Orkin Exterminating Co. v. Massachusetts Bonding & Insurance Co.

400 S.W.2d 20
CourtCourt of Appeals of Texas
DecidedFebruary 17, 1966
Docket14673
StatusPublished
Cited by14 cases

This text of 400 S.W.2d 20 (Orkin Exterminating Co. v. Massachusetts Bonding & Insurance Co.) 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
Orkin Exterminating Co. v. Massachusetts Bonding & Insurance Co., 400 S.W.2d 20 (Tex. Ct. App. 1966).

Opinions

COLEMAN, Justice.

By this suit appellant seeks to recover from appellee the amounts paid by appellant to satisfy a judgment previously secured against it by Gulf Coast Rice Mills. The cause of action is based on a comprehensive liability insurance policy. Both parties filed motions for summary judgment based on the pleadings, admissions, depositions and affidavits before the court. The trial court sustained appellees’ motion and entered judgment that appellant take nothing.

At the time of the occurrence forming the basis of the liability of appellant to Gulf Coast Rice Mills, appellant carried with appellee a comprehensive liability insurance policy, pertinent provisions of which read:

II. Defense, Settlement, Supplementary Payments. As respects the insurance afforded by the other terms of this policy the company shall: ■
(a) defend any suit against the insured alleging such injury, sickness, disease or destruction and seeking damages on account thereof, even if such suit is groundless, false or fraudulent; but the company may make such investigation, negotiation and settlement of any claim or suit as it deems expedient;
(c) pay all expenses incurred by the company, all costs taxed against the insured in any such suit and all interest accruing after entry of judgment until the company has paid, tendered or deposited in court such part of such judgment as does not exceed the limit of the company’s liability thereon;
(e) reimburse the insured for all reasonable expenses, other than loss of earnings, incurred at the company’s request.
The amounts incurred under this insuring agreement, except settlements of claims and suits, are payable by the company in addition to the applicable limit of liability of this policy.
⅜ ⅜ ⅜ ⅜ ⅜ ⅜
9. Notice of Accident. When an accident occurs written notice shall be given by or on behalf of the insured to the company or any of its-authorized agents as soon as practicable. Such notice shall contain particulars sufficient to identify the insured and also reasonably obtainable information respecting the time, place and circumstances of the accident, the names and addresses of the insured and of available witnesses.
10. Notice of Claim or Suit. If claim is made or suit is brought against the insured, the insured shall immediately [23]*23forward to the company every demand, notice, summons or other process received by him or his representative.
11. Assistance and Cooperation of the Insured. The insured shall cooperate with the company and, upon the company’s request, shall attend hearings and trials and shall assist in effecting settlements, securing and giving evidence, obtaining the attendance of witnesses and in the conduct of suits. The insured shall not, except at his own cost, voluntarily make any payment, assume any obligation or incur any expense other than for such immediate medical and surgical relief to others as shall be imperative at the time of accident.

This policy of insurance was issued as of January 1, 1955. In August, 1955, appellant’s employees, in an attempt to eradicate the pests which were causing damage to milled rice owned by Gulf Coast Rice Mills and stored in its warehouse, blew dust containing lindane into the warehouse. This dust settled on and around the sacks containing the rice and small amounts of the lindane sifted through the sacks onto the rice. Soon thereafter an agent of the U. S. Food and Drug Administration inspected the premises and barred shipment of the rice in interstate and foreign commerce. Over a period of months discussions were held by agents of the Rice Company with the agents of the local, state and federal officials concerned, culminating in a decision to re-mill the rice. Thereafter, appellant was presented with a statement of the loss sustained by the rice mill, which was reported to the home office of appellant on May 24, 1956. On June 28, 1956, notice of the claim for damages was first given to representatives of the insurance company. Appellee’s insurance adjuster immediately determined from the employees of appellant when and how the claimed damage occurred and the amount of the claim and sent this information to the Insurance Company.

By the terms of the policy of insurance, appellant deposited certain sums of money with the insurance company as a standard premium, subject to a “retrospective Rating Plan D,” which prescribed in detail the method to be followed in computing the final premiums. The company was required to compute the retrospective premium based upon incurred losses valued as of a date six months after the termination of the policy. This constitutes the final premium if all claims have been closed. If claims are pending, then a further review is required annually after the first review. The retrospective premium is defined to be the sum of the basic premium, the excess loss premium, and the modified losses multiplied by the applicable state tax multiplier; each of the terms concerned with premiums is defined. “Incurred Losses” is defined as the sum of (1) all losses, including medical actually paid, (2) reserves for unpaid losses as determined by the company, and (3) allocated loss expenses. There is also a further provision that “incurred lossess” do not include amounts, exclusive of allocated loss expense, in excess of $10,000.00 for any one accident for property damage liability. “Modified Losses” means the “incurred losses” multiplied by a loss conversion factor set out in the policy. After the retrospective premium is determined, the insured is either refunded part of the standard premium he had previously deposited, or required to pay an additional premium depending on his loss experience.

Appellee made its first computation of the restrospective premium during August or September, 1956, and on September 19, 1956, credited appellant with a substantial return of premium. In making this computation a reserve of $1,000.00 was set up for the Rice Mill claim as an incurred loss.

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Bluebook (online)
400 S.W.2d 20, Counsel Stack Legal Research, https://law.counselstack.com/opinion/orkin-exterminating-co-v-massachusetts-bonding-insurance-co-texapp-1966.