State Farm Fire & Casualty Co. v. Simmons

857 S.W.2d 126, 1993 WL 274705
CourtCourt of Appeals of Texas
DecidedJuly 1, 1993
Docket09-91-258 CV
StatusPublished
Cited by19 cases

This text of 857 S.W.2d 126 (State Farm Fire & Casualty Co. v. Simmons) 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
State Farm Fire & Casualty Co. v. Simmons, 857 S.W.2d 126, 1993 WL 274705 (Tex. Ct. App. 1993).

Opinion

OPINION

WALKER, Chief Justice.

This appeal comes to us following a lengthy jury trial and judgment entered upon a unanimous jury verdict in appellees’ favor. It originates from the 221st Judicial District Court of Montgomery County, Texas, the Honorable Lee Alworth, Judge Presiding. Appellees, James L. Simmons and wife, Cynthia Simmons, were Plaintiffs be *129 low, and appellant, State Farm Fire & Casualty Co. was defendant below.

The original lawsuit was brought by ap-pellees against appellant seeking to enforce their homeowners policy following a fire loss. Appellees sought not only contractual damage recovery, but also sued appellant for violation of State Farm’s common-law duty of good faith and fair dealing, violation of the Deceptive Trade Practices Act and violations of the Texas insurance Code. Appellees also sought to recover damages, both actual and punitive, along with attorney’s fees and costs.

Appellant, State Farm, denied appellees’ claim for fire loss which resulted in the total destruction of appellees’ home. Appellant contends that appellees were responsible for the fire.

Following approximately nine days of testimony, the jury returned a unanimous verdict in favor of appellees, awarding both actual and punitive damages. The trial court entered judgment based upon the jury’s verdict. Appellant filed post-trial motions for new trial or remittitur, judgment notwithstanding the verdict, and to modify, correct or reform the judgment. All of appellant’s motions were either denied by the trial court or by operation of law. The trial court entered judgment upon the jury’s verdict from which appellant has perfected its appeal setting forth twelve points of error.

Factually, on June 2, 1985, at approximately two o’clock in the morning, appel-lees left their home in Montgomery County, Texas, for the purpose of traveling to Louisiana to take their children to stay with relatives for the entire summer. A short time after appellees had left on their journey, Irene Lawrence, whose newspaper delivery route takes her by appellees’ home, spotted smoke. Lawrence borrowed a neighbor’s phone and quickly alerted the fire department. Within minutes, the volunteer fire department arrived on the scene and began attacking the fire. Unfortunately, by the time the firemen arrived, much of the roof was already engulfed in flames and the firefighters were unable to save the house.

James and Cynthia Simmons returned to their home in the early evening of Sunday, June 2, 1985. Returning with them was Mr. Simmons’ mother, who had traveled with them on this brief, one day trip, and a nephew who they were bringing back from Louisiana. When the Simmons arrived at their home, they discovered that sometime after they had left in the early morning hours, their home and all of their possessions had been destroyed by fire. Later that night while trying to obtain basic toiletries such as toothbrushes and the like, Ms. Simmons saw her husband crying for the first time since her mother’s funeral years before. The next time Ms. Simmons saw her husband break down and cry was the day, some months later, when they were told that their insurance carrier, appellant, State Farm, was denying their claim for fire loss. Appellant says that neither of the appellees shed tears or appeared agitated.

The following day, which was Monday, the Simmons reported the fire to State Farm. The record reflects that the Simmons fully cooperated with State Farm in its investigation, which included the authorization of State Farm to obtain all of the financial information it might desire. Ap-pellees contend that unknown to them, State Farm from the inception decided to investigate appellees and set out within a few days of the investigation to “tie down” the arson triangle from which it could conclude that the Simmons were responsible for the fire. At the conclusion of State Farm’s investigation, it concluded that the Simmons were responsible for the fire, although it had no direct evidence of the Simmons’ involvement. Appellant, State Farm, concluded that the fire was incendiary, that the Simmons had the opportunity to set the fire and that the Simmons’ had the motive to set the fire. Evidence revealed that appellant’s “strongest aspect” of motive was to enable the Simmons to get out from under a high monthly mortgage obligation.

The Simmons initially gave State Farm information regarding the status of the mortgage, which was substantially correct. *130 State Farm sought and received information from the Veterans’ Administration which State Farm chose to rely upon rather than the information furnished by the Simmons. State Farm concluded from the information received from the Veterans’ Administration that the Simmons had not made a mortgage payment since January, an entire six month period before the fire, and that the Simmons had a monthly mortgage obligation at the time of the fire of $1,343 per month. From this, State Farm concluded that the Simmons’ monthly expenses significantly exceeded their income. Evidence at trial showed that the information State Farm received from the Veterans’ Administration regarding the mortgage was incorrect. Appellees contend that State Farm not only knew this information was incorrect, but that State Farm had discovered its error. Instead of $185 per week plus the regular monthly mortgage obligation of $603 which would total $1,343 monthly, Mr. Simmons had rescheduled payments with the Veterans’ Administration for considerably less. Based upon Mr. Simmons’ agreement with the V.A. the Simmons’ mortgage obligation was $185 per week. Appellees point out that State Farm’s erroneous conclusion resulted in a showing of 180% increase over the Simmons’ actual mortgage obligation.

When State Farm began its investigation the first entry made in its activity log on the day following the fire certainly could have been viewed by the jury as placing some suspicion upon the Simmons for setting the fire. The entry reads: “Talked with Agent. He feels claims could be suspicious. Just had large theft loss.”

The basis for this suspicion was due to a recent burglary of the Simmons’ home wherein a number of items were stolen. State Farm promptly paid the loss. State Farm considered it suspicious because the policy was then relatively new and because of the unusual description given by Mr. Simmons on how the burglary had occurred. The Simmons’ file was then referred to State Farm’s Special Investigative Unit, the “SIU.” The investigation was then handled by SIU Agents, Michael Hvasta and Superintendent Joe Tabor. This SIU unit operated as a special arson and fraud unit, which was created in 1985 for the purpose of investigating large fire losses or losses in which the insured was suspect. Hvasta interviewed and took a recorded statement of Mr. and Ms. Simmons. Mr. Simmons, in the recorded statement, reluctantly identified the suspect burglars, several neighborhood boys, as possible enemies who might want to harm them. Hvasta then noted these young men, Tim Mattix, Charles Wooddell, and James Wooddell, as “enemies” and possible “suspects” in the fire. Mr. Simmons also informed Hvasta he was behind in his mortgage and had worked out a repayment agreement with the Veterans’ Administration, which involved weekly payments in lieu of monthly obligation. Mr. Simmons further informed Hvasta that he, Simmons, was not presently current on those payments.

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Bluebook (online)
857 S.W.2d 126, 1993 WL 274705, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-farm-fire-casualty-co-v-simmons-texapp-1993.