Texas Workers' Compensation Insurance Facility v. State Board of Insurance

894 S.W.2d 49, 1995 WL 17108
Court of Appeals of Texas·Decided January 18, 1995·No. 3-94-122-CV·Published·Cited by 13 cases

Opinion

CARROLL, Chief Justice.

In March 1993, the State Board of Insurance (the “Board”) ordered the Texas Workers’ Compensation Facility (the “Facility”) to indemnify Aetna Casualty & Surety Company, The Hartford Accident & Indemnity Company, Houston General Insurance Company, Liberty Mutual Fire Insurance Company, United States Fire Insurance Company, and Lumbermens Mutual Casualty Company (collectively the “Original Servicing Companies”) for legal expenses incurred in defending certain litigation brought by Standard Financial Indemnity Company (“SFIC”). The Facility appealed the Board’s orders to the district court, relying on Article 5.76-2, section 2.05(i) of the Texas Insurance Code, which states that the Facility “may not indemnify the servicing companies.” Tex.Ins. Code Ann. art. 5.76-2, § 2.05(i) (West Supp. 1995). The Original Servicing Companies along with Cigna Insurance Company of Texas, Travelers Indemnity Company of Rhode *51 Island, and Employers Insurance of Wausau (collectively the “Servicing Companies”) intervened in the proceeding. The district court affirmed the Board’s orders in all respects and ordered the Facility to indemnify the Servicing Companies for expenses incurred in the defense of the SFIC litigation. We will affirm the trial-court judgment.

BACKGROUND

The legislature created the Texas Workers’ Compensation Assigned Risk Pool (the “Pool”) to provide an unincorporated association of insurers authorized to issue insurance policies to high-risk insureds under the Texas Workers’ Compensation Act and other workers’ compensation statutes. Act of May 14, 1953, 53d Leg., R.S., ch. 279, 1953 Tex. Gen.Laws 716, repealed, by Act of Dec. 11, 1989, 71st Leg., 2d C.S., ch. 1, § 16.01(21), (22), 1989 Tex.Gen.Laws 1,114. In the 1970s and 1980s, the Servicing Companies entered into servicing company contracts with the Pool, the predecessor of the Facility, promising to issue policies to employers who could not obtain workers’ compensation insurance in the voluntary market. In consideration for this promise, the Pool promised to pay each carrier a fee and to “indemnify Carrier as set out in the Pool’s By-Laws and Rules and Regulations.” Article VI, paragraph 3 of the Pool’s bylaws provided:

Any person or insurer made or threatened to be made a party to any action, suit or proceeding, because‘ such person or insurer was a Member, or a Servicing Company, or served on the Governing Committee ... shall be indemnified against all judgments, fines, amounts paid in settlement, reasonable costs and expenses including attorney’s fees and any other liabilities that may be incurred as a result of such action, suit or proceeding, or threatened action, suit or proceeding....

(Emphasis added.)

In 1989, the Governing Committee of the Pool denied the application of SFIC to become a servicing carrier. As a result, SFIC sued all servicing carriers, including the Servicing Companies. On May 8, 1989, several months after suit was filed, the Pool’s Governing Committee, in accordance with Article VI, paragraph 3 of the Pool’s bylaws, authorized and approved the reimbursement of reasonable defense costs associated with the SFIC litigation.

In December 1989, the legislature passed Article 5.76-2 of the Insurance Code, which succeeded predecessor Article 5.76 and replaced the Pool with the Facility. See Act of Dec. 11, 1989, 71st Leg., 2d C.S., ch. 1, §§ 17.01~.19, 1989 Tex.Gen.Laws 1, 115-22. Pursuant to the 1989 Act, the Facility assumed all of the obligations and liabilities of the former Pool, and the servicing companies of the Pool continued as servicing companies of the Facility. Id. § 17.09.

For almost three years, the Pool and then the Facility indemnified the Servicing Companies for the reasonable attorney’s fees they incurred in defending claims made by SFIC. On November 6, 1990, the trial court rendered a final judgment against SFIC on its claim and in favor of the servicing carriers. 1 In 1992, the Servicing Companies submitted bills for indemnity for fees and expenses incurred in 1991 and 1992 for the SFIC defense costs. The general counsel for the Facility, however, did not pay the bills. Instead, the Facility notified the Servicing Companies that it could no longer indemnify the companies for those defense costs, asserting as a defense to payment the recent enactment of Article 5.76-2, section 2.05(i) of the Texas Insurance Code. This provision, which became effective January 1, 1992, reads: “The facility may not indemnify the servicing companies.” Tex.Ins.Code Ann. art. 5.76-2, § 2.05(i) (West Supp.1995).

The Original Servicing Companies timely filed their appeals from the Facility’s decision with the Board. On March 12,1993, the Board rendered final orders, finding that the servicing carriers’ right to indemnification arose when they entered into the servicing company contracts. The Board thus determined that the Facility’s application of section 2.05(i) to the previously vested right to indemnification amounted to a retroactive ap *52 plication of the statute and ordered the Facility to indemnify the Original Servicing Companies. The Facility filed a timely motion for rehearing on March 24, 1993, which was overruled by operation of law on April 30, 1993. Pursuant to section 2001.176 of the Administrative Procedure Act, the Facility sought judicial review in the district court. See Tex.Gov’t Code Ann. § 2001.176 (West 1995). The Servicing Companies intervened in the proceeding. The district court reviewed the administrative record and found that the findings of fact contained in the Board’s orders were supported by substantial evidence; the court further determined that the Board’s conclusions of law were sound. The district court therefore affirmed the Board’s orders in all respects, ordering the Facility to indemnify the Servicing Companies for legal expenses incurred in the defense of the SFIC litigation.

DISCUSSION

This Court reviews the Board’s order under a substantial evidence review. Act of May 30, 1993, 73d Leg., R.S., ch. 685, § 1.03, art. 1.04, 1993 Tex.Gen.Laws 2559, 2562; Tex.Ins.Code Ann. art. 5.76-2, § 2.09(d) (West Supp.1995); Tex.Gov’t Code Ann. § 2001.174 (West 1995). For purposes of substantial evidence review, an administrative determination of a question of law, unlike a determination of disputed fact, is not entitled to a presumption of validity. Teacher Retirement Sys. v. Cottrell, 583 S.W.2d 928, 930 (Tex.Civ.App.—Austin 1979, writ ref'd n.r.e.); see also English v. Central Educ. Agency, 866 S.W.2d 73, 77 (Tex.App.—Austin 1993, writ requested). If substantial rights of the appellant have been prejudiced by an agency’s error of law, we will reverse the trial court’s judgment and remand the cause to the agency for further proceedings. Tex.Gov’t Code Ann. § 2001.174(2)(D) (West 1995); Cantu v. Central Educ. Agency, 884 S.W.2d 565, 566 (Tex.App.—Austin 1994, no writ).

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Texas Workers' Compensation Insurance Facility v. State Board of Insurance, 894 S.W.2d 49, 1995 WL 17108 (Tex. Ct. App. 1995).

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