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McNamara v. Gov’t Employees Ins. Co.

United States Court of Appeals for the Eleventh Circuit

April 5, 2022, Filed

No. 20-13251

Reporter

2022 U.S. App. LEXIS 9090 *; __ F.4th __; 2022 WL 1013043

ERIKA L. MCNAMARA, WILLARD F. WARREN, Plaintiffs-Appellants, KENNETH BENNETT, non-party, Intervenor-Appellant, versus GOVERNMENT EMPLOYEES INSURANCE COMPANY, Defendant-Appellee.

Prior History:  [*1] Appeals from the United States District Court for the Middle District of Florida. D.C. Docket No. 8:17-cv-03060-SDM-CPT.

Warren v. Gov’t Emples. Ins. Co., 2020 U.S. Dist. LEXIS 161597, 2020 WL 5223634 (M.D. Fla., July 29, 2020)

Core Terms

insured, excess judgment, bad-faith, consent judgment, causation, final judgment, settlement, proposals, settlement agreement, insurance coverage, district court, qualifying, exceeds, settle, prove causation, policy limit, bad faith, breached, lawsuit, coverage

Case Summary

Overview

HOLDINGS: [1]-The insureds’ available coverage was $100,000 and the final judgments entered against them in the amounts of $474,000 and $4,740,000, respectively, constituted excess judgments because they exceeded that coverage; [2]-Under Florida law, it did not matter that these judgments resulted from stipulated settlements instead of verdicts, and because the insureds were subject to excess judgments, they could prove causation in their bad-faith case; [3]-Because such a judgment existed, Cawthorn misinterpreted Florida law and a consent judgment could qualify for excess judgment status.

Outcome

Judgment reversed and remanded.

LexisNexis® Headnotes

Insurance Law > Liability & Performance Standards > Settlements > Excess Judgments

 Settlements, Excess Judgments

Under Florida law, a plaintiff who brings a bad-faith claim against an insurer for failing to settle a lawsuit against one of its insureds must prove, among other things, that the insurer’s conduct caused his loss. And as one means of demonstrating the requisite causation, the plaintiff may show that the insured suffered an excess judgment as a result of the insurer’s actions.

Insurance Law > Liability & Performance Standards > Settlements > Excess Judgments

 Settlements, Excess Judgments

Only a judgment that follows a trial and results from a verdict qualifies as an excess judgment for bad-faith purposes under Florida law.

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

Civil Procedure > Judgments > Summary Judgment > Entitlement as Matter of Law

Civil Procedure > Appeals > Summary Judgment Review > Standards of Review

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

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

 Entitlement as Matter of Law, Appropriateness

The appellate court reviews a district court’s grant of summary judgment de novo. Summary judgment is proper if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law, Fed. R. Civ. P. 56(a).

Evidence > Burdens of Proof > Allocation

Insurance Law > Liability & Performance Standards > Bad Faith & Extracontractual Liability > Elements of Bad Faith

 Burdens of Proof, Allocation

A bad-faith claim arises when, as a result of the alleged misconduct of his insurer, an insured incurs a liability that is covered by an insurance policy but exceeds the policy’s coverage limit. A bad-faith claim is rooted in the same logic that underlies an ordinary negligence claim, and it comprises four familiar elements: The plaintiff must show (1) that the insurer owed the insured a duty of care, (2) that the insurer breached its duty, and (3) that the breach caused the plaintiff to suffer (4) an injury.

Insurance Law > Liability & Performance Standards > Settlements > Good Faith & Fair Dealing

Insurance Law > Liability & Performance Standards > Settlements > Reasonable Basis

Insurance Law > Liability & Performance Standards > Settlements > Policy Coverage

Insurance Law > … > Commercial General Liability Insurance > Obligations of Parties > Settlements

Insurance Law > Liability & Performance Standards > Bad Faith & Extracontractual Liability > Refusals to Defend

 Settlements, Good Faith & Fair Dealing

An insurer owes its insureds a duty of good faith. For lawsuits brought against an insured, that duty includes giving fair consideration to a settlement offer that is not unreasonable under the facts, and settling, if possible, where a reasonably prudent person, faced with the prospect of paying the total recovery, would do so. The insurer breaches its duty by acting in bad faith, and the insured suffers an injury if he incurs a liability that exceeds his insurance coverage.

Insurance Law > Remedies > Damages > Consequential Damages

Insurance Law > Liability & Performance Standards > Settlements > Excess Judgments

Insurance Law > Liability & Performance Standards > Bad Faith & Extracontractual Liability > Elements of Bad Faith

 Damages, Consequential Damages

Importantly, a bad-faith plaintiff must link the insurer’s conduct to the insured’s injury by proving causation. The existence of a causal connection is a prerequisite to a bad-faith claim—in other words, the claimed damages must be caused by the insurer’s bad faith. Showing the existence of an excess judgment is generally the most straightforward way to prove causation.

Insurance Law > Claim, Contract & Practice Issues > Arbitration

Insurance Law > Liability & Performance Standards > Settlements > Excess Judgments

Insurance Law > Liability & Performance Standards > Bad Faith & Extracontractual Liability > Elements of Bad Faith

Insurance Law > Liability & Performance Standards > Good Faith & Fair Dealing > Third Party Claimants

Insurance Law > Liability & Performance Standards > Settlements > Good Faith & Fair Dealing

 Claim, Contract & Practice Issues, Arbitration

The Florida Supreme Court expressly held, in the context of a statutory first-party bad-faith action, that the insured is not obligated to obtain the determination of liability and the full extent of his or her damages through a trial and may utilize other means of doing so, such as an agreed settlement, arbitration, or stipulation before initiating a bad faith cause of action. And significantly, the court further confirmed that first-party bad faith claims should be treated in the same manner as third-party bad faith claims. Accordingly, both and indicate that a jury verdict is not a prerequisite to an excess judgment in a bad-faith action and that, instead, a plaintiff can base a bad-faith claim on a consent judgment that exceeds available insurance coverage.

Insurance Law > Liability & Performance Standards > Settlements > Excess Judgments

 Settlements, Excess Judgments

Properly understood, though, Florida law doesn’t require that a verdict underlie an excess judgment.

Insurance Law > Liability & Performance Standards > Bad Faith & Extracontractual Liability > Elements of Bad Faith

Insurance Law > Liability & Performance Standards > Settlements > Excess Judgments

Insurance Law > Liability & Performance Standards > Settlements > Good Faith & Fair Dealing

 Bad Faith & Extracontractual Liability, Elements of Bad Faith

The Florida Supreme Court expressly held in Fridman that an insured is not obligated to obtain the determination of liability and the full extent of his or her damages through a trial, but rather may utilize other means of doing so, such as an agreed settlement or stipulation before initiating a bad faith cause of action. Under Florida law, a stipulated judgment would be a way to obtain an excess judgment that could be used in a bad faith lawsuit against an insurer.

Civil Procedure > Judgments > Entry of Judgments > Consent Decrees

Insurance Law > Liability & Performance Standards > Settlements > Policy Limits

 Entry of Judgments, Consent Decrees

A verdict and a judgment are different things. A verdict is merely a jury’s finding or decision on the factual issues of a case. A judgment, by contrast, is a more robust instrument—namely, a court’s final determination of the rights and obligations of the parties in a case. And to be clear, and again to state the obvious, a consent judgment is indeed a judgment—it is, in particular, a settlement that becomes a court judgment when the judge sanctions it. Accordingly, when the insured is subject to a consent judgment that exceeds the policy limit, he is legally obligated to pay that amount and incurs an enforceable legal liability.

Civil Procedure > Judgments > Entry of Judgments > Consent Decrees

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

Insurance Law > Liability & Performance Standards > Settlements > Excess Judgments

 Entry of Judgments, Consent Decrees

A consent judgment will be enforced against an insurer only to the extent that the judgment itself is reasonable in amount and untainted by bad faith on the part of the insured. Were the appellate court to embrace a rule requiring a verdict as a prerequisite to an “excess judgment,” it would only incentivize litigation, in direct contravention of Florida’s public policy favoring settlement, Fla. Stat. § 768.79.

Insurance Law > Liability & Performance Standards > Settlements > Excess Judgments

Insurance Law > … > Commercial General Liability Insurance > Obligations of Parties > Settlements

 Settlements, Excess Judgments

A final judgment that exceeds all available insurance coverage—regardless of whether it results from a consensual settlement or a jury verdict—constitutes an excess judgment that can satisfy the causation element of an insurer-bad-faith claim under Florida law.

Counsel: For FLORIDA JUSTICE ASSOCIATION, Amicus Curiae: Rebecca Bowen Creed, Creed & Gowdy, JACKSONVILLE, FL.

For KENNETH BENNETT, non-party, Intervenor – Appellant: Brent G. Steinberg, Dale Swope, Swope Rodante, PA, TAMPA, FL.

For ERIKA L. MCNAMARA, WILLARD F. WARREN, Plaintiffs – Appellants: Philip M. Burlington, Bard D. Rockenbach, Nichole J. Segal, Burlington & Rockenbach, PA, WEST PALM BCH, FL; Kenneth J. McKenna, Daniel Edward Smith II, Anthony F. Sos, Dellecker Wilson King McKenna Ruffier & Sos, LLP, ORLANDO, FL.

For GOVERNMENT EMPLOYEES INSURANCE COMPANY, Defendant – Appellee: Billy Richard Young, Megan Alexander, Jordan M. Thompson, Young Bill Boles Palmer Duke & Thompson, PA, TAMPA, FL; Joshua John Cecil Hartley, Boyd & Jenerette, PA, BOCA RATON, FL.

Judges: Before NEWSOM, BRANCH, and BRASHER, Circuit Judges.

Opinion by: NEWSOM

Opinion

Newsom, Circuit Judge:

  the requisite causation, the plaintiff may show that the insured suffered an “excess judgment” as a result of the insurer’s actions. In this case, we must decide whether a qualifying “excess judgment” must be based on a verdict following a trial or, instead, may be predicated on a consent judgment that memorializes a private settlement agreement.

In Cawthorn v. Auto-Owners Insurance Co., this Court held—in an unpublished opinion—that only a judgment that follows a trial and results from a verdict qualifies as an “excess judgment” for bad-faith purposes under Florida law. 791 F. App’x 60, 65 (11th Cir. 2019). The district court in our case relied on Cawthorn to conclude that a consent judgment formalizing a settlement between an insured and a third party didn’t qualify. We now hold that Cawthorn misinterpreted Florida law and that a consent judgment can qualify for “excess judgment” status. Accordingly, we reverse the district court’s decision and remand for further proceedings.

I

While driving Willard Warren’s vehicle, Erika McNamara negligently changed lanes and caused a collision that seriously injured Deborah Bennett.1 At the time of the accident, Warren had a GEICO insurance policy that provided bodily-injury coverage [*3]  up to $100,000 per person. Both Bennett and GEICO assert that they made offers to settle within policy limits, but the parties never reached a deal. Eventually, Bennett sued Warren and McNamara in Florida state court. Pursuant to its policy contract, GEICO provided Warren and McNamara with a lawyer.

Bennett later served both Warren and McNamara with proposals for settlement pursuant to Fla. Stat. § 768.79, which, as relevant here, permits a plaintiff to make “a demand for judgment” as a means of settling a tort action against an insured defendant. Bennett proposed to settle her claims against Warren and McNamara for $474,000 and $4,740,000, respectively. The proposals were conditioned on two factors: (1) Warren and McNamara had to consent to the entry of final judgments against them in the amounts of the proposals; and (2) GEICO had to confirm that it wouldn’t assert that Warren and McNamara had breached the policy by accepting the proposals.

Warren and McNamara’s attorney informed GEICO about the proposals and advised that they were “far below what a jury would award in this case.” Given that assessment, he informed GEICO that “[m]y clients are inclined to accept, but cannot do so without assurance from [*4]  GEICO that [accepting the proposals will] not violate the terms and conditions of their policy.” GEICO replied: “Although it should be understood GEICO is not agreeing to be a party to this settlement, we will not assert that your clients have breached their policy contract with us if they wish to accept the Proposals for Settlement as currently written.” Both Warren and McNamara accepted the proposals, and “Pursuant to Stipulation,” the state court entered final judgments against them.

After the conclusion of Bennett’s lawsuit, Warren and McNamara sued GEICO for bad faith, seeking to recover the amounts of the final judgments entered against them that exceeded the $100,000 policy limit. They contended that GEICO had breached its fiduciary duty to them by failing to settle Bennett’s case within the policy limit when it had the opportunity to do so. GEICO removed the case to federal court and sought summary judgment.

The district court granted summary judgment to GEICO based on our unpublished Cawthorn decision. In that case, a panel of this Court held (1) that to prove causation in an insurer-bad-faith case, a plaintiff must show that the insured suffered an “excess judgment,” i.e., [*5]  a final judgment that exceeds all available insurance coverage, and (2) that the excess judgment must result from “a verdict.” 791 F. App’x at 64-65. Thus, the panel concluded, because a “consent judgment” is not preceded by a verdict but, rather, is premised on a voluntary settlement, it cannot, as a matter of law, constitute an “excess judgment.” Id. at 65. And accordingly, the panel held, causation can’t be established in an insurer-bad-faith action, as a matter of law, when the insured is subject only to a consent judgment. Id. Following Cawthorn, the district court here held that the consent judgments entered against Warren and McNamara weren’t qualifying “excess judgments” and, therefore, that they couldn’t prove causation in their bad-faith action. Warren and McNamara appealed.2

Before us, Warren and McNamara challenge Cawthorn’s reasoning, arguing that Florida law doesn’t require that a verdict precede an excess judgment as a prerequisite to proving the causation element of an insurer-bad-faith claim. Because the outcome of this case must turn on Florida bad-faith law—not on what this Court might have said in unpublished opinions—we begin by considering whether a consent judgment can constitute an excess [*6]  judgment under Florida law. We then turn to Cawthorn to determine whether it should affect our analysis.

II

A

A bad-faith claim arises when, as a result of the alleged misconduct of his insurer, an insured incurs a liability that is covered by an insurance policy but exceeds the policy’s coverage limit. A bad-faith claim is rooted in the same logic that underlies an ordinary negligence claim, and it comprises four familiar elements: The plaintiff must show (1) that the insurer owed the insured a duty of care, (2) that the insurer breached its duty, and (3) that the breach caused the plaintiff to suffer (4) an injury. See Boston Old Colony Ins. Co. v. Gutierrez, 386 So.2d 783, 785 (Fla. 1980) (per curiam).

, if possible, where a reasonably prudent person, faced with the prospect of paying the total recovery, would do so.” Id. The insurer breaches its duty by acting in bad faith, and the insured suffers an injury if he incurs a liability that exceeds his insurance coverage.

bad faith.” Id. at 901. But, it clarified, there is no single way of proving causation. See id.; see also id. at 898 n.7. Importantly for our purposes, the court concluded that showing the existence of an “excess judgment” is generally the most straightforward way to prove causation. Id. at 899.4

In Perera, the Florida Supreme Court referenced its earlier decision in United Services Automobile Association v. Jennings, which had defined an excess judgment as “‘the difference between all available insurance coverage and the amount of the verdict recovered by the injured party.’” Perera, 35 So.3d at 902 (quoting Jennings, 731 So.2d 1258, 1259 n.2 (Fla. 1999)). Notably, though, in Perera there was no “verdict.” By contrast, Perera and several insurance companies had entered a “Stipulation to Settle,” pursuant to which a state court had entered the final judgment that formed the basis for Perera’s bad-faith lawsuit. Id. at 896. Ultimately, the Florida Supreme Court found no causation in Perera because the final judgment didn’t exceed all available insurance coverage and there was no other evidence of causation. Id. at 902-04. Notably, though, the court never cast doubt on the idea that a final judgment based on a settlement agreement could constitute proof [*9]  of causation in a third-party bad-faith action.

More recently—and perhaps more to the point—in Fridman v. Safeco Insurance Co., the Florida Supreme Court expressly held, in the context of a statutory first-party bad-faith action, that “the insured is not obligated to obtain the determination of liability and the full extent of his or her damages through a trial and may utilize other means of doing so, such as an agreed settlement, arbitration, or stipulation before initiating a bad faith cause of action.” 185 So.3d 1214, 1224 (Fla. 2016) (emphasis omitted). And significantly, the court further confirmed that “first-party bad faith claims . . . should be treated in the same manner as third-party bad faith claims.” Id. at 1221.5 Accordingly, both Perera and Fridman indicate that a jury verdict is not a prerequisite to an excess judgment in a bad-faith action and that, instead, a plaintiff can base a bad-faith claim on a consent judgment that exceeds available insurance coverage.

Here, Warren and McNamara’s available coverage was $100,000. The final judgments entered against them in the amounts of $474,000 and $4,740,000, respectively, constituted excess judgments because they exceeded that coverage. Under Florida law, it doesn’t matter [*10]  that these judgments resulted from stipulated settlements instead of verdicts. Because Warren and McNamara were subject to excess judgments, they could prove causation in their bad-faith case.

B

Having concluded that Warren and McNamara’s bad-faith lawsuit against GEICO can proceed under Florida law, we turn to our unpublished decision in Cawthorn—on which the district court expressly relied—to determine whether it should change our conclusion. It should not and does not.

As a preliminary matter, we pause to reiterate an elemental point: While our unpublished opinions “may be cited as persuasive authority,” they “are not considered binding precedent.” 11th Cir. R. 36-2. We have said so again and again, but it bears repeating. See United States v. Izurieta, 710 F.3d 1176, 1179 (11th Cir. 2013) (“Unpublished opinions are not binding precedent.”); Ray v. McCullough Payne & Haan, LLC, 838 F.3d 1107, 1109 (11th Cir. 2016) (“In this Court, unpublished decisions . . . are not precedential and they bind no one.”). Accordingly, a district court shouldn’t simply cite to one of our unpublished opinions as the basis for its decision without separately determining that it is persuasive.6 Here, the district court did just that—it treated Cawthorn as binding authority and failed to determine whether that decision correctly analyzed Florida law. See McNamara v. GEICO, 2020 WL 5223634, at *1, *3-4 (M.D. Fla. July 29, 2020) [*11]  (agreeing that Cawthorn was “an intervening change of controlling law” and reflexively applying it to decide this case). For reasons we’ll explain, Cawthorn didn’t properly analyze Florida law, and the district court shouldn’t have followed it.

In Cawthorn, an automobile passenger was injured when his friend, the driver, fell asleep at the wheel and crashed into a concrete barrier. See 791 F. App’x at 61. Subsequently, the passenger and the driver entered into a settlement agreement. Id. at 62-63. The insurer paid up to the policy limit but refused to pay the rest, so the passenger brought a bad-faith action. Id. at 63. This Court held for the insurer, reasoning that a “judgment” means “a final decision—a verdict—reached by a factfinder,” and that an “excess judgment” therefore occurs when a verdict exceeds all available insurance coverage. Id. at 65. So, it said, a consent judgment like the one entered against the driver there, which didn’t result from a verdict, couldn’t constitute a qualifying excess judgment. Id.

The Cawthorn panel based its reasoning on Jennings’s footnoted explanation of the term “excess judgment”—again, that it constitutes “the difference between all available insurance coverage and the amount of the verdict recovered by the injured party.” 731 So.2d at 1259 n.2 (emphasis added). stipulated judgment . . . would be a way to obtain an excess judgment that could be used in a bad faith lawsuit” against an insurer. Pelaez v. GEICO, 13 F.4th 1243, 1248 (11th Cir. 2021).

To the extent that Florida (and our own) case law leaves any doubt, common sense resolves it.   by reference to the term “agreed judgment”). Accordingly, when the insured is subject to a consent judgment that exceeds the policy limit, he is legally obligated to pay that amount and incurs an enforceable legal liability. See Am. Fire & Cas. Co. v. Davis, 146 So.2d 615, 619 (Fla. 1st DCA 1962).

Another dose of common sense demonstrates that not only are the terms “verdict” and “judgment” not synonymous, but the latter needn’t necessarily follow from the former. If, on Cawthorn’s reasoning, an excess judgment must always result from a factfinder’s verdict, what of pre-trial summary “judgments” entered against policyholders? Are they, too, deprived of excess-judgment status simply because they don’t follow a full-blown trial and result in a verdict? That can’t possibly be the law.

In addition to the Jennings footnote, the Cawthorn decision appealed to policy considerations—reasoning, for instance, that if consent judgments could satisfy the causation element of a bad-faith claim, insurance companies would be vulnerable to large payouts: “Insurers would not know whether an insured party and an injured party entered into a consent judgment as adversaries, at arm’s length and in good faith, or as friends, making a strategic decision to undermine the insurance [*15]  company’s policy.” Cawthorn, 791 F. App’x at 65. But even if we were free to privilege those sorts of policy concerns over a proper understanding of Florida law, we wouldn’t be moved by them. Holding, in accordance with Florida law, that a verdict needn’t necessarily precede a qualifying “judgment” will not leave insurance companies unprotected. For starters, the plaintiff must still prove the other elements of his claim—perhaps most notably, that the insurance company breached its duty by acting in bad faith.   them whenever possible.”).

Because Cawthorn incorrectly analyzed Florida bad-faith law and is unpersuasive, we decline to follow it.7

III

A final judgment that exceeds all available insurance coverage—regardless of whether it results from a consensual settlement or a jury verdict—constitutes an “excess judgment” that can satisfy the causation element of an insurer-bad-faith claim under Florida law. Because such a judgment existed here, we REVERSE the district court’s decision and REMAND for further proceedings.

End of Document


Intervenor-Appellant Kenneth Bennett is Deborah Bennett’s spouse and court-appointed guardian.

We review a district court’s grant of summary judgment de novo. LeBlanc v. Unifund CCR Partners, 601 F.3d 1185, 1189 (11th Cir. 2010) (per curiam). Summary judgment is proper if “the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a).

To be clear, a third-party bad-faith claim arises when an insurer is charged with defending its insured against an injured party’s lawsuit, and the insurer fails to reasonably settle within policy limits. By contrast, a first-party bad-faith claim arises when an insured alleges that his insurer wrongfully denied his claim. See Fridman v. Safeco Ins. Co., 185 So.3d 1214, 1220 (Fla. 2016) (explaining the difference between common-law third-party bad-faith claims and the statutory first-party bad-faith claims).

The court also noted three “functional equivalent[s]” of an excess judgment:

• A “Cunningham” agreement, in which the insurer and the injured party agree to try the bad-faith issues first; if no bad faith is found, the injured party agrees to settle for policy limits, thereby preventing the insured from facing an excess judgment;

• A “Coblentz” agreement, in which the insured, forced to defend against the injured party’s claims on his own, agrees to settle with the injured party for policy limits; the injured party can then sue the insurance company on a bad-faith theory; and

• An “equitable subrogation” situation, in which an excess carrier can bring a bad-faith claim against [*8]  a primary carrier if the excess carrier incurs damages because the primary carrier acted in bad faith. Perera, 35 So.3d at 899-901. None of these functional equivalents applies here because there was no agreement between GEICO and Bennett, GEICO provided Warren and McNamara with a lawyer at all times, and there is only one insurance carrier in this case.

See supra note 3.

That is perhaps particularly true in a case that turns on an issue of state law. Cf. United States v. Chubbuck, 252 F.3d 1300, 1305 n.7 (11th Cir. 2001) (noting that even a published opinion of this Court interpreting and applying state law is not binding in the event that an intervening state-court decision contradicts it).

One final thing: In their briefs to us, the parties squabble over whether GEICO agreed to be bound by the consent judgments entered in favor of Bennett in her suit against Warren and McNamara. That is irrelevant. GEICO wasn’t a party to that lawsuit, so naturally it wasn’t a party to its settlement. A bad-faith claim accrues upon entry of an excess judgment against the insured, regardless of the insurer’s agreement to the entry of such judgment. Indisputably, GEICO authorized Warren and McNamara to accept the settlements by agreeing not to assert that they had violated any policy provision by doing so. Nothing more was needed for a bad-faith claim to ensue. See Steil, 448 So.2d at 592 (holding that in a case involving a consent judgment, a settlement can be enforced against the insurer so long as it is not “unreasonable in amount or tainted by bad faith”).

Penn-America Ins. Co. v. Tarango Trucking, LLC

United States Court of Appeals for the Fifth Circuit

April 4, 2022, Filed

No. 21-10749

Reporter

2022 U.S. App. LEXIS 8984 *; __ F.4th __; 2022 WL 999915

PENN-AMERICA INSURANCE COMPANY, Plaintiff—Appellee, versus TARANGO TRUCKING, L.L.C., Defendant—Appellant.

Prior History:  [*1] Appeal from the United States District Court for the Northern District of Texas. USDC No. 3:20-CV-1388.

Penn-America Ins. Co. v. Tarango Trucking, 2021 U.S. Dist. LEXIS 117305, 2021 WL 2581420 (N.D. Tex., June 22, 2021)

Disposition: REVERSED in part, VACATED in part, and REMANDED.

Core Terms

Parking, coverage, insured, property damage, tractor, bodily injury, trailer, allegations, unloading, district court, duty to defend, parking lot, restores, tractor trailer, indemnify, reinstate, rolled, trucks, heavy equipment, declaring, rent

Case Summary

Overview

HOLDINGS: [1]-In an insurance coverage dispute arising from a tragic accident, the insurance company had a duty to defend its insured trucking company; although the auto exclusion applied because the injury arose out of the use of a tractor trailer, the parking exception applied to restore coverage; [2]-Because the insurance company had a duty to defend the insured, it was premature for the district court to decide the indemnity issue.

Outcome

Reversed in part, vacated in part, and remanded.

LexisNexis® Headnotes

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

Civil Procedure > … > Summary Judgment > Motions for Summary Judgment > Cross Motions

Civil Procedure > Judgments > Summary Judgment > Entitlement as Matter of Law

Civil Procedure > Appeals > Summary Judgment Review > Standards of Review

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

 Entitlement as Matter of Law, Appropriateness

The Fifth Circuit reviews a district court’s judgment on cross motions for summary judgment de novo, addressing each party’s motion independently, viewing the evidence and inferences in the light most favorable to the nonmoving party. Summary judgment is proper if the movant shows that 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 > Liability & Performance Standards > Good Faith & Fair Dealing > Duty to Defend

Insurance Law > … > Property Insurance > Obligations > Duty to Defend

Insurance Law > … > Business Insurance > Commercial General Liability Insurance > Indemnification

Insurance Law > … > Business Insurance > Commercial General Liability Insurance > Duty to Defend

 Standards of Review, De Novo Review

The policy contains both a duty to defend and a duty to indemnify. These duties are independent, and the existence of one does not necessarily depend on the existence or proof of the other. The Fifth Court reviews whether an insurer has a duty to defend its insured in an underlying suit as a de novo question of law.

Insurance Law > … > Obligations of Parties > Insurers > Allegations in Complaints

Insurance Law > Liability & Performance Standards > Good Faith & Fair Dealing > Duty to Defend

Insurance Law > … > Business Insurance > Commercial General Liability Insurance > Duty to Defend

Insurance Law > … > Property Insurance > Obligations > Duty to Defend

Insurance Law > … > Motor Vehicle Insurance > Obligations > Duty to Defend

 Insurers, Allegations in Complaints

The insured bears the initial burden of establishing that the insurer has a duty to defend. Under the eight-corners or complaint-allegation rule, an insurer’s duty to defend is determined by the third-party plaintiff’s pleadings, considered in light of the policy provisions, without regard to the truth or falsity of those allegations. If the petition or complaint alleges at least one cause of action potentially within the policy’s coverage, then the insurer is obligated to defend the insured. This rule is applied liberally, with any doubts resolved in favor of the insured. Courts look to the factual allegations showing the origin of the damages claimed, not to the legal theories or conclusions alleged.

Insurance Law > … > Obligations of Parties > Insurers > Allegations in Complaints

Insurance Law > … > Commercial General Liability Insurance > Exclusions > Burdens of Proof

Insurance Law > Claim, Contract & Practice Issues > Claims Made Policies > Exclusions

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

Insurance Law > … > Business Insurance > Commercial General Liability Insurance > Duty to Defend

 Insurers, Allegations in Complaints

If the insured carries its burden, it shifts to the insurer to show that the plain language of a policy exclusion or limitation allows the insurer to avoid coverage of all claims, also within the confines of the eight corners rule. When interpreting a policy exclusion, any doubts regarding the duty to defend are resolved in favor of the insured. If an exclusion is subject to more than one reasonable construction, the court adopt the interpretation urged by the insured as long as it is not unreasonable and even if the insurer’s interpretation appears to be more reasonable or a more accurate reflection of the parties’ intent.

Insurance Law > … > Commercial General Liability Insurance > Exclusions > Burdens of Proof

Insurance Law > Claim, Contract & Practice Issues > Claims Made Policies > Exclusions

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

Insurance Law > … > Policy Interpretation > Ambiguous Terms > Coverage Favored

 Exclusions, Burdens of Proof

If the insurer proves that an exclusion applies, the insured must show that an exception to the exclusion reinstates coverage. An exception to an exclusion is interpreted broadly in favor of coverage, but that principle does not mean we should distort the exception in order to find coverage where none exists.

Insurance Law > … > Policy Interpretation > Ambiguous Terms > Coverage Favored

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

Insurance Law > Claim, Contract & Practice Issues > Claims Made Policies > Exclusions

 Ambiguous Terms, Coverage Favored

The court must interpret an exception to an exclusion broadly in favor of coverage, although the court cannot distort the exception in order to find coverage where none exists.

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

 Policy Interpretation, Entire Contract

An insurance contract, like other contracts, should be considered as a whole; no single phrase, sentence, or section should be read in isolation.

Insurance Law > … > Obligations of Parties > Insurers > Allegations in Complaints

Insurance Law > … > Business Insurance > Commercial General Liability Insurance > Indemnification

Insurance Law > Liability & Performance Standards > Good Faith & Fair Dealing > Indemnification

Insurance Law > … > Business Insurance > Commercial General Liability Insurance > Duty to Defend

Insurance Law > Liability & Performance Standards > Good Faith & Fair Dealing > Duty to Defend

 Insurers, Allegations in Complaints

The duty to indemnify is triggered not by the allegations in the pleadings but by whether a plaintiff ultimately prevails on a claim covered by the policy. Texas law only considers the duty-to-indemnify question justiciable after the underlying suit is concluded, unless the same reasons that negate the duty to defend likewise negate any possibility the insurer will ever have a duty to indemnify.

Counsel: For Penn-America Insurance Company, Plaintiff – Appellee: Greg Keith Winslett, Esq., Attorney, Brent Samuel Lee, Quilling, Selander, Lownds, Winslett & Moser, P.C., Dallas, TX.

For Tarango Trucking, L.L.C., Defendant – Appellant: James Alexander McCorquodale, Sandy McCorquodale, P.C., Dallas, TX.

Judges: Before DAVIS, WILLETT, and OLDHAM, Circuit Judges.

Opinion by: W. EUGENE DAVIS

Opinion

W. Eugene Davis, Circuit Judge:

Tarango Trucking, L.L.C. (“Tarango”) appeals from a judgment declaring that its insurer, Penn-America Insurance Company (“Penn-America”), owes neither defense nor indemnity with respect to third-party claims against Tarango concerning a fatal accident on its property. Specifically, the district court held that the insurance policy’s automobile exclusion applied to bar coverage over the claims, and an exception to that exclusion did not restore coverage. We disagree with the latter conclusion. Accordingly, we REVERSE in part, VACATE in part, and REMAND to the district court for further proceedings.

I.

This insurance coverage dispute arises from a tragic [*2]  accident on Tarango’s property that resulted in the death of SirMyron Birks-Russell (“Birks-Russell”), a truck driver employed by WS Excavation, LLC (“WS”). Birks-Russell’s survivors sued Tarango and WS in Texas state court (“the Underlying Action”). Their second amended petition (“Petition”) states in relevant part:

On March 2, 2020, [Birks-Russell] drove the tractor trailer assigned to him by [WS] to Tarango[‘s] property[ ] . . . . [Birks-Russell] parked his tractor trailer and proceeded to inspect and off-load the heavy equipment. Off-loading the heavy equipment required [Birks-Russell] to operate a hydraulic lift on the trailer after first unhitching the tractor from the trailer.

[Birks-Russell] unhitched the tractor and attempted to operate the hydraulic lift on the trailer. While operating the lift, the tractor’s braking system disengaged, causing the tractor to roll back and strike [Birks-Russell], crushing and pinning his body—while still [a]live—beneath the weight of the tractor. Additionally, because the parking lot was maintained at a dangerous slope, the heavy semi-truck and trailer quickly rolled back. Due to the dangerous slope and grade of the trucking lot, the tractor [*3]  struck the trailer with such force that it forced the trailer backwards into [Birks-Russell’s] parked personal vehicle, causing significant property damage to [his] vehicle.

. . . .

This tragic death occurred because [WS] failed to properly maintain the tractor, its accompanied electronic and braking systems, and/or trailer . . . .

This tragic death also occurred because Tarango . . . failed to maintain a level parking and loading facility, where dozens of trucks are stored, parked, and off-loaded. Failing to maintain a level parking lot, where dangerous and heavy equipment [is] routinely offloaded and parked, posed a serious likelihood that this unlevel parking lot would eventually cause serious injury and/or death. A level parking lot is required by industry standards and guidelines to prevent dangerous and heavy equipment and trucks from rolling back and causing severe injury or death. But, [Tarango] . . . refused to ensure that their parking lot was flat and safe for drivers to unload heavy equipment and park large eighteen-wheeler trucks at their facility . . . .

At the time of the accident, Tarango was insured under a commercial general liability policy issued by Penn-America (“the [*4]  Policy”). Tarango tendered the claims in the Underlying Action to Penn-America and requested defense. Penn-America defended Tarango but reserved its right to contest coverage.

Penn-America then filed a declaratory judgment action in federal district court where it sought to have its and Tarango’s rights concerning the Policy and the Underlying Action determined. Penn-America argued, inter alia, that the allegations in the Petition fell within the Policy’s “Auto Exclusion,” which negated coverage along with Penn-America’s defense and indemnity obligations. Tarango filed an answer and counterclaim seeking a declaration that Penn-America must defend it in the Underlying Action. Tarango asserted that the Auto Exclusion does not apply to the claims in the Petition, but even if it does, the “Parking Exception” to the Auto Exclusion restores coverage.

The parties filed cross-motions for summary judgment, which were referred to a magistrate judge for a report and recommendation. The magistrate judge issued a written decision that recommended granting Penn-America’s motion and denying Tarango’s motion. The district court accepted the recommendation over Tarango’s objection and entered a judgment [*5]  declaring that Penn-America has no duty to defend or indemnify Tarango in the Underlying Action.

Tarango timely appealed.

II.

“We review a district court’s judgment on cross motions for summary judgment de novo, addressing each party’s motion independently, viewing the evidence and inferences in the light most favorable to the nonmoving party.”1 Summary judgment is proper “if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.”2

III.

Texas law governs the insurance issues in this diversity case.3

A.

The Policy contains both a duty to defend and a duty to indemnify.4 “These duties are independent, and the existence of one does not necessarily depend on the existence or proof of the other.”5 “This Court reviews whether an insurer has a duty to defend its insured in an underlying suit as a de novo question of law.”6

ourts look to the factual allegations showing the origin of the damages claimed, not to the legal theories or conclusions alleged.”11

  is subject to more than one reasonable construction, we adopt the interpretation urged by the insured as long as it is not unreasonable and even if the insurer’s interpretation “appears to be more reasonable or a more accurate reflection of the parties’ intent.”14

ut that principle does not mean we should distort the exception in order to find coverage where none exists.”16

B.

The Policy generally obligates Penn-America to defend Tarango against any “suit” seeking damages for “bodily injury” or “property damages” caused by an “occurrence.” Penn-America concedes that the Underlying Action satisfies these requirements. Consequently, Penn-America must show that the plain language of an exclusion avoids coverage of all claims, within the confines of the eight corners rule. Penn-America argues that the Policy’s Auto Exclusion satisfies this burden.

The Auto Exclusion is contained in an endorsement to the Policy and states in part:

This insurance does not apply to:

“Bodily injury” or “property [*8]  damage” arising out of the ownership, maintenance or use by any person or entrustment to others, of any aircraft, “auto”, or watercraft. . . . Use includes operation and “loading or unloading”.

Four exceptions appear immediately beneath the Auto Exclusion. They state:

This exclusion does not apply to:

(1) A watercraft while ashore on premises you own or rent,

(2) A watercraft you do not own that is;

(a) Less than 26 feet long; and

(b) Not being used to carry persons or property for a charge

(3) Parking an “auto” on, or on the ways next to, premises you own or rent provided the “auto” is not owned by or rented or loaned to you or the insured;

(4) “Bodily injury” or “property damage” arising out of the operation of any the equipment listed in paragraph f.(2) or f.(3) of the definition of “mobile equipment”.

(emphasis added). The third exception is the “Parking Exception.”

Penn-America contends that Birks-Russell’s injury and death “ar[ose] out of” the “use” or “maintenance” of the tractor trailer; therefore, the Auto Exclusion precludes coverage of the Underlying Action. Tarango offers several reasons why the Auto Exclusion does not apply to one or more claims in the Petition. Tarango further [*9]  asserts that even if the Auto Exclusion applies, the Parking Exception also applies and restores coverage.

As explained below, we agree with Tarango’s alternative argument that the Parking Exception restores coverage over at least one of the claims in the Petition. Therefore, we pretermit discussion of whether the Auto Exclusion applies. We assume without deciding that it does and turn our attention to the Parking Exception.

C.

As mentioned, the burden is on the insured, Tarango, to prove that the Parking Exception restores coverage.17 However, we must “interpret an exception to an exclusion broadly in favor of coverage,” although we cannot “distort the exception in order to find coverage where none exists.”18

The district court interpreted the Parking Exception as reinstating coverage over injuries and property damage that occur during the act of parking, not after a vehicle is parked. It concluded the Parking Exception did not apply because Birks-Russell was not injured while parking an auto. “Rather, the tractor rolled back and struck him when he was unloading the trailer,” which occurred after he had parked and unhitched the tractor from the trailer.

Tarango, however, contends that [*10]  the Parking Exception should be interpreted as restoring coverage over bodily injuries that “arise out of” parking—a phrase that is construed broadly to mean “‘there is simply a ‘causal connection or relation,’ . . . that there is but for causation, though not necessarily direct or proximate causation.’”19 Tarango argues that the Petition’s allegations that “[Birks-Russell] parked his tractor trailer,” and “the tractor’s braking system disengaged, causing the tractor to roll back and strike [Birks-Russell],” and Tarango “fail[ed] to maintain a level parking lot” are claims arising out of parking to which the Parking Exception applies. Penn-America disagrees and points out that the Parking Exception does not contain the phrase “arise out of”; it merely states that the Auto Exclusion “does not apply to . . . [p]arking.” In Penn-America’s view, then, the exception does not apply to “parked” autos, “after parking,” to injuries “arising out of parking,” or if the injured person had “previously engaged in the act of parking.”

The Parking Exception cannot be read in isolation.20 It does not simply “apply to . . . [p]arking”—as Penn-America would have it—because the Policy does not cover “parking.” [*11] 21 The Policy covers “bodily injury” and “property damage.” The Auto Exclusion excludes from coverage “‘[b]odily injury’ or ‘property damage’ arising out of the . . . ownership, maintenance or use . . . of any . . . ‘auto.’” The four exceptions therefore reinstate coverage over certain bodily injuries and property damage that would otherwise be excluded by the Auto Exclusion, notwithstanding the fact that three of the exceptions—including the Parking Exception—do not expressly mention bodily injury or property damage.

Furthermore, the Parking Exception necessarily must be understood as containing some causal language that links “‘bodily injury’ or ‘property damage’” with “parking.” Because the Parking Exception is an exception to the Auto Exclusion, it is reasonable to interpret it as employing the same, “arising-out-of” nexus as the Auto Exclusion. And, because this interpretation is reasonable and favors coverage, we adopt it even if a narrower interpretation might also be reasonable.22 Thus, we construe the Parking Exception as reinstating coverage over bodily injury and property damage that arise out of “[p]arking an ‘auto’ on . . . premises [Tarango] own[s] or rent[s] provided [*12]  the ‘auto’ is not owned by or rented or loaned to” Tarango.

The Petition alleges that Birks-Russell was injured when, after parking the tractor on Tarango’s lot and unhitching it from the trailer, the tractor became “unparked” and rolled backwards onto him.23 The Petition lays part of the blame on Tarango’s unlevel parking lot, describing it as so steep that it “posed a serious likelihood that [it] would eventually cause serious injury and/or death.” Considering these allegations and bearing in mind that we are to construe an exception in favor of coverage, we conclude that the Petition asserts a claim for “bodily injury” “arising out of” “parking.” Therefore, the Parking Exception applies to reinstate coverage.

Penn-America resists this conclusion by asserting that Birks-Russell’s injury occurred as he was unloading the tractor trailer. It argues that the Parking Exception cannot encompass the unloading process, because the Auto Exclusion expressly states that “loading or unloading” constitutes an excluded “use” of an auto. In other words, Penn-America believes “unloading” and the Parking Exception are mutually exclusive.

We assume without deciding that Birks-Russell’s [*13]  injury arose out of “unloading” the tractor trailer, triggering the Auto Exclusion’s application. Nevertheless, we conclude that where, as here, both the Auto Exclusion and the Parking Exception apply to an injury, the latter trumps the former and reinstates coverage. After all, the function of the Parking Exception is to restore coverage over certain injuries and property damage that would otherwise be excluded by the Auto Exclusion, which presupposes the Auto Exclusion’s application in the first place.24

In summary, we agree with Tarango that the Parking Exception applies to bodily injury and property damage that arise out of parking. Because the Petition alleges some claims that arise out of parking and are potentially covered by the Policy, Penn-America must defend Tarango in the Underlying Action.

D.

The district court determined that Penn-America has no duty to indemnify Tarango with respect to the Underlying Action.   concluded, unless the same reasons that negate the duty to defend likewise negate any possibility the insurer will ever have a duty to indemnify.”26 Because we hold that Penn-America has a duty to defend Tarango, we also hold that it was premature for the district court to decide the indemnity issue.

IV.

For the reasons above, we REVERSE the district court’s judgment declaring that Penn-America has no duty to defend Tarango; we VACATE the district court’s judgment declaring that Penn-America has no duty to indemnify Tarango; and we REMAND this matter for further proceedings consistent with this opinion.

REVERSED in part, VACATED in part, and REMANDED.

End of Document


Rossi v. Precision Drilling Oilfield Servs. Corp. Emp. Benefits Plan, 704 F.3d 362, 365 (5th Cir. 2013) (citations and quotations omitted).

Fed. R. Civ. P. 56(a).

See Primrose Operating Co. v. Nat’l Am. Ins. Co., 382 F.3d 546, 552 n.4 (5th Cir. 2004).

The Policy states:

We will pay those sums that the Insured becomes legally obligated to pay as damages because of “bodily injury” or “property damage” to which this insurance applies. We will have the right and duty to defend the Insured against any “suit” seeking those damages. However, we will have no duty to defend the [*6]  Insured against any “suit” seeking damages for “bodily injury” or “property damage” to which this insurance does not apply.

D.R. Horton-Texas, Ltd. v. Markel Int’l Ins. Co., 300 S.W.3d 740, 745 (Tex. 2009).

Northfield Ins. Co. v. Loving Home Care, Inc., 363 F.3d 523, 527 (5th Cir. 2004) (citation omitted) (applying Texas law).

Id. at 528 (citation omitted).

GuideOne Elite Ins. Co. v. Fielder Rd. Baptist Church, 197 S.W.3d 305, 308 (Tex. 2006) (citations omitted).

Northfield, 363 F.3d at 528.

10 Primrose Operating Co., 382 F.3d at 552 (citation omitted).

11 Ewing Constr. Co. v. Amerisure Ins. Co., 420 S.W.3d 30, 33 (Tex. 2014) (citation omitted).

12 Northfield, 363 F.3d at 528 (emphasis in original) (citations omitted).

13 State Farm Lloyds v. Richards, 966 F.3d 389, 393 (5th Cir. 2020) (citation omitted) (applying Texas law).

14 Gilbert Tex. Constr., L.P. v. Underwriters at Lloyd’s London, 327 S.W.3d 118, 133 (Tex. 2010) (citation and quotations omitted).

15 Id. at 124.

16 Id. at 134-35 (citation omitted).

17 Id. at 124.

18 Id. at 134-35.

19 Mid-Continent Cas. Co. v. Global Enercom Mgmt., Inc., 323 S.W.3d 151, 156 (Tex. 2010) (quoting Utica Nat’l Ins. Co. of Tex. v. Am. Indem. Co., 141 S.W.3d 198, 203 (Tex. 2004)) (interpreting “arise out of” in a commercial general liability policy’s automobile exclusion).

20 [] See Forbau v. Aetna Life Ins. Co., 876 S.W.2d 132, 133-34 (Tex. 1994) (explaining that an insurance contract, like other contracts, should be considered as a whole; no single phrase, sentence, or section should be read in isolation).

21 See Gilbert Tex. Constr., L.P., 327 S.W.3d at 135 (“[W]e should not distort the exception in order to find coverage where none exists.”).

22 See id. at 133.

23 Although not binding, we note that the Alabama Supreme Court interpreted a similar parking exception as encompassing both parking and “unparking.” See Generali US Branch v. The Boyd School, Inc., 887 So. 2d 212, 218-19 (Ala. 2004); see also Sears, Roebuck & Co. v. Acceptance Ins. Co., 342 Ill. App. 3d 167, 793 N.E.2d 736, 743, 275 Ill. Dec. 965 (Ill. App. Ct. 2003) (suggesting in dicta that a parking exception would apply to “unparking,” but holding that the vehicle was not “unparking” at the time of the collision).

24 To the extent Penn-America’s position is that our interpretation of the Parking Exception renders superfluous the Policy’s stipulation that “unloading” is an excluded “use,” we do not agree. Not every injury that arises out of “unloading” will also arise out of “parking.” It is easy to imagine, for example, a case where cargo falls on someone during the unloading process and that has nothing whatsoever to do with parking. In that instance, the Auto Exclusion would apply and the Parking Exception would not.

25 Don’s Bldg. Supply, Inc. v. OneBeacon Ins. Co., 267 S.W.3d 20, 31 n.41 (Tex. 2008) (citation omitted).

26 Northfield, 363 F.3d at 529 (citation, quotations, and emphasis omitted).

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