United States Fire Insurance Co. v. Scottsdale Insurance Co.

264 S.W.3d 160, 2008 WL 62561
CourtCourt of Appeals of Texas
DecidedAugust 13, 2008
Docket05-06-01138-CV
StatusPublished
Cited by29 cases

This text of 264 S.W.3d 160 (United States Fire Insurance Co. v. Scottsdale 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
United States Fire Insurance Co. v. Scottsdale Insurance Co., 264 S.W.3d 160, 2008 WL 62561 (Tex. Ct. App. 2008).

Opinion

OPINION

Opinion by

Justice FITZGERALD.

Appellant United States Fire Insurance Company provided a primary policy of liability insurance to a company that operated or owned a number of nursing homes. Appellee Scottsdale Insurance Company was an excess insurer for the same insured. Scottsdale paid monies to defend and settle certain claims against the insured and sued U.S. Fire as the insured’s subrogee, asserting that U.S. Fire had not paid all the monies it owed under the primary insurance policy. The trial court granted summary judgment for Scottsdale. We affirm in part, affirm as modified in part, reverse and render in part, and reverse and remand in part.

I. Background

A. The underlying claims

The insured in this insurance-coverage dispute is LTC Healthcare, Inc., now known as CLC Healthcare, Inc., a company engaged in the business of operating or owning nursing homes in Texas, Florida, and other locations. U.S. Fire issued a liability insurance policy to LTC effective for the period from March 18, 2000 through March 18, 2001. Scottsdale issued an umbrella policy to LTC effective for the same time period. The Scottsdale policy was excess to the U.S. Fire policy.

A number of claims against LTC surfaced in 2001 and thereafter. Two of LTC’s facilities gave rise to the underlying claims that are relevant to this case. One facility was known as the Briarwood Healthcare Center and was located in Texas. The other was known as the Eden Springs facility and was located in Florida. Ultimately, seven lawsuits were filed against LTC in Texas involving claims for personal injury and/or wrongful death arising from the care and treatment provided by or at the Briarwood facility. U.S. Fire defended LTC in two of the seven Briar-wood suits and contributed a total of $810,000 to the settlement of those two suits. U.S. Fire then took the position that the seven Briarwood suits were collectively subject to a $1 million per location aggregate limit under its policy, and that it therefore owed only $190,000 in coverage towards the five remaining Briarwood suits. Scottsdale disputed U.S. Fire’s position and argued that U.S. Fire’s aggregate limit for the Briarwood suits was $2 million. U.S. Fire and Scottsdale then struck an agreement that Scottsdale could settle the five remaining Briarwood suits on the best terms available and litigate the coverage dispute at another time. U.S. Fire contributed its $190,000 towards the settlement of one of the five remaining Briarwood suits, and Scottsdale made substantial monetary contributions towards the settlement of four of those suits. One Briarwood suit remained pending at the time of this litigation between Scottsdale and U.S. Fire.

At least four distinct lawsuits against LTC arose from the Eden Springs facility in Florida. U.S. Fire defended and paid $1 million to settle one of the Eden Springs lawsuits. U.S. Fire then advised Scottsdale that it would not contribute to the defense or settlement of any other *164 Eden Springs claims, again based on the position that a $1 million per location aggregate limit applied to the Eden Springs facility. Scottsdale settled the three other Eden Springs lawsuits against LTC, plus one other claim that arose from the Eden Springs facility and that was never filed as a lawsuit. Scottsdale made substantial monetary contributions towards the defense and settlement of the Eden Springs claims.

According to the summary-judgment orders signed in this case, Scottsdale paid a total of $1,647,766.27 to defend and settle claims against LTC.

B. The instant coverage litigation

Scottsdale sued U.S. Fire as subrogee of LTC, alleging that U.S. Fire was contractually obligated to indemnify LTC against the underlying claims to the full extent of a $2 million per location aggregate limit and had faded to do so. Scottsdale also sought to recover the defense costs it had spent defending LTC against the underlying claims, on the theory that U.S. Fire contractually owed LTC those defense costs as well. U.S. Fire pleaded that the underlying claims were subject to a $1 million per location aggregate limit and that it therefore had fully complied with its obligations under the policy by paying out $1 million towards the Briarwood claims and $1 million towards the Eden Springs claims. U.S. Fire pleaded in the alternative for equitable reformation of the policy. In support of this counterclaim, it asserted that the parties intended the policy to include a provision that would have provided that claims covered by its policy’s Care Providers Professional Liability Coverage Form were not covered under the CGL Coverage Form, and vice versa. U.S. Fire alleged that the omission of that provision was caused by a mutual mistake.

Both sides sought summary judgment through multiple motions. Pertinent to this appeal, the trial court granted Scottsdale’s First Supplemental Evidentiary and No Evidence Motion for Summary Judgment and Scottsdale’s Second Motion for Partial Summary Judgment, and it denied U.S. Fire’s summary-judgment motions. The trial court ultimately signed a judgment in favor of Scottsdale that reflected its summary-judgment rulings and some stipulations of the parties. 1 The following holdings of the trial court are challenged by U.S. Fire in this appeal:

• All of the underlying claims were covered by both the CGL Coverage Form and the CPPL Coverage Form in the U.S. Fire policy, and the per location aggregate limit under the U.S. Fire policy relevant to the underlying claims was $2 million by virtue of the CGL coverage.
• U.S. Fire was not entitled to reformation of the policy.
• The self insured retention provisions of the policy did not apply to the underlying claims.
• Regarding the Eden Springs claims, Scottsdale made each settlement in good faith, upon a reasonable basis, and for a reasonable amount.
• Regarding the one Eden Springs claim that Scottsdale settled pre-suit, Scottsdale was entitled to recover its investigation costs from U.S. Fire.

II. Standard of Review

We review the trial court’s summary judgment de novo. When both parties move for summary judgment, each bears the burden of establishing that it is *165 entitled to judgment as a matter of law. If the trial court grants one motion and denies the other, the non-prevailing party may appeal the granting of the prevailing party’s motion as well as the denial of its own motion. We review the summary-judgment evidence presented by both parties and determine all questions presented. We may affirm the trial court’s summary judgment, reverse and render judgment for the other party if appropriate, or reverse and remand if neither party has met its summary-judgment burden. Hackberry Creek Country Club, Inc. v. Hackberry Creek Home Owners Ass’n, 205 S.W.3d 46, 50 (Tex.App.-Dallas 2006, pet. denied).

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Cite This Page — Counsel Stack

Bluebook (online)
264 S.W.3d 160, 2008 WL 62561, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-fire-insurance-co-v-scottsdale-insurance-co-texapp-2008.