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Barbara Pinkus v. Hartford Casualty Insurance Company
487 S.W.3d 616
Tex. App.
2015
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Background

  • Ron Pinkus, a North Carolina–based employee, traveled to Dallas on a three‑day employer‑paid business trip; transportation, lodging, and meals were paid by his employer.
  • On January 9, 2012 Ron worked a full day, finished around 5:42 p.m., and had no approved business engagements after hours; his supervisor said he was on personal time.
  • Ron planned to meet his son Brett for dinner that evening (location not firmly confirmed between Brett’s home and a nearby pizza restaurant); Ron left the hotel and was later involved in a car accident about 11 miles from the office and roughly between the restaurant and Brett’s home.
  • Ron was rendered quadriplegic by the accident and later died; Barbara (his widow) filed a beneficiary claim for workers’ compensation benefits which Hartford (the carrier) denied.
  • The DWC hearing officer and appeals panel found Ron’s injury compensable; Hartford sought judicial review and moved for traditional summary judgment arguing Ron was off‑duty and not acting in course and scope of employment; Barbara filed competing summary‑judgment motions.
  • The trial court granted Hartford’s summary judgment; Barbara appealed challenging compensability and, conditionally, entitlement to attorney’s fees under Tex. Lab. Code § 408.221(c).

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether Ron was in the course and scope of employment when injured Ron’s trip was business travel; continuous‑coverage rule covers sleeping/eating on overnight business trips, so meeting son while on trip is within scope After work Ron was on personal time and made a personal detour to meet his son; travel at time of accident was a personal errand, so not within course and scope Summary judgment for Hartford affirmed: no genuine fact issue that Ron was not in course and scope when injured
Whether dual‑purpose travel exclusion applies / whether exception applies Meeting son was part of a business trip’s covered activities (meals), so travel could be dual‑purpose and exceptions to exclusion apply Travel was principally personal at time of accident; summary judgment established lack of business origin/furtherance so dual‑purpose analysis not reached Court did not reach or apply dual‑purpose exceptions because it found Ron’s travel did not originate in or further employer’s business
Entitlement to attorney’s fees under Tex. Lab. Code § 408.221(c) If Barbara prevails she should recover fees because Hartford unsuccessfully appealed the DWC decision Hartford opposes recovery; also argued fee claim not preserved below Barbara lost on the compensability issue and thus is not prevailing party; fee claim denied
Standard of review for trial court’s decision N/A (procedural) N/A De novo review of summary judgment; plaintiff bears burden to defeat no‑evidence motion; court reviews both parties’ evidence when both moved for summary judgment

Key Cases Cited

  • Shelton v. Standard Ins. Co., 389 S.W.2d 290 (Tex. 1965) (continuous‑coverage rule for employees required to travel overnight)
  • SeaBright Ins. Co. v. Lopez, 465 S.W.3d 637 (Tex. 2015) (standards for reviewing competing summary‑judgment motions and course‑and‑scope analysis)
  • Davis v. Texas Mid. Ins. Co., 443 S.W.3d 260 (Tex. App.—Dallas 2014) (modified de novo review of DWC appeals panel decisions)
  • Transcontinental Ins. Co. v. Crump, 330 S.W.3d 211 (Tex. 2010) (burden of proof on party seeking judicial review of DWC appeals panel decision)
Read the full case

Case Details

Case Name: Barbara Pinkus v. Hartford Casualty Insurance Company
Court Name: Court of Appeals of Texas
Date Published: Nov 5, 2015
Citation: 487 S.W.3d 616
Docket Number: 05-14-00892-CV
Court Abbreviation: Tex. App.