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628 S.W.3d 486
Tex. App.
2019
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Background

  • Lorena Flores sued PSJA after a minor was injured when thrown from a golf cart driven by a PSJA employee; PSJA sought defense/indemnity from its self-insurance fund (TPS), which denied coverage.
  • The Auto Policy covers "autos" (land motor vehicles designed for travel on public roads) and excludes "mobile equipment" (vehicles designed principally for off-public-roads use).
  • TPS argued all golf carts are "mobile equipment" as a matter of law (citing the Texas Transportation Code definition), so no coverage exists; TPS moved for summary judgment on that theory.
  • PSJA produced extrinsic evidence (manufacturer advertisements) showing some modern golf carts are designed for public-road use and thus potentially covered; TPS submitted evidence the subject cart was a standard, non-street-legal golf-course cart used on campus.
  • Trial court granted summary judgment for PSJA (finding TPS breached defense and indemnity duties); judgment included $100,000 indemnity (underlying tort cap) and attorney fees; TPS appealed and sought a settlement credit under the one-satisfaction rule.
  • The court of appeals held neither party met its summary-judgment burden on the grounds presented, reversed the trial court, and remanded; it did not reach the one-satisfaction issue.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether all golf carts are "mobile equipment" excluding coverage TPS: Texas law defines "golf cart" as made primarily for golf courses, so all are mobile equipment (no coverage) PSJA: "Golf cart" can include models designed for public roads; pleadings potentially cover such carts Court: Not all golf carts are necessarily mobile equipment; TPS not entitled to summary judgment on that legal theory
Insurer's duty to defend (eight-corners vs. extrinsic evidence) TPS: Eight-corners shows pleadings only allege "golf cart," which under statute means off-road cart — no duty to defend PSJA: Pleading ambiguous; extrinsic evidence (ads) shows potential for covered road-usable carts, invoking duty to defend Court: Extrinsic evidence admissible on coverage; PSJA raised possibility of coverage, but TPS raised fact issue about the actual cart, so PSJA did not meet its burden for summary judgment on duty to defend
Duty to indemnify and burden of proof / use of no-evidence motion PSJA: Argued no-evidence on indemnity because "mobile equipment" is an exclusion and TPS must prove exclusion TPS: Argues indemnity question follows from no duty to defend if all golf carts are excluded Court: Defined terms show "auto" vs "mobile equipment" govern coverage; PSJA had initial burden to prove coverage, so its no-evidence motion on indemnity was improper; reversed that portion
Settlement credit under one-satisfaction rule TPS: Trial court should have credited PSJA's recovery against prior insurer settlement PSJA: Opposed credit (or not addressed) Court: Did not reach this issue because summary-judgment reversal required further proceedings

Key Cases Cited

  • GuideOne Elite Ins. Co. v. Fielder Rd. Baptist Church, 197 S.W.3d 305 (Tex. 2006) (applies eight-corners rule for duty to defend)
  • Nat'l Union Fire Ins. Co. v. Merchs. Fast Motor Lines, Inc., 939 S.W.2d 139 (Tex. 1997) (insurer obligated to defend if complaint potentially alleges covered claim)
  • Farmers Tex. Cty. Mut. Ins. Co. v. Griffin, 955 S.W.2d 81 (Tex. 1997) (distinguishes duty to defend from duty to indemnify; indemnity justiciable where no duty to defend)
  • Nassar v. Liberty Mut. Fire Ins. Co., 408 S.W.3d 254 (Tex. 2017) (insurance-policy interpretation principles; ascertain parties' intent from policy language)
  • Gilbert Tex. Const., L.P. v. Underwriters at Lloyd's London, 327 S.W.3d 118 (Tex. 2010) (insured bears initial burden to show coverage; insurer must prove exclusions)
  • McConnell v. Southside Indep. Sch. Dist., 858 S.W.2d 337 (Tex. 1993) (a summary-judgment motion must stand or fall on grounds expressly presented)
  • Mid-Continent Cas. Co. v. Global Enercom Mgmt., Inc., 323 S.W.3d 151 (Tex. 2010) (courts should review summary-judgment evidence presented by both sides when cross-motions are filed)
  • City of Garland v. Dallas Morning News, 22 S.W.3d 351 (Tex. 2000) (each party on cross-motions bears burden to establish entitlement to judgment)
Read the full case

Case Details

Case Name: Texas Political Subdivisions Property/Casualty Joint Self Insurance Fund v. Pharr-San Juan-Alamo ISD
Court Name: Court of Appeals of Texas
Date Published: Sep 26, 2019
Citations: 628 S.W.3d 486; 13-17-00655-CV
Docket Number: 13-17-00655-CV
Court Abbreviation: Tex. App.
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    Texas Political Subdivisions Property/Casualty Joint Self Insurance Fund v. Pharr-San Juan-Alamo ISD, 628 S.W.3d 486