Michael Tatsch v. Chrysler Group, LLC and Infinity County Mutual Insurance Company

CourtCourt of Appeals of Texas
DecidedJanuary 30, 2015
Docket04-13-00757-CV
StatusPublished

This text of Michael Tatsch v. Chrysler Group, LLC and Infinity County Mutual Insurance Company (Michael Tatsch v. Chrysler Group, LLC and Infinity County Mutual 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
Michael Tatsch v. Chrysler Group, LLC and Infinity County Mutual Insurance Company, (Tex. Ct. App. 2015).

Opinion

ACCEPTED 04-13-00757-CV FOURTH COURT OF APPEALS SAN ANTONIO, TEXAS 1/30/2015 1:50:24 PM KEITH HOTTLE CLERK

NO. 04-13-00757-CV

FILED IN 4th COURT OF APPEALS IN THE FOURTH COURT OF APPEALS SAN ANTONIO, TEXAS SAN ANTONIO, TEXAS 01/30/2015 1:50:24 PM KEITH E. HOTTLE Clerk

MICHAEL TATSCH,

Appellant,

V.

CHRYSLER GROUP LLC AND INFINITY COUNTY MUTUAL INSURANCE COMPANY,

Appellees.

APPELLEE INFINITY COUNTY MUTUAL INSURANCE COMPANY’S MOTION FOR REHEARING OR FOR EN BANC RECONSIDERATION

Pursuant to Tex. R. App. P. 49, Appellee Infinity County Mutual Insurance

Company (“Infinity”) moves for rehearing or en banc reconsideration:

I. Summary of Motion.

Except for limited circumstances, that do not exist in this case, an insurance

policy holder must establish that his claim is covered in order to recover under the

Texas Insurance Code. Infinity challenged the existence of coverage in its motion

for summary judgment, and the trial court granted the motion. But this Court reversed the summary judgment on this question because Plaintiff Michael Tatsch

(“Tatsch”) did not allege a breach of contract claim against Infinity.1 This Court

then reversed summary judgment on Tatsch’s claim that Infinity denied his claim

without a proper investigation in violation of the Texas Insurance Code. In effect,

the Court held that Tatsch may proceed under his failure to investigate theory

irrespective of whether the Infinity policy covered his claim. This is an error that

the Court should correct by granting rehearing or en banc reconsideration.

II. Statement of Facts.

A. Tatsch’s allegations and the summary judgment.

Tatsch alleged that Infinity violated the Texas Insurance Code and the Texas

Deceptive Trade Practices Act. First Am. Pet. at CR 59-61. Tatsch did not allege

that coverage existed under the policy, or that Infinity breached the policy. But he

sought damages that would arise only if Infinity had an obligation to pay, but failed

to do so: diminished value, lost use of the truck, cost of repair, lost income, and

out of pocket expenses. Id. at CR 61-62.

Infinity filed a hybrid motion for summary judgment consisting of a motion

for traditional summary judgment on the question of whether coverage exists, and

1 The Opinion is attached hereto.

2083123v.1 a no evidence summary judgment on Tatsch’s claims under the Insurance Code

and DTPA. CR 39-56. In the traditional portion of its motion, Infinity asserted

that Tatsch’s loss was the result of mechanical breakdown or failure that is

excluded under the policy. CR 45-46. Infinity supported its motion for traditional

summary judgment with an authenticated copy of the policy and Tatsch’s

deposition testimony. CR 71-110 (deposition) & CR 111-40 (Policy).

In the no evidence portion of its motion, Infinity challenged Tatsch’s

evidence that it violated the Texas Insurance Code by (1) failing to attempt in good

faith to effectuate a settlement of a claim for which liability is reasonably clear; (2)

failing to provide Tatsch with a reasonable explanation of the basis for denying his

claim; (3) denying the claim without conducting a reasonable investigation; and (4)

refusing to settle based solely on the availability of other insurance. Infinity also

challenged the evidence supporting Tatsch’s damages. The trial court granted

Infinity’s motion.

B. This Court’s opinion.

The Court affirmed the summary judgment in part, and reversed and

remanded the judgment in part. App. A, Opinion. The Court reversed the

summary judgment on the question of coverage because Tatsch did not allege a

cause of action for breach of contract. Op. at 12. But the Court did not address the

2083123v.1 question of whether Infinity carried its summary judgment burden with respect to

the question of coverage.

The Court reversed the no evidence summary judgment as to Tatsch’s

allegation that Infinity breached its duty to investigate, but affirmed summary

judgment on his other theories. Op. at 14-15. The Court noted the evidence that

Infinity could not obtain a sample of the truck fuel because it was discarded before

Tatsch made a claim under the policy, but found that Infinity did not inspect the

truck itself, and held that “this was more than a scintilla of evidence” that Infinity

breached its duty to conduct an investigation. Id. at 14-15. The Court noted that

Tatsch did not present any evidence to support the other statutory theories,

including his claim that Infinity denied coverage even though its liability was

reasonably clear. Id. at 13. The Court did not address damages, stating instead

that “we focus our review on the underlying liability questions.” Op. at 14 n 4.

III. Argument

This Court (1) reversed summary judgment on the question of coverage

because Tatsch did not allege a claim for breach of contract but (2) held that Tatsch

has sufficient evidence to proceed on his claim that Infinity failed to conduct a

reasonable investigation under the Texas Insurance Code. This is error. Summary

judgment on coverage was appropriate because coverage was an essential element

2083123v.1 of Tatsch’s claims under the Insurance Code and DTPA. That is, in the absence of

exceptional circumstances a party seeking recovery under the Texas Insurance

Code must first establish that the policy covers the claim in question. This Court’s

opinion runs afoul of this rule. Progressive County Mutual Ins. Co. v. Boyd, 177

S.W.3d 919 (Tex. 2005) (Holding that the absence of coverage negated the

insured’s extra-contractual insurance code and common law claims); Liberty

Nat’l Fire Ins. Company v. Akin, 927 S.W.2d 627, 629 (Tex. 1996) (“But, in most

circumstances, an insured may not prevail on a bad faith claim without first

showing that the insurer breached the contract.”); Republic Ins. Co. v. Stoker, 903

S.W.2d 338, 341 (Tex. 1995) (“As a general rule there can be no claim for bad

faith when an insurer has promptly denied a claim that is in fact not covered.”)

A limited exception to this general rule arises if an insurer commits an

“extreme” act that causes damages independent of a claim under the policy.

Stoker, 903 S.W.3d at 341. This is not such a case; the compensatory damages

sought by Tatsch arise only if the policy covers his claim.

A. The Court’s Opinion is in error because coverage is an essential element of Tatsch’s claims under the Texas Insurance Code. This Court reversed the traditional summary judgment on the question of

coverage solely because Tatsch did not allege that Infinity breached the policy.

This is error because coverage is an essential element of Tatsch’s claim under the

2083123v.1 Texas Insurance Code, and for recovery of his alleged damages. In this regard,

the Court’s Opinion conflicts with the Supreme Court’s decisions in Stoker and

Boyd and with this Court’s own opinions.

In Stoker, the plaintiffs sued the insurer for breaching the policy and for

violating the Insurance Code and DTPA by giving an incorrect reason for denying

their claim. Stoker, 903 S.W.2d at 339. The trial court granted summary judgment

to the insurer on the question of whether it breached the policy, but submitted the

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Michael Tatsch v. Chrysler Group, LLC and Infinity County Mutual Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/michael-tatsch-v-chrysler-group-llc-and-infinity-county-mutual-insurance-texapp-2015.