Fairfield Insurance Co. v. Stephens Martin Paving, LP
Full Opinion (html_with_citations)
delivered the opinion of the Court,
This case is before the Court on a certified question from the United States Court of Appeals for the Fifth Circuit: âDoes Texas public policy prohibit a liability insurance provider from indemnifying an award for punitive damages imposed on its insured because of gross negligence?â Fairfield Ins. Co. v. Stephens Martin Paving, LP, 381 F.3d 435, 437 (5th Cir.2004). Pursuant to article V, section 3-c of the Texas Constitution and rule 58.1 of the Texas Rules of Appellate Procedure, we answer that Texas public policy does not prohibit coverage under the type of workersâ compensation and employerâs liability insurance policy at issue in this case.
I. FACTUAL AND PROCEDURAL BACKGROUND
Stephens Martin Paving, a highway paving company, employed Roy Edward Bennett as a brooming machine operator. On December 20, 2002, Bennett died as a result of injuries that occurred when a brooming machine rolled over. Stephens Martin Paving carried a workersâ compensation and employerâs liability insurance policy, issued by Fairfield Insurance Company. Fairfield paid workersâ compensation benefits to Bennettâs wife and children under the policy in accordance with Texas workersâ compensation law.
On January 24, 2003, Bennettâs survivors sued Stephens Martin Paving for gross negligence, seeking exemplary damages because Stephens Martin Paving allegedly failed to provide a safe place to work,
On February 24, 2003, Fairfield sued Stephens Martin Paving and Bennettâs survivors in federal district court, seeking a declaratory judgment that Fairfield owed no duty to defend or indemnify Stephens Martin Paving in the suit for exemplary damages. Relying on Ridgway v. Gulf Life Insurance Co., 578 F.2d 1026, 1029 (5th Cir.1978), the federal district court concluded that the language in Fair-fieldâs policy covers exemplary damages and that Texas public policy does not prohibit insurance coverage of those damages. The court denied Fairfieldâs motion for summary judgment and entered a judgment declaring that Fairfield has a duty to defend Stephens Martin Paving and a duty to indemnify Stephens Martin Paving as provided by the policy if Stephens Martin Paving is adjudicated responsible for the damages sought in the underlying suit brought by Bennettâs survivors (either by judgment or settlement). Fairfield appealed, and the Fifth Circuit certified to this Court the question of the insurability of exemplary damages for gross negligence. Fairfield Ins. Co., 381 F.3d at 437; Tex.R.App. P. 58.1.
II. COVERAGE OF EXEMPLARY DAMAGES FOR GROSS NEGLIGENCE
Determining whether exemplary damages for gross negligence are insurable requires a two-step analysis. See, e.g., Grinnell Mut. Reinsurance Co. v. Jungling, 654 N.W.2d 530, 535-37 (Iowa 2002); Fluke Corp. v. Hartford Accident & Indent. Co., 145 Wash.2d 137, 34 P.3d 809, 814 (Wash.2001); Brown v. Maxey, 124 Wis.2d 426, 369 N.W.2d 677, 685 (1985). First, we decide whether the plain language of the policy covers the exemplary damages sought in the underlying suit against the insured.
Second, if we conclude that the policy provides coverage, we determine whether the public policy of Texas allows or prohibits coverage in the circumstances of the underlying suit. We first look to express statutory provisions regarding the insura-bility of exemplary damages to determine whether the Legislature has made a policy decision. See Town of Flower Mound v. Stafford Estates Ltd. Pâship, 135 S.W.3d 620, 628 (Tex.2004) (âGenerally, âthe Stateâs public policy is reflected in its statutes.â â) (quoting Tex. Commerce Bank, N.A. v. Grizzle, 96 S.W.3d 240, 250 (Tex. 2002)); FM Props. Operating Co. v. City of Austin, 22 S.W.3d 868, 873 (Tex.2000). If the Legislature has not made an explicit policy decision, we then consider the general public policies of Texas.
A. POLICY LANGUAGE
The policy Fairfield issued to Stephens Martin Paving contains two types of insurance: workersâ compensation insurance and employerâs liability insurance. Under the workersâ compensation part of the policy, Fairfield agrees to pay the benefits that Stephens Martin Paving is required to pay by Texas workersâ compensation law
Under the employerâs liability part of the policy, Fairfield agrees to pay âall sums [Stephens Martin Paving] legally must pay as damages because of bodily injury to [its] employees, provided the bodily injury is covered by this Employers Liability Insuranceâ and other specific costs. It excludes coverage of âpunitive or exemplary damages because of bodily injury to an employee employed in violation of law.â An endorsement to the policy adds that â[t]his exclusion does not apply unless the violation of law caused or contributed to the bodily injury.â The policy also excludes damages arising from injuries caused by intentional acts.
The Bennettsâ claim against Stephens Martin Paving seeks only exemplary damages for gross negligence. Therefore, the coverage issue in this case concerns only the employerâs liability part of the policy and not the part of the policy regarding workersâ compensation benefits. Because the Fifth Circuitâs question is directed only at the public policy of Texas, we limit our discussion to the second prong of the analysis and presume that the policy language covers the exemplary damages sought.
B. TEXAS STATUTORY PROHIBITIONS
When considering whether public policy should prohibit the coverage of exemplary damages in a particular case, courts should study the contexts in which the Legislature has spoken. In a few instances, the Legislature has expressly prohibited or otherwise limited the availability of such insurance.
Health Care Providers: Article 5.15-1, section 8 of the Texas Insurance Code prohibits insurance coverage of exemplary damages assessed against health care providers and physicians, creating an exception for a subset of healthcare providers including hospitals, nursing homes, and assisted living facilities:
No policy of medical professional liability insurance issued to or renewed for a health care provider or physician in this state may include coverage for exemplary damages that may be assessed against the health care provider or physician; provided, however, that the commissioner may approve an endorsement form that provides for coverage for exemplary damages to be used on a policy of medical professional liability insurance issued to a hospital, as the term âhospitalâ is defined in this article, or to a for-profit or not-for-profit nursing home or assisted living facility.
Tex. Ins.Code art. 5.15-1, § 8.
Guaranty Funds and Excess Liability Pools: The Legislature has explicitly ex-
The Legislature is aware of and sensitive to issues of insurance coverage of exemplary damages. It has made the policy decision to prohibit insurance coverage of those damages in selected circumstances.
C. WORKERSâ COMPENSATION
This Court has recognized that âthe administration of the workersâ compensation system is heavily imbued with public policy concerns.â Lawrence v. CDB Servs., Inc., 44 S.W.3d 544, 553 (Tex.2001), superseded by statute, Tex. Lab.Code § 406.003(e), as explained in Storage & Processors, Inc. v. Reyes, 134 S.W.3d 190, 192 (Tex.2004). Because this case arises from a claim for exemplary damages under the Texas Workersâ Compensation Act, we review the applicable statutory scheme and accompanying insurance regulation of that field.
In Texas, participation in the workersâ compensation system is optional for employers and employees. However, if the employer purchases workersâ compensation insurance, the employer must adhere to the statutory and regulatory guidelines of the Workersâ Compensation Act. Among these requirements is the legislative directive that only workersâ compensation policies approved by the Texas Department of Insurance are available in Texas.
This exclusive remedy does not prohibit recovery of exemplary damages if the employeeâs death is caused by the employerâs gross negligence. Id. § 408.001(b)-(c). Section 408 states:
(a) Recovery of workersâ compensation benefits is the exclusive remedy of an employee covered by workersâ compensation insurance coverage or a legal beneficiary against the employer or an agent or employee of the employer for the death of or a work-related injury sustained by the employee.
(b) This section does not prohibit the recovery of exemplary damages by the*659 surviving spouse or heirs of the body of a deceased employee whose death was caused by an intentional act or omission of the employer or by the employerâs gross negligence.
(c) In this section, âgross negligenceâ has the meaning assigned by Section 41.001, Civil Practice and Remedies Code.
The Bennetts bring this claim for exemplary damages only under Subsections 408(b) and (c), arguing that Stephens Martin Pavingâs gross negligence caused Bennettâs death.
TDI is authorized to adopt rules âgoverning hearings and other proceedings necessary for the promulgation or approval of rates[,] ... policy forms[,] or policy form endorsements.â Tex. Ins.Code art. I.33C. Article 5.56 of the Insurance Code provides that TDI âshall prescribe standard policy forms to be used by all companies or associations writing workmenâs compensation insurance in this Stateâ and prohibits organizations from using policy forms âother than those made, established and promulgated and prescribed by [TDI],â except as specifically provided by the statute.
Under the authority delegated to TDI from the Legislature, TDI approves standard workersâ compensation insurance policies and endorsements. See Texas Workersâ Compensation Commission and Employersâ Liability Manual, available at http://www.tdi.state.tx.us/wc/regulation/ index.html# manual. As previously discussed, the policy provides two types of insurance coverage â workersâ compensation insurance and employersâ liability insurance. The workersâ compensation part of the policy only provides coverage for benefits required by workersâ compensation law and other enumerated costs, excluding punitive damages. If, under Section 408.001, workersâ compensation insurance provides the exclusive remedy for an injured employee who is participating in the system, then why would the TDI-approved, standard policy â the only policy workersâ compensation insurers may use â provide any additional liability insurance to employers? The statutory scheme and TDIâs execution of the scheme reveal an intent to provide additional insurance coverageâ coverage for an employerâs gross negligence.
III. PUBLIC POLICY CONSIDERATIONS
Although the Legislatureâs expressed direction ends our inquiry in the present case, we recognize that the Fifth Circuit framed its certified question as a broad inquiry about Texas public policy and the coverage of exemplary damages. We hesitate to opine on policy language and fact situations not before us, but also recognize the import of this issue and therefore discuss some of the considerations relevant to determining whether Texas public policy prohibits insurance coverage of exemplary damages in other contexts in the absence of a clear legislative policy decision.
A. SUMMARY OF THE DEBATE
Although determining whether public policy prohibits the insurance coverage of exemplary damages for gross negligence in Texas is a novel question for this Court, the issue is no stranger to the United Statesâ legal community. Christopher A. Wilson, Lazenby after Hodges â Insurability of Punitive Damage Awards in Tennessee: A Continuing Question of Public Policy, 36 U. Mem. L.Rev. 463 (2006); Stephanie L. Grassia, The Insurability of Punitive Damages in Washington: Should Insureds Who Engage in Intentional Misconduct Reap the Benefit of Their âBargains?,â 26 Seattle U.L.Rev. 627 (2003); Lorelie S. Masters, Punitive Damages: Covered or Not?, 55 Bus. Law. 283 (1999); Michael A. Rosenhouse, Annotation, Liability Insurance Coverage as Extending to Liability for Punitive or Exemplary Damages, 16 A.L.R.4th 11 (1982).
For over forty years, courts, legislatures, and scholars nationwide have struggled with this issue. Of the forty-five states in which the highest court of the state or the legislature has addressed the insurability of exemplary damages in some fashion, twenty-five have established generally that their public policy does not prohibit coverage, sometimes including or excluding the uninsured motorist or vicarious liability contexts.
Two key cases, decided over forty years ago, continue to illustrate the opposing viewpoints on the insurability of exemplary damages: Northwestern National Cas. Co. v. McNulty, 307 F.2d 432 (5th Cir.1962), and Lazenby v. Universal Underwriters Insurance Co., 214 Tenn. 639, 383 S.W.2d 1 (1964). In McNulty, a drunk driver seriously injured another motorist in Florida. 307 F.2d at 433. The injured motorist sued for compensatory and punitive damages, securing a verdict for $57,500: $37,500 in compensatory damages and $20,000 in punitive damages. Id. The drunk driverâs insurance policy provided $50,000 in coverage. Id. The insurer argued that only the compensatory part of the verdict was covered by the policy. Id. The court agreed, holding that Florida public policy prohibited the insurability of punitive damages. Id. at 434.
Key to the courtâs reasoning was its conclusion that Florida law characterized âpunitive damages as a penalty, imposed as a means of punishing the defendant in order to deter him and others from antisocial conduct, and to no significant extent compensation.â Id. at 436. The court relied heavily on the different functions of punitive and compensatory damages in different statesâ schemes:
The crucial distinction ... is the different function served by compensatory and punitive damages. In a system of law basing recovery of damages on the defendantâs culpability, compensatory liability, while it may discourage negligent conduct as a side effect, is primarily designed to shift a loss from a wholly innocent party to one whose fault is responsible for causing the loss, although in many cases the fault of the responsible party may not have been so blameworthy that he would have been punished criminally if the fault had not caused an accident. The rationale of compensatory damages is not so much a policy that the responsible party should pay; it is more a policy that the wholly innocent party should not pay. Insurance against compensatory liability therefore does not frustrate the reason for imposing the liability. But in a case involving the determination that punitive damages are insurable the public policy considerations are broader and more important.
Id. at 438. The court concluded that allowing a wrongdoer âto insure himself against punishmentâ would result in âa freedom of misconduct inconsistent with the establishment of sanctions against such
The Supreme Court of Tennessee decided the lead case in support of the insura-bility of exemplary damages only a few years after the McNulty decision. Lazen-by, 383 S.W.2d 1. Again, the case involved an insurance companyâs refusal to pay the punitive damages portion of a verdict against a drunk driver. Id. at 2. The court recognized that the dominant purpose of exemplary damages in Tennessee was similar to that discussed in McNulty: âthe interest of society and of the agreed [sic] individual are blended and such damages are allowed as punishment for such conduct and as an example or warning to the one so guilty, and others, in order to deter them from committing like offenses in the future.â Id. at 4. Despite the similarity of the two courtsâ characterizations of the purpose of exemplary damages, the Tennessee Supreme Court held that the exemplary damages in that case were insurable. Id. at 5.
First, the Lazenby court explained that if criminal sanctions âapparently have not deterred this slaughter on our highways and streets,â then âthe closing of the insurance market, in the payment of punitive damagesâ would be unlikely to deter such wrongful conduct. Id. Second, the expectations of the insured, upon reading the plain language of the insurance policy, was that exemplary damages would be covered absent intentional conduct to injure. Id. The court also concluded that the line between âsimple negligence and negligence upon which an award of punitive damages can be madeâ did not justify a public policy exception for acts otherwise covered by the insurance policy. Id. Finally, the court observed that using public policy arguments to partially void a contract that, if construed as written, would protect the insured from both compensatory and punitive damages should not be done âexcept in a clear caseâ and concluded that âthe reasons advanced do not make such a clear case.â Id.
These cases outline the primary arguments advanced by the parties in this case and the arguments considered by courts nationwide. We now consider these arguments in light of Texas law.
B. TEXAS PUBLIC POLICY
In the absence of expressed direction from the Legislature, whether a promise or agreement will be unenforceable on public policy grounds will be determined by weighing the interest in enforcing agreements versus the public policy interest against such enforcement. See Restatement (Second) of Conteacts § 178(1) (âA promise or other term of an agreement is unenforceable on grounds of public policy if legislation provides that it is unenforceable or the interest in its enforcement is clearly outweighed in the circumstances by a public policy against the enforcement of such terms.â). On one side of the scale is Texasâ general policy favoring freedom of contract. Lawrence, 44 S.W.3d at 553. Courts weighing this interest should consider the reasonable expectations of the parties and the value of certainty in enforcement of contracts generally. See Restatement (Second) of Conteacts § 178(2).
1. FREEDOM OF CONTRACT
We find applicable here our observations in Lawrence, in which this Court affirmed the enforceability of an agreement related to the Workersâ Compensation Act and considered public policies relevant at that time:
Undoubtedly, the issue we face raises critical and complex public policy issues. And the administration of the workersâ compensation system is heavily imbued with public policy concerns. At the same time, we have long recognized a strong public policy in favor of preserving the freedom of contract. Courts must exercise judicial restraint in deciding whether to hold armâs-length contracts void on public policy grounds:
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Given the lack of any clear legislative intent to prohibit agreements like the ones before us, and absent any claim by the petitioners of fraud, duress, accident, mistake, or failure or inadequacy of consideration, we decline to declare them void on public policy grounds. We believe the factually-intensive, competing public policy concerns raised by the parties and by amici in these cases are not clearly resolved by the statute and are best resolved by the Legislature, not the judiciary.
Lawrence, 44 S.W.3d at 553. This Court has long recognized Texasâ strong public policy in favor of preserving the freedom of contract. Tex. Const, art. I, § 16 (âNo bill of attainder, ex post facto law, retroactive law, or any law impairing the obligation of contracts, shall be made.â); see also Churchill Forge, Inc. v. Brown, 61 S.W.3d 368, 371 (Tex.2001); Lawrence, 44 S.W.3d at 553 (citations omitted); Wood Motor Co. v. Nebel, 150 Tex. 86, 238 S.W.2d 181, 185 (1951).
[I]f there is one thing which more than another public policy requires it is that men of full age and competent understanding shall have the utmost liberty of contracting, and that their contracts when entered into freely and voluntarily shall be held sacred and shall be enforced by Courts of justice. Therefore, you have this paramount public policy to consider â that you are not lightly to interfere with this freedom of contract.
Nebel, 238 S.W.2d at 185 (quoting Printing & Numerical Registering Co. v. Sampson, LR 19 Eq 462, 465,1874 WL 16322 (1875)). We also recognize the importance of the âindispensable partnerâ to the freedom of contract: contract enforcement. Chesapeake Operating, Inc. v. Nabors Drilling USA Inc., 94 S.W.3d 163, 176 (Tex.App.Houston [14th Disk] 2002, no pet.) (en banc). Importantly, freedom of contract is not unbounded. âAs a rule, parties have the right to contract as they see fit as long as their agreement does not violate the law or public policy.â In re Prudential Ins. Co. of Am., 148 S.W.3d 124, 129 & n. 11 (Tex.2004); see Sonny Arnold, Inc. v. Sentry Sav. Assân, 633 S.W.2d 811, 815 (Tex. 1982) (recognizing âthe partiesâ right to contract with regard to their property as
The Legislature determines public policy through the statutes it passes. Stafford Estates Ltd. Pâship, 135 S.W.3d at 628; Grizzle, 96 S.W.3d at 250 (Texasâ public policy is reflected in its statutes); FM Props. Operating Co., 22 S.W.3d at 873. The Legislature has passed many laws declaring certain agreements illegal and, therefore, against public policy. See, e.g., Tex. Bus. & Com.Code § 2.302 (unconscionable contracts); Id. § 15.05 (contracts in restraint of trade or commerce); Tex. Fin.Code § 302.001 (contracts for usurious interest); Tex. Civ. PRAC. & Rem.Code §§ 127.002-.003 (certain mineral agreements that provide for indemnification of a negligent indemnitee).
In other cases, the Legislature has decided that public policy requires certain conditions be met before an agreement may be enforceable. See, e.g., Tex. Bus. & Com.Code § 17.42 (A consumerâs waiver of DTPA remedies is against public policy unless specific requirements are met.); Tex. Govât Code § 2254.005 (Contracts for professional services not obtained in compliance with the Professional Services Procurement Act are void as against public policy.); Tex. Lab.Code § 406.035 (Except as provided by statute, an agreement waiving an employeeâs right to workersâ compensation is void.).
Also, this Court has held in a number of cases over the years that public policy clearly disfavors certain types of agreements.
In situations where the Legislature has not spoken directly on whether public policy prohibits insurance coverage of exemplary damages for gross negligence, a court should consider the purpose of exemplary damages. The common law and legislative development of exemplary damages in Texas informs this analysis.
For over 150 years, this Court has held that exemplary damage awards serve to punish the wrongdoer and set âa public example to prevent the repetition of the act.â Cole v. Tucker, 6 Tex. 266, 268 (1851); Graham v. Roder, 5 Tex. 141, 149 (1849); see also Cavnar v. Quality Control Parking, Inc., 696 S.W.2d 549, 555 (Tex. 1985). We confirmed that dual purpose in Transportation Insurance Co. v. Moriel, citing the Legislatureâs definition of exemplary damages in force at the time of the opinion: â âExemplary damagesâ â means âany damages awarded as an example to others, as a penalty, or by way of punishment.â 879 S.W.2d 10, 16 (Tex.1994). Although some pre-Moriel decisions recognized that exemplary damages âalso exist to reimburse for losses too remote to be considered as elements of strict compensationâ or to compensate a plaintiff for inconvenience and attorneys fees, these cases do not undermine the longstanding primary purpose of exemplary damages: to punish and deter. See Hofer v. Lavender, 679 S.W.2d 470, 474 (Tex.1984) (citing Mayer v. Duke, 72 Tex. 445, 10 S.W. 565 (1889)); Allison v. Simmons, 306 S.W.2d 206, 211 (Tex.Civ.App.-Waco 1957, writ ref d n.r.e.); Foster v. Bourgeois, 253 S.W. 880 (Tex. Civ.App.-Austin 1923), aff'd, 113 Tex. 489, 259 S.W. 917 (Tex.1924).
Legislative enactments of the last decade clarify compensatory recovery is not a component of exemplary damages in Texas today, and the most recent enactments downplay the role of deterrence and focus squarely on the punitive aspect. Act of April 11, 1995, 74th Leg., R. S., ch. 19, § 1, 1995 Tex. Gen. Laws 108, 109 (deleting âas an example to othersâ from the definition and instead defining exemplary damages as âany damages awarded as a penalty or by way of punishmentâ), amended by Act of June 2, 2003, 78th Leg., ch. 204, § 13.02, 2003 Tex. Gen. Laws 847, 887 (current version at Tex. Civ. PRĂĄc. & Rem.Code § 41.001(5)) (â âExemplary damagesâ means any damages awarded as a penalty or by way of punishment but not for compensatory purposes. Exemplary damages are neither economic nor noneconomic damages.â)
Chapter 41 of the Texas Civil Practice and Remedies Code also makes clear that
(1) the criminal act was committed by an employee of the defendant;
(2) the defendant is criminally responsible as a party to the criminal act under the provisions of Chapter 7, Penal Code;
(3) the criminal act occurred at a location where, at the time of the criminal act, the defendant was maintaining a common nuisance under the provisions of Chapter 125, Civil Practice and Remedies Code, and had not made reasonable attempts to abate the nuisance; or
(4) the criminal act resulted from the defendantâs intentional or knowing violation of a statutory duty under Subchap-ter D, Chapter 92, Property Code, and the criminal act occurred after the statutory deadline for compliance with that duty.
Tex. Crv. PRAC. & Rem.Code § 41.005(a)-(b). Even when the actor is the defendantâs employee, the defendant is not liable for exemplary damages unless:
(1) the principal authorized the doing and the manner of the act;
(2) the agent was unfit and the principal acted with malice in employing or retaining him;
(3) the agent was employed in a managerial capacity and was acting in the scope of employment; or
(4)the employer or a manager of the employer ratified or approved the act.
Id. § 41.005(c). Chapter 41 provides that exemplary damages can be awarded for fraud, malice, gross negligence, or certain statutory violations. Id. § 41.003(a), (c). âFraudâ does not include constructive fraud. Id. § 41.001(6). âMaliceâ requires specific intent to cause substantial injury. Id. § 41.001(7). âGross negligenceâ is defined as:
an act or omission:
(A) which when viewed objectively from the standpoint of the actor at the time of its occurrence involves an extreme degree of risk, considering the probability and magnitude of the potential harm to others; and
(B) of which the actor has actual, subjective awareness of the risk involved, but nevertheless proceeds with conscious indifference to the rights, safety, or welfare of others.
Id. § 41.001(11). Other statutory actions may prescribe a different culpable mental state for exemplary damages. Id. § 41.003(c). With these basic standards in mind, Section 41.011(a) provides:
In determining the amount of exemplary damages, the trier of fact shall consider evidence, if any, relating to:
(1) the nature of the wrong;
(2) the character of the conduct involved;
(3) the degree of culpability of the wrongdoer;
(4) the situation and sensibilities of the parties concerned;
(5) the extent to which such conduct offends a public sense of justice and propriety; and
*668 (6) the net worth of the defendant.
Id. § 41.011(a).
The first, second, and fifth evidentiary factors raise concerns of an objective nature. How did the conduct of the defendant, viewed in the abstract, irrespective of the parties, depart from broad norms or expectations? It does not matter whether the defendant was a conglomerate or an individual; the nature of the conduct is what matters. On the other hand, the third, fourth, and sixth factors focus subjectively â because the issue is punishment â on the individual parties. What will it take to punish the defendant?
There is some inherent tension between the policies recognized by freedom of contract and the policy behind awarding exemplary damages. Spreading the risk of, and obligation for, exemplary damages through insurance does not affect the objective factors. They may be evaluated without regard for individual personalities. The issue is this: What penalty should this conduct, in the abstract, bear? But the subjective factors are relevant to a determination of the amount of exemplary damages only if the defendant must pay it to the plaintiff. If exemplary damages are to be paid by insurance, it is less relevant to set the amount based on whether the plaintiff was trusting or the defendant calculating or wealthy.
A few cases applying Texas law have considered whether insurance for exemplary damages is against public policy in light of the purpose behind exemplary damages. Their reasoning regarding the interplay of these competing policies is instructive.
Texas appellate courts have uniformly rejected as against public policy coverage under uninsured or underinsured motorist policies when the insured seeks to recover from his own insurer exemplary damages assessed against a third-party tortfeasor.
Other Texas courts of appeals have noted that the policy considerations regarding exemplary damages coverage depend on whether the basis for the damages is the conduct of the insuredâs employees or agents. In American Home Assurance Co. v. Safway Steel Products Co., the insurers appealed a declaratory judgment in favor of the insureds for coverage of exemplary damages. 743 S.W.2d 693, 695-96 (Tex.App.-Austin 1987, writ denied). Exemplary damages of $750,000 and $1 million had been assessed against the in
The court of appeals observed that while allowing exemplary damages coverage shifts the burden of the punishment to âthe innocent members of society who purchase insurance,â contrary to the purpose of such damages, disallowing coverage for a large corporation means that exemplary damages for the misconduct of perhaps one or only a few employees will âinevitably be passed on to the consumers of its products â who are also innocent,â also contrary to the damagesâ purpose. Id. at 704.
In DaimlerChrysler Insurance Co. v. Apple, an employee claimed that three of his employerâs managers had defamed him. No. 01-05-01115-CV, 2007 WL 3105899, at *1-2, â S.W.3d -, - (Tex.App.Houston [1st Dist.], Oct. 25, 2007, rehâg filed). The trial court confirmed in part the arbitration panelâs assessment of exemplary damages of $500,000 against the employer, $500,000 against its owner and CEO, and $50,000 each against the three managers, all of whom were determined to be vice-principals. Id. at *3 & n. 4, at - & n. 4.
These courts of appeals cases highlight the general considerations that are important when determining whether the policy behind exemplary damages should limit partiesâ ability to contract for coverage of those damages. In the uninsured and un-derinsured motorist context, it may be ap
The considerations may weigh differently when the insured is a corporation or business that must pay exemplary damages for the conduct of one or more of its employees. Where other employees and management are not involved in or aware of an employeeâs wrongful act, the purpose of exemplary damages may be achieved by permitting coverage so as not to penalize many for the wrongful act of one. When a party seeks damages in these circumstances, courts should consider valid arguments that businesses be permitted to insure against them.
Extreme circumstances may prompt a different analysis. The touchstone is freedom of contract, but strong public policies may compel a serious analysis into whether a court may legitimately bar contracts of insurance for extreme and avoidable conduct that causes injury. For example, liability policies themselves normally bar insurance for damages caused by intentional conduct, as did the liability policy in this case. The fact that insurance coverage for exemplary damages may encourage reckless conduct likewise gives us pause. Were the existence of insurance coverage to completely eviscerate the punitive purpose behind awarding exemplary damages, it could defeat not only an explicit legislative policy but also the courtâs traditional role in deterring conscious indifference. See Restatement (Second) of ContRacts § 178(3). However, Justice Hechtâs concurrence would go further and more fully address these circumstances.
IV. CONCLUSION
The Legislature authorized the Texas Department of Insurance to create a policy that provides insurance coverage for exemplary damages in workersâ compensation cases. Thus, we decline to invalidate the partiesâ workersâ compensation contract to enforce a public policy urged by Fairfield but not adopted by the Legislature. In response to the certified question, we answer that the public policy of Texas does not prohibit insurance coverage of exemplary damages for gross negligence in the workersâ compensation context. However, without clear legislative intent to generally prohibit or allow the insurance of exemplary damages arising from gross negligence, we decline to make a broad proclamation of public policy here but instead offer some considerations applicable to the analysis in other cases. Of course, how our answer is applied in the case before the Fifth Circuit is solely the province of that certifying court. Amberboy v. Societe de Banque Privee, 831 S.W.2d 793, 798 (Tex.1992).
Justice HECHT filed a concurring opinion, joined by Justice BRISTER, Justice MEDINA, and Justice WILLETT.
Justice JOHNSON filed a concurring opinion.
. Generally, an employer who purchases workersâ compensation insurance is protected from an employeeâs common law claims for injuries occurring during the course and scope of the employeeâs work responsibilities. Tex. Lab.Code § 408.001. However, this exclusive remedy doctrine does not prohibit recovery of exemplary damages if the employeeâs death is caused by the employerâs gross negligence. Id. § 408.001(b)-(c).
. As part of the Medical Liability Insurance Improvement Act of Texas, passed in 1977, the Legislature prohibited "health care providersâ from obtaining insurance coverage of exemplary damages in Texas. Act of May 30, 1977, 65th Leg., R.S., ch. 817, Part 3, § 8, 1977 Tex. Gen. Laws 2039, 2055-56. "Health care provider" was defined as:
any person, partnership, professional association, corporation, facility, or institution licensed or chartered by the State of Texas to provide health care as a registered nurse, hospital, dentist, podiatrist, chiropractor, optometrist, blood bank that is a nonprofit corporation chartered to operate a blood bank and which is accredited by the Ameri*657 can Association of Blood Banks, or not-for-profit nursing home, or an officer, employee, or agent of any of them acting in the course and scope of his employment.
Act of May 30, 1977, 65th Leg., R.S., ch. 817, Part 3, § 2(2), 1977 Tex. Gen. Laws 2039, 2055. Later amendments redefined health care providers and expressly allowed providers to obtain insurance coverage of exemplary damages through an approved policy endorsement. Act of June 3, 1987, 70th Leg., 1st C.S., ch. 1, § 7.01, 1987 Tex. Gen. Laws 1, 35-36 (allowing an endorsement for hospitals); Act of May 21, 1997, 75th Leg., R.S., ch. 746, § 1, 1997 Tex. Gen. Laws 2451, 2451 (allowing an endorsement for not-for-profit nursing homes); Act of May 27, 2001, 77th Leg., R.S., ch. 1284, § 5.02, 2001 Tex. Gen. Laws 3083, 3085 (requiring an endorsement for for-profit nursing homes); Act of May 14, 2003, 78th Leg., R.S., ch. 141, § 2, 2003 Tex. Gen. Laws 195, 195 (allowing an endorsement for assisted living facilities).
. Act of June 3, 1987, 70th Leg., 1st C.S., ch. 1, § 5.08, 1987 Tex. Gen. Laws 1, 26 (current version at Tex.Ins.Code §§ 2207.001-.409) (Excess Liability Pool for Counties and Certain Educational Entities); Act of June 3, 1987, 70th Leg., 1st C.S., ch. 1, § 5.09, 1987 Tex. Gen. Laws 1, 31 (current version at Tex Ins.Code §§ 2208.001-.309) (Texas Public Entity Excess Insurance Pool).
. Tex. Ins.Code § 2207.353(c) ("Money in the [Excess Liability Fund for Counties and Certain Educational Entities] may not be used to pay: (l)punitive damages _â); id. § 2208.252(b) ("Money in the [Texas Public Entity Excess Insurance Fund] may not be used to pay: (1) punitive damages ....â); id. § 2208.303 ("Excess insurance coverage provided by the [Texas Public Entity Excess Insurance Pool] may not include coverage for punitive damages.ââ).
. Act of May 29, 1989, 71st Leg., R.S., ch. 1082, § 6.13, 1989 Tex. Gen. Laws 4370, 4395-96 (current version at Tex Ins.Code § 462.210). See also Act of May 30, 2003, 78th Leg., R.S., ch. 1218, § 2, 2003 Tex. Gen. Laws 3458, 3459 (current version at Tex Ins. Code § 462.302(c)(2)) ("The [Texas Property and Casualty Insurance Guaranty Association] has no liability for ... claims for ... exemplary damages_"). That Act was first passed in 1971 to protect insolvent property and casualty insurersâ policyholders and third-party claimants by authorizing assessments against other Texas insurers to pay "covered claims" against insurers that had become insolvent. Act of May 12, 1971, 62d Leg., R.S., ch. 360, § 1, 1971 Tex. Gen. Laws 1362 (current version at Tex Ins.Code §§ 462.001-.351).
. Tex. Ins.Code § 463.204(9) (stating that the Life, Accident, Health, and Hospital Service Insurance Guaranty Association cannot pay punitive or exemplary damages); id. § 2203.154 ("The [Medical Liability Insurance Joint Underwriting Association] may not issue or renew a medical liability insurance policy for a physician or health care provider under this chapter that includes coverage for punitive damages assessed against the physician or health care provider.â); id. § 2205.253(b) ("Money in the [Texas ChildCare Facility Liability Fund] may not be used to pay: (1) punitive damages -â); id. § 2209.253(b) ("Money in the [Texas Nonprofit Organizations Liability Fund] may not be used to pay: (1) punitive damages ....â); id. § 2209.303 ("Liability insurance coverage provided by the [Texas Nonprofit Organizations Liability Pool] may not include coverage for punitive damages.â); id. § 2602.255(4) (excluding "exemplary, extracontractual, or bad faith damages awarded against an insured or title insurance company by a court judgmentâ from "covered claimsâ against the Texas Title Insurance Guaranty Association).
. The Legislature also requires commercial liability insurers to file closed claim reports including, among much other information, "amounts paid for punitive damages.â Tex Ins.Code § 38.154(a)(3)(C)(x). At a minimum, this suggests that the Legislature is aware that insurers are making some payments for punitive damages and has not broadly prohibited those payments.
. Before 1991, the Texas Department of Insurance (TDI) was known as the State Board of Insurance. Act of May 27, 1991, 72d Leg., R.S., ch. 242, § 1.01, 1991 Tex. Gen. Laws 939, 939; see also Act of May 30, 1993, 73rd Leg., R.S., ch. 685, § 1.01, 1993 Tex. Gen. Laws 2559, 2559 (specifying that "a reference in [all statutes involving insurance] to the State Board of Insurance means [TDI] â).
.In 2005, the Legislature renumbered and codified Article 5.56 and other articles into sections of the Texas Insurance Code. Act of May 24, 2005, 79th Leg. R.S., ch. 727, §§ 2, 18(a)(4). We cite to the version applicable to the underlying suit in this case. Tex Ins.Code art. 5.56 (added by Act of June 7, 1951, 52d Leg., R.S., ch. 491, 1951 Tex. Gen. Laws 868, 945).
. Organizations may âuse any form of endorsement appropriate to its plan of operation, if such endorsement [is] first submitted to and approved by the Board." Tex. Ins.Code art. 5.57.
. The TDI policy does not provide coverage of "punitive or exemplary damages because of bodily injury to an employee employed in violation of law,â nor does it cover these damages arising from injuries caused by intentional acts. An endorsement to the policy adds that "[t]his exclusion does not apply unless the violation of law caused or contributed to the bodily injury.â We note that Bennettâs petition alleges that Stephens Martin Paving failed to follow and enforce safety rules and regulations and OSHA rules and regulations. Because we do not have a complete record and we limit our discussion to the Fifth Circuitâs certified question, we do not address whether these allegations trigger the exclusion.
. Haw.Rev.Stat. § 431:10-240 (2007) ("Coverage under any policy of insurance issued in this State shall not be construed to provide coverage for punitive or exemplary damages unless specifically included.â); Mont.Code Ann. § 33-15-317 (2007) ("Insurance coverage does not extend to punitive or exemplary damages unless expressly included by the contract of insurance.â); Nev.Rev.Stat. § 681A.095 (2007) ("An insurer may insure against legal liability for exemplary damages or punitive damages that do not arise from a wrongful act of the insured committed with the intent to cause injury to another.â); Va. Code Ann. § 38.2-227 (2007) ("It is not against the public policy of the Commonwealth for any person to purchase insurance providing coverage for punitive damages arising out of the death or injury of any person as the result of negligence, including willful and wanton negligence, but excluding intentional acts.â); Montgomery Health Care Facility, Inc. v. Ballard, 565 So.2d 221, 226 (Ala.1990) (wrongful death case); State Farm Mut. Auto. Ins. Co. v. Lawrence, 26 P.3d 1074, 1080 (Alaska 2001); State Farm Mut. Auto. Ins. Co. v. Wilson, 162 Ariz. 251, 782 P.2d 727, 729-36 (1989); Cal. Union Ins. Co. v. Ark. La. Gas Co., 264 Ark. 449, 453, 572 S.W.2d 393, 395 (1978) (citing So. Farm Bureau Cas. Ins. Co. v. Daniel, 246 Ark. 849, 440 S.W.2d 582 (1969)); Jones v. State Farm Mut. Auto. Ins. Co., 610 A.2d 1352, 1354 (Del.1992); Roman v. Terrell, 195 Ga.App. 219, 393 S.E.2d 83, 86 (1990), aff'd by, State Farm Mut. Auto. Ins. Co. v. Weathers, 260 Ga. 123, 392 S.E.2d 1 (1990);
. Ohio Rev.Code Ann. § 3937.182(B) (2008) (prohibiting coverage for punitive and exemplary damages in automobile policies and certain types of casualty and liability policies); Utah Code Ann. § 31A-20-101(4) (2007) ("No insurer may insure or attempt to insure against ... punitive damages.â); PPG Indus. v. Transamerica Ins. Co., 20 Cal.4th 310, 84 Cal.Rptr.2d 455, 975 P.2d 652, 657 (1999); Lira v. Shelter Ins. Co., 913 P.2d 514, 517 (Colo.1996); Bernier v. Burris, 113 Ill.2d 219, 100 Ill.Dec. 585, 497 N.E.2d 763, 776 (1986) (citing Beaver v. Country Mut. Ins. Co., 95 Ill.App.3d 1122, 51 Ill.Dec. 500, 420 N.E.2d 1058, 1060-61 (1981)) (in dicta); Biondi v. Beekman Hill House Apartment Corp., 94 N.Y.2d 659, 709 N.Y.S.2d 861, 731 N.E.2d 577, 579 (2000); Town of Cumberland v. R.I. Interlocal Risk Mgmt. Trust, Inc., 860 A.2d 1210, 1219 n. 14 (R.I.2004); City of Fort Pierre v. United Fire & Cas. Co., 463 N.W.2d 845, 848 (S.D.1990).
. Kan. Stat. Ann. § 40-2,115(a) (2006) ("It is not against the public policy of this state for a person or entity to obtain insurance covering liability for punitive or exemplary damages assessed against such insured as the result of acts or omissions, intentional or otherwise, of such insuredâs employees, agents or servants, or of any other person or entity for whose acts such insured shall be vicariously liable, without the actual prior knowledge of such insured.â); Bodner v. United Servs. Auto. Assân, 222 Conn. 480, 610 A.2d 1212, 1221-22 (1992); U.S. Concrete Pipe Co. v. Bould, 437 So.2d 1061, 1064 (Fla.1983); Perl v. St. Paul Fire & Marine Ins. Co., 345 N.W.2d 209, 216 (Minn.1984);; Malanga v. Mfgs. Cas. Ins. Co., 28 N.J. 220, 146 A.2d 105, 108-10 (1958); Aetna Cas. & Sur. Co. v. Craig, 771 P.2d 212, 215-16 (Okla.1989); Esmond v. Liscio, 209 Pa.Super. 200, 224 A.2d 793, 800 (Pa.1966).
. Sharp v. Daigre, 555 So.2d 1361, 1364 (La. 1990) (mentioning but not applying broad rule to general liability insurance); Jaramillo v. Providence Wash. Ins. Co., 117 N.M. 337, 871 P.2d 1343, 1351-52 (1994); Carr v. Ford, 833 S.W.2d 68, 71 (Tenn.1992) (holding uninsured motorist statute permits but does not require coverage for punitive damages); Laz-enby v. Universal Underwriters Ins. Co., 214 Tenn. 639, 383 S.W.2d 1 (1964). But see West v. Pratt, 871 S.W.2d 477, 479 (Tenn.1994) (stating in dicta that a "clear public policy exists in Tennessee that strongly disfavors the payment of punitive damages by uninsured motorist carriers to their insuredsâ).
. Tuttle v. Raymond, 494 A.2d 1353, 1360 n. 20, 1362 & n. 25 (Me.1985) (citing Braley v. Berkshire Mut. Ins. Co., 440 A.2d 359, 361-62 (Me. 1982)); Santos v. Lumbermens Mut. Cas. Co., 408 Mass. 70, 556 N.E.2d 983, 990, 991 n. 17 (1990).
. Nebraska does not allow recovery of exemplary damages. Distinctive Printing & Packaging Co. v. Cox, 232 Neb. 846, 857, 443 N.W.2d 566 (Neb.1989) (citing Neb. Const. art. VII, § 5; Miller v. Kingsley, 194 Neb. 123, 230 N.W.2d 472, 474 (1975) ("It is a fundamental rule of law in this state that punitive, vindictive, or exemplary damages are not allowed.â)).
. "In weighing the interest in the enforcement of a term, account is taken of (a) the partiesâ justified expectations, (b) any forfeiture that would result if enforcement were denied, and (c) any special public interest in
. âIn weighing a public policy against enforcement of a term, account is taken of (a) the strength of that policy as manifested by legislation or judicial decisions, (b) the likelihood that a refusal to enforce the term will further that policy, (c) the seriousness of any misconduct involved and the extent to which it was deliberate, and (d) the directness of the connection between that misconduct and the term.â Restatement (Second) of Contracts § 178(3).
. See, e.g., Hoover Slovacek LLP v. Walton, 206 S.W.3d 557, 559 (Tex.2006) (holding that agreement between lawyer and client providing for termination fee was against public policy); PPG Indus., Inc. v. JMB/Houston Ctrs. Partners Ltd. Pâship, 146 S.W.3d 79, 82, 87 (Tex.2004) (holding that assignment of claims for violations of the Texas Deceptive Trade Practices â Consumer Protection Act was against public policy); Johnson v. Brewer & Pritchard, P. C., 73 S.W.3d 193, 205 (Tex. 2002) (holding that lawyer fee-sharing agreement was against public policy); State Farm Fire and Cas. Co. v. Gandy, 925 S.W.2d 696, 698, 705 (Tex. 1996) (holding that insured's prejudgment assignment of claims against liability insurer was against public policy); Zuniga v. Groce, Locke & Hebdon, 878 S.W.2d 313, 316 (Tex.App.-San Antonio 1994, writ refâd) (holding that assignment of legal malpractice claims was against public policy); Elbaor v. Smith, 845 S.W.2d 240, 241 (Tex. 1992) (holding that Mary Carter agreements, in which the defendant receives assignment of part of plaintiff's claim and both remain parties at trial were against public policy); De-Santis v. Wackenhut Corp., 793 S.W.2d 670, 681 (Tex. 1990) (holding that unreasonable non-competition agreement was against public policy); Juliette Fowler Homes, Inc. v. Welch Assocs., 793 S.W.2d 660, 663 (Tex. 1990) (same); Intâl Proteins Corp. v. Ralston-Purina Co., 744 S.W.2d 932, 934 (Tex.1988) (holding that assignment of plaintiffâs claims against one tortfeasor to another tortfeasor was against public policy); Ethyl Corp. v. Daniel Constr. Co., 725 S.W.2d 705, 708 (Tex. 1987) (holding that indemnity against oneâs own negligence was against public policy without express language); Trevino v. Turcotte, 564 S.W.2d 682, 690 (Tex.1978) (holding that assignment of right to challenge will to one who had taken under will was against public policy); Crowell v. Housing Auth. of Dallas, 495 S.W.2d 887, 889 (Tex.1973) (holding that lease provision exempting landlord from tort liability to tenants was against public policy); Hooks v. Bridgewater, 111 Tex. 122, 229 S.W. 1114, 1118 (Tex.1921) (holding that contract transferring custody of a child in exchange for permitting the child to inherit from the transferee was against public policy).
. Many of the other âremoteâ categories of damages reflected in previous exemplary damage awards are now available, or explicitly unavailable, by Legislative enactment rather than as a component of exemplary damages. See, e.g., Tex. Bus. & Com.Code § 17.50(d) (prevailing consumers "shallâ recover attorney's fees under the Texas Deceptive Trade Practices Act); Tex. Civ. Prac. & Rem.Code § 41.001(4) (" âEconomic damagesâ means compensatory damages intended to compensate a claimant for actual economic or pecuniary loss; the term does not include exemplary damages or noneconomic damages.â) (emphasis added); id. § 41.001(12) (" 'Noneconomic damagesâ means damages awarded for the purpose of compensating a claimant for physical pain and suffering, mental or emotional pain or anguish, loss of consortium, disfigurement, physical impairment, loss of companionship and society, inconvenience, loss of enjoyment of life, injury to reputation, and all other nonpecuniaiy losses of any kind other than exemplary damages.â) (emphasis added); see also New Amsterdam Cas. Co. v. Tex. Indus. Inc., 414 S.W.2d 914, 915 (Tex.1967) (restating "the rule that statutory provisions for the recovery of attorneyâs fees are in derogation of the common lawâ). These Legislative enactments demonstrate the punitive nature of exemplary damages.
. Milligan v. State Farm Mut. Auto. Ins. Co., 940 S.W.2d 228, 232 (Tex.App.-Houston [14th Dist.] 1997, writ denied), overruling Home Indemnity Co. v. Tyler, 522 S.W.2d 594 (Tex.Civ. App.-Houston [14th Dist.] 1975, writ ref'd n.r.e.); State Farm Mut. Auto. Ins. Co. v. Shaffer, 888 S.W.2d 146, 149 (Tex.App.-Houston [lst Dist.] 1994, writ denied); Vanderlinden v. USAA Prop. & Cas. Ins. Co., 885 S.W.2d 239, 242 (Tex.App.-Texarkana 1994, writ denied); Govât Employees Ins. Co. v. Lichte, 792 S.W.2d 546, 549 (Tex.App.-El Paso 1990), writ denied, 825 S.W.2d 431 (Tex.1991) (per curiam).
. See also Hammerly Oaks, Inc. v. Edwards, 958 S.W.2d 387, 391 (Tex.1997) (stating that "the general rule in Texasâ is set out in Restatement of Torts § 909 (1939): "Punitive damages can properly be awarded against a master or other principal because of an act by an agent if, but only if, (a) the principal authorized the doing and the manner of the act, or (b) the agent was unfit and the principal was reckless in employing him, or (c) the agent was employed in a managerial capacity and was acting in the scope of employment, or (d) the employer or a manager of the employer ratified or approved the act.â).
. Similarly, the court of appeals in Westches-ter Fire Insurance Co. v. Admiral Insurance Co., made a limited holding that exemplary damages in a case involving grossly negligent treatment of a nursing home resident were, under the applicable statute in effect when the underlying suit against the insured was settled, insurable. 152 S.W.3d 172, 176 (Tex. App.-Fort Worth 2004, pet. filed). The primary carrier filed a motion for partial summary judgment, arguing that Texas public policy prohibits insurance coverage of exemplary damages. The trial court concluded that any coverage for exemplary damages under the policy was void. The court of appeals reversed, deciding that Texas public policy at the times relevant to the underlying case did not preclude coverage for exemplary damages under the primary carrierâs policy. Id. at 189-90.