Ortiz v. Great Southern Fire & Casualty Insurance Co.

597 S.W.2d 342
CourtTexas Supreme Court
DecidedMarch 19, 1980
DocketB-8981
StatusPublished
Cited by106 cases

This text of 597 S.W.2d 342 (Ortiz v. Great Southern Fire & Casualty Insurance Co.) is published on Counsel Stack Legal Research, covering Texas Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ortiz v. Great Southern Fire & Casualty Insurance Co., 597 S.W.2d 342 (Tex. 1980).

Opinion

SPEARS, Justice.

The question presented is whether an insurer is entitled to complete reimbursement out of a third-party tortfeasor’s settlement payment which only partially compensates the insureds’ loss. The trial court rendered summary judgment allowing the insurer subrogation in an amount equal to its payment to the insureds, and the court of civil appeals affirmed. 587 S.W.2d 818. We reverse and remand.

*343 Mike and Olivia Ortiz obtained a fire insurance policy on their home from Great Southern Fire and Casualty Insurance Company. The Ortizes did not insure the contents of the house. On December 10,1976 a fire did considerable damage to the Ortiz home and its contents. The Ortizes filed suit against Stacy-Mason, Inc. and its employee, Ernest A. Ekberg, alleging that the fire was caused by the negligent placement of carpet padding over a floor furnace. The petition alleged damages to the Ortizes’ real property of at least $4,000 and damages to their personal property of at least $11,614.

Pursuant to the insurance policy, Great Southern had paid the Ortizes $4,000 for repairs on the insured dwelling. Thereafter, Great Southern intervened in the Or-tizes’ suit against Stacy-Mason, claiming a right to subrogation in the amount of $4,000. The Ortizes filed an answer denying Great Southern's right to subrogation.

Subsequently, all parties to the suit entered into a settlement agreement whereby all claims against Stacy-Mason were released. The settlement agreement provided:

WHEREAS, the Plaintiff has alleged Four Thousand and No/100 ($4,000.00) Dollars in damage to Plaintiff’s real property, and Eleven Thousand Six Hundred Fourteen and No/100 ($11,614.00) Dollars in damage to Plaintiff’s personal property, which amount could well have been proved by the Plaintiff. .
That for and in consideration of the sum of Ten Thousand and No/100 ($10,-000.00) Dollars, paid into the hands of the District Clerk of Hockley County by the insurers of Defendants, Ernest A. Ekberg and Stacy-Mason, Inc., the receipt of which is hereby acknowledged, the Plaintiff and Intervenor do hereby release Defendants, Ernest A. Ekberg and Stacy-Mason, Inc., ... of and from any and all actions, causes of action, claims, demands, damages, expenses, loss of compensation, and liability of any nature . growing out of the above described occurrence, . . . and further agree that said cause shall be dismissed with prejudice at cost of each said Defendant.

Stacy-Mason deposited the $10,000 in the registry of the court. The trial court granted Great Southern’s motion for summary judgment on its claim for subrogation in the amount of $4,000 and denied the Or-tizes’ motion for summary judgment claiming the entire $10,000 settlement fund. The court of civil appeals affirmed the trial court’s judgment, holding that Great Southern was entitled to equitable subrogation to the full extent of its payments to the Or-tizes. We disagree.

One reason that the right of equitable subrogation is granted to an insurer is to prevent the insured from receiving a double recovery. In the present case, however, there is no indication that the Ortizes have to any extent received a double recovery. The parties have stipulated that the Ortizes’ damages were in excess of $15,000; yet, the Ortizes have received compensation of only $14,000.

An insurer is not entitled to subro-gation if the insured’s loss is in excess of the amounts recovered from the insurer and the third party causing the loss. Propeck v. Farmers’ Mut. Ins. Ass’n, 65 S.W.2d 390, 390 (Tex.Civ.App.—Dallas 1933, no writ); Camden Fire Ins. Ass’n v. Missouri, K. & T. Ry., 175 S.W. 816, 821 (Tex.Civ.App.—Dallas 1915, no writ). In Camden, supra, at 821 the court said:

[An insured] should not be required to account for more than the surplus which remained in his hands after satisfying his own excess of loss in full and his reasonable expenses incurred in its recovery.

Most courts in other jurisdictions also have held that the insurer can recover only the excess collected from the wrongdoer after the insured is fully compensated for his loss, including the costs and expenses of collection. E. g., Washtenaw Mut. Fire Ins. Co. v. Budd, 208 Mich. 483, 175 N.W. 231, 232 (1919); St. Paul Fire & Marine Ins. Co. v. W. P. Rose Supply Co., 19 N.C.App. 302, 198 S.E.2d 482, 484 (1973); Garrity v. Rural Mut. Ins. Co., 77 Wis.2d 537, 253 N.W.2d 512, 514 (1977).

*344 In Garrity, supra, the fire loss to the insured property exceeded the $67,227.12 paid by the insurance company. The insured sued the negligent party for $110,000, and the insurance company filed a third-party complaint against the tortfeasor, claiming priority in any amount recovered. The Wisconsin Supreme Court rejected this contention, saying that the insured is entitled to be made whole before the insurer is entitled to subrogation. The court noted that if the policyholder was not first allowed to make good his own loss, the insurer in essence becomes a competitor with the insured. Therefore, the court held that a right to subrogation does not arise until the insured’s loss has been fully paid and said that when

either the insurer or the insured must to some extent go unpaid, the loss should be borne by the insurer for that is a risk the insured has paid it to assume.

Garrity v. Rural Mut. Ins. Co., supra, 253 N.W.2d at 514.

The court of civil appeals cites State Farm Mut. Auto. Ins. Co. v. Elkins, 451 S.W.2d 528 (Tex.Civ.App.—Tyler 1970, no writ), as authority for its holding that Great Southern is entitled to complete reimbursement of its $4,000 payment for the damage to the real property. In Elkins the insurer was fully reimbursed even though the damages to the insured property were greater than the amount recovered from the third-party tortfeasor. We do not think the reasoning in Elkins is persuasive, however, and to the extent that the holding in that case conflicts with this opinion, it is disapproved. Moreover, even in Elkins the court recognized that when an insurer does not assist in the collection of damages from the third party tortfeasor, it must pay its share of the costs and expenses incurred in obtaining recovery from the third party, including attorney fees. Elkins, supra, at 531-32; accord, Cedarholm v. State Farm Mut. Ins. Co., 81 Idaho 136, 338 P.2d 93, 96 (1959); General Exch. Ins. Corp. v. Driscoll, 315 Mass.

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Bluebook (online)
597 S.W.2d 342, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ortiz-v-great-southern-fire-casualty-insurance-co-tex-1980.