Insurance Network of Texas v. Harvey & Diana Kloesel

CourtCourt of Appeals of Texas
DecidedApril 3, 2008
Docket13-05-00680-CV
StatusPublished

This text of Insurance Network of Texas v. Harvey & Diana Kloesel (Insurance Network of Texas v. Harvey & Diana Kloesel) 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 Network of Texas v. Harvey & Diana Kloesel, (Tex. Ct. App. 2008).

Opinion

NUMBER 13-05-680-CV

COURT OF APPEALS

THIRTEENTH DISTRICT OF TEXAS

CORPUS CHRISTI - EDINBURG

INSURANCE NETWORK OF TEXAS, Appellant,

v.

HARVEY & DIANA KLOESEL, ET AL., Appellees.

On appeal from the 2nd 25th District Court of Lavaca County, Texas.

OPINION

Before Justices Yañez, Rodriguez, and Garza Opinion by Justice Yañez

Harvey and Diana Kloesel, individually and d/b/a Kloesels’ Steakhouse, Inc. (“the

Kloesels”), sued appellant, Insurance Network of Texas (“INT”), for breach of contract,

negligence, and violations of the Texas Insurance Code and the Texas Deceptive Trade

Practices Act (“DTPA”). A jury found that INT acted negligently and violated the DTPA,

causing the Kloesels’ damages. INT subsequently appealed the trial court’s amended final judgment and the Kloesels cross-appealed. We affirm the trial court’s judgment as written.

I. BACKGROUND

A. Pretrial Background

Harvey and Diana Kloesel are married. They have owned and operated Kloesels’

Steakhouse in Moulton, Texas since 1970. INT is an independent insurance agency. In

1993, the Kloesels wanted a different insurance company to safeguard their restaurant.

The Kloesels approached Gary Nitsche, an insurance agent with INT, to discuss having

INT procure insurance for their restaurant.1 When INT first procured a policy for the

Kloesels, it obtained the policy from Providence Washington Insurance Company

(“Providence”), an admitted carrier, for the 1993–1994 policy year. The Providence policy

covered communicable disease claims. During that policy year, the Kloesels expressed

their intent to add a horse-and-carriage operation to their restaurant. As a result,

Providence opted not to renew the Kloesels’ policy, which was set to expire in October

1994. INT notified the Kloesels of the need to change carriers and subsequently procured

for them a general liability policy from Burlington Insurance Company (“Burlington”), a

surplus lines carrier, for the 1994–1995 policy year. The Burlington policy covered claims

arising from the horse-and-carriage operation, which began in November 1994, but

excluded communicable disease claims. The Kloesels paid the premiums for this policy

and renewed it for the 1995–1996, 1996–1997, and 1997–1998 policy years.

During the 1997–1998 policy year, over ninety customers contracted Hepatitis A at

the Kloesels’ restaurant; the Texas Department of Health concluded that this likely resulted

1 At the tim e of their conversation, and for a few years following, Insurance Network of Texas was nam ed W eber-Peters Insurance Agency. “INT” will be used to represent both nam es.

2 from a food handler being infected with Hepatitis A. The Kloesels filed claims under the

Burlington policy, but Burlington denied the claims based on the communicable disease

exclusion. Two separate lawsuits were then filed against the Kloesels by the Simpsons

and the Lairds—customers who had contracted Hepatitis A. Burlington defended the

Kloesels in these two lawsuits under a reservation of rights. On December 13, 1999, the

Simpsons obtained a judgment in their favor (the “Simpson judgment”) worth $242,625.

Eight months later, on August 31, 2000, the Lairds obtained a judgment in their favor (the

“Laird judgment”) worth $323,441. INT declined to cover the Kloesels for the amounts

owed under the Simpson and Laird judgments.

During the eight-month period between the Simpson and Laird judgments, the

Kloesels and the Simpsons entered into an agreement entitled “Assignment and Covenant

not to Execute.” Under the agreement, the Kloesels assigned to the Simpsons all

negligence and statutory causes of action the Kloesels had, or would have, against INT;

the assignment allowed the Simpsons to bring suit against INT in either their own name or

the Kloesels’ name. The Simpsons, in return, agreed not to collect from the Kloesels any

portion of the amount owed under the Simpson judgment. Burlington later filed a

declaratory judgment action in federal court, leading a district court for the Southern District

of Texas to conclude, on March 27, 2001, that “Burlington [was] not required to indemnify

[the Kloesels] for any damages recovered against [the Kloesels] based on [their] patrons

contracting Hepatitis A, since the Burlington policy contains an enforceable ‘communicable

disease’ exclusion.”

B. Trial Background

3 On March 11, 2005, after lengthy legal wrangling, the Kloesels brought suit against

INT through their fifth amended petition.2 The Kloesels’ suit proceeded to trial, where they

obtained a favorable jury verdict that concluded the following: (1) INT committed

negligence that proximately caused the Kloesels’ damages; (2) the Kloesels did not commit

negligence that proximately caused their damages; (3) INT was “100%” responsible for the

Kloesels’ damages; (4) INT knowingly made misrepresentations relating to the Kloesels’

insurance policy, thus causing their damages; (5) INT knowingly engaged in an

unconscionable action or course of action that was the producing cause of damages to the

Kloesels; (6) an award of $929,180.82 could reasonably compensate the Kloesels for their

damages; and (7) the Kloesels’ reasonable attorney’s fees are $150,000 for preparation

and trial, $50,000 for an appeal to this Court, and $25,000 for an appeal to the Texas

Supreme Court.

The trial court entered a final judgment on August 1, 2005, awarding the Kloesels

(1) $929,180.82 for damages, “together with prejudgment interest thereon at the annual

rate of 6.0% from April 15, 2005 through the date the judgment is signed”; (2) an award of

attorney’s fees in accordance with the returned jury charge; and (3) $4,574.97 for court

costs. INT filed motions for new trial and judgment notwithstanding the verdict (“JNOV”).

Though the motions were denied, the trial court—after considering arguments raised in

INT’s motions—denied recovery on the DTPA and insurance code allegations. As a result,

the court eliminated the award of attorney’s fees in its amended final judgment.

C. Interpreting the “Amended Final Judgment”

2 The Lairds were intervenors in this suit.

4 The trial court’s “Amended Final Judgment” differed from the “Final Judgment” in

that the amended judgment did not afford the Kloesels an award of attorney’s fees. The

trial court, in the amended judgment, provided the following explanation for the change:

[T]he Court entered Judgment based upon the Jury’s verdict and the Defendants filed a Motion for New Trial and Motion for Judgment N.O.V., which, after considering the response thereto and hearing argument of Counsel, the Court granted in part by denying recovery on the DTPA and Insurance Code allegations and affirming the remainder of the recovery. The Judgment previously entered by the court on August 1, 2005 is hereby amended . . . .3

We believe a question exists as to what exactly the trial court was “denying.” We see two

possibilities: (1) the trial court denied the jury’s findings that INT knowingly made

misrepresentations and engaged in unconscionable action, and denied the award of

attorney’s fees as a result of this decision; or (2) the trial court did not deny the

aforementioned findings, but determined independently of those findings that awarding

attorney’s fees under the DTPA was improper and should be denied.

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