917 F.3d 352
5th Cir.2019Background
- PSI installed an underground fuel tank system for Head in 1997; a leak was discovered in 2001. Mid-Continent insured PSI under a commercial general liability policy (the Policy) and assumed PSI’s defense, reserving coverage rights.
- PSI asserted a third-party claim against Titeflex (manufacturer of a flex connector); Titeflex counterclaimed under Tex. Civ. Prac. & Rem. Code § 82.002. A jury ultimately entered judgment for Titeflex on its counterclaim.
- Mid-Continent sued for declaratory relief, arguing (1) PSI breached the Policy’s Cooperation Clause by refusing to dismiss its third-party claim against Titeflex and (2) the Professional Liability Endorsement (PLE) either did not provide coverage or was precluded by Exclusion q (intentional-loss exclusion).
- The district court held the Cooperation Clause applied to PSI’s third-party claim (but found factual issues about compliance) and concluded only part of the Titeflex judgment was covered; the case went to trial on cooperation and waiver and a jury found for PSI.
- On appeal the Fifth Circuit affirmed the jury-instruction ruling, reversed the district court’s summary judgment limiting coverage, and held the PLE covers the entire Titeflex monetary judgment; Exclusion q did not bar coverage.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Does the Cooperation Clause require PSI to dismiss its affirmative third-party claim? | Mid-Continent: Clause can require cooperation, including dismissal of third-party claims to facilitate settlement. | PSI: Clause cannot be read to force insured to surrender affirmative rights against third parties. | Court declined to decide categorically; found instruction using a "reasonable and justified" standard proper and jury found PSI complied. |
| Was the jury instruction on cooperation an abuse of discretion? | Mid-Continent: Instruction improperly allowed jury to excuse non-cooperation. | PSI: Instruction correctly tethered to reasonableness under Texas law. | No abuse of discretion; instruction proper. |
| Does the PLE provide coverage for the entire Titeflex judgment (including monetary judgment)? | PSI: PLE expands "occurrence" and defines "Money Damages," covering the full monetary judgment arising from professional services. | Mid-Continent: PLE does not add coverage beyond the Insuring Agreement; judgment arose from refusal to dismiss, not professional services. | PLE covers the entire Titeflex monetary judgment; endorsement construed to add coverage and controls if conflict exists. |
| Does Exclusion q (intentional-loss) bar coverage? | Mid-Continent: PSI intentionally caused the loss by refusing to settle, so exclusion applies. | PSI: Relevant underlying conduct is the 2001 fuel leak, not refusal to settle; no intent to cause damage. | Exclusion q does not apply; Texas law requires intent to cause harm or substantial certainty of harm, which was not shown. |
Key Cases Cited
- Janvey v. Dillon Gage, Inc. of Dall., 856 F.3d 377 (5th Cir. 2017) (standard for reviewing jury instructions: abuse of discretion)
- Lafarge Corp. v. Hartford Cas. Ins. Co., 61 F.3d 389 (5th Cir. 1995) (limitations on insurer using cooperation clause to control coverage litigation)
- Davis-Ruiz Corp. v. Mid-Continent Cas. Co., [citation="281 F. App'x 267"] (5th Cir.) (PLEs can extend coverage to professional-services-related claims)
- Mid-Continent Cas. Co. v. Bay Rock Operating Co., 614 F.3d 105 (5th Cir. 2010) (endorsement interpretation and interaction with policy exclusions)
- Tanner v. Nationwide Mut. Fire Ins. Co., 289 S.W.3d 828 (Tex. 2009) (insurer’s intentional-loss exclusion requires intent to cause damage)
- State Farm Fire & Cas. Co. v. S.S., 858 S.W.2d 374 (Tex. 1993) (intent inquiry for insurance exclusions and standard for substantial certainty)
- Utica Nat’l Ins. Co. of Tex. v. Am. Indem. Co., 141 S.W.3d 198 (Tex. 2004) (insurer bears burden to prove applicability of an exclusion)
