Rice Food Markets, Inc. v. Williams

47 S.W.3d 734, 2001 Tex. App. LEXIS 2912, 2001 WL 461372
CourtCourt of Appeals of Texas
DecidedMay 3, 2001
DocketNo. 01-00-00029-CV
StatusPublished
Cited by11 cases

This text of 47 S.W.3d 734 (Rice Food Markets, Inc. v. Williams) 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
Rice Food Markets, Inc. v. Williams, 47 S.W.3d 734, 2001 Tex. App. LEXIS 2912, 2001 WL 461372 (Tex. Ct. App. 2001).

Opinions

OPINION

NUCHIA, Justice.

Frederick P. Williams, appellant, sued his employer, Rice Food Markets, Inc. (“Rice”), for a work-related injury. Rice is [736]*736a non-subscriber under the Texas Worker’s Compensation Act. Trial was to a jury, which awarded Williams $64,500 in actual damages plus pre-judgment interest. We reverse and remand with instructions to the trial court.

BACKGROUND

Williams was employed as a meat manager for Rice. In April 1996, he was rolling a cart loaded with cases of chicken out of the cooler. Just outside the cooler there was a drain in the floor with a slight dip. As he rolled the cart over the drain, the cart tipped, pulling his arm down suddenly and spilling the cases of chickens. He experienced a great deal of pain in his arm and went to the emergency room at Southwest Memorial Hospital as instructed by his employer. His injury was later diagnosed as a complete rupture of the biceps tendon, which was surgically repaired.

Williams sued Rice for negligence, and his wife sued for loss of consortium. The jury awarded Williams $9,500 in past medical expenses, $5,000 for pain, and $50,000 for past mental anguish. The jury did not award anything to Mrs. Williams for loss of consortium.

DISCUSSION

Waiver and/or Estoppel

In its first issue, Rice contends that, because Williams accepted benefits under Rice’s occupational benefits plan, he is barred by the doctrines of waiver and/or estoppel from bringing this action because he agreed to release that claim if he accepted benefits under the plan. Rice argues that it has established its waiver and/or estoppel defense as a matter of law.1

Waiver and estoppel are affirmative defenses that must be pleaded and proved. Tex.R. Civ. P. 94; Texaco, Inc. v. Pennzoil Co., 729 S.W.2d 768, 805 (Tex.App.—Houston [1st Dist.] 1987, writ ref d n.r.e.). Rice asserted waiver and estoppel in its answer and argued these issues to the trial court, and the trial court ruled that they were issues of fact to be determined by the jury. Rice did not request that any issues be presented to the jury on waiver or estop-pel.

Although Rice was a non-subscriber under the Workers’ Compensation Act, it had an Occupational Benefits Plan, which provided benefits for workers who sustained job-related injuries. Employees were given notice that Rice did not have workers’ compensation insurance and that Rice had an alternative medical and wage benefit plan for job-related injuries and illnesses. The notice of the alternative plan stated, “To receive payment of medical expenses and wage continuance, the following conditions must be fulfilled.” Five conditions are included: (1) the injury must be work related; (2) the injury must be reported immediately; (3) the employee must be treated by an approved physician; (4) the employee must assist the manager in completing an incident report; and (5) in consideration of Rice’s review of the claim and payment of 100% of authorized medical expenses and a percentage of salary, the employee must report to a manager as requested and sign a release from further liability if benefits are accepted. The document concludes:

I HEREBY ACKNOWLEDGE RECEIPT OF A COPY OF THIS PROGRAM AND HAVE BEEN GIVEN THE OPPORTUNITY TO ASK ANY [737]*737QUESTIONS I MAY HAVE OF MY MANAGER OR SUPERVISOR. I HAVE BEEN GIVEN A COPY OF THIS DOCUMENT FOR MY PERSONAL RECORDS AND FOR FUTURE REFERENCE.

Williams and his 'wife signed the document.

Rice contends that, by signing this document, Williams and his wife entered into an agreement with Rice. Rice further argues that Williams satisfied conditions one through four of this “agreement” and, therefore, cannot refuse to comply with the final condition.

Waiver is the intentional relinquishment of a known right or intentional conduct inconsistent with claiming that right. Bluebonnet Sav. Bank, F.S.B. v. Grayridge Apartment Homes, Inc., 907 S.W.2d 904, 911 (TexApp.—Houston [1st Dist.] 1995, writ denied). Rice did not establish as a matter of law that Williams intentionally relinquished his right to bring a common law negligence suit against Rice. Williams’s acceptance of some initial benefits under the plan before notifying Rice that he would not participate in the plan, at the most, raised a fact issue regarding whether Williams’s conduct was inconsistent with claiming a right to file suit. Therefore, Rice did not establish its waiver defense as a matter of law.

The cases cited by Rice in support of its waiver issue are not applicable to the facts of this case. They involve waivers in writing and signed by the employee,2 suits by the employee to obtain benefits under the insurance plan,3 and a declaratory judgment action determining that the insurance company did not have a right of subrogation in the employee’s suit against a third-party tortfeasor.4

Rice did not argue its estoppel defense separately from its waiver defense at trial, nor does it make a separate argument on appeal. Rice has therefore waived its complaints regarding estoppel as a defense, and we decline to address it separately. See Tex.R.App. P. 33.1.

We overrule Rice’s first issue. Preemption by ERISA

In its second issue, Rice contends that (1) by instituting the benefit process under Rice’s plan and accepting and retaining benefits, Williams triggered his obligation to execute a release and (2) Williams’s suit is preempted by ERISA5 because the plan is a qualifying plan under ERISA. In its brief, Rice recognizes that in Keifer v. Spring Shadows Glen, 934 S.W.2d 785 (Tex.App.—Houston [1st Dist.] 1996, writ denied), this Court held that a common law negligence suit for a work-related injury against a non-subscriber employer does not relate to the employer’s ERISA plan and is therefore not preempted by ERISA. Rice argues that the present case is distinguishable from Keifer because Williams accepted benefits under Rice’s plan. We disagree.

As in Keifer, Rice’s workers’ compensation plan was qualified under ERISA. However, Williams was not seeking benefits under the plan, nor was he [738]*738complaining about the administration of the plan. His lawsuit did not relate to the ERISA plan, but was a negligence action complaining of an unsafe workplace. Therefore, the lawsuit was not preempted by ERISA. See Keifer, 934 S.W.2d at 788; see also Hook v. Morrison Milling Co., 38 F.3d 776, 786 (5th Cir.1994) (holding that a lawsuit alleging negligence in maintaining an unsafe work place against an employer does not “relate to” the employer’s ERISA plan and therefore is not preempted by ERISA).

Regarding Williams’s acceptance and retention of benefits, it is uncontested that Rice paid some of Williams’s medical expenses under the plan.

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Cite This Page — Counsel Stack

Bluebook (online)
47 S.W.3d 734, 2001 Tex. App. LEXIS 2912, 2001 WL 461372, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rice-food-markets-inc-v-williams-texapp-2001.