Sonic Systems International, Inc. v. Croix

278 S.W.3d 377, 2008 WL 4355351
CourtCourt of Appeals of Texas
DecidedMarch 5, 2009
Docket14-07-00103-CV
StatusPublished
Cited by39 cases

This text of 278 S.W.3d 377 (Sonic Systems International, Inc. v. Croix) 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
Sonic Systems International, Inc. v. Croix, 278 S.W.3d 377, 2008 WL 4355351 (Tex. Ct. App. 2009).

Opinion

OPINION

CHARLES W. SEYMORE, Justice.

Appellant, Sonic Systems International, Inc. (“Sonic”), sued appellee, Texas Mutual Insurance Company f/k/a Texas Worker’s Compensation Insurance Fund (“TMI”), based on TMI’s denial of insurance coverage relative to a work-related injury sustained by a Sonic employee. Sonic also sued appellees, Randy Croix and Eddie Croix Insurance Agency, Inc. (collectively “the Croix Parties”), based on their alleged failure to properly procure insurance to cover the employee’s claims. The trial court granted separate motions for summary judgment filed by TMI and the Croix Parties. The trial court rendered a final judgment that Sonic take nothing from all appellees. Sonic presents four appellate issues, challenging both summary judgments.

We reverse the portions of the judgment ordering that Sonic take nothing on all its contractual and extra-contractual causes of action against TMI to the extent they are based on TMI’s denial of the claim for Texas workers’ compensation benefits at issue in this suit. We affirm the portions of the judgment ordering that Sonic take nothing on all its contractual and extra-contractual causes of action to the extent they are not based on TMI’s denial of the Texas workers’ compensation claim. We affirm the summary judgment on Sonic’s request for declaratory relief. We affirm the judgment in favor of the Croix Parties.

I. Background

The history of this suit is somewhat convoluted, but the pleadings and undisputed summary judgment evidence establish the following pertinent background.

A. Sonic’s Policy

Sonic performs testing in the nuclear and petro-chemical industries. TMI issued a “Workers’ Compensation And Employers Liability Insurance Policy” (“the policy”) to Sonic, effective March 2,1996 to March 2, 1997. The Croix Parties were the agents who procured the policy on Sonic’s behalf. The policy provided that TMI would promptly pay when due the benefits required of Sonic by Texas workers’ compensation law. The policy also included an “Other States Endorsement,” requiring TMI to reimburse Sonic for amounts it was required to pay as benefits by the workers’ compensation laws of certain other states, including Alabama. The endorsement applied to “temporary operations only,” which, by definition, excluded operations performed by Sonic “at or from a permanent location” or “under contract except for contract trucking.”

B. Cochran’s Injury and Texas Workers’ Compensation Claim

On February 24, 1997, Sonic was performing services at a nuclear plant in Alabama pursuant to a contract with Southern Nuclear Operating Services. Gary Cochran, a Sonic employee and Alabama resident, injured his back while working at the plant. Sonic reported Cochran’s injury to the Texas Worker’s Compensation Commission (“TWCC”).

In July 1997, Cochran filed a claim for benefits under the Texas Workers’ Compensation act (“the Texas act”). TMI dis *380 puted Cochran’s claim for two reasons: (1) Cochran was an independent contractor— not an employee of Sonic — at the time of his injury; and (2) Cochran did not satisfy the statutory provision prescribing the circumstances under which an employee injured while working in another jurisdiction is entitled to rights and remedies under the act. 1 At that point, neither Cochran nor Sonic pursued Cochran’s claim through the administrative process prescribed by the act. 2 Several months later, Sonic began making voluntary compensation payments to Cochran.

C.The Underlying Suit

Then, in 1999, Sonic filed the suit underlying this appeal. 3 Sonic has amended its petition several times, and we will later outline its causes of action in more detail. In essence, Sonic’s causes of action against TMI rest on its acts relative to acquisition and underwriting of the policy and its refusal to provide coverage for claims arising from Cochran’s injury. Sonic’s complaints against the Croix Parties center on their alleged failure to procure workers’ compensation coverage for Sonic’s out-of-state employees, including Cochran.

D. Cochran’s Alabama Claim

In the same year, Cochran pursued a claim under the Alabama workers’ compensation act (“the Alabama act”). According to Cochran, he filed the Alabama claim because TMI had disputed his Texas claim and the Alabama statute of limitations would shortly expire. Sonic did not have Alabama workers’ compensation insurance. In July 2001, an Alabama court rendered judgment against Sonic, awarding Cochran income and medical benefits. 4 TMI has refused to reimburse Sonic under the Other States Endorsement for the Alabama judgment, contending that Sonic’s project at issue was excluded from the definition of “temporary operations.”

E. Sonic’s Return to the TWCC

Several days after the Alabama court rendered judgment, Sonic returned to the TWCC. As a subclaimant, Sonic sought reimbursement from TMI for benefits Sonic voluntarily paid to Cochran. 5

After a contested case hearing, the TWCC hearing officer determined in pertinent part: (1) Cochran was an employee of Sonic, sustained a compensable injury while working in Alabama, and was entitled to all rights and remedies under the *381 Texas act; (2) however, pursuant to section 406.075(a) of the act, Cochran was barred from recovering Texas benefits because he elected to pursue a remedy and recover workers’ compensation benefits under Alabama law; see Tex. Lab.Code Ann. § 406.075(a) (Vernon 2006) (providing, “An injured employee who elects to pursue the employee’s remedy under the workers’ compensation laws of another jurisdiction and who recovers benefits under those laws may not recover under this subtitle.”); and (3) Sonic, as Cochran’s subclaimant, was likewise precluded from reimbursement of benefits voluntarily paid to Cochran.

Only Sonic challenged the hearing officer’s decision to a TWCC appeals panel. Sonic appealed the hearing officer’s determination that Cochran was barred from recovering Texas benefits by his election of Alabama remedies and thus Sonic was not entitled to reimbursement of benefits voluntarily paid to Cochran. The appeals panel affirmed the hearing officer’s decision. 6

F. Sonic’s Judicial Review Case

Sonic filed a petition for judicial review of the TWCC appeals panel decision. The judicial review case and underlying suit were consolidated in the trial court. At TMI’s request, the trial court abated the underlying suit pending resolution of the judicial review case. Sonic and TMI filed cross-motions for summary judgment in the judicial review case. The trial court granted Sonic’s motion and denied TMI’s motion.

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Cite This Page — Counsel Stack

Bluebook (online)
278 S.W.3d 377, 2008 WL 4355351, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sonic-systems-international-inc-v-croix-texapp-2009.