Chaffin v. Transamerica Ins. Co.

Citation731 S.W.2d 728
Decision Date28 May 1987
Docket NumberNo. C14-86-393-CV,C14-86-393-CV
PartiesRobert A. CHAFFIN and G. Robert Friedman, Appellants, v. TRANSAMERICA INSURANCE COMPANY, Premier Insurance Company, and Crown Underwriters, Appellees. (14th Dist.)
CourtCourt of Appeals of Texas

J. Steven Houston, Houston, for appellants.

Kenneth N. Knox, Alvin M. Rosenthal, Houston, for appellees.

Before JUNELL, DRAUGHN and ELLIS, JJ.

OPINION

ELLIS, Justice.

Appellants, Robert A. Chaffin and G. Robert Friedman, sued appellees, Transamerica Insurance Company, Premier Insurance Company (Transamerica's Houston claims office), and Crown Underwriters (Transamerica, Crown, or appellees), the insurer of a subcontractor hired by appellants. The suit alleged appellees' tortious handling of appellants' property damage claim against the subcontractor, U.S. Seal Corporation (U.S. Seal). The trial court granted summary judgment on the grounds that appellants had no cause of action against appellees. We affirm.

Appellants owned two Houston townhomes that were being remodeled. They subcontracted with U.S. Seal to waterproof the townhome roofs. Due to the negligence of U.S. Seal, both properties sustained damage during a rainstorm. U.S. Seal was informed of the damage, admitted liability, and notified its liability insurance carrier, Transamerica. 1 Transamerica denied the claim on the basis of no coverage. Transamerica neither conducted an investigation of the merits of the claim nor appraised the damage before closing the claim file without payment.

Appellants thereafter sued U.S. Seal to recover damages arising from its negligent repair work. They also brought suit against Transamerica and Crown for tortious handling of the property claim against U.S. Seal.

The summary judgment proof shows Transamerica later admitted no reason had existed for its previous denial of coverage. Over three years from the date of loss Transamerica paid to appellants $100,000, the limits of the liability policy held by its insured, U.S. Seal. Appellants' suit in negligence against U.S. Seal was then dismissed and U.S. Seal released from further liability. However, appellants continued their suit against Transamerica and Crown for tortious handling of the property claim, which they allege resulted in expenditures caused by their unnecessary litigation against U.S. Seal. Appellants sought to recover attorneys' fees, expenses of litigation against U.S. Seal, and interest on the money borrowed to repair the property until the settlement with U.S. Seal.

Transamerica moved for summary judgment on the grounds that appellants had no cause of action against Transamerica and Crown, since appellees' only duty was to U.S. Seal. The trial court granted final summary judgment in favor of Transamerica and Crown. 2

Appellants bring their appeal from the rendition of summary judgment, asserting in a sole point of error that the trial court erred in granting appellees' motion for summary judgment. They claim that Texas law recognizes an independent cause of action by a third party against a tortfeasor's insurance carrier, arising from the carrier's wrongful denial of coverage under the tortfeasor's policy. Appellants premise their cause of action on four separate theories of recovery: (1) an exception to the general rule of tort law that attorneys' fees and expenditures incurred by a party to litigation are not recoverable against an adversary; (2) article 21.21 of the Texas Insurance Code; (3) a duty of good faith and fair dealing to a damaged third party; and (4) fraud.

We shall address appellants' position generally before discussing each theory of recovery. The summary judgment proof establishes that U.S. Seal Corporation alone is listed as the named insured of the comprehensive general liability policy in question; appellants are not listed on the policy as additional insureds or beneficiaries. There has never been a contractual relationship between Transamerica and appellants. Furthermore, they are not third party intended beneficiaries of the contract. Cf. Dairyland County Mut. Ins. v. Childress, 650 S.W.2d 770, 775-76 (Tex.1983) (third parties injured in a motor vehicle accident are within the class of legally intended beneficiaries of an insurance policy purchased to satisfy the statutory requirement). 3 The liability policy held by U.S. Seal was purchased solely for the benefit of U.S. Seal. In sum, appellants derive no legal relationship from the Transamerica-U.S. Seal insurance contract.

Having reviewed each theory of recovery, we hold that Texas law recognizes no cause of action for the type of damages sought by appellants. We conclude appellants are not entitled to recover under any one of the four theories.

We first address appellants' argument under the Texas Insurance Code. In a lengthy discussion replete with citations, appellants assert a statutory cause of action. They cite the following provision as applicable:

Relief available to parties

Sec. 16. (a) Any person who has been injured by another's engaging in any of the practices declared in Section 4 of this Article or in rules or regulations lawfully adopted by the Board under this Article to be unfair methods of competition and unfair and deceptive acts or practices in the business of insurance or in any practice defined by Section 17.46 of the Business & Commerce Code, as amended, as an unlawful deceptive trade practice may maintain an action against the company or companies engaging in such acts or practices.

Tex.Ins.Code Ann. art. 21.21, § 16(a) (Vernon 1981) (emphasis added). Appellant's plausible claim that section 16 provides a remedy for "any person" injured by the conduct of one in the insurance business, without regard to that "person's" relationship to the insurer, is negated by Texas authority.

Part of the problem appears to arise from the code's conflicting use of the term "person" in sections 2 and 16. The definitional section reads as follows:

Definitions

Sec. 2. When used in this Act:

(a) "Person" shall mean any individual, corporation, association, partnership, reciprocal exchange, inter-insurer, Lloyds insurer, fraternal benefit society, and any other legal entity engaged in the business of insurance including agents, brokers, adjusters and life insurance counselors.

Tex.Ins.Code Ann. art. 21.21, § 2(a) (Vernon 1981) (emphasis added). The law is settled that the term "person" used in section 16 is not to be construed as being limited to one "engaged in the business of insurance." Ceshker v. Bankers Commercial Life Ins. Co., 568 S.W.2d 128 (Tex.1978). Nevertheless, we find no authority for extending the construction of "person" beyond one who is either an insured or a beneficiary of the policy.

The Texas Rules of Civil Procedure prohibit joinder of an insurance company by an injured third party in a tort action. Tex.R.Civ.P. 51(b). Moreover, Texas cases are in accord both that an injured party has no direct cause of action against a tortfeasor's insurance carrier, whether or not the insured party is joined; and that the carrier owes a legal duty only to its insured or to an intended beneficiary of the policy. See, e.g., Aetna Cas. & Sur. Co. v. Marshall, 724 S.W.2d 770 (Tex.1987) (claimant, an injured worker, sued a workers' compensation carrier under Tex.Ins.Code Ann. art. 21.21; claimant was statutorily intended beneficiary); Dairyland County Mut. Ins. v. Childress, 650 S.W.2d 770 (Tex.1983) (claimants were statutorily intended beneficiaries of auto liability coverage); Aetna Cas. & Sur. Co. v. Martin Surgical, 689 S.W.2d 263 (Tex.App.--Houston [1st Dist.] 1985, writ ref'd n.r.e.) (surgical supply company claimant was additional insured); Becker v. Allstate Ins. Co., 678 S.W.2d 561 (Tex.App.--Houston 14th Dist.] 1984, writ ref'd n.r.e.) (tort plaintiff had no standing to sue carrier); Russell v. Hartford Cas. Ins. Co., 548 S.W.2d 737 (Tex.Civ....

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