City of Dallas, Self Insured v. in the Matter of Charlie Jaimes, Elvia Jaimes, Beneficiary

Court of Appeals of Texas·Decided March 27, 2024·No. 05-22-00818-CV·Published

Opinion

Affirmed and Opinion Filed March 27, 2024

S In The

Court of Appeals

Fifth District of Texas at Dallas No. 05-22-00818-CV

IN THE MATTER OF CHARLIE JAIMES, DECEASED

On Appeal from the 382nd Judicial District Court Rockwall County, Texas

Trial Court Cause No. 1-18-0209

MEMORANDUM OPINION

Before Justices Nowell, Goldstein, and Breedlove Opinion by Justice Goldstein Appellant, the City of Dallas, appeals a trial court judgment in favor of

appellee Elvia Jaimes, as the claimant in a worker’s compensation claim against the City. In three issues, the City asserts that the trial court erred (1) by denying the City’s limitations defense, (2) because the evidence conclusively established that Elvia1 failed to timely file a claim for death benefits, and (3) because the evidence conclusively established that the City’s claims-servicing contractor timely contested Elvia’s claim for death benefits. We affirm in this memorandum opinion. See TEX. R. APP. P. 47.4.

1 We refer to appellee by her first name as she shares a surname with the decedent.

BACKGROUND

Elvia’s husband Charlie worked as a firefighter for the City, a self-insured worker’s compensation provider. In 2011, Charlie was diagnosed with glioblastoma, a type of brain cancer. He filed a claim for occupational disease injury with the Department of Insurance, Division of Workers’ Compensation (Division), which the City denied.

On June 2014, Charlie died as a result of the cancer, and Elvia filed a claim for death benefits in April 2016. The City disputed Elvia’s claim in part on the ground that she did not bring the claim within one year of Charlie’s death. Elvia responded that the City waived that defense by failing to timely assert it. The contested case was tried before an administrative law judge (ALJ).

On October 3, 2017, the ALJ issued his decision and order. The ALJ found in favor of Elvia on the compensability of Charlie’s occupational injury, but in favor of the City on the claim for death benefits. Both parties appealed to the Division. On January 10, 2018, the Division notified the parties of its decision adopting the ALJ’s decision and order. Both parties filed lawsuits seeking judicial review of the appeals panel’s decision, and the two lawsuits were consolidated.

Elvia filed her original petition on February 23, 2018, averring the ALJ and the appeals panel wrongly denied her claim for death benefits. In the petition, Elvia incorrectly listed the City of Rockwall as the defendant. However, attached to the petition was the ALJ’s decision and order and the appeals panel’s decision adopting

same. Elvia’s process server mailed the original petition and citation directed to the City’s registered agent, at the Marilla address for Dallas City Hall. On February 27, 2018, Elvia filed her first amended petition, which still incorrectly listed the City of Rockwall as the defendant, failed to include the attachments, but again listed the City of Dallas address for service. Elvia’s second amended petition, filed on March 8, 2018, corrected the mistake and listed the City as the defendant.

The City filed an answer, asserting among other things the affirmative defense of limitations, as well as a motion for summary judgment on the ground that Elvia’s claim was filed outside the forty-five-day limitations period. The City acknowledged that Elvia’s original petition was timely, but argued that the original petition misidentified the City of Rockwall as the defendant. Notwithstanding the correct identification of the defendant in the second amended petition, the City contended it was untimely because of the misidentification and therefore the limitations period was not tolled. Elvia responded that her second amended petition related back to the filing of her original petition because her mistake in identifying the correct defendant was a misnomer, not a misidentification. The trial court denied the City’s motion.

On May 21, 2021, the City nonsuited its claim for judicial review, and on April 11, 2022, the parties proceeded to jury trial on Elvia’s claim for death benefits. Both parties submitted a proposed jury charge prior to trial. The City’s proposed charge included Question 4, which asked:

Did Elvia Jaimes file a lawsuit against City of Dallas not later than the 45th day after the date on which the Texas Department of Insurance, Division of Workers’ Compensation mailed Elvia Jaimes the decision of the Texas Department of Insurance, Division of Workers’

Compensation Appeals Panel?

At the charge conference, the trial court declined to include Question 4 in the charge, explaining its decision as follows:

THE COURT: Okay. As it relates to question number four, the Court is not submitting that to the jury because I don’t think there’s a disputed fact issue for them to decide. That issue has been addressed in an extensive Motion for Summary Judgment, and I think there’s no question that the lawsuit was filed. It named the wrong defendant at one time and it was later cured, naming the right defendant. So I think it’s a question of law, which you do have set up for an appeal, if necessary, as a result of my ruling on the Motion for Summary Judgment.

The case was therefore submitted to the jury on three questions:

(1) Did Elvia Jaimes file a claim for death benefits with the Texas Department of Insurance, Division of Workers’ Compensation within one year of June 9, 2014, the date of Charlie Jaimes’ death?

(2) Did Elvia Jaimes have good cause for delay in filing a claim for death benefits with the Texas Department of Insurance, Division of Workers’ Compensation?

(3) Did City of Dallas fail to contest Elvia Jaimes’ claim for death benefits within 60 days after the date on which the City’s claims servicing contractor received notification of the death resulting from an injury to Charlie Jaimes?

The jury answered “No” to Question 1 and “Yes” to Questions 2 and 3. The trial court entered judgment on the verdict in Elvia’s favor. The City filed a motion for new trial, complaining of the trial court’s refusal to include Question 4 in the charge. The trial court did not rule on the motion for new trial, and it was denied by operation of law. See TEX. R. CIV. P. 329b(c). This appeal followed.

DISCUSSION

I. LIMITATIONS In its first issue, the City asserts that the trial court erred by “not granting [its]

affirmative defense of limitations,” referring to the forty-five-day period during which a claimant must seek judicial review of a worker’s compensation denial. See TEX. LAB. CODE ANN. § 410.252(a). The City concedes that Elvia timely filed her original petition but erroneously listed the City of Rockwall as Charlie’s employer. The City argues that this was a misidentification, which does not toll the limitations period. Therefore, according to the City, by the time Elvia filed a petition correctly naming the City as the proper defendant, the limitations period had expired. Elvia responds that the clerical mistake2 in naming the proper defendant was a misnomer and not a misidentification, and thus the limitations period was tolled.

We first address Elvia’s waiver argument that the City failed to preserve this complaint for appeal because the City’s opening brief does not properly assign error to any specific ruling in which the trial court failed to “grant” the City’s limitations defense. In its reply brief, the City argues that it preserved both the trial court’s denial of the City’s motion for summary judgment and the trial court’s refusal to include Question 4, the City’s proposed jury question on limitations, in the jury charge.

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