Allstate Insurance Company v. Daniel Wes Irwin

CourtTexas Supreme Court
DecidedMay 21, 2021
Docket19-0885
StatusPublished

This text of Allstate Insurance Company v. Daniel Wes Irwin (Allstate Insurance Company v. Daniel Wes Irwin) is published on Counsel Stack Legal Research, covering Texas Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Allstate Insurance Company v. Daniel Wes Irwin, (Tex. 2021).

Opinion

IN THE SUPREME COURT OF TEXAS 4444444444 No. 19-0885 4444444444

ALLSTATE INSURANCE COMPANY, PETITIONER

V.

DANIEL WES IRWIN, RESPONDENT

444444444444444444444444444444444444444444 ON PETITION FOR REVIEW FROM THE COURT OF APPEALS FOR THE FOURTH DISTRICT OF TEXAS 444444444444444444444444444444444444444444

Argued January 7, 2021

JUSTICE DEVINE delivered the opinion of the Court, in which JUSTICE LEHRMANN, JUSTICE BOYD, JUSTICE BLACKLOCK, and JUSTICE BUSBY joined.

CHIEF JUSTICE HECHT filed a dissenting opinion, in which JUSTICE GUZMAN, JUSTICE BLAND, and JUSTICE HUDDLE joined.

Underinsured motorists have liability insurance but not enough to pay for all the damage

they have caused. Underinsured motorist coverage is insurance designed to fill the gap between

the insured’s damages from an accident and the other driver’s ability to pay. Sounds simple

enough, but presenting a claim to your insurance carrier for underinsured motorist benefits is not

like other claims under an automobile liability insurance policy.

In Brainard v. Trinity Universal Insurance Co., we held that an underinsured motorist

(UIM) carrier “is under no contractual duty to pay benefits until the insured obtains a judgment establishing the liability and underinsured status of the other motorist.” 216 S.W.3d 809, 818

(Tex. 2006). If not otherwise determined, however, a judgment establishing these prerequisites

to coverage may be obtained in a direct action against the insurance carrier. See id. (citing State

Farm Mut. Auto. Ins. Co. v. Matlock, 462 S.W.2d 277, 278 (Tex. 1970)). The question here is

whether an insurance carrier’s liability for benefits under the UIM policy may be established in a

declaratory judgment action. See TEX. CIV. PRAC. & REM. CODE §§ 37.001–.011. The court of

appeals determined that the Uniform Declaratory Judgments Act can be used for this purpose

and affirmed the trial court’s judgment to the same effect. 606 S.W.3d 774 (Tex. App.—San

Antonio 2019). We agree and affirm as well.

I

On April 5, 2016, Daniel Irwin was injured in a vehicular accident with an underinsured

motorist. At the time of the accident, Allstate Insurance Company insured Irwin’s truck. Irwin’s

policy included UIM coverage up to $50,000. Irwin settled with the other driver for her $30,000

policy limits, and followed the settlement with a letter to Allstate, seeking his UIM policy limits

of $50,000. Allstate offered to settle for $500. Believing Allstate’s offer inadequate, Irwin sued.

In this direct action against his UIM carrier, Irwin sought a determination of his damages from

the accident, a declaratory judgment that he was entitled to recover under his UIM policy, and

attorney’s fees. Irwin’s pleadings invoked the Uniform Declaratory Judgments Act (UDJA) for

all relief.

Allstate’s answer denied Irwin’s claim to UIM benefits under the policy, both generally

and specifically, and demanded a jury trial. Before trial commenced, the parties stipulated to

2 Irwin’s coverage under the UIM policy and to Allstate’s entitlement to an offset from Irwin’s

$30,000 settlement with the other driver. The case was tried to a jury, with Allstate contesting

Irwin’s evidence of causation and damages.

The jury found Irwin’s damages from the accident to be $498,960.36. This sum included

his medical expenses, physical pain and mental anguish, physical impairment, and lost earnings.

Irwin moved for entry of judgment. Allstate objected to Irwin’s proposed judgment insofar as it

awarded attorney’s fees or invoked the UDJA, but otherwise agreed that it owed its UIM policy

limits and court costs, both of which it tendered to Irwin. The trial court’s judgment

acknowledged Allstate’s payment of its policy limits and court costs and awarded Irwin his

attorney’s fees.

Allstate appealed the award of attorney’s fees. The court of appeals affirmed the award,

holding that the UDJA was properly invoked to determine Irwin’s entitlement to UIM benefits

under the policy and a proper basis for the award of attorney’s fees. 606 S.W.3d at 778–80.

Allstate appeals, complaining that Irwin’s use of the UDJA to determine his contractual rights

and to seek attorney’s fees in a UIM case impermissibly circumvents this Court’s decision in

Brainard.

II

Brainard was a vehicular accident case that involved a similar underinsured motorist

claim. As in this case, the insured sought UIM benefits from his insurance carrier after settling

for the other driver’s policy limits. Brainard, 216 S.W.3d at 811. The insured settled his tort

claim before obtaining a judgment against the third-party tortfeasor. Id. at 811–12. Because

3 there had been no determination of liability and damages in the underlying tort case, the carrier

declined to pay the UIM claim. Id. at 811. The insured sued for breach of contract. In the

ensuing lawsuit, a jury determined liability and damages in the underlying tort case. Id. at 812.

Based on the jury’s findings as to the third-party tortfeasor’s liability and the insured’s damages,

the trial court rendered judgment for the insured, awarding UIM benefits under the policy and

attorney’s fees under Chapter 38 of the Civil Practice and Remedies Code. Id.; see TEX. CIV.

PRAC. & REM. CODE § 38.001(8) (authorizing the recovery of attorney’s fees in a successful

breach-of-contract suit).

In the appeal that followed, we reversed the award of attorney’s fees, observing that the

insurance carrier had not breached the policy by refusing to pay UIM benefits, absent the

prerequisites for payment. Brainard, 216 S.W.3d at 818. We reasoned that the carrier was

under no legal obligation to pay those benefits until the insured obtained a judgment establishing

the liability and underinsured status of the other motorist. Id. Until those determinations are

made, we explained, “no contractual duty to pay” arises and “no just amount [is] owed.” Id.

And, without a liquidated amount due under the contract, no basis existed for an award of

attorney’s fees under Chapter 38. Id. at 819. In passing, however, we noted that the insured is

not required to litigate these issues against the third-party tortfeasor, but may instead settle the

tort claim and litigate UIM coverage with the insurer. Id. at 818.

Brainard does not explain what form this litigation should take beyond commenting on

the unique nature of the UIM contract, which conditions benefits “upon the insured’s legal

entitlement to receive damages from a third party.” Id. UIM claims are, of course, “contractual

4 in nature.” Allstate Ins. Co. v. Bonner, 51 S.W.3d 289, 291 (Tex. 2001). “[A]lthough ultimate

recovery in this type of action depends upon proof of damages due to the tort of an uninsured [or

underinsured] third party, the cause of action against the insurer arises by reason of the written

contract.” Franco v. Allstate Ins. Co., 505 S.W.2d 789, 791–92 (Tex. 1974). Thus, the litigation

between the insured and his carrier is on the UIM contract but not for its breach, which cannot

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