MVT Services v. Great West Casualty Company

118 F.4th 1274
Court of Appeals for the Tenth Circuit·Decided October 2, 2024·No. 23-2070·Published·Cited by 3 cases

Opinion

FILED

United States Court of Appeals PUBLISH Tenth Circuit

UNITED STATES COURT OF APPEALS October 2, 2024

Christopher M. Wolpert

FOR THE TENTH CIRCUIT Clerk of Court

MVT SERVICES, LLC, d/b/a MESILLA VALLEY TRANSPORTATION,

Plaintiff - Appellee, v. No. 23-2070 GREAT WEST CASUALTY COMPANY,

Defendant - Appellant.

Appeal from the United States District Court for the District of New Mexico (D.C. No. 2:18-CV-01128-GJF-GBW)

Dan L. Worker, Lewis Brisbois Bisgaard & Smith LLP, Chicago, IL, for Defendant- Appellant

Chance Fletcher, formerly with Haynes & Boone, LLP, Dallas, TX, (Benjamin L. Mesches, David P. Bender, Haynes & Boone, LLP, Dallas, TX, and Caroline Hurtado Ford, Haynes & Boone, LLP, Costa Mesa, CA on the briefs), for Plaintiff-Appellee

Before McHUGH, MURPHY, and CARSON, Circuit Judges.

CARSON, Circuit Judge.

The district court maintains the best position to assess witnesses’ credibility, draw appropriate inferences, and weigh the evidence before it. We will not second guess the district court’s factual findings when they find support in the record. This

litigation arises from a prior state court personal injury lawsuit where Defendant Great West Casualty Company (“Great West”) breached its duty to defend Plaintiff MVT Services, LLC (“MVT”). After a bench trial, the district court found Great West’s breach proximately caused MVT to incur damages, so the district court awarded MVT damages and attorney fees. Great West appeals. Exercising jurisdiction under 28 U.S.C. § 1291, we affirm.

I.

MVT purchased a workers’ compensation and employers’ liability policy (“WC/EL Policy”) from Great West for coverage from January 1, 2013, through January 1, 2014. The WC/EL Policy required Great West to defend MVT against any suit seeking the payable benefits of the WC/EL Policy. The WC/EL Policy limited indemnity for bodily injury by accident to $1,000,000 per accident.

In January 2013, MVT entered into a Staff Leasing Agreement with OEP Holdings, LLC (“OEP”). Under the agreement, MVT transferred its Texas-based employees, including driver Lawrence Parada, to OEP. MVT then leased OEP’s employees, including Parada. MVT also purchased from Crum & Forster Specialty Insurance Company (“C&F”) a non-subscriber insurance policy (“C&F Policy”) for a coverage period from January 3, 2013, to January 3, 2014. The C&F Policy provided employers’ liability coverage but did not provide workers’ compensation coverage.

On August 13, 2013, MVT contacted Great West to terminate its Texas Coverage under the WC/EL Policy. On August 14, 2013, Great West processed the termination and on August 15, 2013, filed the notice of termination with the Texas

Department of Insurance, Division of Workers’ Compensation (“TDI”). Ordinarily, termination becomes effective 30 days after TDI receives notice. But the WC/EL Policy termination date fell on Saturday, September 14, 2013, so the termination date extended to Monday, September 16, 2013, under Texas Government Code § 311.014(b).

The day before coverage termination, on September 15, 2013, MVT’s semi-

tractor trailer crashed, killing Parada. Parada’s widow filed a beneficiary claim for death benefits with the TDI. She also filed suit against MVT in a Texas state district court, claiming negligence and gross negligence (“Parada lawsuit”). On October 28, 2013, MVT tendered defense of the Parada lawsuit to Great West under the WC/EL Policy, but the next day, Great West advised MVT to seek coverage for the Parada lawsuit with C&F. On November 6, 2013, Great West counsel, David Schubert, and MVT counsel, Todd Silberman, discussed that C&F agreed to defend MVT and Great West planned to deny MVT’s claim. On December 10, 2013, Great West formally refused to defend MVT’s claim because it believed the underlying claim arose from an incident outside the coverage period under the WC/EL Policy.

C&F agreed to defend MVT through its coverage and appointed Robert Skipworth in the Parada lawsuit. MVT filed its original answer in the Parada lawsuit on November 14, 2013, and did not invoke the exclusive remedy of workers’ compensation benefits under Texas Labor Code § 408.001(a) (“Exclusive Remedy”). This statutory remedy bars employees covered by workers’ compensation benefits from initiating simple negligence claims against an employer. Because the C&F

Policy did not include workers’ compensation coverage, it did not enable MVT to invoke the Exclusive Remedy. Around May 2014, MVT separately retained Steve Blanco to help Skipworth defend the case. On April 17, 2015, the Parada lawsuit plaintiffs informed MVT that damages could exceed $25 million and demanded $12.5 million to settle the lawsuit.

In late April 2015, MVT retained Anderson Kill P.C. to sue Great West for the denial of coverage. Anderson Kill determined that because Texas Government Code § 311.014 extended the effective termination date under the policy, MVT had Texas workers’ compensation coverage the day of the accident and thus Great West erred in denying coverage. Based on this information, on May 12, 2015, MVT sought to invoke the Exclusive Remedy in the Parada lawsuit, a request that the Texas district and appellate courts denied. MVT also filed a declaratory judgment action against Great West for a judicial declaration that the WC/EL Policy covered the accident. Anderson Kill notified Great West, asserting the WC/EL Policy covered the accident, and on May 22, 2015, Great West reversed the coverage denial, agreed to participate in MVT’s defense in the Parada lawsuit, and appointed Carlos Rincon to represent MVT. On June 4, 2015, Great West formally certified that the WC/EL Policy covered the accident on September 15, 2013. The Parada lawsuit ultimately settled during trial for $3,500,000, which included C&F’s policy limit of $1,000,000, Great West’s policy limit of $1,000,000, an unrelated excess insurer’s contribution of $1,000,000, and $500,000 from MVT. MVT’s contribution included $250,000 to the settlement in satisfaction of the C&F Policy and another $250,000 in contribution to

the settlement. Great West also paid Texas workers’ compensation death benefits as part of the settlement.

MVT then sued Great West for breach of contract and violation of Chapter 542 of the Texas Insurance Code.1 MVT moved for summary judgment. The district court granted summary judgment to MVT on the breach of contract claim on the elements of (1) existence of a valid contract, (2) performance by MVT, (3) Great West’s duty to defend arising on October 28, 2013, and (4) Great West’s breach of its duty to defend. But the district court found genuine factual disputes over whether the breach caused damages to MVT. The district court also granted summary judgment to MVT on its claim that Great West violated the Prompt Payment of Claims Act under the Texas Insurance Code, but the claim proceeded to trial to determine damages.

During the bench trial, the district court heard testimony from Silberman, Skipworth, and Blanco. The district court also heard testimony from Dean Rigg, Chief Financial Officer at MVT. After reviewing the testimony and evidence at trial, the district court found by a preponderance of the evidence that had Great West defended MVT under the WC/EL Policy in 2013, its retained counsel would have invoked the Exclusive Remedy defense and diverted the simple negligence claims to TDI. The district court also found a low likelihood that the Parada plaintiffs would

1 MVT also filed suit against Great West for violating Chapter 541 of the Texas Insurance Code but later dismissed the claim.

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MVT Services v. Great West Casualty Company, 118 F.4th 1274 (10th Cir. 2024).

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