Texas Property and Casualty Insurance Guaranty Association v. Jack M. Webb, as Special Deputy Receiver of Employers Casualty Co. Jack M. Webb, as Special Deputy Receiver of Employers National Insurance Co.

CourtCourt of Appeals of Texas
DecidedFebruary 10, 2000
Docket03-99-00293-CV
StatusPublished

This text of Texas Property and Casualty Insurance Guaranty Association v. Jack M. Webb, as Special Deputy Receiver of Employers Casualty Co. Jack M. Webb, as Special Deputy Receiver of Employers National Insurance Co. (Texas Property and Casualty Insurance Guaranty Association v. Jack M. Webb, as Special Deputy Receiver of Employers Casualty Co. Jack M. Webb, as Special Deputy Receiver of Employers National 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
Texas Property and Casualty Insurance Guaranty Association v. Jack M. Webb, as Special Deputy Receiver of Employers Casualty Co. Jack M. Webb, as Special Deputy Receiver of Employers National Insurance Co., (Tex. Ct. App. 2000).

Opinion

TEXAS COURT OF APPEALS, THIRD DISTRICT, AT AUSTIN



NO. 03-99-00293-CV



Texas Property and Casualty Insurance Guaranty Association, Appellant



v.



Jack M. Webb, as Special Deputy Receiver of Employers Casualty Company and

Employers National Insurance Company; and Jose Montemayor, in His Capacity

as Receiver of Employers Casualty Company and Employers National

Insurance Company, Appellees



FROM THE DISTRICT COURT OF TRAVIS COUNTY, 201ST JUDICIAL DISTRICT

NO. 97-07070, HONORABLE F. SCOTT McCOWN, JUDGE PRESIDING



This is an appeal from a summary judgment involving the claims priority scheme of the liquidation statute of the Texas Insurance Code. Appellant Texas Property and Casualty Insurance Guaranty Association ("TPCIGA") appeals from a summary judgment in favor of appellees Jack M. Webb, as special deputy receiver of Employers Casualty Company ("ECC") and Employers National Insurance Company ("ENIC"), and Jose Montemayor, the Commissioner of Insurance in his capacity as permanent receiver of ECC and ENIC.

As property and casualty insurers that have been declared insolvent, ECC and ENIC (collectively "the estates") have assets that are to be paid by the receiver or special deputy receiver in accordance with the claims priority scheme set forth in Texas Insurance Code article 21.28, section 8 ("the liquidation statute"). We are presented with the question of whether TPCIGA's claims against the estates' assets arising from defense costs incurred in defending liability and workers' compensation claims are entitled to Class 1 priority as claims-handling expenses or Class 2 priority as payments of policyholder claims. Because we conclude that the claims-handling expense category under Class 1 does not include expenses incurred in defending insureds but that such costs are properly classified as payments of policyholder claims under Class 2, we affirm the judgment of the district court.



BACKGROUND Two Insurance Code articles govern the receivership proceedings underlying the instant cause: (1) article 21.28-C, (1) which establishes TPCIGA, and (2) article 21.28, (2) which outlines the general statutory duties of conservators and receivers for impaired insurance companies. TPCIGA is an association of all licensed property and casualty insurers in Texas. See Guaranty Act § 6. By assessing contributions from solvent member insurers, TPCIGA maintains a guaranty fund that assumes insolvent insurers' obligations with respect to statutorily defined "covered claims." Id. § 5(8). When TPCIGA pays a claim or incurs a claim-related expense in connection with a particular insolvent insurer, TPCIGA has a corresponding claim against the insolvent insurer's assets for the amount of the claim or expense payment. See id. § 11(c), (d); see also Tex. Ins. Code Ann. art. 21.28, § 8.

The receiver's duties and responsibilities in liquidating an insolvent insurance company are comparable to those of a bankruptcy trustee. As with a bankruptcy trustee, the receiver must classify according to statute the various types of creditors, evaluate the validity of claims against the estate, and make distributions. The receiver's duties in the liquidation of an insurance company are set forth in article 21.28 of the Texas Insurance Code entitled "Liquidation, Rehabilitation, Reorganization or Conservation of Insurers." Tex. Ins. Code Ann. art. 21.28, § 2. The liquidation statute provides a framework within which the receiver conserves the assets of the company and makes distributions among creditors and claimants. See id. §§ 2, 8.

The scheme providing for distribution of assets and classification of claims is set forth in section (8)(a) of the liquidation statute. (3)

The statute provides that the highest priority classification, Class 1, is to be given to "[a]ll of the receiver's, conservator's, and supervisor's costs and expenses of administration," "all of the expenses of an insurance guaranty association or foreign insurance guaranty association in handling claims," and secured creditor claims. Id. § 8(a)(2)(A)(i)-(iii) (emphasis added). Class 1 claims are entitled to priority over all other classes of claims against the estates.

Class 2 includes two categories of claims: "[a]ll claims by policyholders, beneficiaries, insureds, and liability claims against insureds covered under insurance policies and insurance contracts issued by the insurer," and "[a]ll claims by an insurance guaranty association or a foreign insurance guaranty association that are payments of proper policyholder claims." Id. § 8(a)(2)(B)(i), (ii) (emphasis added). Class 2 claims are paid only after full payment of Class 1 claims.

The liquidation statute does not define the phrases "expenses . . . in handling claims" or "payments of proper policyholder claims." In 1987, the statute directed the receiver to process and pay covered claims on behalf of TPCIGA. See Act of June 17, 1987, 70th Leg., R.S., ch. 1073, sec. 33, § 2(e), (g), 1987 Tex. Gen. Laws 3610, 3644-45. However, the receiver was not required to defend insureds. See id. In August 1991, the legislature changed the system for handling insolvent insurance company receiverships. The role of paying and processing covered claims was transferred from the receiver to TPCIGA. See Act of Aug. 30, 1991, 72d Leg., 2d C.S., ch. 12, sec. 1.20, § 8, 1991 Tex. Gen. Laws 252, 266-67.

In 1993, the legislature revised the Guaranty Act as it related to TPCIGA's duties toward policyholders. TPCIGA's governing statute was amended to require TPCIGA to provide a defense for policyholders when such a defense constituted a "covered claim." Act of June 17, 1993, 73d Leg., R.S., ch. 685, § 9.07, 1993 Tex. Gen. Laws 2559, 2633-34.

In 1995, the legislature amended the liquidation statute. See Act of June 17, 1995, 74th Leg., R.S., ch. 1055, § 3, 1995 Tex. Gen. Laws 5216, 5217-18. Addressing the priority provisions of the liquidation statute for the first time since 1987, the legislature expanded the kinds of guaranty association claims that would receive Class 1 priority and also provided:  "For the purpose of this subdivision, attorney's fees incurred by an insurance guaranty association or foreign insurance guaranty association in the defense of an insured under a policy issued by an impaired insurer constitute an expense incurred in handling claims." Id. Thus, effective June 17, 1995, "claims-handling expenses" explicitly include defense costs.

TPCIGA has asserted claims against the estates for costs incurred in the defense of third-party liability and workers' compensation claims under ECC and ENIC policies.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Caminetti v. United States
242 U.S. 470 (Supreme Court, 1917)
United States v. Ron Pair Enterprises, Inc.
489 U.S. 235 (Supreme Court, 1989)
Estate of Cowart v. Nicklos Drilling Co.
505 U.S. 469 (Supreme Court, 1992)
Oil Well Drilling Co. v. Associated Indemnity Corp.
264 S.W.2d 697 (Texas Supreme Court, 1954)
City of Austin v. L.S. Ranch, Ltd.
970 S.W.2d 750 (Court of Appeals of Texas, 1998)
RepublicBank Dallas, N.A. v. Interkal, Inc.
691 S.W.2d 605 (Texas Supreme Court, 1985)
Acker v. Texas Water Commission
790 S.W.2d 299 (Texas Supreme Court, 1990)
Union Bankers Insurance Co. v. Shelton
889 S.W.2d 278 (Texas Supreme Court, 1994)
Harris County District Attorney's Office v. J.T.S.
807 S.W.2d 572 (Texas Supreme Court, 1991)
Cail v. Service Motors, Inc.
660 S.W.2d 814 (Texas Supreme Court, 1983)
Texas Utilities Electric Co. v. Sharp
962 S.W.2d 723 (Court of Appeals of Texas, 1998)
Commissioners Court of Titus County v. Agan
940 S.W.2d 77 (Texas Supreme Court, 1997)
Liberty Mutual Insurance Co. v. Garrison Contractors, Inc.
966 S.W.2d 482 (Texas Supreme Court, 1998)
Schlichting v. Texas State Board of Medical Examiners
310 S.W.2d 557 (Texas Supreme Court, 1958)
Teleprofits of Texas, Inc. v. Sharp
875 S.W.2d 748 (Court of Appeals of Texas, 1994)
Johnson v. City of Fort Worth
774 S.W.2d 653 (Texas Supreme Court, 1989)
St. Luke's Episcopal Hospital v. Agbor
952 S.W.2d 503 (Texas Supreme Court, 1997)
Durish v. Channelview Bank
809 S.W.2d 273 (Court of Appeals of Texas, 1991)
Texas Medical Liability Trust v. Zurich Insurance Co.
945 S.W.2d 839 (Court of Appeals of Texas, 1997)
Tarrant Appraisal District v. Moore
845 S.W.2d 820 (Texas Supreme Court, 1993)

Cite This Page — Counsel Stack

Bluebook (online)
Texas Property and Casualty Insurance Guaranty Association v. Jack M. Webb, as Special Deputy Receiver of Employers Casualty Co. Jack M. Webb, as Special Deputy Receiver of Employers National Insurance Co., Counsel Stack Legal Research, https://law.counselstack.com/opinion/texas-property-and-casualty-insurance-guaranty-association-v-jack-m-webb-texapp-2000.