Acceptance Insurance Co. v. Lifecare Corp.

89 S.W.3d 773, 2002 Tex. App. LEXIS 7641, 2002 WL 31398663
CourtCourt of Appeals of Texas
DecidedOctober 24, 2002
Docket13-01-343-CV
StatusPublished
Cited by20 cases

This text of 89 S.W.3d 773 (Acceptance Insurance Co. v. Lifecare Corp.) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Acceptance Insurance Co. v. Lifecare Corp., 89 S.W.3d 773, 2002 Tex. App. LEXIS 7641, 2002 WL 31398663 (Tex. Ct. App. 2002).

Opinion

OPINION

Opinion by Justice WITTIG (Retired).

This is a commercial insurance coverage dispute concerning the meaning of the term “occurrence.” A comprehensive general Lability (CGL) policy was issued by appellants, Acceptance Insurance Company and Redland Insurance Company, in favor of their insured, Lifecare Corporation, appellee. The factual contentions center around a former employee of Life-care. Lifecare was sued for negligently providing inaccurate information in a job information request. Both sides filed motions for summary judgment. The trial court denied appellants’ motion and later granted a partial summary judgment for appellee. A bench trial determined the remaining issues concerning the reasonableness of a settlement and attorneys’ fees. Only the coverage issues, disposed of by summary judgments, are appealed. We examine the trial court’s determination that the contractual terms of appellants’ policy provided coverage. We apply contract law to address the critical terms “occurrence,” “accident,” and “intentional,” as well as appellants’ claimed exclusion under “employment related activities.” We will affirm.

Background

This appeal originates from a third party action by Lifecare against appellants. Lifecare had been sued in the underlying action because it negligently provided information which it should have known was incorrect. Specifically, plaintiffs pleadings against appellee charged: “Defendant LIFECARE CORPORATION is guilty of certain acts and omissions, each of which constitute negligence and each of which was a proximate cause of the Plaintiffs injuries and damages as more fully set out herein. Such negligence [sic] acts and omissions arise from the failure of Lifecare to exercise ordinary care in determining that the information it transmitted concerning Mr. Willis was accurate.” 2

*777 After leaving Lifecare, Gary Willis ended up working at the Thomas Care Center. Thomas Care Center had contacted Life-care but received some wrong information about Willis. Later, while working for Thomas Care Center, Willis was involved in a sexual assault of Nettie Belle Davis— plaintiff in the original action. Davis sued Thomas Care and Lifecare. Lifecare filed a third party action against appellants after they denied a request for defense and indemnification under the CGL policy.

Appellants argue two issues. First, they contend there is no coverage under “coverage A” because there was no occurrence. Next they argue, in the same issue, there is no coverage under policy part B, because there is no personal injury claimed that was covered and the only relevant inquiry is whether the insured’s liability is related and interdependent to the underlying sexual tort. 3 In their second issue, appellants argue for the application of the “Employment-Related Practices Exclusion.”

Standard of Review

We review the trial court’s granting of a motion for summary judgment de novo. Natividad v. Alexsis, Inc., 875 S.W.2d 695, 699 (Tex.1994); Texas Commerce Bankr-Rio Grande Valley v. Correa, 28 S.W.3d 723, 726 (Tex.App.-Corpus Christi 2000, pet. denied). Appellee was required to establish that no genuine issue of material fact existed and that judgment should be granted as a matter of law. Tex.R. Civ. P. 166a(c); Nixon v. Mr. Prop. Mgmt. Co., 690 S.W.2d 546, 548 (Tex.1985). Where the only question presented to the trial court was a question of law and both sides moved for summary judgment, the appellate court should render the judgment that the trial court should have rendered. Jones v. Strauss, 745 S.W.2d 898, 900 (Tex.1988); Cigna Lloyds Ins. Co. v. Bradleys’ Elec., Inc., 33 S.W.3d 102, 104 (Tex.App.-Corpus Christi 2000, pet. denied); The Cadle Co. v. Butler, 951 S.W.2d 901, 905 (Tex.App.-Corpus Christi 1997, no writ).

Discussion

Occurrence

Appellants argue there was no “occurrence” under the CGL policy. The policy provided in pertinent part:

SECTION 1 — COVERAGES COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE
1. Insuring Agreement
a. We will pay those sums that the insured becomes legally obligated to pay as damages because of ‘bodily injury’ or ‘property damage:’ to which this insurance applies.
b. This insurance applies to ‘bodily injury and ‘property damage’ only if:
(1) The ‘bodily injury’ or ‘property damage’ is caused by an occurrence that takes place in the ‘coverage territory;’ and
(2) The ‘bodily injury’ or ‘property damage’ occurs during the policy period.
c. Damages because of ‘bodily injury include damages claimed by any person or organization for care, loss of services or death resulting at any time from the ‘bodily injury.’

*778 “Occurrence” is defined under section 5: “9. ‘Occurrence’ means an accident, including continuous or repeated exposure to substantially the same general harmful conditions.” Accident is not defined.

Section 1, coverage A(2)(a) states, the coverage is inapplicable to “ ‘bodily injury’... expected or intended from the standpoint of the insured.” 4

Appellants argue that although “accident” is not defined under the policy, the supreme court has adopted a general rule holding where acts are voluntary and intentional and the injuries are the natural result of the act, the result was not caused by accident even though that result may have been unexpected, unforeseen, and unintended. Wessinger v. Fire Ins. Exch., 949 S.W.2d 834, 837-38 (Tex.App.-Dallas 1997, no writ) (describing analysis of whether injuries were caused by “accident” as “two-step” process under Argonaut Southwest Ins. Co. v. Maupin, 500 S.W.2d 633, 635 (Tex.1973)). Following this argument and authority, we first determine whether specific acts alleged to have caused the plaintiffs injuries in the underlying suit were “voluntary and intentional.” If so, then we next determine whether the injuries alleged were a “natural result” of the acts. Wessinger, 949 S.W.2d at 838. However, we first observe that Wessinger was voluntarily intoxicated and thus his conduct in striking another was voluntary and intentional. Both the nature of Wessinger’s conduct and the injuries naturally resulted from the intentional conduct. Id. at 839. There are no such allegations against Lifecare. See id. at 837. Rather, the contributing acts by the insured Lifecare were neither voluntary nor intentional. The insured and its agents’ or employees’ conduct said to have caused the injuries were purely and simply negligence. The specific and only facts alleged against Lifecare were the negligent representations.

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Bluebook (online)
89 S.W.3d 773, 2002 Tex. App. LEXIS 7641, 2002 WL 31398663, Counsel Stack Legal Research, https://law.counselstack.com/opinion/acceptance-insurance-co-v-lifecare-corp-texapp-2002.