State Farm Life Insurance Co v. Beaston

907 S.W.2d 430, 1995 WL 385498
CourtTexas Supreme Court
DecidedOctober 27, 1995
DocketD-4454
StatusPublished
Cited by431 cases

This text of 907 S.W.2d 430 (State Farm Life Insurance Co v. Beaston) is published on Counsel Stack Legal Research, covering Texas Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State Farm Life Insurance Co v. Beaston, 907 S.W.2d 430, 1995 WL 385498 (Tex. 1995).

Opinions

OWEN, Justice,

delivered the opinion of the Court

in which GONZALEZ, HECHT, CORNYN, and ENOCH, Justices, join. PHILLIPS, Chief Justice, and SPECTOR, Justice, join in Parts III, IV, and V.

We are called upon to interpret the terms of a life insurance policy and to decide whether a plaintiff can recover mental anguish damages from an insurance company for a violation of Article 21.21 of the Texas Insurance Code absent a finding that the defendant acted knowingly. Because we hold that the plaintiff is not entitled to benefits under her husband’s policy and that a finding of knowing conduct is required to recover mental anguish damages under Article 21.21, we reverse the judgment of the court of appeals, 861 S.W.2d 268, and render judgment that the plaintiff take nothing.

I

In 1982, Terri and David Beaston bought life insurance policies from Ted Heaton, a State Farm Life Insurance Company agent. The Beastons failed to pay the premium on David’s policy due on December 28, 1988. His policy lapsed as of December 28, 1988, and the thirty-one day grace period expired on January 28, 1984. Three days after the expiration of the grace period, David died in an automobile accident. State Farm refused to pay the benefits under his life insurance policy, claiming that coverage had expired before his death.

As the sole beneficiary of her husband’s graded premium whole life policy, Terri brought suit against both State Farm and Heaton, asserting, among other claims, that they had violated Article 21.21. She also contended that the terms of the policy guaranteed payment of a dividend at death which should have been used to pay a part of the premium that was in arrears and thereby “cure” the policy’s lapse.

The case was tried to a jury. At the close of the evidence, the trial court granted an instructed verdict in Terri’s favor on the issue of coverage, finding that the policy was ambiguous and construing it to provide for dividends that “would have been sufficient to avoid the asserted lapse.” (The basis of the trial court’s ruling is set forth in its judgment.)

Issues were submitted to the jury on Terri Beaston’s other claims. The jury found that the defendants had engaged in unfair or deceptive acts and that such conduct was a producing cause of damages to Terri Bea-ston. The jury failed to find, however, that State Farm or Heaton (1) had engaged in any false, misleading, or deceptive act or practice, (2) had engaged in any unconscionable action or course of action, (3) was negligent, or (4) was grossly negligent. There was a finding that State Farm had not waived any lapse under the policy. An issue as to whether State Farm or Heaton had knowingly engaged in any unconscionable [432]*432conduct was conditioned on an affirmative response to the question that asked whether either defendant had engaged “in any unconscionable action or course of action that was a producing cause of damages to Terri Bea-ston.” Because the jury responded negatively, it did not reach the question asking whether the defendants had engaged in knowing conduct. No objection was made to the conditional submission.

In response to the damage issue, the jury awarded no policy benefits, but awarded $200,000 for mental anguish in the past. The jury was asked to and did award attorney’s fees as a percentage of Terri Beaston’s recovery, finding that forty percent was a reasonable fee, with increased percentages if the case were appealed to the court of appeals and to this Court.

The trial court rendered judgment in Terri Beaston’s favor, awarding the face amount of the policy benefits ($250,000), and prejudgment interest ($147,171). A statutory delay penalty in the amount of twelve percent ($30,000) was added pursuant to Article 3.62 of the Texas Insurance Code, for a total of $427,171, and forty percent of that total ($170,868.40) was included in the judgment as attorney’s fees. The trial court stated in its judgment that it “finds no cases that would allow the award of mental anguish damages absent a finding that the conduct of the Defendants was committed knowingly, and therefore ... mental anguish damages will not be awarded, and the jury’s answer to Question 8(b) [concerning mental anguish damages] will be disregarded.” The trial court additionally refused to treble the actual damages and refused to award attorney’s fees based on a calculation that Terri Bea-ston contended was equal to forty percent of the “recovery” (which would result in attorney’s fees of $284,780.87 as calculated by Beaston) as opposed to only forty percent of the damages, including penalty and interest.

The court of appeals reversed the judgment of the trial court, holding that Terri Beaston was not required to obtain a jury finding that State Farm or its agent had knowingly violated Article 21.21 as a prerequisite for the recovery of mental anguish damages. 861 S.W.2d at 275. The court of appeals reinstated the jury’s award of $200,-000 in mental anguish damages and concluded that the trebling of those damages was mandatory under former Article 21.21, which governed this case.1 The court affirmed the award of policy benefits, prejudgment interest, and a twelve-percent delay penalty,2 but increased the amount of the judgment to include prejudgment interest and attorney’s fees based on Terri Beaston’s increased recovery. The court of appeals also modified the manner in which attorney’s fees were calculated, rejecting the trial court’s method in favor of the method proffered by Beaston. The court of appeals held that “the contingency fee percentage should be calculated on the total recovery and not on the total damages.” 861 S.W.2d at 279 (emphasis in original).

State Farm brings forth several points of error, including challenges to the finding of coverage under the policy, the award of mental anguish damages, and the calculation of attorney’s fees.

II

Although it is undisputed that her husband’s policy would have otherwise lapsed on December 28, 1983, Terri claims that the [433]*433policy remained in force because of its dividend-at-death provision. The policy provides, in relevant part:

Nonpayment of Premium. If a premium has not been paid by the end of its grace period, the Accumulations to Avoid Lapse and, if chosen, the Automatic Premium Loan provisions will apply. If neither of these provisions apply, this policy will lapse as of the due date of any amount of unpaid premium. With such lapse, all coverage ceases....
Accumulations to Avoid Lapse. If a premium has not been paid by the end of its grace period, any available dividend accumulations will be used to pay all or part of that premium....
Premium Adjustment When Insured Dies. If the Insured dies during a grace period, any part of a premium due will be paid from the proceeds....
Annual Dividends. State Farm Life may apportion and pay dividends each year. Any such dividends will be paid at the end of the policy year if all premiums due have been paid....
Dividend Options. The Owner may choose one of the options listed below....
3. Dividend Accumulation. Left to accumulate- Accumulations plus interest to the Insured’s death will be part of the proceeds.
Dividend at Death.

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Bluebook (online)
907 S.W.2d 430, 1995 WL 385498, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-farm-life-insurance-co-v-beaston-tex-1995.