Nexion Health at Omaha, Inc., D/B/A Omaha Healthcare Center v. Virgie M. Martin

Court of Appeals of Texas·Decided July 7, 2010·No. 06-10-00017-CV·Published

Opinion

In The

Court of Appeals

Sixth Appellate District of Texas at Texarkana

No. 06-10-00017-CV

NEXION HEALTH AT OMAHA, INC., D/B/A OMAHA HEALTHCARE CENTER, Appellant

V.

VIRGIE M. MARTIN, Appellee

On Appeal from the 276th Judicial District Court Morris County, Texas

Trial Court No. 24,199

Before Morriss, C.J., Carter and Moseley, JJ.

Memorandum Opinion by Chief Justice Morriss

MEMORANDUM OPINION

Virgie M. Martin was injured while working for her employer, Nexion Health at Omaha, Inc., d/b/a Omaha Healthcare Center (Nexion). Martin sued Nexion for negligence. Nexion denied the claims and moved to compel arbitration of Martin‘s claims under the terms of its Employee Accident Plan (Plan). The trial court denied the motion to compel arbitration.

On appeal, Nexion argues that the trial court abused its discretion by failing to enforce the arbitration clause. We reverse the trial court‘s order denying arbitration because (1) the Injury Benefits Agreement (Agreement) was not fraudulently induced, (2) the Agreement is not unconscionable, and (3) the Agreement is supported by adequate consideration.

Nexion does not subscribe to the Texas Workers‘ Compensation System; instead, it provides benefits for on-the-job injuries under its own Plan. Employees could opt whether to participate in the Plan by executing the Agreement, which incorporated the Plan by reference. The Agreement includes mandatory binding arbitration ―for any and all disputes arising out of a Bodily Injury, Accident . . . [and] any claim of negligence brought by an [e]mployee . . .,‖ as well as ―any claim for benefits under the Plan . . ., any claim for wrongful discharge, any claim of negligence brought by an employee, and any claim or action relating to the interpretation or enforcement‖ of the Agreement. Under the terms of the Plan, Nexion reserved the ―right to amend, modify, or terminate the Plan at any time.‖ Nexion employees could either accept and ―participate in and receive benefits under the Plan‖ or they could refuse to participate in the Plan

with the understanding that they would ―not receive any benefits (including payment of [their] medical expenses) in the event of an on-the-job injury.‖ On February 22, 2007, believing that, if she declined to participate in the Plan, she would have no legal remedies or recourse if injured on the job, Martin executed the Agreement, agreeing to the terms of the Plan. Martin testified that she had to sign the Agreement in order to keep her job, a claim that Nexion denies and the express terms of the Agreement contradict. She testified that she read the Agreement, but did not have an opportunity to review it with an attorney.

About two years later, in January 2009, Martin sustained a work-related injury and filed suit against Nexion, alleging that Nexion‘s negligence proximately caused her injuries. Nexion denied the allegations of Martin‘s petition and moved to compel arbitration under the terms of the Plan.

In response to the motion to compel arbitration, Martin argued that the arbitration Agreement was invalid or unenforceable because it was a misleading and incorrect statement of the law, lacked consideration, was unconscionable and unenforceable because the Plan‘s benefits were substantially less generous than those available under the Texas Workers‘ Compensation Act, and was an adhesion contract where Nexion had superior knowledge and bargaining power.

Nexion argued that the Agreement does not violate public policy, that the Agreement was supported by consideration in that both parties gave up their right to a jury trial, that Martin received medical treatment, and that she received $23,531.46 in medical benefits and wage

replacement benefits under the terms of the Plan. Martin does not deny receiving or accepting those benefits. Nexion argued that, by accepting the benefits of the Agreement, Martin acquiesced to the Agreement‘s provisions, including mandatory arbitration.

The trial court denied the motion to compel arbitration. No findings of fact or conclusions of law were requested or filed.

In an accelerated appeal of an interlocutory order denying a motion to compel arbitration, we review de novo the trial court‘s legal determinations and review its factual determinations under a ―no evidence‖ standard. Trammell v. Galaxy Ranch School, L.P., (In re Trammell), 246 S.W.3d 815, 820 (Tex. App.—Dallas 2008, orig. proceeding); Dallas Cardiology Assocs. v. Mallick, 978 S.W.2d 209, 212 (Tex. App.—Texarkana 1998, pet. denied). In reviewing the trial court‘s factual determinations, we must credit favorable evidence if a reasonable fact-finder could and disregard contrary evidence unless a reasonable fact-finder could not. Mallick, 978 S.W.2d at 212 (citing Kroger Tex. Ltd. P’ship v. Suberu, 216 S.W.3d 788, 793 (Tex. 2006); City of Keller v. Wilson, 168 S.W.3d 802, 807 (Tex. 2005)). However, when the facts relevant to the arbitration issue are not disputed, we are presented only with issues of law, and therefore, review de novo the trial court‘s order. Trammell, 246 S.W.3d at 820. A ―no evidence‖ point requires the appellate court to consider only the evidence and inferences tending to support the finding under attack and to disregard all evidence and inferences to the contrary. Id.; Wetzel v. Sullivan, King & Sabom, P.C., 745 S.W.2d 78, 79 (Tex. App.—Houston [1st Dist.] 1988, no writ) (citing Garza v. Alviar,

395 S.W.2d 821, 823 (Tex. 1965)). Because no findings of fact or conclusions of law were filed, we must uphold the trial court‘s decision if there is sufficient evidence to support it on any legal theory asserted. Wetzel, 745 S.W.2d at 81.

The party seeking arbitration has the initial burden to establish his or her right to the remedy under the contract; that is, to establish that a valid arbitration agreement exists. Cantella Co. v. Goodwin, 924 S.W.2d 943, 945 (Tex. 1996) (per curiam); City of Alamo v. Garcia, 878 S.W.2d 664, 665 (Tex. App.—Corpus Christi 1994, no writ). In applying the law to the Federal Arbitration Act, Texas courts have concluded that, once the existence of an arbitration agreement has been established, then a presumption attaches favoring arbitration. Mallick, 978 S.W.2d at 212. At this point, the burden of proof shifts to the party seeking to avoid the arbitration agreement to show that some grounds exist in law or in equity for the revocation, invalidation, or avoidance of the contract. Id. Such grounds could include fraud, waiver, unconscionability, or that the dispute was not within the scope of the agreement. Id. This is a proper placement of the burden under Texas law, given the strong Texas presumption in favor of arbitration. See Brazoria County v. Knutson, 142 Tex. 172, 176 S.W.2d 740, 743 (1943); Wetzel, 745 S.W.2d at 81.

In determining whether to compel arbitration, the court must decide two issues:

(1) whether a valid, enforceable arbitration agreement exists, and (2) if so, whether the claims asserted fall within the scope of the agreement. BDO Seidman v. Miller, 949 S.W.2d 858, 860 (Tex. App.—Austin 1997, writ dism‘d w.o.j.); Nationwide of Fort Worth, Inc. v. Wigington, 945

S.W.2d 883, 884 (Tex. App.—Waco 1997, writ dism‘d w.o.j.). The court has no discretion and must compel arbitration if the answer to both questions is affirmative. Merrill Lynch, Pierce, Fenner & Smith v. Eddings, 838 S.W.2d 874, 878 (Tex. App.—Waco 1992, writ denied). Doubts regarding the scope of arbitration agreements are resolved in favor of arbitration. Id. at 880.

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