State Farm Mutual Automobile Insurance Co. v. Zubiate

808 S.W.2d 590, 1991 WL 56307
CourtCourt of Appeals of Texas
DecidedMay 15, 1991
Docket08-90-00035-CV
StatusPublished
Cited by69 cases

This text of 808 S.W.2d 590 (State Farm Mutual Automobile Insurance Co. v. Zubiate) 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 Mutual Automobile Insurance Co. v. Zubiate, 808 S.W.2d 590, 1991 WL 56307 (Tex. Ct. App. 1991).

Opinions

OPINION

FULLER, Justice.

A jury awarded in excess of $15 million to the policyholders in a breach of duty of good faith and fair dealing suit against the insurance carrier, State Farm Mutual Automobile Insurance Company. The trial court entered judgment for the policyholders consistent with the jury findings. We affirm, subject to a remittitur.

Since we are ultimately going to have to address the complaint of the large award of punitive damages and the denial of any remittitur by the trial court, we must detail the evidence for analysis. Rose v. Doctor Hospital, 801 S.W.2d 841 (Tex.1990); Pool v. Ford Motor Company, 715 S.W.2d 629 (Tex.1986).

FACTS

On December 6, 1986, Sylvia Zubiate, a Texas resident and a United States citizen, was involved in an automobile accident while driving her 1985 Mercury Cougar which was insured by the Appellant, State Farm Mutual Automobile Insurance Company (State Farm). Appellee, Sylvia Zubiate, was injured and required hospitalization. The facts as stated are not particularly unusual or frightening except that the accident occurred in Mexico. Our customary “taken for granted” constitutional rights and remedies have no application when United States’ citizens enter into a foreign country.

Mrs. Zubiate reported the accident to her insurance carrier, State Farm. Mrs. Zubiate suffered a broken foot, broken hand, and had to have a finger reconstructed as a result of the accident. She was released [594]*594from the Juarez, Mexico hospital on December 24, 1986. The accident occurred at the 158 kilometer marker on the highway in the State of Chihuahua, Mexico, when a truck traveling at a high rate of speed with headlights on high beam struck Appellees’ car. At approximately 1 a.m., her car that she was making monthly payments on, was totaled in the accident. Under Mexican law, an automobile collision can result in civil and/or criminal charges being filed against the driver. This happened to Mrs. Zubiate and resulted in her having to hire an attorney. “Presumption of innocence” has no application in Mexico. The Zubiates made claims to their own insurance carrier (State Farm) for collision, personal injury protection, liability defense and eventually, uninsured motorist coverage.

State Farm sent the Zubiates a “reservation of rights” letter dated January 2,1987, that acknowledged her accident, stating that the police report placed the time of the accident at 4:30 p.m., and that the other auto involved in the accident was an unidentified diesel truck. The letter also stated:

There is a question under this policy with State Farm Mutual Automobile Insurance company [sic] ... as to whether or not this accident occurred 25 miles, or more, from the BOUNDARY of the United States of America. [Emphasis added].

This letter reminded the Zubiates that their insurance policy had a provision requiring their cooperation. The letter advised them that the insurance company was reserving all its policy defenses and retained the right to file a declaratory judgment action.

The Zubiates, who also had rental insurance coverage, were denied a rental car in December because of the “98 mile” argument.

State Farm’s adjuster, Mr. Montes, telephoned Mrs. Zubiate on February 2, 1987, and took a recorded statement. Later, the State Farm adjuster concluded that the “ ‘Accident occurred 158 kilometers from the border which is approximately 98.7 miles. No coverage.' ” [Emphasis added]. State Farm then submitted its recommendation to its regional office in Corpus Christi stating:

‘The Mexican police report speaks for itself telling us that the accident occurred 98 miles south of El Paso, Texas and the Texas border. It is, therefore, recommended that we disclaim coverage to Mrs. Zubiate since the loss did not occur within the policy territory, or within twenty-five miles from the boundary of the United States.’ [Emphasis added].

State Farm’s Corpus Christi office followed the recommendation and concluded “ ‘No coverage as loss occurred over twenty-five miles south of U.S. border in Mexico.’ ” [Emphasis added].

On March 19, 1987, the Zubiates received another letter from State Farm stating:

Our investigation reveals that this accident occurred 158 kilometers or 98 miles south of Juarez, Chihuahua, Mexico and the Mexican/United States boundary. That is, the accident occurred more than 25 miles from the boundary of the United States of America. [Emphasis added].

The letter informs the Zubiates of “no coverage” under the policy. The Zubiates were again reminded that the company reserved the right to file a declaratory judgment. At that time, State Farm closed the file on the Zubiates’ claim, never filing a declaratory judgment action.

It was admitted at trial that at the time of closing its file, no investigation had been personally attempted by State Farm in Mexico even though the means were readily available. State Farm decided that its policyholders’ contentions were unworthy of further investigation.

On June 30, 1987, State Farm received a letter from Ray Pearson, an attorney, informing State Farm that it erred in determining that the accident occurred more than twenty-five miles from the United States/Mexico boundary. State Farm claims that they told Mr. Pearson to “give me some proof and we will certainly look into it,” but that no information was forthcoming, so no further action was taken.

[595]*595The Zubiates filed their lawsuit on August 26, 1987. State Farm then hired Danny Hurtado (an independent investigator) to further investigate the Zubiates’ claim. Danny Hurtado was furnished State Farm’s file which contained a “denial of coverage” recommendation by the local office of State Farm and an approval of “no coverage” by the Corpus Christi area office. Thereafter, a report submitted by Mr. Hurtado on September 16, 1987, revealed that Mr. Hurtado interviewed only the wrecker service company and an ambulance service in Juarez (which turned out to be the wrong ambulance company).

Danny Hurtado then looked at a wall map in the office of State Farm and, by using a ruler, concluded that the accident occurred “ ‘more than the twenty-five mile limit allowed by the Texas auto policy.’ ” State Farm was still content not to investigate the accident scene. It was not until around March 10, 1988, (fifteen months after the accident) that Danny Hurtado was told to physically go to the accident scene. This was approximately two days before Mr. Bitticks, State Farm’s Resident Claims Superintendent, who was also the author of the rejection of coverage letters, was to be deposed in relation to this lawsuit.

After Mr. Hurtado went to the accident scene, he reported that the accident did occur within twenty-five miles of the United States boundary, the Rio Grande River. Thereafter, State Farm’s representative, Gene Bitticks, while testifying on deposition, abandoned his “denial of coverage” based on the fact that the 158 kilometer marker placed the accident scene 98 miles in the interior to being 40 miles “outside of the Juarez/El Paso boarder.” It was during this deposition that “point of entry” "was

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Bluebook (online)
808 S.W.2d 590, 1991 WL 56307, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-farm-mutual-automobile-insurance-co-v-zubiate-texapp-1991.