Lead Opinion
This appeal involves limitations on claims against an insurer for breach of the duty of good faith and fair dealing.
Debra Kay Murray brought this action against San Jacinto Agency (SJA) and Ector County Independent School District (ECISD) alleging wrongful denial of insurance coverage. SJA and ECISD moved separately for summary judgment. The trial court granted ECISD’s motion for summary judgment on the ground that governmental immunity precluded suit against the school district. The trial court granted SJA’s motion on the ground that Murray’s suit was barred by limitations. The court of appeals affirmed.
Facts
ECISD established a self-funded group medical insurance program for its employees and their dependents. Under this program, ECISD paid premiums into a trust that was administered by SJA for a fee. Murray was covered under the plan as a dependent of her husband, Alvin Murray. She filed for divorce in the spring of 1984; she remained married, however, throughout the calendar year 1984. Three days after Murray filed for divorce, her husband requested that ECISD and SJA drop her from the insurance coverage.
In the summer of 1984, Murray learned that she had developed chronic pancreatitis. She sought coverage for treatment of her condition under the health insurance policy. Due to her husband’s request that she be taken off the insurance program, SJA refused to verify coverage on September 5, 1984. This refusal to verify coverage, essentially a denial of coverage, left Murray unable to obtain much-needed medical treatment. On March 15, 1985, however, SJA admitted that its denial was unwarranted and reinstated coverage retroactive to spring 1984.
Murray filed suit against SJA on March 27, 1986, alleging only negligent denial of coverage. Citation was not successfully served until January 21, 1987, 10 months later. Murray subsequently amended her petition on September 2, 1987 to plead her good faith claim for the first time.
Commencement of Limitations
The issue presented is whether Murray’s good faith claim is barred by limitations as a matter of law. The statute of limitations governing this cause of action is set forth in Tex.Civ.Prac. & Rem.Code Ann. § 16.003(a) (Vernon 1986):
A person must bring suit for trespass for injury to the estate or to the property of another, conversion of personal property, taking or detaining the personal property of another, personal injury, forcible entry and detainer, and forcible detainer not later than two years after the day the cause of action accrues.
Thus, we must determine the date Murray’s cause of action accrued. The parties dispute whether this should be the date coverage was denied (September 5,1984) or
In Arnold, we recognized the duty of an insurer to deal fairly and in good faith with its insured in the processing and payment of claims and that breach of that duty is compensable in tort.
Murray contends that her underlying contract claims were not “finally resolved,” and limitations did not begin to run, until SJA admitted on March 15, 1985, that its September 5, 1984 denial of coverage was unwarranted. This argument must fail. SJA voluntarily admitted that it had made a mistake in denying coverage. Under this theory, if SJA had never admitted coverage, the contract claim would never have been “finally resolved,” and limitations would never have begun to run. Such a result was not intended in Arnold.
Limitations statutes afford plaintiffs what the legislature deems a reasonable time to present their claims and protect defendants and the courts from having to deal with cases in which the search for truth may be seriously impaired by the loss of evidence, whether by death or disappearance of witnesses, fading memories, disappearance of documents or otherwise. The purpose of a statute of limitations is to establish a point of repose and to terminate stale claims. Safeway Stores, Inc. v. Certainteed Corp.,
We hold that Murray’s good faith claim accrued and limitations commenced on the day SJA wrongfully denied coverage (September 5, 1984). This holding comports with well-established precedent and other authorities. See, e.g., S. Ashley, Bad Faith Liability: A State-By-State Review § 4.05 (1987) (one would expect that in a first party case the insured’s bad faith “cause of action accrues the moment an insurer should pay a claim but fails to do so. At that moment, the insurer’s wrongful conduct first causes harm to the insured.”).
For the purposes of application of statute of limitations, a cause of action generally accrues at the time when facts come into existence which authorize a claimant to seek a judicial remedy. Robinson v. Weaver,
The fact that damage may continue to occur for an extended period after denial does not prevent limitations from starting to run. Limitations commences when the wrongful act occurs resulting in some damage to the plaintiff. Atkins v. Crosland,
When, as SJA has done, an insurance company denies a claim, other jurisdictions have decided that the good faith cause of action accrues on the date of denial.
Modification of Arnold
Our decision today modifies the limitations holding in Arnold because in retrospect it cannot withstand critical scrutiny. In Arnold, a motorcyclist, Arnold, was injured in an accident involving an uninsured driver. Arnold was insured by National County Mutual under a policy that included “uninsured motorist” protection up to $10,-000. Although no specific date is known, denial of coverage occurred no later than June 1974, because in that month, Arnold sued both National County and the uninsured motorist. Evidence before the trial court showed that National County was relying on the opinion of an inexperienced lawyer and did not conduct an investigation to determine the merits of the claim. Arnold obtained a favorable judgment in excess of the policy limit in December 1977. One year later, in December 1978, Arnold filed his good faith claim against National County. This was over four years after denial. We held, nevertheless, that the two year statute of limitations did not bar this claim. Because Arnold had filed the initial or “underlying” suit to determine coverage, we analogized to Linkenhoger v. American Fidelity & Casualty Co.,
Our limitations holding in Arnold is not consistent with the rule that limitations commences at the time facts come into existence which authorize a claimant to seek a judicial remedy. Robinson,
Moreover, Arnold incorrectly analogized to the reasoning used in Linkenhoger, which was a Stowers case.
Expiration of Limitations
Whether Murray’s claim is barred under the facts of this case depends on
When a defendant (SJA) has affirmatively pleaded the defense of limitations, and when failure to timely serve the defendant has been shown, the burden shifts to the plaintiff (Murray) to explain the delay. See Liles v. Phillips,
It is reasonable to assume that Murray, relying on Arnold, concluded that her cause of action accrued on the date SJA admitted its denial was unwarranted (March 15, 1985); thus, she could have believed that even if there was no diligence and limitations was not interrupted until the date of service (January 21, 1987), her claim would be timely. In preparing her response to the motion for summary judgment, Murray could have relied on this interpretation of Arnold and thus would not have felt compelled to argue diligence in the service of process.
Our decision today, however, modifies Arnold so that limitations on Murray’s good faith claim commenced on the day SJA denied coverage. Her claim is therefore barred unless she exercised diligence in serving citation. Since we have modified the law, we will remand this case in the interest of justice to the trial court. Tex.R. App.P. 180; see also L.M.B. Corp. v. Gurecky,
For the reasons stated, the judgment of the court of appeals is reversed and this cause is remanded to the trial court.
Notes
. “Good faith" is occasionally used in this opinion to encompass the tort duty of good faith and fair dealing,
. When, unlike this case, there is no outright denial of a claim, the exact date of accrual of a cause of action becomes more difficult to ascertain and should be a question of fact to be determined on a case-by-case basis. See Safeco Ins. Co. of America v. Sims,
. G.A. Stowers Furniture Co. v. American Indemnity Co.,
Dissenting Opinion
dissenting.
I respectfully dissent. In Arnold v. National County Mutual Fire Ins. Co.,
In reaching our decision in Arnold, we analogized to Linkenhoger v. American Fidelity & Casualty Co.,
The court not only overrules Arnold but also overrules implicitly the even more recent decision of Street v. Second Court of Appeals,
Rather than continuing with this practical approach for bad-faith causes of action, the court blindly adheres to a strict injury based rule of accrual as though there were no exceptions. In doing so, it cites Robinson v. Weaver,
In explaining our holding in Street, we analogized to Arnold and reasoned that “[n]o valid public policy is served by forcing an insured to bring an action which may ultimately prove unnecessary.”
Limitations should begin to run when the insured’s underlying contract claim is finally resolved rather than when the claim is initially wrongfully denied. Both Arnold and Street mandate this result, and it is a result that comports with common sense. It is not the mere denial of a claim that gives rise to a bad faith cause of action; it must be a denial without a reasonable basis. Arnold,
By forcing the insured to bring his bad faith action at the time a claim is denied, the court presents the insured with a dilemma. On the one hand, if an insured does not bring his bad faith claim within two years of the date of denial, he will face a limitations bar to his claim regardless of whether he had any real basis for ascertaining bad faith within that time period. On the other hand, if an insured brings the bad faith claim immediately in order to avoid the limitations bar, he has in effect been forced to bring a claim that may later prove unnecessary. This result conflicts with our decision in Street and will result in a proliferation of premature bad faith lawsuits as insureds attempt to avoid the possibility of a limitations bar. It will impede the expeditious settlement of contract claims because plaintiffs will now automatically assert a bad faith claim regardless of whether there are any facts to indicate that the denial was without some reasonable basis.
This is a bad result even when it is clear on the date of denial that the insurer acted in bad faith. Both the insured and the insurer will face a protracted pretrial discovery dispute on the bad faith claim. Courts may allow broader discovery when the bad faith claim is joined with the contract claim. See, e.g., Lunsford v. Morris,
On what powerfully persuasive authority does the majority rely as justification for its decision to reject the rule of stare deci-sis and to break with prior precedent? The only bad faith cases it cites are three cases from the Alabama Supreme Court and one ease from a California appeals court. In addition, the majority cites to the book Bad Faith Liability in which author Stephen Ashley stated that “one would expect” an insured’s bad-faith cause of action to accrue “the moment an insurer should pay a claim but fails to do so.” S. Ashley, Bad Faith Liability § 4.05 at 148 (1987). However, Ashley made clear that this statement represented nothing more than his own expectation because in the immediately preceding sentence he said: “There are no cases clearly raising the issue of when a cause of action for bad faith accrues in a first-party case.” Id. at 147-148. Perhaps Stephen Ashley would have expected the result the majority now reaches but it is not what this court held in Arnold. Surely this court’s own precedent should carry more weight than one commentator’s “expectation.”
As for the cases in other jurisdictions, they are either distinguishable or inappo-site. Frazier v. Metropolitan Life Ins. Co.,
The rule of stare decisis is not inviolable. See, e.g., Sanchez v. Schindler,
In accordance with Arnold, I would hold that Murray’s bad faith cause of action did not accure until the underlying contract claim was “finally resolved.” Murray’s contract claim was not “finally resolved” until San Jacinto Agency acknowledged coverage on March 15, 1985. Therefore, Murray was still within the two-year limitations period on January 21, 1987 when service of citation was made on San Jacinto Agency. Murray’s claim is not barred by limitations. I would reverse the judgment of the court of appeals and remand the cause to the trial court for trial on the merits of Murray’s cause of action.
RAY, MAUZY and DOGGETT, JJ„ join in this dissent.
