636 S.W.3d 640
Tex.2021Background
- Dillon Gage, a Dallas gold-coin dealer, received two orders paid by stolen/forged checks totaling $1,204,000; it shipped coins after checks initially cleared and sent UPS tracking info to the thief.
- The thief used the tracking numbers to reroute both shipments via UPS to pickup locations, where unknown persons collected the coins; the bank later dishonored the checks.
- Dillon Gage sought coverage under its transit policy for the physical loss; Underwriters denied coverage under an "Invalid Payments Exclusion Clause" that excludes losses “consequent upon” handing property to a third party against payment by a fraudulent cheque, paying only a $12,500 extension.
- District court granted summary judgment for Underwriters, holding "consequent upon" means but-for causation and that UPS’s alleged negligence was not an independent cause under JAW The Pointe.
- The Fifth Circuit certified two questions to the Texas Supreme Court: (1) whether the loss was "consequent upon" handing property over for a fraudulent check (triggering the exclusion), and (2) whether UPS’s alleged negligence was an independent cause under Texas law.
- Texas Supreme Court answered: yes (the loss was consequent upon handing over the property), and no (UPS’s rerouting was not an independent cause).
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Does "consequent upon" in the exclusion require a heightened (substantial-factor) causal standard or merely but-for causation? | "Consequent upon" requires a more stringent/substantial-factor causal connection; UPS reroute superseded the check as the substantial cause. | Ordinary meaning of "consequent upon" is "following as a result" and aligns with but-for causation. | Held: "Consequent upon" denotes but-for causation (and but even under substantial-factor test, causation would be satisfied here). |
| Was UPS’s alleged negligent rerouting an independent cause that severs the exclusion (separate and independent causation)? | UPS’s errors were an independent cause: different actors, times, and conduct; thus exclusion should not bar coverage. | The theft scheme was unitary: Dillon Gage handed over tracking info and coins because of the fraudulent checks; UPS’s conduct was induced by that fraud and thus concurrent, not independent. | Held: UPS’s rerouting was a concurrent cause dependent on the fraud, not an independent cause; exclusion applies. |
Key Cases Cited
- JAW The Pointe v. Lexington Ins. Co., 460 S.W.3d 597 (Tex. 2015) (concurrent-causation doctrine and when excluded and covered events are separable)
- Utica Nat. Ins. Co. of Tex. v. Am. Indem. Co., 141 S.W.3d 198 (Tex. 2004) (distinguishing causal phrases like "due to" and "arising out of")
- RSUI Indem. Co. v. Lynd Co., 466 S.W.3d 113 (Tex. 2015) (rules for interpreting insurance contracts)
- Union Pump Co. v. Allbritton, 898 S.W.2d 773 (Tex. 1995) (discussion of substantial-factor causation)
- Mid-Century Ins. Co. of Tex. v. Lindsey, 997 S.W.2d 153 (Tex. 1999) ("arising out of" means but-for causation)
- Lear Siegler, Inc. v. Perez, 819 S.W.2d 470 (Tex. 1991) (recognition that an event can have more than one cause)
- Guaranty Nat’l Ins. Co. v. North River Ins. Co., 909 F.2d 133 (5th Cir. 1990) (example where separate acts by same actor caused independent proximate causes for a loss)
