Junious R. Valentine v. Federal Insurance Company

CourtCourt of Appeals of Texas
DecidedMarch 26, 2020
Docket14-18-00438-CV
StatusPublished

This text of Junious R. Valentine v. Federal Insurance Company (Junious R. Valentine v. Federal Insurance Company) 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
Junious R. Valentine v. Federal Insurance Company, (Tex. Ct. App. 2020).

Opinion

Affirmed and Memorandum Opinion filed March 26, 2020.

In The

Fourteenth Court of Appeals

NO. 14-18-00438-CV

JUNIOUS R. VALENTINE, Appellant

V.

FEDERAL INSURANCE COMPANY, Appellee

On Appeal from the 234th District Court Harris County, Texas Trial Court Cause No. 2016-78466

MEMORANDUM OPINION

Appellant Junious R. Valentine obtained a default judgment in federal court against his former employer (the Hospital) for employment discrimination. In this case, Valentine sued the Hospital’s insurer, appellee Federal Insurance Company, for breach of contract, Insurance Code violations, and conspiracy. The Harris County district court (the trial court) granted Federal’s motion for summary judgment on all of Valentine’s claims. Valentine challenges the trial court’s summary judgment in six issues. We affirm. I. BACKGROUND

The parties agree that the Hospital held an insurance policy with Federal that covered employment discrimination claims against the Hospital. The policy was a claims-made-and-reported policy that covered loss from a claim “first made against such Insured during the Policy Period . . . but only if such Employment Claim [was] reported to the Company [i.e., Federal] in writing in the manner and within the time provided in Subsection 12 of this coverage section.” Subsection 12, as amended, provided that as a condition precedent to coverage, the Hospital had to give written notice of an employment claim to Federal “during the Policy Period, or, if applicable, in no event later than . . . 180 days after the end of the Policy Period.” The Policy Period was from November 3, 2013, to November 3, 2014.

During the Policy Period, Valentine filed a charge of discrimination with the Equal Employment Opportunity Commission (EEOC) and then sued the Hospital in a federal district court. On February 27, 2015, the Hospital petitioned for Chapter 11 bankruptcy, and the federal district court subsequently dismissed Valentine’s suit pursuant to the automatic stay. On October 5, 2015, the bankruptcy court signed an agreed order lifting the automatic stay to permit Valentine to prosecute his case in the federal district court. The bankruptcy court ordered that “the automatic stay in this action is modified to permit [Valentine] to continue to prosecute the Lawsuit, provided that any settlement or judgment related to the Lawsuit shall be paid from [the Hospital’s] applicable insurance policies.”

The federal district court reinstated Valentine’s case, but less than a month later the Hospital filed a “notice of denial of insurance coverage and reinstatement of stay,” contending that the Hospital had been notified by Federal that insurance

2 coverage for Valentine’s claim had been denied. The Hospital contended that the federal district court’s prior order “dismissing and automatically staying this case should be reinstated” because there was no insurance coverage for Valentine’s claim. The Hospital attached Federal’s denial-of-coverage letter, which stated that coverage was denied because Federal did not report Valentine’s claim until October 9, 2015—outside the 180-day reporting period following the expiration of the Policy Period.

The federal district court ultimately rendered a default judgment awarding Valentine damages, attorney’s fees, and costs totaling $87,598. Valentine then sued Federal in a Harris County district court, asserting claims for breach of contract as a third-party beneficiary, violation of the Insurance Code, and conspiracy. In his live pleading, Valentine alleged that Federal breached the insurance policy by refusing to pay the federal court judgment. He alleged that Federal engaged in an unfair and deceptive course of conduct regarding the availability of coverage, failed to promptly pay the federal court judgment, and misrepresented a material fact of a policy provision relating to coverage and notice of the claim. Valentine sought damages for policy proceeds in the amount prescribed by the federal district court judgment and mental anguish damages due to Federal’s “wrongful conduct in denying coverage and delaying payment.”

Federal filed a traditional motion for summary judgment, and Valentine filed a response. Both parties attached evidence to support the procedural facts described above. Federal also filed a declaration from its adjuster on the Valentine matter. She testified that Federal’s “claim file” included Valentine’s charge of discrimination, the EEOC’s notice of charge, and Valentine’s complaint from the federal district court. She testified, “Federal did not receive notice of Valentine’s

3 claim from anyone before October 9, 2015.” She attached to her declaration the October 9, 2015 email notice.

Among other evidence, Valentine filed invoices from the law firm of Littler Mendelson P.C., which are dated within the Policy Period, describe the client as Federal, and describe the insured as the Hospital. The “claimant name” and some other details are redacted. Valentine also filed an email dated September 30, 2015, sent from the Hospital’s purported bankruptcy attorney at the law firm of Porter Hedges LLP to Valentine’s attorney, stating that the Hospital had “told us repeatedly that there is an insurance policy that would cover this, but they have been unable to locate it. They have requested a copy from the insurance company but are still waiting.”

In its motion for summary judgment, Federal argued that it was entitled to judgment on Valentine’s claims because there was no coverage under the terms of the policy due to the Hospital’s failure to provide notice within 180 days of the Policy Period. Valentine responded that the motion should be denied because (1) there was a genuine issue of material fact regarding when the Hospital received notice; (2) the doctrine of collateral estoppel barred Federal’s attempt to relitigate untimely notice; (3) the Bankruptcy Code and policy terms barred Federal’s contention regarding untimely notice; (4) Federal had not established prejudice from the untimely notice; (5) Valentine could assert Insurance Code violations as a third-party-beneficiary of the policy; and (6) Federal did not move for summary judgment on the conspiracy claim. The trial court granted Federal’s motion for summary judgment and ordered that Valentine take nothing on his claims against Federal. On appeal Valentine raises these same arguments.

4 II. STANDARDS OF REVIEW

We review a grant of a motion for summary judgment de novo. KCM Fin. LLC v. Bradshaw, 457 S.W.3d 70, 79 (Tex. 2015). The party moving for a traditional summary judgment has the initial burden to show that there is no genuine issue as to any material fact and that the movant is entitled to judgment as a matter of law. Lujan v. Navistar Inc., 555 S.W.3d 79, 84 (Tex. 2018). If the movant satisfies this burden, then the burden shifts to the nonmovant to raise a genuine issue of material fact precluding summary judgment. Id. We review the evidence in the light most favorable to the nonmovant, crediting evidence favorable to the nonmovant if reasonable fact finders could, and disregarding contrary evidence unless reasonable fact finders could not. Mann Frankfort Stein & Lipp Advisors, Inc. v. Fielding, 289 S.W.3d 844, 848 (Tex. 2009).

The interpretation of an unambiguous contract is a question of law that we review de novo using well-settled contract-construction principles. URI, Inc. v. Kleberg Cty., 543 S.W.3d 755, 763 (Tex. 2018). We presume that parties intend what the words in their contract say, and we interpret contract language according to its plain, ordinary, and generally accepted meaning unless the contract directs otherwise. Id. at 763–64.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Ford Motor Co. v. Ridgway
135 S.W.3d 598 (Texas Supreme Court, 2004)
Mann Frankfort Stein & Lipp Advisors, Inc. v. Fielding
289 S.W.3d 844 (Texas Supreme Court, 2009)
G & H TOWING CO. v. Magee
347 S.W.3d 293 (Texas Supreme Court, 2011)
John G. & Marie Stella Kenedy Memorial Foundation v. Dewhurst
90 S.W.3d 268 (Texas Supreme Court, 2002)
Employers Casualty Co. v. Block
744 S.W.2d 940 (Texas Supreme Court, 1988)
In Re Beck
5 B.R. 169 (D. Hawaii, 1980)
State Farm Fire & Casualty Co. v. Gandy
925 S.W.2d 696 (Texas Supreme Court, 1996)
State Farm Lloyds v. C.M.W.
53 S.W.3d 877 (Court of Appeals of Texas, 2001)
Chas. T. Main, Inc. v. Fireman's Fund Insurance
551 N.E.2d 28 (Massachusetts Supreme Judicial Court, 1990)
Wilson v. Davis
305 S.W.3d 57 (Court of Appeals of Texas, 2009)
Zarzana v. Ashley
218 S.W.3d 152 (Court of Appeals of Texas, 2007)
Williamson v. State Farms Lloyds
76 S.W.3d 64 (Court of Appeals of Texas, 2002)
P.G. Bell Co. v. United States Fidelity & Guaranty Co.
853 S.W.2d 187 (Court of Appeals of Texas, 1993)
Christine E. Reule v. Colony Insurance Company
407 S.W.3d 402 (Court of Appeals of Texas, 2013)

Cite This Page — Counsel Stack

Bluebook (online)
Junious R. Valentine v. Federal Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/junious-r-valentine-v-federal-insurance-company-texapp-2020.