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Access over workers' compensation decisions, including En Banc, Significant Panel Decisions, and writ-denied cases.

Case No. MISSING
Regular Panel Decision

Rangel v. Hartford Accident & Indemnity Co.

Lorenzo Rangel appealed a summary judgment granted in favor of Hartford Accident & Indemnity Company regarding his bad faith claim. Rangel alleged Hartford delayed workers' compensation payments following a job-related accident in May 1988, with payments ceasing in October 1988 and resuming in February 1989 after an Industrial Accident Board (IAB) conference. The underlying compensation claim was settled for $29,000, and the Compromise Settlement Agreement (CSA), approved by the IAB, noted that the carrier's liability or extent of injury was uncertain. Hartford successfully moved for summary judgment based on collateral estoppel, arguing Rangel was precluded from relitigating the issue of uncertainty. The appellate court affirmed the summary judgment, concluding that the IAB's finding of uncertainty of liability provided a reasonable basis for Hartford's delay in payments, thus defeating Rangel's bad faith claim.

Workers' CompensationBad Faith ClaimDelay in PaymentSummary JudgmentCollateral EstoppelIssue PreclusionCompromise Settlement AgreementTexas Industrial Accident BoardReasonable Basis for DelayUncertainty of Liability
References
12
Case No. MISSING
Regular Panel Decision

Universe Life Insurance v. Giles

Justice Hecht's concurring opinion addresses the complex issues surrounding insurance bad-faith liability in Texas. He critiques the existing 'no reasonable basis' standard for its difficulty in appellate review, particularly due to the limitations of no-evidence review which prevents weighing conflicting evidence. He advocates for defining bad faith as 'unscrupulous, arbitrary conduct' and for treating the 'reasonably clear' liability standard as a legal question rather than a factual one. This approach, he argues, would provide clearer guidelines for insurers and enable meaningful judicial review, preventing juries from arbitrarily defining bad faith. Furthermore, he emphasizes that the requisite mental state for bad-faith liability should involve intentional or reckless conduct, not mere negligence. He concurs with the judgment that Universe Life wrongfully delayed Giles' claim (thus implying the claim for benefits was granted) but finds no evidence for punitive damages.

Insurance bad faithTexas lawtort liabilitycontractual disputesappellate reviewevidentiary standardsjudicial roleinsurer conductdamagespunitive damages
References
152
Case No. MISSING
Regular Panel Decision

Price v. Texas Employers' Insurance Ass'n

Appellant Bonnie F. Price appealed a summary judgment granted in favor of Texas Employers’ Insurance Association (TEIA) concerning her claim of bad faith in handling two workers' compensation claims. Price's initial workers' compensation claims were settled in March 1988, after which she initiated a separate bad faith claim against TEIA. TEIA successfully moved for summary judgment in the trial court, asserting that Price's bad faith claim was barred by res judicata/collateral estoppel due to the prior settlement judgment, that her previous agreements constituted judicial admissions, and that evidence negated essential elements of her bad faith claim. The appellate court reviewed the summary judgment, focusing on the applicability of collateral estoppel and judicial admissions stemming from the prior workers' compensation settlement. Ultimately, the appellate court affirmed the trial court's summary judgment, concluding that TEIA had successfully proven its affirmative defenses and negated elements of Price's bad faith claim.

Summary JudgmentWorkers' CompensationBad Faith ClaimDuty of Good Faith and Fair DealingRes JudicataCollateral EstoppelJudicial AdmissionSettlement AgreementAppellate ReviewInsurance Carrier Liability
References
11
Case No. MISSING
Regular Panel Decision

Rapid Settlements Ltd. v. SSC Settlements, LLC

This case involves an appeal and mandamus proceeding filed by Rapid Settlements, Ltd. and Rapid Management Corporation (Rapid) against SSC Settlements, L.L.C. and Stone Street Capital, Inc. (SSC). Rapid challenged a final summary judgment related to the transfer of structured settlement payments from William Prante. Rapid sought to stay litigation pending arbitration, arguing the dispute with SSC fell under an arbitration clause in their agreement with Prante, which also included a right of first refusal and a security interest. The appellate court denied the mandamus petition, vacated the trial court's denial of Rapid's motion to stay, and reversed parts of the summary judgment concerning Rapid's security interest and right of first refusal. The court affirmed the trial court's award of attorney's fees to SSC and its injunction preventing Rapid from compelling SSC to arbitrate.

Arbitration AgreementMandamus ProceedingSummary JudgmentDeclaratory JudgmentStructured SettlementRight of First RefusalSecurity InterestEquitable EstoppelDirect Benefits EstoppelContract Law
References
42
Case No. 2021 NY Slip Op 01050 [191 AD3d 884]
Regular Panel Decision
Feb 17, 2021

Matter of Faith A. M. (Faith M.)

The mother, Faith M., appealed an order from the Family Court, Kings County, which found her to have derivatively neglected her child, Faith A.M. This finding stemmed from a prior neglect determination in May 2014 concerning her other children due to excessive corporal punishment, which the court deemed proximate in time to the current proceeding. The evidence presented, including statements from siblings, testimony from a school counselor, and observations of injuries, corroborated the ongoing use of excessive corporal punishment. The Family Court's assessment of the mother's credibility, finding her denials incredible, was supported by the record, reinforced by her guilty plea to disorderly conduct related to similar allegations. The Appellate Division affirmed the Family Court's order, as the mother failed to provide evidence that the circumstances leading to the neglect finding no longer existed.

Child NeglectDerivative NeglectCorporal PunishmentFamily Court ActAppellate ReviewParental JudgmentPreponderance of EvidenceCredibilityPrior FindingsRisk of Harm
References
11
Case No. MISSING
Regular Panel Decision

Maryland Insurance Co. v. Head Industrial Coatings & Services, Inc.

This is an appeal in a bad faith insurance case involving Head Industrial Coatings and Services, Inc. (Head) and Maryland Insurance Company (Maryland). Head sued Maryland for denying a contractual liability claim, which was missing from its policy due to an agent's clerical error. The appellate court upheld the cause of action for bad faith, ruling that the agent's knowledge was imputable to Maryland, making the conduct knowingly wrongful. However, the court reduced Head's damage award to policy limits and reversed a statutory penalty. The case also involves a third-party action by Maryland against Gans & Smith Insurance Agency, which was remanded for a new trial due to issues with the jury's finding on breach of fiduciary duty.

Bad Faith InsuranceInsurance Code ViolationsContractual LiabilityAgent ErrorClerical ErrorIndemnity AgreementUnfair Claims Settlement PracticesDuty of Good Faith and Fair DealingImputed KnowledgeDamages Calculation
References
59
Case No. MISSING
Regular Panel Decision

Symetra Life Insurance v. Rapid Settlements, Ltd.

This case involves the National Association of Settlement Purchasers (NASP) seeking a permanent injunction against Rapid Settlements, Ltd., a factoring company. NASP alleged that Rapid Settlements improperly uses arbitration and enforces rights of first refusal and security interests in structured settlement payment rights without state-court approval, thereby circumventing state Structured Settlement Protection Acts (SSPAs). The court found that Rapid Settlements' practices illegally circumvent the SSPAs, cloud title to annuitants' payment rights, raise transaction costs for NASP members, and place them at a competitive disadvantage. The court rejected Rapid Settlements' defenses, including preemption by the Federal Arbitration Act and an 'unclean hands' argument against NASP. The court granted NASP's application, permanently enjoining Rapid Settlements from using arbitration or enforcing unapproved rights of first refusal and security interests to effectuate transfers of structured settlement payment rights.

Structured SettlementsFactoring CompaniesAnnuity PaymentsArbitrationInjunctionState LawFederal LawStructured Settlement Protection ActsRights of First RefusalSecurity Interests
References
33
Case No. 05-20-00859-CV
Regular Panel Decision
Aug 11, 2022

Full of Faith Christian Center, Inc., Full of Faith Christian Center Ministries, Full of Faith Christian Center Ministries, Inc., Calvin Ray Calhoun, and Peggy Calhoun v. Kenneth May & Desire Ophelia Fuentes-May

Kenneth May and Desire Ophelia Fuentes-May (Appellees) sued Full of Faith Christian Center, Inc. and related entities/individuals (Appellants) for nuisance, trespass, negligence, and unlawful diversion of water. A no-answer default judgment was entered against Appellants. Appellants challenged the default judgment, raising issues with citation, substituted service, and an unserved supplemental petition, among others. The appellate court found service and citation were not defective and upheld the denial of the motion for new trial on most grounds. However, the court reversed the award of punitive damages against appellants jointly and severally, remanding for a new trial solely on exemplary damages, and affirmed the trial court's judgment in all other respects.

Default JudgmentService of ProcessSubstituted ServicePunitive DamagesJoint and Several LiabilityMotion for New TrialAppellate ReviewTexas Civil ProcedureNuisanceTrespass
References
33
Case No. MISSING
Regular Panel Decision

In re Settlement Capital Corp.

Settlement Capital Corporation (SCC) sought court approval, under New York's Structured Settlement Protection Act (SSPA), to acquire $125,000 of a $225,000 annuity payment due to Richard C. Ballos on October 1, 2010. Ballos, a totally disabled father of two, agreed to transfer these rights for a net advance of $36,500, reflecting a 15.591% annual discount rate. The court, presided over by Justice Patricia E. Satterfield, denied the petition after a hearing on April 23, 2003. The decision hinged on a two-pronged test: whether the transfer was in Ballos's 'best interest' and if the transaction terms were 'fair and reasonable.' The court found that Ballos did not demonstrate 'true hardship' given his other income sources and previous transfer of structured settlement payments, concluding it was not in his or his dependents' best interest. Furthermore, the court deemed the 15.591% discount rate, resulting in Ballos receiving only 29% of the transferred amount, unconscionable and not 'fair and reasonable.'

Structured SettlementStructured Settlement Protection Act (SSPA)Annuity TransferDiscount RateBest Interest StandardFair and Reasonable StandardPayee ProtectionFinancial HardshipCourt ApprovalGeneral Obligations Law
References
12
Case No. MISSING
Regular Panel Decision

Liberty Mutual Fire Insurance Co. v. Crane

Donald Crane was injured in 1990 and settled a workers' compensation claim with Liberty Mutual for medical expenses over five years under Dr. Gunderson's care. When Dr. Gunderson recommended carpal tunnel surgery, which he believed was related to the original injury, Liberty Mutual denied authorization. Crane sued, alleging breach of the settlement agreement and bad faith, and a jury found in his favor, awarding actual, attorney's fees, and punitive damages. On appeal, the court affirmed the breach of contract, attorney's fees, and bad faith findings. However, the court reversed the punitive damages award, concluding that Liberty Mutual's conduct, while in bad faith, did not meet the "extreme level of harm" required for gross negligence under Transportation Ins. Co. v. Moriel.

Workers' CompensationBreach of ContractGood Faith and Fair DealingInsurance Bad FaithPunitive DamagesCarpal Tunnel SyndromeMedical Treatment DenialSettlement AgreementAgreed JudgmentAppellate Review
References
14
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