OPINION
Opinion by
Appellee, Elia Vasquez (“Vasquez”), successfully sued appellant, Minnesota Life Insurance Company (“Minnesota Life”), for knowing violations of the Texas Insurance Code 1 and for mental anguish. Ap-pellee alleged that Minnesota Life unreasonably delayed payment on the proceeds of an accidental death policy that insured the life of her deceased husband. Minnesota Life contended that the cause of death was not clearly accidental and the delay was caused by its need to obtain additional medical records. The hоspital from which the records were sought was unresponsive and did not turn over the requested documents to Minnesota Life for five months. Upon receipt of these records, Minnesota Life paid Vasquez’s claim.
Minnesota Life tried unsuccessfully to remove the case to federal court under diversity jurisdiction, but removal was denied based on the failure of the pleadings to meet the amount in controversy requirement of $75,000. After a trial in the state court, the jury found a knowing violation of the insurance code and that Vasquez had suffered mental anguish. The jury awarded her $60,000 in mental аnguish damages, $250,000 in actual damages, and $37,000 in attorney’s fees. The trial court allowed a post-verdict amendment of Vasquez’s pleadings to conform to the jury award and ultimately rendered an award of $180,000 plus attorneys fees against Minnesota Life.
Minnesota Life appeals to this Court, raising six issues: (1) legal and factual insufficiency of the evidence to support a finding of mental anguish; (2) legal and factual insufficiency of the evidence to support the amount of mental anguish damages found; (3) the trial court erroneously admitted evidence of Vasquez’s diabetic condition; (4) the trial court erroneously excluded evidence relating to Vasquez’s conduct; (5) the evidence was legally and factually insufficient to support a finding of a knowing violation of the insurance code; and (6) the trial court erroneously allowed a post-trial amendment of the pleading to conform to the damages awarded. We affirm the judgment of the trial court.
I. Mental Anguish
In its first issue, Minnesota Life contends that there was not legally and factually sufficient evidence to support the jury’s finding that Vasquez suffered men
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tal anguish. When legal and factual sufficiency issues are raised, this Court first considers the question of legal sufficiency.
Glover v. Tex. Gen. Indem. Co.,
If the evidence is found legally sufficient, the factual sufficiency of the evidence is then considered. For this review, this Court compiles all the evidence in the record and then contrasts the evidence supporting and opposing the finding.
Cain v. Bain,
It is apparent from the record that the jury was presented with substantially more than a scintilla of evidence tending to support a finding of mental anguish. Vasquez testified that during the time Minnesota Life was delaying the payment of the accidental death claim, she could not sleep due to the stress from the uncertainty of her financial situation. She was worried about the effect of the delayed payment on the mortgage on her home and felt that her “whole world” had caved in. Although her doctor had told her not to return to work for at least another year because of her various health problems, she was so concerned about the loss of her home that she began looking for work. Vasquez is a diabetic, and she testified that during this waiting period,
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she experienced an increased blood-sugar level that her doctor attributed to her stress levels. Her blоod-sugar levels were sufficiently altered to require a change in her medical regimen, from taking pills to having daily insulin shots. This evidence alone more than satisfies the requirements of legal sufficiency.
See Valley Mechanical,
Having determined that the jury finding was supported by legally sufficient evidence, we now turn to the factual sufficiency review and consider all the evidence relating to Vasquez’s mental anguish. The evidence in support of the mental-anguish finding was discussed above: Vasquez was extremely worried and under stress, which caused sleeplessness and could have triggered or have been a contributing factor in her changed diabetic condition. All evidence both in support of and in opposition to a finding must be considered in a factual sufficiency review.
Housing Auth. v. Massey,
Generally, a trial court can allow testimony from a witness about a matter of which she has personal knowledge. Tex.R. Evm 602. This testimony must be both rationally based on the perception of the witness and helpful to establish a clear understanding of the facts at issue. Tex.R. Evid. 701. When there is a question concerning causation of witness injuries, lay testimony from the injured witness can be used “in those cases in which general experience and common sense will enable a layman to determine, with reasonable probability, the causal relationship between the event and the condition.”
Morgan v. Compugraphic Corp.,
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Here, Vasquez testified as to her personal experience with her blood-sugar, based on her regular at-home monitoring and various medical regimens. She also testified that her doctor told her, as part of her treatment and management of the disorder, to reduce her stress levels. A hearsay objection to the admission of the doctor’s statements was never made, so the statements by her doctor can be accorded probative value by this Court. Tex.R. Evid. 802 (“Inadmissible hearsay admitted without objection shall not be denied probative value merely because it is hearsay.”). Her medical records, which corroborate her testimony, were also properly admitted into evidence. Vasquez never explicitly stated a definite cause of her changed condition; rather, she described the circumstances in which the change occurred. These circumstances includеd the delayed claim payment but also included several additional sources of stress, such as her husband’s recent death, that could also have triggered or contributed to the change. Thus, it sufficed for Vasquez to testify that the delay was stressful, that several stressful things were occurring simultaneously, and that her blood-sugar levels spiked, purportedly in response to the stress, and that such changes necessitated a change in medication. The jury was able to evaluate all this information and draw its own conclusions regarding cause and effect.
Morgan,
An inferential leap to detеrmine causation falls within the proper purview of the jury.
See Whitehead v. Tobias,
Minnesota Life relies heavily on
Parkway
tо support its contention that Vasquez’s testimony was inadequate to support a finding of mental anguish.
See Parkway,
II. Amount of Mental Anguish
In its second issue, Minnesota Life contends that there was not legally and factually sufficient evidence to support
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the amount of the jury award of damages for mental anguish. The standard of review for legal and factual sufficiency is described above. An appellate court must defer to the discretion of the jury in considering the amount awarded for mental anguish damages, as the jury is best suited to determine the extent of the compensa-ble mental anguish.
Valley Nissan,
The jury found that Vasquez suffered damages in the amount of $60,000. As determined above, Vasquez sufficiently conveyed her anguish at trial so as to satisfy the jury that she had suffered a significant amount. Its resulting valuation of this amount, at approximately one and one-half times the amount she was entitled to under the underlying insurance policy, appears neither arbitrary nor unrelated to the source of this anguish.
Saenz,
III. Admission of Evidence
By its third issue, Minnesota Life argues that the trial court abused its discretion when it admitted evidence of Vasquez’s blood-sugar level, as no competent evidence provided a causal link between the delayed claim payment and the blood-sugar levels. The admission or exclusion of evidence is committed to the discretion of the trial court.
City of Brownsville v. Alvarado,
As we concluded in the previous discussion about Vasquez’s mental anguish claim, the trial court adhered to the rules of evidence and authority regarding the use of lay witness testimony to establish causation when it allowed the inclusion of the blood sugar evidence.
See
Tex.R. Evid. 602;
Morgan,
IV. Exclusion of Evidence
In its fourth issue, Minnesota Life complains that the judge improperly excluded evidence of Vasquez’s husband’s medical records. Counsel for Vasquez apparently also attempted tо retrieve the decedent’s hospital records that were at the root of the delay in paying Vasquez’s benefits. Vasquez’s counsel got copies of these records two months before Minnesota Life obtained its copy of the records. However, both Vasquez and her attorney failed to alert Minnesota Life that she had copies of the records. Counsel for Minnesota Life attempted to introduce testimony establishing these facts at trial, but the trial court ruled that such testimony was inadmissible.
Minnesota Life is specifically arguing on appeal that this evidence directly relates to the mental-anguish claim, and claims that had Vasquez truly been suffering great *328 anxiety as she pled, she would have turned the records over to Minnesota Life immediately. Instead, Minnesota Life alleges, she refused to take the one step that would end her mental anguish, and such refusal tends to show that her concern over the delay was not the type of intense anxiety sufficient to constitute mental anguish. Thus, Minnesota Life argues, the evidence should have been admitted to disprove the mental-anguish claim.
This specific argument, however, was not properly preserved for appeal, as appellee’s brief correctly points out. To preserve an issue for appeal, the objecting party must distinctly point out the objectionable matter and the specific grounds of the objection. Tex.R. Civ. P. 274; Tex. R.App. P. 33.1(a). Otherwise, the objection is waived. Tex.R.App. P. 33.1(a). An objection at trial that is not the same as the objection urged on appeal presents nothing for appellate review.
Borden Inc. v. Guerra,
Counsel for Minnesota Life objected to the exclusion of this testimony regarding Vasquez’s conduct аt trial but on different grounds than those argued on appeal. Counsel clearly stated at trial that this testimony was to be used to defeat another element of the suit, specifically, that Minnesota Life knowingly violated the insurance code by delaying payment. The fact that it took almost as long for Vasquez herself to obtain her husband’s medical records from the hospital as it did for the insurance company was to be used to establish the good faith of Minnesota Life: “what I’m trying to show is that it was no more unreasonable for us than it was for them.” Minnesota Life was attempting to usе this evidence to show that the company was indeed making reasonable efforts to get the records from the hospital and that it was not engaged in any purposeful delay. At trial, the insurance company attempted to shift the blame for the delay from itself to the hospital records department. On appeal, however, Minnesota Life argues that the testimony should have been admitted to demonstrate that Vasquez purposefully prolonged her own mental anguish.
These dueling grounds for objecting to the exclusion of the evidence relate to entirely separate elements of the case. Also, no objection concerning evidence of the plaintiffs conduct was raised in Minnesota Life’s motion for judgment notwithstanding the verdict, for new trial or for remitti-tur. Therefore, this objection was not properly preserved at trial and argument is now waived because of the different grounds relied upon. We overrule Minnesota Life’s fourth issue.
V. Knowing Violation of the Insurance Code
By its fifth issue, Minnesota Life contends that the evidence supporting the jury’s finding of a knowing insurance code violation was legally and factually insufficient. In determining whether the evidence is legally suffiсient to support a finding of a knowing insurance code violation, we resolve all conflicts in the evidence and draw all inferences in favor of the jury’s findings.
State Farm Fire & Casualty Co. v. Simmons,
Turning to the claim of factual insufficiency, all evidence supporting and disputing the finding must be considered, and the appellate court should only set aside the verdict if the evidence is so weak or contrary to the verdict as to make the judgment wrong and unjust.
Cain,
Section 4(10)(ii) requires a good faith attempt to promptly settle claims once liability has become “reasonably clear.” Tex. Ins.Code Ann. art. 21.21 § 4(10)(ii) (Vernon 2004). Following the death of Mr. Vasquez, Minnesota Life requested proof-of-loss documents from his surviving spouse. These documents, a death certificate and a medical examiner’s report, both indicated that the cause of death was accidental and were quickly supplied by Vasquez. At this point, Minnesota Life’s liability under the policy was “reasonably clear,” and it therefore had a duty to comply with section 4(10)(ii) and make a good faith effort to complete its investigation and settle the claim promptly.
See Universe Life Ins. Co. v. Giles,
However, Minnesota Life argues that its liability did not become “reasonably clear” until it actually received the additional hospital records for which it was waiting. By this argument, Minnesota Life is essentially asking this Court to adopt a rule allowing insurance companies to delay settlement of a claim until liability is absolutely and conclusively established,
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not just “reasonably clear.”
See Giles,
An insurance company is ultimately responsible for the actions of its contractors and employees and has a non-delegable duty to act on claims.
Natividad v. Alexsis,
Based on all the evidence in the record concerning the actions of Minnesota Life, we find that the jury’s conclusion was not clearly erroneous or manifestly unjust.
Cain,
VI. Post-trial Amendment
In its last issue, Minnesota Life contends that the trial court erred when it allowed the post-trial pleading amendment. Minnesota Life argues that the case was tried in state court specifically because of the amount of damages pled in Vasquez’s original petition. Minnesota Life had attempted removal to federal court based on diversity jurisdiction, but the case was remanded back to state court based on the failure of the pleadings to satisfy the amount-in-controversy requirement. The company now argues that because this amount contrоlled the jurisdiction of the state court, it would be unfair to allow the damages pled to be amended post-verdict to an amount that would have kept the case in federal court had they been initially been so pled.
This Court reviews decisions to allow amendments of pleading by an abuse-of-discretion standard.
Greenhalgh v. Service Lloyds Ins. Co.,
Minnesota Life argues that it was unfairly prejudiced and surprised because: (1) it expected damages would be kept below $75,000 when Vasquez’s pleadings, used as a basis for denying federal jurisdiction, were below $75,000; and (2) its trial strategy would have been different if it had known the full extent of its potential liability. Its first argument of “surprise” is unconvincing because Minnesota Life itself argued in its removal action that the amount in dispute was greater than $75,000. This served as an implicit acknowledgment that from the company’s perspective, it considered the case to involve greater damages than what was plеd.
In its appellate brief, Minnesota Life argues that this case is similar to
Benefit Trust Life Ins. Co. v. Littles,
As Minnesota Life has not effectively demonstrated that it was prejudiced or surprised by the post-verdict amendment *332 of the pleadings, we find that the trial judge did not abuse its discretion in allowing the amendment. We overrule Minnesota Life’s sixth issue.
Conclusion
We accordingly AFFIRM the judgment of the trial court
Notes
. See Tex. Ins.Code. Ann. art. 21.55 (Vernon 2004).
