Fort Worth insurance lawyers need to read this 5th Circuit opinion. The case is styled, Cox Operating, L.L.C. v. St. Paul Surplus Lines Insurance Co.

In this Katrina pollution clean-up coverage case, the 5th Circuit sheds a bit more light on the proper method for calculating an insurer’s delay penalty under Texas’ Prompt

Payment of Claims Act (the “Act”). Along the way, the court also determines whether a one-year cost-reporting requirement was an absolute, unwaivable condition precedent under a policy, or whether the insurer could, and did, waive it by anticipatorily denying the claim. The principal issue regarding the Act is whether, under a first-party property-damage policy, the 18% penalty begins to accrue multiple times as each new cost invoice is submitted to the insurer, as is probably the case with defense invoices under a liability policy, or whether the insurer’s first violation of a deadline under the Act starts the clock for the total amount of the claim ultimately determined. As discussed below, the insurer lost on all issues.

Arlington life insurance lawyers need to know how self-defense works in the Slayer Statute. The Slayer Statute is found today in the Texas Insurance Code, Section 1103.151. A case discussing self-defense is a Fort Worth Court of Appeals opinion styled, Crawford v. Coleman.

Cornelius Shoaf appeals a judgment denying him insurance proceeds because a jury found he willfully caused the death of his wife, Sandra, the insured.

Four life insurance policies were in force at the time of Sandra’s death. The policies named Cornelius primary beneficiary. The insurance companies filed an interpleader naming the parties to this suit and paid the insurance proceeds into the registry of the court. Upon the trial of the cause, the jury found Cornelius had willfully caused the death of Sandra. The trial court then found that Cornelius had forfeited his right to receive the insurance proceeds under TEX.INS.CODE ANN. art. 21.23 (Vernon 1981) which states:

Fort Worth life insurance lawyers need to read this case on the Slayer’s Statute. The statute is found at Texas Insurance Code, Section 1103.151. The case is from the Houston Court of Appeals [14th Dist.]. It is styled, Rumbaut v. Labagnara.

Texas law disallows recovery of life insurance proceeds by a beneficiary who is a party to willfully causing the insured’s death. This case requires the court to decide whether gross negligence is subsumed within the notion of willfulness. The court held it is not.

Appellant’s wife Ana Maria Rumbaut was lost at sea, when a sudden storm arose in the Gulf of Mexico where the two of them were sailing. Because Mrs. Rumbaut’s will named appellant as executor of her estate, he applied for probate upon his return. Appellees, Mrs. Rumbaut’s sons by a previous marriage, contested the application and alleged that appellant had willfully caused their mother’s death.

Parker County life insurance lawyers need to read and understand this 1992, Houston Court of Appeals [14th Dist.] opinion. It is styled, Francis v. Marshall.

This is an appeal from a summary judgment granted in favor of appellee, Doris E. Marshall. She brought suit to recover as a beneficiary under a life insurance policy and the trial court held that she was the proper recipient of the proceeds. This Court affirmed.

Appellant, Douglas C. Francis, was found guilty of the murder of his wife, Karen E. Francis. Mrs. Francis had been insured under a $50,000 life insurance policy. Appellant was the primary beneficiary under this contract, and the deceased’s mother and appellee, Doris E. Marshall, was the contingent beneficiary. Upon appeal, appellant’s murder conviction was affirmed and he is now serving a life sentence.

Life insurance lawyers in Texas know what the “Slayer Statute” says. It has been in use for many years. A 1973, Eastland Court of Appeals case talks about this statute. The case is styled, Cooley v. Cooley.

Mutual Life Insurance Company of New York brought an interpleader action to determine the proper beneficiary under a policy of life insurance issued on the life of Melvin K. Cooley. The defendants were Mrs. Doris Cooley, the named beneficiary, Mary Helen Cooley as guardian of the estates of three minors. Mary Helen Cooley contended that Doris Cooley should be disqualified as a beneficiary on the grounds that Doris Cooley willfully brought about the death of the insured, Melvin K. Cooley, being convicted and sentenced for same in the country of Iran. On the jury’s finding that Mrs. Doris Cooley did not willfully bring about the death of Melvin K. Cooley, the trial court entered judgment for Doris Cooley. Mary Helen Cooley appeals.

It was established on the trial of the cause that Mary Helen Cooley married Melvin Cooley in 1956. He was the father of her three children for whom she was duly qualified as guardian. This marriage terminated in 1962 by divorce.

Colleyville insurance lawyers do not want to waste their time on cases where a person is trying to commit a fraud. The Insurance Journal ran an article in late December 2015, wherein they publicized some extreme attempts at insurance fraud. The article is titled, Insurance Fraud Hall of Shame Reveals 2015 Inductees.

Blown up houses, staged wrecks and bogus spine surgeries were among the damage inflicted by nine convicted scammers newly selected to the Insurance Fraud Hall of Shame.

They were enshrined by the Coalition Against Insurance Fraud. The Hall of Shame recognizes the year’s most extreme insurance schemers. All were convicted or had other legal closure in 2015.

Hail claims lawyers need to read the Texas Supreme Court opinion styled, JAW The Point, L.L.C. v. Lexington Insurance Company. This is a 2015, opinion that is relevant to most hail damage claims, as well as lots of other claims. The case is written about in the State Bar of Texas Insurance Journal It is hard to believe that this case is the Texas Supreme Court’s first occasion to address the proper application of the so-called “anti-concurrent-causation” (the “ACC”) exclusion, which in this case bars coverage for:

loss or damage caused directly or indirectlyby any [excluded cause or event], regardless

of any other cause or event that contributes concurrently or in any sequence to the loss.

ERISA lawyers are in a position to be the bearers of bad news as it relates to persons having ERISA claims. Here are some paragraphs from a recent article on ERISA submitted to the State Bar of Texas.

ERISA, Employee Retirement Income Security Act of 1974. This is a federal program originally designed to be of benefit to employees who work in the private sector in this country. Although the primary focus is the protection of pension benefits, the Act’s application is broad, covering health, disability, and life insurance benefits offered to private-sector employees. Health, disability and life insurance benefits are collectively referred to as welfare benefits within ERISA, and the Act provides that those who administer welfare benefit plans are subject to some of the same fiduciary responsibilities as administrators of pension plans. The Act included the creation of pension insurance administered by the Pension Benefit Guaranty Corporation, providing employees a government guaranty that upon retirement they would receive at least some, if not all, of their vested pension benefits if their employer could not meet its pension obligations.

Congress explained its purpose in enacting ERISA within the first section of the Act:

Life insurance attorneys in Dallas can tell you about Section 1103.151 of the Texas Insurance Code. It is often times called the “Slayer Statute.” Here is a 1969, Fort Worth Court of Appeals opinion that dealt with the Slayer Statute when it was Article 21.23 of the Insurance Code.

This suit involves ascertainment of the rightful claimant to the proceeds of a life insurance policy issued by National Life and Accident Insurance Company. The latter, as stakeholder, filed the suit and deposited $8,009.11 into the registry of the court for disposition by it to the claimants entitled thereto.

Vergia L. Giles, insured, was shot by his wife, Evelyn Jean Wiggins, nee Evelyn Jean Giles, appellee and primary beneficiary of the policy, on September 4, 1966. He died as result thereof on September 14, 1966.

Benbrook insurance lawyers at some point will have to deal with the Slayer Statute which is found in the Texas Insurance Code, Section 1103.151. In 1900, the Slayer Statute did not exist in Texas. A Texas opinion from that time illustrates how it works today. A person has to prove the beneficiary caused the death of the insured in order to be able to prevent the beneficiary from receiving policy benefits. The case is styled, Mutual Life Insurance Co. of Kentucky v. Mellott.

Mutual denied policy benefits based on the allegations that the beneficiary (Mrs. Mellott) caused the death of the insured (William Mellott) by administering to him strychnine poison for the purpose of causing his death.

Briefly stated, the facts proven on the trial are as follows: The policy on the life of William Mellott was issued on the 15th day of March, 1898, and said Mellott died on June 13, 1898. The evidence is conflicting as to whether Mr. or Mrs. Mellott procured the issuance of the policy, but the premium on the policy was paid by Mrs. Mellott. About the same time this policy was issued Mrs. Mellott procured the issuance of a policy for $10,000 by the same company on the life of Lucinda Jeffers, and had said policy assigned to her by Mrs. Jeffers. The evidence is conflicting as to whether or not Mrs. Jeffers knew that a policy had been issued on her life, and that she had transferred same to Mrs. Mellott; she testifying that Mrs. Mellott told her shortly after she had signed the paper, which she understood only gave Mrs. Mellott the right to use the policy, that she failed to pass a satisfactory examination, and that the policy had not been issued, in which statement she was corroborated by the testimony of two other witnesses. Mrs. Jeffers about this time made a will bequeathing all of her property, including the policy in question, to Mrs. Mellott. The deceased, William Mellott, for more than a year previous to his death, had been in bad health, suffering from trouble with his stomach and bowels, which trouble had at times caused him to have convulsions. About a month before his death he was seriously ill with entero coletis, the same character of disease which his attending physician testified was the cause of his death. On the 6th day of June, 1898, he was taken suddenly ill, and Dr. McKay was sent for; he being the nearest physician, and the emergency not allowing his regular physician to be sent for. He was first attacked with spasms or convulsions. Dr. McKay attended him regularly from the 6th to the 13th of June, making several visits each day. This physician testified that the deceased had convulsions from the first day that he was called to see him, and that such convulsions were among the usual symptoms, or rather results, of the disease from which the patient was suffering. His last visit to deceased before his death was about 8 o’clock on the evening before his death. At this time he thought the deceased was better, and did not anticipate a fatal termination of the disease. The deceased began to grow worse shortly after Dr. McKay left, on the evening of the 12th, and died about 4 or 5 o’clock the next morning. The doctor was sent for about 11 o’clock that night, but was not at home, and was again sent for about 3 o’clock. In answer to this last call he went to Mellott’s house, but arrived there just after his death. The preponderance of the evidence is to the effect that the convulsions from which deceased began to suffer shortly after Dr. McKay left him, on the evening of the 12th, were of the same general character as those which deceased had previously had, but were more severe, and continued to increase in frequency and severity until they produced death. One witness, however, a Mr. Sonnen, testified that he was with the deceased from about 8 until about 12 o’clock that night, and that the convulsions were of a different character from those which deceased had previously had. He described the kind of convulsions, and the position which the body of the deceased assumed during the convulsions, and Drs. Red and Knox testified as medical experts that convulsions of the character described by this witness were, in their opinion, produced by strychnine poison. The body of the deceased was exhumed about six months after his death, and a chemical analysis of the stomach failed to show any trace of strychnine.

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