Allstate Property & Casualty Insurance Co. v. Gutierrez

281 S.W.3d 535, 2008 Tex. App. LEXIS 7382, 2008 WL 4445076
Court of Appeals of Texas·Decided October 2, 2008·No. 08-06-00247-CV·Published·Cited by 8 cases

Opinion

OPINION

DAVID WELLINGTON CHEW, Chief Justice.

Allstate Property and Casualty Insurance Company (“Allstate”) appeals from the judgment ordering it to pay Mr. Gutierrez damages in a breach of contract suit for failing to pay a claim under his uninsured motorist coverage in his policy. We reverse and render that Mr. Gutierrez take nothing in his suit against Allstate.

On November 14, 1999, Mr. Gutierrez was involved in a three-car accident with Mr. Alamo and Ms. Velasquez. Mr. Gutierrez was attempting a u-turn on Paisano Street when the cars struck his van. Mr. Gutierrez subsequently made a claim on his Allstate insurance policy under his uninsured motorist coverage. Allstate denied his claim stating that there was no uninsured motorist coverage for accidents where the policyholder is at fault. On November 12, 2003, Mr. Gutierrez brought suit against Allstate for breach of contract for failing to honor his claim under his uninsured motorist insurance coverage.

During the trial, Allstate introduced evidence through the testimony of Mr. Alamo and Mr. Robertson, a senior claims representative for Allstate, that Mr. Alamo and Ms. Velasquez had liability insurance at the time of the accident. Mr. Robertson also stated that Allstate determined that Mr. Gutierrez was at fault for the accident, and thus was not covered under his policy for claims involving uninsured motorists.

After the close of evidence, Allstate moved for directed verdict on the basis of the insurance coverage of the other driv *538 ers, which was denied. Allstate argued that the plaintiff only pled a breach of contract on the basis of his uninsured motorist coverage, not under-insured coverage, and, in fact, both other drivers had liability insurance. Plaintiff responded that what was pled was breach of contract whether it be uninsured or under-insured coverage, and the only reason for the denial was that Allstate felt Mr. Gutierrez was at fault. The court submitted two questions to the jury on the issues of negligence and damages. The jury found all the drivers negligent allocating 10 percent to Mr. Gutierrez, 50 percent to Mr. Alamo, and 40 percent to Ms. Velasquez. The jury awarded Mr. Gutierrez $2,000 for property damage, $10,000 for past physical pain, and $10,000 for future physical pain.

After the verdict, Allstate moved for entry of judgment based on the evidence of insurance coverage available to the other drivers and the application of Article 5.06-1(5) of the Texas Insurance Code. 1 Mr. Gutierrez responded that Allstate never pled the other drivers had insurance or that it was entitled to an offset because of that insurance coverage, and waived the right to a setoff. Mr. Gutierrez stated that the case was tried as one as to fault, and if he was not at fault then Allstate was liable. Allstate then filed a motion for leave to amend its pleadings, and had a hearing. The trial court reserved ruling on the motion to amend, and the same day entered a judgment on the verdict, but reduced the award to Mr. Gutierrez by 10 percent for his negligence in the accident for a total of $19,800. Appellant raises four issues on appeal: (1) whether undisputed evidence of liability insurance available to the other negligent drivers in an accident preclude a breach of contract claim for uninsured motorist coverage; (2) whether the trial court was required to offset Mr. Gutierrez’s damages with the amounts recoverable from the liability insurance available to the other drivers; (3) whether the failure of Mr. Gutierrez to introduce the relevant provisions of his Allstate policy preclude his breach of contract claim; and (4) whether the trial court abused its discretion by denying Allstate’s motion for leave to amend its answer.

The Texas Rules of Civil Procedure provide:

If evidence is objected to at the trial on the ground that it is not within the issues made by the pleading, or if during the trial any defect, fault or omission in a pleading, either in form or substance, is called to the attention of the court, the court may allow the pleadings to be amended and shall do so freely when the presentation of the merits of the action will be subserved thereby and the objecting party fails to satisfy the court that the allowance of such amendment would prejudice him in maintaining his action or defense upon the merits. The court may grant a postponement to enable the objecting party to meet such evidence.

Tex.R.Civ.P. 66.

Review of a denial of a motion for leave to amend pleadings is done under an abuse of discretion standard. State Bar of Texas v. Kilpatrick, 874 S.W.2d 656, 658 (Tex.1994). A reviewing court has no discretion to refuse an amendment unless the opposing party presents evidence of surprise or prejudice or the amendment asserts a new cause of action or defense, and thus is prejudicial on its face, and the opposing party objects to the *539 amendment. Greenhalgh v. Service Lloyds Ins. Co., 787 S.W.2d 938, 939 (Tex.1990), citing Hardin v. Hardin, 597 S.W.2d 347, 350-51 (Tex.1980). The burden of showing prejudice or surprise rests on the party resisting the amendment. Greenhalgh, 787 S.W.2d at 939. An amendment is mandatory if it is merely procedural in nature such as conforming the pleadings to the evidence at trial. Stephenson v. LeBoeuf, 16 S.W.3d 829, 839 (Tex.App.-Houston [14th Dist.] 2000, pet. denied), citing Chapin & Chapin, Inc. v. Texas Sand & Gravel Co., 844 S.W.2d 664, 665 (Tex.1992). An amendment is not mandatory if it changes the nature of the trial. See Chapin, 844 S.W.2d at 665. A proposed trial amendment that asserts a new cause of action may be prejudicial on its face, but this does not make it prejudicial as a matter of law. LeBoeuf, 16 S.W.3d at 839. The amendment must be evaluated in the context of the entire case. Id. To be prejudicial, the amendment must reshape the nature of the trial, the opposing party could not anticipate it in light of the development of the case up to the time the amendment was requested, and the opposing party’s presentation of the case would be detrimentally affected by the filing of the amendment. Id. In anticipating the amendment, it is not whether the opposing party did anticipate it, but rather whether it could have been anticipated. Id. It is well established that a party may amend its pleading after verdict but before judgment. Greenhalgh, 787 S.W.2d at 940.

Appellant filed a motion for leave to amend its pleadings to assert the affirmative defense of offset under Article 5.06-1(5) of the Texas Insurance Code and under Rule 93(15) of the Texas Rules of Civil Procedure that Mr. Gutierrez did not perform all conditions precedent as required by the policy.

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Allstate Property & Casualty Insurance Co. v. Gutierrez, 281 S.W.3d 535, 2008 Tex. App. LEXIS 7382, 2008 WL 4445076 (Tex. Ct. App. 2008).

281 S.W.3d 535 (Allstate Property & Casualty Insurance Co. v. Gutierrez) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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