As any insurance lawyer working in Grand Prairie can tell you, the insurance can be held liable for improper action or inaction. This is illustrated in the 1998, Texas Supreme Court case styled, Liberty Mutual Insurance Company v. Garrison Contractors.

Garrett, an agent of Liberty Mutual whose duties included soliciting and obtaining policy sales for Liberty, as well as explaining policy provisions and premium calculations to customers, sold Garrison a three-year multi-line insurance policy from Liberty. The policy featured a retrospective premium plan. When the policy period ended, Liberty billed Garrison $159,371 in retrospective premiums. Garrison refused to pay and Liberty sued to collect premiums. Garrison asserted a counterclaim against Liberty and filed a third party claim against Garrett, individually, claiming that Liberty and Garrett misrepresented the retrospective premium terms. The trial court granted Liberty’s and Garrett’s Motion for Summary Judgment and entered judgement in favor of Liberty for the premiums sought.

The Court of Appeals affirmed in part and reversed in party. Liberty and Garrett applied to the Texas Supreme Court for writ of error.

Dallas insurance lawyers understand that a key to being able to help a client is understanding how courts interpret insurance policies. A 14th Court of Appeals opinion gives some insight. The style of the case is, Farmers Insurance Exchange and Allstate County Mutual v. Rodriguez.

The following facts are undisputed. Using a trailer hitched to his pickup truck, Woodling transported a deer stand from his deer lease to his residence. He pulled into his driveway and attempted to remove the deer stand from the trailer. He pushed the deer stand out of the trailer until the legs on the stand touched the driveway. He left the stand resting at a 30-degree angle against the trailer. He then attached a come-along 2 to a fence post and to the stand and attempted to raise the stand upright. Realizing he could not accomplish the task alone, he requested assistance from his neighbor, Rodriguez.

Rodriguez and Woodling decided to lift the stand manually by walking forward out of the trailer and onto the driveway. They began in the trailer, each using both hands to push the stand upward. Then they stepped onto the driveway and took “one or two” more steps. When the stand was no longer touching the trailer, Woodling realized it was too heavy and yelled, “Juan, I can’t hold it. Jump.” Woodling then jumped away, leaving Rodriguez alone to hold the stand, which weighed approximately 350 pounds. The stand fell, and Rodriguez was injured.

Most attorneys who consider themselves very busy life insurance lawyers can tell you all kinds of war stories about the things life insurance companies and their agents do that is illegal and improper. 60 Minutes ran a story titled “Life Insurance Industry Under Investigation” that should be read.

When you take out a life insurance policy, you pay premiums in the expectation that when you die your spouse or your children will receive the benefit. But audits of the nation’s leading insurance companies have uncovered a systematic, industry-wide practice of not paying significant numbers of beneficiaries.

In a little-known series of settlements, 25 of the nation’s biggest life insurance companies have agreed to pay more than $7.5 billion in back-death benefits. However, about 35 insurance companies have not settled and remain under investigation for not paying when the beneficiary is unaware there was a policy, something that is not at all uncommon.

ERISA lawyers should read the opinion 2016, opinion from the Houston Division, Southern District of Texas. The case is styled, Margaret Myklebust v. McDermott, Inc., et al.

Plaintiff sued MetLife seeking a declaration that she is entitled to recover life insurance benefits attributable to the decedent, John Drayton, as his surviving spouse.

A Motion For Summary Judgment was filed and the Court ruled in favor of Plaintiff. In rendering its decision the court discussed the facts of the case.

The “Eight Corners Rule” is unique to insurance law. Dallas / Fort Worth insurance lawyers should be able to explain this rule to their clients. A 2016, Fourteenth Court of Appeals opinion explains the law related to this rule. The style of the case is, Allstate County Mutual Insurance Company v. Bobby Wootten and Mary Wootten, D/B/A Wootton Construction and is an appeal from the 434th Judicial District Court.

In the Policy at issue, Allstate promised to defend and indemnify the Woottons. The duty to defend is distinct from, and broader than, the duty to indemnify. An insurer must defend its insured if a plaintiff’s factual allegations potentially support a covered claim, while the facts actually established in the underlying suit determine whether the insurer must indemnify its insured. Thus, an insurer may have a duty to defend but, in the long run, no obligation to indemnify.

In determining whether an insurer has a duty to defend its insured, Texas courts follow the eight-corners rule, also known as the complaint-allegation rule, which the Supreme Court of Texas has described as follows: 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. Thus, even if the allegations are groundless, false, or fraudulent the insurer is obligated to defend. In making the duty-to-defend determination, the court must resolve all doubts regarding the duty to defend in favor of the existence of a duty, and the court will construe the pleadings liberally. If the petition does not contain factual allegations sufficient to clearly bring the underlying case within or without the coverage, the general rule is that the insurer is obligated to defend if the petition potentially includes a claim that falls within the coverage of the policy. The duty to defend is not affected by facts ascertained before suit or developed in the course of litigation, or by the ultimate outcome of the suit. In applying the eight-corners rule, courts may not read facts into the pleadings or look outside the pleadings; but, the eight- corners rule does not require the court to ignore the inferences that logically flow from the facts alleged in the petition. If a petition potentially includes a covered claim, the insurer must defend the entire suit. With this legal standard in mind, the courts then turn to the language of the Policy.

Insurance lawyers in Texas might find this article interesting. It was published by the Insurance Journal in April 2016. The title of the story is “Carmakers Want Insurers To Help Boost Compliance With Recalls.” It might not be a bad idea.

Major carmakers want U.S. auto insurance companies to help persuade millions of American car owners to get recalled vehicles fixed.

The new push comes as a U.S. House panel will hold a hearing Thursday on efforts by the National Highway Traffic Safety Administration (NHTSA) to reduce the number of uncompleted vehicle recalls.

Texas insurance lawyers, with the prevalence of hunting in the state, may see a situation where hunting needs to be defined. A 1989, Corpus Christi Court of Appeals case addressed this issue in an opinion. The opinion is styled, Warrilow v. Norrell.

In that case three hunting friends, Norrell, Kerr, and Wolfe, had been on a deer hunting trip in Colorado. Upon arriving, the three men rented a four-wheel drive vehicle from a local resident for easy transport to and from the hunting fields. On the last day of the hunt, Norrell shot a deer and secured it to the vehicle, while Kerr did not. To take advantage of the last few hours of the hunt, Norrell suggested that Kerr keep his holster and fully loaded pistol handy in case they spotted a deer on the way to return the vehicle.

On the way to return the vehicle, the left rear tire went flat, and the three hunters exited the vehicle to change the tire. To assist in the operation, Kerr removed his belt and moved to set his holster on the ground. Tragically, he dropped the pistol, which then discharged and hit Norrell in the left temple. Norrell died almost a week later. Norrell’s family first brought suit agains the pistol manufacturer, Ruger, on product defect theories. Ruger then made Kerr a third-party defendant and sought contribution. Kerr’s homeowners insurer, Foremost, provided a defense and also tendered its $50,000 limits in contribution to Ruger. The Norrell’s next brought suit directly against Kerr.

What if someone is killed while that someone is committing a felony. Life insurance lawyers in the Dallas – Fort Worth area may be presented with that scenario. Here is how a 1997, Dallas Court of Appeals court looked at the situation. The case is styled, Grant v. Group Life & Health Insurance Company.

Grant used a pry bar to break into the residence of Stokes. When Grant entered the residence Stokes shot him five times, killing him. Grant’s wife sued Group Life to recover benefits under an accident policy for the death of her husband. Group Life moved for summary judgment on the basis that Grant died while committing a burglary and, therefore, his death was not accidental. The trial court granted the summary judgment and Grant appealed.

Because Grant’s death was not accidental, the trial court correctly granted Group Life’s Motion for Summary Judgment. Grant argues that because Group Life did not furnish her with a certificate of insurance, it is estopped from relying on undisclosed exclusions. Because the policy in question does not provide coverage for Grant’s death the policy’s exclusions are irrelevant.

Dallas insurance lawyers can tell you that one of the quickest ways to get a claim denied is for there to be a mis-representation in an application for insurance. The Insurance Journal published a story discussing mis-represntations in April of 2016. The title of the story is, Half of Insurance Shoppers Giving Inaccurate Information.

It seems there’s no shortage of financial dishonesty. Two recent surveys seem to indicate that many of us are perfectly willing to lie to save a few bucks.

A survey of 2,115 American adults from NerdWallet released last month shows a surprising number of people will tell a financial lie, and that many would even consider lying if it could result in federal prosecution.

Fort Worth insurance lawyers will usually have a story to tell about an insurance agent they caught cheating. The Insurance Journal published a story in April 2016, that should make all insurance consumers beware. The title of the story is, Former Oklahoma Insurance Agent Pleads Guilty To $500K Scam.

A former insurance agent in Oklahoma has pleaded guilty to scamming $505,126.43 from his clients, the Oklahoma Insurance Department announced.

A joint investigation including the OID’s Anti-Fraud Unit led to the charges against Gary Edward Hibbing, 52, formerly of Grove.

Contact Information