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Twin City Fire Insurance Co. v. Davis
904 S.W.2d 663
Tex.
1995
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*1 legislative Mormon v. Mus amendment.” Aviation, Inc., 182,

tang FIRE CITY INSURANCE TWIN Legislature COMPANY, Petitioner, When the re-enaets “it change, a without substantive statute presumed [Legislature knew and DAVIS, Respondent.

adopted placed interpretation on the D. original act the new enactment and intended No. D-4600. Coastal, to receive the same construction.” 918. Deer Park was decided Supreme Court of Texas. years ago. forty more than Since Argued Jan. time, Legislature has convened nu times, Municipal An merous has enacted the July Decided (currently chapters Act1 nexation codified Rehearing Sept. Overruled Code; and 43 the Local Government 970a), formerly Tex.Rev.Civ.Stat. art.

has codified the statutes Local Govern time, however,

ment Code.2 In all that

Legislature has not section 43.024. amended

By holding apply section 5.901 does by Type municipality,

to a A annexations today accomplishes by judicial

Court pol

something appropriately which is more Moss,

icy Legislature. decision for the

S.W.2d at 458. Type municipality

A A should not be able applicable exceed surface area limits original incorporation through

to its subse-

quent annexations. Because the addition of territory

the annexed cause will square mile

Wilmer exceed four size applicable incorporation,

limit I to its

reverse the of the court of challenged

and render

annexation ordinances are void. Legislature Municipal Legislature these statutes in Annex- 2. When the codified

1. The enacted 43.024 it did not add references section large part Act in to curb the ation 5.901 because to the territorial limits of section the virtually power unlimited of home rule munici- a substan- was the statutes. See intended as codification palities unilaterally territory. annex Texas change tive TexLoc.Gov't Municipal Report A Legislative Council, Annexation: 1.001(a) (stating Govern- Local Code 56-6, 1960). (Dec. Legislature, to the 57th No. part of the state’s ment Code was enacted as statutoiy on annexations The then-current limitations “contemplates program revision general municipalities law were viewed as suffi- general topic-by-topic revision of the state’s prevent any potential in their cient to abuse permanent without substantive statute law ” practices. annexation added)). change

CORNYN, Justice, opinion delivered the Court, PHILLIPS, joined by Chief Justice, GONZALEZ, HIGHTOWER, HECHT, GAMMAGE, OWEN, ENOCH and Justices. primary issue this bad faith insur-

ance proceeds case whether employee by denied a workers’ compensation insurance carrier will alone an award of hold that under our decision Aranda America, Insurance North Co. (Tex.1988), a workers’ jury findings entitling claimant must obtain her to in addition to the benefits puni- withheld in order recover tive Accordingly, we reverse that portion ap- of the of the court of award, peals upholding punitive damage modified, ap- we affirm the court of peals’ judgment for Davis in amount of the withheld, percent statutory penalty, prejudgment interest, interest, postjudgment attorney’s fees. I. 30, 1986, injured

On October Faith Davis subsequently her lower back work. She filed a claim with workers’ carrier, employer’s City Fire Insurance Company. part therapy As for her injury, September back Davis’ doctor prescribed jacuzzi “hot large tub or body for life.” 1,1987, On City and Twin December settled her workers’ case. Un- City agreement, agreed der that previously paid in addition to years’ five future medi- expenses physician cal incurred Davis’ injury. days as a result her back Six after finalized, agreement amade terms of the settlement for the hot tub. claim, City

When Twin received the it in- necessity vestigated pre- the medical Jung, Carlton, P. Michael W. Edward Dal- First, scription requested for the hot tub. it las, petitioner. physician. confirmation letter from Davis’ Tillery, Dallas, respondent. April Dale B. On received confir- punitive dam- physician, reinstated the accompanied mation from Davis’ 237.1 by a cost of the hot award. estimate $3500 tub. Twin then referred matter (TMF), an the Texas Medical Foundation II. agency consulting that conducted outside *3 City that the court of Twin contends company. the On Octo-

medical reviews for punitive it appeals when reinstated the erred 27,1988, City report to Twin ber TMF sent finding of damages because the award recommendation; supported doctor’s the not a find benefits was withheld however, TMF concluded that a side- $150 ing damages. tort The insurer of actual portable whirlpool ade- mounted would be damages argues the actual $3500 quate larger unless Davis’ size made a tub bargain were benefit of the found the necessary. City misplaced it or Twin claims damages, damages only, not tort or contract overlooked letter. punitive support the award of and cannot 17, 1988, requested a On Davis October Relying in Vail damages. on our statement pre-hearing conference before the Industrial Bureau Mutual Insurance v. Texas Farm challenge City’s fail- Accident Board to Twin Co., (Tex.1988), “an in S.W.2d response, to tub ure honor hot claim. pay refusal to the insured’s surer’s unfair 28, 1988, City Twin on October denied damages law in as a matter of claim causes medically necessary, and hot tub was amount of the benefits at least the 25, 1989, January refused Davis’ claim. On withheld,” the court of id. Twin denial her notified that its of damages that the awarded reasoned final, pay claim was but offered to for a $150 withheld were benefits whirlpool side-mounted unit. such, damages, and as an tort eventually filed suit Twin disagree. punitive award of City based on claim for the hot $3500 tub, fraud, alleging contract, breach of inten- County In Arnold v. National Mu tional negligent and infliction of emotional Co., 165, 168 tual Fire Insurance 725 S.W.2d distress, violations, insurance code DTPA vi- (Tex.1987), we held that olations, pay failure compensa- to workers’ damages anguish exemplary and mental duty good tion and breach of the of damages are recoverable a breach of (1) trial, dealing. fair At jury: and faith and of fair engaged found that Twin had in unfair allowing principles same recov- deceptive practices, or failed trade to deal ery damages of those in other tort actions. fairly Davis, and faith with failed means, necessary recently to reasonable and medical ex- That as we reiterated Dutschmann, required penses agree- Corp. Express settlement Federal (2) ment; (Tex.1993), “[rjecovery actual S.W.2d finding expense “wrong- punitive damages requires amount of for medical of an of $3500 fully Davis, independent accompanying with actual specify- withheld” from without ing liability damages.” of of A breach of alone will the three theories contract (3) justified award; support punitive damages; the existence refused find not pain be physical or an- tort must established. suffered mental of Reed, faith; (4) Homes, City’s guish as- Inc. v. due See Jim Walter mere avail- punitive sessed of The (5) theory recovery City; attorney’s ability tort-based of awarded Davis sufficient; fees. trial court sustained rendered damages, proven punitive before percent in actual from a tort must $3500 fees, Doubleday statutory penalty, attorney’s available. See & Co. but are Rogers, denied challenge. appeals' jurisdictional For the reasons cited the court opinion, respect affirm party disputes

Neither these damages” subject fundamental were not “actual tenets Texas law. remedy provisions enhanced DTPA Insurance Code unfair settle- claims Likewise, parties do dispute practices. rejecting ment argument, fairly that the insurer’s failure to deal and in this Court “that held an insurer’s re- unfair good faith with insured is a its cause of fusal to insured’s tort, claim causes action that sounds in and is distinct as a of law in at contract cause of action matter least for the underlying the terms amount of insur policy. ance See Arnold v. County National withheld.” Id. Mut. Fire Ins. Davis’ and on the court reliance (Tex.1987); Aranda v. Insurance Co. N. misplaced.3 Vail is As it relates to issue *4 Am., (Tex.1988); case, only in this Vail was concerned with the Co., Security Viles Nat’l Ins. 788 S.W.2d argument policy insurer’s that im- benefits (Tex.1990). Finally, agree all would properly damages were not withheld “actual if the trier of fact assesses actual dam in relation to a of unfair claim claims settle- ages for separate bad faith conduct that are practices.” In rejecting ment Id. the insur- from and that differ from benefits under the argument, contract, policy er’s we held that benefits recovery this tort-based satisfies Dutschmann n wrongfully requirement withheld were indeed indepen that an actual punitive dent tort be established before dam under the DTPA and Code. Insurance ages are available.2 holding Our premised on the cumulative remedy provisions of the two statutes at point dispute The main of between the Vail, issue. did not parties punitive concerns whether damages argument even discuss in Vail in case are available because the here, policy wrong- makes benefits only damages for the medical ex- fully not an withheld will alone (the penses prescribed tub), withheld hot Rather, punitive damages. award of are in of damages. the nature contract case is controlled our in Aranda any As did award additional America, clearly only amounts Insurance Co. North referable to the bad of action, example, faith cause of for S.W.2d 210 mental anguish damages, contends that former version the Workers’ Com- jury’s refusal damages to award refera- pensation governs pro- Act that Davis’ claim only ble to the tort faith of bad is fatal to her vided a “personal scheme for punitive claim for injuries employee sustained in the argues governed this issue is employment.” course of his Tex.Rev.Civ. in our decision Vail v. Texas Farm Bureau (repealed by § art. Acts Stat. Mutual Insurance 754 S.W.2d at 129. C.S., 16.01(7), Leg., 71st 2d ch. Vail, argued the insurer that its insureds 114). Tex.Gen.Laws The Act also contained proven damages had actual under their exclusivity following provision: statutory theories of because the only employees of a shall damages alleged proceeds subscriber ... were the policy. responded right against the insurance The insurer have no of action em- their bargain ployer any that such benefit agent, or or servant course, extrapolation involving 2. Of the fact are 236. This a case —from plaintiff awarded does not entitle the pay alone an unfair refusal to bad to all Transportation See Ins. unwarranted, Co. v. faith cases—is even in the context Moriel, of a DTPAor Code claim. Insurance The reason faith, is that some acts of such as a failure We also note court of re- properly investigate unjustifiable a claim or an phrased and the rule broadened we announced claim, delay processing necessarily do not Vail, holding: duty “A breach relate to the breach of its insurer’s contractual however, dealing, and fair results in dam- claims, may give duties to rise covered law, ages, as a matter of least the amount of to different wrongly the benefits withheld.” 865 S.W.2d at ing from refusal employee employer for of said Accordingly, is not entitled to injuries_ hot tub. personal damage award. §at Id reasons, modify the foregoing For we Aranda, “exclusivity we noted that this in- for Davis to Compensation Act provision the Workers’ only policy benefits clude not bar a carrier does a claim $3500, percent statutory withheld of faith and fair $420, attorney’s fees on penalty based pro- or intentional misconduct awards,5 plus prejudgment post- those Aranda, cessing a compensation claim.” modified, As the court of interest. But, said, 748 S.W.2d at 214. because of appeals’ judgment affirmed. exclusivity provision, employee must sepa- claim for breach “is show pro- from claim and Justice,

rate SPECTOR, dissenting. independent injury.” duced ago, squarely held years this Court Seven added). As to find declined to pay that “an unfair refusal insurer’s injury of her at least insured’s claim causes denied workers’ the amount of the *5 the reinstatement v. Farm Bureau Mut. withheld.” Vail Texas punitive damage award cannot stand. (Tex.1988). 129, 134 Ins. Today majority from hold- the retreats this consistently recog Texas courts have ing compensation that carri- and concludes a injury requirement this independent nized er’s bad faith refusal to benefits does brought bad when faith claims any that would cause a carrier covered the Workers’ an award of See, Compensation e.g., Lloyds Act. Service 688, Greenhalgh, Ins. Co. majority’s justified be The decision cannot ( 1989), Tex.App. rev’d on other — Austin exclusivity provision in on the basis (Tex.1990) grounds, (allowing 787 938 S.W.2d Compensation Act. The same Workers’ bad faith claim because claimant estab Vail, soundly rejected year we decided we damages flowing lished bad from the faith exclusivity provision argument compensable Act); that were not recovery of bad faith dam- prevent should Moriel, Transportation Ins. Co. v. 814 ages compensation carriers: 144, 1991), (Tex.App S.W.2d Paso . —El contemplate Act does not [T]he (Tex. grounds, rev’d on other S.W.2d a carrier to act faith or failure of 1994) (applying interpretation Aranda’s can intentional tort be mean- carrier’s Varo, exclusivity provision); Harris v. cf. ingfully mere redressed addition Inc., (Tex.App. — Dallas compensation. past to the 12% or 15% due writ) (noting no fraudulent a mis penalties questionable are of Such nominal representation arising claim from a workers’ to act value as an incentive for carrier compensation hearing must also meet reasonably processing employee’s injury requirement). claim. case, only Am., tub, N. Davis were for the cost of the hot an Aranda v. Insurance Co. of medically holding, expense found to so nec S.W.2d recognized essary specifically thus covered Act. The be available on the same terms declined to award should additional, independent injury flow other tort actions: Compensa- lating attorney’s fees when such fees are award 4. The current version of the Workers’ comparable "recovery.” provision. percentage ed as The correct tion Act See a contains is set in our 408.001. method for such calculations forth TexJLabor Code Co. recent in Great American Insurance - District, Utility arguments Municipal reject 5. We Davis’ made in her cross v. North Austin S.W.2d -, - [1995 concerning 358834] appeal proper WL method calcu [Ojrdinary damages, including exem-

plary damages, are for a CONSULTANTS, recoverable INC., Relator, A & T faith and fair dealing upon showing of the same ele- permit SHARP, Comptroller ments that of those John Public Texas, in other tort actions. Accounts of the State of Respondent. added). No. 94-1024. majority avoids rule on the basis language in stating Aranda bad faith Supreme Court of Texas. recovery is available when a carrier’s bad separate “is faith from the Argued Jan. 1995. produced independent injury.” July Decided Aranda, Supra at 667 (quoting 748 S.W.2d at 214). Here, though, the carrier’s Rehearing Sept. Overruled clearly separate asserting

claim. Faith Davis is not compensa-

Twin breached the workers’ agreement employer

tion between City. agree- honored that

ment when it settled Davis’

claim. later, present dispute only when arose City wrongfully denied benefits covered *6 agreement. settlement Davis then

brought alleging City’s this suit

conduct “constitutes a breach of Defendant’s dealing arising faith and fair relationship established between Compromise

Defendant Plaintiff Agreement

Settlement and Release.” Given context, City’s should conduct

governed by applicable the same rules insurer.

other See Arnold National

County Mut. Fire Ins. found that Twin bad faith

caused in actual precedents, our

Under these are

ages, they fully jury’s support the addi- punitive damages

tional award of as a means deterring I future acts of faith. would Vail, Aranda, Arnold,

adhere uphold the award of

Accordingly, I dissent.

Case Details

Case Name: Twin City Fire Insurance Co. v. Davis
Court Name: Texas Supreme Court
Date Published: Sep 14, 1995
Citation: 904 S.W.2d 663
Docket Number: D-4600
Court Abbreviation: Tex.
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