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Case Law Database

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

Case No. MISSING
Regular Panel Decision

United States v. Raymond & Whitcomb Co.

The United States, on behalf of the Postal Service, sued Raymond & Whitcomb Co. (R&W) for misusing non-profit mail rates, resulting in a $398,960.05 deficiency, bringing claims under the Federal Debt Collection Procedure Act, unjust enrichment, and the False Claims Act. The court found that R&W, a for-profit entity, collaborated with non-profit institutions (Metropolitan Museum of Art and Smithsonian Institution) on travel programs, and its significant financial stake in these ventures made the mailings ineligible for non-profit rates. Consequently, summary judgment was granted to the United States on the Federal Debt Collection Procedure Act and unjust enrichment claims, ordering R&W to pay the deficiency. However, the court denied both parties' motions for summary judgment on the False Claims Act count, determining that a genuine issue of material fact existed regarding R&W's knowledge of the falsity of the mailing statements—specifically, whether their actions constituted reckless disregard or mere negligence. The case will proceed to trial to resolve the scienter element of the False Claims Act claim, while the debt for the misused postage is established.

Mail fraudNon-profit mail rateFalse Claims ActFederal Debt Collection Procedure ActUnjust enrichmentSummary judgmentCooperative mailingsPostal Service regulationsScienterReckless disregard
References
32
Case No. MISSING
Regular Panel Decision

Hannah v. American Republic Insurance

Phil Hannah filed an action against American Republic Insurance Company (ARIC), alleging interference with his ERISA rights under 29 U.S.C. § 1140 due to employment termination, and wrongful denial of benefits under 29 U.S.C. § 1132. Hannah’s employment with Americare, an ARIC subsidiary, was terminated in August 2004, after which he signed a Separation Agreement and Release. The Court granted ARIC’s motion for summary judgment on the ERISA § 510 claim, finding the Release valid and rejecting Hannah’s argument of economic duress. For the ERISA § 502 claim, the Court also ruled in favor of ARIC, determining that Hannah failed to exhaust administrative remedies as required by the Plan, and found his futility and waiver arguments to be without merit. Consequently, the Court granted ARIC’s motion for entry of judgment on the benefits claim, denied Hannah’s motion for summary judgment, and dismissed the entire case with judgment entered in favor of the Defendant.

ERISASummary JudgmentEmployee Benefits PlanWrongful TerminationAdministrative RemediesEconomic DuressRelease AgreementWaiver of ClaimsFutility DoctrineDeferred Compensation
References
12
Case No. 2015-06-0886
Regular Panel Decision
Apr 26, 2017

Riley, Patrick v. Group Electric

This case addresses Group Electric's motion for summary judgment in a workers' compensation claim filed by employee Patrick Riley for a left hand and wrist injury sustained at work on June 8, 2015. The Court had previously conducted an expedited hearing, finding Riley a credible witness and rejecting Group Electric's arguments regarding the injury date. Group Electric's motion for summary judgment relied on a causation opinion letter from Dr. Todd Wurth, which was based on a factual assertion (an incorrect injury date) already rejected by the Court. Furthermore, the motion was found deficient as Dr. Wurth's opinion was presented as an unsworn letter rather than an affidavit or deposition testimony as required by Rule 56 of the Tennessee Rules of Civil Procedure. Consequently, the Court denied Group Electric's motion for summary judgment.

Summary JudgmentMotion DenialWorkers' CompensationInjury at WorkOrthopedic InjuryCausation OpinionRule 56Civil ProcedureCredibility FindingExpedited Hearing
References
3
Case No. MISSING
Regular Panel Decision
Apr 28, 2004

Maraia v. Valentine

The plaintiffs appealed from an order vacating a prior award of summary judgment in their favor and from a judgment, based on a jury verdict, dismissing their complaint in an action for breach of contract. The defendant, an electrical contractor, was accused by Local 363, International Brotherhood of Electrical Workers, AFL-CIO, of operating a nonunion business and failing to comply with union bylaws regarding the timely filing of charges. The Supreme Court properly vacated the summary judgment, finding a triable issue of fact concerning compliance with the union's constitution. The appellate court dismissed the appeal from the intermediate order as direct appeal terminated with the entry of judgment, but affirmed the final judgment, upholding the dismissal of the complaint.

Breach of ContractSummary JudgmentJury VerdictUnion BylawsAppellate ReviewProcedural LawLabor DisputeDismissal of ComplaintTriable Issue of FactInterlocutory Appeal
References
7
Case No. MISSING
Regular Panel Decision
Apr 15, 1998

Lawless v. Kera

The plaintiff was awarded partial summary judgment on a Labor Law § 240 (1) cause of action, which imposes absolute liability on property owners and contractors for injuries from lack of safety devices when a worker falls from a height. Defendant Michael Kera, a third-party plaintiff and experienced in construction, appealed, arguing he fell under the statutory exception for one- and two-family dwelling owners who don't direct or control the work. The court found Kera did not qualify for the exemption because he was building the house solely for commercial purposes (selling it). The court also denied Kera's cross motion for summary judgment on the third-party complaint and the cross motion of Kera Construction Corp. and Vanessa Development Co., Inc., for summary judgment dismissing the complaint due to existing triable issues of fact. The order was affirmed, upholding the plaintiff's partial summary judgment and denying the defendants' cross motions.

Labor LawPersonal InjurySummary JudgmentAbsolute LiabilityStatutory ExceptionCommercial PurposeHomeowner ExemptionConstruction BusinessTriable Issues of FactContributory Negligence
References
10
Case No. MISSING
Regular Panel Decision
Mar 31, 2004

Santillan v. National Union Fire Insurance Co.

The Appellant appealed the trial court's granting of a 'no evidence' summary judgment in a worker's compensation claim seeking supplemental income benefits. The appellate court reviewed the Appellant's brief and found it to be deficient, noting a lack of clear issues, inadequate citations to authority and the record, and unsubstantial argument. Citing non-compliance with the Texas Rules of Appellate Procedure, the court concluded that the Appellant's issue was waived due to inadequate briefing. Consequently, the appellate court affirmed the trial court's judgment.

Worker's CompensationSummary JudgmentAppellate ProcedureBriefing DeficienciesWaiver of IssueTexas Labor CodeJudicial ReviewSupplemental Income BenefitsAffirmation of JudgmentTexas Rules of Appellate Procedure
References
4
Case No. MISSING
Regular Panel Decision

Pearl v. Sam Greco Construction Inc.

Plaintiff, an employee of Monahan & Loughlin, Inc. (M & L), suffered serious injuries after sliding off a roof at a construction site while attempting to access safety equipment. He initiated an action against the general contractor, Sam Greco Construction, Inc., and other entities, alleging violations of Labor Law §§ 200, 240 (1), and 241 (6). The Supreme Court initially granted defendants' motions for summary judgment, asserting that the plaintiff's conduct was the sole proximate cause of his injuries. However, on appeal, the court determined that the safety equipment provided was improperly stored and not adequately placed, constituting a statutory violation that proximately caused the plaintiff's fall. Consequently, the appellate court ruled that the plaintiff's actions could not be the sole proximate cause of his injuries, nor did the recalcitrant worker doctrine apply. The judgment was modified, denying the defendants' motion and granting the plaintiff partial summary judgment on his Labor Law § 240 (1) claim, leaving only the determination of damages.

Labor Law § 240(1)Construction AccidentWorkplace SafetySummary JudgmentAppellate ReviewProximate CauseComparative NegligenceRecalcitrant Worker DoctrineRoofingFall from Height
References
7
Case No. MISSING
Regular Panel Decision

Lim Kwock Soon v. Brownell

This case involves a prior judgment from 1958 which declared Lim Kwock Soon and Lim Kwock Min as U.S. nationals and citizens, following a reversal and remand by the Court of Appeals due to a finding of mistake by the district court. In 1966, a stipulation was filed by the plaintiffs, acknowledging that a fraud was perpetrated upon the court in the original case and agreeing to vacate the 1958 judgment and dismiss their petition with prejudice. Subsequently, the defendant filed a motion to formally vacate the judgment and enter a new judgment in accordance with this stipulation. However, the District Judge denied this motion, expressing serious doubt about the court's authority to alter a Court of Appeals' order without further direction and considering the case closed. The judge also requested clarification on the fact-finding authority of a district judge in non-jury cases.

FraudVacating JudgmentMotion DeniedDistrict Court AuthorityAppellate ReviewStipulationCitizenshipNationalsCredibility of WitnessesFact-Finding
References
37
Case No. 07-19-00350-CV
Regular Panel Decision
Nov 04, 2021

Michelle Latray as Receiver of the Assets of Clifton Boatright for the Benefit of Judgment Creditors W.L. Roberts, Dana Roberts, Erin Leigh Roberts, and Katelyn Robert Gonzales v. Colony Insurance Company D/B/A Colony Specialty Insurance Co.

Michelle Latray, acting as a receiver for judgment creditors of Clifton Boatright, appealed a summary judgment ruling which found Colony Insurance Company had no duty to defend or indemnify Boatright. Latray argued the trial court erred because Colony had a duty to defend and indemnify Boatright for damages caused by dumping debris and damaging fences, asserting the acts were negligent rather than intentional, or at least the fence damage was. The Court of Appeals, Seventh District of Texas at Amarillo, denied Latray's motion for rehearing. It affirmed the trial court's judgment, concluding that Boatright's act of dumping debris was intentional, thus not an 'occurrence' covered by the policy. Although the damage to fencing was negligent, the policy's auto exclusion applied to the use of the dump truck and trailer, negating Colony's duty to defend or indemnify for those damages as well.

Insurance CoverageDuty to DefendDuty to IndemnifySummary JudgmentAuto ExclusionIntentional TortsNegligenceProperty DamageDebris DumpingReceiver
References
51
Case No. MISSING
Regular Panel Decision

XL Specialty Insurance v. Kiewit Offshore Services, Ltd.

This memorandum opinion addresses cross-motions for summary judgment in a case originating from an explosion that killed two workers, one each from Kiewit Offshore Services, LTD (general contractor) and R.B.T. Welders, Inc. (subcontractor). Relatives of the deceased workers filed a negligence lawsuit. XL Specialty Insurance Company, RBT's insurer, initiated a declaratory judgment action against Kiewit, denying a duty to defend or indemnify. Kiewit, in turn, sought indemnification from RBT and coverage from XL. The Court granted Kiewit's motion for summary judgment in part, holding RBT must indemnify Kiewit for a $4 million settlement payment, specific attorney's fees, and prejudgment interest, finding Kiewit faced potential liability and the settlement was reasonable. The Court denied Kiewit's claim for undocumented expenses and denied XL's motion for summary judgment asserting statutory employer and borrowed servant defenses under workers' compensation laws for Kiewit, concluding these defenses were not applicable.

Summary JudgmentIndemnificationWorkers' CompensationInsurance CoverageDeclaratory JudgmentEmployer LiabilityContractual IndemnityBorrowed Servant DoctrineStatutory EmployerNegligence
References
19
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