Howard v. Burlington Insurance Co.
347 S.W.3d 783
| Tex. App. | 2011Background
- Howard operated an auto repair business and obtained garage liability insurance via Crist (A-Lo Insurance) who forwarded quotes to MHI and TBIC; Crist filled out the garage liability application which declined personal property coverage; Howard allegedly did not see or sign the application.
- TBIC issued Garage Policy No. 211B000392 (Dec 13, 2004–Dec 13, 2005) and paid third-party claims but denied coverage for Howard's equipment and personal property after a 2005 fire.
- Howard sued TBIC and MHI for multiple claims including misrepresentation and unfair insurance practices; TBIC and MHI moved for summary judgment on grounds of lack of first-party coverage and lack of agency.
- The trial court granted TBIC’s and MHI’s traditional and no-evidence motions for summary judgment; after severing Crist and finalizing related claims, Howard appealed the judgments.
- Howard’s fourth amended petition added Crist as a defendant; the appellate court reviews whether the TBIC policy provides first-party coverage and whether the quote/binder misled, as well as agency liability.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Does the TBIC policy provide first-party coverage for Howard’s equipment and personal property? | Howard contends policy ambiguity or coverage for first-party property. | TBIC argues policy is third-party liability with no first-party coverage. | TBIC policy provides no first-party coverage; judgments affirmed. |
| Were the quote and binder by MHI misleading or violating the Insurance Code? | Howard claims misrepresentation and deceptive practices. | MHI asserts quotes/binders reflect liability coverage only and adequately inform risks. | No material misrepresentation found; no genuine issue of fact. |
| Is Crist an agent of TBIC or MHI such that their liability extends to Crist’s misrepresentations? | Howard asserts Crist acted as TBIC/MHI agent; both liable for Crist’s conduct. | Crist was an independent agent; no agency proved for TBIC/MHI; no binding authority. | Crist was not TBIC’s or MHI’s agent with binding authority; no vicarious liability. |
| Was TBIC eligible to issue surplus lines insurance in Texas, making the policy valid under § 981.051? | Howard claims TBIC violated surplus lines licensing requirements. | TBIC is an eligible surplus lines insurer; entitled to place through a licensed agent. | TBIC was an eligible surplus lines insurer; § 981.051 satisfied. |
Key Cases Cited
- Inglish v. Prudential Ins. Co. of Am., 928 S.W.2d 702 (Tex. App.—Houston [1st Dist.] 1996) (quotes do not define policy terms; not binding as contract)
- American Manufacturing Mut. Ins. Co. v. Schaefer, 124 S.W.3d 154 (Tex. 2003) (contract interpretation; ambiguity analyzed in context of entire policy)
- Kelley-Coppedge, Inc. v. Highlands Ins. Co., 980 S.W.2d 462 (Tex. 1998) (ambiguity requires two reasonable interpretations)
- Provident Life & Accident Ins. Co. v. Knott, 128 S.W.3d 211 (Tex. 2003) (read policy as a whole; cannot isolate provisions)
- Farmer Enterprises, Inc. v. Gulf States Ins. Co., 940 S.W.2d 103 (Tex. App.—Dallas 1996) (agency scope and apparent authority framework for insurers)
- IRA Res., Inc. v. Griego, 221 S.W.3d 592 (Tex. App.—Dallas 2007) (burden on party alleging agency; actual vs apparent authority)
- Guthrie v. Rep. Nat'l Life Ins. Co., 682 S.W.2d 634 (Tex. App.—Houston [1st Dist.] 1984) (apparent authority evaluated by principal’s conduct)
- Tex. Cityview Care Ctr., L.P. v. Fryer, 227 S.W.3d 345 (Tex. App.—Fort Worth 2007) (apparent authority assessment standard)
- Fiess v. State Farm Lloyds, 202 S.W.3d 744 (Tex. 2006) (ambiguity not created by conflicting interpretations)
