in Re Essex Insurance Company
450 S.W.3d 524
| Tex. | 2014Background
- Zuniga sued SDT for personal injuries and added a declaratory-judgment claim against Essex seeking indemnity for SDT's liability.
- Texas 'no direct action' rule generally bars suing insurer directly until the insured’s liability is adjudicated; no exception applied here.
- Essex issued a CGL policy to SDT, investigated the accident, and concluded coverage did not apply because Zuniga was SDT’s employee (disputed by SDT).
- Essex agreed to defend SDT under a reservation of rights to indemnify only if SDT’s liability would be established.
- Zuniga amended to name Essex, seeking declaration of Essex’s indemnity duty; Essex moved to dismiss under Rule 91a; SDT sought/received intervention for the same relief, which SDT later abandoned.
- Texas Supreme Court conditionally grants mandamus to require dismissal of Zuniga’s and SDT’s claims against Essex because the no-direct-action rule applies and mandamus relief is appropriate absent an adequate appellate remedy.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether Zuniga’s claims against Essex are barred by the no-direct-action rule. | Zuniga seeks only a declaration of coverage, not money against Essex. | No direct action allowed until SDT’s liability to Zuniga is established; declaratory relief does not avoid rule. | Barred; claims must be dismissed. |
| Whether mandamus relief is appropriate where there is no adequate remedy by appeal. | N/A (Essex argues for mandamus). | Mandamus needed to prevent fatally flawed proceedings and prejudice. | Mandamus relief appropriate; direct dismissal required. |
Key Cases Cited
- Angus Chem. Co. v. IMC Fertilizer, Inc., 939 S.W.2d 138 (Tex. 1997) (no direct action against insurer until liability determined)
- Aviles v. Aguirre, 292 S.W.3d 648 (Tex. 2009) (per curiam; similar no-direct-action principle)
- Ollis v. State Farm Cnty. Mut. Ins. Co., 768 S.W.2d 722 (Tex. 1989) (cannot enforce policy directly until liability established)
- Burlington Northern & Santa Fe Ry. Co. v. Nat’l Union Fire Ins. Co. of Pittsburgh, PA, 334 S.W.3d 217 (Tex. 2011) (insurer’s duty to indemnify/defend context; declaratory actions noted)
- Matagorda County Gov’t Risk Mgmt. Pool v. County Gov’t, 52 S.W.3d 128 (Tex. 2000) (insurer may seek prompt resolution in declaratory action; context on indemnity/defense duties)
- Farmers Tex. Cnty. Mut. Ins. Co. v. Griffin, 955 S.W.2d 81 (Tex. 1997) (duty to indemnify may be justiciable before insured’s liability is determined under certain conditions)
- Gandy v. State Farm Fire & Cas. Co., 925 S.W.2d 696 (Tex. 1996) (insurer-declaratory actions; evidentiary considerations in insurance contexts)
