Lancer Insurance Co. v. Garcia Holiday Tours
345 S.W.3d 50
| Tex. | 2011Background
- Garcia Holiday Tours operated a commercial bus company; it contracted with Alice Independent School District for a band trip to Six Flags, carrying Alice High School students.
- During the trip, several passengers observed the driver coughing; upon return, the driver was hospitalized with active tuberculosis.
- TB can be latent (not contagious) or active (contagious); passengers were later tested, some with latent TB.
- Passengers sued the driver and bus company for negligent exposure; Lancer Insurance refused defense/indemnity, claiming no coverage under the business auto policy.
- A trial jury awarded over $5 million to passengers; after judgment, insureds and judgment creditors sought declarations of rights under the policy.
- Court of Appeals remanded for factual resolution on where infections occurred; Texas Supreme Court granted review to address coverage.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Does the transmission of a communicable disease arise from use of the vehicle under the policy? | Passengers: coverage extends so long as the bus is used to transport them and they were injured during the trip. | Lancer: exposure to disease is a general liability risk, not produced by vehicle use; injuries did not arise out of the bus's use. | No coverage; injuries did not arise from the vehicle's use. |
| What causal standard governs whether an injury 'arises out of' vehicle use? | Passengers contend Lindsey three-part test supports coverage. | Lancer argues Lindsey must be read with policy language; vehicle use must produce the injury. | The same Lindsey framework applies; vehicle use must be a producing cause, not merely a situs. |
| Is the insurer obligated to defend the insureds against the passengers' claims? | Passengers contend insurer must defend and indemnify as per policy. | Insurer disputes both defense and indemnity given no coverage. | Duty to defend not resolved on appeal; remains an issue in the trial court; indemnity claim is decided here. |
Key Cases Cited
- Lindsey v. Mid-Century Insurance Co. of Texas, 997 S.W.2d 153 (Tex. 1999) (establishes 'arising out of' / 'resulting from' three-part test for auto-use coverage)
- LeLeaux v. Hamshire-Fannette Indep. School Dist., 835 S.W.2d 49 (Tex. 1992) (assault in vehicle generally not covered; vehicle not producing cause)
- Utica Nat'l Ins. Co. of Tex. v. Am. Indem. Co., 141 S.W.3d 198 (Tex. 2004) (distinguishes 'arising out of' vs 'due to' in parallel policy language)
- State Farm Mut. Auto. Ins. Co. v. Peck, 900 S.W.2d 910 (Tex. App.-Amarillo 1995) (injury by dog while in vehicle not auto accident; nexus too remote)
- Lincoln General Ins. Co. v. Aisha's Learning Center, 468 F.3d 857 (5th Cir. 2006) (vehicle as producing cause in a hot-vehicle scenario; 'producing' standard applied)
- American States Ins. Co. v. Bailey, 133 F.3d 363 (5th Cir. 1998) (discussion of 'arising out of' vs related causation concepts in insurance)
