Bertoldo Balderas, as Next Friend of Rigoverto Balderas v. Zurich American Insurance Company

CourtCourt of Appeals of Texas
DecidedApril 28, 2022
Docket14-20-00262-CV
StatusPublished

This text of Bertoldo Balderas, as Next Friend of Rigoverto Balderas v. Zurich American Insurance Company (Bertoldo Balderas, as Next Friend of Rigoverto Balderas v. Zurich American Insurance Company) 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
Bertoldo Balderas, as Next Friend of Rigoverto Balderas v. Zurich American Insurance Company, (Tex. Ct. App. 2022).

Opinion

Affirmed and Memorandum Opinion filed April 28, 2022.

In The

Fourteenth Court of Appeals

NO. 14-20-00262-CV

BERTOLDO BALDERAS, AS NEXT FRIEND OF RIGOVERTO BALDERAS, Appellant V.

ZURICH AMERICAN INSURANCE COMPANY, Appellee

On Appeal from the 55th District Court Harris County, Texas Trial Court Cause No. 2017-81573

MEMORANDUM OPINION

The Texas Workers’ Compensation Act (“TWCA”) provides that the recovery of workers’ compensation benefits is the exclusive remedy for a legal beneficiary of an employee covered by workers’ compensation insurance for a work-related death or injury. Tex. Lab. Code Ann. § 408.001(a). If the employee is intoxicated at the time of the injury, then the TWCA bars the employee from recovering compensation from an insurance company. Id. § 406.032(1)(A). The TWCA further provides avenues for judicial review of an administrative decision by the Division of Workers’ Compensation (“DWC”) of the Texas Department of Insurance (“TDI”) regarding compensability or eligibility for the amount of income or death benefits. See Tex. Gov’t Code Ann. §§ 2001.171–.178; Tex. Lab. Code Ann. §§ 410.251, 410.252, 410.255, 410.301.

In this appeal, appellant Bertoldo Balderas, as next friend of his son Rigoverto Balderas, seeks review of the trial court’s judgment following an appeal from an adverse administrative decision by a DWC appeals panel.1 The trial court granted appellee Zurich American Insurance Company (“Zurich”) a partial summary judgment, ruling that Rigoverto’s employer was CorTech, LLC (“CorTech”) and that CorTech had a workers’ compensation insurance policy issued by Zurich. Following a trial, the jury found Rigoverto was intoxicated at the time of his injury.

In six issues we have rephrased and reorganized, Bertoldo argues that the trial court erred by (1) giving deference to the decision by the administrative law judge (“ALJ”), (2) considering Zurich’s summary-judgment evidence, and (3) entering an interlocutory partial summary judgment that Rigoverto was an employee of CorTech, and further argues that (4) there is legally insufficient evidence that Rigoverto was intoxicated, (5) there was an error in the jury charge, and (6) the admission of Rigoverto’s laboratory blood results violated his constitutional rights and guarantees. We affirm.

I. BACKGROUND

At approximately 9:00 a.m. on December 17, 2015, Rigoverto sustained injuries while at work at Houston Foam Plastics (“HFP”). While in the process of

1 We will refer to Rigoverto and Bertoldo by their first names to avoid confusion.

2 dumping Styrofoam into a grinder, Rigoverto’s left arm was pulled into the machine, causing serious injuries to his left arm, upper left body, and his face. An ALJ determined that: (1) Rigoverto’s employer at the time of his injury was CorTech, who carried a workers’ compensation insurance policy issued by Zurich; and (2) Rigoverto was precluded from obtaining benefits under the policy because he was intoxicated at the time of his injury. Rigoverto pursued review by an administrative appeals panel, which affirmed the ALJ’s decision. Rigoverto then sought judicial review of the appeals panel’s decision in the district court. See Tex. Lab. Code Ann. §§ 410.251, 410.301(a).2

A. PARTIAL SUMMARY JUDGMENT

At the trial court, Zurich filed a traditional motion for partial summary judgment, arguing that CorTech was Rigoverto’s employer at the time of his injuries and that CorTech was covered by a workers’ compensation insurance policy issued by Zurich. Zurich attached multiple exhibits in support of its motion, including: copies of the decisions by the appeals panel and the ALJ; relevant pages of CorTech’s workers’ compensation insurance policy with Zurich; copies of Rigoverto’s pay checks for pay periods preceding his injury showing his employer as “Port City Staffing”; a Client Services Agreement between HFP and “Port City Staffing”; an Asset Purchase Agreement between CorTech and Job Express of Wyoming, Inc. (“Job Express”); Job Express’s assumed name certificate from the Texas Secretary of State for the name “Port City Staffing”; copies of Rigoverto’s

2 Bertoldo’s petition is not included in the clerk’s record on appeal. See Tex. Labor Code Ann. § 410.302(b) (“A trial under this subchapter is limited to issues decided by the appeals panel and on which judicial review is sought. The pleadings must specifically set forth the determinations of the appeals panel by which the party is aggrieved.”). Zurich does not argue or dispute that Bertoldo sought judicial review of a determination of Rigoverto’s employer at the time of his injury and whether Rigoverto’s employer was covered by a workers’ compensation insurance policy.

3 pay checks showing CorTech as his employer on the date of his injury, following the Asset Purchase Agreement completed on November 30, 2015; documentation from TDI showing CorTech carried a workers’ compensation policy issued by Zurich; an affidavit by Michael Greco, CorTech’s in-house counsel; and an affidavit by Stan Braun, Zurich’s adjuster assigned to Rigoverto’s claim.

Bertoldo filed his own competing traditional motion for partial summary judgment, arguing that Rigoverto’s employer was Port City Staffing and that Port City Staffing was not covered by a workers’ compensation insurance policy at the time of Rigoverto’s injuries. Bertoldo also objected to all of Zurich’s summary judgment exhibits. On November 14, 2018, without ruling on Bertoldo’s evidentiary objections, the trial court signed an interlocutory order granting Zurich’s partial motion for summary judgment and denying Bertoldo’s motion.

B. JURY TRIAL

Prior to trial on the issue of intoxication, Bertoldo filed a motion seeking to exclude the lab results of a blood test performed on Rigoverto at 10:16 a.m. on December 17, 2015 while Rigoverto was treated at a hospital, which showed Rigoverto’s blood alcohol concentration (“BAC”) to be 0.117.3 Bertoldo presented multiple arguments in support of his assertion that the lab results were unreliable and would mislead the trier of fact. Bertoldo supplemented his motion to exclude, arguing that the results were inadmissible under the Health Information Portability and Accountability Act (“HIPAA”) because Rigoverto did not consent to the blood test. The trial court denied Bertoldo’s motion to exclude.

At trial, Bertoldo presented testimony from Douglas Posey, M.D. (“Dr.

3 The hospital also performed another blood test at 12:30 p.m., which showed Rigoverto’s blood alcohol concentration to be 0.066. Rigoverto’s motion only sought exclusion of the results of the first blood test.

4 Posey”), an expert in forensic pathology and forensic toxicology. During Posey’s testimony, Bertoldo introduced part of Rigoverto’s medical records from the hospital into evidence, including records which revealed Rigoverto’s BAC of 0.117 at 10:16 a.m. Zurich presented testimony from Patricia Rosen, M.D. (“Dr. Rosen”), a medical toxicologist with board certifications in internal medicine, emergency medicine, and medical toxicology. Using a retrograde extrapolation calculation,4 Dr. Rosen testified that she estimated Rigoverto’s whole-blood BAC was 0.098 at 10:16 a.m. and 0.123 at the time of his injuries.

After the parties rested, Bertoldo moved for a directed verdict on the bases that no evidence was presented of Rigoverto’s whole-blood alcohol concentration, or Zurich did not present evidence demonstrating that Rigoverto did not have the normal use of his mental and physical faculties. See id. § 401.013(a) (defining “intoxication”); see also Tex. Penal Code Ann.

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Bertoldo Balderas, as Next Friend of Rigoverto Balderas v. Zurich American Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bertoldo-balderas-as-next-friend-of-rigoverto-balderas-v-zurich-american-texapp-2022.