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

Case No. 04-25-00040-CV
Regular Panel Decision
Nov 26, 2025

Enrique Cantu and Bridgefield Casualty Insurance Company v. Javier A. Libson, Nosbil, Inc., Jose Luis Ramirez, Utica National Insurance Group, Utica National Insurance Company of Texas, Utica Mutual Insurance Company, and Republic Franklin Insurance Company

Appellants Enrique Cantu and Bridgefield Casualty Insurance Company appealed a no-evidence summary judgment. Cantu's claims of negligence per se, negligent hiring, training, retention, and negligent entrustment were affirmed. However, the summary judgment for Cantu's ordinary negligence claims was reversed and remanded. Additionally, the judgment favoring the insurance defendants (Utica National Insurance Group, Utica National Insurance Company of Texas, Utica Mutual Insurance Company, and Republic Franklin Insurance Company) was also reversed, as their motion for summary judgment was not properly heard. The case involved a collision between Cantu and Jose Luis Ramirez, an employee of Nosbil, Inc., in foggy conditions, leading to Cantu suing for negligence and insurance claims.

NegligenceAutomobile AccidentSummary JudgmentAppellate ReviewProximate CauseDuty of CareBreach of DutyCausationInsurance ClaimsVicarious Liability
References
36
Case No. 03-00-00427-CV
Regular Panel Decision
Aug 30, 2001

All American Life Insurance Company American General Life Insurance Company American National Insurance Company American National Life Insurance Company of Texas IDS Life Insurance Company And USLIFE Life Insurance Company v. Carole Keeton Rylander, Comptroller of Public Accounts of Texas And John Cornyn, Attorney General of Texas

Several insurance companies appealed a district court judgment affirming the Comptroller's assessment of premium and maintenance taxes on 'internal rollover' transactions, where policyholders transfer accumulation values within the same company for new policies. The Texas Court of Appeals, Third District, At Austin, reviewed the construction of Texas Insurance Code articles 4.11 and 4.17 de novo. The court determined that 'internal rollovers' do not involve funds being 'received' or 'collected' by the insurance companies, as the funds remain within the company. Therefore, these transactions are not subject to the premium and maintenance taxes. The judgment of the district court was reversed in part, and the case was remanded for a determination of the refund amounts owed to the companies.

Insurance LawTax LawPremium TaxInternal RolloversStatutory ConstructionTexas Court of AppealsInsurance CompaniesComptrollerGross PremiumsTax Refund
References
9
Case No. 01-01-00812-CV
Regular Panel Decision
Jan 09, 2003

the Texas Property and Casualty Insurance Guaranty Association for Reliance National Indemnity Company, an Impaired Insurer v. Martell Guillot

The Texas Property and Casualty Insurance Guaranty Association, acting for Reliance National Indemnity Company, appealed a summary judgment in favor of Martell Guillot. Reliance sought to claim statutory subrogation rights over proceeds from a 1995 lawsuit where Guillot was awarded $30,000 for a non-work-related automobile accident. Reliance argued that a portion of this award covered medical and income benefits it paid for Guillot's subsequent 1996 work-related injury. The appellate court affirmed the trial court's decision, holding that the defendant in the 1995 lawsuit was not liable for Guillot's compensable injury. The court concluded that the jury's award in the 1995 lawsuit was exclusively for the 1994 accident, thereby preventing a double recovery, and denied Reliance's claim.

Workers' CompensationSubrogation RightsSummary Judgment AppealThird-Party LiabilityAutomobile AccidentCompensable InjuryDouble Recovery PreventionInsurance Guaranty AssociationAppellate ReviewTexas Labor Code
References
5
Case No. 09-01-511 CV
Regular Panel Decision
Sep 26, 2002

American National Insurance Company, and American National Property and Casualty Company v. Frank E. Cannon, II, Clifton Mark Grayless, Deborah Glenn, and Robert Westover, Individually and on Behalf of All Other Similarly Situated

This is an interlocutory appeal from a class certification order. American National Insurance Company (ANICO) and American National Property and Casualty Company (ANPAC) appealed the certification of a class action brought by former agents (Frank E. Cannon II, Clifton Mark Grayless, Deborah Glenn, and Robert Westover). The agents alleged breach of contract, fraud, negligent misrepresentation, and violations of the Deceptive Trade Practices Act and Insurance Code, seeking declaratory judgments regarding non-compete provisions and repayment of advance agreements. The appellate court found that individual issues, such as the reasonableness of non-compete restrictions and reliance on oral representations for advance payments, predominated over common issues. Consequently, the court determined that the requirements for class certification under Texas Rule of Civil Procedure 42(b)(4), (b)(2), and (b)(1)(A) were not satisfied. The class certification order was vacated, and the case was remanded to the trial court for further proceedings consistent with the opinion.

Class ActionInterlocutory AppealContract DisputeNon-compete ClauseAgent AgreementsInsurance AgentsDeclaratory JudgmentStandingRipenessPredominance
References
20
Case No. CIV.A.H-98-1484
Regular Panel Decision
Aug 28, 2000

Sandwich Chef of Texas v. Reliance Nat. Indemnity Ins. Co.

Sandwich Chef of Texas, Inc. (d/b/a Wall Street Deli), as plaintiff, filed a class action against numerous insurance carriers, including Reliance National Indemnity Insurance Company, alleging that they defrauded employers by charging excessive workers' compensation premiums between May 1988 and January 1990. The plaintiff claims that the defendants utilized the National Council on Compensation Insurance, Inc. (NCCI) as a racketeering enterprise to commit mail and wire fraud. This was allegedly done by improperly factoring 'residual market charges' (RMLs) into premiums, which were purportedly unfiled and unapproved. The defendants moved for a Supplemental Motion for Summary Judgment, arguing that the plaintiff's claims failed to allege indictable acts of racketeering, lacked a basis for proving injury 'by reason of' alleged misrepresentations due to a 'presumption of knowledge' of filed rates, and were precluded by the McCarran-Ferguson Act. The United States District Court, S.D. Texas, Houston Division, denied the defendants' motion for summary judgment, finding that overbilling can constitute RICO mail fraud, that claims to enforce filed rates are not barred by the 'presumption of knowledge,' and that the McCarran-Ferguson Act did not preclude RICO's application as it complemented state regulations. The court also allowed the plaintiff's 'fraud-on-the-regulator' theory and conspiracy claims to proceed.

RICO ActWorkers' Compensation InsuranceMail FraudWire FraudClass ActionSummary JudgmentFiled Rate DoctrineInsurance FraudRetrospectively Rated InsuranceResidual Market Charges
References
15
Case No. 13-08-00589-CV
Regular Panel Decision
Nov 10, 2010

National Union Fire Insurance Company of Pittsburgh, Pa and Industrial Risk Insurers v. John Zink Company Fisher Controls Company, Inc. Fisher Controls International, Inc. Fisher Controls Installation and Service Company And Valtek, Inc.

This litigation, stemming from refinery explosions and fires in the 1980s, involved an appeal by National Union Fire Insurance Company and Industrial Risk Insurers (the Insurers) against various contractors (the Contractors). The Insurers, as subrogees of Valero Energy Corporation, sought damages for product liability, negligence, breach of contract, and Deceptive Trade Practices Act (DTPA) violations. The core legal dispute centered on whether the Contractors qualified as 'subcontractors' under a master contract between Valero and M.W. Kellogg Construction Company, which contained extensive waiver and release provisions. The appellate court affirmed the trial court's final summary judgment, concluding that the Contractors were indeed subcontractors, the express negligence doctrine did not apply to the post-act release, and Valero had validly waived its DTPA claims, thereby binding its subrogees.

Contractual WaiversSubrogation RightsSummary Judgment AppealExpress Negligence RuleDeceptive Trade Practices ActParol Evidence Rule ApplicationJudicial AdmissionsConstruction ContractsInsurance LitigationThird-Party Beneficiary
References
31
Case No. 06-1030
Regular Panel Decision
Aug 29, 2008

Zurich American Insurance Company, Federal Insurance Company, and National Union Fire Insurance Company v. Nokia, Incorporated

This is a dissenting opinion from Justice Hecht of the Supreme Court of Texas, joined by Justice Brister, concerning a petition for review by various insurance companies (Zurich American, Federal, National Union Fire) against Nokia, Inc. The central issue is whether the insurers have a duty to defend Nokia in class action lawsuits. These lawsuits allege "biological injury" from cellphone radiation but meticulously avoid claiming "bodily injury," instead seeking damages for the lack of provided headsets. Justice Hecht argues that despite a liberal interpretation rule for pleadings, these class action complaints do not trigger the insurers' duty to defend, as the damages claimed are not for personal injury and class counsel explicitly denied seeking personal injury compensation. He concludes that the majority's decision, which implies a duty to defend, rewards ambiguous pleading.

Insurance LawDuty to DefendClass ActionBodily InjuryBiological InjuryPleading InterpretationCellphone RadiationAppellate ReviewDissenting OpinionTexas Supreme Court
References
11
Case No. 01-19-00852-CV
Regular Panel Decision
Sep 21, 2021

National Union Fire Insurance Company of Pittsburgh, PA v. Exxon Mobil Corporation

This case involves two related appeals concerning insurance coverage for bodily injury claims against Exxon Mobil Corporation by its contractor's employees, Kevin Roberts and Arturo Munoz. National Union Fire Insurance Company of Pittsburgh, Pa. challenged a trial court's summary judgment in favor of Exxon and Starr Indemnity and Liability Insurance Company, arguing its umbrella policy did not provide coverage beyond its CGL policy, as dictated by the Exxon-Savage Contract. Exxon also challenged a summary judgment favoring Starr. The appeals court reversed the judgment against National Union, finding that 'Commercial General Liability insurance' in the contract referred only to primary coverage, not umbrella or excess policies. Consequently, Exxon was not entitled to coverage under National Union's umbrella policy. The court affirmed the summary judgment in favor of Starr, as its bumbershoot policy was also considered an umbrella policy. The case was remanded for reconsideration of attorney's fees and costs.

Insurance Policy InterpretationCommercial General LiabilityUmbrella Liability InsuranceExcess Liability InsuranceAdditional Insured EndorsementSummary Judgment ReviewBreach of ContractDeclaratory JudgmentAppellate ProcedurePersonal Injury Claims
References
34
Case No. 03-04-00342-CV
Regular Panel Decision
Jun 03, 2005

First American Title Insurance Company and Old Republic National Title Insurance Company v. Carole Keeton Strayhorn, Comptroller of Public Accounts of the State of Texas and Greg Abbott, Attorney General of the State of Texas

First American Title Insurance Company and Old Republic National Title Insurance Company, foreign title insurers in Texas, challenged the Comptroller's revised interpretation of retaliatory tax calculations. The new interpretation allowed insurers to include only 15% of the premium tax paid, instead of 100%, in determining their financial burden for retaliatory tax purposes, arguing that title agents bore the remaining 85%. The companies claimed this interpretation was incorrect and unconstitutional, leading to significantly higher taxes for foreign insurers. The district court granted summary judgment in favor of the Comptroller. The Court of Appeals affirmed the judgment, finding the Comptroller's interpretation reasonable, consistent with the statutes, and constitutional, as it served the legitimate governmental purpose of deterring other states from imposing excessive taxes on Texas-based insurers.

Retaliatory TaxTitle InsurancePremium TaxInsurance LawTax LawStatutory InterpretationSummary JudgmentConstitutional LawEqual ProtectionAdministrative Law
References
45
Case No. 13-00-645-CV
Regular Panel Decision
Nov 01, 2001

Maurice Robbins, as of the Estate of Charles M. Robbins v. Reliance Insurance Company and Schneider National Carriers, Inc.

This case involves an appeal from a summary judgment concerning accidental death benefits. Maurice Robbins, as executor of Charles M. Robbins' estate, sued Reliance Insurance Company and Schneider National Carriers, Inc., seeking $250,000 in benefits. The dispute arose from conflicting terms in a 'renewal certificate' and a 'renewal rider' regarding the benefit amount. The court also addressed a motion to stay based on a Pennsylvania court order, which was denied due to lack of jurisdiction and non-compliance with Texas law. The appellate court found an ambiguity in the insurance documents, construing it against the insurer, and reversed the trial court's summary judgment, rendering judgment in favor of the appellant for the higher benefit amount. The case is remanded for a determination of attorney's fees.

Accidental Death BenefitsInsurance PolicySummary JudgmentRenewal RiderRenewal CertificateContract InterpretationAmbiguityFull Faith and CreditPennsylvania LawTexas Insurance Code
References
25
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