Chandler v. Jorge A. Gutierrez, P.C.

906 S.W.2d 195, 1995 WL 509215
CourtCourt of Appeals of Texas
DecidedOctober 11, 1995
Docket03-94-00683-CV
StatusPublished
Cited by21 cases

This text of 906 S.W.2d 195 (Chandler v. Jorge A. Gutierrez, P.C.) 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
Chandler v. Jorge A. Gutierrez, P.C., 906 S.W.2d 195, 1995 WL 509215 (Tex. Ct. App. 1995).

Opinion

ABOUSSIE, Justice.

This cause addresses the failure of a claimant to timely file a proof of claim with the receiver of an insolvent insurance company when the claims were unknown and could not have been known until after the filing deadline had passed. Claimant Preston J. Chandler Jr. and Preston J. Chandler, Jr., a Professional Association, appeal the trial court’s grant of summary judgment in favor of ap-pellees Jorge Gutierrez, P.C., as special deputy receiver for Empire Casualty Company, and J. Robert Hunter, Commissioner of the Texas Department of Insurance, in his capacity as permanent ancillary receiver for Empire Casualty Company (collectively, the “Receiver”). We will affirm the trial court’s judgment.

FACTUAL BACKGROUND

Between 1976 and 1983, Empire Casualty Company (“Empire”) issued a series of occurrence liability policies to Chandler, a plastic surgeon. The insurance policies covered claims against Chandler, even if those claims were asserted after the policy periods expired, as long as Chandler’s acts or omissions gave rise to an occurrence diming the covered policy periods.

In 1989, a court order placed Empire into permanent receivership and appointed the Receiver. The Texas Commissioner of Insurance also ordered that Empire be designated an “impaired insurer” subject to the provisions of article 21.28-C of the Insurance Code. See Texas Property and Casualty Guaranty Act (“Guaranty Act”), Tex.Ins. Code Ann. art. 21.28-C (West Supp.1995). 1 The Receiver notified Chandler that because of Empire’s placement in receivership, all claims against Empire had to be filed by September 30, 1989. Aware of one claim against him falling within the scope of Empire’s coverage, Chandler filed a timely proof of claim form with the Receiver. The Receiver partially approved Chandler’s claim.

Beginning in late 1991 and 1992, a number of Chandler’s former patients sued him, alleging injuries resulting from exposure to silicone gel breast implants performed by Chandler. Some of the lawsuits alleged occurrence dates falling within Chandler’s coverage under Empire insurance policies. By letter dated December 14, 1992, Chandler notified the Receiver about six of these lawsuits and requested coverage from Empire. Chandler filed a new proof of claim with the Receiver on March 9, 1994, based on all present and future breast implant law suits against Chandler covered under his Empire insurance policies.

*198 The Receiver rejected Chandler’s second proof of claim form on March 11, 1994, stating that Chandler filed the claim after the September 30, 1989, filing deadline. On cross-motions for summary judgment, the trial court affirmed the Receiver’s determination. Chandler appeals by two points of error, arguing that the trial court erred in granting the Receiver’s motion for summary judgment and in denying his motion for partial summary judgment.

DISCUSSION

Article 21.28 of the Insurance Code clearly sets forth the statutory requirement for filing claims against insolvent insurance companies placed in receivership. Claims shall be presented to the receiver within the deadline set by the receivership court. Tex.Ins.Code Ann. art. 21.28, § 3(a) (West Supp.1995). Proof of claim forms may be filed subsequent to the filing deadline, but no later than one year after entry of the court order specifying the filing deadline. Act of June 1,1987, 70th Leg., R.S., ch. 1073, § 33, 1987 Tex.Gen. Laws 3610, 3646 (Tex.Ins.Code Ann. art. 21.28, § 3(b), since amended) (hereinafter “1987 Act”). Claims filed more than one year after the entry of the court’s order designating the filing deadline will not participate in any distribution of receivership assets. Id. On appeal, Chandler does not dispute that he filed his second proof of claim after the fifing deadline set by the receivership court. Instead, he argues that his claim should not be barred by the Receiver for late fifing, asserting that: (1) the late fifing of a claim with a receiver does not change the claim’s status as a “covered claim” under the Guaranty Act; (2) the fifing deadline applies only to claims of which the claimant has knowledge during the fifing period; (3) late fifing may be excused on grounds of impossibility of performance from absence of knowledge of the claims; (4) late filed proof of claim forms can relate back to the date of timely filed claims; and (5) late filed proof of claim forms can amend timely filed claims. We address each of Chandler’s arguments in turn.

I. Article 21.28 and the Guaranty Act (Article 21.28-C)

Two Insurance Code articles govern the receivership proceedings underlying the instant cause: (1) article 21.28, outlining the general statutory duties of conservators and receivers, and (2) the Guaranty Act, establishing an association (the “Association”) of all licensed property and casualty insurers in Texas to maintain a fund (the “Fund”) financed through assessments of solvent member insurers for the purpose of paying impaired insurers’ obligations for statutorily defined “covered claims.” 2 Guaranty Act §§ 6, 8(c). Chandler assumes his claim can be categorized as a covered claim under the Guaranty Act and initially argues that the time bar specified by article 21.28 does not bar the processing of covered claims under the Guaranty Act because neither article 21.28 nor the Guaranty Act specifically outline a time-bar provision for fifing claims under the Guaranty Act. 3 In other words, Chandler asserts that two claims fifing procedures exist: one with a limitations period governing claims payable out of assets of the receivership estate, and one with no limitations period governing claims payable under *199 the Guaranty Act. See Nunez v. Autry, 884 S.W.2d 199, 202 (Tex.App.—Austin 1994, no writ) (distinguishing recovery from corporate assets of insurance company in receivership from recovery from Fund). We disagree.

Under article 21.28, each claimant of an insolvent insurance company placed into receivership must timely present a proof of claim with the receiver. Tex.Ins.Code Ann. art. 21.28, § 3(a). The receiver may approve or reject any claim filed against the insolvent insurer. Id. § 3(h) (West Supp.1995). The Guaranty Act, including its provisions for the funding of covered claims, operates alongside article 21.28: it “shall not be construed to impose restrictions or limitations upon the authority granted ... the receiver elsewhere in the Insurance Code ... but shall be construed and authorized for use in conjunction with other portions of the Insurance Code dealing with delinquency proceedings.” Act of May 12,1971, 62d Leg., R.S., ch. 360, § 1, 1971 Tex.Gen.Laws 1362,1366 (Tex.Ins.Code Ann. art. 21.28-C, § 10, since amended) (emphasis added). In accord with article 21.28, the Guaranty Act provides specific directions for a receiver’s handling of covered claims, expressly providing that the receiver process and act upon covered claims “in the same manner as other claims as provided in Article 21.28 of the Insurance Code and as ordered by the [receivership] court.” Id. at 1366-67 (Tex.Ins.Code Ann. art.

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Bluebook (online)
906 S.W.2d 195, 1995 WL 509215, Counsel Stack Legal Research, https://law.counselstack.com/opinion/chandler-v-jorge-a-gutierrez-pc-texapp-1995.