The TEXAS MEXICAN RAILWAY COMPANY, Petitioner, v. Lawrence P. BOUCHET, Respondent.
No. 96-0194
Supreme Court of Texas.
Argued Nov. 21, 1996. Decided Feb. 13, 1998.
Finally, the Court states that the purported absence of six of eight “common indicators of insurance fraud by arson” is some evidence of bad faith. 963 S.W.2d at 46. First, there is no evidence indicating that a reasonable insurer could not deny a claim if six of these eight criteria are not met. What is the standard for a reasonable insurer? Is it these criteria alone, or are there others? Would denial of a claim be reasonable if four of the eight criteria are present? How about six? The absence of evidence of this character—linking these eight criteria to what a reasonable insurer might do—is fatal to a bad-faith claim.
Second, even as to the two criteria about which the Court acknowledges a dispute in the evidence, there is no evidence that a dispute over these criteria amounts to bad faith. For example, there was evidence that the Simmonses removed a lot of clothes from the home just shortly before the fire. However, there is no evidence that a reasonable insurer could not deny the Simmonses’ claim in the face of a dispute about how much clothing was taken and how much was left behind. Moreover, when it denied the Simmonses’ claim, State Farm had before it evidence that suggested that the Simmonses had such difficulty in making their mortgage payments that they had to strike a special deal with the Veterans Administration. There is no evidence that a reasonable insurer could not rely on this evidence in assessing the claim, nor is the fact that State Farm policyholders the benefit of the doubt,” and that “an adjuster should approach a policyholder to help resolve apparent conflicts,” 963 S.W.2d at 46, are no evidence that a reasonable insurer could not deny coverage based on the investigation State Farm actually performed. These aspirational statements do not establish legal standards of reasonableness. Otherwise, an insurer was mistaken as to the exact structure of the mortgage payments evidence of bad faith. See Stoker, 903 S.W.2d at 340 (stating that objective prong of bad-faith test “assures that a carrier ‘will not be subject to liability for an erroneous denial of a claim,’ as long as a reasonable basis for denial of the claim exists“) (quoting Aranda v. Insurance Co. of N. Am., 748 S.W.2d 210, 213 (Tex.1988) (citation omitted)).
III
An insurer‘s duty to investigate claims arises from, and must be construed in light of, its duty to pay claims when liability is reasonably clear. Bad-faith liability can exist only when there is some evidence that a reasonable insurer could not have denied the claim. A breach of the duty to investigate should give rise to bad-faith liability only when there is evidence connecting that breach to the conclusion that a reasonable insurer could not have denied the claim. Because there is no such evidence in this case, I respectfully dissent.
could not deny a claim when there is a bona fide dispute about coverage without incurring bad-faith liability. Indeed, the Court acknowledges in this case that “[e]vidence establishing only a bona fide coverage dispute does not demonstrate bad faith.” 963 S.W.2d at 44 (citing Transportation Ins. Co. v. Moriel, 879 S.W.2d 10, 17 (Tex. 1994)).
Robert E. Valdez, Linda L. Daniels, San Antonio, for Respondent.
ABBOTT, Justice, delivered the opinion of the Court, in which PHILLIPS, Chief Justice, GONZALEZ, HECHT, ENOCH, OWEN, BAKER and HANKINSON, Justices, join.
The issue in this case is whether employers that are nonsubscribers to the
I
Lawrence Bouchet injured his back on June 29, 1987, while in the course and scope of his employment with the Texas Mexican Railway Company (Railway). Bouchet continued to work until his condition worsened and he underwent surgery. After surgery, Bouchet returned to work on a restricted
On December 23, 1991, Bouchet sued the Railway in state district court under the
At trial, the jury determined that Bouchet suffered $100,000 in damages on his FELA claim, that Bouchet was 80% responsible for his injury, and that the Railway was 20% responsible for Bouchet‘s injury. The jury also found that the Railway did not wrongfully retaliate against Bouchet. The trial court rendered judgment on the verdict that the Railway pay $20,000 to Bouchet on the FELA claim and that Bouchet take nothing on his article 8307c claim.
Bouchet appealed, arguing that the trial court should have found an article 8307c violation as a matter of law. He also argued that the jury‘s failure to find such a violation was against the great weight and preponderance of the evidence. The Railway responded that Bouchet could not recover under 8307c because he was not entitled to workers’ compensation benefits and, alternatively, that the jury correctly found against Bouchet on that claim.
The court of appeals concluded that the anti-retaliation provision1 protects employees of both subscribers and nonsubscribers to the
II
As a threshold matter, Bouchet asserts that the Railway waived any error concerning its nonsubscriber status by not assigning error with requisite specificity in its motion for rehearing in the court of appeals.3 Bouchet argues that the Railway‘s motion for rehearing was limited to whether the
A point of error is “sufficient if it directs the attention of the appellate court to the error about which complaint is made.” Anderson v. Gilbert, 897 S.W.2d 783, 784 (Tex.1995). Courts should liberally construe briefing rules. See Williams v. Khalaf, 802
The Railway challenged that holding by arguing in its motion for rehearing that the court of appeals erred by applying the anti-retaliation provision to a railroad governed by FELA. Thus, the Railway‘s motion for rehearing was consistent with the wording used by the court of appeals to frame the issue and was sufficient to inform the appellate court of the nonsubscriber argument presented here. Even applying the narrow interpretation urged by Bouchet requires analysis of whether a nonsubscribing entity can be liable under the anti-retaliation provision. Accordingly, we conclude that we have jurisdiction to consider the merits of the Railway‘s argument.
III
Bouchet argues that the Railway retaliated against him because he filed a claim under FELA and hired a lawyer to represent him in that claim. Bouchet does not allege that he ever (1) filed a claim under the
Before the 1993 recodification, the part of article 8307c relevant to this case provided:
No person may discharge or in any other manner discriminate against any employee because the employee has in good faith filed a claim, hired a lawyer to represent him in a claim, instituted, or caused to be instituted, in good faith, any proceeding under the
Texas Workmen‘s Compensation Act , or has testified or is about to testify in any such proceeding.
The plain and common meaning of the statute‘s language provides protection only for claimants proceeding or testifying under the
Bouchet‘s interpretation of article 8307c arbitrarily applies the phrase “under the Texas Workmen‘s Compensation Act” only to “instituting or causing a proceeding to be instituted” under the Act and testifying in a proceeding under the Act. Under Bouchet‘s interpretation, even if an employee filed, or hired a lawyer to represent him in, a claim against the employer that was not related to an injury suffered at work, article 8307c would protect that activity from employer retaliation.
That interpretation, as well as the position taken by the concurring and dissenting opinion, is directly at odds with the Legislature‘s express purpose for enacting article 8307c. The Legislature enacted article 8307c in 1971 to protect “persons who file a claim or hire an attorney or aid in filing a claim or testify at hearings concerning a claim under the Texas Workmen‘s Compensation Act,” see
The concurring and dissenting opinion reviews general definitions provided by the
The court of appeals relied heavily on the Legislature‘s extensive revisions to the
That the Legislature did not intend a substantive change to article 8307c with the 1989 revisions to the
When considering the entire legislative history of article 8307c, the Legislature‘s intent is unmistakable: article 8307c is intended to apply only to employees and employers who act under the
IV
Although Bouchet filed his article 8307c lawsuit against the Railway before that article was recodified in 1993 as
Discrimination Against Employees Prohibited. A person may not discharge or in any other manner discriminate against an employee because the employee has:
filed a workers’ compensation claim in good faith; - hired a lawyer to represent the employee in a claim;
- instituted or caused to be instituted in good faith a proceeding under Subtitle A [Texas Workers’ Compensation Act]; or
- testified or is about to testify in a proceeding under Subtitle A.
V
Bouchet asserts that a decision reversing the court of appeals is inconsistent with Hodge v. BSB Investments, Inc., 783 S.W.2d 310 (Tex.App.—Dallas 1990, writ denied), and Texas Health Enterprises, Inc., v. Kirkgard, 882 S.W.2d 630 (Tex.App.—Beaumont 1994, writ denied). For the reasons already stated, we disapprove Hodge and Texas Health Enterprises to the extent that they hold that an employee can assert an article 8307c claim against an employer that does not subscribe to the
* * * *
We hold that Bouchet cannot recover under either article 8307c or
SPECTOR, Justice, concurring and dissenting.
Instead of giving a remedial statute a comprehensive and liberal construction, as our caselaw requires, the majority concludes that the Anti-Retaliation Law, former article 8307c, protects only employees of workers’ compensation insurance subscribers. I concur in the majority‘s judgment, but I cannot join its opinion. The majority‘s construction of the Anti-Retaliation Law is contrary to sound statutory construction principles and undermines the Legislature‘s policy of encouraging participation in the workers’ compensation system.
I.
Lawrence Bouchet initially sued his employer, the Texas Mexican Railway Company, under the
The Court holds today that Bouchet is not entitled to pursue a claim under that statute because his employer was not a subscriber to workers’ compensation insurance. Under the majority‘s view, article 8307c applies only to employees of subscribers to workers’ compensation insurance. I disagree. The mere fact that Bouchet‘s employer was a nonsubscriber does not deprive Bouchet of the protection of the Anti-Retaliation Law.
Article 8307c provides that
[n]o person may discharge or in any other manner discriminate against any employee because the employee has in good faith
filed a claim, hired a lawyer to represent him in a claim, instituted, or caused to be instituted, in good faith, any proceeding under the Texas Workmen‘s Compensation Act, or has testified or is about to testify in any such proceeding.
The majority considers article 8307c in isolation, without regard to other provisions of the Act of which it was a part at the time it was enacted. In construing a statute, we have warned that “courts must examine the entire statute or act and not merely an isolated portion thereof.” State v. Terrell, 588 S.W.2d 784, 786 (Tex.1979) (citing Calvert v. Texas Pipe Line Co., 517 S.W.2d 777 (Tex. 1974)). The language of article 8307c, read in context with other portions of the workers’ compensation law, strongly suggests a broader application.
At the time article 8307c was enacted, the term “employee” was broadly defined. The term included “every person in the service of another under any contract of hire, expressed or implied, oral or written.”
The majority concludes that “[t]he plain and common meaning of the statute‘s language provides protection only for claimants proceeding or testifying under the Workers’ Compensation Act.” 963 S.W.2d at 55. I do not necessarily disagree with that statement. Where I depart from the majority is in my understanding of what it means to “proceed[] . . . under the Workers’ Compensation Act.”
At the time the Legislature enacted the Anti-Retaliation Law, the
The majority‘s narrow construction of article 8307c contravenes the fundamental principle that requires courts to broadly construe remedial statutes. See Burch v. City of San Antonio, 518 S.W.2d 540, 544 (Tex.1975); City of Mason v. West Tex. Utils. Co., 150 Tex. 18, 237 S.W.2d 273, 280 (1951). “If a statute is curative or remedial in its nature, the rule is generally applied that it be given the most comprehensive and liberal construction possible.” City of Mason, 237 S.W.2d at 280 (emphasis added). The majority acknowledges the statute‘s remedial purpose. 963 S.W.2d at 55. Nevertheless, the majority gives the statute the narrowest possible effect. In my view, that construction is erroneous in light of the statute‘s broad language and context.
The majority‘s error is particularly significant because the construction it imposes on the statute undermines the Legislature‘s intent to encourage participation in the workers’ compensation insurance program. See
I would hold that a worker who files a claim against a nonsubscribing employer to recover damages for an on-the-job injury is entitled to sue under article 8307c.
II.
Despite my strong disagreement with the majority‘s opinion, I concur in its judgment. I base that conclusion, however, on totally different grounds. I would hold that Bouchet was not entitled to sue under article 8307c because his FELA lawsuit against the railway was not a claim under the Act.
At the time Bouchet filed this lawsuit, employees of “a person covered by a method of compensation established under federal law” were not subject to the Act.
III.
In light of the Anti-Retaliation Law‘s language and context, the majority errs in holding that the statute does not protect employees of nonsubscribers. I concur in the majority‘s judgment, however, because Bouchet‘s suit arose under FELA, not the
Notes
1. Bouchet sued in 1992 under
1. Article 8307c has since been recodified without substantive change. See
2. The Railway did not raise in its application for writ of error the argument that Justice Spector utilizes as the basis to concur with our judgment that Bouchet take nothing on his article 8307c claim. The Railway‘s sole argument regarding the anti-retaliation provision was that the court of appeals erred “by holding that employees of nonsubscribers can recover under Article 8307c” and “by holding that nonsubscribers are subject to Article 8307c.” See Petitioner‘s Application for Writ of Error at 4-5.
2. The present version of the
3. See
3. The current
4. Oddly, the concurring and dissenting opinion cites City of LaPorte v. Barfield, 898 S.W.2d 288, 293 (Tex.1995), for that proposition. Barfield stated: “Forbidding retaliation against an employee for seeking monetary benefits under the Worker‘s Compensation Law presupposes that the employer is a subscriber.” Id. at 293.
