illustration admonishes us that the
words “public policy” are vague in meaning and dangerous of application, and
that, unless we exercise due discrimination, we are likely to fall into error
when we come to apply them to the construction of a contract, with a view to
determine the validity of its provisions. [9]
For this
reason, a state’s public policy must be carefully “deduced from its
constitution, laws, and judicial decisions.” [10] The requirement of deduction is
critical; it circumscribes judicial authority. Courts are to derive public
policy from existing law, not create it. And courts must also recognize that
public policy may change over time. [11]
Insurance is “an agreement by which one party assumes a risk faced by
another in return for a premium payment.” [12] This risk-shifting is the purpose of
insurance. [13] When the agreement is unique, the
insured’s risk is transferred to an insurer who bears it alone, but when the
agreement is a standard policy offered by an insurer to the general public, the
insured’s risk is, in a real sense, borne by the insurer’s policyholders as a
group, from whose pool of premiums all claims must be paid if the insurer is to
remain in business. One public-policy concern is whether it is or is not in the
public interest for a risk to be shifted. As the cases cited in the margin
illustrate, public policy sometimes insists on risk-shifting, [14] sometimes prohibits it, [15] and sometimes is indifferent, leaving
the matter to the parties’ contract. [16]
In some instances, the effect of public policy on insurance is relatively
simple and uncontroversial. For example, the beneficiary of a life insurance
policy must have an insurable interest in the insured’s life. As the basis for
that rule, we quoted the United States Supreme Court more than a century ago:
“It is generally agreed that mere wager policies — that is, policies in which
the assured party has no interest whatever in the matter insured, but only an
interest in its loss or destruction — are void, as against public policy.” [17] The rule is unquestioned to this day. As
another court has more recently explained:
The insurable interest requirement for beneficiaries of life
insurance rests on two coexisting policy considerations: (1) that no inducement
be offered to one person to take the life of another;
and (2) that no one should be permitted to wager on the continuation of a human
life. [18]
Other
instances, however, may implicate multiple, conflicting policies. For example,
we once held that if co-owners of property were insured under the same policy
and one of them damaged the property, the innocent owner could not recover on
the policy because the wrongdoer would also benefit through his ownership
interest, and “public policy dictates that a wrongdoer should not benefit from
his wrongdoing.” [19] Years later, we came to see that the
public policy concerns implicated in the issue were broader and conflicting;
these concerns include the prevention of insurance fraud by co-owners acting in
collusion, the prevention of unjust enrichment of insurers, and the injustice of
imputing one person’s criminal acts to an innocent victim. [20] On balance, we concluded that the law
should permit the innocent insured to recover, at least in some circumstances. [21] Still later, we held that when the
co- insureds were married and the property was
community, recovery on the policy by the innocent spouse could not be
conditioned on divorce or partition because the public policy against divorce
was more important than the possibility that the wrongdoing spouse might
benefit. [22] Different policies called for a
different rule in different situations.
In sum, “the business of [insurance] is affected with a public
interest” [23] that is neither simple nor static and
that supercedes the parties’ freedom to contract for
the shifting of risks in some instances and not in others. With that predicate
in mind, I turn to the Circuit’s question.
II
The sources of public policy considerations relevant to the Circuit’s
question are statutes stating the purpose of punitive damages and prescribing
the manner in which they are to be assessed, other statutes allowing and
disallowing insurance for punitive damages, administrative regulations of
insurance, Texas caselaw , and
caselaw in other American jurisdictions. I examine
each in turn.
A
The first public policy consideration, and perhaps the most important
because the Legislature has firmly spoken, is that the purpose of punitive
damages is to punish. At one time, punitive damages were awarded not only to
punish the defendant (hence “punitive”) but to deter others (hence “exemplary”)
and to compensate the plaintiff for losses for which the law provided no
recovery, like inconvenience, attorney fees, and mental anguish. [24] But over the years, new elements of
damages became recoverable for many causes of action, thus affording a fuller
range of compensation for many claimants. Eventually, in 1987, the Legislature
limited the purpose of punitive damages, providing, in Chapter 41 of the Texas
Civil Practice and Remedies Code, at section 41.001(3) that:
“Exemplary damages” means any damages awarded as an example to
others, as a penalty, or by way of punishment. “Exemplary damages” includes
punitive damages. [25]
Based on this
statute, we held that “punitive damages are levied for the public purpose of
punishment and deterrence”, [26] omitting — as the Legislature had done —
compensation to the plaintiff as part of the purpose of punitive damages. In
1995, the Legislature renumbered the provision Section 41.001(5) and amended it
to delete the phrase, “as an example to others”, leaving punishment as the sole
purpose of punitive damages. [27] The statute was amended again in 2003, [28] again to make clear that punitive
damages are not compensatory, and it now states:
“Exemplary damages” means any damages awarded as a penalty or
by way of punishment but not for compensatory purposes. Exemplary damages are
neither economic nor noneconomic damages. “Exemplary damages” includes punitive
damages. [29]
As originally enacted, Chapter 41 applied to any action for negligence
and any action for personal injury, property damage, or death based on strict
liability, products liability, or breach of warranty, [30] but there were sixteen exceptions. [31] In 1995, Chapter 41 was amended [32] to reduce the exceptions to three:
certain actions under the Texas Free Enterprise and Antitrust Act of 1983, [33] actions under the Deceptive Trade
Practices–Consumer Protection Act [34] except as specifically provided in
Section 17.50 of that Act, [35] and actions brought under Chapter 21 of
the Texas Insurance Code. [36] A fourth exception was added in 2005 for
actions under Chapter 36 of the Human Resources Code. [37] The Legislature’s enlargement of the
scope of Chapter 41 over time reflects its intent to establish punishment of the
defendant as the sole purpose of punitive damages in Texas.
Chapter 41 also makes clear that the punishment imposed through punitive
damages is to be directed at the wrongdoer. Section 41.006 provides that “[ i ]n any action in which there are two or more defendants, an
award of exemplary damages must be specific as to a defendant, and each
defendant is liable only for the amount of the award made against that
defendant.” A defendant’s liability for punitive damages based on the conduct of
employees, agents, and associates is also limited. Section 41.005 provides that
“a court may not award exemplary damages against a defendant because of the
criminal act of another” [38] unless:
(1) the criminal act was
committed by an employee of the defendant;
(2) the defendant is criminally
responsible as a party to the criminal act under the provisions of Chapter 7,
Penal Code;
(3) the criminal act occurred
at a location where, at the time of the criminal act, the defendant was
maintaining a common nuisance under the provisions of Chapter 125, Civil
Practice and Remedies Code, and had not made reasonable attempts to abate the
nuisance; or
(4) the criminal act resulted from the defendant’s intentional or
knowing violation of a statutory duty under Subchapter D, Chapter 92, Property
Code, and the criminal act occurred after the statutory deadline for compliance
with that duty. [39]
Even when the
actor is the defendant’s employee, the defendant is not liable for punitive
damages unless:
(1) the principal authorized
the doing and the manner of the act;
(2) the agent was unfit and the
principal acted with malice in employing or retaining him;
(3) the agent was employed in a
managerial capacity and was acting in the scope of employment; or
(4) the employer or a manager of the employer ratified or
approved the act. [40]
If punitive damages are covered by insurance and paid from policyholders’
premiums, so that the wrongdoer suffers no more than a sliver of the sanction,
the sting of punishment is dissipated. As Judge John Minor Wisdom explained in
his seminal opinion on the insurability of punitive damages in Northwestern
National Casualty Co. v. McNulty :
Where a person is able to insure himself against punishment he
gains a freedom of misconduct inconsistent with the establishment of sanctions
against such misconduct. It is not disputed that insurance against criminal
fines or penalties would be void as violative of
public policy. The same public policy should invalidate any contract of
insurance against the civil punishment that punitive damages
represent.
The policy considerations in a state where . . . punitive damages are
awarded for punishment and deterrence, would seem to require that the damages
rest ultimately as well as nominally on the party actually responsible for the
wrong. If that person were permitted to shift the burden to an insurance
company, punitive damages would serve no useful purpose. Such damages do not
compensate the plaintiff for his injury, since compensatory damages already have
made the plaintiff whole. And there is no point in punishing the insurance
company; it has done no wrong. In actual fact, of course, and considering the
extent to which the public is insured, the burden would ultimately come to rest
not on the insurance companies but on the public, since the added liability to
the insurance companies would be passed along to the premium payers. Society
would then be punishing itself for the wrong committed by the insured. [41]
The insured in the case before us attempts to argue that insurance does
not lessen the punishment of punitive damages. The insured’s premiums may
increase. Its insurance may be cancelled. It may be forced out of business. It
will be stigmatized as a wrongdoer. But even if an insured would not escape
altogether the consequences of punitive damages, insurance would indisputably
spread them among many who deserve no punishment at all, which would contravene
the policy clearly reflected in Chapter 41.
Rather clearly, insuring against punitive damages impairs their
purpose.
B
The next question is whether insuring against punitive damages is
consistent with the manner in which they are assessed. Chapter 41 provides that
punitive damages can be awarded for fraud, malice, gross negligence, or a
statutory violation. [42] “Fraud” does not include constructive
fraud. [43] “Malice” requires specific intent to
cause substantial injury. [44] “Gross negligence “
is defined as:
an act or omission:
(A) which when viewed objectively
from the standpoint of the actor at the time of its occurrence involves an
extreme degree of risk, considering the probability and magnitude of the
potential harm to others; and
(B) of which
the actor has actual, subjective awareness of the risk involved, but
nevertheless proceeds with conscious indifference to the rights, safety, or
welfare of others. [45]
Other
statutory actions may prescribe a different culpable mental state for punitive
damages. [46] With these basic standards in mind,
section 41.011(a) provides:
In determining the amount of exemplary damages, the trier of fact shall consider evidence, if any, relating
to:
(1) the nature of the
wrong;
(2) the character of the
conduct involved;
(3) the degree of culpability
of the wrongdoer;
(4) the situation and
sensibilities of the parties concerned;
(5) the extent to which such
conduct offends a public sense of justice and propriety; and
(6) the net worth of the defendant. [47]
Three of these factors — (1), (2), and (5) — are objective. The nature of
the wrong and character of the conduct consider the defendant’s actions in the
abstract, compared with broad norms and expectations. Were the defendant’s
actions the work of a moment or the product of careful plotting and planning?
Did they threaten few or many? Were they merely wrong, or were they offensively
wrong? Were they morally, criminally or otherwise especially culpable? Did they
pose a heightened offense to public justice and propriety? For such questions,
the identity of the defendant, whether an individual or an organization, is
irrelevant; the nature of the conduct is what matters. On the other hand, three
other factors — (3), (4), and (6) — are subjective. What was the defendant
thinking? Was he vile, angry, or malicious, or was he consciously indifferent to
an objectively extreme degree of risk to others? [48] What was the plaintiff thinking? Was he
trusting or suspicious? What will it take to punish the defendant? Is he an
individual with limited means or an entity with a large net worth?
Applying the objective factors is akin to deciding whether a crime should
be a misdemeanor or a felony. The seriousness of the misconduct is not affected
by whether the corresponding punitive damages must be paid by the defendant’s
insurer rather than the defendant. But the subjective factors help determine
what a specific defendant should be required to pay a specific plaintiff. If
punitive damages are covered by insurance, and the burden of payment thus shared
in effect by the insurer’s policyholders, it makes no sense to set the amount
based on whether the plaintiff was trusting or the defendant was calculating or
wealthy. What a group should pay, as opposed to an individual, depends on how
innocent most plaintiffs are, how culpable most defendants are, and the
defendants’ mean net worth. From individual, subjective circumstances one cannot
extrapolate what penalty the community should bear.
The Legislature has required that the specific circumstances of a
plaintiff and a defendant be taken into account in determining what amount of
punitive damages should be assessed against the defendant and paid to the
plaintiff. Insurance coverage makes this impossible. The amount an insured
defendant will pay depends on the extent of coverage and any deductible. Thus,
insuring against punitive damages conflicts with the way in which such damages
must be assessed under Chapter 41.
C
In a few instances, the Legislature has expressly prohibited or limited
insurance for punitive damages; in a few others, it has expressly allowed such
insurance. Although all legislative action is relevant in determining public
policy, little can be learned from the statutory provisions related to punitive
damages.
For reasons never entirely clear, the Legislature has restricted the
availability of punitive damages coverage to health care providers, then lifted
those restrictions in specific instances. In 1977, as part of the bill adopting
the Medical Liability Insurance Improvement Act of Texas, the Legislature
provided that professional liability insurance policies issued for physicians
and certain other health care providers “in this state”, including hospitals and
not-for-profit nursing homes, could not include punitive damages coverage. [49] Since the Act addressed what the
Legislature found to be a “medical malpractice insurance crisis”, [50] the prohibition may have been intended
to reduce insurance premiums. [51] But it has never been clear whether the
prohibition applied to insureds “in this state” or
only policies issued “in this state”, so that punitive damages coverage could be
obtained from out-of-state insurers. [52] If the latter, then
the effect of the prohibition on insurance costs was diminished.
Furthermore, in 1987, 1997, 2001, and 2003, the statute was amended to allow the
Board of Insurance, and later the Commissioner, to approve a policy endorsement
providing punitive damages coverage first for hospitals, then not-for-profit
nursing homes, then for-profit nursing homes, and finally assisted living
facilities. [53] These amendments suggest that insurance
cost control was never the Legislature’s motivation. Indeed, it is difficult to
discern in these amendments any policy or policies whatsoever. The statute now
provides:
(a) Except as provided by
Subsection (b), a medical professional liability insurance policy issued to or
renewed for a physician or health care provider in this state may not include
coverage for exemplary damages that may be assessed against the physician or
health care provider.
(b) The commissioner [of
insurance] may approve an endorsement form that provides for coverage for
exemplary damages for use on a medical professional liability insurance policy
issued to:
(1) a hospital; or
(2) a for-profit or not-for-profit nursing home
or assisted living facility. [54]
Several times the Legislature has created or modified guaranty funds and
excess liability pools, prohibiting them from paying punitive damage claims
either entirely or in part. [55] In each instance the Legislature’s
concern appears to have been for the economic impact on these entities of
insurance for punitive damages.
Finally, since 1987 the Legislature has required commercial liability
insurers to file closed claim reports including, among much other information,
“amounts paid for . . . punitive damages”. [56] The reports, which are still required, [57] show that punitive damages factor only
very slightly into the settlement of commercial liability claims. [58]
From this legislative activity only a few inferences can be drawn. Since
1977, the Legislature seems to have been concerned that liability insurance for
health care providers offered by Texas insurers not be made more expensive by
coverage of punitive damages. But health care providers may not have been
prevented from obtaining insurance covering punitive damages from insurers
outside Texas, and assuming such coverage comes
at additional expense, it has presumably had an effect on the cost of health
care in Texas.
Also, since 1987, the Legislature has made various exceptions for hospitals,
nursing homes, and assisted living facilities, and it is not clear why, or why
there have been no other exceptions. The Legislature has also shown concern that
guaranty funds and excess liability pools, entities funded by assessments and
therefore of limited means, not be burdened by payments for punitive damages.
Again, its concern appears to be economic, even when a pool covers governmental
entities whose liability for punitive damages is limited. [59]
Because the Legislature’s first enactment limited the availability of
punitive damages coverage, it may be tempting to infer that such coverage did
not offend public policy before 1977 and does not do so since except in the
specific situations the Legislature has identified. But this supposes that the
Legislature has taken a comprehensive view of the subject when in fact its
actions have been sporadic over three decades, directed to specific, narrow
circumstances, and largely unexplained. If the predominant concern is the
economic effect of such coverage, as it seems to have been, it is not clear why
that concern has been given voice in only a few situations when it speaks to
many.
Thus, it is difficult to find an indication of public policy in the
legislative limitations on, and express approvals of, punitive damages
coverage.
D
Insurance in Texas, as in other states, is thoroughly
regulated. For the most part, policy forms must be approved by the Commissioner
of Insurance, and in some instances the Commissioner is authorized to prescribe
the use of standard policy forms. [60] The workers’ compensation policy from
which the Fifth Circuit’s certified question comes is a standard form policy. [61]
The Commissioner’s approval of policy forms including and excluding
various types of coverage is some reflection of public policy. Standard form
personal automobile policies do not state specifically whether punitive damages
are covered, and while two courts have concluded that punitive damages are
damages for bodily injury covered by automobile policies, [62] that position has been uniformly
rejected in the context of uninsured and underinsured motorist coverage [63] and is therefore dubious at best.
Standard form homeowners’ policies also do not appear to cover punitive damages
although the subject is not expressly addressed in the policies. Other policies
shave been held to cover punitive damages in the absence of a provision
specifically excluding such coverage. [64]
The workers’ compensation policy in the case before the Fifth Circuit
specifically excluded punitive damages assessed “because of bodily injury to an
employee employed in violation of the law” but specifically included punitive
damages assessed for the death of an employee caused by the employer’s gross
negligence or intentional conduct. Although workers’
compensation benefits are ordinarily the exclusive remedy for an employee
injured on the job, [65] an action for punitive damages for the
death of an employee caused by the employer’s gross negligence is preserved by
Article XVI, § 26 of the Texas Constitution, [66] adopted at a time when, as already
explained, punitive damages were thought to have a compensatory function. Also,
by making a person who kills another “responsible” to the surviving family, the
constitutional provision in essence creates a wrongful death action, which the
common law did not allow, only with a heightened standard of proof and limited
recovery. In both respects, insurance coverage for punitive damages does not
present the same inconsistencies with the purpose and manner of assessing
punitive damages that such coverage would otherwise.
Without a complete review of insurance regulation, it is impossible to
determine what factors influence the Commissioner of Insurance in deciding
whether to approve or disapprove punitive damages coverage. But because of the
Commissioner’s role in regulating the insurance business in Texas, that decision
must be taken into account in considering whether the coverage is against public
policy.
E
A few cases applying Texas law have considered whether insurance for
punitive damages is against public policy. These may be divided into three
categories in which the punitive damages to be covered are assessed against (1)
someone other than the insured, (2) an individual insured based on his own
conduct, and (3) a corporate insured based on the conduct of its employees.
In the first category are cases involving uninsured or underinsured
motorist coverage in which the insured seeks to recover from his own insurer
punitive damages assessed against a third-party tortfeasor . Recent Texas courts have uniformly rejected such
recovery as against public policy. [67] In that situation, the burden of the
punitive damages would fall entirely on the insurer and its innocent investors
and policyholders, not on the tortfeasor , thereby
entirely defeating the purpose of such damages. In one case, State Farm
Mutual Automobile Insurance Co. v. Shaffer , Shaffer was injured in an
automobile accident with Torres. The court of appeals held that it was against
public policy to require State Farm, Shaffer’s insurer, to pay punitive damages
assessed against Torres. Citing Chapter 41 as establishing the basis and manner
for assessing punitive damages, the court explained:
Exemplary damages are assessed to punish a wrongdoer and to
serve as a deterrent to future wrongdoers. This policy does not support
rendering damages against State Farm since neither
deterrence of wrongful conduct nor punishment of Torres, the wrongdoer,
is achieved by imposing exemplary damages upon Shaffer’s insurance carrier for
Torres’ wrongful act. [68]
In the second category are two cases involving personal automobile
insurance. Both concluded that punitive damages coverage is not against public
policy. Dairyland County Mutual Insurance
Co. v. Wallgren , decided in 1972, was the first
case to consider whether punitive damages coverage is against Texas public policy. [69] The court concluded that a personal
automobile policy’s coverage of “damages because of . . . bodily injury”
included punitive damages and that the coverage could not be against public
policy because it had been approved by the state regulatory agency. [70] As already explained, regulatory
approval is certainly one factor to consider in determining public policy,
although it may not be conclusive. A 1989 decision in Manriquez v. Mid-Century Insurance Co. held
that a personal automobile policy covered punitive damages but did not discuss
whether that was consistent with public policy. [71] Neither case considered whether
insurance against punitive damages should be available when the sole purpose of
such damages is punishment, as the Legislature has since determined.
In the third category are four cases, two of which involve commercial
vehicle insurance. In Ridgway v. Gulf Life Insurance Co., a 1978
diversity-jurisdiction case, the Fifth Circuit summarily affirmed a federal
district court’s decision that punitive damages coverage is not against
Texas public
policy. [72] The district court relied entirely on
Dairyland , discussed above, and Home
Indemnity Co. v. Tyler [73] as stating Texas law. [74] In Home Indemnity , the court held
that uninsured motorist coverage of punitive damages is not against public
policy, but the same court has since overruled that case and followed the other
courts that have reached the opposite conclusion. [75] Ridgway preceded Chapter 41 by
nine years and did not consider whether punitive damages coverage is consistent
with the purpose of punishment. In 1998, a federal district court in Hartford
Casualty Insurance Co. v. Powell , another commercial vehicle insurance case,
surveyed Texas law since Dairyland and Home Indemnity and concluded
that Ridgway ’s Erie -guess about Texas law “is clearly wrong when considered in context
with the present Texas legal environment.” [76] Powell made its own
Erie -guess that in most instances punitive damages coverage contravenes
Texas public
policy.
The other two cases in the third category involved general liability
policies issued to corporate insureds . Both noted that
the policy considerations regarding punitive damages coverage are different when
the basis for the damages is the conduct of the insured’s employees or agents.
American Home Assurance Co. v. Safway Steel
Products Co. was a consolidation of two declaratory judgment actions, one
involving an umbrella policy and the other an excess policy. [77] Punitive damages of $750,000 and $1
million had been assessed against the insureds ,
respectively, in one case for gross negligence in failing to warn of the
limitations of a football helmet the insured manufactured, and in the other case
for gross negligence in the design and marketing of a scaffold. [78] The court observed that while allowing
coverage of punitive damages would shift the burden of the punishment to
“innocent” insurance purchasers, [79] thus thwarting the purpose of such
damages, disallowing coverage for a large corporation would mean shifting the
burden for the misconduct of a few employees to innocent consumers, [80] which is also contrary to the purpose
for such damages. In the end, the court said, “[t]he question of how to ‘punish’
a corporation is a difficult one.” [81]
American Home was decided in late 1987, shortly after Chapter 41
took effect. It did not refer to that statute and noted specifically that
“[ i ]n Texas, juries are not allowed to consider the
defendant’s wealth, resources, or insurance coverage when assessing compensatory
or punitive damages.” [82] It was not until three months later that
this Court held for the first that a defendant’s net worth is relevant in
assessing punitive damages. [83] The only case to consider the current
provisions of Chapter 41 in determining public policy regarding punitive damages
coverage is DaimlerChrysler Insurance Co. v. Apple . [84] There, a car dealership’s inventory
control manager claimed that his employer’s controller, general manager, and
used car sales manager had defamed him. An arbitration panel agreed and assessed
punitive damages of $500,000 against the dealership, $500,000 against its owner
and CEO, and $50,000 each against the three employees, all of whom were
determined to be vice-principals. [85] The district court confirmed the award
of punitive damages against the dealership and two of the employees, and on
appeal, the dealership settled with the plaintiff. [86] The dealership’s insurer under both a
CGL policy and an umbrella policy refused coverage of the punitive damage
awards, arguing in part that such coverage was against public policy. [87] The court rejected the argument in these
circumstances but stressed that its decision was a limited one:
We express no opinion on whether, as a general rule, Texas policy
disallows a party from insuring for exemplary damages. Our holding today is
limited to the narrow circumstances before us, where a corporation is held
liable for conduct by vice-principals; the conduct was done without the
participation or knowledge of the CEO, officers or shareholders of the
corporation; and the contract at issue covers “all sums” and is an arm’s-length
transaction between an insurance company and a corporation that distinguishes
between conduct done by employees and conduct done by the corporate entity, its
CEO, its shareholders, and its officers. Thus, we cannot conclude that allowing
the insurance coverage under these limited circumstances violates public policy
to punish the wrongdoer.
Viewing the underlying facts concerning this agreement, we also cannot
conclude that this agreement is contrary to the public good. Rather, the
agreement here serves the public good because [the dealership], its CEO, its
officers, and its shareholders did not commit the wrongful acts and should be
allowed to have their insurance policy, for which they paid, indemnify them for
the punitive damages, which were assessed against the corporation only due to
conduct, of which its CEO, officers, and shareholders were not aware, done by
its employees who held management positions. We hold that the agreement does not
violate public policy. [88]
Outside the insurance context, it is worth noting that this Court has
suggested that a person’s pre-injury waiver of another’s liability for gross
negligence is against public policy while holding that a post-injury waiver is
not. [89] And one court of appeals has held that
an agreement to indemnify a person for his own gross negligence is not against
public policy, [90] an issue on which this Court has
expressed no opinion. [91]
In sum, recent Texas courts have uniformly held that uninsured or
underinsured motorist coverage of punitive damages is against public policy, but
in other contexts they have not had the opportunity, except in
DaimlerChrysler , to take into account the importance of the purpose and
manner of assessing punitive damages set out in Chapter 41. That case
particularly, as well as the others, illustrates the important distinctions
between punitive damages coverage for the gross negligence of the insured
himself, the insured’s employees, and third parties.
F
Finally, though Texas’ public policy is its own, it is formed, not in a
vacuum, but in awareness of the law of other American jurisdictions. That law
is, of course, heavily influenced by the jurisdiction’s view of punitive
damages. The cases defy easy categorization, but it appears that: 19 states
generally permit coverage of punitive damages; [92] 8 states would permit coverage of
punitive damages for grossly negligent conduct, but not for more serious
conduct; [93] 11 states would permit coverage of
punitive damages for vicariously-assessed liability, but not directly-assessed
liability; [94] 7 states generally prohibit an insured
from indemnifying himself against punitive damages; [95] and the remainder have silent, unclear,
or otherwise inapplicable law. [96] States may fall into more than one
category.
III
I return now to the Circuit’s question. The case pending before that
court involves a workers’ compensation policy that expressly provides coverage
for punitive damages for the death of an employee caused by the
employer-insured’s gross negligence. The policy is a standard form prescribed by
the Commissioner of Insurance for workers’ compensation insurance in Texas. The
action, as noted above, was preserved in the Texas Constitution at a time when
punitive damages were often treated as compensatory, and is in the nature of a
wrongful death action with a heightened burden of proof — gross negligence — and
limited damages — punitive only. The purpose and manner of assessing punitive
damages generally, now reflected in Chapter 41, has evolved apart from the
constitutional action. And in many instances, employers will be corporations
whose liability will be due to the conduct of other employees. For these
reasons, I agree with the Court that the coverage does not contravene Texas
public policy.
But the Circuit’s question is broader. The following considerations
inform its answer in other insurance contexts:
•
Contracts must be respected, and the right to contract freely should not be
restricted without compelling reasons.
•
Punitive damages may be assessed only as punishment and not for any other
purpose, and thus they must be directed at the specific conduct of an individual
defendant and must be based on his particular circumstances, including his net
worth.
•
Punitive damages coverage may pose an undesirable cost to insureds and to the public.
•
Insurance is highly regulated, and the Commissioner of Insurance must have broad
discretion to determine when punitive damages coverage may be
offered.
For uninsured and underinsured motorist coverage, the consensus among the
courts of appeals is that public policy prohibits extending the coverage to
punitive damages. It is one thing for insurers’ policyholders to share in the
burden of injury caused by an underinsured motorist and quite another to share
in his punishment. Penalizing those who obtain the insurance required by law for
those who do not simply cannot be justified.
The considerations weigh differently when the insured is a corporation or
business that must pay punitive damages for the conduct of one or more
employees. Although the conduct is attributable to the business, as it must be
for liability for punitive damages, it will often be the case that stockholders,
other employees, and even management as a larger group have done little to
deserve punishment. Chapter 41 sets out the policy that punitive damages be
directed against specific wrongdoing, but when such damages are assessed against
an entire business for one employee’s wrongdoing, the punishment is at best
indirect. While punitive damages are nevertheless imposed, a valid argument can
be made that businesses should be permitted to insure against them, so that the
burden is shared by others in like situations.
But even if public policy considerations do not preclude punitive damages
coverage for the business, they counsel against extending that coverage to the
wrongdoer himself. To insure an individual against punitive damages for his own
gross negligence entirely defeats the punitive purpose of such damages and
reduces the disincentive for misconduct. Even if the insured must pay higher
premiums, which is not always the case, the punishment is so diluted that the
purpose of punitive damages is seriously impaired. For example, the owner of a
truck, aware that its brakes are malfunctioning, may be more likely to continue
to use it, despite the grave risk to his employees and others, if his liability
for punitive damages is covered by insurance and he perceives that the benefit
to his business exceeds the cost of his insurance. In that situation, insurance
encourages conduct punitive damages are intended to deter.
Taking into account the policy favoring freedom of contract, I would hold
that when Chapter 41's punitive purpose would be significantly impaired, and a
defendant’s net worth could not be meaningfully incorporated in the assessment,
as Chapter 41 requires, insurance against punitive damages would violate Texas
public policy unless these considerations are outweighed by other factors, such
as expressions of legislative will, or regulatory approval of the coverage, or
the attenuation of the burden of liability from the misconduct. In these
situations, in my view, there is no formulaic answer to the public policy
question. Chapter 41 provides for punishment of a person who knows full well
that his conduct poses an extreme risk of harm to others and yet does not care.
That, in essence, is gross negligence. The public policy analysis must answer
why punitive damages for such egregious behavior should be avoided by
insurance.
________________
Nathan L. Hecht
Justice
Opinion delivered: February 15,
2008
[1]
See Tex. Const. art. V, §
3-c(a) (“The supreme court and the court of criminal appeals have jurisdiction
to answer questions of state law certified from a federal appellate court.”);
Tex. R. App. P. 58 (prescribing
procedures for certification of questions of law by federal appellate
courts).
[2]
Fairfield Ins. Co. v. Stephens Martin Paving, LP , 381 F.3d 435, 437 (5th
Cir. 2004) (per curiam ).
[3]
Id .
[4]
Gym-N-I Playgrounds, Inc. v. Snider , 220 S.W.3d 905, 912 (Tex. 2007)
(commercial lease expressly waiving warranties) (quoting Wood Motor Co. v.
Nebel , 238 S.W.2d 181, 185 (Tex. 1951) (construing
contract termination clause) (quoting Printing & Numerical Registering
Co. v. Sampson , 19 L.R.- Eq . 462, 465 (1875)));
In re Prudential Ins. Co. of Am. , 148 S.W.3d 124 , 130 n.11 (Tex. 2004)
(contractual jury waiver) (quoting Wood Motor Co. and Sampson );
BMG Direct Mktg., Inc. v. Peake , 178 S.W.3d
763, 767 (Tex. 2005) (liquidated damages clause) (quoting Wood and
Sampson ); Missouri, Kan. & Tex. Ry. Co. of Tex. v. Carter , 68
S.W. 159, 164 (Tex. 1902) (contract waiving responsibility for fires caused by
railroad engines) (quoting Sampson ).
[5]
In re Prudential , 148 S.W.3d at 129 & n.11; see Sonny
Arnold, Inc. v. Sentry Sav . Ass’n , 633 S.W.2d 811, 815 (Tex. 1982) (recognizing “the
parties’ right to contract with regard to their property as they see fit, so
long as the contract does not offend public policy and is not illegal”);
Woolsey v. Panhandle Refining Co. , 116 S.W.2d 675, 678 (Tex. 1938) (“In
line with the universally accepted rule, this court has repeatedly refused to
enforce contracts which are either expressly or impliedly prohibited by statutes
or by public policy.”); Curlee v.
Walker , 244 S.W. 497, 498 (Tex. 1922) (“The law recognizes the right of
parties to contract with relation to property as they see fit, provided they do
not contravene public policy and their contracts are not otherwise illegal.”);
James v. Fulcrod , 5 Tex. 512, 520 (1851) (“That
contracts against public policy are void and will not be carried into effect by
courts of justice are principles of law too well established to require the
support of authorities, and the only question is whether the agreement set forth
in the petition be or not in violation of public policy or in fraud of the
law.”); see generally Restatement
(Second) of Contracts § 178 (1981).
[6]
See , e.g. , Hoover Slovacek LLP v.
Walton , 206 S.W.3d 557, 559 (Tex. 2006) (termination fee agreement between
lawyer and client); PPG Indus., Inc. v. JMB/Houston Ctrs . Partners Ltd. P’ship ,
146 S.W.3d 79, 82, 87 (Tex. 2004) (assignment of claims for violations of the
Texas Deceptive Trade Practices–Consumer Protection Act); Johnson v. Brewer
& Pritchard, P.C. , 73 S.W.3d 193, 205 (Tex. 2002) (lawyer fee-sharing
agreement); State Farm Fire & Cas . Co. v.
Gandy , 925 S.W.2d 696, 698 (Tex. 1996) (defendant insured’s prejudgment
assignment to plaintiff of claims against liability insurer); Zuniga v. Groce , Locke & Hebdon , 878
S.W.2d 313, 314 (Tex. App.—San Antonio 1994, writ ref’d ) (assignment of legal malpractice claims); Elbaor v. Smith , 845 S.W.2d 240, 241 (Tex.
1992) (“Mary Carter” agreements, in which the defendant receives assignment of
part of plaintiff's claim and both remain parties at trial); Desantis v. Wackenhut Corp. , 793 S.W.2d 670,
681 (Tex. 1990) (unreasonable non-compete agreement); Juliette Fowler Homes,
Inc. v. Welch Assocs., Inc. , 793 S.W.2d 660, 663 (Tex. 1990) (same);
International Proteins Corp. v. Ralston-Purina Co. , 744 S.W.2d 932, 934
(Tex. 1988) (assignment of plaintiff’s claims against one tortfeasor to another tortfeasor );
Hill v. Mobile Auto Trim, Inc ., 725 S.W.2d 168 (Tex. 1987) (covenant not
to compete in a “common calling”); Bergman v. Norris of Houston , 734
S.W.2d 673 (Tex. 1987) (same); Trevino v. Turcotte , 564 S.W.2d 682, 690 (Tex. 1978) (assignment of
right to challenge will to one who had elected to take under will); Crowell
v. Housing Auth. of Dallas , 495 S.W.2d 887, 889 (Tex. 1973) (lease provision
exempting authority from tort liability to tenants); Hooks v.
Bridgewater , 229 S.W. 1114, 1118-1119 (Tex. 1921) (contract transferring
custody of a child in exchange for permitting the child to inherit from the
transferee); Barnhart v. Kan. City, Mex. & Orient Ry. Co. , 184 S.W.
176, 179 (1916) (contract in which employee assumes the risk of workplace
injury); Texas Standard Oil Co. v. Adoue , 19
S.W. 274 (Tex. 1892) (contract creating a combination to fix prices).
[7]
See , e.g. , National County Mut . Fire Ins. Co. v.
Johnson , 879 S.W.2d 1, 2 (Tex. 1993) (family member exclusion in automobile
liability policy); Puckett v. U.S. Fire Ins. Co. , 678 S.W.2d 936, 938
(Tex. 1984) (aviation policy excluding coverage based on lapse of airworthiness
certificate even when lapse is causally unrelated to loss); Unigard Sec. Ins. Co. v. Schaefer , 572 S.W.2d
303, 306 (Tex. 1978) (automobile liability policy endorsement excluding Personal
Injury Protection coverage for one driver ); Jones v. Fid. & Guar. Ins.
Co. , 250 S.W.2d 281, 281-282 (Tex. Civ. App.—Waco 1952, writ ref’d ) (policy covering innocent ex-wife for damages caused
by ex-husband to their jointly-owned property), overruled by Kulubis v. Tex. Farm Bureau Underwriters Ins.
Co. , 706 S.W.2d 953, 955 (Tex. 1986); International Travelers’ Ass’n v. Branum , 212 S.W. 630
(Tex. 1919) (policy provision prescribing venue ); Cheeves v. Anders , 28 S.W. 274, 275 (Tex.
1894) (public policy does not allow one who lacks an insurable interest to own a
policy on another’s life, but an insurer may be required to pay proceeds to
proper parties, and, here, to reimburse an ex-partner for premiums paid by
partners’ now-dissolved firm); Mayher v.
Manhattan Life Ins. Co. , 27 S.W. 124, 125 (Tex. 1894) (“It is against public
policy for one man to become interested in the death of another when he has no
interest in the continuance of life.”). Compare Burch v. Commonwealth
County Mut . Ins. Co. , 450 S.W.2d 838, 840-841
(Tex. 1970) (public policy would preclude an insurance company from knowingly
assuming a previously-occurring loss, but not when the loss was unknown to
person arranging for the insurance, and there was no conscious or negligent
failure to advise him of it); Hatch v. Turner , 193 S.W.2d 668, 669-670
(Tex. 1946) (life insurance policy limiting benefits to premiums paid if covered
person killed in military service in war was not against public policy);
Equitable Life Assur . Soc’y v. Hazlewood , 12 S.W. 621, 624-625 (Tex. 1889) (insured’s
brother, and insured himself, have an insurable interest in insured’s
life).
[8]
Lawrence v. CDB Servs ., Inc. , 44 S.W.3d 544,
553 (Tex. 2001), superseded by statute , Act of June 17, 2001, 77th
Leg., R.S., ch.1456, §§ 16.01, 17.01 & 17.02, 2001 Tex. Gen. Laws 5196 ,
as explained in Villareal v. Steve's & Sons Doors, Inc. , 139
S.W.3d 352, 353-354 (Tex. App.–San Antonio 2004, no pet.) (new statute applied
because employee was injured on July 21, 2001, after amendment’s June 17, 2001
effective date).
[9]
Singer Mfg. Co. v. Rios , 71 S.W. 275, 276 (Tex. 1903) (concluding that a
sewing machine mortgage provision that allowed the mortgagee to repossess the
property, which he did without violence, was not void as against public policy)
(citation omitted).
[10] McElreath v. McElreath , 345 S.W.2d 722, 746 (Tex. 1961) (citations
omitted); see Vidal v. Girard’s Ex’rs ,
43 U.S. (2 How.) 127 , 197-198 (1844) (“The question, what is the public policy
of a State, and what is contrary to it, if inquired into beyond [the limits of
what its constitution, laws, and judicial decisions make known], will be found
to be one of great vagueness and uncertainty, and to involve discussions which
scarcely come within the range of judicial duty and functions, and upon which
men may and will complexionally differ . . . .”);
Town of Flower Mound v. Stafford Estates Ltd. P’ship , 135 S.W.3d 620, 628 (Tex. 2004) (“Generally,
‘the State's public policy is reflected in its statutes.’” (quoting Texas
Commerce Bank, N.A. v. Grizzle , 96 S.W.3d 240, 250 (Tex. 2002));
Lawrence , 44 S.W.3d at 553 (“Public policy, some courts have said, is a
term of vague and uncertain meaning, which it pertains to the law-making power
to define, and courts are apt to encroach upon the domain of that branch of the
government if they characterize a transaction as invalid because it is contrary
to public policy, unless the transaction contravenes some positive statute or
some well-established rule of law.” (internal quotations and citation omitted));
Castillo v. Canales , 174 S.W.2d 251, 253 (Tex. 1943) (“The Legislature
has the power to declare what shall be the policy of the State with reference to
insurance matters.”); see generally Restatement (Second) of Contracts § 179
(1981) (A public policy against the enforcement of promises or other terms may
be derived by the court from (a) legislation relevant to such a policy, or (b)
the need to protect some aspect of the public welfare . . . .”).
[11] State v. City of Austin , 331 S.W.2d 737, 741 (Tex. 1960) (”[S] tatutes and ordinances express the public policy of the
state as it existed at the time of their adoption. Subject to constitutional
limitations, however, that policy may be changed by the Legislature at any
time.”).
[12] Black’s Law Dictionary 802 (7th ed.
1999); see 1 Holme’s Appleman on
Insurance 2d § 1.2, at 3-4 (1996) (At its core essence, risk is the
Mother Mold of insurance.”); Couch on
Insurance 3d § 1.9 (2005) (“The primary requisite essential to a contract
of insurance is the assumption of a risk of loss and the undertaking to
indemnify the insured against such loss.” (footnotes omitted)).
[13] Fortis Benefits v. Cantu , 234 S.W.3d
642, 647 (Tex. 2007) (“an insurance policy's
fundamental purpose . . . is to protect the insured by shifting the risk of loss
to the insurer”); Insurance Co. of N. Am. v. Morris , 981 S.W.2d 667 ,
(Tex. 1998)
(risk-shifting and risk-pooling “are quintessential elements of insurance
contracts”).
[14] See , e.g. , National
County
Mut . Fire Ins. Co. v.
Johnson , 879 S.W.2d 1, 2 (Tex. 1993) (family member exclusion in automobile
liability policy was against public policy); Puckett v. U.S. Fire Ins.
Co. , 678 S.W.2d 936, 938 (Tex. 1984) (aviation policy excluding coverage
based on lapse of airworthiness certificate even when lapse is causally
unrelated to loss was against public policy); Unigard Sec. Ins. Co. v. Schaefer , 572 S.W.2d
303, 306 (Tex. 1978) (automobile liability policy endorsement excluding Personal
Injury Protection coverage for one driver was against public policy); Kulubis v. Tex. Farm Bureau Underwriters Ins.
Co. , 706 S.W.2d 953, 955 (Tex. 1986) (policy covering loss to innocent
ex-spouse for damages to co-owned property was not against public
policy).
[15] See , e.g. , Burch v.
Commonwealth
County Mut . Ins. Co. , 450 S.W.2d 838, 840-841 (Tex. 1970)
(holding that a policy covering a known loss was against public policy);
Jones v. Fid. & Guar. Ins. Co. , 250 S.W.2d 281, 281-282 (Tex. Civ.
App.—Waco 1952, writ ref’d ) (policy covering innocent
ex-wife for damages caused by ex-husband to their jointly-owned property was
against public policy), overruled by Kulubis , 706 S.W.2d at 955 .
[16] See , e.g. , Hatch v.
Turner , 193 S.W.2d 668, 669-670 (Tex. 1946) (holding that public policy did
not prohibit, though it certainly did not require, a life insurance policy
provision limiting benefits to premiums paid if covered person killed in
military service in war).
[17] Equitable Life Assur . Soc’y v. Hazlewood , 12
S.W. 621, 624 (Tex. 1889) (quoting Connecticut Mut .
Life Ins. Co. v. Schaefer , 94 U.S. 457, 460 (1877)).
[18] See Stillwagoner v. Travelers Ins. Co. , 979 S.W.2d 354, 360 (Tex. App.–Tyler 1998, no
pet.).
[19] Kulubis , 706 S.W.2d at
955 .
[20] Id.
[21] Id.
[22] Texas Farmers Ins. Co. v. Murphy ,
996 S.W.2d 873, 880-881 (Tex. 1999) .
[23] Burch v. Commonwealth County Mut . Ins.
Co. , 450 S.W.2d 838, 841 (Tex. 1970).
[24] Hofer v. Lavender , 679 S.W.2d 470,
474 (Tex.
1984) (“Of course, punishment of the wrongdoer is one purpose of exemplary
damages. But, as recently as last year, we have stated that another of the
purposes of such damages is to serve as an example to others. Pace v.
State , 650 S.W.2d 64, 65 (Tex. 1983). We said the same thing in Sheffield
Division, Armco Steel Corp. v. Jones , 376 S.W.2d 825, 831 (Tex. 1964). An
earlier supreme court had concluded that exemplary damages also exist to
reimburse for losses too remote to be considered as elements of strict
compensation. Mayer v. Duke , 72 Tex. 445 , 10 S.W. 565 (1889).”); City
of Tyler v. Likes , 962 S.W.2d 489, 495 (Tex. 1997)(“For this reason, Texas
courts at one time categorized mental anguish in most types of cases as too
remote or speculative to be compensable as actual damages, holding the emotional
consequences of the tort relevant only to exemplary damages. See
Crawford v. Doggett , 82 Tex. 139 , 17 S.W. 929, 930 (1891) (citing Traweek v. Martin-Brown Co. , 79 Tex. 460 , 14
S.W. 564 , 565-66 (1890)) . . . .”); Travelers Indem . Co. of Ill. v. Fuller , 892 S.W.2d 848 , 852 n.5
(Tex. 1995) (“The history of punitive damages also reveals that the early courts
considered the remedy a part of the jury’s discretion to punish an offender who
had injured the plaintiff in some aggravated fashion. The early judges gave the
jury discretion to inflate a general damage award where the plaintiff’s
injury, though comparatively small, was inflicted in a manner which the law
sought to prevent.”).
[25] Act of June 3, 1987, 70th Leg., 1st C.S.,
ch . 2, § 2.12, 1987 Tex. Gen. Laws 37 , 44.
[26] Transportation Ins. Co. v. Moriel , 879 S.W.2d 10, 17 (Tex. 1994).
[27] Act of April 11, 1995, 74th Leg., R.S.,
ch . 19, § 1, 1995 Tex. Gen. Laws 108 , 109.
[28] Act of June 2, 2003, 78th Leg., R.S., ch . 204, § 13.02, 2003 Tex. Gen. Laws 847 , 887.
[29] Tex. Civ. Prac. & Rem. Code §
41.001(5).
[30] Act of June 3, 1987, 70th Leg., 1st C.S.,
ch . 2, § 2.12, 1987 Tex. Gen. Laws 37 , 45 (enacting §
41.002(a) to read: “This chapter applies to an action in which a claimant seeks
exemplary damages relating to a cause of action as defined by Section
33.001.”).
[31] Id . at 45 (enacting § 41.002(b) to
read: “(b) This chapter does not apply to: (1) an action brought under the
Deceptive Trade Practices-Consumer Protection Act (Subchapter E, Chapter 17,
Business & Commerce Code); (2) an action brought under Chapter 21, Insurance
Code; (3) an action brought under the workers’ compensation laws of this state
(Article 8306 et seq., Revised Statutes); (4) an action to recover exemplary
damages against an employer by the employee’s beneficiaries in a death action
arising out of the course and scope of employment where the employer is a
subscriber under the workers’ compensation laws of this state (Article 8306 et
seq., Revised Statutes); (5) an action governed by Chapter 81, Civil Practice
and Remedies Code; (6) an action brought under Chapter 246, Acts of the 63rd
Legislature, Regular Session, 1973, Home Solicitation Transactions (Article
5069-13.01 et seq., Vernon’s Texas Civil Statutes); (7) an action brought under
Chapter 547, Acts of the 63rd Legislature, Regular Session, 1973, Debt
Collection Practices (Article 5069-11.01 et seq., Vernon’s Texas Civil
Statutes); (8) an action brought under Chapter 54, 91, or 92, Property Code; (9)
an action brought under the Texas Manufactured Housing Standards Act (Article
5221f, Vernon’s Texas Civil Statutes); (10) an action brought under the Texas
Motor Vehicle Commission Code (Article 4413(36), Vernon’s Texas Civil Statutes);
(11) an action brought under the Texas Proprietary School Act, Chapter 32,
Education Code; (12) an action brought under Section 9.507 or Section 27.01,
Business & Commerce Code; (13) an action brought under Chapter 36, Family
Code; (14) an action brought under the Health Spa Act (Article 5221l, Vernon’s
Texas Civil Statutes); (15) an action brought under the Business Opportunity Act
(Article 5069-16.01 et seq., Vernon’s Texas Civil Statutes); or (16) an action
brought under the Texas Timeshare Act (Article 6573c, Vernon’s Texas Civil
Statutes).”).
[32] Act of April 11, 1995, 74th Leg., R.S.,
ch . 19, § 1, 1995 Tex. Gen. Laws 108 , 109-110. See also
Act of May 8, 1997, 75th Leg., R.S., ch . 165, § 4.01,
1997 Tex. Gen. Laws 327 , 328-329 (revising and amending § 41.002(b) to reflect
1995 amendments).
[33] Tex. Bus. & Com. Code § 15.21
(allowing injured persons and governmental entities to recover treble damages
for willful or flagrant violations of the Act).
[34] Id. §§ 17.41 -.63.
[35] See Id. § 17.50 (b) and (g)
(providing that Chapter 41, Civil Practice & Remedies Code, does not apply
to actions under this subchapter).
[36] Chapter 21 has been repealed and its
provision recodified . Act of May 22, 2003, 78th Leg.,
R.S., ch . 1274, 2003 Tex. Gen. Laws 3611 .
[37] Tex. Hum. Res. Code §§ 36.001-.132
(“Medicaid Fraud Prevention”); id . §§ 36.0011 (defining “culpable mental
state”); 36.002(defining “unlawful acts”); 36.052 (allowing the state to
recover, in addition to the payment or value of a benefit occasioned by an
unlawful act, up to two times the amount of that payment or benefit, and, in
some circumstances, other civil penalties); 36.101 (authorizing actions by
private persons on behalf of themselves and the state); 36.110 (authorizing
awards to private plaintiffs).
[38] Tex. Civ. Prac. & Rem. Code §
41.005(a).
[39] Id. § 41.005(b).
[40] Id. § 41.005(c).
[41] 307 F.2d 432, 440-441
(5th Cir. 1962).
[42] Tex. Civ. Prac. & Rem. Code §
41.003(a), (c).
[43] Id. § 41.001(6).
[44] Id. § 41.001(7).
[45] Id. § 41.001(11).
[46] Id. § 41.003(c).
[47] Id. § 41.011(a).
[48] Id. § 41.001 (11).
[49] Act of May 30, 1977, 65th Leg., R.S., ch . 817, § 31.01, 1977 Tex. Gen. Laws 2039 , 2054-2056
(adding former Tex. Ins. Code
art. 5.15-1, sections 2(2) (defining “health care provider”) and 8 (stating “No
policy of medical professional Insurance issued or renewed for a health care
provider or physician in this state may include coverage for punitive damages
that may be assessed against the health care provider.”).
[50] Id . § 1.02 (a )( 5), at 2039- 2040.
[51] See House Study Group, Bill Analysis , C.S.
H.B. 1048, 65th Leg., R.S., 5 (1977) (committee substitute) (“Exempting punitive
damages from malpractice insurance coverage will help hold down
premiums.”).
[52] The bill analyses for a 1997 amendment
suggested that the prohibition applied only to policies issued in Texas. House Research Organization, Bill
Analysis , Tex. H.B. 1170, 75th Leg., R.S., 1-2 (April 4, 1997)
(“Currently, [not-for-profit nursing] homes must purchase insurance against
punitive damages from out-of-state carriers, because only hospitals are
currently allowed to do so in Texas. . . . [The amendment] would simply allow
these homes to purchase insurance in Texas from a Texas regulated company.”);
S en. Research Ctr. [Sen. Economic Dev.
Comm.] Bill Analysis , C.S.H.B. 1170, 75th Leg., R.S., 1 (May 6, 1997)
(“Currently, the Insurance Code prohibits not-for-profit nursing homes from
purchasing punitive damage insurance coverage under medical professional
liability insurance from an admitted carrier. Not-for-profit nursing homes may
purchase such insurance from non-admitted, out-of-state carriers.”).
[53] Act of June 3, 1987, 70th Leg., 1st C.S.,
ch . 1, § 7.01, 1987 Tex. Gen. Laws 1 , 35-36 (allowing
an endorsement for hospitals); Act of May 21, 1997, 75th Leg., R.S., ch . 746, § 1, 1997 Tex. Gen. Laws 2451 , 2451 (allowing an
endorsement for nonprofit nursing homes); Act of May 27, 2001, 77th Leg., R.S.,
ch . 1284,§ 5.02, 2001 Tex. Gen. Laws 3083 , 3085
(allowing an endorsement for for-profit nursing homes); Act of May 16, 2003,
78th Leg., R.S., ch . 141, § 2, 2003 Tex. Gen. Laws
195 , 195 (allowing an endorsement for assisted living facilities).
[54] Tex. Ins. Code § 1901.252.
[55] Id. § 462.210 (excluding from the
definition of “covered claims” against insolvent insurers under the Texas
Property and Casualty Insurance Guaranty Act “any punitive, exemplary, extracontractual , or bad-faith damages awarded in a court
judgment against an insured or insurer”); § 462.302(c) (“The [Texas Property and
Casualty Insurance Guaranty Association] is not liable for . . . a claim for . .
. exemplary damages . . . .”); § 463.204 (stating that the Life, Accident,
Health, and Hospital Service Insurance Guaranty Association cannot pay punitive
or exemplary damages); § 2203.154 (“The [Medical Liability Insurance Joint
Underwriting Association] may not issue or renew a medical liability insurance
policy for a physician or health care provider under this chapter that includes
coverage for punitive damages assessed against the physician or health care
provider.”); § 2205.253(b) (“Money in the [Texas Child-Care Facility Liability
Fund] may not be used to pay . . . (1) punitive damages . . . .”); § 2207.353(c)
(“Money in the [Excess Liability Fund for Counties and Certain Educational
Entities] may not be used to pay . . . (1) punitive damages . . . .”); §
2208.252(b) (“Money in the [Texas Public Entity Excess Insurance Fund] may not
be used to pay: (1) punitive damages . . . .”); § 2208.303 (“Excess insurance
coverage provided by the [Texas Public Entity Excess Insurance Pool] may not
include coverage for punitive damages.”); § 2209.303 (“Liability insurance
coverage provided by the [Texas Nonprofit Organizations Liability Pool] may not
include coverage for punitive damages.”); § 2602.255(4) (excluding “exemplary,
extracontractual , or bad faith damages awarded against
an insured or title insurance company by a court judgment” from “covered claims”
against the Texas Title Insurance Guaranty Association); § 2209.253(b) (“Money
in the [Texas Nonprofit Organizations Liability Fund] may not be used to pay:
(1) punitive damages . . . .”); § 2209.303 (“Liability insurance coverage
provided by the [Texas Nonprofit Organizations Liability Pool] may not include
coverage for punitive damages.”).
[56] Act of June 3, 1987, 70th Leg., 1st C.S.,
ch . 1, § 1.01, 1987 Tex. Gen. Laws 1 , 4.
[57] Tex. Ins. Code § 38.154(a)(3)(C)(ix)
(for claims over $25,000), §38.156(3)(B)(iv) (for claims over $10,000 but under
$25,000). These reports are analyzed on the Department’s website at
http://www.tdi.state.tx.us/reports/report5.html.
[58] The 1998 report showed that for over 5,000
commercial liability claim settlements greater than $25,000, a third were
influenced by either non -economic damages, exemplary
damages, or prejudgment interest, and of the total paid on those claims, 9% was
attributed to exemplary damages. For over 4,000 settlements between $10,000 and
$25,000, 5% were influenced by exemplary damages, and of the total paid on those
claims, 6% was attributed to exemplary damages. For cases tried to a verdict,
11% of the amounts awarded were for punitive damages. Texas Dep’t of Ins., 1998 Texas Liability
Insurance Closed Claim Report 2, 5-6, 17 (1998).
The influence of exemplary damages on such settlements
declined fairly steadily through 2005. The report for that year showed that for
5,440 commercial liability claim settlements greater than $25,000, a fifth were
influenced by non-economic damages, exemplary damages, or prejudgment interest,
and of the total paid on those claims, 2% was attributed to exemplary damages.
For settlements between $10,000 and $25,000, 0.15% were influenced by exemplary
damages, and of the total paid on those claims, 2% was for exemplary damages.
For cases tried to a verdict, 4% of the amounts awarded were for punitive
damages. Texas Dep’t of Ins., 2005 Texas
Liability Insurance Closed Claim Report 2, 5-6, 17
(2005).
[59] For example, the Texas Tort Claims Act does
not waive governmental immunity from punitive damages, Tex. Civ. Prac. & Rem. Code §
101.024, but the Act does not apply to liability for proprietary functions. The
State and its subdivisions, such as counties, do not engage in proprietary
junctions, Bennett v. Brown County Water Improvement Dist. No. 1 , 272
S.W.2d 498 (Tex. 1954), but municipalities do, and when they do: “As a general
rule a municipality may not be held liable for exemplary damages; however, if
the plaintiff can show that there is intentional, willful, or grossly negligent
conduct which shows an entire want of care to his rights and that such conduct
can be imputed directly to the governing body of the municipality, exemplary
damages may be recovered.” City of Gladewater v. Pike , 727 S.W.2d 514,
522 (Tex. 1987). The Legislature may authorize punitive damages against the
government, as it once did in the Whistleblower Act, Act of May 30, 1983, 68th
Leg., R.S., ch . 832, § 4, 1983 Tex. Gen. Laws 4751 ,
4752, before it changed its mind, Act of May 25, 1995, 74th Leg., R.S., ch . 721, § 3, 1995 Tex. Gen. Laws 3812 , 3812 (codified at
Tex. Gov’t Code § 554.003(a)).
The government is not liable for punitive damages for employment discrimination.
Tex. Lab. Code §
21.2585.
[60] See , e.g. , Tex Ins. Code § 2301.003(b) (“This
subchapter applies to all lines of the following kinds of insurance written
under an insurance policy or contract issued by an insurer authorized to engage
in the business of insurance in this state: (1) general liability insurance; (2)
residential and commercial property insurance, including farm and ranch
insurance and farm and ranch owners insurance; (3) personal and commercial
casualty insurance, except as provided by Section 2301.005; (4) medical
professional liability insurance; (5) fidelity, guaranty and surety bonds other
than criminal court appearance bonds; (6) personal umbrella insurance; (7)
personal liability insurance; (8) guaranteed auto protection (GAP) insurance;
(9) involuntary unemployment insurance; (10) financial guaranty insurance; (11)
inland marine insurance; (12) rain insurance; (13) hail insurance on farm crops;
(14) personal and commercial automobile insurance; (15) multi-peril insurance;
and (16) identity theft insurance issued under Chapter.”); id . §
2301.006(a) (“Except as provided by Section 2301.008, an insurer may not deliver
or issue for delivery in this state a form for use in writing insurance
described by Section 2301.003 unless the form has been filed with and approved
by the commissioner.”); id .§ 2301.008 (“The commissioner may adopt
standard insurance policy forms, printed endorsement forms, and related forms
other than insurance policy forms and printed endorsement forms, that an insurer
may use instead of the insurer's own forms in writing insurance subject to this
subchapter.”).
[61] Tex
Ins. Code § 2052.002(a) (“The commissioner shall prescribe standard
policy forms and a uniform policy for workers’ compensation
insurance.”).
[62] Dairyland County Mut .
Ins. Co. v. Wallgren , 477 S.W.2d 341, 342 (Tex.
Civ. App.–Fort Worth 1972, writ ref’d n.r.e .); Manriquez v.
Mid-Century Ins. Co. , 779 S.W.2d 482, 484-485 (Tex. App.–El Paso 1989, writ
denied), disapproved in part on other grounds , Trinity Universal Ins.
Co. v. Cowan , 945 S.W.2d 819, 822-824 (Tex. 1997).
[63] Milligan v. State Farm Mut . Auto. Ins. Co. , 940 S.W.2d 228, 231-232 (Tex.
App.–Houston [14th Dist.] 1997, writ denied), overruling Home Indem . Co. v. Tyler , 522 S.W.2d 594 (Tex. Civ.
App.–Houston [14th Dist.] 1975, writ ref’d , n.r.e .); State Farm Mut . Auto.
Ins. Co. v. Shaffer , 888 S.W.2d 146 (Tex. App.–Houston [1st Dist.] 1994,
writ denied); Vanderlinden v. USAA Prop. and
Cas . Ins. Co. , 885 S.W.2d 239, 242 (Tex.
App.–Texarkana 1994, writ denied); Government Employees Ins. Co. v. Lichte , 792 S.W.2d 546, 549 (Tex. App.–El Paso 1990),
writ denied, 825 S.W.2d 431 (Tex. 1991) (per curiam ).
[64] See, e.g ., DaimlerChrysler Ins.
Co. v. Apple , ___ S.W.3d ___ (Tex. App.–Houston [1st Dist.] 2007) (CGL and
umbrella policies) (policies provided coverage for claims for "personal injury,"
which was defined to oral publication of libelous material, but excluded
coverage for publication of material done by or at the direction of the insured
with knowledge of its falsity); Westchester Fire Ins. Co. v. Admiral Ins.
Co., 152 S.W.3d 172, 181-182, 185-190 (Tex. App.–Fort Worth, 2004, pet.
pending) (for-profit nursing home) (insurer agreed to pay “those sums which the
insured shall become legally obligated to pay as damages because of bodily
injury to any person arising out of the rendering of or failure to render,
during the policy period . . . professional services” including nursing care);
American Home Assur . v. Safway Steel Prods. Co. , 743 S.W.2d 693, 701-702 (Tex.
App.–Austin 1987, writ denied) (umbrella policy); Ridgway v. Gulf Life Ins.
Co., 578 F.2d 1026, 1029 (5th Cir. 1978) (commercial vehicle
policy).
[65] Tex. Lab. Code § 408.001(a) (“Recovery
of workers’ compensation benefits is the exclusive remedy of an employee covered
by workers’ compensation insurance coverage or a legal beneficiary against the
employer or an agent or employee of the employer for the death of or a
work-related injury sustained by the employee.”).
[66] Tex. Const. art. XVI, § 26 (“Every
person, corporation, or company, that may commit a homicide, through wilful act, or omission, or gross neglect, shall be
responsible, in exemplary damages, to the surviving husband, widow, heirs of his
or her body, or such of them as there may be, without regard to any criminal
proceeding that may or may not be had in relation to the homicide.”). The action
is correspondingly recognized by the Workers’ Compensation Act. Tex. Lab. Code § 408.001(b) (“This
section [providing an exclusive remedy for injured employees] does not prohibit
the recovery of exemplary damages by the surviving spouse or heirs of the body
of a deceased employee whose death was caused by an intentional act or omission
of the employer or by the employer's gross negligence.”).
[67] See sources cited, supra note
63.
[68] Shaffer , 888 S.W.2d at 149
(citations omitted).
[69] 477 S.W.2d 341 (Tex. Civ. App.–Fort Worth
1972, writ ref’d n.r.e .).
[70] Id . at 342-343.
[71] 779 S.W.2d 482, 484-485 (Tex. App.—El Paso
1989, writ denied), disapproved in part on other grounds , Trinity
Universal Ins. Co. v. Cowan , 945 S.W.2d 819 (Tex. 1997).
[72] 578 F.2d 1026 , 1029 (5th Cir.
1978).
[73] Home Indemnity Co. v. Tyler , 522 S.W.2d 594
(Tex. Civ. App.–Houston [14th Dist.] 1975, writ ref’d ,
n.r.e .), overruled by Milligan v. State Farm
Mut . Auto. Ins. Co. , 940 S.W.2d 228, 232 (Tex.
App.–Houston [14th Dist.] 1997, writ denied).
[74] Ridgeway , 578 F.2d
at 1029 -1030 .
[75] Milligan ,
940 S.W.2d at 232 .
[76] 19 F. Supp. 2d 678, 696 (N.D. Tex. 1998).
[77] 743 S.W.2d 693, 695-696 (Tex. App.–Austin
1987, writ denied).
[78] Id. at 695 .
[79] Id . at 704.
[80] Id.
[81] Id.
[82] Id. (italics omitted).
[83] Lunsford v. Morris , 746 S.W.2d 471,
473 (Tex.
1988).
[84] ___ S.W.3d ___ (Tex. App.–Houston [1st
Dist.] 2007) (cause no. 01-05-01115-CV) (pending on motion for
rehearing).
[85] Id . at ___ & n.4; see
also Hammerly Oaks, Inc. v. Edwards ,
958 S.W.2d 387, 391 (Tex. 1997) (stating that “the general rule in Texas” is set
out in Restatement of Torts § 909
(1939): “Punitive damages can properly be awarded against a master or other
principal because of an act by an agent if, but only if, (a) the principal
authorized the doing and the manner of the act, or (b) the agent was unfit and
the principal was reckless in employing him, or (c) the agent was employed in a
managerial capacity and was acting in the scope of employment, or (d) the
employer or a manager of the employer ratified or approved the act.”).
[86] DaimlerChrysler v. Apple , ___ at
___.
[87] Id .
[88] Id . at ___ (citations
omitted).
[89] Memorial Med. Ctr. of E. Tex. v. Keszler , 943 S.W.2d
433, 435 (Tex.
1997) (per curiam ) (“The court of appeals held that
such a release is against public policy [citing Smith v. Golden Triangle
Raceway , 708 S.W.2d 574, 576 (Tex. App.–Beaumont 1986, no writ)]. However,
the court of appeals failed to distinguish a pre-accident waiver of liability
from a post-injury release made in settlement of claims. In Golden
Triangle , the issue was whether a pre-injury release could effectively
dispense with a claim of gross negligence. The court found a pre-injury release
of gross negligence invalid as against public policy. [ Golden Triangle ,
708 S.W.2d at 576 .] We have never held post-injury releases of gross negligence
claims invalid. There is no logic in prohibiting people from settling existing
claims. Significantly, such a rule would preclude settlement of many such
claims. The court of appeals erred in holding that [the plaintiff] could not
release his gross negligence claim against [the defendant].”(citations
omitted)).
[90] Webb v. Lawson-Avila Constr., Inc. ,
911 S.W.2d 457, 461-462 (Tex. App.–San Antonio 1995, writ dism’d w.o.j .) (“Appellants argue
that indemnity for one’s own gross negligence, in a non-insurance context, is
violative of public policy. . . . [T]here is nothing
in the record or in the law which would allow us to ignore [an indemnity
provision’s] plain meaning. The record reveals nothing other than an arm’s
length transaction between two business entities, and we must fairly and
reasonably interpret the contract. . . . [Whether the provision is against
public policy] is a matter better left to the Legislature or the ruling of our
Supreme Court.”).
[91] Atlantic Richfield Co. v. Petrol. Pers.,
Inc. , 768 S.W.2d 724 , 726 n.2 (Tex. 1989) (“We do not decide whether
indemnity for one’s own gross negligence or intentional injury may be contracted
for or awarded by Texas courts. This issue is not presented in this
[case].”).
[92] Alabama, Alaska, Arizona, Delaware,
Georgia, Hawaii, Idaho, Maryland, Mississippi, Montana, New Hampshire, New
Mexico, North Carolina, South Carolina, Tennessee, Vermont, Washington,
Wisconsin, and Wyoming.
[93] Arkansas,
Kentucky, Iowa, Louisiana,
Nevada, Oregon, Virginia, and
West
Virginia.
[94] California, Connecticut,
Florida, Illinois, Indiana,
Kansas, Kentucky, Minnesota,
New Jersey, Oklahoma, and Pennsylvania.
[95] Colorado,
New York, North
Dakota, Ohio, Rhode Island, South
Dakota, and Utah.
[96] Maine,
Massachusetts, Michigan, Missouri, and
Nebraska.