Terry v. Southern Farm Bureau Casualty Insurance Co.

991 S.W.2d 467, 1999 WL 270083
CourtCourt of Appeals of Texas
DecidedMay 24, 1999
Docket12-97-00184-CV
StatusPublished
Cited by45 cases

This text of 991 S.W.2d 467 (Terry v. Southern Farm Bureau Casualty 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
Terry v. Southern Farm Bureau Casualty Insurance Co., 991 S.W.2d 467, 1999 WL 270083 (Tex. Ct. App. 1999).

Opinion

OPINION ON MOTION FOR REHEARING

HADDEN, Justice.

Appellant Ladona Dunn (“Dunn”) filed a motion for rehearing in this matter. 1 Dunn urged this Court to rehear its decision to deny attorney’s fees and prejudgment interest. With regard to Dunn’s motion, the court grants it in part and denies in part. This Court’s previous opinion of December 31, 1998, is withdrawn, and the following opinion issued.

*470 In a nonjury trial, Appellant Dunn recovered a judgment for personal injury damages under the uninsured/underin-sured motorist coverage provision of a liability insurance policy. However, in one point of error, Dunn appeals the trial court’s refusal to award her 18 percent additional damages and reasonable attorney fees against her insurer for alleged violations of the prompt payment requirements of Texas Insurance Code, Article 21.55.' Appellee and Cross-Appellant, Southern Farm Bureau Casualty Insurance Company (“Farm Bureau”), in three cross-points, alleges that the trial court erred in awarding damages to Dunn because there were no findings that the un-derinsured motorist was negligent and because the evidence was not legally or factually sufficient to support its findings. We will reverse and render in part, reverse and remand in part, and affirm the balance of the judgment.

Dunn was insured under a standard form automobile liability policy issued by Farm Bureau which contained uninsured/underinsured motorist (“UM”) coverage. She was injured when her vehicle was struck from the rear by an underin-sured motorist. In her suit Dunn sought to recover not only UM benefits, but additional damages and attorney fees as the result of Farm Bureau’s alleged violation of the prompt payment requirements of article 21.55 of the Texas Insurance Code. After a bench trial, the trial court rendered judgment in favor of Dunn in the amount of $220,000.00 for personal injury damages and $118,251.22 for prejudgment interest. However, the trial court did not award Dunn the requested 18 percent additional damages and attorney fees provided for in article 21.55, section 6. In her sole issue presented, Dunn asserts that the trial court erred by refusing to award the 18 percent penalty, attorney’s fees, and prejudgment interest.

At the heart of this case is the interpretation and application of the prompt payment provisions of article 21.55. The interpretation of statutes is a quest for legislative intent. State v. Jackson, 376 S.W.2d 341, 346 (Tex.1964). Legislative intent is found principally in the “words” of a statute. St. Luke’s Episcopal Hospital v. Agbor, 952 S.W.2d 503, 505 (Tex.1997). A statute’s words must be given their plain, grammatical meaning. Tex. Gov’t Code Ann. § 311.011(a) (Vernon 1988). The pertinent provisions of article 21.55 are as follows:

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Notice of Claim
Sec. 2. (a) ... an insurer shall, not later than the 15th day after receipt of notice of a claim ...
(1) acknowledge receipt of the claim;
(2) commence any investigation of the claim; and
(3) request from the claimant all items, statements, and forms that the insurer reasonably believes, at that time, will be required from the claimant. Additional requests may be made if during the investigation of the claim such additional requests are necessary.
(b) If the acknowledgment of the claim is not made in writing, the insurer shall make a record of the date, means, and content of the acknowledgment.
Acceptance or rejection of claims
Sec. 3. (a) ... an insurer shall notify a claimant in writing of the acceptance or rejection of the claim not later than the 15th business day after the date the insurer receives all items, statements, and forms required by the insurer, in order to secure final proof of loss.
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(c) If the insurer rejects the claim, the notice required ... must state the reasons for the rejection.
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(f) ... if an insurer delays payment of a claim following its receipt of all *471 items, statements, and forms reasonably requested and required, as provided under Section 2 of this article ... for more than 60 days, the insurer shall pay damages and other items as provided for in Section 6 of this article.
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Damages
Sec. 6. In all cases where a claim is made pursuant to a policy of insurance and the insurer liable therefor is not in compliance with the requirements of this article, such insurer shall be liable to pay the holder of the policy, or the beneficiary making a claim under the policy, in addition to the amount of the claim, 18 percent per annum of the amount of such claim as damages, together with reasonable attorney fees. If suit is filed, such attorney fees shall be taxed as part of the costs in the case.
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Liberal construction
Sec. 8. This article shall be liberally construed to promote its underlying purpose which is to obtain prompt payment of claims made pursuant to policies of insurance.

Tex. Ins.Code Ann. art. 21.55, §§ 2, 3, 6, and 8 (Vernon 1997) (emphasis added).

Following the bench trial, the trial court found that Farm Bureau verbally acknowledged receipt of the claim and requested more information within fifteen days of receiving the claim. However, because the acknowledgment was verbal, Farm Bureau was required to make a record of the date, the means, and the content of the acknowledgment. The trial court found that Farm Bureau improperly documented the verbal acknowledgment by failing to record the date that it was made. Additionally, Farm Bureau’s adjuster admitted at trial that he did not record the means of the acknowledgment as required by the statute. The trial court further found that Farm Bureau had received all the requested information between December 13 and December 20, 1994, and that Farm Bureau delayed payment of the claim for more than sixty days after its receipt of the necessary information. This delay was essentially undisputed in the record and admitted by Farm Bureau’s adjuster.

There is very little case law interpreting article 21.55. No legislative history was cited by either party in support of their respective arguments. However, the Austin Court of Appeals has held that the payment of the penalty provided for in article 21.55, section 6, is payable when the insured fails to comply with any of the requirements of the act. Mid-Century Insurance Co. v. Barclay, 880 S.W.2d 807, 811-12 (Tex.App.— Austin 1994, writ denied). We agree with this interpretation.

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Bluebook (online)
991 S.W.2d 467, 1999 WL 270083, Counsel Stack Legal Research, https://law.counselstack.com/opinion/terry-v-southern-farm-bureau-casualty-insurance-co-texapp-1999.