John T. Stephens v. State Farm Mutual Automobile Insurance Company

508 F.2d 1363, 1975 U.S. App. LEXIS 15798
CourtCourt of Appeals for the Fifth Circuit
DecidedMarch 5, 1975
Docket74-1770
StatusPublished
Cited by53 cases

This text of 508 F.2d 1363 (John T. Stephens v. State Farm Mutual Automobile Insurance Company) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
John T. Stephens v. State Farm Mutual Automobile Insurance Company, 508 F.2d 1363, 1975 U.S. App. LEXIS 15798 (5th Cir. 1975).

Opinion

GEE, Circuit Judge:

This is a diversity case. The applicable law is that of the State of Texas. Uninsured motorist coverage is the subject of our inquiry.

On December 7, 1969, Mr. and Mrs. John T. Stephens, while riding in a car owned and being driven by Mrs. Stephens, were involved in an accident with an uninsured motorist. As a result of the accident, which was the fault of the uninsured motorist, Mrs. Stephens was killed and Mr. Stephens severely injured. The court below found that Mr. and Mrs. Stephens each sustained personal injuries and damages in excess of $20,000.

Mr. and Mrs. Stephens had been married for only nine days when this tragedy occurred. At the time of the accident *1365 the car in which they were riding, Mrs. Stephens’ car, was insured by Royal Indemnity Company (Royal). The policy, procured by Mrs. Stephens in her maiden name, was a standard Texas automobile insurance policy carrying an uninsured motorist endorsement. Mr. Stephens also owned a car. His was insured by the appellant, State Farm Mutual Automobile Insurance Company (State Farm). The State Farm policy, like the Royal policy, was a standard Texas automobile insurance policy carrying the same uninsured motorist endorsement. Limits of recovery under the uninsured motorist provisions of each policy were identical: $10,000 per person, $20,000 per occurrence. These figures represent the Texas mínimums.

Mr. Stephens, on behalf of himself and as the personal representative of Mrs. Stephens, brought suit against both Royal and State Farm in July of 1971. At that time State Farm denied all liability, pleading, “That State Farm Insurance Company’s policy had no application and it is so specifically prayed.” Later, on May 1, 1972, Stephens settled with Royal for $20,000 — the full recovery limit of its policy. This settlement, it is stipulated and the court found, 1 was made without the written consent of State Farm. At this point Royal was dropped from the suit, and Stephens proceeded against State Farm alone. State Farm, after amending its original answer twice, eventually defended on three grounds; all, basically, that certain provisions of its policy precluded recovery by either Stephens individually or by Stephens as representative of Mrs. Stephens. The trial court held none of State Farm’s defenses applicable and awarded judgment for $20,000 to Stephens, $10,000 individually and $10,000 as the representative of Mrs. Stephens.

State Farm’s first line of defense was and remains that Stephens is barred from recovery against it because he settled with Royal without written consent. His action, according to State Farm, relieved it of all liability by virtue of the plain language of the following contract clause:

Exclusions. This policy does not apply under Part IY:
(b) to bodily injury to an insured with respect to which such insured, his legal representative or any person entitled to payment under this coverage shall, without written consent of the Company, make any settlement with any person or organization who may be legally liable therefor;

The Texas courts have upheld the validity and legitimacy of this particular exclusion from uninsured motorist coverage, Magness v. State Farm Insurance Co., No. 1093 (Tex.Civ.App.-Houston [14th Dist.], filed Dec. 18, 1974, writ history unavailable); Jessie v. Security Mutual Casualty Co., 488 S.W.2d 140 (Tex.Civ.App.-Fort Worth 1972, writ ref’d n. r. e.); Grissom v. Southern Farm Bureau Casualty Insurance Co., 476 S.W.2d 448 (Tex.Civ.App.-Waco 1972, writ ref’d n. r. e.). Such a clause is enforceable for the reason that it serves “ . . . to protect the company’s subrogation rights against the uninsured motorist or any other person legally responsible for the insured’s injuries.” Dairyland County Mutual Insurance Co. of Texas v. Roman, 498 S.W.2d 154, 159 (Tex.1973). Stephens, however, does not claim that this particular clause is invalid in the abstract. Rather, he questions its applicability to the facts of this particular case. It is his contention (1) that his settlement with Royal at the *1366 full recovery limit of its policy did nothing to impair the subrogation rights of State Farm and therefore cannot be considered a settlement within the meaning of the clause as interpreted by the Texas courts and (2) that, at any rate, State Farm waived 2 the consent requirement by denying liability prior to his settlement with Royal. Since we are of the opinion that the consent requirement was waived, we do not pass upon the alternate ground. 3

There are no Texas cases passing directly upon the problem of whether, by denying liability under an uninsured motorist policy, the insurer waives its rights under the consent clause. The issue was apparently not raised in Magness, Jessie or Grissom, and there is no language in any of these cases which gives a clue as to how the problem would have been disposed of had it been argued. But even absent guidance, we are Erie-bound to apply Texas law. This, of course, requires the always-dangerous undertaking of predicting what Texas courts would hold if the issue were presented squarely to them. We predict, based on reason and out-of-state authority, that they would hold that a denial of coverage waives the consent clause. This has been the holding of the courts of New York, Alabama, South Carolina and California, Vanguard Ins. Co. v. Polchlopek, 18 N.Y.2d 376, 275 N.Y.S.2d 515, 520, 222 N.E.2d 383 (1966); Employers National Insurance Co. v. Parker, 286 Ala. 42, 236 So.2d 699 (1970); Childs v. Allstate Ins. Co., 237 S.C. 455, 117 S.E.2d 867 (1961); Calhoun v. State Farm Mutual Automobile Ins. Co., 254 Cal.App.2d 407, 62 Cal.Rptr. 177 (1967), and probably of Rhode Island and New Hampshire, Pickering v. American Employers Insurance Co., 109 R.I. 143, 282 A.2d 584 (1971); Gay v. Preferred Risk Mutual Insurance Co., 314 A.2d 644 (N.H.1974). See Annot., 25 A.L.R.3d 1275, 1291-92 (1969). 4 The rationale behind holding to this particular waiver theory is that a claimant should not be required to approach his insurer, hat in hand, and request consent to settle with another when he has already been told, in essence, that the insurer is not concerned, and he is to go his way. It is difficult to see why an insurer should be allowed, on the one hand, to deny liability and thus, in the eyes of the insured, breach his contract and, at the same time, on the other hand, be allowed to insist that the insured honor all his contractual commitments.

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Cite This Page — Counsel Stack

Bluebook (online)
508 F.2d 1363, 1975 U.S. App. LEXIS 15798, Counsel Stack Legal Research, https://law.counselstack.com/opinion/john-t-stephens-v-state-farm-mutual-automobile-insurance-company-ca5-1975.