Southwestern Clinic of Bone & Joint Diseases v. Farmers Insurance Group

850 S.W.2d 750, 1993 Tex. App. LEXIS 784, 1993 WL 65448
CourtCourt of Appeals of Texas
DecidedMarch 11, 1993
Docket13-92-355-CV
StatusPublished
Cited by14 cases

This text of 850 S.W.2d 750 (Southwestern Clinic of Bone & Joint Diseases v. Farmers Insurance Group) 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
Southwestern Clinic of Bone & Joint Diseases v. Farmers Insurance Group, 850 S.W.2d 750, 1993 Tex. App. LEXIS 784, 1993 WL 65448 (Tex. Ct. App. 1993).

Opinion

OPINION

NYE, Chief Justice.

Appellant, Southwestern Clinic of Bone & Joint Diseases, sued appellee, Farmers Insurance Group, alleging negligent misrepresentation, breach of assignment, and unjust enrichment. Farmers moved for summary judgment on the grounds that Southwestern did not rely on the alleged misrepresentation and that it suffered no detriment. The trial court granted a take-nothing summary judgment. Southwestern appeals by three points of error. We reverse and remand.

Southwestern alleged that in July and August 1989, it had provided $3,059 in medical services to Vic Nwankpah for injuries he received in an automobile collision with William Butler. Farmers was the carrier obligated to pay Nwankpah’s medical expenses resulting from the collision. Farmers’ representatives informed a Southwestern employee that Southwestern’s name would appear on the check made payable to Nwankpah for settlement of his claims against Butler and that Farmers would protect its bill for Nwankpah’s medical services. Thereafter, Farmers settled its claim with Nwankpah and failed to include Southwestern’s name on the check or to protect Southwestern’s bill. Southwestern asserted that Farmers either knowingly represented or concealed that it would see that Southwestern’s bill would be paid at the conclusion of the case, that it would include Southwestern’s name on the check, and that it would not recognize an assignment of benefits from Nwankpah to Southwestern. Southwestern alleged that Farmers’ representations concerned material facts because it would have taken action to see that its bill would have been paid on conclusion of Nwankpah’s claim against Butler. Southwestern further alleged that Farmers had superior knowledge concerning the subject matter of the transaction and that it justifiably relied upon that knowledge.

Farmers moved for summary judgment on the grounds that: (1) Southwestern did not rely upon the misrepresentation, given that it attempted to collect against Nwank-pah; and (2) Southwestern had not suffered any detriment, given that it could have still collected from Nwankpah based upon the itemized statements made the basis of this suit. Farmers’ summary judgment proof consisted of Southwestern’s responses to its requests for admissions which showed, in relevant part, that:

1. A settlement between Farmers and Nwankpah occurred in July 1990. Subsequent to the settlement date, Southwestern became aware of that settlement.
2. Subsequent to the settlement date and subsequent to the date that Southwestern became aware of the settlement, it attempted to collect on *752 the itemized statements from Nwankpah.
3. Southwestern admitted that it was possible “as of this day” 1 for it to have a claim against Nwankpah for nonpayment of the itemized statements made the basis of this suit.
4. Southwestern admitted that a medical lien regarding the itemized statements made the basis of this suit was not filed.
5. Southwestern admitted that other than writing one letter to Nwank-pah’s attention, it had not attempted to collect on the itemized statements from Nwankpah.

In its response, Southwestern asserted that Farmers was not entitled to judgment as a matter of law because § 552 of the Second Restatement of Torts provides for imposition, by law, of liability for negligent misrepresentation. Southwestern’s summary judgment proof consisted of Skip Spruill’s affidavit and Nwankpah’s assignment and authorization. Spruill, Southwestern’s business manager, stated, in relevant part:

On August 8, 1989, I contacted Farmers Insurance Group[ 2 ] regarding the charges for medical treatment rendered to Mr. Nwonkpak.[ 3 ] I was aware that Mr. Nwonkpak had a claim against a third party as a result of an automobile accident, and Farmers was the insurer for this third party. My purpose in contacting Farmers was to be sure that the bill of Southwestern Clinic of Bone and Joint Disease was paid out of any settle-, ment. I was concerned about payment because the attorney who had agreed to protect our bill in the event of settlement had withdrawn from the case.... I spoke with a representative of Farmers whose last name was Daniel. Mr. Daniel assured me that when the case was set-tied, Dr. Quatro’s [ 4 ] name would be included on the settlement check. I immediately mailed a copy of Vic Nwonkpak’s assignment to Farmers along with the bill_ On September 5, 1989 I telephone [sic] Farmers about the bill of Nwonkpak_ I spoke with an insurance adjustor of Farmers by the name of Dick Cryan. Mr. Cryan told me that he had received the documents I had mailed, and that at the time of settlement Dr. Quatro’s name would be on the settlement cheek.

Spruill also stated that about April 18, 1991, he learned that Nwankpah’s case had been settled, but that Dr. Quatro’s name was not on the settlement check. He further stated that if Farmers had not assured him that the check would have included Dr. Quatro’s name, he would have taken further action to ensure payment of Nwank-pah’s bill, i.e., he would have hired counsel to use the necessary remedies, including a pre-judgment garnishment of Farmers. According to Spruill, a suit against Nwank-pah would not be viable at this time because: 1) all funds which would have been available for garnishment have been distributed; 2) as of August 29,1989, he could have located Nwankpah, but he can no longer do so; and 3) in all likelihood, Nwankpah was judgment proof.

Nwankpah’s assignment and authorization stated:

I HEREBY AUTHORIZE ALL MEDICAL AND/OR SURGICAL BENEFITS TO BE PAID DIRECTLY TO DR. F.J. QUATRO, SOUTHWESTERN CLINIC OF BONE AND JOINT DISEASES ... BY REASON OF SERVICES DESCRIBED IN THE STATEMENTS RENDERED, AND PROVIDED FOR IN THE INSURANCE POLICY CONTRACT.
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*753 I FURTHER AUTHORIZE THE ATTORNEY WHO I HAVE RETAINED TO REPRESENT ME TO PAY ANY OUTSTANDING BALANCE I MAY HAVE WITH DR. F.J. QUATRO OUT OF ANY SETTLEMENT THAT MAY ARISE FROM HIS/HER REPRESENTING ME.
I UNDERSTAND THAT I AM SOLELY RESPONSIBLE FOR ALL CHARGES INCURRED....

In reviewing a summary judgment record, we must determine whether a disputed material fact issue exists that would prevent summary judgment. Gonzalez v. Mission Am. Ins. Co., 795 S.W.2d 734, 736 (Tex.1990); Bayouth v. Lion Oil Co., 671 S.W.2d 867, 868 (Tex.1984). Every reasonable inference must be indulged in the non-movants’ favor, and any doubt resolved in their favor. Wilcox v. St. Mary’s Unix., 531 S.W.2d 589, 593 (Tex.1975).

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850 S.W.2d 750, 1993 Tex. App. LEXIS 784, 1993 WL 65448, Counsel Stack Legal Research, https://law.counselstack.com/opinion/southwestern-clinic-of-bone-joint-diseases-v-farmers-insurance-group-texapp-1993.