Philip W. Barnes v. Old American County Mutual Fire Insurance Company

CourtCourt of Appeals of Texas
DecidedFebruary 26, 2010
Docket03-07-00404-CV
StatusPublished

This text of Philip W. Barnes v. Old American County Mutual Fire Insurance Company (Philip W. Barnes v. Old American County Mutual Fire Insurance Company) 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
Philip W. Barnes v. Old American County Mutual Fire Insurance Company, (Tex. Ct. App. 2010).

Opinion

TEXAS COURT OF APPEALS, THIRD DISTRICT, AT AUSTIN




NO. 03-07-00404-CV

Philip W. Barnes, Appellant



v.



Old American Mutual Fire Insurance Company, Appellee



FROM THE DISTRICT COURT OF TRAVIS COUNTY, 261ST JUDICIAL DISTRICT

NO. D-1-GN-05-004402, HONORABLE STEPHEN YELENOSKY, JUDGE PRESIDING

M E M O R A N D U M O P I N I O N



Philip W. Barnes appeals from the trial court's order granting the motion of Old American Mutual Fire Insurance Company ("Old American") for directed verdict and awarding Old American damages, prejudgment and postjudgment interest, and attorneys' fees in a dispute arising from various nonstandard automobile insurance programs. We will affirm the trial court's order awarding damages, prejudgment interest, and attorneys' fees and will reverse that portion of the order awarding postjudgment interest on the arbitration-award amount of $899,652.85 and render judgment that Old American recover no postjudgment interest on the arbitration-award amount.



FACTUAL AND PROCEDURAL BACKGROUND

The nonstandard automobile insurance market provides insurance for motorists who have poor credit histories, poor driving records, prior accidents, or other underwriting concerns that make it difficult for those motorists to obtain insurance through the traditional market. In Texas, the nonstandard insurance market is structured through a tripartite relationship among a county mutual insurance company, a managing general agency ("MGA"), and one or more reinsurance companies. A county mutual insurance company ("county mutual") is an insurance carrier that is exempt from most state insurance laws. See Tex. Ins. Code Ann. § 912.002 (West 2009). The county mutual acts as the insurance carrier and allows its policies to be issued by its agents. In exchange for allowing policies to be issued pursuant to its authority to conduct the business of insurance, the county mutual receives a "front fee," that is, a percentage of the premiums written in a particular program.

From an operational standpoint, almost all the functions of administering a particular insurance program are delegated by a county mutual to its appointed MGA. The MGA conducts the majority of the business of the insurance program and is granted broad authority under the parties' MGA agreement to act on behalf of the insurance carrier. Among other functions, the MGA accepts insurance applications, underwrites applications, issues policies, collects premiums, pays commissions to retail agents, and adjusts and pays claims. Often, all or part of the obligations the MGA owes to the county mutual are supported by some form of guaranty agreement. Unlike the county mutual's compensation that is set out in the MGA agreement, the MGA's compensation is delineated in the reinsurance agreement between the county mutual and its reinsurer or reinsurers.

Reinsurance is a means whereby a company that issues an insurance policy can allocate or "cede" all or a portion of the risk it bears on that policy to another insurance company in return for a portion of the premium. Great Atl. Life Ins. Co. v. Harris, 723 S.W.2d 329, 330 (Tex. App.--Austin 1987, writ dism'd). Traditionally, 100 percent of the premiums written and losses incurred under a nonstandard insurance program are accepted by one or more reinsurers. In this context, the county mutual is referred to as the "reinsured" or the "ceding carrier." The relationship between the ceding carrier and its reinsurers is governed by a reinsurance agreement.

This case concerns the extent to which a guaranty agreement signed by Barnes applies to various nonstandard automobile insurance programs. In 1993, Barnes formed the Heartland Lloyds Insurance Company ("Heartland") and served as its president. In February 2002, Barnes formed an MGA called Legacy Managing General Agency ("Legacy"). On April 30, 2002, Legacy entered into an MGA agreement ("MGA Agreement") with Old American, and Heartland agreed, effective May 1, 2002, to reinsure all the nonstandard automobile insurance business produced by Legacy for Old American. In addition, Barnes, as president of Heartland, signed a guaranty of performance of Legacy, effective May 1, 2002. On July 31, 2002, Barnes resigned as president of Heartland, and on August 12, 2002, Heartland terminated its reinsurance agreement with Old American, effective September 30, 2002.

On December 10, 2002, Old American signed a reinsurance agreement with Universal Reinsurance Company ("Universal Re"). Article 5.1 of the agreement brought about a novation; that is, Universal Re was substituted for Heartland, effective retroactively as of May 1, 2002. On December 12, 2002, Barnes executed an "absolute and unconditional" personal guaranty of Legacy's performance under the MGA Agreement with Old American ("Guaranty Agreement"), also effective retroactively as of May 1, 2002. On December 24, 2002, Old American released Heartland as reinsurer and guarantor of Legacy through an agreement and release, effective retroactively as of May 1, 2002.

During 2002 and 2003, Barnes took profit distributions from Legacy in the amount of $228,663.21. Then, in 2004, he formed Austin Indemnity Lloyds Insurance Company ("Austin Indemnity"), another reinsurance company. Barnes suggested to Old American that Austin Indemnity replace Universal Re as the reinsurer. He also proposed a commission adjustment agreement ("Commission Adjustment Agreement") to modify commission amounts earned by Legacy on all business produced for Old American. On September 2, 2004, Old American, Austin Indemnity, and Universal Re executed a novation agreement that substituted Austin Indemnity for Universal Re as the reinsurer of the Legacy program, effective retroactively as of May 1, 2002. Barnes now controlled both the producer (Legacy) and the reinsurer (Austin Indemnity) of the Legacy book of business. On October 1, 2004, Old American and Legacy signed the Commission Adjustment Agreement. If Legacy produced good business, that is, insurance business with a favorable loss ratio, (1) Legacy's commission would increase. If Legacy produced "bad" business, its commission rate would be adjusted downward.

Shortly thereafter, Barnes's relationship with his partners at Legacy began to deteriorate. On March 14, 2005, he resigned his management position with the company, although he retained his 38-percent ownership interest in Legacy and continued to function as its registered agent. On March 24, 2005, Austin Indemnity terminated its reinsurance agreement with Old American regarding the Legacy business. On April 1, 2005, Dorinco Reinsurance Company ("Dorinco") and AXA Re ("AXA") agreed to equally reinsure the Legacy business ("Dorinco agreement").

On October 10, 2005, Old American made demand to Legacy for commission adjustment amounts due under the Commission Adjustment Agreement, losses that Old American calculated were $1,404,901.22 as of June 30, 2005. Legacy, however, failed to pay.

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Philip W. Barnes v. Old American County Mutual Fire Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/philip-w-barnes-v-old-american-county-mutual-fire--texapp-2010.