Opinion

Boyd, Barry v. Progressive County Mutual Insurance Company

Court
Texas Court of Appeals, 1st District (Houston)
Filed
Nov 13, 2003
Status
Published
Cited by
0 cases
Authority
More cited than 35.1%

holding that appellate court cannot affirm summary judgment on grounds not raised in trial court

How later courts described this case

  • holding that appellate court cannot affirm summary judgment on grounds not raised in trial court
  • stating that standard for recovery must balance remedial purposes of bad-faith tort against insurer’s right to deny invalid or questionable claims
  • holding that insurer’s reliance on expert’s report, standing alone, will not necessarily shield carrier if there is evidence that report was not objectively prepared or insurer’s reliance on report was unreasonable
  • holding that mere fact that insurer relies on expert report to deny claim does not automatically foreclose bad-faith recovery and that evidence was presented from which fact finder could have inferred that reports were not objective and that insurer’s reliance on reports was merely pretextual

Written by the judges who cited it.

The opinion

Opinion issued November 13, 2003

In The

Court of Appeals

For The

First District of Texas

NO. 01-00-00785-CV

NO. 01-03-01146-CV

BARRY BOYD, Appellant

V.

PROGRESSIVE COUNTY MUTUAL INSURANCE COMPANY, Appellee

On Appeal from County Civil Court at Law No. 4

Harris County, Texas

Trial Court Cause Nos. 689,760-101 & 689,760

MEMORANDUM OPINION

The primary issue in these appeals is whether the trial court erred when it

granted a take-nothing summary judgment on the plaintiff’s extracontractual causes

of action, either because the defendant’s summary judgment motion failed to address

all of the extracontractual causes of action or because the plaintiff raised material

issues of fact on them. Before reaching this primary issue, we set forth the factual

and legal background of the dispute and address several related matters. In trial court

cause number 689,760 and appellate cause number 01-03-01146-CV, we affirm the

judgment based on the jury verdict. In trial court cause number 689,760-101 and

appellate cause number 01-00-00785-CV, we reverse the summary judgment and

remand the cause.

Factual Background

Defendant/appellee, Progressive County Mutual Insurance Company

(Progressive), issued a standard Texas personal auto policy to plaintiff/appellant,

Barry Boyd, which policy included uninsured/underinsured-motorists (UIM)

coverage. There was no collision coverage for Boyd’s car. Among other things, the

UIM coverage paid for damages that the insured was legally entitled to recover from

the owner or operator of an “uninsured motor vehicle,” the policy definition of which

included a “hit-and-run” vehicle, that struck the insured’s vehicle and whose owner

or operator could not be identified.

Boyd maintained that, at about 5:20 a.m. on March 20, 1997, while driving on

a Houston freeway, he was rear-ended by a hit-and-run motorist and his car was

pushed into the guardrail. The car was totaled. Boyd made a claim with Progressive

for bodily injury and damage to his car under the UIM coverage of his auto policy.

Progressive investigated Boyd’s claim. The investigation consisted of two

telephone statements and an in-person statement between Boyd and Progressive

representatives; a Progressive adjustor’s looking at the car; and an examination, by

Beryl Gamse, an accident-reconstruction specialist, of the car, the accident site, the

police report, and Boyd’s in-person statement. Gamse’s report concluded that Boyd

was not involved in a hit-and-run accident, but, instead, had been involved in a

single-vehicle accident.

By letter dated April 23, 1997, after Boyd’s statements had been taken and

Gamse’s report had been received, Progressive denied Boyd’s claim for UIM-coverage benefits. The letter stated that Progressive’s investigation had revealed that

Boyd’s claim did not fall within the UIM coverage of his policy. No other reasons

or explanation was provided. The letter also said that Boyd would be responsible for

his damages, which were his responsibility to mitigate. Gregory Alan Castleman,

Progressive’s regional claims manager for the area in which the accident occurred,

made the final decision to deny Boyd’s claim.

After the accident, Boyd’s car was taken to a storage lot, where it incurred

storage fees of $700. To pay the storage fees, Boyd tendered to the storage lot his car

title plus $100.

The Litigation

In October 1997, seven months after the accident, Boyd filed a lawsuit against

Progressive, alleging breach of contract for failure to pay benefits under the insurance

policy. About 18 months later, Boyd amended his petition to include extracontractual

causes of action for breach of the duty of good faith and fair dealing under the

common law and the Uniform Commercial Code, conversion, violation of articles

21.21 and 21.55 (later adding section 21.58) of the Texas Insurance Code, and

violation of the Texas Deceptive Trade Practices–Consumer Protection Act (DTPA).

See Tex. Ins. Code Ann. arts. 21.21, 21.55, 21.58 (Vernon 1981 & Supp. 2004);

Tex. Bus. & Com. Code Ann. §§ 17.46-.63 (Vernon 2002); Tex. Bus. & Com. Code

Ann. §§ 1.101-.208 (Vernon 1994 & Supp. 2004).

Progressive moved to sever the contractual from the extracontractual causes of

action and to abate the extracontractual ones. On June 15, 1999, after a response

from Boyd and a hearing,

the trial court granted Progressive’s motion, severing the

extracontractual claims, assigning them trial court cause number 689,760-101, and

abating the severed cause until the breach-of-contract claim was concluded. The

breach-of-contract claim remained as trial court cause number 689,760. On January

18, 2000, without reference to the June 15, 1999 order, the trial court signed another

order ruling that a separate trial would be conducted, after the conclusion of the trial

on the breach-of-contract action, on all other extracontractual claims, including

conversion. However, discovery would not be abated on the extracontractual causes

of action; discovery would continue concurrently in both cases.

In March 2000, Progressive filed a second motion for summary judgment

on

the extracontractual causes of action and subsequently supplemented that motion.

Boyd filed a response, two supplemental responses, special exceptions, objections,

amended special exceptions, and amended objections. After a hearing, the trial court

granted the motion and signed a judgment on June 13, 2000, notwithstanding its

previous order that the extracontractual claims would be tried after the trial on the

breach-of-contract claim. The judgment expressly stated that all causes of action

were decided in favor of Progressive, except for the breach-of-contract claim. Also

on June 13, 2000, the trial court signed two separate orders: one order sustaining one

of Boyd’s special exceptions

and denying the remainder of them, and the other order

sustaining two of Boyd’s objections and part of a third objection and overruling the

remainder of his objections.

Trial on the breach-of-contract claim was held in September 2000. The jury

answered “no” to the following question (question one): “Do you find that there was

an accident between an uninsured motor vehicle and Barry Boyd?”

On October 12,

2000, the trial court signed a take-nothing judgment in the breach-of-contract case in

favor of Progressive, which judgment incorporated the jury’s answers to all questions.

Appeal

Boyd timely filed a notice of appeal after the June 13, 2000 summary judgment

and a timely notice of appeal after the October 12, 2000 judgment on the jury verdict.

Boyd presents five issues in his appeals: (1) whether the trial court abused its

discretion in severing the extracontractual issues from the breach-of-contract issues

(his fifth issue); (2) whether the trial court erred in disregarding jury questions six and

seven in connection with the judgment in the breach-of-contract case (his fourth

issue); and (3) whether the trial court erred in overruling Boyd’s amended special

exceptions (his first issue) and his objections (his second issue) to Progressive’s

second motion for summary judgment and in granting summary judgment for

Progressive in the case involving his extracontractual claims (his third issue).

Severance

In his fifth issue, Boyd claims that the trial court abused its discretion in

severing the extracontractual issues from the contract issues. Boyd argues that the

“pretextual (hence ‘bad faith’) investigation conducted by Progressive is the

centerpiece of both the breach of contract and bad faith claims”; therefore, his causes

of action are inextricably interwoven. He also asserts, relying on Liberty National

Fire Insurance Co. v. Akin , 927 S.W.2d 627 (Tex. 1996) (orig. proceeding), that when

a bad-faith claim, such as his, is not limited to claim denial, severance is improper;

therefore, severance of his claims is equivalent to an abuse of discretion. Finally, he

asserts that he was prejudiced in presenting only his breach-of-contract case to the

jury because he was denied the opportunity to present Progressive’s bad-faith actions.

Rule of Civil Procedure 41 grants the trial court discretion in the matter of

severing causes. Tex. R. Civ. P. 41 ; Akin , 927 S.W.2d at 629 ; Guar. Fed. Sav. Bank

v. Horseshoe Operating Co. , 793 S.W.2d 652, 658 (Tex. 1990). A trial court’s order

granting a severance will not be reversed except for an abuse of discretion. Guar.

Fed. Sav. Bank , 793 S.W.2d at 658 . A claim is properly severable if (1) the

controversy involves more than one cause of action, (2) the severed claim is one that

would be the proper subject of a lawsuit if independently asserted, and (3) the severed

claim is not so interwoven with the remaining action that they involve the same facts

and issues. Id .

The controversy between Boyd and Progressive involves more than one cause

of action. Insurance-coverage claims and bad-faith claims are, by their nature,

independent. See Akin , 927 S.W.2d at 629 . Although Boyd’s breach-of-contract and

bad-faith claims may be interwoven, Akin indicates that a severance is required in

those bad-faith cases in which the insurer has made a settlement offer on the disputed

contract claim. 927 S.W.2d at 630 . In his response to Progressive’s motion to sever,

Boyd conceded that Progressive had tendered settlement offers to him.

In summary, there is nothing in the record before us that suggests that the trial

court abused its discretion in severing the extracontractual causes of action from the

breach-of-contract cause of action. Accordingly, we overrule Boyd’s fifth issue.

Disregarding Jury’s Answers to Render Take-nothing Judgment

on Breach-of-Contract Claim

In his fourth issue, Boyd raises his only complaint about the take-nothing

judgment rendered against him on his breach-of-contract claim. He contends that the

trial court erred in disregarding the jury’s answers to questions six and seven in

entering the take-nothing judgment.

Question six asked what sum of money, if paid then in cash, would fairly and

reasonably compensate Boyd for the reasonable steps that he took after loss to protect

his damaged property from further loss. The jury answered “$700.00.” Question

seven asked the jury to state in dollars and cents the amount, if any, of attorney’s fees

reasonably and necessarily incurred or to be incurred by Boyd in the lawsuit. The

question also enumerated some of the factors that the jury could consider in

determining the reasonable value of attorney’s fees. The jury answered as follows:

(1) for preparation and trial, $20,000.00; (2) for an appeal to the court of appeals, if

Progressive appealed the judgment, $15,000.00; and (3) for an appeal to the Supreme

Court of Texas, if Progressive appealed the judgment, $10,000.00.

Question one asked the jury whether there had been an accident between an

uninsured motorist and Boyd. As stated above, the jury answered that question in the

negative. Question two asked whether the negligence of any of the listed parties

caused the accident, but the question was predicated upon an affirmative finding to

question one. Because the jury answered “no” to question one, the jury did not

answer question two. Question three asked for an apportionment of negligence, but

was predicated upon an affirmative finding to question two. Because the jury did not

answer question two, the jury did not answer question three. Boyd raises no

challenge concerning questions one through three or the answers (or lack of answers)

thereto.

Questions four through seven were damage issues. None of those questions

was predicated on an affirmative finding to question one or two, and the jury

answered all of the damage questions.

The jury found $0 for past physical pain and

mental anguish (question four), $5,000 as the difference in the value of the vehicle

immediately before and immediately after the accident (question five), and the dollar

amounts quoted above in response to questions six and seven.

Boyd’s brief assumes that the trial court disregarded the jury’s answers to

questions six and seven and entered a judgment notwithstanding the verdict on them.

According to Boyd, he specifically pleaded that Progressive had breached Part E

of

the insurance contract; his unchallenged pleadings supported his claim for the car-storage fees that he asserted; and, he implies, the jury’s answer to question six

constituted a finding of breach, not only a finding of damage amount. In a similar

vein, concerning attorney’s fees, Boyd argues that his pleadings supported a claim for

attorney’s fees and that the jury’s answer to question seven constituted a finding of

breach, not only a finding of damage amount.

Progressive contends that, based on the jury’s negative answer to question one,

the trial court correctly disregarded the jury’s damage findings as an immaterial issue.

Progressive is correct. When the jury has found no liability, a finding of damages is

immaterial. See Turner v. Lone Star Indus., Inc. , 733 S.W.2d 242, 246 (Tex.

App.—Houston [1st Dist.] 1987, writ ref’d n.r.e.); Zak v. Parks , 729 S.W.2d 875, 882

(Tex. App.—Houston [14th Dist.] 1987, no writ); see also S. Pine Lumber Co. v.

Andrade , 124 S.W.2d 334, 335 (Tex. 1939) (concluding that, when jury found

contributory negligence on part of plaintiff, whether jury found plaintiff suffered

substantial damages or failed to answer the issue on damages, issue of damages was

immaterial). Either the jury’s negative finding under question one defeated

Progressive’s obligation under Part E of the insurance contract to pay for reasonable

expenses to protect the covered car or Boyd’s failure to submit a jury question on the

breach of Part E constitutes a waiver of this ground of recovery under Tex. R. Civ.

P. 279.

Accordingly, we overrule Boyd’s fourth issue.

Issues Relating to the Summary Judgment on the Extracontractual Claims

In his first three issues, Boyd asserts that the trial court erred in overruling his

special exceptions and objections to, and in granting, Progressive’s second motion

for summary judgment on his extracontractual claims. We follow the usual standards

for reviewing an order granting a motion for summary judgment. See Randall’s Food

Mkts., Inc. v. Johnson , 891 S.W.2d 640, 644 (Tex. 1995); Flameout Design &

Fabrication, Inc. v. Pennzoil Caspian Corp. , 994 S.W.2d 830, 834 (Tex.

App.—Houston [1st Dist.] 1999, no pet.).

Objection to Supplementation of Clerk’s Record

As a preliminary matter, we must rule on Boyd’s objection, filed in this Court,

to the supplementation of the clerk’s record with the deposition of Castleman.

Boyd’s principal objection is that Castleman’s deposition was untimely filed as

summary judgment evidence in the trial court, without leave of court, on the day that

Progressive’s motion for summary judgment was heard.

First, there is no evidence in the record that Boyd objected to the trial court’s

consideration of Castleman’s deposition. Second, Boyd relied on Castleman’s

deposition in his supplemental and second supplemental responses to Progressive’s

second motion for summary judgment, and Boyd incorporated the deposition into his

second supplemental response. Accordingly, Boyd’s objection to supplementing the

clerk’s record in this appeal with Castleman’s deposition is overruled.

Special Exceptions or Objections to Progressive’s Summary Judgment Evidence

In support of its motion for summary judgment, Progressive presented

Castleman’s affidavit and the deposition of its expert, Gamse. Progressive

supplemented this evidence with Castleman’s deposition, to which were attached, as

exhibits, copies of Gamse’s report and the telephone and in-person statements that

Boyd had given to Progressive representatives. Boyd supported his summary

judgment response with copies of the Houston Police Department accident report, his

telephone statements, Progressive’s supplemental answers to his second set of

interrogatories, Progressive’s “internal memos,” Boyd’s affidavit, Progressive’s

objections and answers to Boyd’s interrogatories, Gamse’s report, excerpts from

Gamse’s deposition, and Progressive’s letter of April 23, 1997. As we noted above,

Boyd’s supplemental and second supplemental responses to the summary judgment

motion incorporated Castleman’s deposition.

Boyd attacks the summary judgment evidence on the following grounds:

● Various documents were not attached to Progressive’s second

motion for summary judgment (other than those referenced as

Exhibit B in Progressive’s second motion for summary

judgment).

● Although Progressive’s summary judgment motion referred to the

insurance policy, no copy of that policy was attached to the

motion.

● Castleman’s affidavit was vague, conclusory, not readily

controvertible, and self-serving and relied on hearsay and

documents containing specific provisions that were not readily

identified.

● The deposition testimony of Gamse was not competent summary

judgment evidence and was unreliable and not scientifically well

founded under E.I. du Pont de Nemours & Co. v. Robinson , 923

S.W.2d 549, 557-58 (Tex. 1995), and its progeny and contained

hearsay; additionally, Progressive did not specify on which pages

of the deposition Progressive was relying in support of its

summary judgment motion.

We first consider the various documents that Boyd maintains were not attached

to Progressive’s second motion for summary judgment. We have examined the

record, and all of the documents that we have indicated above were presented by the

parties in support of their respective summary judgment motion or response. It is also

clear from the record that the documents were submitted to the trial court before the

summary judgment order was signed and that there was sufficient time for a party to

respond to the documents. Accordingly, we cannot conclude that the trial court erred

when it denied Boyd’s special exceptions on this ground.

We next consider the insurance policy. We agree that Puga v. Donna Fruit

Co. , 634 S.W.2d 677, 680 (Tex. 1982), states that, when provisions of an insurance

policy are material to a movant’s theory, the policy must be attached to the affidavit

that asserts the policy’s existence or otherwise placed of record to provide a basis for

rendition for summary judgment. In Puga , the insurance policy was material to the

issue of the scope of the earlier Industrial Accident Board award. Id. Here, there was

no issue that Progressive was the insurer of Boyd, and the insurance policy was not

material to Progressive’s summary judgment theory on the extracontractual causes of

action. Accordingly, we cannot conclude that the trial court erred when it denied

Boyd’s special exceptions on this ground.

We next consider Boyd’s objections to Castleman’s affidavit. Castleman’s

affidavit, based on his “personal knowledge of the facts and statements contained in

this affidavit,” was one-and-a-half pages long. After the filing of Progressive’s

summary judgment motion (which included Castleman’s affidavit) and Boyd’s

response, Castleman’s deposition was taken. Both parties relied on Castleman’s

deposition in the summary judgment proceeding. In this appeal, Boyd has made no

objection to Castleman’s deposition, other than that we should not allow

supplementation of the clerk’s record with the deposition, which objection we have

already overruled. Castleman’s deposition contains substantially the same

information as set forth in Castleman’s affidavit. Therefore, any error by the trial

court in considering the affidavit, when the deposition was also before it, was

harmless.

Finally, we consider Gamse’s deposition testimony. Boyd made a global

objection to Gamse’s 1998 deposition as hearsay. Although Boyd recites in his brief

those pages of the deposition containing his hearsay objections, there is no indication

in the record that he requested the trial court to rule on each objection, like the rulings

that were made on the objections to Castleman’s deposition. Accordingly, Boyd has

failed to preserve the hearsay objections on Gamse’s deposition for review. See Tex.

R. App. P. 33.1(a)(2)(A).

Boyd also contends that Gamse’s opinion testimony was formed without any

significant measurements, scientific analysis, or scientific testing and that the

testimony was completely subjective and not founded on scientific method. Boyd

characterizes Gamse’s conclusions as farcical and nonsensical. Boyd argues that

Gamse’s testimony should be excluded under Robinson and its progeny. According

to Boyd, these alleged defects preclude Progressive’s reliance on Gamse’s opinions.

Progressive disputes Boyd’s contention about the scientific reliability of

Gamse’s work, but also points out that Progressive was entitled to rely on the opinion

of an independent, objective expert to deny a claim, even if that opinion was later

determined to be wrong. See Lyons v. Millers Cas. Ins. Co. , 866 S.W.2d 597, 601

(Tex. 1993) (holding that issue of bad faith focuses on reasonableness of insurer’s

conduct in rejecting claim and holding that there was no evidence that expert reports

were not objectively prepared or that insurer’s reliance thereon was unreasonable).

Compare State Farm Lloyds v. Nicolau , 951 S.W.2d 444, 448 (Tex. 1997) (holding

that insurer’s reliance on expert’s report, standing alone, will not necessarily shield

carrier if there is evidence that report was not objectively prepared or insurer’s

reliance on report was unreasonable).

Boyd’s argument seems to be that, in order for Progressive to act in good faith

in denying insurance coverage, Gamse’s report and his testimony in support of the

report must have been reliable and admissible evidence under Rule of Evidence 702

and Robinson . See Tex. R. Evid. 702; Robinson , 923 S.W.2d at 557 -58 . We know

of no case so holding. Lyons and Nicolau instruct that an insurer’s conduct in

rejecting an insurance claim based on an expert’s report may be reasonable, unless

the report was not objectively prepared or if the insurer’s reliance was unreasonable.

See Nicolau , 951 S.W.2d at 448 ; Lyons , 866 S.W.2d at 601 .

The issue is not the admissibility of Gamse’s report and deposition testimony

under Rule of Evidence 702, as asserted by Boyd. In fact, the report and supporting

deposition testimony had to be considered during the summary judgment proceedings

because Progressive’s summary judgment motion was based on its reliance on

Gamse’s report in making its decision to deny coverage. The real issue is whether

there were material issues of fact about the report’s having been objectively prepared

and the reasonableness of Progressive’s reliance on the report.

Although Boyd claims that Gamse’s conclusions about Boyd’s falling asleep

at the wheel were “subjective,” that does not mean that Gamse’s report was not

“objective.” “Objectivity” implies that the expert is independent of the party for

whom the report is being prepared, has experience in the area in which he is

investigating, and has no predisposition to a specific conclusion. See, e.g., Nicolau ,

951 S.W.2d at 448-49 ; Lyons , 866 S.W.2d at 599, 601 ; Parker v. Travelers Indem.

Co. , 881 S.W.2d 172, 177 (Tex. App.—Houston [1st Dist.] 1994, no writ). There was

no evidence that Gamse was not independent. Gamse had worked for McDowell

Owens Engineering as a consultant since 1987. Although McDowell and Gamse had

worked for Progressive before, they had also worked for other insurance companies,

corporations, and attorneys. Gamse stated that, at the time that he was hired,

Progressive representatives did not tell him their opinion of how the accident was

caused. Gamse examined Boyd’s damaged car, the accident site, the police accident

report, Boyd’s statements, and the vehicle repair estimate. Gamse had substantial

experience in accident reconstruction. Gamse’s background did not indicate that he

had any predisposition to a particular conclusion about how Boyd’s accident was

caused.

Boyd did not argue before the trial court, and does not assert in his brief, that

there was a material issue of fact about whether Progressive’s action in relying on

Gamse’s report when it denied Boyd’s insurance coverage was reasonable. Rather,

he expects us to hold that an insurer must first determine if an expert’s report is

reliable and admissible under Robinson before the insurer can reasonably rely on the

report in making a coverage decision. This we decline to do.

Having reviewed the record and the law, we conclude that the trial court did

not err in failing to exclude Gamse’s report and testimony.

The Merits of the Summary Judgment for Progressive

1. Progressive’s summary judgment grounds

Progressive’s summary judgment motion was brief, consisting of five pages.

The grounds for summary judgment can be summarized as follows:

● For Boyd to recover benefits under the UIM coverage of his

insurance policy, he had to prove that he was struck by a hit-and-run driver. For Boyd to recover on his bad-faith claim, he had to

prove that Progressive knew or should have known that it was

reasonably clear that Boyd’s claim was covered under the policy.

See Universal Life Ins. Co. v. Giles , 950 S.W.2d 48, 49 (Tex.

1997). Put another way, Boyd had to prove that there were no

facts before Progressive that, if believed, would have justified

denial of his claim. See State Farm Lloyds v. Polasek , 847

S.W.2d 279, 284 (Tex. App.—San Antonio 1992, writ denied);

Higginbotham v. State Farm Mut. Auto. Ins. Co. , 103 F.3d 456,

459 (5th Cir. 1997).

● Progressive maintained that it denied Boyd’s insurance claim

based on “various suspect facts” that it discovered during its

investigation and based on the report and investigation of Gamse,

an independent, objective expert. See Lyons , 866 S.W.2d at 601

(holding that no evidence was offered that expert reports were not

objectively prepared or insurer’s reliance on them was

unreasonable). Compare Nicolau , 951 S.W.2d at 448 (holding

that mere fact that insurer relies on expert report to deny claim

does not automatically foreclose bad-faith recovery and that

evidence was presented from which fact finder could have

inferred that reports were not objective and that insurer’s reliance

on reports was merely pretextual). To support its summary

judgment motion, Progressive attached Castleman’s affidavit and

Gamse’s deposition.

● Progressive contended that its summary judgment evidence

established that it did not deny Boyd’s insurance claim until after

his statements had been taken, after his car had been inspected,

after an independent accident reconstructionist had been retained,

after the scene of the accident had been visited, and after Gamse

had made his report.

● Progressive acknowledged that Boyd had asserted

extracontractual claims of Texas Insurance Code violations,

DTPA violations, breach of the duty of good faith and fair

dealing, and “various other common-law tort causes of action.”

However, Progressive argued that, when extracontractual causes

of action did nothing more than recharacterize a plaintiff’s bad-faith claim, a defense to the bad-faith claim served to defeat the

extracontractual causes of action. See Escajeda v. Cigna Ins. Co. ,

934 S.W.2d 402 (Tex. App.—Amarillo 1996, no writ); Emmert v.

Progressive County Mut. Ins. Co. , 882 S.W.2d 32 (Tex.

App.—Tyler 1994, writ denied); Polasek , 847 S.W.2d 279 .

It is important to note that, except as indicated above, Progressive’s summary

judgment motion did not expressly address the elements of Boyd’s causes of action

under the Texas Insurance Code, under the DTPA, or for conversion. On appeal,

Progressive responds to Boyd’s issues relating to summary judgment with the same

arguments that Progressive presented below in support of its summary judgment

motion, with the exception of the alternative arguments discussed below.

2. Boyd’s summary judgment response

Boyd answered Progressive’s summary judgment motion by simultaneously

filing a response, special exceptions, and objections. He subsequently filed two

supplemental responses, amended special exceptions, and amended objections. We

consider all of these documents to comprise Boyd’s response to the summary

judgment motion. See McConnell v. Southside Indep. Sch. Dist. , 858 S.W.2d 337,

341 (Tex. 1993) (holding that issues that nonmovant contends avoid movant’s

entitlement to summary judgment must be expressly presented by written answer or

other written response to motion).

Boyd repeats on appeal the innumerable exceptions, objections, and arguments

that he raised in the trial court. The two most significant attacks that Boyd makes on

the summary judgment motion, and the judgment granted thereon, are that

Progressive failed to address all of his causes of action and that he raised material

issues of fact.

3. Progressive’s failure to address all of Boyd’s causes of action

The general rule is that a court reversibly errs when it grants a motion for

summary judgment on a cause of action not addressed in the motion. Howell v.

Hilton Hotels Corp. , 84 S.W.3d 708, 716 (Tex. App.—Houston [1st Dist.] 2002, pet.

denied). Boyd alleged causes of action for breach of the duty of good faith and fair

dealing under the common law, violations of article 21.21 of the Texas Insurance

Code, violations of the DTPA, violations of articles 21.55 and 21.58

of the Texas

Insurance Code, and conversion .

Under the duty of good faith and fair dealing, an insurer has a duty to deal

fairly and in good faith with its insured in the processing and payment of claims.

Arnold v. Nat’l County Mut. Fire Ins. Co. , 725 S.W.2d 165, 167 (Tex. 1987). A party

states a cause of action for breach of the duty of good faith and fair dealing by

alleging that there is no reasonable basis for an insurer’s denial of a claim, delay in

payment, or failure to determine whether there is any reasonable basis for denial or

delay. Id.

Section three of article 21.21 of the Texas Insurance Code prohibits any person

from engaging in any trade practices that are defined as unfair or deceptive acts or

practices in the business of insurance. See Tex. Ins. Code Ann. art. 21.21 , § 3.

Section 4(10)(a) defines unfair and deceptive acts in the business of insurance to

include the following: (1) failing to attempt in good faith to effectuate a prompt, fair,

and equitable settlement of a claim with respect to which an insurer’s liability has

become reasonably clear; (2) failing to provide a policyholder promptly with a

reasonable explanation of the basis in the policy in relation to the facts or applicable

law for the insurer’s denial of a claim; and (3) refusing to pay a claim without

conducting a reasonable investigation with respect to the claim. Id. , art. 21.21 , §

4(10)(a)(ii), (iv), (viii).

Section 17.46 of the DTPA contains a laundry list of 26 unlawful deceptive

trade practices. See Tex. Bus. & Com. Code Ann. § 17.46(b) . Section 17.50(a)(4)

of the DTPA provides that a consumer may bring an action when an act or practice

in violation of article 21.21 of the Texas Insurance Code is a producing cause of

economic damage. Id. § 17.50(a)(4).

Section 3(a) of article 21.55 of the Texas Insurance Code provides, with

exceptions that do not appear applicable here, that an insurer must notify a claimant

in writing of the acceptance or rejection of a claim not later than the fifteenth business

day after the date that the insurer receives all items, statements, and forms required

by the insurer in order to secure final proof of loss. Tex. Ins. Code Ann. art. 21.55,

§ 3(a) . Section 3(c) provides that, if an insurer rejects the claim, the notice required

by section 3(a) must state the reasons for the rejection. Id. § 3(c).

Conversion is the unauthorized and wrongful assumption and exercise of

control over the personal property of another, to the exclusion of the owner’s rights.

Automek, Inc. v. Orandy , 105 S.W.3d 60, 63 (Tex. App.—Houston [1st Dist.] 2003,

no pet.). A claim for conversion requires a plaintiff to show that (1) he owned, had

legal possession of, or was entitled to possession of the property; (2) the defendant

assumed and exercised dominion and control over the property in an unlawful and

unauthorized manner, to the exclusion of and inconsistent with the plaintiff’s rights;

and (3) the defendant refused the plaintiff’s demand for return of the property. Id.

Did Progressive address all of Boyd’s extracontractual causes of action?

Certainly not expressly or element by element for each cause of action. Although

Progressive acknowledged that Boyd had asserted extracontractual causes of action

besides bad faith, Progressive argued that all such causes of action were defeated, as

a matter of law, because they only recharacterized the bad-faith claim and that a

defense to the bad-faith claim defeated all of the extracontractual causes of action.

Assuming that Progressive’s argument is generally a correct statement of the

law, that argument cannot apply to the extracontractual causes of action for

conversion or for violation of sections 3(a) and 3(c) of article 21.55 of the Texas

Insurance Code, which claims are not recharacterizations of the bad-faith claim. The

elements of conversion—unlawful and unauthorized control over the property of

another to his exclusion and a refusal to return the other’s property in response to a

demand—as they apply to the storage of Boyd’s car, do not include a bad-faith

element. The requirements of sections 3(a) and 3(c) of article 21.55—that an insurer

notify the insured of a claim denial within 15 days after receipt of the documentation

of proof of loss and that a claim denial must state the reasons for the denial—are not

recharacterizations of the bad-faith claim.

We conclude that, to be entitled to summary judgment on all of Boyd’s

extracontractual claims, Progressive was obligated to address all of Boyd’s

extracontractual claims in its second motion for summary judgment and that it did not

do so with respect to conversion and violation of article 21.55 of the Texas Insurance

Code. Accordingly, the trial court erred when it granted summary judgment in favor

of Progressive on Boyd’s causes of action for conversion and violation of article

21.55 of the Texas Insurance Code. To this extent, we sustain, in part, Boyd’s first

through third issues.

For the reasons discussed below, it is unnecessary for us to decide whether or

not Progressive successfully addressed Boyd’s causes of action for violations of the

DTPA and article 21.21 of the Texas Insurance Code as recharacterizations of his

bad-faith claim under the common law or whether such causes of action were

defeated as a matter of law under Escajeda v. Cigna Insurance Co. , Emmert v.

Progressive County Mutual Insurance Co. , and State Farm Lloyds v. Polasek .

4. Genuine issues of material fact on the remaining extracontractual

claims

A bona fide coverage dispute between insurer and insured does not, standing

alone, demonstrate bad faith. See State Farm Fire & Cas. Co. v. Simmons , 963

S.W.2d 42, 44 (Tex. 1998); Nicolau , 951 S.W.2d at 448 ; Transp. Ins. Co. v. Moriel ,

879 S.W.2d 10, 17 (Tex. 1994); see also Giles , 950 S.W.2d at 54 (stating that

standard for recovery must balance remedial purposes of bad-faith tort against

insurer’s right to deny invalid or questionable claims); Lyons , 866 S.W.2d at 600

(holding that, as long as insurer has reasonable basis to deny or to delay payment of

claim, there is no bad-faith tort liability). Evidence of the insurer’s investigation,

including the preparation of an objective, expert report, may demonstrate the

existence of a reasonable basis for denying a claim. See Lyons , 866 S.W.2d at 601 .

However, the mere fact that an insurer relies on an expert’s report will not shield the

insurer if there is evidence that the insurer’s reliance was “merely pretextual.” See

Nicolau , 951 S.W.2d at 448 .

Boyd argues that whether an insurer has breached its duty of good faith and fair

dealing is a question of fact for the jury, not a matter of law for the court. See

Simmons , 963 S.W.2d at 44 ; Giles , 950 S.W.2d at 49 . This is true, provided that the

evidence is legally sufficient to raise a fact issue for the jury or is legally sufficient

to support the jury’s finding. See Simmons , 963 S.W.2d at 44 .

Boyd alleged the following facts to support his causes of action:

● Progressive admitted or confessed that it anticipated litigation on

March 20, 1997,

the date of the accident.

● Progressive failed to conduct any meaningful investigation before

it anticipated litigation, and its subsequent investigation was not

conducted in good faith.

● Progressive did not have an adjustor look at the car until March

25, 1997, five days after Progressive decided to deny Boyd’s

claim.

● Progressive did not consider employing an accident

reconstructionist until April 10, 1997, 20 days after it had

determined to deny Boyd’s claim.

● Progressive did not send Boyd a letter denying his claim until

April 23, 1997, more than 30 days after Progressive had decided

to deny his claim, and the letter violated article 21.21 of the Texas

Insurance Code.

● The tone of the recorded statements between Boyd and

Progressive’s representatives was accusatory, leading, and not

reasonably conducted and thus demonstrated the prosecutorial

practice of Progressive to search for any pretext to deny his claim,

rather than to conduct a good-faith investigation of that claim.

With the exception of the last fact alleged, all of Boyd’s facts in support of his

bad-faith causes of action are based on the statement in Progressive’s supplemental

answers to Boyd’s second set of interrogatories that March 20, 1997 (the date of

Boyd’s accident) was the exact date that Progressive determined that the investigation

made the basis of the lawsuit was conducted in anticipation of litigation. Boyd

contends that Progressive could not have conducted its investigation or relied on

Gamse’s report in good faith if Progressive had determined on March 20 that its

investigation was being done in anticipation of litigation.

In his deposition, Castleman testified that, before he had reviewed the file in

the case or authorized the denial of Boyd’s claim, Gamse was hired to do an accident

reconstruction. Progressive had used Gamse in previous cases, and Castleman stated

that he had talked to his litigation department about the use of Gamse in the past.

Castleman stated that the Progressive claims representatives had not drawn a

conclusion about whether Boyd’s claim should be denied at the time that Gamse was

hired. However, Castleman did not listen to the statements that Boyd gave or read the

transcriptions before he authorized the denial of Boyd’s claim. Castleman spoke with

the representative of Progressive who took the in-person statement and relied on that

person’s conclusion that Boyd had contradicted himself.

Boyd’s contradictions were said to include the following:

● Boyd stated in his telephone statements the day of the accident,

shortly after it happened, that the accident had happened at the

intersection of highways 45 and 288. These highways do not

intersect, and the police report indicated that the accident had

occurred in the 4500 block of 288.

● Boyd stated in his telephone statements that he had no idea who

the other driver was and did not even know if it was a male

driver. He said that the other car just kept on going. In his in-person statement on April 7, 1997, he said that the other driver

was a “fella” and that the other driver stopped, got out of his car,

got back in his car, and then left.

● During the in-person statement, Boyd said that he couldn’t tell

what kind of car was being driven by the other driver because he

was dazed. However, toward the end of the interview, he stated

that his recollection was that the other car was dark colored, but

then said that it was dark outside and that he couldn’t remember.

Castleman agreed in his deposition that the April 23, 1997 denial letter never

advised Boyd that there were contradictions in his claim information or that the

physical evidence of damage to his car was contrary to his statements. Castleman

stated that he did not know why Progressive representatives anticipated litigation on

March 20, 1997.

Because Progressive’s interrogatory answer indicated that Progressive

anticipated litigation on the date of Boyd’s accident, because Castleman testified that

he did not listen to or read Boyd’s statements before he authorized denying Boyd’s

claim, and because apparent inconsistencies between Boyd’s telephone statements

and in-person statement may have been the result of a dazed or disoriented state at the

time of the accident, shortly after which the telephone statements were made, we

conclude that there were material issues of fact concerning whether Progressive

conducted its investigation in good faith and relied on Gamse’s report in denying

Boyd’s claim. Therefore, the trial court erred when it granted summary judgment in

favor of Progressive on Boyd’s causes of action for breach of the duty of good faith

and fair dealing under the common law and violations of the DTPA and article 21.21

of the Texas Insurance Code. To this extent, we sustain, in part, Boyd’s first through

third issues.

5. Progressive’s alternative grounds for affirmance of the summary

judgment

Progressive has raised on appeal two alternative grounds for affirming the

summary judgment. The first ground is that the summary judgment rendered on the

extracontractual claims may be affirmed because Boyd did not appeal the judgment

on the breach-of-contract claim.

According to Progressive, if there has been no

breach of the insurance contract based on the allegedly wrongful denial of a claim,

there can be no bad-faith or extracontractual liability based upon the same denial as

a matter of law. The second ground is that the conversion claim may be affirmed

because Boyd reasserted conversion in his trial pleadings and put on evidence in

support, but failed to submit conversion to the jury, thereby abandoning the claim.

We are unable to affirm the summary judgment on the extracontractual claims

based on the subsequent take-nothing judgment in the breach-of-contract case

because this ground was not before the trial court. See Stiles v. Resolution Trust

Corp. , 867 S.W.2d 24, 26 (Tex. 1993) (holding that appellate court cannot affirm

summary judgment on grounds not raised in trial court) . Nor does “no breach of

contract” necessarily mandate a conclusion of “no bad faith.” See Am. Motorists Ins.

Co. v. Fodge , 63 S.W.3d 801, 804 (Tex. 2001); Akin , 927 S.W.2d at 629 ; Republic

Ins. Co. v. Stoker , 903 S.W.2d 338, 341 (Tex. 1995).

Neither can we conclude that the judgment in the contract case disposed of the

conversion claim. Before the trial began, the conversion claim had already been

disposed of by the June 13, 2000 summary judgment, which was final, the trial court’s

plenary jurisdiction over the June 13 judgment having expired before the trial began.

Accordingly, we reject Progressive’s alternative grounds for affirmance.

Conclusion

We overrule Boyd’s objection to the supplementation of the clerk’s record with

Castleman’s deposition.

Because we have concluded that the trial court did not abuse its discretion in

severing the extracontractual causes of action from those for breach of contract and

that the court did not err in disregarding the jury’s answers to questions six and seven,

we affirm the take-nothing judgment on the contract cause of action in favor of

Progressive in trial court cause number 689,760, which judgment was signed on

October 12, 2000 (appellate cause number 01-03-01146-CV).

However, we conclude that Progressive’s summary judgment motion did not

address all of Boyd’s remaining causes of action and that there existed genuine issues

of material fact with respect to some of the extracontractual causes of action at the

time that the summary judgment was granted. Therefore, we reverse the summary

judgment signed on June 13, 2000 in favor of Progressive on all extracontractual

causes of action in trial court cause number 689,760-101 (appellate cause number 01-00-00785-CV) and remand this cause for further proceedings.

Tim Taft

Justice

Panel consists of Justices Taft, Nuchia,

and Alcala.

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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