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CASES (2023)

Century-National Ins. Co. v. Frantz

Court of Appeal of Florida, Second District

August 11, 2023, Decided

No. 2D22-1274

CENTURY-NATIONAL INSURANCE COMPANY, Appellant, v. JACOB D. FRANTZ, Appellee.

Prior History:  [*1] Appeal from the Circuit Court for Sarasota County; Hunter W. Carroll, Judge.


Century-National Ins. Co. v. Frantz, 320 So. 3d 929, 2021 Fla. App. LEXIS 6659 (Fla. Dist. Ct. App. 2d Dist., May 12, 2021)

Case Summary

Overview

HOLDINGS: [1]-The trial court did not err in considering defendant’s opposition because the court had clear authority to assess defendant’s arguments against entering a final judgment, including claims of inadequate cause of action and failure to include essential parties. Thus, the court’s consideration of defendant’s opposition was proper, Fla. R. Civ. P. 1.500(e); [2]-The third-party tort claimants were not indispensable parties to this declaratory judgment action because § 86.091, Fla. Stat. did not mandate their inclusion, and previous case law did not establish their indispensability. The statute stated that such claimants “may” be parties, and the context of the statute protected their rights even if not named.

Outcome

Judgment reversed and remanded.

LexisNexis® Headnotes

Civil Procedure > Appeals > Standards of Review > De Novo Review

Governments > Courts > Rule Application & Interpretation

HN1  Standards of Review, De Novo Review

An appellate court reviews de novo the question of the interpretation of the Florida Rules of Civil Procedure and the extent of the trial court’s authority.

Civil Procedure > … > Pretrial Judgments > Default & Default Judgments > Default Judgments

Civil Procedure > Appeals > Standards of Review > Reversible Errors

Civil Procedure > … > Default & Default Judgments > Default Judgments > Entry of Default Judgments

HN2  Default & Default Judgments, Default Judgments

It is true that when a default is entered, the defaulting party admits all well-pled factual allegations of the complaint. In the usual case, this means that entry of default precludes a party from contesting the existence of the plaintiff’s claim and liability thereon. Thereafter, a party has the right to contest damages caused by the party’s wrong but no other issue. Even so, the failure to state a cause of action is a fatal pleading deficiency not curable by a default judgment. In particular, although a default operates to admit many things, it does not admit facts not pleaded, not properly pleaded or conclusions of law. Fair inferences will be made from the pleadings but forced inferences will not. The party seeking affirmative relief may not be granted relief that is not supported by the pleadings or by substantive law applicable to the pleadings. A party in default may rely on the limitations. In other words, a default judgment must be based on well pleaded facts establishing liability against a defendant in default. Consequently, entry of a final default judgment on a complaint that fails to state a cause of action against the defaulted defendant constitutes reversible error.

Civil Procedure > … > Default & Default Judgments > Default Judgments > Entry of Default Judgments

Civil Procedure > Appeals > Appellate Jurisdiction > Final Judgment Rule

HN3  Default Judgments, Entry of Default Judgments

Fla. R. Civ. P. 1.500(e) expressly gives the trial court broad authority after a default to investigate potential problems with entering or effectuating a final judgment.

Civil Procedure > Judgments > Entry of Judgments

HN4  Judgments, Entry of Judgments

Under the plain language in Fla. R. Civ. P. 1.500(e), the court may make an investigation of any matter to enable the court to enter judgment or to effectuate it and to that end may also conduct hearings as it deems necessary.

Civil Procedure > Appeals > Standards of Review > De Novo Review

Governments > Legislation > Interpretation

Civil Procedure > … > Joinder of Parties > Compulsory Joinder > Indispensable Parties

Civil Procedure > Appeals > Standards of Review > Questions of Fact & Law

Civil Procedure > … > Joinder of Parties > Compulsory Joinder > Necessary Parties

HN5  Standards of Review, De Novo Review

Whether a party is indispensable under the applicable statute is a question of law reviewed de novo. An appellate court reviews a trial court’s decision to dismiss a complaint for failure to join an indispensable party under a de novo standard of review when that decision is based upon an interpretation of the Florida Statutes.

Civil Procedure > … > Declaratory Judgments > State Declaratory Judgments > Scope of Declaratory Judgments

Insurance Law > Remedies > Costs & Attorney Fees > Declaratory Judgments

Governments > Legislation > Interpretation

Insurance Law > … > Declaratory Judgments > Procedure > Relevant Parties

Insurance Law > Liability & Performance Standards > Settlements > Third Party Claims

HN6  State Declaratory Judgments, Scope of Declaratory Judgments

In describing proper parties, § 86.091, Fla. Stat. uses the word “may”, which is permissive. In statutory construction, the word “may” when given its ordinary meaning denotes a permissive term rather than the mandatory connotation of the word “shall”. By contrast, it uses the mandatory term “shall” in prohibiting prejudice to nonparties. Thus the plain language of the first sentence broadly permits but does not require all persons having or claiming an interest in the declaration to be parties. And the second sentence expressly contemplates the existence of persons who are not parties to the declaratory proceedings yet whose rights are implicated therein. This is consistent with settled authorities explaining that a declaratory action obtained by an insurer against its insured is not binding on a third-party claimant who was not a party to the declaratory judgment action.

Civil Procedure > Judicial Officers > Judges > Discretionary Powers

Civil Procedure > Appeals > Record on Appeal

HN7  Judges, Discretionary Powers

Under the tipsy coachman doctrine, an order will be affirmed if the trial court reaches the correct result, even if it employed the wrong reasoning. However, in considering whether to apply the doctrine, appellate courts have discretion to determine whether the record is sufficiently developed for review. The tipsy coachman doctrine allows appellate courts to consider grounds for affirmance if the record supports doing so; it does not compel them to overlook deficient records and blaze new trails that even the tipsiest of coachmen could not have traversed.

Civil Procedure > Appeals > Reviewability of Lower Court Decisions > Preservation for Review

HN8  Reviewability of Lower Court Decisions, Preservation for Review

An appellate court should not ordinarily decide issues not ruled on by the trial court in the first instance.

Counsel: Joseph Clancy and William J. McFarlane, III, of McFarlane Law, Coral Springs, for Appellant.

Inguna Varslavane-Callahan and Michael T. Callahan of Callahan Law Firm, LLC, St. Petersburg, for Appellee.

Judges: KHOUZAM, Judge. MORRIS and BLACK, JJ., Concur.

Opinion by: KHOUZAM

Opinion

KHOUZAM, Judge.

Century-National Insurance Company appeals a final judgment entered in favor of its Insured, Jacob D. Frantz. The trial court ruled that even though the Insured had been defaulted, he was nonetheless entitled to judgment on the pleadings due to the Insurer’s failure to join indispensable parties. Although the court had authority to consider the Insured’s opposition to entry of final judgment after default, it erred in ruling that third-party tort claimants are indispensable parties to this declaratory judgment action. We accordingly reverse and remand.


BACKGROUND

In May 2017, the Insurer filed a complaint against its Insured alleging the existence of a valid insurance policy but seeking a declaration of no bodily injury coverage and no duty to defend thereunder. The complaint alleges that the Insured was involved in a February 2015 car accident in [*2]  Pennsylvania with a couple named the Mauricios, who had recently filed a lawsuit against the Insured in that state for injuries arising from the accident. The complaint alleges that the Mauricios’ suit is still pending; it does not allege any resolution.

After the Insured failed to respond to his Insurer’s declaratory complaint, the Insurer obtained a clerk’s default. Later, the Insurer filed a motion for final default judgment, which resulted in a June 2017 order in its favor. That order lacked language of finality, however, and the Insurer did not immediately seek a final order.

Meanwhile, in Pennsylvania, the Mauricios pursued their claims against the Insured. The Insured was eventually defaulted there as well, and the Mauricios ultimately obtained an undefended final judgment against him in May 2018, after the complaint in this case was filed.

Thereafter, in March 2019, the Insured and the Mauricios jointly sued the Insurer in Florida state court, raising two counts. The first count sought relief from the June 2017 order granting the Insurer’s motion for final default judgment against the Insured, asserting that he had not been properly served. The second count alleged bad faith.

 [*3] The Insurer removed that joint action, and the federal court granted the Insurer’s motion to dismiss. It ruled inter alia that the June 2017 order in this case granting the Insurer’s motion for final default judgment was not in fact a final judgment because it lacked language of finality. The federal court dismissed that joint action without prejudice.

Now aware that the June 2017 order in this case granting default judgment was not a final judgment, the Insurer moved in July 2019 for entry of final default judgment. The Insured responded, opposing entry of final default judgment and also moving to set aside the default.

In September 2019, the trial court held a hearing on the Insured’s motion to set aside default judgment. The court denied that motion, expressly finding that the Insured had not shown due diligence. Ultimately, however, the court entered an order in December 2019 denying the Insurer’s motion for entry of default judgment on the basis that it lacked personal jurisdiction over the Insured.

The Insurer appealed that order. This court reversed, holding that the Insured had waived his right to contest personal jurisdiction. See Century-Nat’l Ins. v. Frantz, 320 So. 3d 929, 931 (Fla. 2d DCA 2021) (“[W]e reverse the circuit court’s order determining [*4]  that it lacks personal jurisdiction and remand for further proceedings.”).

On remand from this court, the Insurer renewed its motion for entry of default final judgment. The Insured opposed the motion and asserted several defenses, including that the complaint failed to state a cause of action against him. He also sought judgment on the pleadings, asserting that the Mauricios were indispensable parties.

Following a hearing and supplemental briefing, the trial court issued the ruling on review, granting the Insured’s motion for judgment on the pleadings. In the judgment, the court acknowledged that the text of section 86.091, Florida Statutes (2022), “suggests strongly that a plaintiff seeking a declaratory judgment would have the option of joining only some and not all parties who may have an interest in the outcome.”

Nonetheless, the court ruled that the Mauricios are indispensable parties here. It said that despite the statute’s language, “there is long-standing precedent from the Florida Supreme Court strongly suggesting that other portions of Florida’s declaratory judgment act contained in chapter 86 require that antagonistic and adverse interests are before the Court.” Specifically, the trial court relied on language [*5]  from May v. Holley, 59 So. 2d 636, 639 (Fla. 1952), stating it is “necessary in order to maintain the status of the proceeding as being judicial in nature and therefore within the constitutional powers of the courts” “that the antagonistic and adverse interests are all before the court by proper process or class representation.” The court concluded that the fact the legislature had never taken action in response to this language, which “has been repeated over the decades,” constituted legislative approval to disregard the contrary statutory language. See Goldenberg v. Sawczak, 791 So. 2d 1078, 1081 (Fla. 2001) (“Long-term legislative inaction after a court construes a statute amounts to legislative acceptance or approval of that judicial construction.”).

The trial court also quoted a statement from the Fifth District’s decision in Allstate Insurance v. Conde, 595 So. 2d 1005, 1008 (Fla. 5th DCA 1992) (en banc), observing: “It is, of course, essential that the injured party be made a party to the declaratory judgment action.” The court clarified that it did “not conclude this was the holding of Conde,” but instead that it “certainly is persuasive authority suggesting the [Insurer] should have included the Mauricios in [its] complaint.”

This appeal followed.


ANALYSIS

Although the parties have framed the issues differently in their briefs, the salient points on [*6]  appeal are as follows: (I) whether the trial court had authority to consider the defaulted Insured’s opposition to entry of final default judgment; (II) whether the third-party tort claimants are indispensable parties to this declaratory coverage action; and (III) whether to consider for the first time on appeal the Insured’s alternative arguments for dismissal.

As we now explain, (I) the trial court had the authority to consider the defaulted Insured’s opposition to entry of final default judgment, but (II) it erred in ruling that the Mauricios are indispensable parties here. Finally, (III) we decline to reach these alternative issues on appeal in favor of remand to the trial court for determination in the first instance.


I. The trial court had authority to consider the defaulted defendant’s opposition to entry of default final judgment.

The Insurer argues first that because the Insured had been defaulted, the trial court erred by even considering his opposition to entry of final judgment. HN1 We review de novo this question of the interpretation of the Florida Rules of Civil Procedure and the extent of the trial court’s authority. See, e.g., Pino v. Bank of N.Y., 121 So. 3d 23, 30-31 (Fla. 2013). Although the Insurer’s argument finds support [*7]  in several general statements of law, it conflicts with the plain language of Florida Rule of Civil Procedure 1.500(e) and other authorities specifically setting forth exceptions to the general rules of default judgments.

HN2 It is true that “[w]hen a default is entered, the defaulting party admits all well-pled factual allegations of the complaint.” Donohue v. Brightman, 939 So. 2d 1162, 1164-65 (Fla. 4th DCA 2006) (citing State Farm Mut. Auto. Ins. v. Horkheimer, 814 So. 2d 1069, 1072 (Fla. 4th DCA 2001)). In the usual case, this means that “entry of default precludes a party from contesting the existence of the plaintiff’s claim and liability thereon. Thereafter, a party has the right to contest damages caused by the party’s wrong but no other issue.” Id. at 1165 (quoting Fla. Bar v. Porter, 684 So. 2d 810, 813 n.4 (Fla. 1996)).

Even so, “the failure to state a cause of action is a fatal pleading deficiency not curable by a default judgment.” Hogan v. Garceau, 880 So. 2d 823, 824 (Fla. 5th DCA 2004) (citing Becerra v. Equity Imps., Inc., 551 So. 2d 486 (Fla. 3d DCA 1989)). In particular, although a default operates to admit many things,

[i]t does not admit facts not pleaded, not properly pleaded or conclusions of law. Fair inferences will be made from the pleadings but forced inferences will not. The party seeking affirmative relief may not be granted relief that is not supported by the pleadings or by substantive law applicable to the pleadings. A party in default may rely on the limitations.

Id. (quoting Henry P. Trawick, Jr., Trawick’s Fla. Practice and [*8]  Procedure § 25-4, at 348 (1988 ed.)). In other words, “a default judgment must be based on well pleaded facts establishing liability against a defendant in default.” Id. Consequently, entry of a final default judgment on a complaint that fails to state a cause of action against the defaulted defendant constitutes reversible error. Id.

HN3 Consistent with these principles, rule 1.500(e) expressly gives the trial court broad authority after a default to investigate potential problems with entering or effectuating a final judgment. That subsection provides in relevant part:

(e) Final Judgment. Final judgments after default may be entered by the court at any time . . . . If it is necessary to take an account or to determine the amount of damages or to establish the truth of any averment by evidence or to make an investigation of any other matter to enable the court to enter judgment or to effectuate it, the court may receive affidavits, make references, or conduct hearings as it deems necessary and must accord a right of trial by jury to the parties when required by the Constitution or any statute.

(Underlined emphasis added.) HN4 Under this plain language, the court may “make an investigation of any . . . matter [*9]  to enable the court to enter judgment or to effectuate it” and to that end may also “conduct hearings as it deems necessary.”

Here, given this express authority, the trial court was clearly permitted to consider the Insured’s opposition to entry of final judgment. The Insured not only argued that the underlying complaint failed to state a cause of action, but also asserted that it had to be dismissed as a matter of law for failure to join indispensable parties. Accordingly, the court did not err in considering the Insured’s opposition. See Hogan, 880 So. 2d at 824 (vacating final default judgment entered against defaulted defendant under fatal pleading deficiency).


II. The third-party tort claimants are not indispensable parties to this declaratory judgment action.

The substantive issue in this appeal is whether the third-party tort claimants are indispensable parties in this declaratory coverage action by the Insurer against its Insured. The Insurer contends that in entering judgment for the Insured on the basis that the Mauricios are indispensable parties, the trial court disregarded the plain language of the governing statute in favor of applying contrary language from a distinguishable judicial decision. [*10]  We agree.

HN5 Whether a party is indispensable under the applicable statute is a question of law reviewed de novo. See Fla. Dep’t of Revenue v. Cummings, 930 So. 2d 604, 607 (Fla. 2006) (reviewing de novo trial court’s decision to dismiss complaint based on failure to join indispensable party); see also Parker v. Parker, 185 So. 3d 616, 618 (Fla. 4th DCA 2016) (“We review a trial court’s decision to dismiss a complaint for failure to join an indispensable party under a de novo standard of review when that decision is based upon an interpretation of the Florida Statutes.”).

The parties agree that the analysis begins with section 86.091, titled “Parties,” under the Declaratory Judgments Chapter. That statute provides in pertinent part: “When declaratory relief is sought, all persons may be made parties who have or claim any interest which would be affected by the declaration. No declaration shall prejudice the rights of persons not parties to the proceedings.” HN6 In describing proper parties, the statute uses the word “may,” which is permissive. See, e.g., City of Miami v. Save Brickell Ave., Inc., 426 So. 2d 1100, 1105 (Fla. 3d DCA 1983) (“In statutory construction, the word ‘may’ when given its ordinary meaning denotes a permissive term rather than the mandatory connotation of the word ‘shall’.” (citing I.E. Fixel v. Clevenger, 285 So. 2d 687, 688 (Fla. 3d DCA 1973))). By contrast, it uses the mandatory term “shall” in prohibiting prejudice to nonparties.

Thus the plain [*11]  language of the first sentence broadly permits but does not require all persons having or claiming an interest in the declaration to be parties. And the second sentence expressly contemplates the existence of persons who are not parties to the declaratory proceedings yet whose rights are implicated therein. This is consistent with settled authorities explaining that “[a] declaratory action obtained by an insurer against its insured is not binding on a third-party claimant who was not a party to the declaratory judgment action.” Indep. Fire Ins. v. Paulekas, 633 So. 2d 1111, 1113 (Fla. 3d DCA 1994) (collecting cases); see also Tower Radiology Ctr. v. Direct Gen. Ins., 348 So. 3d 1147, 1150 (Fla. 4th DCA 2022) (same).

Nothing in the language of this statute supports the conclusion that the Mauricios are indispensable parties in this declaratory action between Insurer and Insured. Although as tort claimants against the Insured the Mauricios have claims to his proceeds under the policy, the first sentence simply says such claimants “may” be made parties. At the same time, the second sentence expressly protects them from prejudice from litigation in which they are not named. Considering both sentences together, the Mauricios could properly have been named as parties, but they are not indispensable parties, nor would a declaration made in [*12]  their absence prejudice their rights. E.g., Paulekas, 633 So. 2d at 1113.

Despite acknowledging that the plain language of the applicable statute “suggests strongly” that the foregoing analysis applies, the trial court instead applied apparently contrary language from May, saying it is “necessary” that “the antagonistic and adverse interests are all before the court by proper process or class representation.” But May did not consider the issue of indispensable parties. Nor did it consider section 86.091 or a prior version thereof. Instead, May expressly discussed different statutes addressing declaratory jurisdiction and relief generally.

Indeed, in context, the language from May that the trial court relied upon was not a pronouncement that courts lack jurisdiction over declaratory claims in the absence of “all” adverse interests being named as parties. Rather, it was part of a general discussion of the necessary ingredients for a proceeding to be “judicial in nature and therefore within the constitutional powers of the courts.” 59 So. 2d at 639. The parties make no suggestion this proceeding is not judicial in nature. We conclude that the language the trial court applied does not control here.

Our analysis also is not altered by the statement the trial [*13]  court relied upon from the Fifth District’s decision in Conde: “It is, of course, essential that the injured party be made a party to the declaratory judgment action.” 595 So. 2d at 1008. Like May, Conde did not involve the issue of indispensable parties. Instead, the issue in Conde was whether an insurer could pursue a declaratory action despite a pending factual dispute. See id. (certifying the question: “May the insurer pursue a declaratory action in order to have declared its obligation under an unambiguous policy even if the court must determine the existence or nonexistence of a fact in order to determine the insurer’s responsibility?”). Furthermore, in Conde the Fifth District clarified that the observation the trial court relied upon here applied only “if they are to be bound by the coverage decision,” which is fully consistent with the second sentence of section 86.091. Id. at 1008 n.6. Thus the Mauricios are not indispensable parties under Conde either.

At bottom, the plain language of section 86.091 permits but does not require the third-party tort claimants to be named in this declaratory action between an Insurer and its Insured, and the parties have not identified any authorities establishing to the contrary. Accordingly, the trial court erred in ruling that [*14]  the Mauricios are indispensable parties.


III. The alternative arguments for dismissal here should be considered by the trial court in the first instance.

HN7 Under the tipsy coachman doctrine, an order will be affirmed if the trial court reaches the correct result, even if it employed the wrong reasoning. E.g., Dade Cnty. Sch. Bd. v. Radio Station WQBA, 731 So. 2d 638, 644-45 (Fla. 1999). However, in considering whether to apply the doctrine, appellate courts have discretion to determine whether the record is sufficiently developed for review. See Powell v. State, 120 So. 3d 577, 591 (Fla. 1st DCA 2013) (“The tipsy coachman doctrine allows appellate courts to consider grounds for affirmance if the record supports doing so; it does not compel them to overlook deficient records and blaze new trails that even the tipsiest of coachmen could not have traversed.”).

Here, as alternative bases for affirmance, the Insured advances multiple arguments that the complaint and its attachments fail to state a cause of action against him. Although the Insured raised these arguments below, the trial court did not reach them due to its ruling on indispensable parties. We decline to reach these arguments, as “[t]he trial court should address these issues in the first instance.” One Call Prop. Servs., Inc. v. Sec. First Ins., 165 So. 3d 749, 755-56 (Fla. 4th DCA 2015) (declining to apply tipsy coachman doctrine, reversing dismissal, [*15]  and remanding for consideration of alternative arguments); see also Stark v. State Farm Fla. Ins., 95 So. 3d 285, 289 n.4 (Fla. 4th DCA 2012) (declining to apply tipsy coachman doctrine, explaining HN8 “[a]n appellate court ‘should not ordinarily decide issues not ruled on by the trial court in the first instance'” (quoting Akers v. City of Miami Beach, 745 So. 2d 532, 532 (Fla. 3d DCA 1999))). We accordingly reverse and remand for the trial court to consider these arguments in the first instance and for further proceedings consistent with this opinion.

Reversed and remanded.

MORRIS and BLACK, JJ., Concur.


End of Document

O’Donnell v. Avis Rent A Car Sys., LLC

United States Court of Appeals for the Fifth Circuit

August 15, 2023, Filed

No. 22-10997

DAVID O’DONNELL, Plaintiff-Appellant, versus AVIS RENT A CAR SYSTEM, L.L.C.; ACE AMERICAN INSURANCE COMPANY, Defendants-Appellees.

Notice: PLEASE REFER TO FEDERAL RULES OF APPELLATE PROCEDURE RULE 32.1 GOVERNING THE CITATION TO UNPUBLISHED OPINIONS.

Prior History:  [*1] Appeal from the United States District Court for the Northern District of Texas. USDC No. 3:19-CV-2687.


O’Donnell v. Avis Rent A Car Sys. LLC, 2022 U.S. Dist. LEXIS 58011, 2022 WL 954338 (N.D. Tex., Mar. 30, 2022)

Disposition: AFFIRMED.

Case Summary

Overview

HOLDINGS: [1]-In a case in which a judgment-creditor sued a rental car company and an insurance company seeking insurance proceeds under an additional liability insurance policy issued to the judgment-debtor, the circuit court concluded that because the judgment debtor failed to satisfy a conditions precedent to coverage by providing notice of suit and that failure prejudiced the insurer, the insurer acted within its rights in denying coverage.

Outcome

Summary judgment affirmed.

LexisNexis® Headnotes

Civil Procedure > Appeals > Standards of Review > De Novo Review

Civil Procedure > … > Summary Judgment > Appellate Review > Standards of Review

HN1  Standards of Review, De Novo Review

A federal appellate court reviews the district court’s grant of summary judgment de novo.

Civil Procedure > … > Summary Judgment > Entitlement as Matter of Law > Appropriateness

Civil Procedure > … > Summary Judgment > Entitlement as Matter of Law > Legal Entitlement

Civil Procedure > … > Summary Judgment > Entitlement as Matter of Law > Genuine Disputes

HN2  Entitlement as Matter of Law, Appropriateness

Summary judgment is appropriate when there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.

Civil Procedure > Appeals > Standards of Review > De Novo Review

Insurance Law > Claim, Contract & Practice Issues > Policy Interpretation > Judicial Review

HN3  Standards of Review, De Novo Review

A federal appellate court reviews the district court’s interpretation of an insurance contract de novo.

Insurance Law > Claim, Contract & Practice Issues > Policy Interpretation > Entire Contract

HN4  Policy Interpretation, Entire Contract

Under Texas law, insurance policies are interpreted by the same principles as contract construction. All parts of the policy are read together, and courts must give effect to each word, clause, and sentence, and avoid making any provision within the policy inoperative.

Contracts Law > Contract Interpretation > Intent

HN5  Contract Interpretation, Intent

When a contract is unambiguous, the intent of the parties must be taken from the agreement itself, not from the parties’ present interpretation, and the agreement must be enforced as it is written.

Contracts Law > Contract Interpretation > Intent

HN6  Contract Interpretation, Intent

When interpreting an insurance policy, the court begins with the language of the policy because it is presumed parties intend what the words of their contract say.

Civil Procedure > Appeals > Appellate Briefs

Civil Procedure > Appeals > Reviewability of Lower Court Decisions > Preservation for Review

HN7  Appeals, Appellate Briefs

An appellate court does not address arguments raised for the first time in a reply brief.

Business & Corporate Compliance > … > Contract Formation > Acceptance > Meeting of Minds

HN8  Contract Formation, Meeting of Minds

Under Texas law, while a signature often serves as evidence of the mutual assent required for a contract, it is not required.

Business & Corporate Compliance > … > Contract Formation > Acceptance > Meeting of Minds

Contracts Law > Contract Interpretation > Intent

HN9  Contract Formation, Meeting of Minds

Under Texas law, a contract may incorporate an unsigned document by reference provided the document signed by the defendant plainly refers to another writing. No magic words are required. But plainly referring to a document requires more than merely mentioning the document. The language in the signed document must show that the parties intended for the other document to become part of the agreement.

Insurance Law > Liability & Performance Standards > Notice to Insurers > Actual Knowledge & Notice

HN10  Notice to Insurers, Actual Knowledge & Notice

Texas law recognizes that notice of suit provisions are important because they let the insurer know that the insured is subject to default and expects the insurer to interpose a defense.

Insurance Law > … > Claims Made Policies > Notice Requirements > Notice Prejudice

Insurance Law > … > Obligations of Parties > Policyholders > Notice of Claims

Insurance Law > Liability & Performance Standards > Notice to Insurers > Prejudice to Insurers

HN11  Notice Requirements, Notice Prejudice

Under Texas law, an insured’s failure to timely notify its insurer of a claim or suit does not defeat coverage if the insurer was not prejudiced by the delay.

Insurance Law > Liability & Performance Standards > Notice to Insurers > Actual Knowledge & Notice

Insurance Law > … > Obligations of Parties > Policyholders > Notice of Claims

Insurance Law > Liability & Performance Standards > Notice to Insurers > Prejudice to Insurers

HN12  Notice to Insurers, Actual Knowledge & Notice

An insurer’s actual knowledge of a suit against its insured does not, in itself, nullify prejudice suffered by the insurer as a result of the insured’s failure to give notice of suit.

Counsel: For David O’Donnell, Plaintiff – Appellant: Jay Carl English, Esq., Trial Attorneys Texas, Dallas, TX.

For Avis Rent A Car System, L.L.C., Defendant – Appellee: Katherine Johnson Knight, Henry, Oddo, Austin & Fletcher, P.C., Dallas, TX.

For ACE American Insurance Company, Defendant – Appellee: Manuel Mungia, Chad Schreiber, Chasnoff Mungia Valkenaar Pepping & Stribling, P.L.L.C., San Antonio, TX; Katherine Johnson Knight, Henry, Oddo, Austin & Fletcher, P.C., Dallas, TX.

Judges: Before DUNCAN and WILSON, Circuit Judges, and MAZZANT, District Judge.*

Opinion

Per Curiam:

Judgment-creditor David O’Donnell sued Avis Rent a Car System, L.L.C. and ACE American Insurance Company seeking insurance proceeds under a policy issued to judgment-debtor Juan Pablo Zavala Diaz. Avis and ACE moved for summary judgment, and the district court adopted the magistrate judge’s recommendation to grant the motion. O’Donnell timely appealed. We affirm.


I.

In January 2015, Diaz, a Spanish citizen, traveled to Dallas, Texas, on business. On arriving, he entered into a car rental contract with Avis (the Rental Agreement). [*2]  The Rental Agreement included liability insurance coverage of up to $30,000. However, Diaz paid an extra premium to purchase an optional $2 million in additional liability insurance (ALI). Apparently, unbeknownst to Diaz, and unclear from the language of the Rental Agreement, ACE issued this additional coverage. While driving the car, Diaz collided with another car in which O’Donnell was a passenger, and O’Donnell allegedly sustained injuries to his brain. Diaz cooperated with law enforcement and Avis at the accident scene. Later he returned to Spain.

In November 2016, O’Donnell sued Diaz, seeking compensation for his injuries. O’Donnell then joined Avis as a defendant in the suit. As the case progressed, O’Donnell was unable to serve Diaz. In March 2019, the court granted summary judgment for Avis. That June, O’Donnell finally served process on Diaz via email as authorized by court order. Because Diaz neither made an appearance nor filed an answer, the district court entered a default judgment against him for $2 million. O’Donnell then filed an application for a turnover order in aid of collection of judgment. The district court granted the order, transferring to O’Donnell “any and [*3]  all interest in legal claims [Diaz] may have had against any party arising out of the traffic accident that he was involved in on January 15, 2015.” O’Donnell thereby stepped into the shoes of Diaz, inheriting both his claims and all defenses to his claims. See Fid. & Deposit Co. of Maryland v. Conner, 973 F.2d 1236, 1243 (5th Cir. 1992); Martinez v. ACCC Ins. Co., 343 S.W.3d 924, 929 (Tex. App.—Dallas 2011, no pet.).

In November 2019, O’Donnell filed the present action against Avis, ACE, and others not party to this appeal. He alleged, as Diaz’s judgment-creditor, that Avis breached the Rental Agreement with Diaz, and, alternatively, that Diaz’s election of ALI created an additional insurance contract (the ALI Policy) that Avis and ACE breached. Avis and ACE moved for summary judgment. The magistrate judge issued a report and recommendation to grant Avis and ACE’s motion, to which O’Donnell objected. The district court adopted the magistrate judge’s ruling in toto.

The district court rejected both of O’Donnell’s theories. First, the court held that, on its own terms, the ALI Policy “bec[a]me[] the relevant policy,” thus defeating O’Donnell’s claims grounded on the Rental Agreement. O’Donnell v. Avis Rent A Car Sys. LLC, No. 3:19-CV-2687-S-BK, 2022 U.S. Dist. LEXIS 58263, 2022 WL 962513, at *11 (N.D. Tex. Mar. 11, 2022), report and recommendation adopted, No. 3:19-CV-2687-S-BK, 2022 U.S. Dist. LEXIS 58011, 2022 WL 954338 (N.D. Tex. Mar. 30, 2022). Second, as to O’Donnell’s claims under the ALI Policy, the court found that Diaz failed to comply with the ALI Policy’s [*4]  notice of suit and delivery of process conditions. 2022 U.S. Dist. LEXIS 58263, [WL] at *9-10. The court concluded that Avis and ACE were prejudiced by Diaz’s failure to comply with those conditions. 2022 U.S. Dist. LEXIS 58263, [WL] at *9-10. Therefore, the court held that O’Donnell‘s claims against Avis and ACE failed and granted summary judgment in favor of the defendants.

On appeal, O’Donnell has refined his arguments. He now contends that he is entitled to either $30,000 or $2 million in coverage under the Rental Agreement. His argument is premised on the notion that Diaz’s election of ALI increased the baseline liability coverage of $30,000 that Avis itself offered to $2 million. However, according to O’Donnell, Diaz was not bound by the conditions precedent of the ALI Policy because the ALI Policy is not incorporated into the Rental Agreement.

Alternatively, O’Donnell urges that if the ALI Policy is incorporated into the Rental Agreement such that the terms of the ALI Policy control, then Diaz complied with the conditions precedent to coverage. O’Donnell sidesteps the undisputed fact that Diaz never provided notice of suit and never forwarded process to ACE by asserting that Avis and ACE served as agents for each other and for Diaz, such that the companies’ receipt [*5]  of process and notice of suit from their shared adjuster satisfies the ALI Policy’s requirement that Diaz provide notice of suit and forward process. Finally, as an independent ground for reversal, O’Donnell contends that Avis and ACE failed to show prejudice resulting from Diaz’s failure to provide notice of suit or forward process to ACE.


II.

HN1 We review the district court’s grant of summary judgment de novo. GWTP Invs., L.P. v. SES Americom, Inc., 497 F.3d 478, 481 (5th Cir. 2007). HN2 Summary judgment is appropriate when “there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Green v. Life Ins. Co. of N. Am., 754 F.3d 324, 329 (5th Cir. 2014) (citation and quotation marks omitted). HN3 We also review the district court’s interpretation of an insurance contract de novo. Am. Nat. Gen. Ins. Co. v. Ryan, 274 F.3d 319, 323 (5th Cir. 2001).

We begin by (A) analyzing whether, as the district court concluded, the terms of the Rental Agreement yield to those of the ALI Policy. We answer that question in the affirmative, so we next consider (B) whether Diaz satisfied the conditions precedent of the ALI Policy such that O’Donnell can collect under the policy. Because Diaz failed to satisfy the relevant conditions, O’Donnell cannot invoke the ALI Policy’s coverage.


A.

HN4 Under Texas law, which the parties agree applies, “insurance policies are interpreted [*6]  by the same principles as contract construction.” Terry Black’s Barbecue, L.L.C. v. State Auto. Mut. Ins. Co., 22 F.4th 450, 454 (5th Cir. 2022) (citation omitted). “All parts of the policy are read together, and courts must give effect to each word, clause, and sentence, and avoid making any provision within the policy inoperative.” Id. at 455 (citation and quotation marks omitted). HN5[] When a contract is unambiguous, the “intent of the parties must be taken from the agreement itself, not from the parties’ present interpretation, and the agreement must be enforced as it is written.” Tex. v. Am. Tobacco Co., 463 F.3d 399, 407 (5th Cir. 2006) (citation and quotation marks omitted). “HN6[] We begin with the language of the policy because it is presumed parties intend what the words of their contract say.” Terry Black’s Barbecue, 22 F.4th at 454 (citation, alteration, and quotation marks omitted).1

Our focus is on the interplay between paragraphs 19 and 20 of the Rental Agreement. Paragraph 19, titled “Liability Protection,” provides in relevant part: “[a]nyone driving the car who is permitted to drive it by this agreement will be protected against liability . . . up to the minimum financial responsibility limits required by the law of the jurisdiction in which the accident occurs.” Thus, under Texas law, the Rental Agreement provides a base amount of $30,000 in liability coverage. See Tex. Transp. Code § 601.072.

Paragraph [*7]  20, titled “Additional Liability Insurance (ALI) & Exclusions,” provides:

You’ll pay for ALI coverage if available and you accept it. In that case, the coverage provided by us according to paragraph 19 above will be primary and the combined limits of liability protection shall be $1,000,000 or $2,000,000, depending on the place of rental for bodily injury, death, or property damage for each accident, but not for more than the contracted $1,000,000 to $2,000,000 limit for each accident, instead of the basic limits stated in paragraph 19 above. This additional coverage will be provided to an authorized driver . . . under a separate policy of excess liability insurance more fully described in the available brochure and is subject to all of the conditions and limitations described in paragraph 19 above, except that notwithstanding anything contained in this agreement, the terms of the policy will at all times control.

(emphasis added). The Rental Agreement refers to itself throughout as “this agreement” or “this rental agreement.” By contrast, paragraph 20 refers first to “a separate policy of excess liability insurance,” then states that “the policy will at all times control” over “this [*8]  agreement.” On its face, then, paragraph 20 requires that the terms of the Rental Agreement yield to those of the ALI Policy. Thus, Diaz was required to comply with the conditions in the ALI Policy to benefit from its coverage.

O’Donnell attempts to evade this language by contending that the ALI Policy was insufficiently identified in the Rental Agreement to be incorporated by reference. As a result, the terms of the ALI Policy cannot control, the Rental Agreement’s terms do, and he is entitled to insurance proceeds of either $30,000 (per paragraph 19) or $2 million (per paragraph 20), irrespective of the ALI Policy’s conditions precedent. HN9 “Under Texas law, a contract may incorporate an unsigned document by reference provided the document signed by the defendant plainly refers to another writing.” Sierra Frac Sand, L.L.C. v. CDE Glob. Ltd., 960 F.3d 200, 203 (5th Cir. 2020) (citation and quotation marks omitted). No magic words are required. Id. But “plainly referring to a document requires more than merely mentioning the document. The language in the signed document must show that the parties intended for the other document to become part of the agreement.” Id. (citation and quotation marks omitted).

Sierra Frac Sand controls our analysis. There, we held that “by making [an] [*9]  agreement ‘subject to’ the ‘Standard Terms and Conditions of Sale’ that were available on request, the contract explicitly refer[red] to another document.” Id. at 204. Similarly, paragraph 20 of the Rental Agreement makes it subject to the ALI Policy because “the terms of the [ALI] [P]olicy will at all times control.” And paragraph 20 notes that a brochure detailing the ALI policy was available to Diaz. Thus, the Rental Agreement “plainly refers to another writing,” much as in Sierra Frac Sand. See id. at 203. Further, it is clear from the parties’ actions that they intended the ALI Policy “to become part of [their] agreement,” id., as Avis offered ALI as optional coverage, and Diaz paid an additional premium for it. In sum, we easily conclude that the ALI Policy is incorporated by reference into the Rental Agreement such that the ALI Policy’s terms control whether coverage obtains. And, as we discuss next, the ALI Policy contains distinct prerequisites for an insured seeking coverage.


B.

The ALI Policy contains a clause that provides that “[n]o action shall lie against the company unless as a condition precedent thereto, the Insured shall have fully complied with all the terms of this Policy[.]” Clause [*10]  L, titled “notice of loss,” provides:

When an event causing injury or damage takes place which is reasonable [sic] likely to give rise to a claim under this Policy, written notice shall be given as soon as practicable by or on behalf of the Insured to [ACE] or any of its authorized agents in addition to any obligation the Insured may have under the Underlying Protection or any other insurance. Such notice shall contain particulars sufficient to identify the Insured and reasonably obtainable information concerning the time, place and circumstances of such event and pertinent details. The Insured’s [sic] shall give like notice of any claim or suit on account of such event and shall immediately forward to [ACE] every demand, notice, summons or other process received by him or his representative, together with copies of reports or investigations made by the Insured with respect to such claim or suit.

(emphasis added). Clause L thus contains two distinct conditions precedent. The first is clear: The insured, or someone on his behalf, must give written notice to ACE as soon as an event causing injury that is reasonably likely to lead to a claim takes place. The second, because of sloppy verbiage, [*11]  is more opaque: It requires the “Insured’s” to “give like notice of any claim or suit on account of such event” and forward “every demand, notice, summons or other process received by him or his representative.”

Avis and ACE contend that the language used in Clause L means that the insured—and only the insured—can satisfy the notice of suit provision. In other words, only Diaz himself could satisfy the latter notice requirement to invoke coverage. O’Donnell, by contrast, reads the notice of suit provision to parallel the earlier notice of claim provision, i.e., that Diaz’s duty to provide notice of suit could have been discharged by someone else on Diaz’s behalf. (And, indeed, that it was.)

As Clause L is not a model of careful drafting, it may well be reasonable to read the notice of suit provision as O’Donnell urges. Cf. TIG Specialty Ins. Co. v. Pinkmonkey.com Inc., 375 F.3d 365, 373 (5th Cir. 2004) (Pickering, J., concurring) (“Under well-established Texas law, if a contract of insurance is susceptible of more than one reasonable interpretation, we must resolve the uncertainty by adopting the construction that most favors the insured.”) (citation and quotation marks omitted). But even assuming notice of this suit could have been given to ACE by someone “on behalf [*12]  of” Diaz, O’Donnell’s argument still fails because it never was.

O’Donnell urges that Avis gave ACE notice on Diaz’s behalf. He reasons that Avis was Diaz’s agent for the purpose of the ALI Policy because Avis sold Diaz the policy. And he contends that Avis gave ACE notice of the suit against Diaz. Basically, per O’Donnell, Avis‘s notice of suit to ACE discharged the notice of suit condition for Diaz as well.

But the record contains no evidence that Avis—nor anyone else—gave notice of suit on Diaz’s behalf. And we cannot assume, based solely on the purported agency relationship between Diaz and Avis, that Avis’s notice to ACE was necessarily for Diaz too. On the contrary, Avis was acting in its own interest throughout the underlying suit. HN10 Texas law recognizes that notice of suit provisions are important because they “let[] the insurer know that the insured is subject to default and expects the insurer to interpose a defense.” National Union Fire Insurance Company of Pittsburgh, PA v. Crocker, 246 S.W.3d 603, 609-10 (Tex. 2008). Nothing in the record suggests that Avis’s notice of suit to ACE mentioned Diaz at all, much less requested a defense for him. Therefore, neither the letter nor the spirit of the notice of suit provision was satisfied.

But that is not quite the end of our analysis. [*13]  HN11 Under Texas law, “an insured’s failure to timely notify its insurer of a claim or suit does not defeat coverage if the insurer was not prejudiced by the delay.” PAJ, Inc. v. Hanover Ins. Co., 243 S.W.3d 630, 636-37 (Tex. 2008). O’Donnell contends that Avis and ACE cannot show prejudice because they had actual knowledge of the suit against Diaz based on Avis’s participation in the lawsuit and Avis’s agency relationship with ACE. Avis and ACE counter that their actual knowledge is irrelevant under Texas law.

Avis and ACE have the better argument. Consider Crocker. In that case, Beatrice Crocker sued Emeritus Corporation and its employee, Richard Morris, for injuries Crocker sustained when she was hit by a door swung open by Morris. 246 S.W.3d at 604. Emeritus’s insurer, National Union, stepped in to defend Emeritus, but did not defend Morris, though he qualified as an additional insured under the policy. Id. at 604-05. Morris was unaware that he was an additional insured and was similarly ignorant of the policy’s terms and conditions, including its notice of suit condition. Id. at 605. As a result, despite being served, he failed to comply with that condition. He also never made an appearance. Id. After Crocker received a default judgment against Morris, she sued National Union to collect. Id.

 [*14] Despite National Union’s actual knowledge of, and participation in, the litigation against Morris and Emeritus, the Supreme Court of Texas denied coverage. The Crocker court noted that “National Union was obviously prejudiced in the sense that it was exposed to a $1 million judgment.” Id. at 609. Importantly, the court held that National Union should not be estopped to deny coverage even though it was “aware that Morris had been sued and served and had ample time to defend him.” Id. The court reasoned that the insurer’s duties to defend and provide coverage only arise once the insurer knows that “the insured is subject to default and expects the insurer to interpose a defense.” Id. at 609-10 (emphasis added). The court noted there were many reasons why an insured may opt out of seeking a defense from his insurer, and insurers need not subject themselves to gratuitous coverage and defense liability. Id. at 610.

HN12 The same result obtains here. Crocker is clear that an insurer’s actual knowledge of a suit against its insured does not, in itself, nullify prejudice suffered by the insurer as a result of the insured’s failure to give notice of suit. Thus, it is of no moment that Avis and ACE knew that Diaz had been sued—he still needed to [*15]  provide notice of that suit to ACE under the terms of the ALI Policy. Because Diaz failed to satisfy a condition precedent to coverage and that failure prejudiced ACE, the insurer acted within its rights in denying coverage. The district court’s summary judgment is

AFFIRMED.


End of Document


District Judge of the Eastern District of Texas, sitting by designation.

† This opinion is not designated for publication. See 5th Cir. R. 47.5.

O’Donnell argues in his reply brief that the ACE Policy does not apply to the Rental Agreement because the Rental Agreement was not “signed.” HN7 We do not address arguments raised for the first time in a reply brief. United States v. Rodriguez, 602 F.3d 346, 360 (5th Cir. 2010). HN8 Moreover, under Texas law, while a signature often serves as “evidence of the mutual assent required for a contract,” it is not required. Phillips v. Carlton Energy Grp., LLC, 475 S.W.3d 265, 277 (Tex. 2015). And any absence of a signature is of no moment because O’Donnell admits that Diaz agreed to the rental contract.

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