Beneficial Personnel Services of Texas, Inc. v. Rey

927 S.W.2d 157, 1996 WL 354416
CourtCourt of Appeals of Texas
DecidedAugust 14, 1996
Docket08-95-00185-CV
StatusPublished
Cited by32 cases

This text of 927 S.W.2d 157 (Beneficial Personnel Services of Texas, Inc. v. Rey) 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
Beneficial Personnel Services of Texas, Inc. v. Rey, 927 S.W.2d 157, 1996 WL 354416 (Tex. Ct. App. 1996).

Opinion

OPINION

LARSEN, Justice.

This appeal stems from a judgment, following jury trial, favoring Ramon Rey against Beneficial Personnel Services of Texas, Inc. (“BPS”) and Business Staffing, Inc. (“BSI”). The parties stipulated that BPS breached its contract with Rey and the amount of his damages from the breach. The jury found that BPS committed fraud and that BPS and BSI operated as a single business enterprise. It assessed $103,000 in actual damages and $550,000 as exemplary damages. The trial court rendered judgment against both BPS and BSI. Defendants appeal.

FACTS

Ramon Rey is an oil field worker in west Texas. Before 1991, he was employed by White Well Service as a well service floor hand. Mr. Rey is forty-three years old and a legal resident of the United States. He was born in Mexico where he attended school only through the second grade. He is married to Teresa Rey and they have three children.

In 1991, Beneficial Personnel Services of Texas, Inc., an employee leasing company headquartered in The Woodlands, approached White Well’s owner. BPS/BSI proposed that White Well terminate all its employees, who would be immediately hired by BPS/BSI then leased back to White Well to perform exactly the same work. Johnny White, White Well Service’s owner, agreed to this arrangement, and fired all his employees, including Rey. They were then hired by BPS/BSI and leased back to White Well. As part of its agreement with White Well, BPS/ BSI provided administrative services for personnel, including payroll, a safety program, a “cafeteria plan,” and most importantly, benefits'for injuries compensable under the Texas Workers’ Compensation Act, which were to be provided by an insurance carrier not admitted to the Texas Workers’ Compensation system. That is, although BPS/BSI obligated itself to provide benefits, it would not be a subscriber to the Texas Workers’ Compensation Act.

When his employment was changed from White Well to BPS/BSI, Ramon Rey signed an agreement which provided (in Spanish):

3. WORKER’S COMPENSATION BENEFITS. BPS of Tx/BSI has agreed in the PERSONNEL LEASE AGREEMENT with its Client Company to provide worker’s compensation benefits provided by a non-admitted insurance carrier to EMPLOYEE for injuries compensable under the Texas Worker’s Compensation Act and similar acts of other jurisdictions (collectively referred to as the ‘Act’) while EMPLOYEE is assigned to CLIENT COMPANY and to waive (give up) their common law defensed [sic] against the EMPLOYEE as set forth in the corresponding Act. In exchange, the EMPLOYEE agrees to limit his/her recovery against BPS of Tx/BSI and CLIENT COMPANY for such compensable injuries to benefits allowed by the corresponding Act. These benefits are provided by a non-admitted insurance carrier.
Because our worker’s comp. Benefits are provided by a non-admitted carrier the New ‘Act’ requires that BPS of Tx/BSI provides you with the following statement:
“BPS of Tx/BSI DOES NOT have worker’s compensation insurance coverage to *163 protect you from damages because of work-related illness or injury.”

On May 12,1992, while servicing an oil rig, Rey injured his back. Rey was first examined by Dr. D.W. Davison who took x-rays, prescribed medication, and started Rey on physical therapy. When Rey’s condition did not improve, Dr. Davison referred Rey to Dr. Phillip Zeeck, an orthopedic surgeon. Dr. Zeeck first saw Rey on July 9, 1992. A Magnetic Resonance Imaging revealed that Rey had a herniated nucleus pulposus. Dr. Zeeck recommended a discography to be followed by a probable percutaneous disc excision. This surgery was initially scheduled for July, but was not performed when Dr. Zeeck was told that neither BPS/BSI nor its insurer would pay for the procedure. The evidence indicated that Kenneth Cobb, BPS/ BSI’s risk manager, made the decision to refuse payment for the surgery despite Dr. Zeeck’s recommendation and the concurrence of Amanda Romero, an R.N. and independent medical adviser hired by BPS/BSI to oversee Mr. Rey’s claim. 1 The surgery was finally performed on October 6, 1992. Dr. Zeeck released Rey to return to light duty in February 1993.

Rey’s injury resulted in an 8 percent impairment to his whole body, according to the AMA guidelines used by the Texas Workers’ Compensation Commission to establish disability ratings. BPS/BSI paid him nothing for his disability, however, until after he had filed suit. In addition, while he was injured, BPS/BSI paid Rey only $120 per week compensation, less than half the amount he would be entitled to receive under the Texas Workers’ Compensation Act. Over $4,000 in uncontroverted medical bills, likewise, were not paid.

BPS/BSI laid the blame for mishandling Rey’s claim on Risk Management Inc., a claims adjusting firm hired by BPS/BSI’s insurer. Amanda Romero testified that RMI was very hard to work with: her phone calls went unanswered, she could not get RMI to make treatment decisions, and its employees would ignore her recommendations for treatment and coverage. With Rey, RMI’s adjuster just wanted a disability rating and a release for Rey to return to work, despite the doctor’s diagnosis of a serious back injury and recommendation for surgery. Romero testified, moreover, that BPS/BSI had the same attitude towards claims, and that it was BPS/BSI that canceled Rey’s surgery, not anyone at RMI. BPS/BSI made no effort to explain why it did nothing to remedy the situation with RMI, which was its agent for handling the claims of injured employees. BPS/BSI’s president testified that the company stopped doing business with RMI only because its insurance policy was canceled, not because they were dissatisfied with RMI’s work.

The policy insuring BPS/BSI workers was issued through Corporate Underwriters, a company prohibited from doing business in Texas and located in the Turks and Caicos Islands. The insurance was a full retrospective policy, which meant that the insurer assumed no risk, and that dollar-for-dollar, every claim paid was the responsibility of BPS/BSI. To cover claims, BPS/BSI would deposit money in a designated bank account whenever the balance fell below a certain level.

One BPS/BSI officer testified that in November 1992, Corporate Underwriters suddenly canceled this policy. Shortly before this, RMI ceased adjusting claims or making benefit payments to BPS/BSI employees. BPS/BSI never offered any explanation for this cancellation; indeed, another officer testified, to the contrary, that the policy was not canceled, but that BPS/BSI made the decision to stop doing business with Corporate Underwriters.

Whatever happened, BPS/BSI then began handling employee benefit claims internally. No one ever researched the claims for underpayments or failures to pay, however, and *164 risk manager Kenneth Cobb testified that RMI’s manner of dealing with claimants was “not our problem.”

Following the presentation of the plaintiffs case, BSI moved for directed verdict. Rey moved to amend his petition, to include an allegation that BPS and BSI were a “single business enterprise.” The trial court granted the trial amendment and the issue was submitted to the jury.

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Cite This Page — Counsel Stack

Bluebook (online)
927 S.W.2d 157, 1996 WL 354416, Counsel Stack Legal Research, https://law.counselstack.com/opinion/beneficial-personnel-services-of-texas-inc-v-rey-texapp-1996.