Ortiz v. State Farm Mutual Automobile Insurance

955 S.W.2d 353, 1997 WL 559656
CourtCourt of Appeals of Texas
DecidedOctober 20, 1997
Docket04-96-00248-CV
StatusPublished
Cited by23 cases

This text of 955 S.W.2d 353 (Ortiz v. State Farm Mutual Automobile Insurance) 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
Ortiz v. State Farm Mutual Automobile Insurance, 955 S.W.2d 353, 1997 WL 559656 (Tex. Ct. App. 1997).

Opinions

[355]*355OPINION

GREEN, Justice.

This case involves the written rejection exception to articles 5.06-1 and 5.06-3 of the Texas Insurance Code—the statutory provisions governing uninsured motorist, underin-sured motorist, and personal injury protection coverage. Carlotta Ortiz and Mario Zepeda appeal the trial court’s grant of a summary judgment in favor of State Farm Mutual Automobile Insurance Company on its declaratory judgment action and the denial of their own motion for summary judgment. In four points of error, appellants complain the Texas Automobile Insurance Plan’s “Application for Automobile Liability Insurance” does not constitute a valid rejection of uninsured motorist, underinsured motorist, and personal injury protection as a matter of law. In counterpoints, State Farm complains the trial court erred in admitting incompetent summary judgment evidence. We affirm.

Facts

Carlotta Ortiz and Mario Zepeda applied for auto insurance through the Texas Automobile Insurance Plan (TAIP) on March 6, 1991 and September 20, 1991, respectively. The TAIP application offered appellants uninsured and underinsured motorists coverage (UM/UIM) and personal injury protection coverage (PIP) and cited to articles 5.06-1 and 5.06-3 of the Texas Insurance Code. The application required appellants to either accept or reject these coverages individually by placing a check mark next to either “accept” or “reject”. Ortiz and Zepeda both rejected UM/UIM coverage and Zepeda also rejected PIP coverage; Ortiz did not reject PIP coverage. At the bottom of their respective applications, Ortiz and Zepeda signed their names. Below the signature line for applicants, the servicing agent signed, indicating that he had explained the UM/UIM and PIP coverage to appellants. Appellants’ applications were subsequently assigned to State Farm Mutual Automobile Insurance Company (State Farm), which issued policies consistent with the applications. Ortiz and Zepeda sued State Farm after being injured in two separate automobile accidents, each involving uninsured motorists.

At trial, appellants moved for partial summary judgment, seeking a declaratory judgment on the basis that the TAIP application cannot serve as a valid rejection of UM/UIM or PIP coverage, “[t]he application is not a knowing rejection” of PIP and UM/UIM coverage, “[t]he application is not a clear and express rejection” of PIP and UM/UIM coverage, and therefore, as a matter of law, State Farm is required to provide PIP and UM/UIM coverage.

State Farm likewise moved for a partial summary judgment, arguing that because the application complies with the Insurance Code, it constitutes a valid rejection of PIP and UM/UIM coverage and therefore, as a matter of law, State Farm is not required to provide PIP and UM/UIM coverage where it was rejected in the application.

The court denied appellants’ motion for summary judgment and granted State Farm’s motion

to the extent that the Court concludes the Application for Automobile Liability Insurance in use by the Texas Automobile Insurance Plan, Form TAIP-1000, Rev. 10-1-89, which was submitted to the Texas Automobile Insurance Plan by the Plaintiffs, Carlotta Ortiz and Mario Zepeda, complies with the requirements of Articles 5.06-1 and 5.06-3 of the Texas Insurance Code in providing for written rejection of Uninsured/Underinsured Motorist Coverage and Personal Injury Protection Coverage.

The court then severed the partial summary judgment from the rest of the case and Ortiz and Zepeda appealed from the final judgment.

Discussion

We review a summary judgment de novo. To prevail on summary judgment, the mov-ant must show there are no genuine issues of material fact and he is entitled to judgment as a matter of law. Tex.R. Civ. P. 166a(c); Cathey v. Booth, 900 S.W.2d 339, 341 (Tex.1995); Nixon v. Mr. Property Management, Co., 690 S.W.2d 546, 548-49 (Tex.1985). In determining whether a material fact issue [356]*356exists, the court considers all evidence favorable to the nonmovant as true and resolves every reasonable inference in favor of the nonmovant. Cathey, 900 S.W.2d at 341; Nixon, 690 S.W.2d at 548-49. A plaintiff, as movant, must conclusively prove all essential elements of his claim to be entitled to summary judgment. See MMP, Ltd. v. Jones, 710 S.W.2d 59, 60 (Tex.1986). Conversely, if the defendant moves for summary judgment, he must negate at least one element of the plaintiffs cause of action or conclusively establish an affirmative defense. Cathey, 900 S.W.2d at 341. When both parties move for summary judgment, the court considers all of the evidence accompanying both motions in determining whether to grant either party’s motion. Villarreal v. Laredo Nat’l Bank, 677 S.W.2d 600, 605 (Tex.App.—San Antonio 1984, writ ref'd n.r.e.).

Appellants complain, in their first and second points of error, that the trial court erred in granting summary judgment for State Farm and in denying appellants’ motion for summary judgment. In related points three and four, appellants argue that because the application was not a part of the liability policy and because the application is not a clear, knowing, and express rejection of UM/UIM and PIP coverage, it cannot govern the contractual rights of the parties in con-starting coverage. Because they are interrelated, we discuss these points together.

Texas Insurance Code articles 5.06-1 and 5.06-3 require that every automobile liability insurance policy issued within this state, including insurance issued pursuant to an assigned risk plan, provide UM, UIM, and PIP coverage, unless “any insured named in the policy shall reject the coverage in writing....” Tex. Ins.Code Ann. arts. 5.06-1(1), 5.06-3(a) (Vernon 1981).1 The underlying policy behind these statutes is the state’s interest in protecting conscientious and thoughtful motorists from financial loss. See Stracener v. United Servs. Auto. Ass’n, 777 S.W.2d 378, 382 (Tex.1989); Unigard Sec. Ins. Co. v. Schaefer, 572 S.W.2d 303, 308 (Tex.1978); Employers Casualty Co. v. Sloan, 565 S.W.2d 580, 584 (Tex.Civ.App.—Austin 1978, writ ref'd n.r.e.).

Courts must liberally construe articles 5.06-1 and 5.06-3 to give full effect to the public policy broadly requiring UM/UIM and PIP coverage. See Stracener, 777 S.W.2d at 382; Howard v. INA County Mutual Ins. Co., 933 S.W.2d 212, 218 (Tex.App.—Dallas 1996, n.w.h.); Sloan, 565 S.W.2d at 583. Because of the remedial purpose behind each article and because of the liberal interpretation effecting coverage, the [357]*357written rejection exceptions should be strictly construed to protect the insured. See Howard, 933 S.W.2d at 218; Sloan, 565 S.W.2d at 583; Guarantee Ins. Co. of Texas v. Boggs,

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Ortiz v. State Farm Mutual Automobile Insurance
955 S.W.2d 353 (Court of Appeals of Texas, 1997)

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Bluebook (online)
955 S.W.2d 353, 1997 WL 559656, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ortiz-v-state-farm-mutual-automobile-insurance-texapp-1997.