Lead Opinion
OPINION
This is an appeal of a summary judgment granted in favor of appellee John Hancock Variable Life Insurance Company (John Hancock). Appellant, Carmen Garcia, as beneficiary, brought suit to collect the proceeds of a life insurance policy issued to her husband, Alfredo Garcia. She brings one point of error alleging the trial court erred in granting John Hancock’s motion for summary judgment because it failed to establish each element of its misrepresentation defense as a matter of law. We reverse and remand.
On appellate review, a summary judgment is not entitled to the same deference given to a judgment following a trial on the merits. When reviewing the granting of a summary judgment, this court cannot view the evidence in the light most favorable to the judgment of the trial court. At both the trial and appellate stages, the question is not merely whether the non-movant raised a material fact issue to defeat the motion. Rather, the movant must prove it was entitled to judgment as a matter of law. Gibbs v. General Motors Corp.,
The standards for reviewing a summary judgment have been clearly set forth by the Texas Supreme Court:
(1) The movant for summary judgment has the burden of showing that there is no genuine issue of material fact and that it is entitled to judgment as a matter of law.
(2) In deciding whether there is a disputed material fact issue precluding summary judgment, evidence favorable to the non-movant will be taken as true.
(3) Every reasonable inference must be indulged in favor of the non-movant and any doubt resolved in its favor.
Nixon v. Mr. Property Management Co.,
A defendant pleading an affirmative defense may obtain summary judgment by (1) disproving at least one of the elements of each of the plaintiff’s causes of action or (2) conclusively proving all elements of the affirmative defense. See American Medical Elecs., Inc. v. Korn,
A defendant moves for summary judgment on the basis of an affirmative defense when he denies the plaintiffs right to judgment, even if the plaintiff established every allegation in its pleadings. Highway Contractors, Inc. v. West Tex. Equip. Co.,
In support of its motion for summary judgment, John Hancock submitted the following: in February and March of 1986, appellant’s husband, Alfredo R. Garcia, applied for and was issued a life insurance policy with John Hancock. In two policy applications, Mr. Garcia was asked a series of questions regarding his health history. The first application, dated February 25, 1986, was signed by Mr. Garcia and an agent of the Insurance Company. On that application, Mr. Garcia represented that he had never been treated for or had any known indication of diabetes. He also represented that he (1) had not consulted a physician or been examined or treated at a hospital or other medical facility within the last five years; (2) was not being treated by a physician or taking any prescription drug; and (3) did not have a personal physician.
The second application, dated March 10, 1986, was signed by Mr. Garcia and a medical examiner pursuant to a physical examination initiated by John Hancock. On this second application, Mr. Garcia again represented that he had never been treated for or had any indication of diabetes. He also responded, once again, that he was not under treatment of a doctor or taking any prescription drug. Further, he stated that he had never been treated for or had any indication of dizziness and that he did not smoke cigarettes. Mr. Garcia executed the applications stating “the foregoing statements and answers” are “to the best of my knowledge and belief, complete, true and correctly recorded.”
In February of 1987, approximately a year after the life insurance policy was issued, Mr. Garcia died of myocardial infarction, commonly referred to as a “heart attack.” During the course of this litigation, Mrs. Garcia candidly admitted that Mr. Garcia had been diagnosed as having diabetes in 1970 and had either injected insulin or taken pills daily until 1980, when the disease went into remission. Further, it is undisputed that Mr. Garcia was experiencing dizziness around the time he made representations to the contrary. In fact, he had visited a doctor on February 18, 1986 and was taking prescription medicine for diabetes at the time he executed the March 10, 1986 application. During the visit with the doctor, Mr. Garcia also reported that he smoked fourteen cigarettes a day.
(1) the making of a representation;
(2) the falsity of the representation;
(3) reliance on the misrepresentation by the insurer;
(4) the intent to deceive on the part of the insured in making the misrepresentation; and
(5) the materiality of the misrepresentation.
Mayes v. Massachusetts Mut. Life Ins. Co.,
To support its argument, John Hancock contends this case is similar to the cases of Estate of Diggs v. Enterprise Life Ins. Co.,
Dr. Manus J. O’Donnell, a cardiologist, testified by deposition that he first met Harvey Diggs at Methodist Hospital in Houston in 1976; that Mr. Diggs complained of a shortness of breath, swelling of his legs, chronic cough, spitting blood; that Mr. Diggs had a history of heart disease dating back to 1972; that upon examination, Mr. Diggs was found to have congestive heart failure with marked enlargement of the heart; that there is no known cure for this condition; that Mr. Diggs’ condition did not change from 1976 to March 12, 1980; that it is unusual for a patient in Mr. Diggs’ 1976 condition to live longer than five years; that he explained Mr. Diggs’ medical condition to him and explained the limitations that the condition would impose on his life-style; that various drugs were prescribed to treat the disease; and that he examined Mr. Diggs on April 22, 1980 and found a significant degree of heart failure. Mr. Diggs’ medical records show that, on the advice of his doctor, he took a disability retirement from his job in 1977. These records also show that, on the day after the application for insurance was signed, Mr. Diggs receivedtreatment for his heart condition at the Texas Medical Center. The examination on that day revealed that Mr. Diggs’ heart was pronouncedly enlarged.
Id. at 574-75. Further, the court stated it was “inconceivable that any person with Diggs’ medical history could fail to know he was not in good health or fail to know that he was then suffering from a serious heart ailment.” Id. at 575. Nevertheless the court held,
We are of the opinion that we may not presume an intent to deceive from the fact that Mr. Diggs, with a long history of heart ailments, made false statements on his application for insurance. Since there is no evidence regarding Mr. Diggs’ intent to deceive, the summary judgment was improperly granted.
Id. at 576 (emphasis added).
In Flowers v. United Ins. Co. of Am.,
In 1988, approximately one year later, Mr. Flowers was killed in a motor vehicle accident. As in this case, his widow brought suit as beneficiary to collect the proceeds under the policy and the insurance company was granted summary judgment based on the defense of misrepresentation. Because the parties agreed all elements except intent to deceive were established, the only issue before the court of appeals was whether the insurance company established intent to deceive. Id. at 785.
The insurance company claimed Mr. Flowers’ admission of a health problem on the prison intake form “when his medical care was free” proved intent as a matter of law. In determining it did not, the court stated:
The fact that Mr. Flowers admitted a health problem when he was incarcerated at TDC simply shows that he knew of his health conditions. The court held in Diggs that the fact that one misrepresents one’s health condition is insufficient to establish intent to deceive as a matter of law. We hold that mere knowledge of one’s health condition is insufficient to prove intent to deceive as a matter of law. The circumstances in this case would raise a fact question as to Mr. Flowers’ intent. A jury might well believe that his knowledge shows that he intended to deceive [the insurance company]. But we cannot say as a matter of law that this is true.
Id. at 786.
Here, John Hancock argues there are facts in this case not present in Diggs and Flowers. Specifically, it contends the fact that Mr. Garcia misrepresented his health on two applications, dated February 25 and March 10 respectively, confirms his intent to deceive because both sets of representations were made within two weeks of each other, with the first being made less than a week after February 18, the date he began taking a prescription drug to treat diabetes.
We initially note that an issue of material fact exists as to when the first alleged misrepresentation was made in this case. Although the first application was dated February 25, 1986, appellant claims her husband answered the questions on the application, thereby making the first representations, prior to his visit to the doctor on February 18, 1986. Because we must take as true evidence favorable to the non-mov-ant appellee, and resolve doubts in her favor, we cannot conclude John Hancock is factually correct as a matter of law. Nixon,
Further, even if John Hancock’s argument is factually correct, we do not agree
In crosspoints one and two, John Hancock contends the trial court erred in overruling objections to the amended affidavit of the appellant, Mrs. Garcia. Objection (b) was to the following language:
I believe we met with Mr. Peralta on February 5,1986 (as per letter from John Hancock Insurance Company attached and made a part hereof as though set forth at length).
(emphasis added). At trial, and on appeal, John Hancock contends the word “believe” shows an opinion and conclusion on the part of the appellant, rather than personal knowledge. As John Hancock asserts, summary judgment affidavit testimony, especially from an interested witness, must be based upon personal knowledge. Lightfoot v. Weissgarber,
In crosspoint two, John Hancock argues its objection (c) to the following language should have been sustained:
It was at any rate before my husband visited Dr. Koli.
In making this argument, John Hancock contends, for the first time on appeal, that the affidavit does not state how Mrs. Garcia became “personally familiar with her husband’s visit to Dr. Koli.” The failure to object to the form of the affidavit on the ground that it does not show personal knowledge results in waiver of the complaint. See Grand Prairie Indep. Sch. Dist. v. Vaughan,
In crosspoint three, John Hancock contends the trial court erred in sustaining appellant’s objections, made in Plaintiff’s Response to Defendants’ Motion for Summary Judgment, to the affidavit of Cesar I. Gonzales. Appellant’s objection 5(c) (which was sustained as to “Item” or paragraph 4) provides:
The affidavit contains statements, among which statements are Item 4 ... of the affidavit which would not be admissible in evidence at the time of trial in this case.
Appellant’s objection 5(d) (which was sustained as to “Item” or paragraph 8) states:
The affidavit contains matters of specu: lation and conclusion on the part of the affiant among which speculations and conclusion are included statements in Item 8 of the affidavits which would not be admissible in evidence.
Specifically, John Hancock contends appellant’s objection 5(c) was too general and objection 5(d) was incorrectly sustained because it “does not point out what part or parts of Item 8 are speculative and what parts are conclusions.” To preserve error, an objection must state the specific grounds for the requested ruling, if these grounds are not apparent from the context of the objection. Tex.R.App.P. 52(a). A specific objection “is one which enables the trial court to understand the precise grounds so as to make an informed ruling, affording the offering party an opportunity to remedy the defect, if possible.” McKinney v. National Union Fire Ins. Co.,
The judgment of the trial court is reversed and the cause is remanded for further proceedings.
Notes
. There is an Amendment to Application, dated March 27, 1986, which incorporates the application dated March 10, 1986 into Part A of the February 25, 1986 application. The execution is contained in Form 174R(I)VL of this amendment which was, according to the record, attached to the applications.
. Although the dissent finds Diggs and Flowers factually distinguishable, we see the facts of Diggs and Flowers to be equally egregious to this case. Nevertheless, there was not sufficient summary judgment proof in those cases to establish intent to deceive as a matter of law.
. In counterpoint two, John Hancock contends “On page 19 of her Brief in the second, third, fourth and fifth paragraphs on said page, Appellant asserts what appears to be the defense of estoppel to use the misrepresentation defense.” Because we have held John Hancock failed to prove each element of the defense as a matter of law, we do not reach this issue.
Lead Opinion
ON APPELLEE’S MOTION FOR REHEARING
John Hancock’s motion for rehearing invites this court to reexamine its disposition of this summary judgment proceeding in light of John Hancock Mut. Life Ins. Co. v. Esparza,
The insurer brought suit to cancel the policy alleging fraudulent misrepresentation. Id. at 695-96. Trial was to a jury, which found that the insured’s misrepresentations were not intentionally made. Id. at 696. On appeal, the insurer argued its motion to disregard the jury answers on intent and for judgment non obstante vere-dicto should have been granted because the uncontradicted evidence was that the false statements were intentionally made. Es-parza,
The motion for judgment non obstante veredicto should have been granted. We conclude, in any event, the finding that there was no intent to deceive is against the overwhelming preponderance of the evidence.
Id. at 696, 697. Accordingly, the judgment of the trial court was reversed and rendered canceling the policy. Id. at 697.
Unlike the plaintiff in Esparza, the insured in this case has not had the benefit of a jury trial.
[A]s originally introduced into the common-law system, summary proceedings were not available in cases ... which in their very nature tend, in justice to all parties, to require the full development of all the facts on a jury trial, including examination in court of all available witnesses, whether friendly, impartial, or adverse. It [is not] the purpose of the rule “to provide a substitute for existing methods in the trial of issues of fact or to furnish a way for anticipatory determination of questions of law.”
Pattison v. Highway Ins. Underwriters,
For these reasons, the presumptions and burden of proof that are applicable to a conventional trial are immaterial to the burdens faced by the movant and non-movant in a summary judgment proceeding. Missouri-Kan.-Tex. R.R. v. City of Dallas,
In addition to this general cautionary approach to summary judgments, Texas courts have recognized that even greater care should be taken when considering summary judgment motions in select categories of litigation. As discussed in our original opinion, “summary judgment has rarely been viewed as appropriate when the issue is inherently one for a jury or judge, as in cases involving intent, reliance, uncertainty, unliquidated damages, and discretion.” Timothy Patton, Summary Judgments in Texas § 1.02 (1992) (emphasis added); see also El Paso Assocs., Ltd. v. J.R. Thurman & Co.,
. If John Hancock suffers an adverse verdict in this case, Esparza may then have an effect.
. In Casso v. Brand, the Texas Supreme Court expressly rejected the argument that state law places, or should place, the identical burden which is placed on the non-movant in a federal summary proceeding stating:
Summary judgments in federal courts are based on different assumptions, with different purposes, than summary judgments in Texas. In the federal system, "[sjummary judgment procedure is properly regarded not as a disfavored procedural shortcut, but rather as an integral part of the Federal Rules as a whole, which are designed 'to secure the just, speedy and inexpensive determination of every action.’ Thus, federal courts place responsibilities on both movants and non-movants in the summary judgment process....”
Texas law, of course, is different. While the language of our rule is similar, our interpretation of that language is not. We use summary judgments merely "to eliminate patently unmeritorious claims and untenable defenses,” and we never shift the burden of proof to the non-movant unless and until the movant has "establish[edj his entitlement to a summary judgment on the issues expressly presented to the trial court by conclusively proving all essential elements of his cause of action or defense as a matter of law.”
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Moreover, we see no overriding policy reasons for modifying our summary judgment standards under the common law. While some commentators have urged us to adopt the current federal approach to summary judgments generally, we believe our own procedure eliminates patently unmeritorious cases while giving due regard for the right to a jury determination of disputed fact questions.
Dissenting Opinion
dissenting.
I would affirm the judgment and hold that the evidence shows misrepresentation as a matter of law.
On the issue of intent to deceive, the evidence shows the insured told his treating doctor about his problems in mid-February but he did not tell the insurance company about the same problems and treatment when he applied for life insurance on March 10. He was taking prescription medicine for the condition at the very time that he denied to the examining insurance doctor that he was taking any medicine! In other words, at a time when he had fresh awareness that he was seeing a doctor, taking medication, and being treated for diabetes, he denied these things to the insurance company examiner, who would determine whether he could purchase life insurance. In sum, he admitted things to his treating doctor that he denied to his insurance examining doctor just a few weeks later. He told the examining doctor that he was not seeing another doctor, even though he had seen the treating doctor less than one month before and was still taking medicine prescribed by him.
Taken together, these undisputed facts prove misrepresentation as a matter of law and distinguish the case from Diggs and Flowers, on which the majority relies.
