Gamma Group, Inc. v. Home State County Mutual Insurance Co.

342 S.W.3d 762, 2011 WL 1810495
CourtCourt of Appeals of Texas
DecidedJune 9, 2011
Docket05-10-00070-CV
StatusPublished
Cited by5 cases

This text of 342 S.W.3d 762 (Gamma Group, Inc. v. Home State County Mutual Insurance Co.) 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
Gamma Group, Inc. v. Home State County Mutual Insurance Co., 342 S.W.3d 762, 2011 WL 1810495 (Tex. Ct. App. 2011).

Opinion

*764 OPINION

Opinion By Justice MYERS.

Gamma Group, Inc. appeals the trial court’s judgment granting Home State County Mutual Insurance Company’s motion for summary judgment on Gamma Group’s cause of action against Home State. The trial court granted the motion for summary judgment on the ground of res judicata. In one issue, Gamma Group contends the trial court erred in granting the motion for summary judgment. We affirm the trial court’s judgment.

BACKGROUND

This case involves a 1995 agreement between Home State, an insurance company issuing non-standard automobile-insurance policies, and Gamma Group, Home State’s agent for binding and adjusting the policies. The agency agreement provided Gamma Group would produce the policies, collect premiums, and adjust any liability claims of Home State’s insureds. Gamma Group also used the collected premiums to pay its commission and to pay Home State and its reinsurer, Transatlantic Reinsurance Co. (TRC). See Gamma Group, Inc. v. Transatlantic Reinsurance Co., 242 S.W.3d 203, 206 (Tex.App.-Dallas 2007, pet. denied). Home State had disagreements with Gamma Group over its performance as agent, and Home State withdrew from the arrangement and terminated the agency agreement effective January 1, 1999. See id. at 207. Following termination of the agreement, Gamma Group could no longer write new business on Home State policies, but Gamma Group remained responsible for adjusting claims made on policies issued during the term of the agency agreement (the run-off claims). Id. In 2002, Home State terminated Gamma Group’s servicing of run-off claims and hired Marshall Contract Adjustors to service those claims. Id. at 208. Home State and TRC paid over $4 million on the run-off claims. Id.

In the underlying suit, Home State and TRC alleged Gamma Group breached the agency agreement by failing to pay the claims adjusted by Marshall out of the premiums Gamma Group had collected. Because Gamma Group had not paid the claims but had retained the premiums, Home State and TRC were required to pay the claims out of their own funds. Home State and TRC sought recovery of the premiums Gamma Group improperly retained. Id.

Gamma Group filed a counterclaim against Home State alleging that under paragraph 6.2 of the agency agreement, Home State was liable to Gamma Group for any amounts Gamma Group owed TRC relating to the claims adjusted by Marshall. 1 Gamma Group stated that in the agency agreement, Home State had promised to be responsible for certain expenses, including “losses and loss adjustment expenses incurred at the direction of the Company [Home State].” Gamma Group alleged that because Home State had transferred the claims-adjustment responsibilities to Marshall, Home State was responsible for any losses and adjustment expenses incurred relating to Marshall. “Accordingly,” Gamma Group alleged, “if TRC was entitled to recover expenses allegedly incurred relating to the Marshall *765 Adjustors, Gamma is entitled to reimbursement from Home State.” The trial court found, and this Court agreed, “that settlements paid for ordinary claims are not expenses that can be attributed to Home State’s actions; they are losses caused by insureds under the policies.” Gamma Group, 242 S.W.3d at 209. The trial court determined that Gamma Group wrongfully retained some of the premiums, but the court also decided that Gamma Group was responsible for paying only the reasonable settlements and expenses out of the premiums. Id. at 208. We disagreed with the trial court on that issue and determined the trial court had implied a term, “reasonableness,” not present in the contract. Id. at 212. We remanded the case to the trial court for recalculation of the amount of damages. Id. at 215.

Gamma Group then filed this suit against Home State seeking indemnity under section 13.2 of the agency agreement for the unreasonable amounts of any settlements on the runoff claims adjusted by Marshall that Gamma Group was required to pay out of the premiums it had collected. Section 13.2 provided:

The Company [Home State] shall indemnify and hold the Agent [Gamma Group] harmless from any and all claims, demands, causes of action, damages, judgments and expenses (specifically including but not limited to attorney’s fees and the costs of court) which may be made against Agent and which arise, either directly or indirectly, out of any intentional action or inaction of the Company including, but not limited to, any such acts of negligence by the Company in connection with any rights or obligations of Company incurred in connection with this Agreement.

Gamma Group alleged that Home State acted intentionally and negligently in causing Marshall to adjust and settle claims for unreasonable amounts and that under section 13.2, Home State was obligated to indemnify Gamma Group from the unreasonable settlement amounts on claims adjusted by Marshall.

Home State moved for summary judgment on several grounds, including that the present suit was barred by res judica-ta. The trial court granted Home State’s motion for summary judgment on the specific ground that Gamma Group’s suit was barred by res judicata.

SUMMARY JUDGMENT

In its issue on appeal, Gamma Group contends the trial court erred in granting Home State’s motion for summary judgment. The standard for reviewing a traditional summary judgment is well established. See Nixon v. Mr. Prop. Mgmt. Co., 690 S.W.2d 546, 548-49 (Tex.1985); McAfee, Inc. v. Agilysys, Inc., 316 S.W.3d 820, 825 (TexApp.-Dallas 2010, no pet.). The movant has the burden of showing that no genuine issue of material fact exists and that it is entitled to judgment as a matter of law. Tex.R. Crv. P. 166a(c). In deciding whether a disputed material fact issue exists precluding summary judgment, evidence favorable to the nonmovant will be taken as true. Nixon, 690 S.W.2d at 549; In re Estate of Berry, 280 S.W.3d 478, 480 (Tex.App.-Dallas 2009, no pet.). Every reasonable inference must be indulged in favor of the nonmovant and any doubts resolved in its favor. City of Keller v. Wilson, 168 S.W.3d 802, 824 (Tex.2005). We review a summary judgment de novo to determine whether a party’s right to prevail is established as a matter of law. Dickey v. Club Corp., 12 S.W.3d 172, 175 (Tex.App.-Dallas 2000, pet. denied). When, as here, the trial court specifies the ground on which the motion for summary judgment was granted, the court of appeals should consider the ground ruled on *766

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342 S.W.3d 762, 2011 WL 1810495, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gamma-group-inc-v-home-state-county-mutual-insurance-co-texapp-2011.