591 S.W.3d 677
Tex. App.2019Background
- Cook was injured by an uninsured driver and claimed $100,000 under her State Farm uninsured motorist (UM) policy; State Farm offered $15,255.
- Cook sued the driver and State Farm; extra-contractual claims against State Farm were severed and abated pending a judgment establishing UM entitlement.
- At trial State Farm stipulated the driver’s negligence and uninsured status; the jury awarded damages exceeding the policy limit and the court entered a $100,000 judgment against State Farm on April 12, 2018.
- State Farm paid the judgment in full on April 25, 2018 (nine business days later).
- State Farm moved for summary judgment on Cook’s bad-faith and prompt-payment claims; the trial court denied the motion and allowed a permissive appeal on two controlling legal questions.
- The court of appeals affirmed that a pre-judgment bad-faith claim can proceed, but reversed as to the prompt-payment claim (holding payment after judgment was timely).
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Can an insured sustain a common-law or statutory bad-faith claim for withholding UM benefits until a judgment establishes the other driver’s liability? | Cook: Yes — insurer can be liable pre-judgment if liability is reasonably clear and investigation was unreasonable (relying on Hamburger and related federal decisions). | State Farm: No — Brainard means contractual duty (and thus reasonably clear liability) cannot arise until a judgment, so no bad-faith claim pre-judgment. | Held: Yes — insurer can be liable for bad faith pre-judgment if liability was reasonably clear or investigation was unreasonable; denial of summary judgment as to bad-faith claims affirmed. |
| Can an insured sustain a prompt-payment claim when insurer timely pays UM benefits after a judgment establishing liability? | Cook: (did not separately brief this issue) | State Farm: No — insurer’s liability arises on entry of judgment; prompt payment statute not violated where insurer pays promptly after judgment (here, nine business days). | Held: No — payment nine business days after judgment was timely; summary judgment for State Farm granted on prompt-payment claim. |
Key Cases Cited
- Brainard v. Trinity Universal Ins. Co., 216 S.W.3d 809 (Tex. 2006) (UM insurer has no contractual duty to pay until judgment establishes liability/underinsured status)
- Hamburger v. State Farm Mut. Auto. Ins. Co., 361 F.3d 875 (5th Cir. 2004) (insurer may be liable for bad faith pre-judgment when liability is reasonably clear)
- Universe Life Ins. Co. v. Giles, 950 S.W.2d 48 (Tex. 1997) (bad-faith standard: insurer must attempt prompt, fair, equitable settlement when liability is reasonably clear)
- Mid–Century Ins. Co. of Tex. v. Boyte, 80 S.W.3d 546 (Tex. 2002) (post-judgment bad-faith claims are barred because relationship becomes debtor-creditor)
- Wellisch v. United Servs. Auto. Ass’n, 75 S.W.3d 53 (Tex. App.—San Antonio 2002, pet. denied) (insurer’s liability for UM/UIM arises on entry of judgment; prompt payment rules apply post-judgment)
