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State Farm Life Insurance Co v. Beaston
907 S.W.2d 430
Tex.
1995
Check Treatment

*1 explained, have For the reasons we of the court of is reversed it against extent Ri- allows N., judgment

cardo is rendered that Turcios N., nothing against take Ricardo and in all respects judgment of other the court of appeals is affirmed. LIFE

STATE FARM INSURANCE Heaton, Ted H. COMPANY and Petitioners, III, BEASTON, Respondent. No. D-4454. Supreme Court of Texas.

Argued May 29, 1995. Delivered June Rehearing Overruled Oct. *2 268, and render appeals,

court of nothing. plaintiff take judgment that

I bought Beaston Terri and David Heaton, a policies from Ted

life insurance Company agent. Life Insurance pay premium on failed to The Beastons 28, 1988. policy due on December David’s 28, 1988, policy lapsed His as of December day grace period expired thirty-one and the days January 1984. Three after on grace period, David died in expiration of the Farm refused an automobile accident. State under his life insurance the benefits policy, claiming coverage expired had before his death. beneficiary

As the sole of her husband’s policy, Terri graded premium whole life brought against both Farm and suit claims, Heaton, asserting, among other 21.21. also had violated Article She policy guar- that the terms of the contended payment of a dividend at death which anteed part of the used to should have been thereby premium that was in arrears and policy’s lapse. “cure” the jury. to a At the close The case was tried evidence, granted an the trial court Larry Meroney, Black G. and Ranelle M. in Terri’s favor on the instructed verdict Austin, petitioners. coverage, finding was issue of Kincaid, ambiguous construing provide it to Longley Mark L. Joe K. and Phil- Maxwell, Austin, sufficient to ip respondent. K. dividends that “would have been (The lapse.” basis of the

avoid the asserted OWEN, Justice, opinion delivered the judg- ruling forth in its trial court’s is set GONZALEZ, HECHT, ment.) the Court in which CORNYN, ENOCH, Justices, join. Terri to the Issues were submitted PHILLIPS, Justice, SPECTOR, Chief Beaston’s other claims. The

Justice, III, IV, join in Parts and V. engaged in unfair or de- the defendants had interpret ceptive and that such conduct was are called the terms acts

We damages to Bea- producing cause of of a life insurance and to decide however, find, jury failed to plaintiff can recover mental an- ston. The whether (1) engaged had company Farm or Heaton guish from an insurance false, deceptive any misleading, or act 21.21 of the Texas for a violation Article (2) engaged any finding practice, had unconsciona- absent a Insurance Code (3) action, negli- course of knowingly. Because we ble action or defendant acted (4) negligent. There gent, grossly plaintiff is not entitled to bene- hold that the Farm had not that State policy and that a was fits under her husband’s any policy. An issue lapse under conduct is to waived had Farm or Heaton anguish damages under Arti- as to whether State recover mental knowingly engaged in unconscionable judgment of the cle we reverse the (which “recovery” in attor- conduct was conditioned on affirmative result $284,780.87 response that asked whether ney’s fees of as calculated Beaston) engaged either defendant had “in uncon- opposed only forty percent of scionable action or course of action that was damages, including penalty and interest. *3 producing cause to Terri Bea- judg- appeals The court of reversed the jury responded negative- ston.” Because the court, holding ment of the trial that Terri ly, question asking it did not reach the Beaston was not to obtain a engaged in whether the defendants had finding agent had that State Farm or its objection conduct. No was made to prereq- knowingly violated Article 21.21 as a the conditional submission. recovery anguish of mental uisite issue, response damage to the damages. at 275. The court of benefits, awarded no but awarded $200,- jury’s appeals reinstated the award of $200,000 anguish past. for mental in the 000 in mental and conclud- attorney’s jury was asked to and did award trebling of those ed percentage fees as a of Terri Beaston’s re- 21.21, mandatory under former Article covery, forty percent finding that was a rea- governed this case.1 The court affirmed the fee, percentages if sonable with increased benefits, prejudgment award of inter- appealed appeals case were to the court of est, delay twelve-percent penalty,2 and a but and to this Court. judgment of the increased the amount judgment trial court rendered in Terri attorney’s prejudgment include interest and favor, awarding the face amount of on Beaston’s increased re- fees based ($250,000), prejudg- benefits covery. modified The court of also ($147,171). statutory delay A ment interest attorney’s fees the manner in which penalty percent in the amount of twelve calculated, rejecting the trial court’s method ($30,000) pursuant was added to Article 3.62 by proffered Beaston. in favor of the method Code, of the Texas Insurance for a total of appeals held that “the contin- The court of $427,171, forty percent of that total gency percentage should be calculated on fee ($170,868.40) was included in the not on the total dam- the total attorney’s The trial court stated in its fees. (emphasis origi- ages.” 861 S.W.2d at 279 judgment that it “finds no cases that would nal). anguish damages allow the award of mental points of brings forth several the conduct of the absent error, including challenges knowingly, Defendants was committed coverage policy, the award of men- under the ... will

therefore anguish damages, tal and the calculation awarded, jury’s answer to not be and the attorney’s fees. 8(b) Question [concerning damages] disregarded.” trial will be II additionally to treble the actual refused undisputed that attorney’s Although it is her damages and refused to award lapsed husband’s would have otherwise fees based on a calculation Terri Bea- Terri claims that the equal forty percent of on December ston contended was 1, 1991, September provided Article 3.62 of the the former Article 21.21 2. Prior to 1. Section part: provided in relevant Texas Insurance Code plaintiff prevails may “any ... who obtain damages....” loss occurs and the life In all cases where a three times the amount of actual R.S., company shall fail ... liable therefor insurance May Leg., ch. Act of 63rd days thirty de- the same within after 322, 338, 2(c), § 1973 Tex.Gen.Laws amended therefor, company liable to such shall be mand pay R.S., 22, 3, 4, 1985, April Leg., § ch. Act of 69th policy, addition to the the holder of such Article 21.21 1985 Tex.Gen.Laws loss, percent damages twelve amount of the however, provides, prevailing presendy that a the amount of such loss.... damages only plaintiff if the can recover treble R.S., 27, 1931, April Leg., 42nd ch. Act of § knowingly finds that the defendant “trier fact 135, 135, repealed Act Tex.Gen.Laws 6, 1991, plaintiff com- committed the acts" of which R.S., Leg., 72nd ch. of June 16(b)(1). § plains. Tex.Ins.Code art. 12.01(2), 1991 Tex.Gen.Laws appeals affirmed. 861 S.W.2d at policy remained in force because of its divi- court of provision. policy pro- dend-at-death 276-77. vides, part: in relevant disagree. explained As we We Nonpayment of Premium. If a Insurance Forbau v. Aetna Life paid by grace end of its has been (Tex.1994), interpretation of S.W.2d 132 period, Lapse to Avoid Accumulations governed by contracts is the same and, chosen, the Automatic Premium applicable to con rules of construction other provisions apply. Loan will If neither of omitted). (citations tracts. Id. at 133 When provisions apply, these will contract, construing a courts must strive to lapse as of the due date of amount of give expression to the written effect lapse, unpaid premium. With such all cov- (citations omitted). parties’ intent. Id. To *4 erage ceases.... so, they parts all of a contract do must read Lapse. pre- If a Accumulations Avoid (citations omitted). Indeed, together. Id. paid by mium has not been the end of its particularly wary isolating courts must grace period, any dividend accu- available surroundings considering apart from its pay part mulations will be used to all or provisions single phrase, from other a sen premium.... tence, of a contract. id. at or section See Adjustment Premium Insured When omitted). (citations Only if 133-34 an insur If during grace Dies. the Insured dies a policy ambiguous despite these ance remains any period, part premium due will be interpretation canons of should courts con paid proceeds.... from the language against strue its the insurer in a may Annual Dividends. State Farm Life See, e.g., coverage. manner that favors Na apportion pay year. dividends each tional Fire Ins. Co. v. Hudson Ener Union Any such paid dividends will be at the end Co., (Tex.1991); gy policy year premiums of the if all due have Blaylock v. American Guar. Bank Liab. Ins. paid.... been Co., (Tex.1982); Ramsay Options. may Dividend The Owner Maryland Am. Gen. Ins. options choose one of the listed below.... 344, 349 3. Dividend Accumulation. Left ac- interprets policy Terri Beaston David’s plus cumulate- Accumulations inter- pay pro-rated mean that State Farm would part est to the Insured’s death will be death, regardless dividend at his of how proceeds. many premium payments had been missed or Dividend at Death. A dividend for the policy whether the was inside or outside its period policy year from the start of the grace period following nonpayment part the Insured’s death will be of the However, in premium. recognized as we proceeds. Forbau: undisputed It is that David had not accu- every interpretation difference [ N]ot any following year

mulated dividend the first policy or an insurance contract policy of the or that he died before its second ambiguity. an Both the in amounts to anniversary. argues likely sured and the insurer are to take terms of David’s make clear conflicting coverage, views of but neither payment any contingent dividend is on the conflicting expectations disputation is nor payment premiums insured’s of all due. ambiguity. sufficient to create paid premium Since David had not the last (citations omitted) Forbau, 876 S.W.2d at 134 policy prior expiration on his of its (emphasis original). grace period, he was entitled to no dividend premi- Despite contrary interpretation, unpaid that could be used to cure his Terri’s held, however, entirety, unambiguously policy, um. The trial court that the viewed its ambiguous terms of the that David would not receive reasonably poli- could to cure his could be taken to mean dividend that be used presented cy’s lapse State Farm would David a at under the circumstances dividend if, death, regardless arrearages. as in this his of his here. The states that added). provi- ease, (Emphasis Neither of those paid premium has been policy lapses grace applies accumulations-to- When the period, end of its sions here.5 ceases,” apply. avoid-lapse provision nonpayment, coverage will Under “all due to “any provision, agrees to use consequently proceeds there are all available dividend accumulations” could be included. Con- which the dividend part unpaid premium. Dividend together, the dividend-at-death strued dividends, any, are those accumulations nonpayment-of-premium provisions leave no anniversary the insured on the to a insured is not entitled doubt that accumulate,” as allowed policy and “left to policy in force unless the dividend death policy’s options.” The one of the “dividend policy, the insured dies. Under when provision confirms this. annual-dividends therefore, at death is not available a dividend acknowledges that her husband’s grace unpaid premium.6 The to cure an on its had not accumulated dividends period payment of David’s December for the anniversary policy lapsed first expired January anniversary. second Because before its days before David’s death. Since three anniversary, lapsed its second before death, he was coverage ceased before David’s might paid on any dividends that have been pro-rated dividend his not entitled to a yet As a that date had not “accumulated.” coverage his under death that could revive result, accu- simply there were no dividend *5 Thus, the lapsed policy. we reverse the lapse. the mulations available to cure awarding appeals in judgment of the court of provision is policy’s dividend-at-death of her husband’s Terri Beaston the benefits irrelevant under these circumstances. Con- policy. life insurance trary Terri Beaston’s assertion clause states un- policy’s dividend-at-death Ill pro- conditionally Farm will a that State complains that the Farm also State demise, to David his the

rated dividend awarding in of erred only that dividend for provision “[a] states damages anguish under Beaston for mental year period policy the the from the start of argues in Farm the Article 21.21. State pro- part will be the Insured’s death of (1) there is no evidence alternative that added). pay- (Emphasis But the ceeds.” it violated jury’s finding that support is contin- proceeds ment of under (2) 21.21; no evidence to there is Article timely payment of gent upon the insured’s finding regarding support jury’s mental policy’s nonpayment- premiums. Under the (3) damages damages; or for emo anguish not of-premium provision, premium if a has because tional distress are not recoverable grace period, the paid the end of the been jury finding that to secure a Terri failed lapse due date of “policy will as knowingly. Farm acted unpaid premium,” unless the accu- amount of remedy those provides 21.21 a Article mulations-to-avoid-lapse provision or the au- (1) compe- injured by any “unfair methods applies. premium provision loan tomatic above, accumulations-to- pays As discussed at the end of 5. When State Farm a dividend 3. apply policy year, avoid-lapse provision the insured not does a (1) options. use the He or she can with four The au- dividend accumulations. there were no (2) payment premium; dividend toward apply provision premium does tomatic loan paid-up purchase insur- a life use the dividend up any yet had not built because David’s addition; (3) to accumu- leave the dividend ance value, policy did not have and thus the cash case, (in accumulations the dividend late which value,” provi- required by adequate "loan rate of each at the minimum earn interest 4½% sion. (4) paid year); the dividend in cash. or be is within insured dies while the If the guarantee pay- do not 4. The terms following grace period the non- thirty-one day dividends, by the annual- as evidenced ment of premium, any due is payment aof provision provided that State dividends proceeds. “may apportion dividends each from added.) (Emphasis Because no dividend year." policy, year paid during of David’s the first left to accumulate. there was no dividend 434, 442 prac- ruff, or 901 S.W.2d See deceptive tition and unfair and acts specifically Laycock, in the business of insurance” generally, tices American Rem Modern (2) 21.21, (2d 1994) (discussing in Article defined Section 189-90 re ed. edies distress). practices regulations declared the rules or for emotional strictions meth- Board of unfair Insurance be held a DTPA case mental We have deceptive competition and unfair and ods damages anguish are not recoverable where insurance, practices acts or business resulting no willful conduct and there was (3) the Texas or violations Section 17.46 of Brown, injury. 601 S.W.2d physical Code, Business and Commerce otherwise similarly held in v. Luke John Duncan We Deceptive Practices— known as the Trade (Tex. Ford, Inc., 777, 779 son (“DTPA”).7 Consumer Protection Act See 1980), recovered for cannot be 16(a). art. Tex.Ins.Code must anguish and that there mental alone or found that one both of the defendants tort, gross negligence, proof of a willful engaged deceptive in an unfair act or disregard. Luna v. North willful See also practice. Sales, Inc., Dodge 117- Star Farm contends is no evi- that there (Tex.1984), finding that a where we held support finding. dence to Because were commit that the unconscionable actions only damages were for “knowingly” support mental an ted anguish, we turn Farm’s first for a guish damages, but we remanded deter argument that Terri cannot recover mental sufficiency of the mination of the factual evi in the absence of award, support anguish dence to the mental knowingly. it acted such Whether Kerr, Boyles prerequisite recovering men- (Tex.1993), in dicta where we observed tal Article 21.21 is a under may not be recov impression of first for this Court. proof of ered under the DTPA absent *6 DTPA, Like the 21.21 that Article grossly negligent willful or violation. parties may damages recover their actual against a defendant violated the who has culpable We see no reason that a mental 21.21, provisions. statute’s Tex.Ins.Code art. required to recover state should also 16(b)(1). § Neither DTPA nor Article anguish damages under Article 21.21. damages.” 21.21defines “actual In constru appeals recognized, court of As the term, ing this our that courts have concluded DTPA and Article 21.21 are interrelated. damages” “actual Article available under Legislature 861 at enacted S.W.2d damages DTPA 21.21or the are those recov “part in of a reform both remedies 1973 as common law. erable at Brown v. American legislation.” package of consumer Storage & 939 601 S.W.2d Gros, Farm Fire & Cos. Co. v. 818 S.W.2d Transfer denied, (Tex.), 449 cert. 101 S.Ct. U.S. writ); (Tex.App. no 916 — Austin (1980); L.Ed.2d 474 Frank see also Hall, B. at see also Frank Beach, Inc., B. Hall & Co. v. (noting purposes that the of the statutes are (Tex.App. Corpus writ Christi similar). protect designed — The DTPA to n.r.e.); McPeak, Paul ref 'd St. Ins. Co. v. “false, against misleading, and consumers de (Tex.App. [14th practices, — Houston ceptive business unconscionable ac n.r.e.). writ ref'd Dist.] tions, warranty....” and breaches Tex. § Similarly, 17.44. Article traditionally Courts have been reluctant Bus. & Com.Code in regulate practices 21.21was enacted to recovery for emotional dis allow industry by prohibiting “unfair tress without some additional threshold competition deceptive methods of or unfair or example, an showing, for the mental 21.21, practices.” art. guish accompanied injury acts or physical a Tex.Ins.Code 17.50(a)(4) 1(a). DTPA § in “resulting physical impact or was Section from 21.21, produced by corporates of Article particularly upsetting or dis Section 16 prohibits an insur- turbing Parkway event.” Co. v. Wood Section 16 of Article 21.21 & Com.Code 17.41-17.63. 7. Tex.Bus. §§ engaging any practice proscribed

er from IV by Section 17.46 of the DTPA. Tex.Bus. & Terri Beaston counters that even 17.50(a)(4); § art. Com.Code Tex.INS.Code finding knowing required conduct is 21.21, 16(a); § Transport see also Ins. v.Co. anguish damages recover mental under Arti Faircloth, case, cle 21.21 she nevertheless is prevail entitled to Farm because State failed In DTPA person eases do not involve preserve complaint regarding its this is injury, al we have a threshold find sue. We hold that Farm did not waive ing culpable mental state as one of the point. error on this prerequisites anguish damages. for mental See, Luna, e.g., 117-18; 667 S.W.2d at Dun 21.21, Tracking language of Article can, 779; Brown, 603 S.W.2d at 601 S.W.2d question one to the asked whether logical It require is a similar engage[d] Farm or “State Ted Heaton culpable mental state under Article 21.21. deceptive unfair practice act or that was a producing cause of to Terri Bea- Having culpability decided that some jury responded affirmatively. ston.” The required, appropri we must determine the response ques- further found in ate finding standard. We conclude that a $200,000 eight fairly tion knowing prerequisite conduct is a to the re reasonably compensate Terri for her mental covery anguish damages anguish. jury charge of mental under Ar did not condition question eight response “Knowingly” only ticle 21.21. on an affirmative culpable is the concerning knowing currently mental state to which the statute objected question eight on the refers. See Tex.Ins.Code art. grounds that 16(b)(1).8 sup- there was no evidence to We therefore hold that mental port finding anguish damages, of mental anguish damages are not recoverable under objected it charge but never failed to Article 21.21 as an element of actual question eight condition on a express finding knowing without an con knowingly. State Farm had acted prerequisites duct. The other of mental under the com Terri contends that because present. mon law must also be As there was point did not out to the trial court conduct, judg here of question eight regarding *7 appeals ment of the court of reversed damages should have been conditioned on a any damages the extent that it awards conduct, of State Farm can- anguish. Accordingly, we do ad not complain appeals not now that the court of argument dress Farm’s further awarding erred in the record contains no evidence that State finding. argues without such a that if a She Farm or Heaton committed a violation of party objection no to a makes defective sub- Article 21.21 of the Insurance or Code controlling constituting mission of a issue an argument the record contains no evi ground recovery judg- of element and a anguish. dence of Terri’s mental Nor are we thereon, party’s ment is rendered failure called to consider whether Terri has object waives the defective of submission requirements See, satisfied other for a recov e.g., that issue. Allen v. American Nat’l (Tex.1964).9 ery 604, anguish damages in of mental this case. Ins. S.W.2d "knowingly” 8. The Insurance Code defines as It seems well settled in this State that where no unfairness, falsity, "actual awareness of the objection is made to a defective submission of deception practice of the act or made the basis controlling constituting component a a for a claim under Section 16 of this for. ground recovery element of a of or a defense may Article. 'Actual awareness’ be inferred thereon, judgment and a is rendered such objective where manifestations indicate that a judgment will not be reversed because the fail- person acted with actual awareness.” TexJns. object ure to is considered a waiver of the 21.21(2)(c). § Code defective submission of such issue. Allen, (citations omitted). 380 S.W.2d at 609 Allen, we wrote: ... judgment damages plus ... actual attor- Had the trial rendered obtain damages, neys’ favor of Terri for mental reasonable in fees relation Where, argument would as expended....”12 her be correct. Act of amount of work here, 2(c), a awards based on a R.S.,. 21,1973, Leg., § May 63rd eh. necessary charge that omits element by Act 1973Tex.Gen.Laws amended ground recovery, the trial court sustain 4, 1985, R.S., Leg., 69th ch. April finding regarding can either file a written 1985 Tex.Gen.Laws missing judgment element or without render attorney’s un To obtain an award fees If the trial one. See Tex.R.Civ.P. 279.10 the DTPA or Section 38.001 of the Civil der finding, court does file a written Code,13 party must Practice and Remedies support element is omitted deemed found (1) a cause of action for prevail on a cause of judgment objection long of the as no (2) recoverable, attorney’s which fees supports made and the evidence such a find- Drozd, damages. McKinley See recover id.; Inc., Frito-Lay, ing. See Ramos v. (Tex.1985) (construing Investments, Ltd., DTPA); Rodgers v. RAB ease, not file But this the trial court did (Tex.App. — Dallas as to whether written writ) (construing the no Civil Practice contrary, knowingly. acted or Heaton To the Code). fee-shifting pro Since the Remedies judgment trial court rendered 21.21 words of vision of Article echoes the expressly anguish damages. excluded mental provide the DTPA and Section 38.001 By denying any damages Terri for emotional fees, attorney’s awarding we hold that distress, trial court cannot be deemed satisfy require party must same two found that either know- have defendant acted attorney’s under Arti ments to recover fees ingly. Accordingly, See Tex.R.Civ.P. 279. deciding we cle 21.21. While assume without object Farm’s failure the form of 21.21, prevailed that Terri under Article she question eight regarding did not waive error attorney’s cannot recover fees because she issue.11 damages. therefore has recovered We y judgment appeals court of reverse the concerning attorney’s award of fees un Having judgment rendered that Terri Article 21.21. der nothing respect Beaston take to her with under Article claim we also reverse attorney’s

her award of 16 of fees. Section reasons, applicable pro foregoing version Article 21.21 we reverse For the “any plaintiff prevails may render judgment vides who of the court governs 10. Rule 279 omissions from the the trial court did not render charge part: respect distress. in relevant for emotional ground When a defense consists fee-shifting language current ver- 12. The element, one of more than if one or more of *8 essentially is same. It sion of Article 21.21 the necessary elements such to sustain such “any plaintiff may prevails who defense, necessarily ground of and or damages plus ... the amount actual obtain of thereto, referable are to and found submitted necessary attor- court costs and reasonable and jury, by and one the or of such elements more 16(b)(1). § neys’ fees.” Tex.Ins.Code art. request charge, from are omitted the without objection_ may ... ... or the trial court provides: 13. Section 38.001 findings make and file written on such omitted judg- support attorney’s person may element or of the elements recover reasonable A made, findings corporation, ment. If no such written are individual in addi- fees from an or costs, and if such omitted element or elements shall to the amount valid claim tion services; (2) (1) by manner as is for: deemed the court in such the claim rendered material; (4) labor; (3) support judgment. performed the furnished (5) added). (emphasis freight express overcharges; or lost Tex.R.Civ.P. or (6) freight express; damaged or or in- killed stock; account; (8) (7) prin- necessarily disagree jured the 11. We do not sworn dissent, they ciples by of law but oral or written contract. articulated inapplicable under since these circumstances & Rem.Code 38.001. TexCiv.Prac. judgment nothing.14 plaints anguish Terri Beaston take mental element about as an “knowing” of absent Even conduct. PHILLIPS, Justice, Chief delivered a however, issue, “knowing” if one reaches concurring joined dissenting opinion, of applicable the version article 21.21 when SPECTOR, Justice. require the incident occurred did not “know- ing” anguish damages. conduct mental agree respects. I with the Court in most test, however, majority’s Even under many But for of the as same reasons dissent, anguish damages mental if I are recoverable policy believe that the insurance part ambiguous and, would be of common law actual consequently, delay damages, injury affirming of of court was correct in anguish policy coverage death of judgment trial court’s over for the that State owed proceeds analogous is policy Terri of the as a her husband most to common matter allowing of law. law actions mental recov- majority ery. misapplies own test. The its Therefore, my I to Part II note dissent of majority wrong I believe Because is opinion concerning policy, Court’s issue, I each dissent. III, IV, joining in while Parts and V of the opinion concerning Court’s error,

damages, preservation and attor- I. ney’s judgment fees. I would render Beaston is First consider whether Mrs. benefits, only recover policy statu- any proceeds her entitled to recover from fees, tory attorney’s and costs. policy. Although life it husband’s insurance undisputed, is based the issue date GAMMAGE, Justice, joined by face, policy its shown on that her husband’s HIGHTOWER, Justice, dissenting. nonpayment expired had majority procedural overlooks waiver died, argues when he Mrs. Beaston a con- statutory defendants order to reach keeps struction of the it force issues, In- construction rewrites DTPA and of its provision. dividend-at-death ways surance Code article 21.21 law in never provides, part: in relevant before, misapplies then its conceived own Lapse. pre- If a Accumulations Avoid rule. The had new found she suffered paid by mium has not been the end its practices. from unfair insurance grace period, any will be available dividend appeals strug- trial court court part premi- all used to of that gled with the much of how she um .... ambig- should recover. The at issue may Dividends. Life Annual uous, historically as we have used the term year. apportion and dividends each “ambiguity” policies. The trial Any such dividends will be end correctly rendered on an in- policy year premiums due have all structed verdict for for the Beaston paid.... been And, undisputed amount based on the facts. Dividend at Death. A for the dividend recovery, practice unfair insurance de- period year from, the start object jury charge, fendants failed to part death the insured’s will be segregated neither nor conditioned proceeds. on an issue addi- added.) (Emphasis “knowing” tional Defen- object improp- parties dispute to an do not that Mr. Beaston dants preserve following erly conditioned had not accumulated dividend *9 error, policy their of he died year their failure waived eom- the first the or that Consequendy, question we do not reach the of used the court of in this case. Nor do attorney's point properly regarding the calcu Terri’s the whether fees were we reach of error lated, appeals’ but note that in Great American Insurance refusal to the award of of treble Company Utility policy point Municipal v. North Austin Dis or State Farm’s of error benefits -1, (Tex.1995), trebling pre- appeals' regarding we ex the court of trict No. S.W.2d of - disapproved pressly of interest. of the method calculation

439 unpaid pro-rata premium. his Under anniversary. The court before its second concedes, construction, the the as State Farm accepts argument Farm’s that State pro-rated policy make clear dividend would terms of Mr. Beaston’s amount of such any prevent policy of is contin- payment that the dividend have been sufficient premi- all gent payment on insured’s of lapsing. from Mr. had ums due. Beaston not Since contrary majority its conclu- reaches prior to the policy the last on his avoid through its new-found device to sion grace expiration period, its State Farm of of construction” ambiguity, applying “rules contends, of are unam- the terms Co., Ins. 876 v. Aetna Forbau Life any biguous would receive divi- that he not (Tex.1994). the insurance 132 Unlike S.W.2d his unpaid to cure dend that could used Forbau, however, at issue accepts reading premium. The court thus that, any provision contain here does not to the insurance of contract favorable event, to an resolves with external reference company, prop- This is not it. drafted majority It that the ambiguity. appears its er. overruling all our interprets now Forbau as policy provi- held trial court that these although in ambiguity precedents, reasonably that sions could be taken mean majority Forbau the claimed otherwise. pay State Farm would Mr. Beaston a divi- gymnastics ambiguity utilized conclude death, regardless arrearag- at his dend his reading at amount to ambiguous, not bottom es, appeals agreed and the court of with that provision into the that is not there contract analysis. at 277. The dividend- 861 S.W.2d provide that all dividends and accumula- unconditionally at-death clause states that payable lapse, upon tions are not after a even pay a pro-rated State Farm will dividend to death, which occurrence the states at Mr. his The aecumu- Beaston demise. Therefore, expressly they payable. no lations-to-avoid-lapse provision states with ambiguity! equal certainty Farm will State use part in- such dividend to all or II. unpaid premiums. sured’s Farm State was dealing Assuming rules our traditional aware of the discretion- difference between ambiguities in were insurance contracts ary contingent mandatory clauses and applied construed clause, provisions. The annual-dividend favor, Farm and State Heaton example, says “may” pay divi- complaint anguish” “mental waived their year. dends each State Farm’s choice to not “knowingly” finding. damages required a payment make at a dividend death jury’s question affirmative expressly contingent timely on insured’s violation, one, a article one general 21.21 payment premiums ambiguity an created which if the answered five conditions policy susceptible that leaves the to two rea- one, “Yes” to an- interpretations. sonable That makes the lan- damages question. swer the guage “ambiguous” and the court should con- objection damages made it against strue in a insurer manner gen- improperly conditioned because the coverage. See v. favors Balderama Western liability question, possi- 21.21 eral article Co., Casualty Ins. S.W.2d Life bly questions requir- some of the other four (Tex.1991); National Fire Ins. v. Union Co. damages, ing jury to answer Co., Energy Hudson finding. require “knowing” also Neither Co., (Tex.1991); v. Barnett Aetna Ins. Life object did State Farm (Tex.1987); Blaylock v. wrong measure Co., used Liab. American Guarantee Bank Ins. im- the mental element was (Tex.1982); Ramsay “knowing” finding. proper express absent Maryland Am. Gen. Ins. object to And Farm did the dam- against Construed Farm, ages an ele- question because it contained policy provides that Mr. Beaston’s sup- ment pro-rata State Farm would him a divi- —not —mental liability pre- theories apply ported by some dend and would dividend death *10 440 (no violation). sented “knowing” objec- 1965, n.r.e.). No Houston [1st Dist.] writ ref'd appears tion in the record which give object The failure to damages

the trial court opposing or counsel notice of improper includes elements or is based on complaint anguish about mental as an wrong damages measure of waives error damages. element of as to the form and substance of damages Chevrolet, issue. See Tom Benson Inc. v. expressly provides Rule 272 parties that all Alvarado, (Tex. 815, 636 S.W.2d 822-23 adequate must have opportunity to review App. 1982, n.r.e.); Antonio writ ref'd — San object charge, defects in the Traylor (Tex. Gray, 644, v. 547 S.W.2d 658 objections presented “[a]ll not so shall be 1977, Civ.App. Corpus Christi writ ref'd considered — as waived.” Tex.R.Civ.P. n.r.e.); Properties, McCreless Ltd. v. F.W. Rule 274 contains provi additional waiver Co., (Tex.Civ. 863, Woolworth 533 S.W.2d 867 sions. This court long has held that Rule App. 1976, n.r.e.). Antonio writ ref'd 272, — San independent 274, with or of Rule is a provision broad waiver defeating complaints majority reaching errs even jury about what the found or the form or “knowingly” issue because State Farm failed substance of questions. Cogburn v. object thereby any complaint waived Harbour, 432, (Tex.1983); 657 S.W.2d 432 anguish that the mental damages element of (Tex. Strong, 979, Edwards v. 213 S.W.2d 981 had to be required conditioned 1948); King, 957, Wilson v. 311 S.W.2d 958-59 finding ( Tex.Civ.App. ref'd). writ — Austin particular, expressly we have approved III. the statement of the given reason for the rule majority asserts DTPA “[i]n in Wilson: cases personal that do not injury, involve we purpose requiring Rules have threshold culpa- party except charge give is to ble mental state as one of prerequisites Trial opportunity Court an correct anguish for mental damages.” 907 S.W.2d at errors, to the end may that the ease cases, 436. This point misses the of those submitted, fairly and all defects anguish that mental damages are recoverable manner of special submission of issues only if proved the DTPA violation is analo- by failing waived except thereto. gous to a common allowing law action recov- [Citations omitted.] ery of such mental damages. This court has held that mental Id. at 959. is a com- Here neither the trial court nor mon law element of in large counsel had vari- opportunity ety of circumstances change physical not limited to the conditional submission structure injury culpable mental charge, the court’s state. Here objection Insurance Code violation made no before the verdict. This is closely analogous to precisely instances where what Rules 272 274 are intend- common law allows prevent. anguish recovery, ed to purpose because a central of the interest object The failure to to the conditional protected by the Code is to avoid mental submission of the issue waives error beneficiary. harm to the as to form and substance the submission. Bond, Wilgus (Tex. v. DTPA, S.W.2d Under the the term “actual dam 1987); Builders, Matthews v. ages” Candlewood means those that are recover Inc., (Tex.1985); 685 S.W.2d Strauss able under the common law. Brown v. LaMark, (Tex.1963); v. 366 S.W.2d Co., Storage American & Transfer AAA Conditioning Air Mfg. Corp. & Tex. Article 21.21 Barr, (Tex.Civ. 826-27 likewise for the of “actual App. ref'd); Republic writ damages.” The threshold is wheth — Dallas Bankers Coffey, Ins. Co. v. er mental appropriate Life (Tex.Civ.App. writ under the common law for the actionable — Amarillo n.r.e.); ref'd Bell v. Aetna Cas. & Sur. jury. Only conduct found (Tex.Civ.App.— anguish 833-34 is not a common law element of *11 agent promised who allowing Heaton was the exceptions look Ted

damages must we to proof of of the Beastons’ anguish damages, such as to take care See, grossly negligent did not have clear willful The Beastons needs. Sales, Inc., Dodge e.g., Luna v. North between understanding Star of the difference (Tex.1984); life; v. Luke Duncan they did not realize that term and whole (Tex. Ford, Inc., Johnson the same expensive less for term was much 1980). coverage. suggested could have Heaton policies for the exchange whole life their jury engaged Farm in found State term, he he but admitted more affordable prohibited by deceptive unfair and acts arti possibility to suggested the them. never even jury 21.21. The further found mental cle prob- financial Heaton knew the Beastons’ decep anguish damages from the unfair and He fre- began in June 1983. was lems deceptive acts. The “unfair and acts” tive their late quent contact with them about question If was a broad submission. there premium payments. He that Terri knew specific conduct for evidence some keeping “adamant” about the Beaston was are recovera which mental policies in Terri was the one who supported finding,1 the court force. ble broad policies appeals’ jury payments on the whenever rendition of made both could, doing verdict must be affirmed. Prudential Ins. and Heaton knew she was she Assocs., pay premiums. 160 everything Co. v. she could to the Jefferson (Tex.1995); Brown v. American & Transfer evidence that Heaton’s failure There was (Tex. Storage 937-38 suggest option to the term was an unfair 1980). practice article 21.21. Farm’s under favorably considered to Terri evidence training own manual informed Heaton that Beaston, for whom the answered the young couples for term was suitable who affirmatively, supports broad purchase whole life. lacked means Heaton, conclusion that Farm’s pro- manual that term insurance states agent acting capacity to deceive the policyholder good protection vides until consumer, average suggest changing faded testimony can afford whole life. The from whole life to term The cir- insurance. died, up day David that from mid-1983 objec- known cumstances to Heaton would description people fit the Beastons tively make one realize that his failure to suited, term insurance was well whom option make known the term life would cause it. Heaton admitted he Heaton knew emotional distress Terri Beaston while the normally advise someone of this choice couple struggled pay higher whole life life, between term and whole but did do Moreover, premiums. in the event of David so in this Terri Beaston testified that case. death, purported lapse cov- choice, given have If she would switched. erage nonpayment higher because had switched the Beastons premium would emotional distress as- cause policies term conversion three his sociated with death. Heaton in- offered, they actually paid premiums heightened Terri would suffer emo- formed been more than whole life would have with his death be- tional distress associated coverage through sufficient term losing his cause of the financial strain of date of David’s death. income, something abnormally feared. she given option, offer term The failure to There that Terri had an ex- was evidence circumstances, surrounding is most anal- being credi- aggerated fear unable recognize ogous emotional to torts which David’s tors the event of death. damages, harm as an of common law element young couple had life insurance be- emotional harm is the natural result prob- because lapse let it of financial fore but with the lems, wrongful of such conduct associated great which caused Terri distress. She family spouse member. This death that David obtain new life insurance insisted early recognized principle in coverage. course, Consistent, flndmgs. express with the other *12 Stuart v. Telegram Western Union surely 18 would result if negligently one lost the (Tex.1885), S.W. 353 in which the court family remains of a member. In Moore v. refused to limit the fifty Lillebo, to the wrongful death was the result of cents telegram for the sent but not negligence. “knowing” What was was that delivered to family inform that a member emotional harm negli- would result from such dying. The court instead allowed the gence. We said that emotional reaction is $2,500 injury damages emotional by-product death, the natural wrongful jury, stating wrongdoer “[t]he knows “destroys any that it pre-existing family rela- doing he is damage when he afflicts the tionship,” wrongful and that for death emo- by withholding mind message of mortal usually tional harm is “principal element” injury illness ... feelings is actual surviving relatives. Moore v. damage ... wrong- natural result of the Lillebo, 722 S.W.2d at 685.3 ful act.”2 equally strong evidence here is The court judgments also has reviewed Terri Beaston had communicated her “ada- injury emotional mishandling of corpse. concern, words, mant” in Heaton’s own See, Smith, e.g., Clark v. 494 S.W.2d 192 keep policies the insurance in effect because (Tex.Civ.App. n.r.e.); writ ref 'd — Dallas ( expressed great her fear of financial hard- (Tex. Benfer, Classen v. 635 ship in the event of David’s death. State Civ.App. Antonio writ dism’d — San lapsed Farm’s mere claim that the had correct). jdgmt expressly The court cited psychic caused additional trauma to Beaston holdings these approval, two and has following David’s death. That this would expressly held that emotional distress dam during occur grief over her hus- ages death, wrongful are allowed for because clearly band’s death was “known” to Heaton it is the “natural result” of this class of torts Farm, and State and it was the natural result where the “nature of the torts assures that negligent of their failure to offer the term injury.” claimants will suffer mental See option to the I Beastons. would hold that Lillebo, (Tex. Moore v. 685 jury findings under the evidence and of this 1986). case, emotional harm is an element com- argue does that all these cases mon law regardless and recoverable distinguishable properly not analo- wrongful whether the conduct was know- gous they “knowing” all involve con- ing. duct, expressly which the here was not reasons, foregoing asked and did not For the I argument find. The dissent. In wrongful incorrect. Stuart failure to telegram

deliver the negli- was committed gently, knowingly. “knowing” What was was that the emotional harm would follow if done,

the act was not whether the omission negligent Likewise, itself was knowing. Classen the reinterment of the bodies into cemetery performed negligent- new ly, resulting body. in the loss of a What was

“knowing” was that emotional jurisdictions Asso., recognizing “wrongful those App.Div.2d v. Planned Parenthood conception” action, “wrongful pregnancy” (2d 1984); Gore, cause of Dept. 471 N.Y.S.2d 622 v. Smith principal emotional distress is a element (Tenn.1987); Nielson, 728 S.W.2d 738 C.S.v. damages precisely because it is the natural (Utah Caserta, 1988); P.2d 504 James G. v. See, wrongful e.g., result of the Boone (1985). W.Va. 332 S.E.2d 872 Mullendore, (Ala.1982); v. 416 So.2d 718 Custo Bauer, Cal.App.2d Rptr. dio v. 59 Cal properly “culpa- 3. These cases cannot be called (1st Dist.1967); Bushman v. Burns Clinic cases, majority ble mental state” but the does not Ctr., Mich.App. Med. 268 N.W.2d 683 newly-defined tell us how fall into its limita- (1978); Brown, App.Div.2d Weintraub precedents tions. Are these also overruled? (2d Dept.1983); 470 N.Y.S.2d 634 Jean-Charles

Case Details

Case Name: State Farm Life Insurance Co v. Beaston
Court Name: Texas Supreme Court
Date Published: Oct 27, 1995
Citation: 907 S.W.2d 430
Docket Number: D-4454
Court Abbreviation: Tex.
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