Aetna Life Insurance Company, Aetna Health, Inc., and Robert J. Garza v. Weslaco Independent School District

CourtCourt of Appeals of Texas
DecidedMay 31, 2012
Docket13-11-00532-CV
StatusPublished

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Aetna Life Insurance Company, Aetna Health, Inc., and Robert J. Garza v. Weslaco Independent School District, (Tex. Ct. App. 2012).

Opinion

NUMBER 13-11-00532-CV

COURT OF APPEALS

THIRTEENTH DISTRICT OF TEXAS

CORPUS CHRISTI - EDINBURG

AETNA LIFE INSURANCE COMPANY, AETNA HEALTH, INC., AND ROBERT J. GARZA, Appellants,

v.

WESLACO INDEPENDENT SCHOOL DISTRICT, Appellee.

On appeal from the 398th District Court of Hidalgo County, Texas.

MEMORANDUM OPINION Before Chief Justice Valdez and Justices Rodriguez and Garza Memorandum Opinion by Justice Rodriguez Appellants Aetna Life Insurance Company, Aetna Health, Inc. (collectively Aetna),

and Robert J. Garza challenge the trial court's denial of their motion to compel arbitration

in appellee Weslaco Independent School District's (WISD) lawsuit against appellants.

Aetna argues that the trial court abused its discretion in denying its motion to compel because: WISD is bound by the arbitration provision of the contract on which its suit is

based; WISD cannot avoid arbitration by attacking the contract as a whole as only the

arbitrator can adjudicate WISD's contract defenses; alternatively, the trial court was not

allowed to consider WISD's defenses as they were not properly raised; and regardless,

WISD failed to establish its defenses as a matter of law. Garza joins in the foregoing

arguments by Aetna regarding the general validity and enforceability of the agreement

and argues separately that the arbitration clause was also enforceable as to him as a

non-signatory of the contract between WISD and Aetna. We reverse and remand.

I. Background

In 2007, WISD contracted with Aetna to administer WISD's self-funded and

self-billed benefits plan for the 2007-2008 school year. Garza is an insurance agent who

acted as a broker for Aetna and WISD in their contract negotiations and serviced the

insurance policy during the contract period. Garza was paid a commission for his

services.

The contract between Aetna and WISD was signed by Dr. Richard Rivera, WISD's

superintendent, in March 20081 and provided that Aetna would be compensated by a

value-based-pricing system, wherein it would retain as its fee 9.7% of the difference

between the billed charges and the negotiated rate. Under the contract, Aetna invoiced

WISD for the fee, and WISD paid the invoices. The contract also contained an

arbitration clause, which provided that "[a]ny controversy or claim arising out of or relating

to this Agreement or the breach, termination, or validity thereof . . . shall be settled by

1 Although not signed until March 2008, the agreement between the parties was effective for the entire 2007-2008 school year. 2 binding arbitration." Finally, the contract contained an integration clause, which provided

that "[t]his Services Agreement (including incorporated attachments) constitutes the

complete and exclusive contract between the parties and supersedes any and all prior or

contemporaneous oral or written communications or proposals not expressly included

herein."

In February 2010, WISD sued Aetna for breach of contract, breach of fiduciary

duty, breach of the duties of good faith and fair dealing, fraud, negligent

misrepresentation, and violation of the Texas Theft Liability Act. The underlying premise

of all of WISD's claims against Aetna—both the contract and tort claims—was that the

agreement signed by Superintendent Rivera differed in material terms from the "best and

final" offer negotiated by Aetna and accepted and authorized by the WISD Board of

Trustees at a May 2007 school board meeting. WISD specifically pled that "the [written

contract] executed by Aetna and WISD for the 2007-2008 plan year constituted an

enforceable agreement." But nowhere in its petition did WISD challenge the validity of

the arbitration clause.

WISD also sued Garza for fraud, negligent misrepresentation, tortious interference

with a contractual relationship, and violation of the Texas Theft Liability Act. The

underlying premise of all of WISD's claims against Garza was that Aetna invoiced WISD,

under the written contract, for the commissions Aetna paid to Garza; WISD claimed that it

never agreed to pay any commissions to Garza and that the contract did not authorize

Aetna to invoice WISD for those commissions. In its negligence cause of action against

Garza, WISD also claimed that Garza failed to perform his duty to WISD of monitoring the

insurance plan, including billing history and payments under the contract, and this failure 3 proximately caused injury to WISD.

Appellants moved to compel arbitration under the contract. WISD responded to

the motion to compel on the day of the hearing on the motion. WISD argued in its

response that because the Board "never agreed to the fees listed in the fee schedule" of

the written contract, the contract, "and the arbitration clause therein, [are] void and

unenforceable because the school district cannot be bound by an agreement that the

school district board of trustees has not approved." WISD also argued in its response

that the contract, "as well as the arbitration clause within it, are unenforceable as a matter

of law" because "the fees cited in the fee schedule were different than those approved" by

the Board and there was, therefore, no meeting of minds and, alternatively, the written

contract "constituted a modification to the original agreement."

At the hearing on the motion to compel, WISD argued that Superintendent Rivera

was only authorized to sign an agreement that contained fee provisions approved by the

Board at its May 14, 2007 meeting. In support of its arguments, WISD introduced the

agenda and minutes for the May 14 Board meeting and the testimony of Board member

Ivan Perez, who testified that the Board authorized an $8 per employee per month fee,

not a value-based fee system. In his testimony, Perez also stated that: the Board

discovered the value-based fee schedule during the 2007-2008 school year; WISD

continued the contract for the 2008-2009 school year; WISD never attempted to rescind

the contract during that time; and Dr. Rivera was never admonished for signing an

unauthorized agreement. Perez provided no testimony regarding the Board's approval

4 or lack of approval of the arbitration clause.2 The trial court then denied Aetna's motion

to compel arbitration, and this accelerated appeal followed.

II. Aetna's Notice of Appeal

We note as a threshold matter that WISD devotes a considerable amount of its

brief to a contention that this Court lacks jurisdiction because Aetna's notice of appeal

was untimely. The order denying arbitration was entered on July 21, 2011. Using that

date, the rules provide that Aetna had until August 10, 2011 to file its notice of appeal.

See TEX. R. APP. P. 26.1(b). Aetna's notice was not filed until August 11, 2011. Aetna

filed a motion for extension of time to file its notice of appeal on August 15, 2011. See

TEX. R. APP. P. 26.3. We granted that motion. At oral argument, WISD moved that we

reconsider the granting of Aetna's motion to extend time, arguing that Aetna's motion did

not comply with rule 10.5 in that it provided an inadequate reason for the late filing. See

TEX. R. APP. P. 10.5(b) (providing that a motion to extend time to file a notice of appeal

must state, in relevant part, "the facts relied on to reasonably explain the need for an

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