*3 OVARD, Before JAMES and HANKINSON, JJ. BACKGROUND
OPINION undisputed purposes The facts HANKINSON, Justice. personal suffered appeal. of this This case involves written acci- injuries as of an automobile the result exception In- to article 5.06-1 of the Texas motorist on with an underinsured Feb- dent Code, statutory provision gov- surance accident, ruary At time of the motorists erning uninsured underinsured vehicle, driving company act- Howard was appeals T. Howard coverage. Michael employment scope of his with ing within the grant trial court’s (“Palestine”). Contractors, Inc. Palestine County favor of INA Mutual Insurance Com- liability coverage insured Palestine (“INA”) pany and the denial his own sum- automo- on its vehicles under a commercial mary judgment motion. Howard contends *4 August policy period for the bile issued generally the trial court erred re- August policy The insured 1992 to 1993. policy reject to forming the insurance cover- named 202 vehicles for seventeen insureds age retroactively expired policy under an $91,- one-year premium of an with estimated by considering the the intent to 522. determining coverage. policy parties’ We hold that the intent not be premium charge INA did Palestine a determining in- considered in whether the (“UM/ motorists for uninsured/underinsured validly rejected sured uninsured/underin- UIM”) during policy period. coverage the coverage sured motorists under article 5.06- policy The included a Texas cover- 1(1) Code, of the Texas Insurance and there- (the “original age coverage selection form fore, cov- motorists uninsured/underinsured form”). vice-president, Palestine’s selection erage rejected retroactively. cannot be As a Jenkins, signed Phil the form but to result, we conclude that uninsured/underin- coverage to three date it or select coverage sured existed at the time motorists appears options That form within available. of Howard’s accident. We reverse the trial copy policy of attached the the entire judgment court’s and remand to the trial summary judgment: proceedings. court INA’s motion for further Contractors, iployers, Agency H Inc. J Palestine United Policy Applicant Agent’s or Name Named Insured Number amended, 5.06-1, Code, provisions acknowledge In I of Insurance as accordance with Article Texas Coverage given opportunity purchase I Motorists have been Uninsured/Underinsured (or liability policy up for which amounts to the automobile limits I have on shown applied), right given I and I also Motorists have have been Uninsured/Underinsured choice(s): Coverage following and have made the entirety. hereby Coverage in n I Motorists its 1. Uninsured/Underinsured hereby property damage n I feature of 2. Uninsured/Underinsured Coverage only. Motorists entirety, Coverage hereby accept in its n I Motorists 3. Uninsured/Underinsured realizing apply only for motor which meet will vehicles provided policy. in this definition of “owned as automobiles” for) (or applied on all rejection(s) apply shown future The indicated above shall on the change Company of vehicle policies and all future issued to me because of renewals of such writing coverage, notify company in interruption until I or because of Coverage is desired. Motorists thereafter Uninsured/Underinsured Phil Jenkins /s/ Applicant Signature of Named Insured or Date policy. Because Jen- February
In fits under Palestine’s with connection accident, signed selection filed a claim for bene- kins Howard UIM form, duty INA treated it as a good all for breach of the faith and fair dealing and denied Howard’s because no exist- against claim. Howard filed suit INA on granted ed under the trial court 27, 1994, alleging June a cause of action for INA’s motion ordered that take duty good breach of the faith and fair nothing by his claim.
dealing by denying
claim in
the absence
a written
of UM/UIM
STANDARD OF REVIEW
26,1994,
September
On
Jenkins executed a
summary
This Court
reviews a
(the
coverage rejection
new
form
judgment de novo to determine whether a
form”),
coverage rejection
“1994
indicating
party’s right
prevail
is established as a
Palestine’s
Enters.,
Capitan
matter of law. See
Inc. v.
entirety
policy period
“8/15/92— Jackson,
—El
provided
part:
That form
8/15/93.”
appellate
Paso
An
court
In
provisions
accordance with the
of Arti-
procedures
follows well-established
when re
5.06-1,
Code,
cle
Texas Insurance
as viewing summary judgment:
amended,
given
opportuni-
I have been
The movant for
ty
purchase
Uninsured/Underinsured
showing
has the burden of
that there is
Coverage
up
Motorists
in amounts
genuine
issue of material fact and
liability coverage
automobile
limits
have
*5
summary judg-
it is entitled to
my policy,
on
I
given
and
have also been
law;
ment as a
of
matter
right
to
Uninsured/Underin-
deciding
disput-
2.
In
whether there is
Coverage
sured Motorists
and have made
precluding
ed material fact issue
sum-
choice(s):
following
mary judgment, evidence
favorable
(xx)
hereby reject
I
1.
Uninsured/Underin-
true;
the non-movant will be taken as
Coverage
sured Motorists
in its en-
and
tirety; or
Every
reasonable inference must be
indulged in favor of the non-movant
rejeetion(s)
ap-
indicated above shall
and
doubts
in
resolved
its favor.
ply my policy
and on all
renew-
future
policies
als
such
and all
Property Management
Nixon v. Mr.
of
future
Company
issued to me
because of
Inc.,
(Tex.1985).
546,
690 S.W.2d
548-49
A
change
coverage,
of vehicle or
or because
movant,
plaintiff,
conclusively prove
as
must
interruption
of an
until noti-
MMP,
all essential elements of his claim.
fy
Company writing
that thereafter
Jones,
(Tex.1986).
59,
Ltd. v.
710 S.W.2d
60
Motorists Cover- Summary judgment
Uninsured/Underinsured
proper
for a defendant is
age is desired.
summary judgment
when
evidence ne-
gates
plaintiffs
an essential element of the
added.)
(Emphasis
cause of action as a matter of law.
Black
2, 1994,
On November
Howard and INA
20,
Lloyds
v. Victoria
27
summary judgment.
each filed motions for
(Tex.1990).
summary judgment
Howard moved for
on his
claim, asserting
grounds
bad faith
as
both
When
move for sum
statutory
mary judgment,
party
Palestine failed to meet
re-
each
bears the burden
quirements of
Texas
establishing
judgment
Insurance Code for
that it is entitled to
rejecting
law,
coverage because it
party
as a matter of
and neither
can
rejecting
prevail
select either box
on the
because of the other’s failure to dis
original coverage
charge
Guynes
selection form.
INA
his burden.
v. Galveston
summary
(Tex.1993);
judgment
County,
moved for
on two
(1)
Williams,
grounds:
voluntarily
Lloyds,
Palestine and INA
Farm
v.
State
Inc.
policy retroactively
reformed the
to reflect S.W.2d
549-50
—Dallas
denied).
grants
their intent and
If
writ
the trial court
one
UM/
other,
originally
UIM
at the time INA
motion and
render
denies the
we
(2)
policy;
judgment
issued the
and
INA was not liable
the trial court should have
reject the
Strauss,
agreement to
and Palestine’s
UM/
rendered.
Jones
policy, as re-
(Tex.1988).
does not
Because
But if a movant
UIM
judgment
formed,
coverage in its en-
rejects
show its entitlement
law,
the ease
cannot be
argues
must remand
that it
tirety,
as a matter of
we
further
INA
Motors
trial court. Gibbs v. General
claim when no
denying
to the
Howard’s
liable for
(Tex.1970).
Corp., 450
existed.
summary judg-
for
both
move
When
summary judg
prevail on its
To
accompa-
ment,
all the
we consider
evidence
motion,
negated
must have
determining whether ment
nying both motions
of action for
cause
of Howard’s
party’s motion. Dallas Coun-
element
grant
either
fair
duty
good faith and
Aerobics
Dist. v. Institute
breach
ty Appraisal
for
Research,
(Tex.App.—
duty to deal
owes a
dealing.
An insurer
in the
fairly
good
Dallas
faith with its insured
Republic
payment of claims.
processing DISCUSSION
(Tex.
Stoker,
338, 340
Ins. Co. v.
error, Howard chal-
In
first
1995).
duty
good faith
A
breach
contend-
lenges
(1)
the trial court’s
dealing
when:
and fair
is established
failed to
ing that Palestine
denying or de
basis existed
reasonable
of law.
writing
as a matter
policy;
under the
laying payment of benefits
rejection, Howard ar-
Without
(2)
have
insurer knew or should
coverage existed as a matter
gues UM/UIM
no reasonable basis existed
known
four
In related
of error
of law.
the claim.
delaying payment of
denying or
(1)
six,
argues that:
through
objective
requires an
The first element
Id.
policy retro-
trial court could not reform the
insur
of whether a reasonable
determination
actively
legislature created an
because the
have
circumstances would
er under similar
exception
general rule allow-
express
Id. This re
delayed or denied the claim.
*6
(2)
contract;
ing retroactive reformation of a
not
that the insurer will
quirement assures
retroactive reformation frustrates
stat-
of a claim as
an erroneous denial
be liable for
in-
operation by creating a class of
ute’s
long as a reasonable basis existed
coverage the
sureds unable to obtain the
denial. Id.
(3)
provide;
par-
legislature intended to
in deter-
ties’ intent should not be considered
seeking bene
An insured’s claim
(4)
existed;
mining
whether
of an
policy
independent
is
under the
fits
policy
expired,
because the insurance
had
against the
alleging
faith
claim
bad
insured’s
improper.
reformation is
retroactive
Transportation
(citing
Id. at 340-41
insurer.
(Tex.
Moriel,
10, 17
Ins. Co.
re-
argues
policy
can be
INA
1994)).
faith lies
Generally, no claim for bad
agree-
and Palestine’s
formed to reflect INA
a claim that
promptly denies
when an insurer
reject
policy
at the time the
issued
ment
Stoker, 903
policy.
under the
(1)
is not covered
the Texas
because:
UM/UIM
claim, however,
denying a
In
S.W.2d at 341.
specify
timing
does not
Insurance Code
act
may
some extreme
insurer
commit
(2)
an
rejection;
was never an
of the
Howard
injury independent
policy
(3)
that causes
policy;
and Pales-
under the
INA
insured
(4)
faith.
Id.
to the level of bad
coverage;
claim and rises
reject
tine
intended
alleg
plead
not
facts
beneficiary
Howard does
of Because
not an intended
Howard was
(5)
act INA
injury
by some extreme
considering
in-
caused
coverage; and
UM/UIM
claim,
denying
we focus on
in
reforming
committed
appropriate in
tent is
rule,
negat
whether,
general
INA
under
also contends
INA
action or
cause of
complaining about the
an element of Howard’s
of error
ed
raise
valid cause of
summary judgment.
conclusively proved that no
denial of his
presents two is
This case
action existed.
Summary Judgment
INA’s
(1)
and INA’s in
Palestine’s
sues:
whether
policy
to reform the
may be considered
coverage rejec-
tent
argues that the 1994
(2) wheth-
coverage; to reflect INA to
policy
tion form reformed
Tatum,
policy
er INA
reform the
the Bureau Mut. Ins. Co. v.
coverage retroactively.
(Tex.App. Tyler
denied);
writ
—
Sloan, 565
at
Although
a writ
Article 5.06-1 of the Texas In
rejection mandatory,
ten
is
the statute does
provides
part:
surance Code
in
require
special procedure
not
special
liability
No automobile
insurance ... cov-
language
writing,
for the
and execution of a
ering liability arising
ownership,
out of the
satisfactory
rejection requires only
written
maintenance,
any
or use of
motor vehicle
Sloan,
by
minimal effort
the insured. See
delivery
shall be delivered or issued for
in
law. in this case rests coverage, ed UM/UIM upon plain language of article 5.06-1 of existed time of the accident. The trial at.the There, the Texas Insurance Code. we find no granting court erred in INA’s language that indicates a written judgment. entered after a issues, could or should have retroac- Summary Judgment Howard’s including extinguish- tive the effect of effect— during claims that have arisen liberally We construe Howard’s first interim. complain of error to that the trial court erred only denying summary judgment. holdings limit our to those his We governed by duty good insurance contracts article 5.06- sued INA for breaeh of the dealing by wrongful 1 of faith and fair the Texas Insurance Code. Our decision denial public policy supporting the claim harmonizes the benefits. Howard legislation specific summary judg- with the facts of this case. asserted his motion for wrongfully Jenkins failed to at the ment that INA denied claim *9 signed original coverage time he the selection because it had no written rejected finally coverage required form. When as under article 5.06-1 of Jenkins UM/ parties provisions 1. But see Oldaker v. Travelers Ins. tween of additional to be in- (Tex.Civ.App. S.W.2d 403-04 Paso policy, presumptive" in "it would be of cluded —El writ) (where no written of UM coverage). court to define intended existed, agreement absent other be- Stoker, at 341. A motion responded Code. INA See the Texas Insurance competent grounds expressly present failed to evi- must stand or fall on the that Howard summary judgment. We supporting dence motion. McConnell v. presented in the agree Dist., with INA. Indep. Southside Sch. (Tex.1993). Howard Because insurer, duty As an INA owed its insured a allege grounds present evidence estab- and in fairly good process- in faith to deal and the lishing a of each of the ele- as matter law Stoker, payment and of claims. See action, the trial of his cause of court ments summary his prevail S.W.2d at 341. To denying not err in Howard’s did
judgment, proved must have each Howard 862; judgment. Guynes, 861 S.W.2d at See Initially, action. element of his cause of McConnell, at 341. proved Howard have his must classification policy. as insured under Palestine’s four, six, five, of error points We sustain proved, id. Howard must have Once also point portion that Howard’s first of and (1) proved no reasonable that: basis existed complaining error the trial court erred delaying denying payment for or INA’s motion, summary judgment granting INA’s (2) policy; and benefits under the INA knew portion but we that of Howard’s overrule that no or should have known reasonable point complaining the trial court first error denying delaying pay- basis existed summary judgment in denying erred his mo- ment of id. his claim. See disposition of tion. Because of our these ground Howard asserted as the sole points, we not consider Howard’s sec- need summary judgment that UM/UIM ond and of error.2 See Tex. third existed because Palestine failed to select R.App. 90(a). P. signed option when it court’s We reverse the trial and form. selection We have concluded proceedings remand for consistent further that because Palestine failed to opinion. with this coverage writing, cov- erage policy. existed under the have We
also that could not concluded reform the OVARD, Justice, dissenting. retroac- I court properly Because believe the trial tively. Even with estab- reformed the insurance contract reflect law, however, lished as a matter Howard’s contracting par- actual summary judgment motion for failed to set ties, respectfully dissent. grounds present proof establishing forth and
as a of law each element matter of his cause and, Insurance contracts policies are as of action. such, applicable subject to rules to con generally. Group v. tracts Hernandez effect, argued, Howard because Gulf (Tex.1994). Lloyds, 875 included no rea- meeting essence of contract involves the sonable INA to deny basis existed for the minds the two between allege present claim. Howard failed to and Bass, agreement. E.g., Zurich Ins. Co. evidence, any evidence, much less conclusive (Tex.Civ.App. that he was insured under How- —Dallas 1969, writ); Deposit v. Federal Sonne allege present ard failed to conclusive Corp., 881 evidence a reasonable under insurer —Hous 1994, writ [14th ton When Dist.] similar circumstances would not denied have agreement, to an have come his claim and that INA knew or should have in a terms can memorialized written con denying known that no reasonable basis for his claim at the time INA it. tract. existed denied point admitting as asserts in his second of error trial court erred evidence allowing INA and Palestine to reform INA and Pales- the reformed contract between retroactively was tine because the contract neither relevant dramatically unfairly rights would affect his pursuant nor admissible evidence rules 401 accident, law, arising poli- from and 402 of Rules of Civil Evidence. the Texas error, cy. In his third Howard asserts
222 parties correctly incorporated
When both
to the contract are mis-
been
in the instru-
taken as to what the
mistake,
terms
through
ment
mutual
and this is
contract
or
when there is a unilateral
true even when there have been several re-
by fraud,
mistake induced
the courts can
period
years.
newals of the contract over a
reform the written memorialization to reflect
Co.,
Automobile Ins.
275
at 838.
S.W.2d
the actual terms of the contract.
Auto-
fact,
In
courts in this state have discussed
Co.,
mobile Ins. Co. v. United Elec. Serv.
option
dealing
reformation as an
when
with a
(Tex.Civ.App.
Worth
—Fort
under article 5.06-1. In
n.r.e.).
underlying
writ refd
The
ob-
Co.,
Oldaker v. Travelers Insurance
jective of reformation is to correct a mutual
court discussed article 5.06-1 and whether
in preparing
mistake made
a written instru-
allowing
there was a mutual mistake
ment,
truly
so that
the instrument
reflects
option
court the
to reform the contract. Ol-
original agreement
parties.
Cher-
daker, at 404.
The court con-
Forderhause,
okee Water Co. v.
741 S.W.2d
party seeking
cluded that
reformation
(Tex.1987).
377, 379
Reformation is not an
by
had not
clear
convincing
established
and
alteration or amendment of the actual con-
evidence that mutual mistake or unilateral
tract,
merely
change
but
a
to the written
Oldaker,
by
mistake induced
fraud existed.
truly
memorialization to more
reflect what
at 404. That court
inferred that
parties
agreed.
reforming
had
In
by
had mutual mistake or mistake induced
change
instrument
the court does not
proven,
permissi-
fraud been
reformation was
by
parties,
terms of the contract made
it
Oldaker,
ble.
false that Palestine did have that
coverage, pursue against he could an action majority opinion,
Palestine. Under the How- reject-
ard has received a windfall. Palestine pay premiums
ed and did not coverage, premi- and INA did not collect
ums for the equitable remedy
Reformation is an However, sparingly.
should be used when
the facts are clear and both are in case,
agreement, as in this courts should ability to
have the reform contracts to reflect parties.
the true contract made between the Palestine,
Because I that INA and believe contract, effectively
the two
reformed their contract for insurance to re-
ject I uninsured/underinsured
would overrule Howard’s of error.
would affirm the trial court’s was not uninsured/underinsured at effect the time of the accident. BANK, Appellant,
HUMBLE NATIONAL
DCV, INC., Appellee.
No. 14-94-00959-CV. Texas, Appeals
Court (14th Dist.).
Houston
Aug. 1996.
Rehearing Overruled Nov.
