Texas Mutual Insurance Co. v. Goetz Insurors, Inc.

308 S.W.3d 485, 2010 Tex. App. LEXIS 2167, 2010 WL 1170646
CourtCourt of Appeals of Texas
DecidedMarch 25, 2010
Docket07-08-0279-CV
StatusPublished
Cited by5 cases

This text of 308 S.W.3d 485 (Texas Mutual Insurance Co. v. Goetz Insurors, 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.

Bluebook
Texas Mutual Insurance Co. v. Goetz Insurors, Inc., 308 S.W.3d 485, 2010 Tex. App. LEXIS 2167, 2010 WL 1170646 (Tex. Ct. App. 2010).

Opinion

Opinion

BRIAN QUINN, Chief Justice.

Texas Mutual Insurance Company (Texas Mutual) appeals from a final judgment wherein it claims that the trial court erred in awarding attorney’s fees and prejudgment interest on attorney’s fees to Goetz Insurors, Inc. and Goetz Insurers, Inc., as assignee of the claims of Cattlco, Inc. (Goetz). We reverse in part.

Background

The story before us is a long one that started about seven years ago. It involves a feedlot, Cattlco, Inc., Stanley (a Cattlco employee), and Goetz (entities in the business of providing insurance to Cattlco). It begins with Goetz attempting to find worker’s compensation insurance for Cattlco. The latter’s current policy was expiring and another was needed by December 31, 2002. Texas Mutual was contacted via an initial application for insurance sent on December 20, 2002. Per correspondence from Texas Mutual, an amended application was sent on December 30, 2002. Accompanying it was a deposit for the requisite insurance. Both items were received and the monies were deposited by Texas Mutual long before January 22, 2003. The latter date is of import for that is when Stanley broke his leg while on the job. Nevertheless, Texas Mutual denied coverage, contending that the policy had not been effective on that date. Rather, it purportedly became effective on February 1, 2003.

While Cattlco, Goetz, and Texas Mutual quarreled over the policy’s effective date, Stanley’s medical needs necessitated redress. So, Cattlco and Goetz paid for his care and settled any claims he may have had not only against Cattlco but also Texas Mutual. Cattlco then assigned its claims against Texas Mutual for breach of contract and the like to Goetz. This lead to Goetz suing Texas Mutual in a Travis County district court for, among other things, breach of contract. 1

No one denied that the central issue in dispute involved the effective date of the policy. Yet, Texas Mutual argued that the subject was related to issues of com-pensability and implicated the Texas Worker’s Compensation Act. And, because it purportedly did, the Texas Worker’s Compensation Commission purportedly had exclusive jurisdiction over it. Moreover, it convinced our sister court in Austin to accept the proposition. See In re Texas Mutual Ins., 157 S.W.3d 75 (Tex.App.-Austin 2004, orig. proceeding). As a result of that court’s decision, Goetz was obligated to submit the dispute for resolution by the TWCC. Though various departments within that entity disagreed, the Commission finally decided in favor of Texas Mutual. Believing that to be the wrong answer, Goetz initiated another suit in a Swisher County district court to test the ruling’s accuracy.

The original petition filed by Goetz included complaints about various findings of the Commission, a cause of action sounding in breached contract for the failure to abide by the agreement with Cattlco, and *487 requests for damages and attorney’s fees. Trial was convened, and the trial court afforded a jury opportunity to resolve the controversy. Moreover, that jury was asked if Texas Mutual had entered “into a contract to provide worker’s compensation insurance coverage for Cattlco ... to be effective on or before January 22, 2008 .... ” It answered “yes.” It was also asked if Cattlco or its assignee Goetz was “entitled to reimbursement of indemnity and medical payments for Texas Mutual ... that resulted from such failure to comply with the contract to provide worker’s compensation insurance.” The jury answered “yes” to that question as well. When asked about the amount of damages that would “fairly and reasonably compensate Goetz ... for damages ... that resulted from the failure of Texas Mutual ... to comply with the contract ...,” the jury found approximately $39,500 to be the appropriate sum. Then, it found that a reasonable attorney’s fee for the legal services provided Goetz would be $109,971 for the preparation and trial of the matter outside the environs of the Commission, $25,810 for the services rendered in prosecuting the matter within the Commission, and $35,000 if various appellate steps were taken.

After the trial court entered judgment upon the jury’s verdict, Texas Mutual appealed. It did not contest the findings that it had entered into the contract and was obligated to pay damages due to its breach of the agreement. Rather, it merely attacked the attorney’s fees awarded Goetz, contending, among other things, that the suit was not actually one for breach of contract but rather for judicial review of an administrative decision. Though this position seems somewhat inconsistent with the questions submitted to the jury and about which Texas Mutual did not complain, we conclude that the trial court lacked jurisdiction to award fees at this time.

Law

In Texas, attorney’s fees may not be recovered from an opposing party unless such recovery is provided for by statute or by contract between the parties. Travelers Indem. Co. of Connecticut v. Mayfield, 923 S.W.2d 590, 593 (Tex.1996). The authorization of attorney’s fees in civil cases may not be inferred; rather it “must be provided for by the express terms of the statute in question.” Id. (citing First City Bank —Farmers Branch v. Guex, 677 S.W.2d 25, 30 (Tex.1984)).

Next, the “Workers’ Compensation Act vests the power to award compensation benefits solely in the Workers’ Compensation Commission[ ], subject to judicial review.” American Motorists Ins. Co. v. Fodge, 63 S.W.3d 801, 803 (Tex.2001) (citing Saenz v. Fidelity & Guaranty Insurance Underwriters, 925 S.W.2d 607, 612 (Tex.1996)). Furthermore, judicial review is “limited to issues decided by the commission’s appeals panel and on which judicial review is sought.” Tex. Labor Code Ann. § 410.302 (Vernon 2006); see Krueger v. Atascosa County, 155 S.W.3d 614, 619-20 (Tex.App.-San Antonio 2004, no pet.) (holding that claimant could not assert the Downs waiver contention in trial court, having not raised issue before appeals panel). And, the issues decided by the appeals panel which may be reviewed are those addressed in the contested-case hearing, as developed by the record of that hearing. Tex. Labor Code Ann. § 410.203. It is this procedural mechanism that we find ultimately controlling here.

As alluded to above, we are not writing on a clean slate. The Austin Court of Appeals previously determined that the substance of Goetz’ claim for breached contract (i.e. whether the worker’s com *488 pensation policy was effective on the date of Stanley’s injury) was within the exclusive control of the TWCC. In re Texas Mutual Ins., 157 S.W.3d at 82. Thus, we must follow that lead.

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308 S.W.3d 485, 2010 Tex. App. LEXIS 2167, 2010 WL 1170646, Counsel Stack Legal Research, https://law.counselstack.com/opinion/texas-mutual-insurance-co-v-goetz-insurors-inc-texapp-2010.