Insurance Corp. of Hannover v. Polk

262 S.W.3d 120, 2008 WL 2761259
CourtCourt of Appeals of Texas
DecidedAugust 21, 2008
Docket11-06-00336-CV
StatusPublished

This text of 262 S.W.3d 120 (Insurance Corp. of Hannover v. Polk) 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
Insurance Corp. of Hannover v. Polk, 262 S.W.3d 120, 2008 WL 2761259 (Tex. Ct. App. 2008).

Opinion

OPINION

JIM R. WRIGHT, Chief Justice.

Judy Polk and Marcia Moore sued Insurance Corporation of Hannover alleging breach of an insurance policy, breach of the duty of good faith and fair dealing, and violations of the Texas Insurance Code. 1 Following a bench trial, the trial court entered a judgment in favor of Polk and Moore on their claims. The trial court awarded Polk and Moore actual damages in the amount of $40,000 and extra-contractual damages under the Insurance Code in the amount of $120,000. The trial court also awarded Polk and Moore attorney’s fees, prejudgment interest on the actual damages awarded, postjudgment interest, and court costs. Hannover attacks the trial court’s judgment in seven issues. We modify the amount of damages awarded by the trial court, and we affirm the judgment as modified.

Background Facts

Polk and Moore owned a thoroughbred racing horse named Smart Score. Hann-over issued Polk and Moore an equine-livestock mortality insurance policy. Under the policy, Smart Score was insured for $40,000. The policy had a policy period from June 28, 2002, to June 28, 2003. The policy also contained a thirty-day extension clause. The extension clause provided that “this [ijnsurance is extended to cover the death of any animal insured occurring within thirty (30) days after the expiration date [of the policy] as the result of any accident occurring, or illness or disease manifesting itself, during the [policy period].”

During the policy period, Smart Score fractured his right knee. On May 31, 2003, Dr. Wes Vogt x-rayed Smart Score’s right knee, and the X-rays showed that Smart Score had fractures in it. On June 30, 2003, Dr. Stephen K. Derwelis took X- *124 rays of both of Smart Score’s knees. These X-rays showed that Smart Score had fractures in both of his knees. Dr. Derwelis scheduled surgery to repair Smart Score’s knees on July 2, 2003. Hannover agreed that, if Smart Score died during the surgery, his death would be covered under the thirty-day extension clause in the policy. Dr. Derwelis performed the surgery on July 2, 2003. After the surgery, Dr. Derwelis reported that Smart Score’s prognosis for life was good, and Dr. Derwelis believed that Smart Score might be able to return to racing. On July 5, 2003, Dr. Derwelis discharged Smart Score from his care, and Smart Score’s trainer Richard Joe Hodges transported Smart Score to a stall at a racetrack in Ruidoso, New Mexico.

On July 14, 2003, at about 6:30 a.m., Dr. Michael Lynn Fox received a telephone call that Smart Score needed treatment in his stall. Dr. Fox arrived at Smart Score’s stall and found that Smart Score had bloody, projectile diarrhea. Dr. Fox diagnosed Smart Score with colitis. Dr. Fox hoped to stabilize Smart Score so that Smart Score could be transported to Dr. Derwelis’s office for further treatment. Dr. Fox administered IV fluids in an attempt to stabilize Smart Score. However, Smart Score could not be stabilized. Smart Score went down in his stall and could not get up. At about 11:15 a.m., it became necessary for Dr. Fox to euthanize Smart Score.

Polk and Moore asserted that Smart Score’s death was covered under the thirty-day extension clause in the policy. They submitted a proof of loss to Hann-over. Polk’s husband Jerry Don Polk handled the details of the claim. Richard Steven Klopp, a senior mortality claims specialist for Hannover, handled the claim on behalf of Hannover. The primary issue relating to the claim was whether Smart Score’s death, which was caused by the colitis, resulted from a condition that manifested itself during the policy period. If Smart Score’s death resulted from such a condition, then the policy provided coverage for the death under the thirty-day extension clause. Klopp believed that the colitis did not result from a condition that manifested itself during the policy period. Rather, he believed that the colitis was a “new” illness that first showed symptoms on July 14, 2003. Therefore, Klopp concluded that Smart Score’s death was not covered under the thirty-day extension clause in the policy. Instead, Klopp believed that Smart Score’s death fell within the policy period (June 28, 2003, to June 28, 2004) of a renewal policy. Klopp contended that Smart Score was insured for $5,000 under the renewal policy. Based on Klopp’s decision, Hannover denied Polk and Moore’s claim for coverage under the original policy and offered them $5,000 under the renewal policy; they did not accept the offer and filed this suit.

Proceedings in the Trial Court

Polk and Moore filed their original petition on October 31, 2003. They alleged that Smart Score had been injured in a race on or about May 25, 2003. They further alleged that Smart Score had died on July 14, 2003, as a result of surgery that had been performed to repair the injury that had occurred on or about May 25, 2003. Therefore, they alleged that Smart Score’s death was covered under the thirty-day extension clause in the policy. Polk and Moore alleged claims for breach of contract and breach of the duty of good faith and fair dealing. On December 5, 2003, Hannover filed its answer to the petition.

This cause was set for trial on May 22, 2006. The record shows that the parties received, at a minimum, about four months *125 notice of the trial setting. On April 21, 2006, Polk and Moore filed their first amended petition. They continued to allege claims for breach of contract and breach of the duty of good faith and fair dealing, and they added a claim for alleged violations of Chapter 541 of the Texas Insurance Code.

A dispute arose as to whether this cause was set for jury trial or nonjury trial. At a hearing on May 2, 2006, the trial court addressed the “issue as to whether or not a jury fee — a jury request was properly paid and requested.” Hannover wanted a jury trial, and Hannover’s counsel informed the trial court that it believed the case was on the jury docket. However, Hannover had failed to comply with the requirements for obtaining a jury trial under Tex.R. Civ. P. 216. Polk and Moore opposed a jury trial. Polk and Moore’s counsel informed the court that, in October 2005, he had determined that no jury fee had been paid and that, on a later occasion, he had again determined that no jury fee had been paid and that no jury request had been made.

On May 4, 2006, the trial court ruled that the case was set for a bench trial on May 22, 2006. On May 9, 2006, Hannover filed a written demand for jury trial. On May 12, 2006, Hannover filed a motion to strike the case from the nonjury docket and a motion for continuance. The record does not indicate whether Hannover attempted to obtain a hearing on these motions before the date of the trial setting. The bench trial began on May 24, 2006, instead of May 22, 2006. When the trial court called the case for trial, Hannover’s counsel stated that Hannover’s motion to strike the case from the nonjury docket and motion for continuance were pending. The trial court permitted Hannover to proceed on the motions. After hearing brief arguments from counsel, the trial court denied both motions, and the parties proceeded to trial.

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Bluebook (online)
262 S.W.3d 120, 2008 WL 2761259, Counsel Stack Legal Research, https://law.counselstack.com/opinion/insurance-corp-of-hannover-v-polk-texapp-2008.