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

Case No. 22-0585
Regular Panel Decision
May 17, 2024

Texas Department of Transportation v. Mark Self and Birgit Self

The Texas Department of Transportation (TxDOT) was sued by Mark and Birgit Self for negligence and inverse condemnation after a subcontractor cut down trees on the Selfs' property outside the State's right-of-way easement. The Supreme Court of Texas reversed the court of appeals' judgment on both counts. The Court held that the Tort Claims Act does not waive immunity for the Selfs' negligence claim because the subcontractor's employees were not in TxDOT's paid service, nor did TxDOT employees directly operate the equipment. However, the Court found a viable cause of action for inverse condemnation, concluding that TxDOT intentionally directed the destruction of the trees for public use, even if it mistakenly believed it had the legal right to do so. The negligence claim was dismissed, and the inverse condemnation claim was remanded for further proceedings.

Sovereign ImmunityInverse CondemnationNegligence ClaimTort Claims ActGovernment LiabilityProperty DamageRight-of-Way EasementSubcontractor LiabilityTree RemovalEminent Domain
References
65
Case No. 12-20-00082-CV
Regular Panel Decision
Jan 06, 2021

Sean Self v. West Cedar Creek Municipal Utility District

Sean Self appealed a take-nothing judgment granted to West Cedar Creek Municipal Utility District, dismissing Self’s suit for damages from sewage flooding his home. Self alleged negligent use of motor-driven equipment, premises defect, unconstitutional taking, non-negligent nuisance, and breach of contract. The appellate court affirmed the trial court's decision, finding that Self failed to establish a waiver of governmental immunity under the Texas Tort Claims Act for the motor-driven equipment claim, as the damages arose from a broken plastic coupler, not the motor-driven pump. The court also found no evidence to support the premises liability, takings, non-negligent nuisance, or breach of contract claims, thus the District retained immunity.

Governmental ImmunityTexas Tort Claims ActPlea to JurisdictionMotor-Driven EquipmentPremises DefectInverse CondemnationBreach of ContractNon-negligent NuisanceSewage FloodMunicipal Utility District
References
36
Case No. 05-22-00898-CV
Regular Panel Decision
Dec 12, 2023

City of Euless, Self-Insured v. Marta Danylyk, Helmut Hofer, Sofija Hofer and the Texas Subsequent Injury Fund

This case involves a dispute over an informal marriage and the proper recipient of worker's compensation death benefits. David Hofer, a police officer for the City of Euless, was killed in the line of duty. The Texas Department of Insurance, Division of Workers’ Compensation (DWC) determined Marta Danylyk was Hofer's surviving spouse and entitled to death benefits. Appellant City of Euless, Hofer's self-insured employer, unsuccessfully challenged this determination in the district court. Euless appealed the trial court’s judgment, asserting legal and factual insufficiency of the evidence to support the jury’s finding of an informal marriage and challenging refused jury instructions. The Court of Appeals affirmed the trial court's judgment, concluding the evidence was sufficient to establish Danylyk and Hofer agreed to be married and represented themselves to others as married.

Informal MarriageCommon-law MarriageWorker's Compensation Death BenefitsSpousal EligibilitySufficiency of EvidenceAppellate ReviewTexas Family LawTexas Labor LawPolice Officer DeathSelf-Insured Employer
References
28
Case No. M2009-02442-COA-R3-CV
Regular Panel Decision
Oct 28, 2010

Estate of David Holt Ralston, by John A. Ralston, Personal Representative v. Fred R. Hobbs

The personal representative of David Holt Ralston's estate filed an action to rescind twelve deeds executed by Fred R. Hobbs, the decedent's attorney-in-fact, without the decedent's knowledge and for no consideration. The properties were conveyed to Hobbs, his mother, and his daughter. The personal representative alleged breach of fiduciary duty. The trial court rescinded the conveyances for properties still owned by Hobbs and awarded monetary damages for properties transferred to innocent third parties. On appeal, Hobbs challenged the personal representative's standing, statute of limitations, the finding of fiduciary duty breach, and damage calculation. The Court of Appeals affirmed the trial court's decision on all grounds, finding the personal representative had standing, the action was timely filed, and Hobbs breached his fiduciary duty by making unauthorized gifts not in line with the principal's gifting history.

Fiduciary DutyPower of AttorneyReal Property ConversionStatute of LimitationsDeed RescissionMonetary DamagesAppellate ReviewEstate LawUndue InfluenceAttorney-in-Fact Breach
References
32
Case No. MISSING
Regular Panel Decision

Heggie v. Cumberland Electric Membership Corp.

Christopher A. Heggie, an employee, died during employment due to contact with CEMC's electrical wires. TCSA, the workers' compensation carrier for Montgomery County, paid death benefits to Heggie's representative. The representative then sued CEMC for negligence, and TCSA intervened to protect its subrogation interest. The representative settled with CEMC for $25,000, with the agreement explicitly preserving TCSA's rights against CEMC. However, the trial court granted TCSA's motion, ruling that TCSA had a subrogation lien on the settlement funds. The appellate court affirmed, holding that an employee cannot circumvent an employer's statutory subrogation lien by preserving the employer's rights against a third-party tortfeasor in a settlement agreement.

Workers' CompensationSubrogation LienSettlement AgreementThird-Party TortfeasorStatutory InterpretationEmployee RightsEmployer ReimbursementAppellate ReviewVoluntary Non-SuitDeath Benefit
References
8
Case No. 03-22-00241-CV
Regular Panel Decision
Oct 31, 2023

Texas Political Subdivisions Joint Self-Insurance Fund v. Texas Department of Insurance - Division of Workers' Compensation and Commissioner Cassie Brown in Her Official Capacity

The Texas Political Subdivisions Joint Self-Insurance Fund (TPS Fund) appealed the denial of its plea to the jurisdiction and summary-judgment motion by the 455th District Court of Travis County. The TPS Fund, a self-insured governmental entity, was assessed administrative penalties totaling $132,500 by the Texas Department of Insurance–Division of Workers’ Compensation for violations of the Texas Labor Code related to nonpayment or late payment of workers’ compensation benefits. The TPS Fund asserted governmental immunity from these penalties. The Court of Appeals reviewed the legislative history and prior common law, including Texas Workers’ Comp. Comm’n v. City of Eagle Pass, to determine if immunity was waived. It concluded that the 2019 amendment to Labor Code Section 504.053(e) merely codified existing law, which had already established a clear waiver of immunity for such regulatory actions against self-insured political subdivisions. Therefore, the appellate court affirmed the trial court’s order, holding that the TPS Fund’s governmental immunity is waived for the administrative penalties.

Workers' CompensationGovernmental ImmunityAdministrative PenaltiesTexas Labor CodeSelf-InsurancePolitical SubdivisionsStatutory InterpretationAppellate ReviewRegulatory AuthoritySovereign Immunity
References
13
Case No. 2018 NY Slip Op 08737
Regular Panel Decision
Dec 20, 2018

NYAHSA Servs., Inc., Self-Insurance Trust v. Recco Home Care Servs., Inc.

This case concerns an appeal from an order of the Supreme Court in Albany County. Plaintiff NYAHSA Services, Inc., Self-Insurance Trust, a self-insured trust providing workers' compensation coverage, sued defendant Recco Home Care Services, Inc. for unpaid adjustments after the defendant terminated its membership. Following an amendment to the complaint adding individual trustees as plaintiffs, the defendant asserted counterclaims for fraud, breach of fiduciary duty, and negligence against these trustees, which the Supreme Court dismissed as time-barred. The defendant also sought to amend its answer to include a counterclaim under General Business Law, which was denied. The Appellate Division, Third Department, found that the Supreme Court erred in dismissing the counterclaims for fraud and breach of fiduciary duty and in denying the cross-motion to amend for the General Business Law claim. Consequently, the Appellate Division modified the Supreme Court's order, reversing parts of the dismissal and denial, and affirmed the order as modified.

Workers' Compensation CoverageSelf-Insurance TrustFraud AllegationsBreach of Fiduciary DutyGeneral Business LawStatute of LimitationsAmended PleadingsCounterclaimsAppellate ReviewMotion to Dismiss
References
2
Case No. MISSING
Regular Panel Decision

Employers Casualty Co. v. Texas Ass'n of School Boards Workers' Compensation Self-Insurance Fund

This case is an interlocutory appeal challenging a district court's order granting class certification to the Texas Association of School Boards Workers’ Compensation Self-Insurance Fund (the Fund) and several school districts. The Fund, representing past and present members, sued Employers Casualty Company and other servicing agents (defendants) for alleged misrepresentation and breach-of-contract regarding workers' compensation claims handling and medical cost containment services. The defendants raised points of error concerning standing, the certification hearing, and compliance with Texas Rule of Civil Procedure 42 prerequisites (numerosity, commonality, typicality, representativeness) and maintenance criteria. The appellate court affirmed the district court's decision, finding the Fund had standing, the hearing was properly conducted, and the class met the Rule 42 requirements for certification as a (b)(4) class.

Class ActionWorkers' CompensationSelf-Insurance FundInterlocutory AppealTexas Civil ProcedureRule 42StandingNumerosityCommonalityTypicality
References
15
Case No. 08-15-00079-CV
Regular Panel Decision
Dec 21, 2016

County of El Paso, Self-Insured v. Mary Orozco

Ruben Orozco, an El Paso County deputy sheriff, tragically died in a car accident while returning home from an extra-duty security assignment. His wife, Mary Orozco, sought death benefits from the self-insured County, which denied the claim, arguing Ruben was not in the course and scope of his employment. Initially, a hearing officer found the injury compensable, but the Appeals Panel reversed this, concluding Ruben was merely commuting. The trial court sided with Mary, granting her motion for summary judgment. However, the Court of Appeals reversed, holding that Ruben was not actively engaged in law enforcement duties at the moment of the accident, thus not acting within the course and scope of his employment.

Workers' CompensationScope of EmploymentAutomobile AccidentDeputy SheriffExtra-Duty AssignmentCommuting RuleDual-Purpose TravelSummary JudgmentDeath BenefitsTexas Law
References
22
Case No. 03-09-00682-CV
Regular Panel Decision
Mar 23, 2011

Austin ISD, Self-Insured v. Charles M. Manbeck

This case originated from a workers' compensation dispute where Austin ISD (AISD), a self-insured governmental entity, sought judicial review of a Division of Workers’ Compensation decision regarding the extent of Charles M. Manbeck's injury. Manbeck, the claimant, counterclaimed for attorneys' fees under Labor Code section 408.221(c). AISD later non-suited its judicial-review claim, and the case proceeded solely on Manbeck's counterclaim for attorneys' fees. The district court awarded Manbeck $36,000 for trial-level fees incurred before AISD's non-suit, $17,415 for fees incurred after the non-suit, and contingent appellate attorneys' fees. On appeal, the court affirmed the award of $36,000 for fees incurred prior to AISD's non-suit but reversed and rendered judgment that Manbeck take nothing on the claims for fees incurred after the non-suit and contingent appellate fees, holding that Labor Code section 408.221(c) does not authorize recovery of 'fees for fees'.

Workers' Compensation ActAttorneys' FeesJudicial ReviewExtent of InjurySelf-Insured EntityLabor Code Section 408.221(c)American RuleFee ShiftingStatutory ConstructionSufficiency of Evidence
References
40
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