Cavallini v. State Farm Mutual Auto Insurance Co.Cavallini v. State Farm Mutual Auto Insurance Co.
- Reporters:
- Before:
- Rhesa Hawkins Barksdale, White, Parker
The Cavallinis challenge the dismissal with prejudice of Larry Cunningham (the nondiverse defendant), an agent for State Farm Mutual Automobile Insurance Company, contending that he was not fraudulently joined; and the summary judgment for State Farm, contending that the action had not been settled. We AFFIRM.
I.
Adrian Cavallini purchased a hospitalization insurance policy from State Farm, through Cunningham, in July 1990; his wife, Debra Cavallini, was insured through her employer, The Olsten Corporation. On August 21, 1991, their son was born with serious birth defects.2 He was added as an insured under the State Farm policy, but State Farm took the position that the Olsten policy provided primary coverage for the son‘s medical expenses. In November 1991, State Farm gave notice that its policy would be cancelled effective January 1992.
On January 29, 1992, the Cavallinis (Texas citizens) filed suit in Texas state court against State Farm (an Illinois corporation) and Cunningham (a Texas citizen), asserting claims for breaches of contract and of the duty of good faith and fair dealing. State Farm and Cunningham removed the action to federal court on March 2, claiming that Cunningham‘s joinder was
On March 30, the Cavallinis moved to remand.4 And, five and one-half months later, in mid-September 1992, they moved for leave to amend their complaint, “to clarify those facts which support a cause of action against” Cunningham, but did not attach the proposed amendment.5 On October 1, noting that the parties had announced that they were in the process of finalizing settlement, the district court denied all pending motions, to include that for remand, subject to renewal absent settlement.
A month later, State Farm and Cunningham moved for summary judgment, asserting, inter alia, that the case had been settled. The Cavallinis responded that there were material fact issues concerning both the settlement, and whether State Farm breached the contract (policy) and acted in bad faith in denying benefits; in addition, they submitted affidavits regarding Cunningham. One week after State Farm and Cunningham moved for summary judgment (and a month after denial of their re-urged remand motion), the Cavallinis filed a third motion for leave to amend, attaching the proposed amendment for the first time.7
The court conducted, on December 21, an evidentiary hearing on settlement. In mid-January 1994, after the court granted summary judgment for Olsten, see note 3, supra, the Cavaillinis re-urged their motion to remand. Shortly thereafter, the court dismissed the claims against Cunningham with prejudice, holding that he had been fraudulently joined, and granted summary judgment for State
The district court denied the Cavallinis’ motion for reconsideration. Among other things, they asserted that the court, in ruling on remand, should have considered their affidavits filed in opposition to summary judgment.
II.
Needless to say, the Cavallinis challenge the remand and settlement rulings.
A.
“The burden of proving a fraudulent joinder is a heavy one. The removing party must prove that there is absolutely no possibility that the plaintiff will be able to establish a cause of action against the in-state defendant in state court, or that there has been outright fraud in the plaintiff‘s pleading of jurisdictional facts.” Green v. Amerada Hess Corp., 707 F.2d 201, 205 (5th Cir. 1983), cert. denied, 464 U.S. 1039 (1984). Because no one disputes that the Cavallinis and Cunningham are Texas residents, “[o]ur sole concern is whether there is a possibility that [the Cavallinis] ha[ve] set forth a valid cause of action” against Cunningham. Id. We “evaluate all of the factual allegations in the plaintiff‘s state court pleadings in the light most favorable to the plaintiff, resolving all contested issues of substantive fact in favor of the plaintiff“, id., and “then examine relevant state law and resolve all uncertainties in favor of the nonremoving party.” Id. at 206.
1.
Paragraph III states claims for breaches of contract and of the duty of good faith and fair dealing, but makes no mention of Cunningham. As to the breach of contract claim, it alleges only that “Defendant State Farm ... has failed to perform a proper investigation and has attempted to mislead Plaintiffs into rescinding their claim or in the alternative to accept an inadequate amount for the claims submitted and by failing to renew the policy“. And, in claiming a “breach of the duty of good faith and fair dealing owed by an insurer to its insured“, it alleges only that “Defendant State Farm ... breached this duty for the reason there was and is no reasonable basis for denying Plaintiffs’ claims and by failing to renew the policy“. (Emphasis added.)
Paragraph V seeks damages, again without mentioning Cunningham, for physical pain, mental anguish, loss of income, and attorney‘s fees, but only “as a result of the failure of the Defendants State Farm Insurance Companies and State Farm Mutual Automobile Insurance Company” to pay policy benefits; VI seeks exemplary damages “[b]ecause of the gross misrepresentations made by the Defendants, and their respective failure to deal in good
No more need be said. As reflected above, the complaint fails to state a claim against Cunningham.
2.
Alternatively, even if the complaint could be construed as stating a claim against Cunningham for breach of the duty of good faith and fair dealing, there is no possibility that the Cavallinis could recover against him on that basis.11 The Cavallinis rely on Taylor v. Bonilla, 801 S.W.2d 553 (Tex. App.--Austin 1990, writ denied), and GAB Business Services, Inc. v. Moore, 829 S.W.2d 345 (Tex. App.--Texarkana 1992, no writ).12 In Taylor, damages were
sought from New York Life Insurance Company and its agent, Bonilla, for, inter alia, breaches of contract, fiduciary duty, and the duty of good faith and fair dealing. 801 S.W.2d at 555. Partial summary judgment and a directed verdict were granted on the two contract claims, and the jury returned a verdict for the defendants on the remaining claims. Id. Primarily at issue on appeal were the contract claims. Id. at 556-60. The court briefly addressed the contention that the jury verdict was against the great weight of the evidence, and affirmed because there was conflicting evidence “as to whether Bonilla acted in a manner consistent with the degree of care required of a fiduciary, [or] whether he ... breached the duty of good faith and fair dealing“. Id. at 561.
Although the court seems to have assumed, implicitly, that Bonilla owed the insured a duty of good faith and fair dealing, it does not so hold, because the issue was not presented. Moreover, it apparently was established, or undisputed, that Bonilla was a fiduciary, and thus had a special relationship with the insured that would give rise to a duty of good faith and fair dealing. Id. Here, there are no allegations that Cunningham was a fiduciary, nor do the Cavallinis allege any facts (only their conclusory statement in their reply brief) to establish the existence of a special relationship that would give rise to such a duty.
GAB provides even less support for the Cavallinis. GAB, an insurance adjusting firm specializing in workers’ compensation claims, contracted to handle all claims brought against 850 cities
In any event, even if Taylor and GAB could be read as implying that an insurance agent, such as Cunningham, has an independent duty to the insured of good faith and fair dealing, they would be inconsistent with the Texas Supreme Court‘s jurisprudence. In Arnold v. National County Mut. Fire Ins. Co., 725 S.W.2d 165 (Tex. 1987), modified in part on other grounds, Murray v. San Jacinto Agency, Inc., 800 S.W.2d 826 (Tex. 1990), the Texas Supreme Court first held that an insurer owes its insured a common-law duty of good faith and fair dealing. Such a duty “may arise as a result of a special relationship between the parties governed or created by a contract.” Id. at 167. The court explained:
In the insurance context a special relationship arises out of the parties’ unequal bargaining power and the nature of insurance contracts which would allow unscrupulous insurers to take advantage of their insureds’ misfortunes in bargaining for settlement or resolution of claims. In addition, without such a cause of action insurers can arbitrarily deny coverage and delay payment of a claim with no more penalty than interest on the amount owed. An insurance company has exclusive control over the evaluation, processing and denial of claims.
Most important, in a recent case, Natividad v. Alexsis, Inc., 875 S.W.2d 695 (Tex. 1994), the Texas Supreme Court was asked to extend the duty of good faith and fair dealing “to bind entities and individuals in the insurance industry[, such as Cunningham,] that are not in contractual privity with the claimant.” Id. at 697. It declined to do so, “[b]ecause the existence of a contract, vesting the insurer with exclusive control over the evaluation, processing, and denial of claims, that gives rise to a special relationship is a necessary element of the duty of good faith and fair dealing.” Id. (internal quotation marks and citations omitted). The court explained that
[t]he non-delegable duty of good faith and fair dealing is owed by an insurance carrier to its insureds due to the nature of the contract between them giving rise to a “special relationship.” An insurance carrier, not its agents and contractors providing claims handling services, is liable to the insured for actions by the agents or contractors that breach the duty of good faith and fair dealing owed by the carrier to the insured.
The Cavallinis attempt to distinguish Natividad on the basis that it dealt with agents who had contracted with insurers to provide claims handling services. But, the Texas Supreme Court made clear that the existence of a contract, giving rise to a
3.
The complaint does not contain any allegations underlying a claim of misrepresentation in violation of the
a.
“While we have frequently cautioned the district courts against pretrying a case to determine removal jurisdiction, we have also endorsed a summary judgment-like procedure for disposing of fraudulent joinder claims.” Carriere v. Sears, Roebuck & Co., 893 F.2d 98, 100 (5th Cir.), cert. denied, 498 U.S. 817 (1990). As stated in B., Inc. v. Miller Brewing Co., 663 F.2d 545, 551 (5th Cir. 1981):
A district court need not and should not conduct a full scale evidentiary hearing on questions of fact affecting the ultimate issues of substantive liability in a case in order to make a preliminary determination as to the existence of subject matter jurisdiction. The question of whether the plaintiff has set forth a valid claim against the in-state defendant(s) should be capable of summary determination.
Therefore, our court recently noted that “fraudulent joinder claims can be resolved by `piercing the pleadings’ and considering summary judgment-type evidence such as affidavits and deposition testimony“. Ford v. Elsbury, 32 F.3d 931, 935 (5th Cir. 1994) (citing Carriere, 893 F.2d at 100).14 However, the Cavallinis did
not cite, nor have we found, any case in which such evidence has been considered to determine whether a claim has been stated against the nondiverse defendant under a legal theory not alleged in the state court complaint. In short, the Cavallinis cannot rely on their affidavits to state a
b.
In any event, even if, through the affidavits, we were to consider a
“[O]ral representations ... can serve as the basis of a
4.
Finally, the Cavallinis assert that the district court erred by both denying their motion to amend and failing to consider the proposed amended complaint in determining whether a claim was stated against Cunningham.15 As quoted earlier, see note 8, supra, the district court held that it would have been futile to grant the motion, because a complaint amended post-removal cannot divest a federal court of jurisdiction. See, e.g., Pullman Co. v. Jenkins, 305 U.S. 534, 537 (1939) (“The second amended complaint should not have been considered in determining the right to remove, which in a case like the present one [removal based on diverse defendant‘s claim that controversy as to it was separable from claims against nondiverse defendants] was to be determined according to the plaintiffs’ pleading at the time of the petition for removal“).
The rationale for determining removal jurisdiction on the basis of claims in the state court complaint as it exists at the
The Cavallinis rely upon Asociacion Nacional de Pescadores a Pequena Escala o Artesanales de Colombia (ANPAC) v. Dow Quimica de Colombia S.A., 988 F.2d 559 (5th Cir. 1993), cert. denied,
Dow offers no support for the Cavallinis. The Dow plaintiffs, Columbian fishermen, sued Dow Chemical Company and its wholly-owned subsidiary, Dow Quimica, a Columbian corporation, in Texas state court. Id. at 562. Pursuant to Texas law, their complaint did not plead a specific damages amount, but alleged only that “`[d]amages far exceed the minimum jurisdictional limits of this court.‘” Id. (brackets in original). Dow Chemical removed the case, claiming that Dow Quimica had been fraudulently joined to defeat diversity jurisdiction. Id. At issue was whether the district court should have considered an affidavit from the plaintiffs’ attorney, attached to their motion to remand, in which he stated that none of the plaintiffs had suffered a loss greater than $50,000.
Our court noted that the injuries alleged by the plaintiffs were not “facially likely to be over the jurisdictional amount“, but could not say that “the claims are necessarily outside of the range that could confer federal jurisdiction.” Id. at 565 (emphasis in original). Under those circumstances, it held that the affidavit could be considered in deciding whether to remand. Id. It recognized the well-settled principle that “a plaintiff may not defeat removal by subsequently changing his damage request,
in this case the affidavits clarify a petition that previously left the jurisdictional question ambiguous. Under those circumstances, the court is still examining the jurisdictional facts as of the time the case is removed, but the court is considering information submitted after removal.
Unlike Dow, which involved clarification of a state court complaint that stated no amount in controversy, there is no need for clarification of the Cavallinis’ complaint; it does not contain allegations against Cunningham that state a claim for relief under either of the two legal theories pleaded. Moreover, as noted above, Dow acknowledged that a plaintiff cannot defeat removal by changing his damage request; it authorized the consideration of information submitted after removal only in connection with an examination of the jurisdictional facts as they existed at the time of removal. The Cavallinis’ proposed amended complaint does not clarify the jurisdictional facts at the time of removal; it attempts instead to amend away the basis for federal jurisdiction. Dow is not contrary to the general rule that removal jurisdiction should be determined on the basis of the state court complaint at the time of removal, and that a plaintiff cannot defeat removal by
B.
Having confirmed the district court‘s jurisdiction, we turn to the summary judgment that there was an enforceable settlement. Of course, our review of a summary judgment, including the record upon
“We apply Texas law to the enforcement of settlement agreements in Texas diversity cases“, Valley Ranch Dev. Co. v. F.D.I.C., 960 F.2d 550, 553 (5th Cir. 1992); and it is undisputed that
After conducting an evidentiary hearing, the district court concluded that the parties had reached an enforceable settlement, based on an extensive exchange of detailed correspondence between State Farm and the Cavallinis’ counsel. It held that an offer was made by State Farm‘s September 24, 1992, letter to the Cavallinis’ counsel;21 that they rejected that offer and made a counteroffer by
1.
[W]hile a party can enter into a valid and binding settlement agreement pending disposition of the case, a trial court cannot enter into a consent judgment which incorporates the terms of that agreement if one of the parties thereto withdraws consent prior to entry of the judgment. This does not render the settlement agreement or its enforceability invalid--only a judgment entered in the above manner.
Stewart v. Mathes, 528 S.W.2d 116, 118 (Tex. Civ. App.--Beaumont 1975, no writ) (emphasis in original). See also Quintero v. Jim Walter Homes, Inc., 654 S.W.2d 442, 444 (Tex. 1983) (reversing judgment entered on joint motion to dismiss because one of the parties had withdrawn consent, “without prejudice to the rights [of the other party] in its attempt to plead and prove an enforceable settlement agreement under the release“); Burnaman v. Heaton, 150 Tex. 333, 240 S.W.2d 288, 292 (1951) (“the reversal of the [consent] judgment should be without prejudice to the right of defendants to plead the [settlement] agreement in bar of plaintiff‘s suit“).
Obviously, State Farm did not seek entry of an agreed judgment or a consent judgment; instead, it sought summary judgment on the basis that the parties had entered into an enforceable settlement
Moreover, addressing a similar contention that a settlement agreement ceased to be binding because the defendants had withdrawn their consent before entry of judgment, our court stated that
[w]hether such withdrawal is or is not permissible under Texas law ... is irrelevant. Unless the defendants can demonstrate that the judgment differs materially from their agreement, or that their agreement was invalid under state law at the time it was made, a federal court may hold them to their word by incorporating the terms of their agreement into a final judgment.
White Farm Equip. Co. v. Kupcho, 792 F.2d 526, 530 (5th Cir. 1986). Accordingly, for purposes of determining whether the Cavallinis entered into an enforceable settlement agreement, it is irrelevant that they attempted to revoke their consent prior to entry of judgment.
2.
In asserting that State Farm‘s October 13 letter was not an acceptance of an October 8 counteroffer, the Cavallinis note that their October 8 letter states that “State Farm issued an individual policy which must stand on its own without regard to other coverage now or in the future“, but that State Farm‘s October 13 response “added” a provision to which they never agreed, giving it the right to refuse renewal “in the event of discontinuation of all policies of the class in which this policy falls“. This contention overlooks the fact that the language in question was not a “new”
3.
III.
For the foregoing reasons, the January 20, 1994, order is modified by deleting the words “overinsurance or” in paragraph “3)” at page 8; and, pursuant to that order as modified, the judgment is AFFIRMED.
Notes
State Farm removed this case on the grounds that Plaintiffs’ joinder of ... Cunningham, a San Antonio based State Farm agent, was fraudulent and was done solely to defeat diversity. The Court agrees. A party that removes a case to federal court on the grounds that a non-diverse party was fraudulently joined must show that the plaintiff has no possibility of recovery against the non-diverse party. In removal cases, jurisdiction is determined by examining the plaintiff‘s complaint at the time of removal.
At the time this case was removed, Plaintiffs’ state court petition did not allege a cause of action against ... Cunningham. The petition alleges causes of action for breach of contract and breach of the duty of good faith and fair dealing. Assuming that Cunningham could be liable to Plaintiffs under either of these theories, the petition simply does not allege any facts against ... Cunningham. Other than listing his name and address for purposes of service, the petition does not specifically mention ... Cunningham at all. The petition does contain a prayer for exemplary damages for “the gross misrepresentations made by the Defendants.” Absent any factual allegations however, the prayer standing alone cannot support a cause of action against Cunningham. Even if Plaintiffs’ amended petition, for which the Court has not yet granted leave to file, does state a cause of action against Cunningham, it is well established that an amended petition cannot operate to defeat jurisdiction of a case that was properly removed.
The Court denied Plaintiffs’ motion re-urging their motion to remand on July 23, 1993. That order did not elaborate on the basis for the decision nor did it dismiss ... Cunningham from the lawsuit. Hopefully, the discussion here clarifies the jurisdiction issue. The Court will formally dismiss ... Cunningham from the lawsuit in this order. (Citations omitted.)
In addition, the Cavallinis contend, again for the first time in their reply brief, that their affidavits establish Cunningham‘s possible liability under two additional theories: violation of the
Similarly, a remand motion based on a defect in removal procedure must be made within 30 days after removal.
In addition, Dow noted that, if defendants wish to avoid having a case remanded after the plaintiff comes forward with an affidavit specifying his damages, other avenues are available for clarifying an ambiguous complaint. Dow, 988 F.2d at 565 n.7. By way of example, it cites a Texas procedural rule which provides that, upon special exception by the defendant, a plaintiff may be required to amend a complaint to specify the maximum amount of damages claimed. Id. Needless to say, this reference does not support the Cavallinis’ assertion that a complaint amended after removal should be considered in determining whether removal was proper.
In the September 24 letter, State Farm offered to pay policy benefits for the son from the date of his birth, without regard to the policy‘s “other insurance” provision; to retroactively reinstate the policy effective April 16, 1992, subject to an assurance that no comparable coverage existed; to not refuse renewal of the policy except in the event of overinsurance or discontinuance of all policies in that class; to not raise premiums due to claims by the Cavallinis; and to pay $110,000. Accordingly, on September 29, State Farm delivered a check for $110,000, a proposed release, and a stipulation of dismissal to the Cavallinis’ counsel.
Interestingly, the release terms to which counsel objected also appeared in the first proposed release sent to him on September 29; but, he did not object to them in his October 8 letter. This is but one of several such instances, reflected in the acerbic letters by the Cavallinis’ counsel (as well as his contentions in this appeal), which we find most troubling. They reflect uncivil conduct that must be avoided. Sadly, such conduct is of increasing concern. It serves no purpose worthy of the legal profession, and results in delay in dispute resolution at greatly increased costs not only to the parties, but to the public, both in delaying resolution of other litigation and in increasing the costs for running the federal courts. Dondi Properties Corp. v. Commerce Sav. & Loan Ass‘n, 121 F.R.D. 284 (N.D. Tex. 1988) (en banc) (establishing standards of litigation conduct) states the problem well:
With alarming frequency, we find that valuable judicial and attorney time is consumed in resolving unnecessary contention and sharp practices between lawyers. Judges and magistrates of this court are required to devote substantial attention to refereeing abusive litigation tactics that range from benign incivility to outright obstruction. Our system of justice can ill-afford to devote scarce resources to supervising matters that do not advance the resolution of the merits of a case; nor can justice long remain available to deserving litigants if the costs of litigation are fueled unnecessarily to the point of being prohibitive.
As judges and former practitioners from varied backgrounds and levels of experience, we judicially know that litigation is conducted today in a manner far different from years past. Whether the increased size of the bar has decreased collegiality, or the legal profession has become only a business, or experienced lawyers have ceased to teach new lawyers the standards to be observed, or because of other factors not readily categorized, we observe patterns of behavior that forebode ill for our system of justice. We now adopt standards designed to end such conduct.
Id. at 286 (footnote omitted).
The Cavallinis maintain also that Borden is distinguishable because it held that Rule 11‘s signature requirement had been satisfied by the parties’ open court adoption of the correspondence exchanged between them, and that such open court adoption did not take place here. The settlement agreement in Borden consisted of correspondence between counsel for one of the defendants and for Borden. 628 F. Supp. at 122. Other defendants, who had not signed the correspondence, sought to enforce the settlement. Id. The district court held that the Rule was satisfied by those defendants’ adoption of the agreement in open court. Id. at 124. Here, the Rule was satisfied by the signatures of the Cavallinis’ counsel and State Farm‘s representatives; open court adoption was not necessary.
State Farm supplied the requested information by its October 13 letter. The Cavallinis’ counsel never expressed any objection to the numbers provided, thus indicating that he viewed State Farm‘s October 13 letter as complying with that portion of his October 8 counteroffer. In short, this contention is but another of several troubling tactics by the Cavallinis’ counsel. See note 24, supra.as to the remainder of the benefits payable, I have not received anything from State Farm regarding the amount that State Farm is going to pay. I can not and will not on a carte blanche basis approve a settlement when the actual numbers are not before me.
The district court did not refer to the policy by number, but merely restated one of the terms of the settlement agreement, as established by the correspondence between State Farm and the Cavallinis. We do not understand the Cavallinis to contend that the correspondence refers to reinstatement of any policy other than the hospitalization policy. Accordingly, there is no need for modification or reformation of this provision of the order.State Farm will retroactively reinstate the Limited Benefit Hospital-Surgical Policy in question effective 12:01 A.M 1/1/92 for all members of the Cavallini family who were insured under the policy at the time of termination without regard to comparable other insurance.