Crystal Bingham Hernandez v. Tiffany Polley

CourtCourt of Appeals of Texas
DecidedAugust 30, 2016
Docket03-15-00384-CV
StatusPublished

This text of Crystal Bingham Hernandez v. Tiffany Polley (Crystal Bingham Hernandez v. Tiffany Polley) 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
Crystal Bingham Hernandez v. Tiffany Polley, (Tex. Ct. App. 2016).

Opinion

TEXAS COURT OF APPEALS, THIRD DISTRICT, AT AUSTIN

NO. 03-15-00384-CV

Crystal Bingham Hernandez, Appellant

v.

Tiffany Polley, Appellee

FROM THE COUNTY COURT AT LAW NO. 2 OF TOM GREEN COUNTY, NO. 12C482-L2, HONORABLE PENNY ANNE ROBERTS, JUDGE PRESIDING

MEMORANDUM OPINION

Crystal Bingham Hernandez appeals from the trial court’s judgment dismissing her

case with prejudice as a sanction for failure to comply with a court order to respond to written

discovery propounded by Tiffany Polley. For the reasons that follow, we reverse and remand.

BACKGROUND

Following an automobile accident in 2010, Hernandez sued Polley and

Patricia Michelle Rose in 2012, alleging that Rose had negligently rear-ended her vehicle and that

Polley had negligently entrusted her vehicle to Rose.1 In 2011, Polley’s automobile insurer,

Reinsurance Company of America (RCA), was placed into liquidation proceedings by an Illinois

1 Following dismissal of Hernandez’s claims against Polley, the trial court severed her claims against Rose, making the judgment dismissing her claims against Polley final. Hernandez’s claims against Rose are therefore not at issue in this appeal. court and designated an “impaired insurer” by the Texas Commissioner of Insurance pursuant to the

Texas Property and Casualty Insurance Guaranty Act. See Tex. Ins. Code §§ 462.001–.351 (the

Guaranty Act). As a result, the Texas Property & Casualty Insurance Guaranty Association

(TPCIGA) became responsible for the administration of claims filed against parties insured by RCA,

including Hernandez’s claims against Polley. See generally id. §§ 462.301–.311 (setting out

TPCIGA’s duties relating to covered claims). Under the Guaranty Act, a plaintiff asserting a claim

against an impaired insurer or its insured must first exhaust her rights under any other insurance

available to her, and the amount payable by TPCIGA and the liability of the insured defendant are

reduced by the full applicable limits of the plaintiff’s other insurance. See id. §§ 462.251–.253. In

March 2013, Polley served discovery on Hernandez seeking to determine the total amount of money

paid on behalf of Hernandez by any other insurance policy. Among the discovery requests were that

Hernandez sign an Affidavit Regarding Other Insurance stating the total amount of benefits received

for injuries and other damages caused by the accident with Rose and that she provide Explanation

of Benefits (EOB) documentation from any insurance companies making such benefit payments.

In July 2013, Polley filed a motion to compel and plea in abatement. Polley asked

the court to compel Hernandez to provide complete answers to discovery and to abate the proceeding

until Hernandez had complied. On September 19, 2013, Hernandez filed responses to Polley’s

request for production that included an executed Affidavit Regarding Other Insurance and an

executed authorization for release of protected health information. Although the affidavit was

otherwise completed and notarized, Hernandez failed to fill in a blank on the affidavit asking for the

total dollar amount of benefits received through other insurance policies. On September 27, 2013,

2 the trial court signed an agreed order granting Polley’s motion to compel and plea in abatement and

requiring Hernandez to produce “satisfactory responses to Defendant’s Request for Production and

First Set of Interrogatories, including the properly executed Affidavit Regarding Other Insurance and

attachments . . . as well as any and all Explanation of Benefit documentation.” On June 6, 2014,

Polley filed a motion to dismiss and for sanctions, asking the trial court to dismiss Hernandez’s

claims for failure to comply with the agreed order and to order Hernandez to pay Polley’s attorneys

fees, expenses of discovery, and taxable court costs.

A hearing was held on Polley’s motion to dismiss and for sanctions on

October 7, 2014. Counsel for Polley announced that Hernandez had just produced the applicable

insurance policy, that there remained outstanding requests, and that the parties had reached an

agreement that Hernandez would produce the remaining documents by November 17, 2014.

Hernandez’s attorney explained that he had been working to get the requested information and that

“today we have identified . . . some items outside of the agreed order” that still needed to be

produced. He further stated that he had identified three sets of documents—medical records—that

were necessary to comply with all of Polley’s requests. Counsel for Polley did not dispute that

statement but added, “And the fourth was given to me a moment ago.”2 Based on these

representations by counsel, the trial court did not rule on the motion to dismiss and for sanctions but

orally warned counsel for Hernandez that “if [Polley’s attorney] doesn’t have everything he should

2 Counsel for Hernandez later reiterated: “Just to make it very clear, it’s three sets of records. One is La Esperanza medical records, one is La Esperanza medical bills, and then the other one’s Del Mar bills. . . . And everything else has been complied with, there’s nothing else.” Polley’s attorney did not dispute this statement.

3 have under the prior motions and by [the agreed date], I’m going to grant his motion to dismiss.”

The trial court then added:

I understand that you are at the mercy of others when you try to get requests for documents, but a year is more than enough time. . . . I’m going to revisit his motion, and I’m more than likely based on today looking at the file, I’m going to grant his motion, but I’ll certainly listen to things, but its just past time for him to be given his information.

There was no discussion at the hearing concerning the Affidavit Regarding Other Insurance or any

EOB documentation.

The next day, Hernandez filed a response to Polley’s motion to dismiss and for

sanctions. Attached to the response were the medical records discussed at the hearing, EOB

documentation from NexClaim Recoveries on behalf of WEB-TPA Employer Services, LLC, and

from Cigna, and the Affidavit Regarding Other Insurance.3 The documentation from Cigna included

a cover letter transmitting an EOB form reflecting the amount paid by Cigna and the amount owed

by Hernandez. The documentation from NexClaim consisted of a cover letter stating that WEB-TPA

had paid $2,840.24 on behalf of Hernandez and a Claim History itemizing the provider names, dates

of service, and amounts the insurer paid. At the top of the Claim History was the handwritten figure

of $2,840.24. The affidavit was unchanged from the prior production and still contained a blank for

the amount paid on behalf of Hernandez by any other insurance company.

3 In prior responses to Polley’s request for production, Hernandez had identified WEB-TPA and Cigna as having paid some medical expenses.

4 A second hearing on Polley’s motion to dismiss and for sanctions was held on

January 8, 2015. Hernandez’s attorney contended that he had produced the medical records

discussed at the prior hearing and “everything else” had been provided. Counsel for Polley stated

that there were “two things that [were] missing that are critical.” He explained that the missing

documents were a fully completed affidavit stating the amount received from other insurance—the

affidavit still contained a blank—and EOB documentation. Specifically, he sought an actual EOB

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