Texas Mutual Insurance Company v. Hofer Builders, Inc. and Hartford Underwriters Insurance Company

CourtCourt of Appeals of Texas
DecidedJuly 3, 2019
Docket03-17-00741-CV
StatusPublished

This text of Texas Mutual Insurance Company v. Hofer Builders, Inc. and Hartford Underwriters Insurance Company (Texas Mutual Insurance Company v. Hofer Builders, Inc. and Hartford Underwriters Insurance Company) 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. Hofer Builders, Inc. and Hartford Underwriters Insurance Company, (Tex. Ct. App. 2019).

Opinion

TEXAS COURT OF APPEALS, THIRD DISTRICT, AT AUSTIN

NO. 03-17-00741-CV

Texas Mutual Insurance Company, Appellant

v.

Hofer Builders, Inc. and Hartford Underwriters Insurance Company, Appellees

FROM THE DISTRICT COURT OF TRAVIS COUNTY, 353RD JUDICIAL DISTRICT NO. D-1-GN-17-005825, HONORABLE LORA J. LIVINGSTON, JUDGE PRESIDING

MEMORANDUM OPINION

In this workers’ compensation case, Texas Mutual Insurance Company appeals from

the trial court’s order granting the motions for summary judgment of Hofer Builders, Inc. (HBI) and

Hartford Underwriters Insurance Company (Hartford) and denying Texas Mutual’s motion for

summary judgment. In two issues, Texas Mutual challenges the trial court’s jurisdiction and its

finding that HBI’s employee, who was injured out of state, was an employee as described in section

406.071 of the Texas Labor Code. See Tex. Lab. Code § 406.071.

For the following reasons, we affirm the portion of the trial court’s order denying

Texas Mutual’s motion for summary judgment, but we reverse the portions of the order granting the

motions for summary judgment of HBI and Hartford and remand the case to the trial court for further

proceedings consistent with this opinion. Background

Statutory Framework

To give context to the parties’ dispute, we begin by providing a brief overview of the

relevant statutory provision. Chapter 406 of the Texas Labor Code addresses workers’ compensation

insurance coverage, see Tex. Lab. Code §§ 406.001–.165, and subchapter D addresses extraterritorial

coverage for employees who are injured while working out of state, see id. §§ 406.071–.075.

Relevant here, section 406.071 provides:

(a) An employee who is injured while working in another jurisdiction or the employee’s legal beneficiary is entitled to all rights and remedies under this subtitle if:

(1) the injury would be compensable if it had occurred in this state; and

(2) the employee has significant contacts with this state or the employment is principally located in this state.

(b) An employee has significant contacts with this state if the employee was hired or recruited in this state and the employee:

(1) was injured not later than one year after the date of hire; or

(2) has worked in this state for at least 10 working days during the 12 months preceding the date of injury.

Id. § 406.071. The “principal location of a person’s employment is where: (1) the employer has a

place of business at or from which the employee regularly works; or (2) the employee resides and

spends a substantial part of the employee’s working time.” Id. § 406.072.

2 The Controversy

HBI is a Texas company in the construction business that does work in many different

states across the country. It was incorporated in 1995, and its office is located in Saginaw, Texas.

Tom Hofer is HBI’s president. In November 2014, HBI hired David Hope, who was a Florida

resident, as a supervisor. After Hofer and Hope’s brother, who were in Texas, discussed offering

Hope a job, Hope’s brother called Hope, who was in Florida, from HBI’s office in Texas and offered

him a job. Hope previously had been employed by HBI and a predecessor company “for many years

up to 2007,” working on construction jobs in Texas and other states.1

After HBI mailed employment-related documents from its office in Texas to Hope

in Florida, Hope began working for HBI at a construction site in Louisiana. HBI was a subcontractor

on the Louisiana construction project, and Hartford was the workers’ compensation carrier for the

general contractor on the project. HBI paid for Hope’s travel from Florida to Louisiana, lodging in

Louisiana, and payroll expenses from the HBI office in Texas. According to Hofer, Hope’s next

assignments after the Louisiana project would have been at a project in Oklahoma and then a project

in Texas. On December 29, 2014, Hope was injured while working at the Louisiana construction

site. During the time period between his brother’s phone call to him in November 2014 and his

injury in December 2014, Hope was never physically in Texas.

1 There is conflicting evidence concerning the date that Hope’s previous employment with HBI ended. In one of his affidavits, Hofer averred: “David Hope worked for HBI (and its predecessor company) for many years up to 2014.” In his affidavit filed in the related Louisiana workers’ compensation proceeding, Hofer averred that Hope’s previous employment with HBI ended in 2007. At his deposition in December 2016, Hofer testified that he “guess[ed]” that 2007 was the date and that he did not remember having any contact with Hope between 2007 and 2014.

3 At the time of Hope’s injury, HBI had a “Worker’s Compensation and Employers’

Liability Insurance Policy” (HBI policy) with Texas Mutual for the state of Texas. See generally

Tex. Ins. Code §§ 2054.102–.553; see id. § 2054.151 (explaining that Texas Mutual serves as

“insurer of last resort”). HBI’s policy included an endorsement entitled “Limited Reimbursement

for Texas Employees Injured in other Jurisdictions” (the Endorsement). The Endorsement stated in

relevant part:

This policy does not provide “other states” insurance coverage. This endorsement provides reimbursement coverage to you for those Texas employees who are described in the Texas Labor Code §§ 406.071–.072. Therefore the coverage is for injuries to your Texas employees that occur in another state if (i) the injury would have been compensable had it occurred in Texas and (ii) the employee has significant contacts with Texas or the employment is principally located in Texas. An employee has significant contacts with Texas if the employee was hired or recruited in Texas, and (i) the employee was injured not later than one year after the date of hire; or (ii) has worked in Texas for at least ten working days during the twelve months preceding the date of injury.

Employees hired or recruited by you outside Texas to work in another state are specifically excluded from the terms and provisions of this policy. If you conduct business in states other than Texas, you must comply with those state laws. You must promptly notify your agent before you begin work in any jurisdiction other than Texas. We are not authorized to provide workers’ compensation insurance in any jurisdiction other than Texas. You are responsible for all of your legal obligations for your failure to comply with requirements of the workers’ compensation laws of any jurisdiction other than Texas.

The first paragraph of the Endorsement imports statutory language from section 406.071 of the Labor

Code that addresses extraterritorial coverage. See Tex. Lab. Code § 406.071. When the

Endorsement applies, Texas Mutual agreed to reimburse HBI for benefits paid under the workers’

compensation laws of other states, including Louisiana.

4 On January 5, 2015, HBI filed an “Employer’s First Report of Injury” concerning

Hope’s injury with Texas Mutual, and a copy of the report was filed with the Department of

Insurance, Division of Workers’ Compensation (the Division). See id. § 409.005 (requiring

employer to report work-place injury to insurance carrier and insurance carrier to file report with

Division on behalf of policyholder). On January 14, 2015, Texas Mutual filed with the Division a

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Texas Mutual Insurance Company v. Hofer Builders, Inc. and Hartford Underwriters Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/texas-mutual-insurance-company-v-hofer-builders-inc-and-hartford-texapp-2019.