Texas Mutual Insurance Co. F/K/A/ Texas Workers' Compansation Ins. Fund v. Ray Ferguson Interest, Inc., RFI Brazos Paving Co., Inc.

CourtCourt of Appeals of Texas
DecidedMarch 16, 2006
Docket01-02-00807-CV
StatusPublished

This text of Texas Mutual Insurance Co. F/K/A/ Texas Workers' Compansation Ins. Fund v. Ray Ferguson Interest, Inc., RFI Brazos Paving Co., Inc. (Texas Mutual Insurance Co. F/K/A/ Texas Workers' Compansation Ins. Fund v. Ray Ferguson Interest, Inc., RFI Brazos Paving Co., Inc.) 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.

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Texas Mutual Insurance Co. F/K/A/ Texas Workers' Compansation Ins. Fund v. Ray Ferguson Interest, Inc., RFI Brazos Paving Co., Inc., (Tex. Ct. App. 2006).

Opinion

Opinion issued March 16, 2006






In The

Court of Appeals

For The

First District of Texas





NO. 01-02-00807-CV





TEXAS MUTUAL INSURANCE COMPANY F/K/A TEXAS WORKERS’ COMPENSATION INSURANCE FUND, Appellant


V.


RAY FERGUSON INTERESTS, INC., Appellee





On Appeal from the 240th District Court

 Fort Bend County, Texas

Trial Court Cause No. 103609





MEMORANDUM OPINION


          Appellant, Texas Mutual Insurance Company (“the Fund”), appeals from a judgment rendered on a jury verdict awarding appellee, Ray Ferguson Interests, Inc. (“RFI”), $2,273,613 in actual damages, $3,500,000 as statutory damages for knowing violation of the Insurance Code, $875,000 in trial and contingent appellate fees, and pre-and post-judgment interest. We determine (1) whether the trial court erred in denying pre-judgment interest to the Fund; (2) whether legally sufficient evidence supported, or judicial immunity barred, the award of damages to RFI; and (3) whether the Fund conclusively proved its attorney’s fees in an amount greater than that awarded by the jury. We reverse the judgment in part, affirm it in part, and remand the cause with instructions.

I. Background

          Ray Ferguson had been in the paving business since 1976. He incorporated RFI Brazos Paving, Inc. (“Brazos”) in 1989. He incorporated RFI in 1991. Ray Ferguson was the majority owner of RFI at all times pertinent to this suit. He (or a “living trust” for which he was trustee) was also the majority owner of Brazos through June of 1996, when he became a minority owner of Brazos. RFI generally operated as a general contractor, subcontracting out the physical work to other companies, including Brazos. Brazos operated as a subcontractor performing concrete-paving work. Brazos performed the vast majority of its work for RFI.

          For five years, from 1993 to 1998, RFI carried workers’ compensation insurance through the Fund for its employees. Brazos, on the other hand, was a non-subscriber under the Texas workers’ compensation system.

          In 1997, RFI was working as a subcontractor on a paving job for a general contractor. RFI, in turn, subcontracted with Brazos for a crew of four of Brazos’s men to perform the storm-sewer work for RFI’s paving project. Ray Ferguson testified that, at some point during the construction work, the general contractor learned that Brazos was a non-subscriber and instructed him that it wanted Brazos’s storm-sewer crew to have workers’ compensation coverage. Ray Ferguson further testified that, in order to comply with the general contractor’s requirement, he moved the four Brazos employees to RFI’s payroll permanently. The employee transfer happened in about the middle of 1997.

          A few days after the employee transfer, one of the transferred employees, Larry Garza, was injured and applied for workers’ compensation benefits. While processing Garza’s claim, the Fund learned that Garza had been moved from Brazos to RFI shortly before the incident. Around December 1997, the Fund’s premium-fraud department began looking into whether Brazos was truly an independent subcontractor to RFI or whether RFI owed premiums that it had not paid for Brazos’s employees because Brazos was not an independent subcontractor. The Fund disputed the motive behind the moving of the Brazos employees to RFI’s payroll, alleging instead that the employees were switched to RFI to obtain coverage without paying sufficient premium. Alternatively, the Fund viewed the employee switch as evidence that RFI controlled Brazos sufficiently for the latter not to be an independent contractor.

          Sometime in or soon after December 1997, the Fund informed RFI that it wanted to review Brazos’s books and to audit prior policy years as part of its investigation. The Fund never actually conducted the audits of prior policy years, looked at Brazos’s books, or billed for or collected the disputed additional premiums before suit was filed. Rather, on February 26, 1998, RFI sued the Fund in Fort Bend County, alleging that the Fund had improperly sought to re-audit RFI with the intention of reassessing premiums for prior policy years. In its suit, RFI sought declarations that the Fund had no contractual right to do these things and that RFI owed no further premium for prior coverage years.

          The Fund counter-claimed against RFI and asserted third-party claims against Ray and Pam Ferguson and Brazos for violations of RICO (mail fraud and racketeering), civil conspiracy, breach of contract, fraud and misrepresentation, negligent misrepresentation, and violations of Insurance Code articles 5.65B and 5.65C and sought actual damages, treble damages under RICO, and attorney’s fees.

          By the time of trial, RFI had amended its petition to allege causes of action for breach of contract, violations of former Insurance Code article 21.21, and breach of the duty of good faith and fair dealing and to seek “economic, special and consequential” damages, statutory damages for knowing violations of former article 21.21, exemplary damages, and attorney’s fees. Also by the time of trial, the Fund had amended its counter-claims and third-party claims to allege causes of action for breach of contract, fraud, civil conspiracy, and violations of Insurance Code article 5.65C(d) and to seek actual damages (additional premiums or, alternatively, out-of-pocket damages), attorney’s fees, and exemplary damages. The Fund also asserted the affirmative defenses of statutory immunity and judicial immunity.

          The jury returned a verdict with the following findings:

Relating to RFI’s former article-21.21 claims:

●The Fund engaged in six specific unfair and deceptive acts or practices.

●RFI suffered $3,670,000 in actual damages from the Fund’s unfair and deceptive acts or practices.

●The Fund engaged knowingly in the six unfair and deceptive acts or practices.

Relating to RFI’s contract-breach claims:

●The Fund did not fail to comply with the insurance policy provisions relating to premiums or audits for the first three coverage years, but the Fund failed to comply with these policy provisions in the last two coverage years.

●RFI suffered $5,670,000 in actual damages from the Fund’s failure to comply with the insurance policy provisions relating to audits and premiums.

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Texas Mutual Insurance Co. F/K/A/ Texas Workers' Compansation Ins. Fund v. Ray Ferguson Interest, Inc., RFI Brazos Paving Co., Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/texas-mutual-insurance-co-fka-texas-workers-compan-texapp-2006.