Subsequent Injury Fund v. Service Lloyds Insurance Co.

961 S.W.2d 673, 1998 Tex. App. LEXIS 455, 1998 WL 20778
CourtCourt of Appeals of Texas
DecidedJanuary 22, 1998
Docket01-96-00431-CV
StatusPublished
Cited by21 cases

This text of 961 S.W.2d 673 (Subsequent Injury Fund v. Service Lloyds Insurance Co.) 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
Subsequent Injury Fund v. Service Lloyds Insurance Co., 961 S.W.2d 673, 1998 Tex. App. LEXIS 455, 1998 WL 20778 (Tex. Ct. App. 1998).

Opinion

OPINION ON SECOND MOTION FOR REHEARING

HEDGES, Justice.

We grant the second motion for rehearing of the Subsequent Injury Fund, grant appellant’s motion to correct the opinion, withdraw our opinions dated April 24, 1997 and August 29, 1997, and substitute the following opinion in its place.

*675 Appellant, the Subsequent Injury Fund (SIF), appeals a summary judgment rendered in favor of appellee, Service Lloyds Insurance Company (Lloyds), dismissing its equitable bill of review because the legal remedy of writ of error was available. SIF contends that a writ of error was not available as a means to attack the judgment, leaving a bill of review as its only option. We reverse the judgment of the trial court and remand this cause to the trial court for further proceedings consistent with this opinion.

COMPENSATION SCHEME

The SIF is a statutorily created fund 1 designed to compensate workers for income benefits not required to be paid by an insurance carrier. 2 In 1993, the legislature amended the Texas Workers’ Compensation Act to provide that an insurance carrier could be reimbursed by the SIF for any benefit overpayments it made. Tex. Lab. Code Ann. § 410.205(c) (Vernon 1996). 3 The SIF is funded by death benefits paid into it by insurance carriers when a compensable death occurs and there is no legal beneficiary. Tex. Lab.Code Ann. § 403.007(a) (Vernon 1996).

The legislature has established a four-tier system for disposition of claims by the Texas Workers’ Compensation Commission (TWCC) under the Texas Workers’ Compensation Act. See Tex. Lab.Code Ann. §§ 410.021-410.308 (Vernon 1996). Each step is a prerequisite to the succeeding one. See Tex. Lab.Code Ann. § 410.024, 410.169, 410.205 (Vernon 1996). The process begins with an informal resolution of claims through a non-adversarial “benefit review conference” conducted by a “benefit review officer.” Tex. Lab.Code Ann. §§ 410.021-.034 (Vernon 1996). The benefit review officer has the authority to order or decline to order benefits. Tex. Lab.Code Ann. §§ 410.032 (Vernon 1996). If the officer orders payments of benefits, an insurance carrier must begin making payments at that time. Tex. Lab. Code Ann. § 410.032 (Vernon 1996). From the benefit review conference, the parties may proceed, by agreement, to arbitration from the benefit review conference. Tex. Lab.Code Ann. § 410.104 (Vernon 1996). If there is no agreement to arbitrate, a party may seek relief at a contested case hearing. Tex. Lab.Code Ann. §§ 410.151-410.169 (Vernon 1996). At the third tier of the disposition process, a party may seek review by an administrative appeals panel. Tex. Lab.Code Ann. §§ 410.201-410.208 (Vernon 1996). Finally, an aggrieved party may seek judicial review of the appeals panel decision. Tex. Lab.Code Ann. §§ 410.251-410.308 (Vernon 1996). If a court of last resort reverses or modifies an appeals panel award, then the insurance carrier may seek reimbursement from the SIF. Tex. Lab.Code Ann. § 410.205(c) (Vernon 1996).

FACTS

In this ease, Darrell Tompkins 4 sought and was awarded workers’ compensation benefits by the TWCC. Lloyds, who was obligated to pay the benefits as the insurance carrier for Tompkins’s employer, paid the benefits and appealed the TWCC’s award to the district court (trial court). On October 3, 1994, the trial court rendered judgment for Lloyds after Tompkins did not answer Lloyds’ discovery requests. In the judgment, the trial court ordered SIF to reimburse Lloyds any benefits that it had paid pursuant to the TWCC’s decision. On January 26, 1995, Lloyds applied for reimbursement from the SIF and presented the trial *676 court’s judgment to the TWCC. 5 On March 14, 1995, SIF filed a bill of review assailing the trial court’s judgment in the underlying workers’ compensation ease. Lloyds filed a motion for summary judgment seeking to dismiss the bill of review as an improper remedy. The trial court agreed, reasoning that because SIF learned of the judgment against it within six months of the judgment, it could have brought a writ of error proceeding.

PROPER REMEDY

In its sole point of error, SIF contends that the trial court erred in granting summary judgment for Lloyds on the basis that SIF should have attacked the judgment by writ of error instead of by bill of review. SIF contends that it could not have brought a writ of error complaining about defective service because it was not a party to the underlying suit. Therefore, SIF concludes, its only option in attacking the trial court’s judgment ordering reimbursement was by bill of review.

Standard of Review

Summary judgment is proper only when a movant establishes that there is no genuine issue of material fact and that the movant is entitled to judgment as a matter of law. Randall’s Food Mkts., Inc. v. Johnson, 891 S.W.2d 640, 644 (Tex.1995). In reviewing the summary judgment, we must indulge every reasonable inference in favor of the nonmovant and resolve any doubts in its favor. Wornick Co. v. Casas, 856 S.W.2d 732, 733 (Tex.1993). In reviewing the granting of a motion for summary judgment, this Court will take all evidence favorable to the nonmovant as true. Thompson v. Vinson & Elkins, 859 S.W.2d 617, 619 (Tex.App.— Houston [1st Dist.] 1993, writ denied). A defendant is entitled to summary judgment if the evidence disproves as a matter of law at least one element of each of the plaintiffs causes of action. Lear Siegler, Inc. v. Perez, 819 S.W.2d 470, 471 (Tex.1991). When the trial court’s order explicitly states the ground relied on for the summary judgment ruling, the summary judgment can be affirmed only if the theory relied on by the trial court is meritorious; otherwise, the case must be remanded. State Farm Fire & Casualty Co. v. S.S., 858 S.W.2d 374, 380 (Tex.1993). The issues to be reviewed by an appellate court must have been actually presented to and considered by the trial court. Id.

Analysis

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Osie Rush v. Ace American Insurance Company
Court of Appeals of Texas, 2019
Charles Thompson v. Ace American Insurance Co.
Court of Appeals of Texas, 2011
Brazoria County Children's Protective Services v. Frederick
176 S.W.3d 277 (Court of Appeals of Texas, 2004)
In Re Louisiana-Pacific Corp.
112 S.W.3d 185 (Court of Appeals of Texas, 2003)
in Re Louisiana-Pacific Corporation
Court of Appeals of Texas, 2003
In Re Tyler Asphalt & Gravel Co., Inc.
107 S.W.3d 832 (Court of Appeals of Texas, 2003)
in Re: Tyler Asphalt & Gravel Company, Inc.
Court of Appeals of Texas, 2003
Texas Workers' Compensation Insurance Fund v. Martinez
30 S.W.3d 490 (Court of Appeals of Texas, 2000)
Texas Department of Public Safety v. Ackerman
31 S.W.3d 672 (Court of Appeals of Texas, 2000)
Houston Community College System v. Schneider
67 S.W.3d 241 (Court of Appeals of Texas, 2000)
Continental Casualty Co. v. Gullett
253 B.R. 796 (S.D. Texas, 1999)
In Re Texas Workers' Compensation Insurance Fund
995 S.W.2d 335 (Court of Appeals of Texas, 1999)
Harris County, Texas v. Carmax Auto Superstores Inc
177 F.3d 306 (Fifth Circuit, 1999)

Cite This Page — Counsel Stack

Bluebook (online)
961 S.W.2d 673, 1998 Tex. App. LEXIS 455, 1998 WL 20778, Counsel Stack Legal Research, https://law.counselstack.com/opinion/subsequent-injury-fund-v-service-lloyds-insurance-co-texapp-1998.