ISG State Operations, Inc. v. National Heritage Insurance Company, Inc.

CourtCourt of Appeals of Texas
DecidedAugust 9, 2007
Docket11-05-00359-CV
StatusPublished

This text of ISG State Operations, Inc. v. National Heritage Insurance Company, Inc. (ISG State Operations, Inc. v. National Heritage Insurance Company, Inc.) 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
ISG State Operations, Inc. v. National Heritage Insurance Company, Inc., (Tex. Ct. App. 2007).

Opinion

Opinion filed August 9, 2007

Opinion filed August 9, 2007

                                                                        In The

    Eleventh Court of Appeals

                                                                   __________

                                                          No. 11-05-00359-CV

                            ISG STATE OPERATIONS, INC., Appellant

                                                             V.

          NATIONAL HERITAGE INSURANCE COMPANY, INC., Appellee

                                         On Appeal from the 250th District Court

                                                          Travis County, Texas

                                                 Trial Court Cause No. 95-11014

                                                                   O P I N I O N

ISG State Operations, Inc. sued National Heritage Insurance Company, Inc. (NHIC) contending that NHIC breached a contract and fraudulently made precontractual and post-contractual misrepresentations.  The trial court entered a directed verdict in NHIC=s favor on ISG=s fraudulent inducement cause of action, and the jury found for NHIC on ISG=s breach of contract and common-law fraud claims.  We affirm.

                                                             I.  Background Facts


NHIC, an Electronic Data Systems (EDS) subsidiary, was responsible for managing the State=s medicaid program.  Medical service providers submitted claims to NHIC for processing.  It verified the claim and paid the provider on the State=s behalf.  In 1992, NHIC signed a Memorandum of Understanding with the Texas Department of Human Services and agreed to participate in a program promoting Historically Underutilized Businesses (HUBs).  ISG is a minority-owned business and was certified as a HUB.  In 1993, NHIC contracted with ISG=s parent company to study possible outsourcing opportunities.  Service providers submitted claims on paper and electronically.  ISG recommended that paper and electronic claims processing be outsourced and that it be the recipient of that outsourcing.  In 1994, NHIC and ISG executed a contract that subcontracted paper B but not electronic B claim processing to ISG.[1] 

Problems soon developed.  As part of the Subcontract, 137 claims-handling employees were transferred from NHIC to ISG. NHIC made a fixed contract payment to ISG at the beginning of the month and a variable payment at the end of the month that was based upon the month=s actual claim count.  The claim count began decreasing, and NHIC=s end-of-the-month payment decreased correspondingly.  This created financial difficulties for ISG.  On more than one occasion, ISG failed to timely pay its employees.  NHIC advised ISG that this was a breach of the Subcontract and requested a corrective action plan.  ISG instead contacted the Texas Department of Health and complained that NHIC=s greed and manner of doing business was straining their future, that NHIC was acting out of racial jealousy, and that NHIC was forcing it out of business.

ISG=s operations manager resigned in May 1994 because of disagreements with ISG=s owner.  The replacement manager resigned in September 1994.  Several other employees and supervisors resigned because of work conditions.  After the departure of the second operations manager, ISG was unable to meet the Subcontract=s performance requirements.  NHIC sent ISG notices of default, and on August 25, 1995, NHIC terminated the Subcontract for failure to timely process claims.  


ISG sued NHIC and alleged that it was fraudulently induced into executing the Subcontract.  ISG alleged that NHIC represented that it would receive future electronic claims work and that ISG detrimentally relied upon NHIC=s representations by working on the Subcontract to the exclusion of all other work.  ISG also asserted causes of action for common-law fraud and breach of contract.  The trial court dismissed ISG=s fraudulent inducement claim by directed verdict.  The trial court submitted ISG=s breach of contract and common-law fraud claims to the jury.  The jury found against ISG, and the trial court entered a take- nothing judgment in NHIC=s favor.

                                                                       II.  Issues

ISG raises three issues on appeal.  First, it contends that the trial court abused its discretion by concluding that the merger clause precluded ISG=s cause of action for fraudulent inducement based on NHIC=s precontractual representations.  Second, ISG argues that the trial court erred by granting NHIC=s motion for directed verdict.  Third, it claims that the trial court abused its discretion by excluding evidence of precontractual representations by NHIC.

                                                                     III. Analysis

A.  Did the Trial Court Err by Granting a Directed Verdict on ISG=s Fraudulent Inducement Cause of Action?

1.  The Trial Court=s Rulings.

The trial court held a pretrial hearing on the parties= motions in limine and granted NHIC=s motion to preclude evidence of precontractual representations that were inconsistent with the Subcontract=s merger clause.[2]  After the jury was selected, ISG asked the trial court to reconsider this ruling.  ISG argued that it was not offering evidence of precontractual representations to vary the terms of the Subcontract but to show that, both before and after the Subcontract=s execution, NHIC promised that ISG would receive a separate contract for handling electronic claims.  The trial court expressed a concern over parol evidence being used to vary the Subcontract=s terms but indicated that ISG could offer evidence that NHIC had decided to give ISG a contract for electronic claims handling.


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