Usaa Texas Lloyds Company v. Gail Menchaca
Opinion
Justice Boyd announced the Court's judgment and delivered the Court's opinion as to Parts I, II, and III.A, in which Chief Justice Hecht, Justice Green, Justice Guzman, Justice Lehrmann, Justice Devine, and Justice Brown joined, a plurality opinion as to Parts III.B and III.C, in which Chief Justice Hecht, Justice Lehrmann, and Justice Devine joined, and an opinion as to Parts III.D, III.E, III.F, and III.G, in which Justice Lehrmann and Justice Devine joined.
Having granted Petitioner's motion for rehearing, we withdraw the judgment and opinion we issued on April 7, 2017. We unanimously reaffirm the legal principles and rules announced in that opinion, but we disagree on the procedural effect of those principles in this case. Because a majority of the Court agrees to reverse the court of appeals' judgment and remand the case to the trial court for a new trial, our disposition remains the same.
In our first opinion, we sought to fulfill our duty to eliminate confusion regarding the Court's previous decisions addressing insureds' claims against their insurance companies. As presented in this case, the primary issue is whether the insured can recover policy benefits based on the insurer's violation of the Texas Insurance Code even though the jury failed to find that the insurer failed to comply with its obligations under the policy. We sought to clarify the Court's previous decisions by announcing five rules addressing the relationship between contract claims under an insurance policy and tort claims under the Insurance Code. We unanimously reaffirm those rules today and provide additional guidance in response to the parties' arguments on rehearing. We also concluded in our first opinion that the trial court erred in this case by disregarding the jury's answer to Question 1, in which the jury failed to find that the insurer failed to comply with its obligations under the policy. We unanimously reaffirm that holding as well.
In light of the parties' understandable confusion regarding the Court's previous decisions, we decided in our first opinion to remand the case for a new trial in the interest of justice without addressing the procedural effect of our holdings in this case. We address those issues today, but we reach three different conclusions. JUSTICE GREEN , JUSTICE GUZMAN , and JUSTICE BROWN conclude that the jury's answer to Question 1 is dispositive as to the plaintiff's ability to recover damages for the Insurance Code violation the jury found in answer to Question 2, so they would render judgment for the insurer. See post at --- ( GREEN , J., dissenting). THE CHIEF JUSTICE, JUSTICE LEHRMANN , JUSTICE BOYD , and JUSTICE DEVINE conclude that the jury's answer to Question 1 creates a fatal conflict with its answers to Questions 2 and 3. THE CHIEF JUSTICE concludes that we must remand the case for a new trial because we cannot resolve that conflict on appeal. See post at 522 ( HECHT , C.J., concurring). JUSTICE LEHRMANN , JUSTICE BOYD , and JUSTICE DEVINE conclude that, because the conflicting answers do not present a fundamental error, the insurer waived the conflict by failing to raise it before the trial court discharged the jury. See TEX. R. CIV. P. 295. Nevertheless, because the parties lacked the benefit of the clarity we provide today, they conclude that we should remand the case for a new trial in the interest of justice. JUSTICE BLACKLOCK agrees with that disposition, although he does not join any opinion. With five votes ( JUSTICE JOHNSON not participating), the Court remands the case for a new trial.
I.
Background
After Hurricane Ike struck Galveston Island in September 2008, Gail Menchaca contacted her homeowner's insurance company, USAA Texas Lloyds, and reported that the storm had damaged her home. The adjuster USAA sent to investigate Menchaca's claim found only minimal damage. Based on the adjuster's findings, USAA determined that its policy covered some of the damage but declined to pay Menchaca any benefits because the total estimated repair costs did not exceed the policy's deductible. 1 About five months later, at Menchaca's request, USAA sent another adjuster to re-inspect the property. This adjuster generally confirmed the first adjuster's findings, and USAA again refused to pay any policy benefits. Menchaca sued USAA for breach of the insurance policy and for unfair settlement practices in violation of the Texas Insurance Code. 2 As damages for both claims, she sought only insurance benefits under the policy, plus court costs and attorney's fees. 3
The parties tried the case to a jury. Question 1 of the jury charge, which addressed Menchaca's breach-of-contract claim, asked whether USAA failed "to comply with the terms of the insurance policy with respect to the claim for damages filed by Gail Menchaca resulting from Hurricane Ike." The jury answered "No." Question 2, which addressed Menchaca's statutory claims, asked whether USAA engaged in various unfair or deceptive practices, including whether USAA refused "to pay a claim without conducting a reasonable investigation with respect to" that claim. As to that specific practice, the jury answered "Yes." 4 Question 3 asked the jury to determine the amount of Menchaca's damages that resulted from either USAA's failure to comply with the policy or its statutory violations, calculated as "the difference, if any, between the amount USAA should have paid Gail Menchaca for her Hurricane Ike damages and the amount that was actually paid." 5 The jury answered "$11,350." 6
Both parties moved for judgment in their favor based on the jury's verdict. USAA argued that because the jury failed to find in answer to Question 1 that USAA failed to comply with the policy, Menchaca could not recover for "bad faith or extra-contractual liability as a matter of law." Menchaca argued that the court should enter judgment in her favor based on the jury's answers to Questions 2 and 3, neither of which required a "Yes" answer to Question 1. The trial court disregarded Question 1 and entered final judgment in Menchaca's favor based on the jury's answers to Questions 2 and 3. The court of appeals affirmed,
II.
Recovering Policy Benefits for Statutory Violations
The parties agree that the damages the jury found in response to Question 3 represent the amount of insurance policy benefits the jury concluded USAA "should have paid" to Menchaca. USAA contends that Menchaca cannot recover any amount of policy benefits because the jury failed to find that USAA breached its obligations under the policy. Although the jury did find that USAA violated the Insurance Code, USAA contends that Menchaca cannot recover policy benefits based on that finding alone. 8 USAA primarily relies on Provident American Insurance Co.
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Justice Boyd announced the Court's judgment and delivered the Court's opinion as to Parts I, II, and III.A, in which Chief Justice Hecht, Justice Green, Justice Guzman, Justice Lehrmann, Justice Devine, and Justice Brown joined, a plurality opinion as to Parts III.B and III.C, in which Chief Justice Hecht, Justice Lehrmann, and Justice Devine joined, and an opinion as to Parts III.D, III.E, III.F, and III.G, in which Justice Lehrmann and Justice Devine joined.
Having granted Petitioner's motion for rehearing, we withdraw the judgment and opinion we issued on April 7, 2017. We unanimously reaffirm the legal principles and rules announced in that opinion, but we disagree on the procedural effect of those principles in this case. Because a majority of the Court agrees to reverse the court of appeals' judgment and remand the case to the trial court for a new trial, our disposition remains the same.
In our first opinion, we sought to fulfill our duty to eliminate confusion regarding the Court's previous decisions addressing insureds' claims against their insurance companies. As presented in this case, the primary issue is whether the insured can recover policy benefits based on the insurer's violation of the Texas Insurance Code even though the jury failed to find that the insurer failed to comply with its obligations under the policy. We sought to clarify the Court's previous decisions by announcing five rules addressing the relationship between contract claims under an insurance policy and tort claims under the Insurance Code. We unanimously reaffirm those rules today and provide additional guidance in response to the parties' arguments on rehearing. We also concluded in our first opinion that the trial court erred in this case by disregarding the jury's answer to Question 1, in which the jury failed to find that the insurer failed to comply with its obligations under the policy. We unanimously reaffirm that holding as well.
In light of the parties' understandable confusion regarding the Court's previous decisions, we decided in our first opinion to remand the case for a new trial in the interest of justice without addressing the procedural effect of our holdings in this case. We address those issues today, but we reach three different conclusions. JUSTICE GREEN , JUSTICE GUZMAN , and JUSTICE BROWN conclude that the jury's answer to Question 1 is dispositive as to the plaintiff's ability to recover damages for the Insurance Code violation the jury found in answer to Question 2, so they would render judgment for the insurer. See post at --- ( GREEN , J., dissenting). THE CHIEF JUSTICE, JUSTICE LEHRMANN , JUSTICE BOYD , and JUSTICE DEVINE conclude that the jury's answer to Question 1 creates a fatal conflict with its answers to Questions 2 and 3. THE CHIEF JUSTICE concludes that we must remand the case for a new trial because we cannot resolve that conflict on appeal. See post at 522 ( HECHT , C.J., concurring). JUSTICE LEHRMANN , JUSTICE BOYD , and JUSTICE DEVINE conclude that, because the conflicting answers do not present a fundamental error, the insurer waived the conflict by failing to raise it before the trial court discharged the jury. See TEX. R. CIV. P. 295. Nevertheless, because the parties lacked the benefit of the clarity we provide today, they conclude that we should remand the case for a new trial in the interest of justice. JUSTICE BLACKLOCK agrees with that disposition, although he does not join any opinion. With five votes ( JUSTICE JOHNSON not participating), the Court remands the case for a new trial.
I.
Background
After Hurricane Ike struck Galveston Island in September 2008, Gail Menchaca contacted her homeowner's insurance company, USAA Texas Lloyds, and reported that the storm had damaged her home. The adjuster USAA sent to investigate Menchaca's claim found only minimal damage. Based on the adjuster's findings, USAA determined that its policy covered some of the damage but declined to pay Menchaca any benefits because the total estimated repair costs did not exceed the policy's deductible. 1 About five months later, at Menchaca's request, USAA sent another adjuster to re-inspect the property. This adjuster generally confirmed the first adjuster's findings, and USAA again refused to pay any policy benefits. Menchaca sued USAA for breach of the insurance policy and for unfair settlement practices in violation of the Texas Insurance Code. 2 As damages for both claims, she sought only insurance benefits under the policy, plus court costs and attorney's fees. 3
The parties tried the case to a jury. Question 1 of the jury charge, which addressed Menchaca's breach-of-contract claim, asked whether USAA failed "to comply with the terms of the insurance policy with respect to the claim for damages filed by Gail Menchaca resulting from Hurricane Ike." The jury answered "No." Question 2, which addressed Menchaca's statutory claims, asked whether USAA engaged in various unfair or deceptive practices, including whether USAA refused "to pay a claim without conducting a reasonable investigation with respect to" that claim. As to that specific practice, the jury answered "Yes." 4 Question 3 asked the jury to determine the amount of Menchaca's damages that resulted from either USAA's failure to comply with the policy or its statutory violations, calculated as "the difference, if any, between the amount USAA should have paid Gail Menchaca for her Hurricane Ike damages and the amount that was actually paid." 5 The jury answered "$11,350." 6
Both parties moved for judgment in their favor based on the jury's verdict. USAA argued that because the jury failed to find in answer to Question 1 that USAA failed to comply with the policy, Menchaca could not recover for "bad faith or extra-contractual liability as a matter of law." Menchaca argued that the court should enter judgment in her favor based on the jury's answers to Questions 2 and 3, neither of which required a "Yes" answer to Question 1. The trial court disregarded Question 1 and entered final judgment in Menchaca's favor based on the jury's answers to Questions 2 and 3. The court of appeals affirmed,
II.
Recovering Policy Benefits for Statutory Violations
The parties agree that the damages the jury found in response to Question 3 represent the amount of insurance policy benefits the jury concluded USAA "should have paid" to Menchaca. USAA contends that Menchaca cannot recover any amount of policy benefits because the jury failed to find that USAA breached its obligations under the policy. Although the jury did find that USAA violated the Insurance Code, USAA contends that Menchaca cannot recover policy benefits based on that
finding alone.
8
USAA primarily relies on
Provident American Insurance Co. v. Castañeda
, in which we stated that an insurance company's "failure to properly investigate a claim is not a basis for obtaining policy benefits."
Courts and commentators have expressed confusion over our decisions in this area, and over our statements in Castañeda and Vail in particular. 9 The Fifth Circuit, for example, concluded that Castañeda and other "decisions from the Supreme Court of Texas and Texas's intermediate appellate courts arguably cast doubt on Vail 's continued vitality."
In re Deepwater Horizon
,
The first of these principles is that an "insurance policy is a contract" that establishes the respective rights and obligations to which an insurer and its insured have mutually agreed.
RSUI Indem. Co. v. The Lynd Co.
,
Similar to that common-law duty, the Insurance Code supplements the parties' contractual rights and obligations by imposing procedural requirements that govern the manner in which insurers review and resolve an insured's claim for policy benefits.
See, e.g.
, TEX. INS. CODE § 541.060(a) (prohibiting insurers from engaging in a variety of "unfair settlement practices"). The Code grants insureds a private action against insurers that engage in certain discriminatory, unfair, deceptive, or bad-faith practices, and it permits insureds to recover "actual damages ... caused by" those practices, court costs, and attorney's fees, plus treble damages if the insurer "knowingly" commits the prohibited act.
"Actual damages" under the Insurance Code "are those damages recoverable at common law,"
State Farm Life Ins. Co. v. Beaston
,
An insured's claim for breach of an insurance contract is "distinct" and "independent" from claims that the insurer violated its extra-contractual common-law and statutory duties.
See
Liberty Nat'l Fire Ins. Co. v. Akin
,
The primary question in this case is whether an insured can recover policy benefits as "actual damages" caused by an insurer's statutory violation absent a finding that the insured had a contractual right to the benefits under the insurance policy. Generally, the answer to this question is "no," but the issue is complicated and involves several related questions. In an effort to clarify these issues, we distill from our decisions five distinct but interrelated rules that govern the relationship between contractual and extra-contractual claims in the insurance context. First, as a general rule, an insured cannot recover policy benefits as damages for an insurer's statutory violation if the policy does not provide the insured a right to receive those benefits. Second, an insured who establishes a right to receive benefits under the insurance policy can recover those benefits as actual damages under the Insurance Code if the insurer's statutory violation causes the loss of the benefits. Third, even if the insured cannot establish a present contractual right to policy benefits, the insured can recover benefits as actual damages under the Insurance Code if the insurer's statutory violation caused the insured to lose that contractual right. Fourth, if an insurer's statutory violation causes an injury independent of the loss of policy benefits, the insured may recover damages for that injury even if the policy does not grant the insured a right to benefits. And fifth, an insured cannot recover any damages based on an insurer's statutory violation if the insured had no right to receive benefits under the policy and sustained no injury independent of a right to benefits.
A. The General Rule
The general rule is that an insured cannot recover policy benefits for an insurer's statutory violation if the insured does not have a right to those benefits under the policy. This rule derives from the fact that the Insurance Code only allows an insured to recover actual damages "caused by" the insurer's statutory violation.
See
TEX. INS. CODE § 541.151 ;
Minn. Life Ins. Co. v. Vasquez
,
Some courts have read
Stoker
to hold that no claim for
any kind of
bad-faith conduct can exist if the policy does not cover the insured's loss. But
Stoker
involved only a claim for bad-faith denial of the insureds' claim for benefits. We clarified this point the following year in
Akin
: "While
Stoker
held that a judgment for the insurer on the coverage claim prohibits recovery premised only on bad faith
denial of a claim
, it does not necessarily bar
all claims for bad faith
."
Although
Stoker
involved only a bad-faith-denial claim, we have since applied
its general rule to other types of extra-contractual violations. In doing so, we have confirmed that the rule is based on the principle that an insured who sues an insurer for statutory violations can only recover damages "caused by" those violations. In
Progressive County Mutual Insurance Co. v. Boyd
, for example, the insured alleged that the insurer breached the policy and violated the Code and its common-law duty by failing to promptly pay his claim, failing to fairly investigate the claim, and denying the claim in bad faith.
In the present case, the jury found that USAA violated the Code by denying the claim without conducting a reasonable investigation.
See
TEX. INS. CODE § 541.060(a)(7) (providing that an insurer that "refus[es] to pay a claim without conducting a reasonable investigation with respect to the claim" commits an unfair settlement practice). In our early decisions, we mentioned this type of statutory violation but did not specifically address whether the general rule applies to such a claim. In
Stoker
, we expressly stated that the general rule should not "be understood as retreating from the established principles regarding the duty of an insurer to timely investigate its insureds' claims."
the claim,
We did address something akin to an improper-investigation claim, however, in
Castañeda
. The insured in that case sued her insurer alleging statutory violations "arising out of the denial of her claim for benefits under a health insurance policy and the manner in which her claim was handled."
Here, Menchaca contends that she can recover policy benefits as damages resulting from USAA's statutory violation because that claim is independent from her claim for policy breach. The court of appeals agreed, reasoning that the statute "imposes a duty on an insurer, above and beyond the duties established by the insurance policy itself, to conduct a reasonable investigation prior to denying a claim," and thus "USAA could have fully complied with the contract even if it failed to reasonably investigate Menchaca's claim."
The reason we reject Menchaca's independent-claims argument-indeed, the very reason for the general rule-derives from the fact that the Insurance Code only allows an insured to recover actual damages "caused by" the insurer's statutory violation. TEX. INS. CODE § 541.151. "Actual damages" are the common-law damages the insured sustains "as a result of" the statutory violation.
Kish v. Van Note
,
Relying on these decisions, USAA contends that the general rule applies here and Menchaca cannot recover policy benefits based on a statutory violation because the jury failed to find that USAA "breached" the insurance contract. In response, Menchaca argues that she can avoid the general rule by obtaining a finding that the policy "covers" her losses, and she did not have to obtain a finding that USAA "breached" the policy to recover under the statute. Our precedent is confusing on this point because we have actually used both phrases to describe the general rule.
See, e.g.
,
JAW the Pointe
,
In at least a general sense, no relevant distinction exists between "breach" and "coverage" in this context because no breach can occur unless coverage exists, and a breach necessarily occurs if coverage exists and the insurer fails to pay the amount covered. If the policy does not cover the insured's loss, the insurer does not breach the policy by failing to pay benefits for that loss because the insured is not entitled to those benefits. Conversely, if the policy does cover the loss, 17 the insurer necessarily breaches the policy if it fails to pay benefits for the loss because the insured is entitled to those benefits.
In a more specific sense, however, an important distinction does exist, at least to the extent the term "breach" is used to refer specifically to a breach-of-contract claim. Here, for example, USAA contends that, even if its policy covered Menchaca's loss, Menchaca could not recover policy benefits unless she prevailed on her breach-of-contract claim under Question 1. According to USAA, in other words, an insured can only recover policy benefits as damages on a breach-of-contract claim and can never recover policy benefits as damages on a statutory-violation claim.
We disagree. Although our prior decisions refer interchangeably to both "breach" and "coverage," our focus in those cases was on whether the insured was entitled to benefits under the policy, because an insurer's statutory violation cannot "cause" the insured to suffer the loss of benefits unless the insured was entitled to those benefits. But if the insured was entitled to the benefits and the insurer's statutory violation caused the insured to lose those benefits, the statute authorizes the insured to recover those benefits as "actual damages ... caused by" the statutory violation, even if the insured does not submit a separate breach-of-contract claim. TEX. INS. CODE § 541.151. Thus, although we have referred to both "breach" and "coverage," what matters for purposes of causation under the statute is whether the insured was entitled to receive benefits under the policy. While an insured cannot recover policy benefits for a statutory violation unless the jury finds that the insured had a right to the benefits under the policy, the insured does not
also
have to prevail on a separate breach-of-contract claim based on the insurer's failure to pay those benefits. As we explain further in the following sections, if the jury finds that the policy entitles the insured to receive the benefits and that the insurer's statutory violation resulted in the insured not receiving those benefits, the insured can recover the benefits as "actual damages ... caused by" the statutory violation.
See
Nevertheless, an insurer's obligation to pay policy benefits and the insured's right to receive them derive solely from the insurance policy's terms: "If the loss is covered, then the insurer is obligated to pay the claim according to the terms of the insurance contract." Moriel , 879 S.W.2d at 17. Because an insurer's statutory violation permits an insured to receive only those "actual damages" that are "caused by" the violation, we clarify and affirm the general rule that an insured cannot recover policy benefits as actual damages for an insurer's statutory violation if the insured has no right to those benefits under the policy.
B. The Entitled-to-Benefits Rule
The second rule from our precedent is that an insured who establishes a right to receive benefits under an insurance policy can recover those benefits as "actual damages" under the statute if the insurer's statutory violation causes the loss of the benefits. This rule, a logical corollary to the general rule, is what we recognized in
Vail
. The insureds in
Vail
sued their insurer for common-law bad faith and statutory violations (but not for breach of contract), alleging a "bad faith failure to pay the claim" and seeking "the full amount" of policy benefits plus statutory damages.
The insurer argued that the insureds could not recover policy benefits as damages for statutory violations because "the amount due under the policy solely represents damages for breach of contract and does not constitute actual damages in relation to a claim of unfair claims settlement practices."
USAA contends, and some Texas courts have concluded, that we later rejected the
Vail
rule in
Castañeda
and
Stoker
, and thus an insured can never recover policy benefits as actual damages for statutory or common-law bad-faith violations.
See, e.g.
,
Mai v. Farmers Tex. Cty. Mut. Ins. Co.
, No. 14-07-00958-CV,
We did not reject the
Vail
rule in
Stoker
or in
Castañeda
. While we could have made the point more clearly, the distinction between the cases is that the parties in
Vail
did not dispute the insured's entitlement to the policy benefits, and the only issue was whether the insured could recover those benefits as actual damages caused by a statutory violation.
Vail
,
By contrast, in
Castañeda
, the insured did not establish and the insurer did not concede that the insured had a right to benefits under the policy. To the contrary, the insured "never sought and did not receive any contractual relief,"
Castañeda
,
In short, Stoker and Castañeda stand for the general rule that an insured cannot recover policy benefits as damages for an insurer's extra-contractual violation if the policy does not provide the insured a right to those benefits. Vail announced a corollary rule: an insured who establishes a right to benefits under the policy can recover those benefits as actual damages resulting from a statutory violation. We clarify and affirm both of these rules today.
C. The Benefits-Lost Rule
A third rule that our precedent recognizes is that an insured can recover benefits as actual damages under the Insurance Code even if the insured has no right to those benefits under the policy, if the insurer's conduct caused the insured to lose that contractual right . We have recognized this principle in the context of claims alleging that an insurer misrepresented a policy's coverage, waived its right to deny coverage or is estopped from doing so, or committed a violation that caused the insured to lose a contractual right to benefits that it otherwise would have had. In each of these contexts, the insured can recover the benefits even though it has no contractual right to recover them because the benefits are actual damages "caused by" the insurer's statutory violation.
In the first context, we have recognized that an insurer that violates the statute by misrepresenting that its policy provides coverage that it does not in fact provide can be liable under the statute for such benefits if the insured is "adversely affected" or injured by its reliance on the misrepresentation.
See
Royal Globe Ins. Co. v. Bar Consultants, Inc.
,
The second context in which the benefits-lost rule might apply involves claims based on waiver and estoppel. We have explained that waiver and estoppel cannot be used to re-write a policy so that it provides coverage it did not originally provide.
Ulico
,
Finally, the benefits-lost rule may apply when the insurer's statutory violation actually caused the policy not to cover losses that it otherwise would have covered.
See, e.g.
,
JAW the Pointe
,
The insurer appealed, arguing that the insured could not recover policy benefits or statutory damages because the policy did not cover the insured's losses.
See
D. The Independent-Injury Rule
The fourth rule from our precedent derives from the fact that an insurer's extra-contractual liability is "distinct" from its liability for benefits under the insurance policy.
See
Aranda v. Ins. Co. of N. Am.
,
There are two aspects to this independent-injury rule. The first is that, if an insurer's statutory violation causes an injury independent of the insured's right to recover policy benefits, the insured may recover damages for that injury even if the policy does not entitle the insured to receive benefits.
This aspect of the independent-injury rule applies, however, only if the
damages are truly independent of the insured's right to receive policy benefits. It does not apply if the insured's statutory or extra-contractual claims "are predicated on [the loss] being covered under the insurance policy,"
Boyd
,
The second aspect of the independent-injury rule is that an insurer's statutory violation does not permit the insured to recover
any
damages beyond policy benefits unless the violation causes an injury that is independent from the loss of the benefits. Thus, we held in
Twin City
that an insured who prevails on a statutory claim cannot recover punitive damages for bad-faith conduct in the absence of independent actual damages arising from that conduct.
Our reference in
Stoker
to "the possibility" that a statutory violation could cause an independent injury suggested that a successful independent-injury claim would be rare, and we in fact have yet to encounter one.
See, e.g.
,
Mid-Continent Cas. Co. v. Eland Energy, Inc.
,
E. The No-Recovery Rule
The fifth and final rule is simply the natural corollary to the first four rules: An insured cannot recover
any
damages based on an insurer's statutory violation unless the insured establishes a right to receive benefits under the policy or an injury independent of a right to benefits.
Castañeda
,
F. Submitting Claims for Policy Benefits
In its motion for rehearing in this case, USAA urges us to provide additional guidance on how parties should submit claims for policy benefits to a jury, particularly when the insured asserts both a breach-of-contract claim and a statutory-violation claim and seeks policy benefits as damages for both. The guidance we can provide at this point is necessarily limited, however, because the proper submission depends on the disputed facts and issues in each case. There is, for example, no one single proper way to submit a breach-of-contract claim to a jury.
See
Haas Drilling Co. v. First Nat'l Bank in Dall.
,
A breach-of-contract claim can involve any one or more of numerous discrete issues,
21
but the jury need only be asked and instructed about those the parties actually dispute, and on which the pleadings and evidence actually "raise an issue."
Union Pac. R.R. Co. v. Williams
,
For statutory-violation claims, the Pattern Jury Charge (PJC) Committee recommends a question asking whether the insurer "engage[d] in any unfair or deceptive act or practice that caused damages to" the insured, along with instructions defining "unfair or deceptive practice" as to each alleged but disputed act the Insurance Code prohibits, like misrepresentations, false, deceptive, or misleading statements, and unfair settlement practices.
See
As USAA points out, submitting both a breach-of-contract claim and a statutory-violation claim in the same jury charge can create the risk of conflicting answers. An insured who seeks to recover policy benefits on a breach-of-contract claim must ask the jury to determine the amount of policy benefits lost as a result of the insurer's failure to comply with the insurance policy.
To avoid such a conflict, the court should ensure that the jury answers the entitlement-to-benefits question only once. Here, the trial court may have done best to simply submit Question 2 (to establish that USAA violated the statute) and Question 3 (to establish both that the statutory violation caused Menchaca actual damages in the form of policy benefits and that USAA breached the contract by failing to pay benefits Menchaca was entitled to under the policy), without submitting Question 1 at all. Alternatively, the court might have first asked the jury whether Menchaca was entitled to receive benefits under the policy, and then conditioned the remaining questions on a "Yes" answer to that first question. Yet another effective alternative may have been to instruct the jury that, because Menchaca seeks only to recover benefits under the policy, USAA did not fail to comply with the policy and Menchaca incurred no damages as a result of any statutory violation unless Menchaca was entitled to benefits under the policy. We offer these proposals-without the benefit of the parties' specific arguments or objections-as examples of how the court might have avoided a potential conflict, but we leave it to the parties and the trial court to determine how best to submit the claims on remand.
III.
Menchaca's Claims Against USAA
Having clarified the governing rules, we now apply them to the case before us. As explained above, the jury in this case (1) failed to find in answer to Question 1 that USAA failed to comply with its obligations under the insurance policy; (2) found in answer to Question 2 that USAA violated the Insurance Code by failing to pay Menchaca's claim for policy benefits "without conducting a reasonable investigation with respect to" that claim; and (3) found in answer to Question 3 that USAA's statutory violation resulted in Menchaca incurring damages of $11,350, representing the amount of policy benefits USAA "should have paid" Menchaca.
Ever since the jury returned its verdict, the parties have disputed the effect of its answers. Relying on the jury's answer to Question 1, USAA has contended that Menchaca cannot recover any policy benefits for a statutory violation because she did not prevail on her breach-of-contract claim. Meanwhile, Menchaca has consistently argued that she can recover the award of policy benefits even though she did not prevail on her breach-of-contract claim because the jury found in answer to Questions 2 and 3 that USAA violated the statute and the violation caused Menchaca to incur damages in the form of policy benefits that USAA "should have paid" to Menchaca.
USAA's argument overlooks the fact that-as we have clarified today-an insured need not prevail on a separate breach-of-contract claim to recover policy benefits for a statutory violation. Instead, as we have explained, the insured can prevail under the entitled-to-benefits rule or the benefits-lost rule if she establishes (1) the insurer violated the statute and (2) the violation resulted in her loss of benefits she was entitled to under the policy. Menchaca contends she obtained those findings through Questions 2 and 3. But if USAA "should have paid" policy benefits to Menchaca and did not, then the jury's answers to Questions 2 and 3 conflicted with the jury's answer to Question 1 because USAA necessarily failed to comply with the policy.
The trial court noted this apparent conflict before it dismissed the jury, but both parties took the position that no conflict existed. After the court received the verdict and asked for USAA's response, USAA replied: "We accept the verdict, Your Honor." Menchaca then began explaining why she did not believe the jury's answers conflicted. The trial court asked USAA whether it believed the court should "call the jury back" and have it "reconcile" its answers. USAA replied that calling the jury back "would be totally inappropriate. If it was per se irreconcilable it never should have been submitted to them." The trial court apparently agreed and discharged the jury. At the hearing on USAA's motion for entry of judgment, the trial court raised the conflict issue again, asking whether the jury's answers to Questions 1 and 2 conflicted. It asked Menchaca:
I mean, failure to be reasonable in the investigation of the incident and the behavior of the adjuster is a breach of contract, and so now you have one that says, no, there is no breach of contract, and the other one says, yeah, there was? Isn't that a conflict between the two?
Menchaca responded, "no, there's not [a conflict] based upon what the jury found in damages." Ultimately, the trial court side-stepped the issue by disregarding the jury's answer to Question 1 and entered judgment for Menchaca based on the jury's answers to Questions 2 and 3.
USAA asserts that the trial court erred by disregarding the jury's answer to Question 1. We unanimously agree. But a majority of the Court concludes that the answer to Question 1 creates an irreconcilable and fatal conflict with the answers to Questions 2 and 3. And a plurality concludes that a judgment based on a fatal conflict does not constitute fundamental error, so parties must preserve the error by objecting to the conflict before the trial court discharges the jury. Because the error was not preserved in this case, we cannot reverse the trial court's judgment on that ground. Nevertheless, in light of the parties' obvious confusion regarding our precedent and the clarifications we provide today, the plurality agrees that we should reverse the judgment and remand for a new trial in the interest of justice.
A. Disregarding Question 1
After both parties argued that the jury's answers did not create a conflict, the trial court decided to disregard Question 1 because it was "poorly worded" and "incomprehensible." Specifically, the court explained that Question 1:
says, "Breach of contract," but it doesn't say what kind of breach. 26 It doesn't even explain breach of contract. It doesn't even give a definition for breach of contract. There's all kinds of other things that should have been put in there about what's material breach, definition of material breach. The question fails altogether. It shouldn't have been submitted in the first place. If you remember correctly, I didn't want that question submitted. But it was insisted upon by the plaintiffs, so they've got to reap what they sow. But I think that I can easily ignore question number one as being incomprehensible to a layman and that it has no effect. I can go with what I wanted to go with in the first place which was question number two, damage question, then attorney's fees. That's what I'm going to do. I'm going to ignore question number one entirely because I think it was poorly worded.
The court of appeals affirmed the trial court's decision to disregard Question 1 but for different reasons. First, the court concluded it was impossible to know why the jury answered "No" to the question.
See
We conclude that the trial court erred by disregarding the jury's answer to Question 1. "A trial court may disregard a jury finding only if it is unsupported by evidence ... or if the issue is immaterial."
Spencer v. Eagle Star Ins. Co. of Am.
,
First, in light of USAA's evidence that Menchaca's damages were less than the amount of her deductible, at least some evidence supported the jury's failure to find that USAA failed to comply with its obligations under the policy. Although USAA did not dispute that the policy provided "coverage" for the types of losses Menchaca suffered, it provided evidence that the amount of her loss was less than the policy's deductible, and that evidence supports the jury's failure to find that USAA "failed to comply" with its obligations under the policy. 27
Second, Question 1 was not immaterial. A jury answer is immaterial when the question "should not have been submitted, or when it was properly submitted but has been rendered immaterial by other findings."
Spencer
, 876 S.W.2d at 157 (citing
C. & R. Transp.
,
B. The Effect of Questions 2 and 3
USAA insists that, in light of our agreement that the trial court erred in disregarding the jury's answer Question 1, we must reverse and render judgment in USAA's favor. It argues, correctly, that Menchaca effectively cannot recover policy benefits if USAA did not breach the policy. It also points out, correctly, that Menchaca did not secure that finding in Question 1. But USAA ignores-or at least misconstrues-the effect of the jury's answers to Questions 2 and 3, in which the jury found that USAA's Insurance Code violation caused Menchaca damages of $11,350, representing the difference "between the amount USAA should have paid Gail Menchaca for her Hurricane Ike damages and the amount that was actually paid." This award, USAA agrees, constitutes an award of "policy benefits." The jury's finding that USAA's statutory violation resulted in Menchaca's loss of $11,350 in policy benefits that USAA "should have paid" necessarily constitutes a finding that Menchaca was entitled to receive those benefits under the policy.
USAA argues that we cannot read the jury's answer to Question 3 as a finding that Menchaca was entitled to policy benefits because Question 3 was "merely a damages question." In fact, however, Question 3 was a causation-and-damages question, requiring the jury to determine the amount of Menchaca's loss "that resulted from" either USAA's contractual breach or its statutory violation. 28 The jury failed to find a contractual breach, but it did find a statutory violation. Thus, the jury's answer to Question 3 can only constitute a finding that USAA's statutory violation caused Menchaca to lose policy benefits that USAA "should have paid." The trial court agreed on this as well. When it disregarded Question 1, it determined that Question 2 and Question 3 together contained all the elements of Menchaca's Insurance-Code-violation claim: 29 (1) USAA violated the insurance code, (2) that violation caused Menchaca to lose policy benefits she otherwise would have been entitled to, and (3) the benefits she "should have" received were $11,350.
This holding does not "suggest[ ] an exception to the no-recovery rule," as the Dissent proposes.
Post
at 526 ( GREEN , J., dissenting). The no-recovery rule requires an insured to establish a right to receive benefits under the policy or an injury independent of a right to benefits.
Castañeda
,
Nevertheless, relying primarily on our decisions in
Castañeda
and
Missouri Pacific Railroad Co. v. Whittenburg & Alston
,
USAA contends that this instruction is indistinguishable from the instruction the trial court gave here. We do not agree that the jury's answer to the "damages question" in
Castañeda
was equivalent to the jury's answer to Question 3 here. Nor do we agree that it could have independently constituted a finding that the insured in
Castañeda
was entitled to policy benefits. Although the
Castañeda
charge defined "loss of benefits" to mean benefits "due under the policy," the charge in that case asked the jury to determine the amount that would compensate the insured for the damages, if any, resulting from
both
the insured's "loss of credit reputation"
and
the "loss of benefits ... due under the policy."
See
Castañeda
,
Whittenburg
is distinguishable for similar reasons.
Whittenburg
involved a shipper's action against a carrier for damages the carrier allegedly caused to the shipper's tomatoes while transporting them by rail from Laredo to Canada.
See
We see the distinction between
Whittenburg
and this case in
Whittenburg
's second question, in response to which the jury found that the condition of the tomatoes when they arrived in Toronto was "due entirely" to a cause for which the carrier could not be liable.
C. Fatal Conflict
We next consider whether the jury's answer to Question 1 creates an irreconcilable and fatal conflict with its answers to Questions 2 and 3. "In reviewing the jury findings for conflict, the threshold question is whether the findings are about the same material fact."
Bender v. S. Pac. Transp. Co.
,
A court "must 'reconcile apparent conflicts in the jury's findings' if reasonably possible in light of the pleadings and evidence, the manner of submission, and the other findings considered as a whole."
Conversely, we could attempt to construe the jury's answer to Question 3 as something other than a finding that Menchaca was entitled to policy benefits. We might, for example, speculate that the jury awarded $11,350 as the amount the jury believed USAA "should have paid" Menchaca as a matter of equity or charity, rather than as a policy obligation. But any such effort would require mere speculation and an assumption that the jury ignored the questions and instructions the trial court provided. The trial court asked the jury to determine the amount of damages Menchaca incurred as a result of USAA's contractual breach or statutory violation and instructed the jury to determine that amount based on the difference "between the amount USAA should have paid Gail Menchaca for her Hurricane Ike damages and the amount that was actually paid." As both parties agree, the amount the jury awarded represents the amount of benefits the jury determined USAA "should have paid" to Menchaca under the policy.
When an irreconcilable conflict involves one jury answer that would require a judgment in favor of the plaintiff and another that would require a judgment in favor of the defendant, the conflict is fatal.
Little Rock Furniture Mfg. Co. v. Dunn
,
D. Fundamental Error
Our determination that the verdict contained a fatal conflict does not end the inquiry. Of course, a trial court should not enter judgment based on a verdict containing a fatal conflict until "the disputed question of fact ... has been resolved."
Meyer
,
Generally, as "a prerequisite to presenting a complaint for appellate review, the record must show that ... the complaint was made to the trial court by a timely request, objection, or motion." TEX. R. APP. P. 33.1(a)(1)(A). This rule "conserves judicial resources by giving trial courts an opportunity to correct an error before an appeal proceeds," promotes "fairness among litigants" by prohibiting them from surprising their opponents on appeal, and furthers "the goal of accuracy in judicial decision-making" by allowing the parties to "develop and refine their arguments" and allowing the trial court to "analyze the questions at issue."
In re B.L.D.
,
An exception to the preservation-of-error requirement applies when the alleged error is "fundamental." "Except for fundamental error, appellate courts are not authorized to consider issues not properly raised by the parties."
Mack Trucks, Inc. v. Tamez
,
In the decades that followed these decisions, the courts of appeals applied the fundamental-error doctrine in numerous cases, concluding that a jury verdict containing a fatal conflict constitutes fundamental error requiring a new trial even if no party complained of or preserved the error.
32
In 1949, we at least appeared to
confirm these holdings in
Little Rock Furniture
, noting that the "law seems to be established that such a conflict cannot be waived by the parties and that a judgment on a verdict containing such a conflict must be set aside."
Shortly before we decided
Little Rock Furniture
, however, we began to reconsider the fundamental-error doctrine in light of recent statutory revisions and our adoption of the Texas Rules of Civil Procedure.
See
Ramsey v. Dunlop
,
Soon after our decisions in
Little Rock Furniture
and
Ramsey
, we warned that cases "discussing fundamental error decided before the adoption of the Rules of Civil Procedure in 1941 must be considered in the light of changes in the concept of fundamental error made by the adoption of the new rules."
Lewis v. Tex. Emp'rs' Ins. Ass'n
,
Before we clearly restricted the application of the fundamental-error doctrine to jurisdictional and public-interest errors in
McCauley
, courts of appeals continued to rely on
Little Rock Furniture
to hold that a fatal conflict in jury answers creates a fundamental error that appellate courts may review even if unassigned.
38
But five years after
McCauley
, we rejected the statement in
Little Rock Furniture
and expressly held that, in light of the fundamental-error doctrine's restricted scope, the "entry of judgment by a trial court on conflicting findings does not constitute fundamental error."
St. Paul Fire & Marine Ins. Co. v. Murphree
,
Until today, this Court has never cited, relied on, or discussed
Meyer
as authority on any issue. Only three courts of appeals have ever cited it, and none cited it as authority on the issue of whether error based on conflicting jury answers is fundamental or must be preserved.
42
That is not to suggest that the Court wrongly decided
Meyer
; rather, it appears to simply confirm that the issue was not
at issue
in
Meyer
. Neither our opinion nor the court of appeals' opinion in
Meyer
ever mentioned or addressed whether any party objected to the conflicting answers or whether they should have. As best we can tell, the plaintiff in
Meyer
never complained that the defendant did not preserve the error, and the Court simply never addressed that issue. We cannot agree that
Meyer
-which never addressed the preservation requirement-somehow overruled or trumps
Murphree
,
Duke
,
Sunland Supply
, and the dozens of other opinions that directly addressed the issue. Consistent with these numerous applicable precedents, we conclude that the fatal conflict in the jury's verdict in this case does not constitute fundamental error, and as a result, we cannot consider that conflict unless the error was properly preserved.
Mack Trucks
,
E. Preservation of Error
We next consider how and when a party must properly preserve error based on a fatal conflict in a jury verdict. rule 295, entitled "Correction of Verdict," provides that if a jury's answers "are in conflict," the trial court must give the jury written instructions regarding the nature of the conflict "and retire the jury for further deliberations." TEX. R. CIV. P. 295. In light of this rule, some early court of appeals decisions held that, to preserve error based on conflicting jury answers, the party must object to the conflict before the
trial court discharges the jury.
See, e.g.
,
Haddox v. Futrell,
In
Murphree
, however, while holding that the jury answers in that case did not conflict, we noted that the petitioner admitted that "it did not assign
in its motion for new trial
any error as to conflict," and that there "was no assignment of error contained
in the motion for new trial
sufficient to bring this question to the trial court's attention."
Murphree
,
Following these decisions, the Fort Worth Court of Appeals held that an appellant can preserve a conflict objection by filing a motion for new trial and need not object before the court discharges the jury.
McDonald
, 762 S.W.2d at 939-40. The
McDonald
court expressed dissatisfaction with its own holding, however, opining that "
Murphree
neither explicitly nor implicitly stated such a rule" and was "simply misconstrued," and that the "previous rule" requiring an objection before the jury is discharged was "better law."
Id.
at 940. Nevertheless, the court concluded that its holding was required because it was "clearly made the law in
Duke.
"
Id.
The Fort Worth court later overruled
McDonald
, however,
see
Kitchen
, 181 S.W.3d at 473, and since then, the courts of appeals have consistently held that "a party waives any complaint regarding any alleged conflict in the jury's answers by failing to voice this complaint before the jury is discharged."
Meek v. Onstad
,
We agree with the courts of appeals. Although we noted in
Murphree
that the petitioner had not raised the jury conflict in a motion for new trial, we did not consider or address whether the petitioner also had to object to the conflict under rule 295 before the court discharged the jury.
Murphree
,
The court of appeals disagreed, reversed the judgment because of the conflict, and remanded the case for a new trial.
Id.
We reversed the court of appeals' judgment, holding that rule 324,
as it then existed
, required a motion for new trial as "a jurisdictional prerequisite to appeal from a case tried to a jury, with certain specific exceptions" that did not apply.
Id.
(applying earlier version of TEX. R. CIV. P. 324 ). We held that because conflicting jury answers do not constitute fundamental error, rule 324 required that, if "there was an irreconcilable conflict in the jury answers, it was necessary to file a motion for new trial assigning as error the entry of judgment on conflicting jury findings."
Id.
at 898 (citing
Murphree
,
As the courts of appeals have since explained, the issue of whether a new-trial motion is required is no longer relevant because the current, revised version of rule 324"does not require that a party file a motion for new trial to complain on appeal that there is an alleged conflict in the jury's answers."
Meek
,
We agree with the courts of appeals that to preserve error based on fatally conflicting jury answers, parties must raise that objection before the trial court discharges the jury. As we have explained, our "procedural rules are technical, but not trivial."
Burbage v. Burbage
,
The Dissent claims that rule 295 allows for other preservation mechanisms because the rule states that a trial court " may direct [the verdict] to be reformed."
Post
at 527 ( GREEN , J., dissenting) (quoting TEX. R. CIV. P. 295 ). The rule does not mandate reformation because reformation is not always needed. The trial court's first resort is to reconcile the jury's findings.
Bender
,
As mentioned, rule 295 provides the procedure for resolving incomplete and nonresponsive jury verdicts as well as those containing conflicting answers. TEX. R. CIV. P. 295. Addressing incomplete verdicts, we have long held that a judgment will not be reversed "unless the party who would benefit from answers to the issues objects to the incomplete verdict before the jury is discharged, making it clear that he desires that the jury redeliberate on the issues or that the trial court grant a mistrial."
Fleet v. Fleet
,
F. Effect of Failure to Preserve
Having concluded that the entry of a judgment based on fatally conflicting jury answers does not constitute fundamental error and that the error must be preserved by an objection asserted before the court discharges the jury, we must now address who bore the burden of preservation and the proper disposition of this case in light of the fact that neither USAA nor Menchaca timely objected. Amicus for USAA
44
argues that the fatal conflict "should preclude any recovery" by Menchaca. Although USAA does not agree that the jury's answers fatally conflict, it argues that if they do conflict, it was Menchaca's burden to object and she waived the error by failing to do so before the trial court dismissed the jury. We disagree. In the jury's answers to Questions 2 and 3, Menchaca obtained all of the findings necessary to recover on her statutory-violation claim, and USAA is the party who must rely on the conflicting answer to Question 1 to prevent Menchaca from recovering based on the answers to Questions 2 and 3. As the party who must rely on the conflicting answer to avoid the effect of answers that establish liability, USAA bore the burden to object.
See, e.g.
,
Burbage
, 447 S.W.3d at 256 ("The
complaining party
must object before the trial court and 'must point out distinctly the objectionable matter and the grounds of the objection.' ") (emphasis added) (quoting TEX. R. CIV. P. 274 ; TEX. R. APP. P. 33.1 );
cf.
Fleet
,
When we held in our early decisions that fatally conflicting jury answers constitute fundamental error, we reasoned that the error is fundamental in part because appellate courts lack the power to render a judgment based on conflicting answers.
See
Radford
,
Under our modern, rules-based, restricted fundamental-error doctrine, however, we have discarded these concerns in favor of the efficiency and fairness our error-preservation requirement provides. Now, as before, courts "must 'reconcile apparent conflicts in the jury's findings' if reasonably possible in light of the pleadings and evidence, the manner of submission, and the other findings considered as a whole."
Bender
,
Here, USAA raised numerous objections, both to the proposed charge before its submission and to the jury's answers after the jury returned its verdict. But USAA failed to properly preserve any error based on conflicting jury answers before the trial court discharged the jury. As a result, the trial court discharged the jury without giving it the opportunity to resolve its conflicting answers. The trial court then attempted to resolve the conflict by disregarding the jury's failure to find a breach of contract. USAA properly preserved its argument that the court erred in disregarding that answer, and we have agreed with USAA that the trial court erred. We have disagreed, however, with USAA's argument that Menchaca's failure to prevail on her contract claim automatically negates the findings she obtained on her statutory claim. We are thus left with a judgment based on fatally conflicting jury answers, but since neither party preserved that error, we cannot consider the conflict as a basis for reversing the trial court's judgment.
G. Remand in the Interest of Justice
Having concluded that the trial court and court of appeals erred in disregarding the jury's answer to Question 1, we are left with findings that support the judgment in Menchaca's favor based on statutory violations but that also contain a fatal conflict. We could render judgment for Menchaca based on the jury's verdict because USAA failed to preserve that conflict. In the interest of justice, however, we could also "remand the case to the trial
court even if a rendition of judgment is otherwise appropriate." TEX. R. APP. P. 60.3. Such a remand is particularly appropriate when it appears that one or more parties "proceeded under the wrong legal theory,"
Boyles v. Kerr
,
USAA has steadfastly maintained that Menchaca cannot recover policy benefits for a statutory violation unless she also obtains a finding that USAA "breached" the insurance policy or that USAA's statutory violation caused an injury independent of her right to benefits. At trial, USAA objected to the charge's failure to condition Question 2 on a "Yes" finding to Question 1 and objected to the submission of Question 3 on the ground that "Texas courts have held that extra[-]contractual damages need to be independent from policy damages." After the jury returned its verdict, USAA argued that it should prevail because "the jury found 'NO' breach of contract" and awarded only policy benefits. After the trial court entered its judgment, USAA argued in its motion for new trial that Menchaca cannot recover in the absence of a finding of breach because she did not seek damages "separate and apart from those sought under the breach of contract theory." Although we have clarified today that a plaintiff does not have to prevail on a separate breach-of-contract claim to recover policy benefits for a statutory violation, the confusing nature of our precedent precludes us from faulting USAA for the position it has maintained throughout this litigation. Moreover, although USAA failed to preserve any objection based on the jury's conflicting answers, Menchaca agreed with USAA that the answers did not conflict, and neither the parties nor the trial court had the benefit of the guidance we have provided today regarding the preservation of such error. Under these circumstances, we conclude that justice requires that we reverse and remand the case to the trial court for a new trial.
IV.
Conclusion
For the reasons explained, we reverse the court of appeals' judgment and remand the case to the trial court for a new trial in the interest of justice.
Chief Justice Hecht filed a concurring opinion.
Justice Blacklock concurs in the judgment without opinion.
Justice Green filed a dissenting opinion in which Justice Guzman and Justice Brown joined as to Parts I, II, and IV, and a plurality opinion as to Part III, in which Chief Justice Hecht, Justice Guzman, and Justice Brown joined.
Justice Johnson did not participate in the decision.
Chief Justice Hecht, concurring in the judgment.
I join Parts I, II, III-A, III-B, and III-C of JUSTICE BOYD 's plurality opinion and Part III of JUSTICE GREEN 's opinion, also a plurality. I join in the Court's judgment remanding the case to the trial court for a new trial, but for reasons different from those expressed in JUSTICE BOYD 's opinion.
USAA and Menchaca have both argued, each consistently throughout, in the trial court, the court of appeals, and now this Court, that the jury answers in the verdict do not conflict. The Court unanimously disagrees. JUSTICE BOYD would hold that the trial court cannot render judgment on fatally conflicting jury answers, and I agree. The trial court erred in rendering judgment for Menchaca. But JUSTICE BOYD would also hold that the error is not reversible unless the appellant objected in the trial court. Since USAA was the appellant and did not object in the trial court, JUSTICE BOYD concludes that it is not entitled to reversal. But USAA could not object, consistent with its position that the jury answers do not conflict. Menchaca took the same position, and had the trial court picked USAA to win, she, too, could not complain on appeal because she, like USAA, could not have objected. Thus, in JUSTICE BOYD 's view, if neither side thinks jury answers conflict, and an appellate court later disagrees, the party for whom the trial court erroneously rendered judgment wins. I disagree that an objection was necessary in this situation for the reasons given by JUSTICE GREEN in Part III of his dissent. In my view, because USAA and Menchaca each insists on rendition of a favorable judgment, and judgment cannot be rendered for either based on the conflicting answers in the jury verdict, the case must be retried. I do not agree with JUSTICE BOYD that the parties' confusion about the law requires a retrial in the interest of justice. Rather, a retrial is the only way to correct the trial court's error given the parties' erroneous positions.
JUSTICE GREEN would render judgment for USAA because Menchaca, as plaintiff, had the burden of obtaining findings to support a judgment in her favor and failed to do so. I disagree. Menchaca obtained the findings she needed. The jury's answers to Questions 2 and 3-that USAA underpaid her $11,350 in policy benefits because it did not reasonably investigate her claim-supported a judgment in her favor. But the jury's answers to those questions conflicted with its answer to Question 1. The answers to Questions 2 and 3 establish that USAA failed to comply with its policy, yet the jury refused to make that finding in answer to Question 1. Menchaca cannot prevail because the jury answers were conflicting, not because they were insufficient.
Accordingly, I join in the Court's judgment remanding the case to the trial court for further proceedings.
JUSTICE GREEN, joined by JUSTICE GUZMAN and JUSTICE BROWN as to Parts I, II, and IV, dissenting, and joined by CHIEF JUSTICE HECHT, JUSTICE GUZMAN, and JUSTICE BROWN as to Part III, delivering a plurality opinion.
The Court's opinion outlines five rules governing the relationship between contractual and statutory claims.
See
545 S.W.3d at ----. Under those five rules, I would hold that USAA Texas Lloyds Company is entitled to judgment in its favor because the plaintiff, Gail Menchaca, failed to prove that USAA was contractually obligated to pay benefits under the homeowners policy-a requisite showing to recover policy benefits for a violation of the Texas Insurance Code.
See
Accordingly, I dissent from the Court's judgment remanding the case for a new trial for the reasons expressed in Parts I, II, and IV below. Additionally, I write separately to explain the plurality view on the issue of preservation of complaints of conflicting jury findings, in Part III below.
I. Background
Three jury questions and answers are relevant here. Jury Question 1, which Menchaca insisted upon submitting despite the trial court's concerns and later urged the trial court to disregard, 1 relates to contractual liability:
1. Did USAA Texas Lloyd's Company ("USAA") fail to comply with the terms of the insurance policy with respect to the claim for damages filed by Gail Menchaca resulting from Hurricane Ike?
Answer "Yes" or "No".
Answer: NO
In answering "no," the jury thus rejected Menchaca's assertion that USAA breached the policy.
Jury Question 2 relates to extra-contractual liability and provided a list of potential statutory violations:
2. Did USAA engage in any unfair or deceptive act or practice that caused damages to Gail Menchaca?
Answer "Yes" or "No" as to each subpart.
"Unfair or deceptive act or practice" means any one or more of the following:
A. Failing to attempt in good faith to effectuate a prompt, fair, and equitable settlement of a claim when the liability under the insurance policy issued to Gail Menchaca had become reasonably clear; or
Answer: NO
B. Failing to promptly provide to Gail Menchaca a reasonable explanation of the factual and legal basis in the policy for the denial of a claim(s); or
Answer: NO
C. Failing to affirm or deny coverage within a reasonable time; or Answer: NO
D. Refusing to pay a claim without conducting a reasonable investigation with respect to a claim(s); or
Answer: YES
E. Misrepresenting to Gail Menchaca a material fact or policy provision relating to the coverage at issue.
Answer: NO
Thus, the only liability finding against USAA was for failure to conduct a reasonable investigation. See TEX. INS. CODE § 541.060(a)(7) ("It is an unfair method of competition or an unfair or deceptive act or practice in the business of insurance to engage in the following unfair settlement practices with respect to a claim by an insured or beneficiary: ... refusing to pay a claim without conducting a reasonable investigation with respect to the claim ....").
Concerned about a potential conflict between the jury's answers to Questions 1 and 2, 2 the trial court ultimately disregarded the jury's answer to Question 1, concluding that the jury charge did not explain or define breach of contract, the question "fails altogether," "shouldn't have been submitted in the first place," was "incomprehensible to a layman," and "was poorly worded." I agree with the Court's conclusion that the trial court erred in disregarding Question 1. See id. at 505.
Finally, Question 3, which was submitted over USAA's objection: 3
If you answered "Yes" to Question 1 or any part of Question 2 or both questions, then answer the following question. Otherwise, do not answer the following question.
3. What sum of money, if any, if paid now in cash, would fairly and reasonably compensate Gail Menchaca for her damages, if any, that resulted from the failure to comply you found in response to Question number 1 and/or that were caused by an unfair or deceptive act that you found in response to Question number 2.
The sum of money to be awarded is the difference, if any, between the amount USAA should have paid Gail Menchaca for her Hurricane Ike damages and the amount that was actually paid.
In answering questions about damages, answer each question separately. Do not increase or reduce the amount in one answer because of your answer to any other question about damages. Do not speculate about what any party's ultimate recovery may or may not be. Any recovery will be determined by the court when it applies the law to your answers at the time of judgment. Do not add any amount for interest on damages, if any.
Answer in dollars and cents for damages, if any.
Answer: $ 11,350.00
USAA contends that Question 3 was merely a damages question, and the trial court seemed to agree. 4 I also tend to agree. 5 The Court seems to view Question 3 as another liability question about whether USAA owed Menchaca unpaid policy benefits-in other words, whether USAA failed to comply with the policy-concluding that the answer to Question 3 conflicts irreconcilably with the jury's answer to Question 1. Id. at ----. Either way, considering the jury's answers to all three questions, I would hold that USAA is entitled to judgment in its favor.
II. Right to Receive Policy Benefits
In answer to Question 2, the jury found that USAA violated the Insurance Code by failing to investigate Menchaca's claim properly. As the Court's opinion explains, to recover for that statutory violation, Menchaca was required to prove either (1) she suffered damages independent of the loss of policy benefits, or (2) the statutory violation caused her to lose policy benefits to which she was entitled. Id. at ----. Menchaca abandoned claims for extra-contractual damages and sought only policy benefits as damages. 6 Thus, Menchaca can recover damages in this case only if she established a right to receive unpaid benefits due under the policy. Because she did not, I would render judgment in favor of USAA.
The jury's answer to Question 1 represents the jury's conclusion that Menchaca failed to satisfy her burden of proof on her claim that USAA breached the policy.
See
id.
at 509 (agreeing that the answer to Question 1 "confirms [the jury's] conclusion that Menchaca 'failed to carry [her] burden of proof' to establish that USAA failed to comply with the policy's terms" (citing
Sterner v. Marathon Oil Co.
,
This result is consistent with the Court's no-recovery rule, 545 S.W.3d at ----, and with our holding in
Provident American Insurance Co. v. Castañeda
,
The Court's general rule yields the same result. Under the general rule, if the insured does not have a right to benefits under the policy, she cannot recover policy benefits as damages for an insurer's statutory violation.
The plaintiff bears the burden of proving her case and obtaining jury findings to support a judgment in her favor.
See
United Scaffolding, Inc. v. Levine
,
The Court's remand suggests an exception to the no-recovery rule-that an insured may recover policy benefits as damages for a statutory violation despite an insured's failure to prove entitlement to policy benefits and a jury's answer that the insurer did not breach any of its obligations under the policy. When the jury found liability on only one basis-a statutory violation-and the plaintiff failed to prove entitlement to policy benefits and failed to seek damages for an independent injury, the plaintiff is not entitled to recover any damages. Applying the Court's five rules to the facts of this case, I would hold that USAA is entitled to judgment in its favor.
III. Preservation
Generally, a party should object to conflicting answers before the trial court dismisses the jury. The absence of such an objection, however, should not prohibit us from reaching the issue of irreconcilable conflicts in jury findings. I disagree with JUSTICE BOYD 's suggestion that a defendant's failure to object in a case such as this requires judgment for the plaintiff or prohibits us from ruling in the defendant's favor.
Texas Rule of Civil Procedure 295 provides a mechanism for trial courts to resolve conflicting jury findings by sending the jury back for further deliberations. That rule provides that "[i]f [a] purported verdict is defective, the court may direct it to be reformed." TEX. R. CIV. P. 295 (emphasis added). The rule goes on to explain how the court must direct reformation if it chooses to do so:
If it is incomplete, or not responsive to the questions contained in the court's charge, or the answers to the questions are in conflict, the court shall in writing instruct the jury in open court of the nature of the incompleteness, unresponsiveness, or conflict, provide the jury such additional instructions as may be proper, and retire the jury for further deliberations.
The amendment [effective January 1, 1988] makes it clear that the court may direct a complete yet defective verdict to be reformed. The amendment also makes it clear that in the event the verdict is incomplete or otherwise improper, the court is limited to giving the jury additional instructions in writing.
If the trial court opts not to direct reformation of the verdict, as Rule 295 allows, but instead enters judgment, an option JUSTICE BOYD does not recognize, JUSTICE BOYD believes that Rule 295 prohibits an appellate court from disturbing that judgment absent an objection to conflicting jury answers. 545 S.W.3d at ----. According to JUSTICE BOYD , the Rule 295 verdict-reformation process is the only remedy for conflicting jury answers, and that process is triggered only if the party who would later challenge judgment on the verdict objects before the jury has been dismissed. Id. at ----. If that process is never triggered, the issue of conflicting jury answers has not been preserved for appellate review and cannot be considered even if the jury's answers fatally conflict and cannot support the judgment. Id. at ----. This analysis misconstrues Rule 295, misapplies our precedent, and ignores trial realities, as this case demonstrates.
JUSTICE BOYD bases his preservation standard on cases involving incomplete verdicts, extending the rule in those cases to cases involving conflicting jury answers.
Id.
at 519. We have held that a "party who would benefit from answers" to questions the jury left blank must object to the incomplete verdict, "making it clear that he desires that the jury redeliberate on the issues or that the trial court grant a mistrial."
Fleet v. Fleet
,
Recognizing that difficulty, Menchaca's counsel raised the possibility of conflicting answers before the jury was dismissed, attempting to argue that any conflict would not be irreconcilable. When the trial court made clear its view that the proper time for that argument would be later at a separate hearing, Menchaca's counsel stated: "If I'm understanding the Court correctly, I don't need to request that the Court call the jury back and have them reconcile these two issues." The trial court answered that Menchaca "wanted question no. 1," "insisted," "knew this was going to happen," "saw it coming," and was "stuck with it." Under JUSTICE BOYD 's analysis, despite Menchaca's presentation of the conflict issue and suggestion of further deliberations to resolve any conflict, and the trial court's rejection of that suggestion, the issue of conflicting answers was not preserved, preventing an appellate court from being able to determine whether a judgment on that verdict could stand. It defies reason to hold that we cannot review the trial court's judgment because USAA, which did not yet know that it would be the party complaining of the judgment, failed to object when the conflict issue had already been raised in the trial court and the court rejected further jury deliberations to reform the judgment. Under these circumstances, when each party argues on appeal that it is entitled to judgment in its favor based on jury answers that may conflict, and the trial court and both parties were satisfied that further deliberations were unnecessary, I would hold that the appellate court is not prohibited from considering whether a judgment on the verdict can stand.
The Court reviewed conflicting answers under just such circumstances in
Little Rock Furniture Manufacturing Co. v. Dunn
,
As support for a preservation standard requiring an objection to conflicting findings before jury dismissal, JUSTICE BOYD cites the inapplicability of the fundamental-error exception to our preservation of error rules. 545 S.W.3d at ----. JUSTICE BOYD relies primarily on a single sentence in a 1962 case: "The entry of judgment by a trial court on conflicting findings does not constitute fundamental error."
Murphree
,
While JUSTICE BOYD provides a thorough discussion of the evolution of our fundamental-error doctrine, 545 S.W.3d at ----, it is not relevant to this case. The "discredited doctrine" is relevant only when a party challenges on appeal an alleged error that it did not preserve in the trial court, requiring us to decide whether our narrow fundamental-error doctrine permits appellate review of the unpreserved complaint.
See
In re B.L.D.
,
As in
Little Rock Furniture
, the trial court here practically invited the parties to object before the jury was dismissed.
See
IV. Conclusion
We should resolve this case by deciding the simple question of whether Menchaca met her burden to prove and obtain findings that USAA's statutory violation caused her to lose benefits that USAA owed under the policy. Based on the jury's answers to Questions 1, 2, and 3, the answer is no. 12 Applying the Court's five rules governing the relationship between contractual and statutory claims, I would hold that, under the no-recovery rule, Menchaca cannot prevail on her claim for unpaid policy benefits as damages for USAA's statutory violation.
Just as we can affirm a judgment in the plaintiff's favor when we determine that the answers do not conflict irreconcilably,
For the reasons expressed above, I would render judgment that Menchaca take nothing on her claims.
545 S.W.3d 479 (Usaa Texas Lloyds Company v. Gail Menchaca) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.