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

Case No. 13-04-663-CV
Regular Panel Decision
Jan 04, 2007

Synagro of Texas - CDR, Inc. v. AON Risk Services of Texas, Inc.

Synagro of Texas-CDR, Inc. appealed the amount of damages awarded to Aon Risk Services of Texas, Inc. on its breach of contract counterclaim. Synagro, a waste management company, challenged the sufficiency of the evidence supporting the $250,863.49 awarded to Aon Risk, an insurance broker, for unpaid insurance premiums and commissions. Synagro argued that Aon Risk had not paid the amount to the insurer and that a statute of limitations defense could be raised. The Court of Appeals found Synagro's arguments regarding limitations and mitigation efforts to be misplaced, as they pertained to Aon Risk's potential actions, not Synagro's. The court concluded that the evidence was legally and factually sufficient to support the damages awarded and affirmed the trial court's judgment.

AppealBreach of ContractDamagesInsurance BrokerSufficiency of EvidenceStatute of LimitationsMitigation of DamagesContract PriceLost ProfitsTexas Law
References
8
Case No. 03-98-00022-CV
Regular Panel Decision
Aug 26, 1999

Concho Residential Service, Inc. v. MHMR Services for the Concho Valley A/K/A Concho Valley Center for Human Advancement, in Its Capacity as an Unincorporated Association, Its Capacity as a Mental Retardation Authority, and as a Purported Community MHMR Center

Concho Residential Services, Inc. (CRS) sued MHMR Services for the Concho Valley and 22 others for damages and injunctive relief, alleging statutory and common-law causes of action. The trial court rendered summary judgment, which CRS appealed. The appellate court affirmed the summary judgment in part, finding that community centers are governmental entities entitled to sovereign immunity, thus dismissing antitrust, RICO, DTPA, and common-law tort claims. It also dismissed CRS's claim for injunctive relief due to lack of standing and claims under the Persons with Mental Retardation Act. The summary judgment for Hale County was also affirmed.

Antitrust ImmunityState Action ExemptionSovereign ImmunityMental Health ServicesMental Retardation ServicesCommunity CentersGovernmental EntitiesSummary JudgmentAppellate ReviewStanding
References
23
Case No. ADJ2668495 (SAL 0120174) ADJ1907387 (SAL 0120175) ADJ8804047
Regular
Aug 02, 2010

ORESTE (RUSTY) LOCATELLI vs. COUNTY OF SANTA CRUZ, OCTAGON RISK SERVICES

This order denies the applicant's petition for reconsideration in a workers' compensation case against the County of Santa Cruz and Octagon Risk Services. The Workers' Compensation Appeals Board adopted and incorporated the reasoning of the workers' compensation administrative law judge's report. Therefore, the petition for reconsideration is formally denied.

Petition for ReconsiderationWorkers' Compensation Appeals BoardWCJ reportdeny reconsiderationLocatelli v. County of Santa CruzOctagon Risk ServicesADJ2668495ADJ1907387ADJ8804047administrative law judge
References
0
Case No. MISSING
Regular Panel Decision
Dec 11, 2008

Texas Health Insurance Risk Pool v. Southwest Service Life Insurance Co.

Southwest Service Life Insurance Company and Regal Life of America Insurance Company initiated a declaratory-judgment action against the Texas Health Insurance Risk Pool, challenging their liability for certain assessments. The central legal question involved the interpretation of "other limited benefit coverage" under Texas Insurance Code Ann. § 1506.002(b)(7) to determine if the plaintiffs' policies were exempt from these assessments. The trial court granted summary judgment for the insurance companies and awarded attorney's fees. On appeal, the court affirmed, concluding that the policies did fall under the statutory exception, rejecting the Pool's arguments for a narrower interpretation and finding the attorney's fee award appropriate.

Declaratory JudgmentStatutory ConstructionInsurance LawHealth InsuranceRisk PoolLimited Benefit CoverageSummary JudgmentAttorney's FeesAppellate ReviewHIPAA
References
36
Case No. MISSING
Regular Panel Decision

New York State Workers' Compensation Board v. Consolidated Risk Services, Inc.

The New York State Workers’ Compensation Board, acting as a governmental agency and successor in interest to several insolvent workers' compensation self-insured trusts, commenced an action against a third-party administrator (Consolidated Risk Services, Inc.), its employees, related corporate entities, insurance brokers (including Hickey-Finn & Co., Inc.), former trustees of one of the trusts (RITNY), and an actuarial firm (Regnier Consulting Group, Inc.). The plaintiff alleged misconduct and malfeasance by the defendants led to trust insolvencies and sought to recover accumulated deficits. The case involves cross appeals challenging the Supreme Court’s partial dismissal of the complaint, specifically concerning the timeliness of claims for breach of fiduciary duty, fraud, fraudulent inducement, breach of contract, and common-law indemnification, applying the repudiation and discovery rules for statute of limitations. The Appellate Division modified the Supreme Court's order by dismissing specific claims against Hickey-Finn & Co., Inc., broadening the temporal scope of breach of fiduciary duty claims against other defendants, and reinstating common-law indemnification claims against several RITNY trustees, affirming the order as modified and remitting the case.

Workers' CompensationBreach of Fiduciary DutyFraudFraudulent InducementBreach of ContractCommon-Law IndemnificationStatute of LimitationsRepudiation RuleDiscovery RuleTrust Insolvency
References
27
Case No. 03-97-00191-CV
Regular Panel Decision
Oct 16, 1997

Carol A. Milner v. City of Leander, Texas Municipal League Intergovernmental Risk Pool, and Axia Services, Inc.

Appellant Carol A. Milner moved the Court of Appeals to compel the filing of the clerk's record or to maintain her appeal. Milner had sued appellees City of Leander, Texas Municipal League Intergovernmental Risk Pool, and Axia Services, Inc., following a Texas Workers' Compensation Commission decision on her claim for benefits. She alleged breach of duty of good faith and fair dealing, and sought a declaratory judgment and judicial review. The trial court granted summary judgments for each appellee on the breach of duty claim. However, the Court of Appeals found the orders were not appealable because they did not resolve all claims and parties, specifically Milner's claims for declaratory judgment and judicial review. Lacking a final judgment or severance, the appeal was dismissed for want of jurisdiction.

Texas Court of AppealsAppellate ProcedureSummary JudgmentFinal Judgment RuleJurisdictionWorkers' CompensationInterlocutory AppealWant of JurisdictionDeclaratory JudgmentJudicial Review
References
2
Case No. 11-06-00187-CV
Regular Panel Decision
Aug 21, 2008

Law Offices of Miller & Bicklein v. Deep East Texas Self-Insurance Fund and Risk Management Services

The Law Offices of Miller & Bicklein sued Deep East Texas Self-Insurance Fund and Risk Management Services over attorney's fees under Tex. Lab. Code Ann. § 417.003, along with claims for unfair insurance practices and Deceptive Trade Practices-Consumer Protection Act violations. The trial court awarded Miller & Bicklein a partial amount for attorney's fees under Section 417.003 but granted summary judgment against them on the other claims. Miller & Bicklein appealed, arguing error in the summary judgment and refusal to award additional attorney's fees. The Eleventh Court of Appeals affirmed the trial court's orders, finding no error in the summary judgment regarding DTPA and insurance practices claims, and no abuse of discretion in denying additional attorney's fees under the Declaratory Judgments Act.

Workers' CompensationAttorney's FeesSummary JudgmentDTPAUnfair Insurance PracticesDeclaratory Judgments ActAppellate ReviewSubrogation InterestLegal EthicsTexas Jurisprudence
References
24
Case No. 03-07-00429-CV
Regular Panel Decision
Dec 12, 2008

Texas Health Insurance Risk Pool v. Southwest Service Life Insurance Company and Regal Life of America Insurance Company

Southwest Service Life Insurance Company and Regal Life of America Insurance Company (Appellees) brought a declaratory-judgment action against the Texas Health Insurance Risk Pool (Appellant) to challenge assessments levied against them, arguing their policies qualified as 'other limited benefit coverage' under the Texas Insurance Code. The trial court granted summary judgment in favor of the Appellees and awarded attorney's fees. The Pool appealed, contending the summary judgment was erroneous and the attorney's fee award should be reversed. The appellate court affirmed the trial court's judgment, holding that the policies issued by Southwest and Regal were indeed covered by the 'limited benefit coverage' exception, and thus the summary judgment and attorney's fee award were proper.

Insurance LawHealth InsuranceStatutory ConstructionDeclaratory JudgmentSummary JudgmentAttorney's FeesTexas Insurance CodeLimited Benefit CoverageHIPAAAdministrative Law
References
15
Case No. 13-13-00205-CV
Regular Panel Decision
Dec 19, 2014

Aon Risk Services Southwest, Inc. v. C.L. Thomas, Inc. and Speedy Stop Food Stores, LLC.

Aon Risk Services Southwest, Inc. (Aon) appeals a judgment in favor of Speedy Stop Food Store, LLC and C.L. Thomas, Inc. (Thomas). Aon was Thomas's insurance broker and was alleged to have breached a fee agreement by advising Thomas that copyright infringement coverage did not exist for the Interplan Suit and for failing to timely notify Lexington Insurance Company of the suit. Thomas incurred substantial attorney's fees defending the Interplan Suit, which was later dismissed. The trial court determined that the Lexington Policy would have provided coverage if timely notice had been given. Aon contended that Thomas could not bring a breach of contract claim, that the award of attorney's fees was improper, and that there was insufficient evidence for the attorney's fee award. The Court of Appeals affirmed the trial court's judgment, finding no error in the legal determination of coverage, the breach of contract claim, or the award of attorney's fees.

Insurance Broker LiabilityBreach of ContractDuty to DefendAttorney FeesCopyright InfringementSummary JudgmentEight-Corners RuleInsurance Coverage DisputeTimely NoticeAppellate Review
References
16
Case No. 03-10-00709-CV
Regular Panel Decision
Aug 31, 2011

Green Tree Servicing, LLC, as Authorized Servicing Agent for Conseco Finance Servicing Corporation v. Travis County

Green Tree Servicing, LLC appealed a post-answer default judgment concerning ad valorem taxes on mobile homes. The original suit was filed by Travis County and other entities against Conseco Finance Servicing Corporation, later substituted with Green Tree. Green Tree failed to appear at trial, resulting in a default judgment. Green Tree filed a motion for new trial, asserting its failure to appear was due to an accident or mistake (attorney transition) and that it had a meritorious defense, arguing that as a repossessing lienholder and not an owner, it was not liable for the taxes under Texas Tax Code Ann. § 32.07. The appellate court applied the Craddock test and found that Green Tree satisfied all three elements. The court adopted the interpretation that a repossessing lienholder is not considered an 'owner' under the tax code. Consequently, the appellate court reversed the trial court's judgment and remanded the case for a new trial.

Post-answer default judgmentAd valorem taxesMobile homesLienholder liabilityProperty ownershipMeritorious defenseCraddock testNew trialStatutory interpretationTexas Tax Code
References
22
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