Mohammad Lidawi and Zeina Mohamad v. Progressive County Mutual Insurance Company

CourtCourt of Appeals of Texas
DecidedJuly 17, 2003
Docket14-02-00908-CV
StatusPublished

This text of Mohammad Lidawi and Zeina Mohamad v. Progressive County Mutual Insurance Company (Mohammad Lidawi and Zeina Mohamad v. Progressive 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
Mohammad Lidawi and Zeina Mohamad v. Progressive County Mutual Insurance Company, (Tex. Ct. App. 2003).

Opinion

Affirmed in part, Reversed and Remanded in part, and Opinion filed July 17, 2003

Affirmed in part, Reversed and Remanded in part, and Opinion filed July 17, 2003.

In The

Fourteenth Court of Appeals

____________

NO. 14-02-00908-CV

MOHAMMAD LIDAWI AND ZEINA MOHAMAD, Appellants

V.

PROGRESSIVE COUNTY MUTUAL INSURANCE COMPANY, Appellee

On Appeal from the County Civil Court at Law No. 2

Harris County, Texas

Trial Court Cause No. 751,437

O P I N I O N


In this case arising from denial of an insurance claim based on the insured’s non-cooperation, we address an issue of first impression: whether clauses in an insurance contract requiring the insured to cooperate in the investigation of a claim and to submit to an examination under oath (EUO) permit the insurance company to require separate, segregated examinations of the insureds.  We conclude that when, under the terms of an insurance policy a person may be required to submit to an EUO, it is reasonable to infer that the insurer may require such examination to be separate and segregated from the examination of any other person.  Accordingly, we affirm that part of the trial court’s judgment declaring that the Standard Texas Personal Auto Policy at issue in this case permits Progressive to require separate, segregated examinations under oath from Lidawi and Mohamad.  Nevertheless, because this is a matter of first impression in Texas, in the interest of justice we reverse that part of the trial court’s judgment dismissing appellants’ lawsuit for failure to comply with a condition precedent.  We remand for further proceedings consistent with this opinion.

FACTUAL AND PROCEDURAL BACKGROUND

Appellants Mohammad Lidawi and Zeina Mohamad, who are husband and wife, represent they are victims of an accident in which someone failed to stop at a stop sign, striking the left side of appellants’ automobile as appellants passed through the intersection.  According to appellants, the driver then drove away without providing any identifying information.  Appellants filed a claim with their insurer, Progressive County Mutual Insurance Company, the appellee.  Appellants’ policy provides in part: “A person seeking any coverage must . . . [c]ooperate with us in the investigation . . . of any claim.”  The policy also provides, “A person seeking any coverage must . . . [w]hen required by us . . . submit to examination under oath.”

On or after February 9, 2001, Progressive Claims Inspector David Tews took a recorded statement from Lidawi regarding the accident.  Progressive also inspected appellants= automobile.  This inspection revealed damage from multiple impacts involving several incidents.  Additionally, the impacts left paint transfer marks that did not match Lidawi=s description of the vehicle causing the accident.  Based on the discrepancies between the physical damage and Lidawi’s statement, Tews hired an engineer to investigate the damage.  The engineer also concluded the damage was not consistent with Lidawi=s statement.


On March 14, 2001, Tews sent letters to appellants and their attorney, Michael Engelhart, requesting appellants submit to an EUO.  The letter did not refer to separate examinations.  On April 11, 2001, Engelhart, appellants, and an interpreter met Tews and another Progressive representative at Engelhart=s office.  When Progressive  insisted the EUOs be conducted separately, Engelhart insisted each appellant be permitted to be in the room when the other was examined because “they are husband and wife, and are both claimants and insured under the policy.”  Progressive refused, and Tews left without taking the examination.

On April 16, 2001, Tews sent Engelhart a letter formally requesting that appellants submit to individual and separate EUOs.  Engelhart responded, indicating there was nothing in the insurance policy that required individual and separate examinations.  Engelhart reiterated appellants’ willingness to be examined so long as they could be in the same room while being questioned.  On April 25, Tews wrote Engelhart and appellants stating  Progressive was denying appellants= claim because of appellants= non-cooperation in the request for the EUO.

Appellants then sued Progressive for breach of contract and also sought a declaratory judgment regarding their rights and duties under the policy, specifically the duty of cooperation, the requirement of separate examinations, and the insurer=s waiver of examination.  Progressive counterclaimed for a declaratory judgment (1) that its request for separate examinations was consistent with the cooperation obligations of the contract, appellant=s failure to cooperate constituted a breach of the policy, and Progressive therefore properly denied the claim; and (2) by failing to cooperate and refusing separate examinations, appellants failed to meet all conditions precedent to recovery on their suit.

Both parties moved for summary judgment.  Appellants moved for traditional summary judgment on their claims and a partial no-evidence summary judgment on Progressive=s request for declaratory judgment that appellants failed to satisfy a condition precedent to the lawsuit.  Progressive moved for traditional summary judgment.  The trial court rendered judgment, ordering:

1.         The Standard Texas Personal Auto Policy permits Progressive to require separate examinations under oath from Lidawi and Mohamad;


2.

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Mohammad Lidawi and Zeina Mohamad v. Progressive County Mutual Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mohammad-lidawi-and-zeina-mohamad-v-progressive-co-texapp-2003.