Marcus Hernandez and Diane Hernandez v. Truck Insurance Exchange and Team Health, Inc.

553 S.W.3d 689
CourtCourt of Appeals of Texas
DecidedJune 21, 2018
Docket02-17-00046-CV
StatusPublished
Cited by6 cases

This text of 553 S.W.3d 689 (Marcus Hernandez and Diane Hernandez v. Truck Insurance Exchange and Team Health, 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.

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Marcus Hernandez and Diane Hernandez v. Truck Insurance Exchange and Team Health, Inc., 553 S.W.3d 689 (Tex. Ct. App. 2018).

Opinion

COURT OF APPEALS SECOND DISTRICT OF TEXAS FORT WORTH

NO. 02-17-00046-CV

MARCUS HERNANDEZ AND APPELLANTS DIANE HERNANDEZ

V.

TRUCK INSURANCE EXCHANGE APPELLEES AND TEAM HEALTH, INC.

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FROM THE 342ND DISTRICT COURT OF TARRANT COUNTY TRIAL COURT NO. 342-283463-16

OPINION

I. Introduction

In this issue of first impression, which presents a legal scenario unlikely to

be repeated, we are asked to decide whether the supreme court’s opinion in

Phillips v. Bramlett (Phillips I), 288 S.W.3d 876 (Tex. 2009), constitutes “a unicorn crossbow,” i.e., an item theoretically useful, but of no practical value, 1 to

a personal injury plaintiff when the defendant surgeon surrenders his potential

Stowers claim back to his malpractice insurer after a jury verdict in the plaintiff’s

favor exceeds the statutory cap on physician liability under article 4590i of the

revised civil statutes. 2 Bound by supreme court precedent, we reverse the trial

court’s judgment, which dismissed Appellants’ claim for want of jurisdiction in

favor of Appellees Truck Health Insurance (Truck) and Team Health, Inc. (Team),

and remand this case to the trial court for further proceedings.

II. Background

In November 2001, Marcus Hernandez Jr. died from massive blood loss

following a liver biopsy. Almost two years later, Appellants, Marcus’s parents,

filed a wrongful death action against both Dr. Hitesh B. Yagnik, M.D. and the

hospital where their son died. See Yagnik v. Hernandez, No. 02-11-00510-CV,

2013 WL 1668304, at *1 (Tex. App.—Fort Worth Apr. 18, 2013, pet. denied)

(mem. op.). The hospital settled prior to the first trial, which resulted in a hung

jury, and on retrial a different jury awarded $2,679,000 to Appellants, which—

1 We discovered this gem of a phrase in Appellants Marcus and Diane Hernandezes’ summary judgment response, in which they argued that summary judgment against them would render Phillips I irrelevant. 2 Article 4590i was repealed and replaced effective September 1, 2003, three days after Appellants filed their medical malpractice claim. See Act of May 30, 1977, 65th Leg., R.S., ch. 817, § 11.02, 1977 Tex. Gen. Laws 2039, 2052, repealed by Act of June 1, 2003, 78th Leg., R.S., ch. 204, § 10.09, 2003 Tex. Gen. Laws 847, 884.

2 after the trial court applied the statutory caps on medical negligence damages

and accounted for the hospital’s settlement—resulted in a judgment of

$1,818,601.63 against Yagnik, from which he appealed. Id. Yagnik then

released Truck, one of his insurance carriers, from any liability arising from its

failure to settle the underlying lawsuit in exchange for Truck’s agreement to post

his supersedeas bond on appeal and to pay the resulting judgment if the trial

court’s judgment was affirmed on appeal.

We affirmed the trial court’s judgment in 2013. Id. After the supreme court

denied Yagnik’s petition for review and motion for rehearing, our mandate issued

on May 5, 2014.

Over a decade after they filed their original lawsuit, but less than two years

after we affirmed the trial court’s judgment and issued our mandate, Appellants

sued Yagnik’s insurance carriers 3 for the negligent failure to settle a claim within

the insurance policy limits—traditionally known as a common law Stowers

action 4—seeking to collect the difference between the almost $2.7 million jury

verdict and the amount of the trial court’s judgment. 5

3 Appellants sought recovery from not only Appellees but also Farmers Insurance Exchange, Team Health Holdings, Inc., and Texas Medical Liability Trust. They dismissed their claims against Farmers Insurance Exchange, Team Health Holdings, Inc., and Texas Medical Liability Trust without prejudice in 2016. In its brief in this court, Team states that it “does not concede that it was or is an insurer or owed any . . . dut[ies]” to Appellants or to Yagnik. 4 A Stowers action—so named for G.A. Stowers Furniture Co. v. American Indemnity Co., 15 S.W.2d 544, 547–48 (Tex. 1929)—is based on an insurer’s common law tort duty to its insured to settle within policy limits when reasonably

3 Truck filed a plea to the jurisdiction, arguing that Appellants lacked

standing to bring a direct action, 6 and Team filed a motion for summary judgment

on the same basis. In support of their claim, Appellants expressly relied upon the

supreme court’s Phillips I opinion, asserting that the holding in Phillips I

authorized them to bring their Stowers claim as a direct action.

Team also argued in its motion that because Appellants’ Stowers claim

was filed after article 4590i was repealed and replaced by civil practice and

remedies code chapter 73 in 2003, there could be no Stowers liability against the

insurers beyond the amount of the capped damages. 7

prudent to do so. See Mid-Continent Ins. Co. v. Liberty Mut. Ins. Co., 236 S.W.3d 765, 776 (Tex. 2007). The duty is not activated by a settlement demand unless three prerequisites are met: (1) the claim against the insured is within the scope of coverage, (2) the demand is within policy limits, and (3) the terms of the demand are such that an ordinarily prudent insurer would accept the demand, considering the likelihood and degree of the insured’s potential exposure to an excess judgment. Id. Appellants alleged in their pleadings that they had made several Stowers settlement demands, received by the insurers, for a settlement amount within Yagnik’s insurance policy limits and that each demand had been rejected. 5 Appellants sought more than $1.3 million as the “difference between the statutory physician’s cap and the jury verdict,” as well as exemplary damages for the insurers’ gross negligence during the pendency of the underlying medical malpractice lawsuit. 6 Truck filed a memorandum of law in support of its plea to the jurisdiction that it labeled alternatively as a motion for summary judgment. 7 When article 4590i was repealed and replaced by civil practice and remedies code chapter 73, effective September 1, 2003, the law was changed to limit insurers’ liability under a common law Stowers claim to that of the insured. Compare Act of May 30, 1977, 65th Leg., R.S., ch. 817, § 11.02(c), 1977 Tex. Gen. Laws 2039, 2052, 2064, repealed by Act of June 1, 2003, 78th Leg., R.S.,

4 The trial court dismissed Appellants’ claims against Truck and Team for

lack of subject matter jurisdiction after granting Truck’s plea to the jurisdiction

and granting in part Team’s summary judgment motion “to the extent that the

motion was based upon Plaintiffs’ lack of standing to pursue a direct statutory

Stowers cause of action against Team Health, Inc.” In its order, the trial court

stated that in light of its ruling that it lacked jurisdiction over the Stowers lawsuit

due to Appellants’ lack of standing, it expressly made no ruling on any of the

other grounds for summary judgment in Appellees’ motions.

III. Discussion

In four issues, Appellants argue that the trial court erred by concluding that

they lacked standing because they have a direct Stowers cause of action and

because their claims are not barred by settlement (under an equitable

subrogation theory) or capped by the 2003 statute. 8

ch. 204, § 10.09, 2003 Tex. Gen. Laws 847, 884, with Tex. Civ. Prac. & Rem. Code Ann.

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