Texas Mutual Insurance Company v. Charles E. Durst, Jr.

CourtCourt of Appeals of Texas
DecidedFebruary 25, 2009
Docket04-07-00862-CV
StatusPublished

This text of Texas Mutual Insurance Company v. Charles E. Durst, Jr. (Texas Mutual Insurance Company v. Charles E. Durst, Jr.) 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 Company v. Charles E. Durst, Jr., (Tex. Ct. App. 2009).

Opinion

i i i i i i

MEMORANDUM OPINION

No. 04-07-00862-CV

TEXAS MUTUAL INSURANCE CO., Appellant

v.

Charles E. DURST, Jr., Appellee

From the 2nd 25th Judicial District Court, Guadalupe County, Texas Trial Court No. 06-0704-CV Honorable W. C. Kirkendall, Judge Presiding

Opinion by: Karen Angelini, Justice

Sitting: Karen Angelini, Justice Rebecca Simmons, Justice Steven C. Hilbig, Justice

Delivered and Filed: February 25, 2009

AFFIRMED

This is an appeal from a judgment in a worker’s compensation case. At trial, Texas Mutual

Insurance Co., the worker’s compensation insurance carrier, disputed the extent of Charles E. Durst’s

compensable injury. After the presentation of all the evidence, the jury returned a verdict in Durst’s

favor. The trial court then signed a judgment on the verdict. After judgment was entered, Durst’s

attorneys sought an award of attorneys’ fees against Texas Mutual. The trial court then signed an

order awarding Durst’s attorneys approximately $160,000 in attorneys’ fees. On appeal, Texas 04-07-00862-CV

Mutual contends that the trial court erred in admitting Texas Mutual’s letter preauthorizing surgery

for Durst and in awarding Durst over $160,000 in attorneys’ fees. We affirm the trial court’s

judgment.

DISCUSSION

In November 2004, Durst, an employee of The Bandit Golf Club, injured his back at work.

Texas Mutual, the worker’s compensation insurance carrier, did not dispute that Durst aggravated

his preexisting back condition while on the job, but rather, disputed the extent of the aggravation of

his injury. Specifically, Texas Mutual agreed that Durst’s injury at the L4-L5 spine level was

compensable, but disagreed that the compensable injury extended to the L3-L4 and L5-S1 spine

levels. In March 2005, Texas Mutual issued a letter preauthorizing the surgery to all three spinal

levels as medically necessary, but continued to dispute the compensability of the treatment as to all

but one spinal level. The Texas Worker’s Compensation Commission ruled in favor of Durst, finding

all three levels of the spine were aggravated by the November 2004 work-related injury. Texas

Mutual appealed the Commission’s finding to the district court, which, following a jury trial, signed

a judgment in favor of Durst.

At trial, while cross-examining Dr. William Blair, one of Texas Mutual’s expert witnesses,

Durst sought to admit Texas Mutual’s preauthorization letter. The following exchange occurred:

Q: You also disagree – in fact, you dispute whether this surgery was appropriate and necessary.

Attorney for Texas Mutual: Objection, Judge. Beyond the scope of the direct examination and not at issue in this case.

Court: Overruled.

A: Did I disagree with the necessity of the surgery? No.

-2- 04-07-00862-CV

Q: Did you disagree – nice distinction, I think, what you’re trying to make. Did you disagree that the 360-fusion ordered by the doctor, performed by the doctor, was necessary or not?

A: For this injury, no. It’s a matter of difference in opinion.

Q: In fact, that opinion was not shared even by internal folks at Texas Mutual about whether it was necessary or not, was it? They disagree with you.

A: I don’t understand you – I have no idea what they – they decided.

Attorney for Durst: Your Honor, I’m required to approach the Bench.

Court: Yes, approach the Bench.

(At the Bench, on the Record)

Court: This is for –

Attorney for Texas Mutual: You’ve already ruled on this, Judge.

Attorney for Durst: He ruled to approach the Bench.

Court: I ruled we approach the Bench. And you’re tendering Defendant’s Exhibit Number 4?

Attorney for Durst: It’s an inconsistent –

Court: Admission against interest.

Attorney for Durst: Yes, by Texas –

Court: Do you have an objection?

Attorney for Texas Mutual: Yes, sir, we have objection. He already testified he doesn’t know what the people at Texas Mutual said. It would be purely speculation as to this witness, what Texas Mutual’s ideas and motivations were. These are not contained in the documents that were provided to him, Judge. He was given this in medical records.

-3- 04-07-00862-CV

(Open court, on the Record)

Court: All right. I’m going to overrule the objection and admit Defendant’s Exhibit 4.

In its first two issues on appeal, Texas Mutual contends the trial court committed error in

admitting the preauthorization letter because it was not relevant to any disputed fact. The letter was

not relevant because, according to Texas Mutual, it only demonstrated that Texas Mutual

acknowledged the medical necessity of Durst’s surgery, but not the extent to which Durst’s back

condition was caused by his work-related accident. Texas Mutual further argues the erroneous

admission of the letter likely led to an improper verdict because Durst’s attorney argued to the jury

that the letter proved Texas Mutual knew Durst’s disputed injuries were related to his on-the-job

injury. Texas Mutual emphasizes that Durst’s attorney focused on the preauthorization letter before

the jury as the “[m]ost single important document in this entire case.”

In response to Texas Mutual’s argument, Durst contends Texas Mutual waived its relevancy

argument. Specifically, Durst points to Texas Mutual’s relevancy objection that counsel’s question

was “not at issue in this case” and emphasizes that this objection was to the question itself, not to the

admission of the preauthorization letter. Thus, the only relevancy objection that was preserved for

appeal does not apply to the admission of the letter. And, Durst emphasizes that although Texas

Mutual objected to the admission of the preauthorization letter, the objection was not based on

relevancy.

In order to present a complaint on appeal, the record must show a timely and specific objection

that was sufficient to make the trial court aware of the complaint unless it was apparent from the

context. TEX . R. APP . P. 33.1(a)(1)(A). Additionally, an objection made during trial must mirror the

argument on appeal, or the issue will be waived. Thomas v. State, 226 S.W.3d 697, 704-05

-4- 04-07-00862-CV

(Tex. App.—Corpus Christi 2007, pet. dism’d) (issue waived where trial objection was to relevancy

but issue on appeal was to hearsay); Trailways, Inc. v. Clark, 794 S.W.2d 479, 488

(Tex. App.—Corpus Christi 1990, writ denied) (trial objection not based on relevance or prejudicial

effect did not preserve error on these grounds). Here, Texas Mutual did not object to the admission

of the preauthorization letter on relevancy grounds, the only ground it raises on appeal.

Nevertheless, Texas Mutual argues that it did not waive its relevancy objection because,

although counsel did not specifically make a relevancy objection to the admission of the document,

the trial judge clearly understood, in context, that Texas Mutual was making a relevancy objection

because it had previously objected to questions about the document on relevancy grounds. It is

important to note, however, that Texas Mutual did, in fact, make specific objections to the admission

of the document on the grounds of speculation and lack of personal knowledge. Under these

circumstances, we cannot say it was clearly apparent to the trial judge that Texas Mutual was, in fact,

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