Allied North American Insurance Brokerage of Texas, L.L.C. v. Diamond Pump & Transport, LLC and the Insurance Company of the State of Pennsylvania
11-13-00249-CV
| Tex. App. | Aug 31, 2015Background
- Garrett died from a collision caused by Sanchez, a Diamond driver, driving a Diamond vehicle insured by ICSOP; Sanchez was listed as an excluded driver in the policy,” the exclusion disputed as to its effectiveness.
- Allied North America Insurance Brokerage of Texas, the Diamond broker, prepared a renewal quote and proposal that failed to reveal Sanchez’s exclusion to Diamond, while ICSOP’s final bound policy did exclude Sanchez.
- ICSOP initially defended Diamond in the Garrett wrongful-death suit, then withdrew defense and denied coverage after learning Sanchez was excluded, leaving Diamond to defend and ultimately settle for $625,000.
- Diamond incurred $22,524.63 in attorney’s fees and $50,824.88 in interest on funds borrowed to pay the Garrett claim; trial court awarded Diamond $625,000 plus prejudgment interest and related costs, while denying Allied relief.
- The appellate court addressed (i) the validity and effect of the excluded-driver endorsement, (ii) Allied’s duty to procure insurance and possible negligence, and (iii) related challenges to ICSOP’s duty and the trial court’s findings, ultimately affirming the trial court’s judgment.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Is the excluded driver endorsement effective to exclude Sanchez from coverage? | Allied failed to notice the exclusion and misrepresented coverage; the endorsement was void or voidable | The endorsement was valid and effective; Diamond accepted coverage under the policy terms | Yes, the endorsement is effective and excludes Sanchez; Allied’s challenges fail |
| Did Diamond owe a duty to review or understand the policy, and was Allied negligent in procuring coverage? | Allied had a duty to use reasonable diligence and inform Diamond of exclusions | Diamond failed to read the policy and cannot rely on Allied for misrepresentation | Yes, Allied owed a duty; its negligence proximately caused damages; judgment affirmed on negligence grounds |
| Did Allied have a duty to warn Diamond that the policy would contain an exclusion for Sanchez? | Allied should have informed Diamond of the exclusion | No duty to disclose beyond duties in procuring insurance; reliance issues separate | Yes, Allied breached its duty by not informing Diamond of the exclusion and by not comparing policy terms to the proposal |
| Were Allied’s arguments regarding a supposed special relationship with ICSOP meritorious? | Allied relied on a special relationship to create a duty of care | No special relationship exists between insurer and broker | No, no special relationship created a duty; issue resolved in favor of applying standard agency duties |
Key Cases Cited
- Anderson v. City of Seven Points, 806 S.W.2d 791 (Tex. 1991) (fact-finder deference in trial-to-appeal review of findings of fact)
- Keller v. Wilson, 168 S.W.3d 802 (Tex. 2005) (standards for reviewing findings of fact and legal sufficiency)
- Forbau v. Aetna Life Ins. Co., 876 S.W.2d 132 (Tex. 1994) (contract interpretation in insurance policy context)
- Republic Nat’l Life Ins. Co. v. Spillars, 368 S.W.2d 92 (Tex. 1963) (policy construction; plain language governs)
- Doe v. Boys Clubs of Greater Dallas, Inc., 907 S.W.2d 472 (Tex. 1995) (negligence elements; duty, breach, proximate cause)
- May v. United Servs. Ass’n of Am., 844 S.W.2d 666 (Tex. 1992) (duty of reasonable diligence by insurance agents)
- Powell v. Narried, 463 S.W.2d 43 (Tex. Civ. App.—El Paso 1971) (agent duty not to misrepresent coverage)
- Travis v. City of Mesquite, 830 S.W.2d 94 (Tex. 1992) (proximate cause; foreseeability)
- IHS Cedars Treatment Ctr. v. Mason, 143 S.W.3d 794 (Tex. 2004) (definition of proximate cause; cause in fact vs. foreseeability)
- Urrutia v. Decker, 992 S.W.2d 440 (Tex. 1999) (contract/endorsement ambiguity and enforceability)
- Callaway Dev. Corp. v. Steadfast Ins. Co., 2007 WL 1032303 (W.D. Tex. 2007) ((excluded from list due to WL citation))
