Allstate Insurance Company v. Margaret Jordan

503 S.W.3d 450, 2016 Tex. App. LEXIS 8142, 2016 WL 6693896
Court of Appeals of Texas·Decided July 29, 2016·No. 06-15-00042-CV·Published·Cited by 16 cases

Opinion

OPINIÓN

Ralph K. Burgess Justice

Following an accident with an underin-sured motorist named Nickel Ford, Margaret 'Jordan sued Allstate Insurance Company under her underinsured motorist (UIM) benefits policy. 1 Jordan sought to recover the damages she suffered that were in excess of Ford’s GEICO $25,000.00 policy limits and the $2,500.00 that Allstate had already paid for personal injury protection (PIP). A jury determined that Jordan was entitled to recover a total of $30,000.00 for her past medical care expenses, but awarded nothing for other areas of requested damages, including past physical pain. The trial court entered a declaratory judgment establishing that Allstate was entitled to a $27,500.00 offset and that Jordan was entitled to recover $3,110.60,' including prejudgment interest, and attorney fees under the Uniform Declaratory Judgment Act (UDJA).

Both parties appeal from the trial court’s judgment. 2 Allstate argues that (1) entry of a declaratory judgment was inappropriate, (2) the attorney fees awarded pursuant to the UDJA should be overturned, and (3) the trial court erroneously *453 entered an unconditional award of attorney fees on appeal. By way of cross-appeal, Jordan argues that the jury’s finding of zero dollars in damages for past physical pain was against the great weight and preponderance of the evidence. We conclude that, while declaratory judgment was appropriate, Jordan was not entitled to recover attorney fees. We also find that factually sufficient evidence supported the jury’s zero dollar damage award for past physical pain. Accordingly, we modify the judgment by deleting the award of attorney fees and affirm the trial court’s judgment, as modified.

I. A Declaratory Judgment Is an Appropriate Means of Resolving the Damages Phase of UIM Benefits Litigation

Lawsuits to recover UIM benefits are procedurally unique, often requiring a suit within a suit. Under the Texas Insurance Code,

Underinsured motorist coverage must provide for payment to the insured of all amounts that the insured is legally entitled to recover as damages from owners or operators of underinsured motor vehicles because of bodily injury or property damage, not to exceed the limit specified in the insurance policy, and reduced by the amount recovered or recoverable from the insurer of the under-insured motor vehicle. .

Tex. Ins. Code Ann. § 1952.106 (West 2009). An insured can sue to recover UIM benefits, but “[a] motorist is underinsured [only] if the available proceeds of his liability insurance are insufficient to compensate for the injured party’s actual damages.” In re Arcababa, No. 10-13-00097-CV, 2013 WL 5890109, at *7 (Tex. App.Waco Oct. 31, 2013, orig. proceeding) (mem. op.) (citing Stracener v. United Servs. Auto Ass’n, 111 S.W.2d 378, 380 (Tex. 1989)); see Brainard v. Trinity Universal Ins. Co., 216 S.W.3d 809, 812 (Tex. 2006). Therefore, as a prerequisite to establishing entitlement to UIM benefits, a plaintiff must first establish (1) that she is legally entitled to recover from an underin-sured motorist and (2) that her damages exceed the policy limits of the underin-sured motorist’s policy. 3

A. Procedural History

Here, the issue of Ford’s liability was not contested at trial. 4 After Jordan determined that her damages exceeded the $25,000.00 limit of Ford’s GEICO policy, she Settled her claims against Ford, with Allstate’s permission, in exchange for payment of Ford’s policy limit. Thus, this case revolved around whether Jordan’s damages actually exceeded the limits of Ford’s policy.

After settling with Ford, Jordan continued to receive medical treatment. In light of her increasing medical bills, Jordán filed a claim with Allstate to recover her remaining damages, which Allstate denied.

*454 According to Allstate, Jordan was attempting to recover for injuries that were previously sustained or were the result of intervening and superseding causes. In addition to stating that Jordan’s injuries were not the result of the accident, Allstate’s answer asserted its rights to all legal offsets and credits against the amount of medical bills actually paid or incurred by Jordan.

Jordan sued Allstate following the denial of her claim. In her petition, she asserted causes of action for breach of contract and for a declaratory judgment, asking the trial court to make the following declarations:

a. that Plaintiffs claim for underinsured motorist benefits under the Policy as . a result of a motor vehicle. accident which occurred on or about August 5, 2010 [was] covered under the Policy;
[[Image here]]
c. that Plaintiff Jordan suffered compen-sable bodily injuries and damages as a result of that .motor vehicle accident;
d. that Plaintiff Jordan’s compensable damages resulting from that motor vehicle accident [were] in excess of the policy limits of [Ford’s GEICO policy];
e. of the amount of compensation to which Plaintiff Jordan [was] entitled as a result of the motor vehicle accident with Ford for her personal injury damages, both in the past and in the future; and,.
f. of the amount of benefits payable-by Defendant Allstate to Plaintiff Jordan under the Policy. [5]

On August 14, 2015, the trial court entered á modified judgment which decreed that the following facts were established in the dispute between the parties: (1) Jordan’s claim for underinsured motorist benefits was covered under the Policy, (2) Ford’s negligence was the proximate cause of the motor vehicle accident; (3) Jordan suffered compensable bodily injuries and damages as a result of the accident, (4) Jordan’s compensable damages were in excess of the policy limits of Ford’s GEICO policy, (5) Jordan was entitled to $30,000.00 for her personal injury damages, both in the past and in the future, and (6) after allowable credits, Allstate owed Jordan $3,110.60, including prejudgment interest. -■

B. Analysis of the Arguments

Allstate argues that the trial court’s declaratory judgment was improper for the following reasons: (1) Jordan’s claims did not implicate the UDJA; (2) under recent Texas Supreme Court precedent, the UDJA is not the proper vehicle for pursuing claims for underinsured motorists; and (3) declaratory relief is inappropriate where the true cause of action lies in breach of contract. We address and reject each argument in turn.

1. Jordan’s UIM Claim Implicates the UDJA

Free access — add to your briefcase to read the full text and ask questions with AI

Allstate Insurance Company v. Margaret Jordan, 503 S.W.3d 450, 2016 Tex. App. LEXIS 8142, 2016 WL 6693896 (Tex. Ct. App. 2016).

503 S.W.3d 450 (Allstate Insurance Company v. Margaret Jordan) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related