Robert Primo v. Great American Insurance Company
Robert PRIMO, Appellant v. GREAT AMERICAN INSURANCE COMPANY, Appellee
Attorneys
Robert Primo, Houston, TX, pro se., Stephen Venable, Houston, TX, for Ap-pellee.
Full Opinion (html_with_citations)
MAJORITY OPINION
Appellant Robert Primo appeals a summary judgment in favor of appellee Great American Insurance Company in his suit to recover under an insurance policy issued by Great American. Primo contends summary judgment was improper because (1) his claim does not fall within the scope of the policyâs âInsured v. Insuredâ exclusion upon which Great American relied in the trial court; and (2) although he prevailed in seeking indemnity for some of his costs in another lawsuit against a third party, because his petition in this lawsuit alleged injuries and damages that were neither litigated in nor essential to the judgment in the lawsuit in which he prevailed, collateral estoppel and the one satisfaction rule do not preclude his seeking further damages from Great American.
We hold that Great American did not establish as a matter of law that Primoâs claim fell within the exclusion from coverage. We further hold that although collateral estoppel applied to preclude relitigation of the amount of Primoâs reasonable and necessary attorneyâs fees in the prior lawsuit, Great American has not estab
Background
There are many different lawsuits that set the stage for the case before us. The principal protagonists in this series of suits include Briar Green Condominium Association, its former officer and director Pri-mo, and Briar Greenâs insurance companies.
Great American issued Briar Green Condominiums a Non-Profit Organization Executive Protection and Employment Practices Liability Insurance Policy (âE & 0 policyâ) covering âany proceeding initiated against an insured,
In 2008, disputes arose regarding checks that Primo â who was serving as a director and the Treasurer of Briar Green Condominium Association at the time â had written himself from Briar Greenâs account. Briar Greenâs board of directors filed a claim for $115,558.77 on a fidelity bond issued to it by Travelers Casualty and Surety, as well as a complaint with the Houston Police Department. Travelers paid Briar Green the $115,558.77, in exchange for which Briar Green assigned Travelers all of its claims and rights against Primo.
In July 2009, Travelers filed suit against Primo. Travelers alleged in its petition that Primo âused [Briar Greenâs] money for personal, self-benefitting expenses by making withdrawals from the ATM card [and] writing checks to himself and his family members;â that â[p]ursuant to the terms and conditions of the Bond, TRAVELERS paid BRIAR the sum of $115,558.77 for the loss incurred by BRIAR;â and that â[a]s the bonding company for BRIAR, TRAVELERS was assigned all rights to this matter, including recovery rights of the amount paid on the Bond.â Travelers pled causes of action for fraud and fraud in the inducement, conversion, unjust enrichment, indemnity for payment on bond, theft of property, and breach of fiduciary duty in its petition. Travelers alleged as part of one of those causes of action â its indemnity for payment on bond theory â that it had âstepped into the shoes of the Association.â
Primo retained counsel for the lawsuit
In June 2011, Primo filed a suit for contractual indemnity against Briar Green, alleging it had breached its bylaws by failing to indemnify him for costs incurred in defending the Travelers action.
The jury in the Briar Green suit determined that a reasonable fee for the necessary services of Primoâs attorneys in his suit against Briar Green was $65,124.84. The jury also determined that $102,598.97 âwould compensate Robert Primo for his losses, costs, and expenses, including counsel fees, reasonably incurred by him in connection with any action, suit, or proceeding to which he was made a party by reason of his being or having been a manager or officer of Briar Green.â The trial court reduced the awards based on the rejected settlement offer and signed a final judgment awarding Primo damages in the amount of $70,853.99 and attorneyâs fees in the amount of $29,340.90.
During the pendency of the Briar Green suit, Primo sued Great American in the cause before us, alleging unfair settlement practices in violation of the Texas Insurance Code, breach of the duty of good faith and fair dealing, violation of the Prompt Payment of Claims Act, breach of contract, fraud, and negligent misrepresentation. Primo sought âreimbursement for the defense costs and attorneyâs fees in the Travelers Suit,â as well as exemplary damages and interest.
Primo alleged that as a direct result of a misrepresentation by a Great American
After PrimĂł obtained a final judgment in the Briar Green suit, Great American filed a traditional motion for summary judgment in this case, presenting two alternative grounds. First, according to Great American, Primoâs suit was barred by the combination of collateral estoppel and the one satisfaction rule because he had already collected his defense costs and attorneyâs fees incurred in the Travelers suit as determined and awarded in the Briar Green suit.
Second, Great American alternatively contended it did not owe Primo a duty to defend him in the Travelers suit because that suit fell within the E & 0 policyâs exclusion for claims between insured parties. Great American asserted the policy âexcluded claims against any Insured by Briar Green and/or any entity which succeeded to Briar Greenâs interest, i.e., Travelers.â In Great Americanâs view, because Travelers alleged in its petition that it had been âassigned all rightsâ against Primo by Briar Green, all of Travelersâ claims were brought as a successor to the interests of Briar Green.
Following a hearing held on March 28, 2013, the trial court granted Great Americanâs motion for summary judgment and signed a take-nothing judgment on Primoâs claims. The courtâs judgment stated that it had considered Great Americanâs motion for summary judgment âand the supplement, response and reply thereto.â The judgment stated that it was disposing of all matters pending before the court in the case. This appeal followed.
Analysis
Great American presented two grounds for traditional summary judgment in the trial court, and Primoâs eight issues on appeal attack both grounds. We examine each ground in turn.
I. Standard of review
We review a trial courtâs grant of summary judgment de novo. Lyda Swinerton Builders, Inc. v. Cathay Bank, 409 S.W.3d 221, 229 (Tex.App.-Houston [14th Dist.] 2013, pet. filed). Summary judgment for a defendant is proper âwhen the defendant negates at least one element of each of the plaintiffs theories of recovery ... or pleads and conclusively establishes each element of an affirmative defense.â Sci. Spectrum, Inc. v. Martinez, 941 S.W.2d 910, 911 (Tex.1997) (internal citation omitted).
In a traditional motion for summary judgment, the defendant has the initial burden of âdemonstratfing] that no genuine issues of material fact exist and that he is entitled to judgment as a matter of law.â Lyda Swinerton Builders, Inc., 409 S.W.3d at 229. The burden then shifts to the non-movant plaintiff to produce evidence sufficient to raise a fact issue. Id. In reviewing a summary judgment, âwe take as true all evidence favorable to the non[-]movant and we indulge every reasonable inference and resolve any doubts in the non[-]movantâs favor.â Joe v. Two Thirty Nine Joint Venture, 145 S.W.3d 150, 157 (Tex.2004). âEvidence is conclusive only if reasonable people could not differ in their conclusions.â Brown v. Hearthwood II Owners Assân Inc., 201 S.W.3d 153, 159 (Tex.App.-Houstori [14th Dist.] 2006, pet. denied).
II. Great American failed to prove as a matter of law that Primoâs defense costs incurred in the Travelers lawsuit were excluded from coverage under the E & 0 policy.
In his first issue, Primo attacks Great Americanâs summary judgment ground that an exception to coverage applied. We conclude that Great American failed to prove as a matter of law that the E & 0 policy unambiguously excluded coverage for the claim brought by Briar Greenâs assignee, Travelers, by showing that the claim was made âby, or for the benefit of, or at the behest of .... any person or entity which succeeds to the interestâ of Briar Green. Because the âInsured v. Insuredâ exclusion was Great Americanâs sole ground for denying that coverage existed in its motion for summary judgment, we hold Great American failed to carry its burden to prove as a matter of law that the E & 0 policy did not provide coverage for Primoâs costs of defense in the Travelers lawsuit.
A. The existence of coverage under the E & O policy is an essential element of each of Primoâs claims against Great American.
Primoâs second amended petition
An essential element of each of these causes of action is that coverage existed for Primoâs claim seeking defense costs in the Travelers lawsuit or that his reliance on the alleged misrepresentations caused his damages. Regardless of whether Great American violated Insurance Code provisions, the private action under the Insurance Code for misrepresentations requires that the plaintiffs alleged damages be caused by the other person engaging in the act or practice. Tex. Ins.Code Ann. § 541.151 (West 2009). But if no coverage existed for Primoâs claims for the costs of his defense in the Travelers lawsuit, then Great Americanâs alleged misrepresentations as to coverage and delays in accepting or denying coverage would not have caused Primo to incur the costs of his defense. See State Farm Lloyds v. Page, 315 S.W.3d 525, 532 (Tex.2010) (âWhen the issue of coverage is resolved in the insurerâs favor, extra-contrac
For these reasons, if Great Americanâs motion for summary judgment conclusively negated the existence of coverage for the Travelers suit, Great American negated an essential element of each of Primoâs claims and summary judgment in its favor was proper. See Sci. Spectrum, Inc., 941 S.W.2d at 911. We therefore turn to the question whether Great American conclusively negated coverage.
B. We review the pleadings in the Travelers suit to determine whether Travelers alleged facts unambiguously within the scope of the E & O policyâs coverage.
Relying on the eight corners rule, Great American contended in its motion for summary judgment that it had negated the existence of coverage because Travelers filed suit as Briar Greenâs assignee, and the suit therefore fell within the scope of the E & O policyâs âInsured v. Insuredâ exclusion.
In determining the scope of the pokeyâs coverage, â[o]ur primary goal is to determine the contracting partiesâ intent through the policyâs written language.â Page, 315 S.W.3d at 527. We examine the entire agreement and seek to harmonize and give effect to all provisions of the policy so that none are rendered meaningless, useless, or inexplicable. Gastar Exploration Ltd. v. U.S. Specialty Ins. Co., 412 S.W.3d 577, 583 (Tex.App.-Houston [14th Dist.] 2013, pet. filed). Terms are given their ordinary and generally-accepted meaning unless the policy shows the words were meant in a technical or different sense. Id.
âOnly if an insurance policy remains ambiguous despite these canons of interpretation should courts construe its language against the insurer in a manner that favors coverage_â State Farm Life Ins. Co. v. Beaston, 907 S.W.2d 430, 433 (Tex.1995). A policy provision is considered ambiguous if it is subject to two or more reasonable interpretations. Page, 315 S.W.3d at 527. In such a case, we âmust adopt the construction of an exclusionary clause urged by the insured as long as that construction is not unreasonable, even if the construction urged by the insurer appears to be more reasonable or a
Under the eight corners rule, the insurerâs duties to defend the insured are âdetermined by the claims alleged in the [underlying suitâs] petition and the coverage provided in the policy.â Pine Oak Builders, Inc. v. Great Am. Lloyds Ins. Co., 279 S.W.3d 650, 654 (Tex.2009). The insurerâs duty to defend depends on the presence in the petition of factual allegations that fall within the scope of the policyâs coverage. Id. We review the underlying pleadings with a âfocus on the factual allegations that show the origin of the damages rather than on the legal theories allegedâ to determine whether the claims fall within the scope of the policyâs coverage. Natâl Union Fire Ins. Co. of Pittsburgh, Pa. v. Merchants Fast Motor Lines, Inc., 939 S.W.2d 139, 141 (Tex.1997) (per curiam); Huffhines v. State Farm Lloyds, 167 S.W.3d 493, 497 (Tex.App.-Houston [14th Dist.] 2005, no pet.).
The existence of coverage under the E & O policy in a suit against an âinsured personâ such as Primo therefore depends upon whether the petition states claims within the exclusion for suits âmade against any Insured ... by, or for the benefit of, or at the behest of ... any person or entity which succeeds to the interest of [Briar Green].â See Pine Oak Builders, Inc., 279 S.W.3d at 654 (holding insurerâs duty to defend is determined by allegations in the petition).
C. Great American failed to prove as a matter of law that Travelers succeeded to the interest of Briar Green.
In its motion for summary judgment, Great American alleged that the Travelers lawsuit fell within the exclusion because âTravelersâ petition only alleged facts excluded under the Policy.â Although the âInsured v. Insuredâ exclusion itself does not address whether the person or entity must succeed to Briar Greenâs entire interest, its interest under the E & O policy, or solely its interest in the initiated proceeding, Great American contended Travelers was an entity that had unambiguously âsucceed[ed] to the interest of [Briar Green].â
According to Great Americanâs summary judgment motion, because the parties do not dispute that Travelers brought suit as Briar Greenâs assignee, âthere should be no dispute that all of Travelersâ claims against Primo were brought as a successor to the interests of Briar Greenâs rights against Primo.â
We addressed the definition of successor in Augusta Court Co-Ownersâ Assân v. Levin, Roth & Kassner, 971 S.W.2d 119 (Tex.App.-Houston [14th Dist.] 1998, pet. denied). There, an assignee alleged it acquired rights against the surety of a performance bond by virtue of the assignment of the bond, although âthe bond [did] not expressly authorize a right of action by an assignee of the named owner.â Id. at 123. Instead, the bond provided that â[n]o right of action shall accrue on this bond to or for the use of any person or corporation other than the Owner named herein or the ... successors of Owner.â Id. We determined that under the definition articulated in Thompson v. North Texas National Bank, 37 S.W.2d 735, 739 (Tex. Commân App.1931, holding approved), a âsuccessorâ is âone that succeeds or follows; one who takes the place which another has left, and sustains the like part or character.â Augusta Court Co-Ownersâ Assân, 971 S.W.2d at 126 (internal quotation marks omitted).
Here, Great American has not shown as a matter of law that the assignment upon which it relies creates a successor to Briar Greenâs interest under the Thompson definition, because Great American has not shown that Travelers assumed Briar Greenâs obligations as well as its claims and rights. See Augusta Court Co-Ownersâ Assân, 971 S.W.2d at 126. For example, Briar Greenâs bylaws required it to indemnify Primo to a certain extent, but it does not appear from the record that Pri-mo could have asserted his claim for indemnification under the bylaws against Travelers.
Great American also has failed to identify any definition of âsucceeds to the interestâ in the policy itself that unambiguously includes assignees. In Augusta, we concluded not only that the assignee was not a successor under the Thompson definition, but that had the original parties to the
Here, neither the exclusion itself nor the E & 0 policyâs definitions section designate Briar Greenâs assignees as persons or entities that âsucceed[] to the interest of the Organization or a Subsidiary.â Moreover, Briar Greenâs E & 0 policy contains a separate section addressing âAssignment,â
The dissenting opinion points to a different section of the policy that limits coverage to wrongful acts before the effective date of any âTransaction,â which occurs when âanother organization acquires substantially all of the assets of the Organization [Briar Green], or the Organization merges into another organization, or the Organization ceases to qualify as a not-for-profit organization under the Internal Revenue Code.â According to our dissenting colleague, this language shows that âsucceeds to the interestâ means something different from these other sorts of transactions. Post, at 5-6.
But the function of the Transaction section on which the dissent relies is to determine when the nature of the insured organization changes sufficiently that the insurer should have an opportunity to reevaluate its risk. We see no reason why it would matter to the parties to this insurance policy that a new organization participating in one of these transactions with Briar Green might or might not be considered a successor to the interest of Briar Green, depending on the form of the transaction.
Yet even if the Transaction section provided relevant contextual clues, those clues would support the conclusion that one does not succeed to the interest of another by assignment. Here, Travelers only âacquire[d] ... assets of [Briar Green]â in the form of Briar Greenâs claims against Pri-mo. Thus, by the dissentâs logic that succeeding to the interest must mean something different, Travelers did not succeed to the interest of Briar Green.
Great American also contends that because âBriar Green could not have brought a covered [c]laim against Primo, Briar Green could not have conveyed a covered claim against Primo to Travelers.â But this contention misses the key point that Travelers brought the claim at issue, not Briar Green. Thus, the question under the plain language of the particular policy in question is whether the assignment was sufficient to make Travelers âsuccessor] to the interestâ of Briar Green, not whether a claim brought by Briar Green itself would have been excluded.
Moreover, the cases on which Great American relies for this contention address the defenses available against an assignee and thus have no application here. Great American cites the rule that generally âan assignee or subrogee walks in the shoes of his assignor.â Burns v. Bishop, 48 S.W.3d 459, 466 (Tex.App.-Houston [14th Dist.] 2001, no pet.). But cf. Augusta Court Co-Ownersâ Assân, 971 S.W.2d at 126 (equating âstepping into the shoes of anotherâ with âan assumption of both rights and obligationsâ). Under this rule, an assignee âreceives the full rights of the assignor.â Jackson v. Thweatt, 883 S.W.2d 171, 174 (Tex.1994) (emphasis added). The assign-ee takes the rights, however, âsubject to all defenses which the opposing party might be able to assert against his assign- or.â Burns, 48 S.W.3d at 466 (emphasis added).
Thus, in Jackson v. Thweatt, although the state-law statute of limitations on promissory notes would have barred the lending banksâ suits on the notes, the Federal Deposit Insurance Corporation (âFDICâ) had acquired the notes as receiver and sold them to other parties. The Supreme Court of Texas held that these successors in interest to the FDIC could take advantage of a federal statute that extended the limitations period for the FDIC. 883 S.W.2d at 173-75. The Court explained that the FDIC, as possessor of the right, could transfer the extension incident to the asset to which it relates. Id. at 175. Because the maker of the promissory note would not have been able to assert the state-law statute of limitations as a defense against the FDIC, the court held he could not assert the expiration of the limitations period against the FDICâs as-signee.
Here, in contrast, the âInsured v. Insuredâ exclusion is not a defense that Primo is asserting against Travelers as assignee of Briar Green. The ability to invoke the exclusion to deny coverage under the policy is a right that has always been held by Great American and has not been assigned. The cases on which Great American relies establish that an assignee (here, Travelers) takes its rights subject to all defenses the opposing party (Primo) might be able to assert against its assign- or (Briar Green). E.g. Burns, 48 S.W.3d at 466. The cases do not address whether an assignment affects the defenses that a third party (Great American) could assert against the party that previously opposed the assignee (Primo) even though neither party participated in the assignment.
Finally, Great American contends for the first time on appeal that Travelersâ assignee claims âare the [equivalent of [c]laims [m]ade [b]y, or for the [bjenefit of, or at the [b]ehest of Briar Green, and are [t]hus [e]xcluded.â Our dissenting colleague makes Briar Greenâs new contention the lead argument in her opinion, concluding that âthe suit Travelers filed against Primo was a suit by Briar Green.â Post, at 4. Because this ground was not presented in Great Americanâs motion for summary judgment, however, it cannot support the trial courtâs ruling.
Moreover, the authorities on which the dissenting opinion relies confirm that the unique language of this particular âInsured v. Insuredâ exclusion does not unambiguously encompass assignments. As our dissenting colleague points out, a typical exclusion states simply that the insurer is not liable for claims made against an officer, director, or other insured by or on behalf of another insured or the company. Post, at 2. She notes that some courts and commentators have concluded such language reaches claims made by assignees of the company. Id. at 3 & n.2. For example, one court held that a clause excluding only claims made against a director or officer âby any Insured or the Companyâ applied to claims made against a director and officer by the companyâs assignee. Niemuller v. Natâl Union Fire Ins. Co. of Pittsburgh, Pa., No. 92 Civ. 0070(SS), 1993 WL 546678, at *3 (S.D.N.Y. Dec. 30, 1993).
But the language of the exclusion here is different. Great Americanâs policy excludes coverage for claims âmade against any Insured ... by, or for the benefit of, or at the behest of [1] [Briar Green] ... or [2] any person or entity which succeeds to the interest of [Briar Green]â (emphasis added). The second part of this exclusion, which is absent from the typical exclusion, informs how far the first part can reasonably be read to extend. In particular, if the first part were interpreted broadly enough to exclude a claim by an assignee of Briar Greenâs right of action against an insured, then it would necessarily also exclude claims by those succeeding to Briar Greenâs rights and obligations regarding
III. Great American did not establish as a matter of law that all of Pri-moâs claims are barred by the joint application of the collateral estop-pel doctrine and one-satisfaction rule.
Great Americanâs remaining ground for summary judgment was that Primoâs suit is barred by the combination of collateral estoppel and the one satisfaction rule because he has already collected his defense costs and attorneyâs fees incurred in the Travelers suit as determined and awarded in the Briar Green suit. Primo contends in his seventh and eighth issues that collateral estoppel does not bar him from litigating the amount of reasonable and necessary attorneyâs fees incurred in the Travelers suit, and that he has not been fully satisfied for all of the damages he seeks in the current suit. We conclude that collateral estoppel applies, but we agree with Primo that Great American has not carried its burden to show full satisfaction as a matter of law. Accordingly, this ground also cannot support the trial courtâs summary judgment.
A. Great American established as a matter of law that collateral estoppel bars relitigation of the costs and expenses Primo incurred in the Travelers lawsuit.
The doctrine of collateral es-toppel, also known as issue preclusion, âprevents relitigation of particular issues already resolved in a prior suit.â Barr v. Resolution Trust Corp. ex rel. Sunbelt Fed. Sav., 887 S.W.2d 627, 628 (Tex.1992). The doctrine âserve[s] the vital functions of bringing litigation to an end, maintaining stability of court decisions, avoiding inconsistent results, and promoting judicial economy.â Calabrian Corp. v. Alliance Specialty Chems., Inc., 418 S.W.3d 154, 157-58 (Tex.App -Houston [14th Dist.] 2018, no pet.).
Collateral estoppel is an affirmative defense and the party asserting it bears the burden of pleading and proving that â(1) the facts sought to be litigated in the second action were fully and fairly litigated in the first action; (2) those facts were essential to the judgment in the first action; and (3) the parties were cast as adversaries in the first action.â Sysco Food Servs., Inc. v. Trapnell, 890 S.W.2d 796, 801 (Tex.1994); In re H.E. Butt Grocery Co., 17 S.W.3d 360, 377 (TexApp.-Houston [14th Dist.] 2000, orig. proceeding). âWhether collateral estoppel applies is a question of law for the court to decide.â James v. City of Houston, 138 S.W.3d 433, 437 (Tex.App.-Houston [14th Dist.] 2004, no pet.).
Here, Great American contended in its motion for summary judgment that Primo sought his attorneyâs fees and expenses for the Travelers suit in his lawsuit against Briar Green, and that in the course of the Briar Green suit the amount of
In his response to the motion for summary judgment, Primo challenged whether the facts relevant to the claims he raises in this case had been fully and fairly litigated in the Briar Green lawsuit. The facts Primo identified as distinct are those pertaining to his allegations that Great American âmisrepresented an active liability policy as expired in order to avoid performing on its contractual obligationsâ and did not timely accept, reject, or pay his claim for costs of defense in the Travelers lawsuit. Primo also contended that facts pertaining to the alleged policy misrepresentation and timely settlement of his claim were not essential to the adjudication of Briar Greenâs contractual indemnity under its bylaws.
Even if true, however, the facts regarding Great Americanâs alleged misrepresentations and the timing of its settlement offer are independent of the facts establishing Primoâs âlosses, costs, and expenses, including counsel feesâ reasonably incurred in the Travelers lawsuit. Whether Primo was entitled to have Great American pay for those âlosses, costs, and expenses, including counsel feesâ during the lawsuit, or only after he was victorious in the lawsuit, would not alter the amount of âlosses, costs, and expenses, including counsel feesâ he actually incurred.
That amount was therefore fully and fairly litigated in Primoâs lawsuit against Briar Green, and as explained above it was an essential part of calculating the judgment. We hold collateral estoppel bars Primo from relitigating the Briar Green juryâs determination that $102,598.97 would compensate him for his âlosses, costs, and expenses, including counsel feesâ reasonably incurred in the Travelers lawsuit. See Sysco Food Servs., Inc., 890 S.W.2d at 801; In re H.E. Butt Grocery Co., 17 S.W.3d at 377. We therefore turn to the question whether the award in the Briar Green lawsuit has fully compensated
B. Great American has not established as a matter of law that setoffs under the one satisfaction rule would bar all of the damages Primo seeks in this lawsuit.
Great American contended in its motion for summary judgment that Pri-moâs claims against Great American in this suit âare based on the same damagesâ Primo alleged and collected in his suit against Briar Green, and therefore the one satisfaction rule precludes a second collection of those damages. Great Americanâs position hinges upon its assertion that the only damages sought by and available to Primo in the current lawsuit are his reasonable attorneyâs fees and expenses incurred in the Travelers suit.
As the movant for traditional summary judgment in the trial court, Great American had the burden to prove that there were no genuine issues of material fact that Primoâs damages were the same in both lawsuits. We hold Great American has failed to carry that burden because it has not established that no genuine issues of material fact exist as to (1) whether Primoâs attorneyâs fees in the Travelers lawsuits were the only actual damages resulting from the misconduct alleged in the current lawsuit, or (2) whether punitive damages and statutory penalties are potentially available to Primo.
âUnder the one satisfaction rule, a plaintiff is entitled to only one recovery for any damages suffered.â Crown Life Ins. Co. v. Casteel, 22 S.W.3d 378, 390 (Tex.2000). The rule applies when âdefendants commit technically different acts that result in a single injury.â Id. âThe rationale for this doctrine is that the plaintiff should not receive a windfall by recovering an amount in court that covers the plaintiffs entire damagesâ when he has already received partial compensation for the injury. First Title Co. of Waco v. Garrett, 860 S.W.2d 74, 78 (Tex.1993). Otherwise, the plaintiff would âbe recovering an amount greater than the trier of fact has determined would fully compensate for the injury.â Id.
1. Great American failed to establish as a matter of law that Primo incurred no actual damages other than his attorneyâs fees in the Travelers lawsuit.
Although nothing in our record suggests that Great American filed special exceptions to Primoâs allegations of damages, Great American contends that âPrimoâs only loss in the Travelers Suit was his defense costs.â As summary judgment evidence, Great American submitted a transcript of portions of Primoâs testimony in the Briar Green lawsuit. In that transcript, Primo testifies to the attorneyâs fees he incurred in various suits, admits that he was suing Briar Green for indemnity for the attorneyâs fees in the Travelers lawsuit, and takes the position that he is âentitled to every- single penny [heâs] ever spent in connection with these lawsuits.â At no point in the transcript is Primo asked, nor does he say, whether the only damages he incurred were his attorneyâs fees in the Travelers suit.
To the contrary, Primo contends in his response to the motion for summary judgment that the damages incurred as a result of Great Americanâs failure to provide his defense include the costs of his ongoing prosecution of legal malpractice claims against his former attorneys. According to Primo, the indemnity he received for his counselâs fees in the Travelers lawsuit is insufficient to compensate him for Great Americanâs failure to provide a defense because that failure âtransferred to [him] all the risks attached to selection of competent and diligent counsel.â Great Americanâs summary judgment motion did not
Great American also contends that âPri-moâs recovery under the Policy ... is subject to the Policyâs various terms, conditions and exclusionsâ and that the judgment in the Briar Green suit âentirely satisfies the maximum amount of liability claimed by Primo for his âDefense Costsâ under the policy. â â (Emphasis added). This contention is inapposite because Pri-mo has also alleged extra-contractual claims such as fraudulent misrepresentation and breach of the duty of good faith and fair dealing, under which Great Americanâs liability could potentially exceed or differ from Its liability under the E <& 0 policy itself. For these reasons, Great Americanâs position that the judgment in the Briar Green suit fully compensated Primo for the fees and expenses he incurred in the Travelers suit â even if correct
2. Great American failed to establish as a matter of law that Primo cannot prevail on a cause of action that would support statutory penalties or exemplary damages.
Primo also alleged that he is entitled to recover statutory penalties and exemplary damages. Where insurance coverage exists, the Texas Insurance Code provides for the trebling of a plaintiff s actual damages if the trier of fact finds that the defendant knowingly committed a proscribed act or practice. Tex. Ins. Code Ann. §§ 541.151, 541.152(b) (West Supp. 2014). The Code also provides for damages in the amount of eighteen-percent interest per year for violations of the Prompt Payment of Claims Act. Tex. Ins. Code Ann. § 542.060.
In addition, exemplary damages may be awarded to a plaintiff who proves by clear and convincing evidence that the alleged harm results from fraud, malice, or gross negligence. Tex. Civ. Prac. & Rem.Code § 41.003 (West Supp. 2014). Exemplary damages may not be recovered for even a âmalicious, intentional, or capriciousâ breach of contract, however, âunless a distinct tort is alleged and proved.â Amoco Prod. Co. v. Alexander, 622 S.W.2d 563, 571 (Tex.1981). The Supreme Court of Texas has not excluded the possibility that an insurer may be liable in tort when its âactions or inactions ... [are] the producing cause of any damage separate and apart from those that would have resulted from a wrongful denial of the claim.â Provident Am. Ins. Co. v. Castaneda, 988 S.W.2d 189, 198 (Tex.1998).
Great American contended in its reply to Primoâs response to its motion for summary judgment that (1) all of Primoâs claims are premised upon its purported breach of the policy and do not allege independently tortious conduct; (2) even if Primo alleged an independent tort, his only alleged actual damages are economic and benefit-of-the-bargain damages that will not support exemplary damages;
Although we agree with Great American that all of Primoâs claims are contingent upon the existence of coverage under the policy, it does not necessarily follow that his claims are premised solely upon the breach of the policy. For example, Primo alleged that Great American violated various provisions of the Texas Insurance Code. Although those provisions are contingent on the existence of coverage, it is possible that Great American could expose itself to statutory penalties under those provisions without breaching any terms of the E & 0 policy itself. E.g., Tex. Ins. Code Ann. § 541.060(a)(l)-(4). Primo also alleged that Great American violated its duty of good faith and fair dealing, which is âa cause of action that sounds in tort, and is distinct from the contract cause of action for the breach of the terms of an underlying insurance policy.â Twin City Fire Ins. Co., 904 S.W.2d at 666. Finally, Primo alleged that Great American became liable for fraud, or alternatively negligent misrepresentation, when one of its agents falsely represented to Primo that Briar Green had not renewed its policy with Great American. These claims also carry the potential for liability without proof that Great American breached the E & 0 policy itself. See Johnson & Higgins of Tex., Inc. v. Kenneco Energy, Inc., 962 S.W.2d 507, 524 (Tex.1998) (listing elements of common-law fraud); Fed. Land Bank Assân of Tyler v. Sloane, 825 S.W.2d 439, 442 (Tex.1991) (listing elements of negligent misrepresentation).
Great Americanâs assertion that Primoâs only actual damages from these alleged torts are benefit-of-the-bargain economic damages rests solely on its position that Primoâs only actual damages are the attorneyâs fees he incurred in the Travelers lawsuit. As previously explained, however, Great American failed to establish as a matter of law that these were Primoâs only actual damages, and our record does not indicate .that Great American filed special exceptions requiring Primo to plead his actual damages with greater specificity. In addition, Great American failed to present conclusive evidence that its alleged actions or inactions were not âthe producing cause of any damage separate and apart from those that would have resulted from the wrongful denial of the claim.â Provident Am. Ins. Co., 988 S.W.2d at 198. Great American therefore failed to establish as a matter of law that exemplary damages are unavailable because the only actual damages submitted to the jury un
Instead, Great American relies on Primoâs failure to allege or introduce evidence of damages separate and apart from the loss of his benefits under the contract. But Great American filed only a traditional motion for summary judgment, and therefore it had the burden to prove that no genuine issues of material fact existed regarding Primoâs entitlement to exemplary damages. Compare Rule 166a(c) with Rule 166a(i). Only then would the burden shift to Primo to produce evidence that would raise a genuine issue of fact regarding his entitlement to exemplary damages. Lyda Swinerton Builders, Inc., 409 S.W.3d at 229. Having failed to carry its own burden, Great American cannot shift the burden to Primo to produce evidence to support a separate distinct tortious injury with distinct actual damages. See Brown, 20 S.W.3d at 159 (holding that non-movantâs âfailure to except or respond cannot supply by default the grounds for summary judgment or the summary judgment proof necessary to establish the movantâs rightâ).
Because Great American failed to show that there are no genuine issues of material fact whether Primo has suffered actual damages separate from or greater than his attorneyâs fees in the Travelers suit, or whether those damages differ from the loss of the benefits under the E & 0 policy, Great American did not prove its entitlement to summary judgment on the ground that Primo has been fully satisfied for all of the damages he seeks in the current lawsuit. We therefore sustain Pri-moâs seventh issue.
Conclusion
We hold that Great American failed to show as a matter of law that the E & 0 policyâs âInsured v. Insuredâ exclusion barred coverage of Primoâs costs of defense in the Travelers lawsuit given Travelersâ status as Briar Greenâs assignee. We also hold that although collateral es-toppel applies, Great American failed to establish as a matter of law that its alleged conduct caused Primo no actual damages other than his attorneyâs fees in the Travelers suit, or that its alleged conduct was not independently tortious and capable of causing damages distinct from Primoâs loss of the benefits of the insurance policy. Because neither of the grounds raised by Great American supports the trial courtâs summary judgment, we reverse the judgment of the trial court and remand the case for further proceedings.
McCally, J., dissenting
1.The policy defined "Insuredâ to mean the organization and any subsidiary as well as all "insured persons.â The definition of "insured personsâ includes "all persons who were, now are, or shall be directors, trustees, officers, employees, volunteers, or staff members ofâ the organization or its subsidiaries.
2. The policy defined "Organizationâ to mean "the entity named in Item 1 of the Declaration,â which both parties agree is Briar Green.
. Primo initially retained Justin Perryman, but later replaced him with Porter Hedges LLP.
. According to Primo, he instructed his lawyers to non-suit the claims in December 2010 but dismissal was actually filed in February 2011.
. Great American also asserted the reduction reflected consideration of, if not a specific deduction for, its belief that the invoices also reflected fees and costs incurred as part of Primoâs third-party petition against Briar Green, which Great American felt it would hot be required to reimburse under the E & O policy.
.The relevant bylaws provided that Briar Green would indemnify its officers for losses, including counsel fees, reasonably incurred in connection with any action, suit, or proceeding to which they are made a party by reason of their being an officer, except those for matters in which the, officer is finally adjudged to be liable for gross negligence or willful misconduct.
. The trial court denied Primoâs motion for leave to file a third supplemental petition.
. Aside from denying the existence of coverage as a result of the exclusion, Great American did not present any grounds for summary judgment addressing the merits of Primoâs claims. Great American contended in a post-submission letter to this Court that it made additional summary judgment arguments in the trial court regarding Primoâs alleged extra-contractual claims and punitive damages. Although Great American did contend in the trial court that all of Primo's causes of action were contingent upon its purported breach of the E & O policy, Great American did not assert any basis for concluding as a matter of law that if Primoâs claim was covered, it neither breached the E & O policy nor made misrepresentations regarding the policy.
. On appeal, Great American also emphasizes that Primoâs live petition at the time of the summary judgment hearing acknowledged that "Travelers had pled standing by subrogationâ and that Travelers alleged in its petition that it had "stepped into the shoes of" Briar Green. Great American thus contends it is undisputed that the petitions in the Travelers Suit alleged Travelers was a subrogee as well as an assignee of Briar Green, and therefore a successor in interest. Great American did not raise Travelers' allegation that it was Briar Greenâs subrogee as a ground for application of the "Insured v. Insuredâ exclusion jn its motion for summary judgment, however. Cf. Olmstead, 383 S.W.3d at 652 (holding court will not read between the lines in determining what grounds are presented to the trial court in motion for summary judgment). Great Americanâs reply to Primoâs response to its motion for summary judgment, filed two days before the summary judgment hearing, does contend that "there should be no question that Travelers, as the assignee/subrogee, sue-
. See Evanston Ins. Co., 256 S.W.3d at 668.
. Our dissenting colleague faults us for seeking guidance from the meaning of the terms "successorâ or "successor in interest.â But Great Americanâs own summary judgment motion described Travelers as a "successor,â and we likewise perceive no unambiguous difference in this context between a "successor in interestâ and an "entity which succeeds to the interestâ of another. As we pointed out in Augusta, a "successorâ is "one that succeeds.â
. The section provides solely that â[a]ssignment of interest under this policy shall not bind the Insurer until its consent is endorsed hereon.â
. For example, we agree with the dissent that a corporate merger is not the only way to create a successor to the interest of Briar Green. Under the Thompson definition and the language of the policy, it could be argued that either a person or an entity that acquires the subset of Briar Green's rights and obligations relevant to the matter at hand is a successor to the interest of Briar Green. We need not decide this question here, however, because there is no evidence in the record that Travelers acquired any of Briar Green's obligations to Primo.
. See also Holland v. Williams Mountain Coal Co., 256 F.3d 819, 821-22 (D.C.Cir.2001) (concluding that party acquiring property of a firm does not become the sellerâs successor in interest); Sitaram, 152 S.W.3d at 826 (holding term successor "does not contemplate acquisition by ordinary purchase from another corporationâ).
. The court referred to the purchasers of the notes interchangeably as the FDICâs assignees and as its successors in interest, without discussing the applicability of the terms. See Jackson, 883 S.W.2d at 174. We note that the FDIC itself acquired the notes when it was appointed the receiver for each of the banks, id. at 172-173, a status that required it to assume the banks' obligations as well as their rights. See Scott v. Armstrong, 146 U.S. 499, 507, 13 S.Ct. 148, 36 L.Ed. 1059 (1892).
. In its summary judgment motion, Great American did not argue that Travelers' claim should be excluded as a claim made âby ... Briar Green.â Rather, it argued that âall of Travelers' claims against Primo were brought as a successor to the interest of Briar Greenâs rights against Primo," and therefore the Insured v. Insured "exclusion unambiguously precludes coverage.â Great Americanâs reply confirmed that the "only relevant issuesâ presented in its summary judgment were its collateral estoppel and one-satisfaction argument (which we discuss below) and its argument that the "Travelers Suit [was] filed against Primo by an entity that succeeded to the interest of Briar Greenâs rights against Primo.â
. Having concluded that Primo's first issue defeats Great Americanâs sole summary judgment ground for denying coverage, we need not reach his second through sixth issues relating to coverage.
. According to Great American, the amount of money that would "compensate Robert Pri-mo for his losses, costs, and expenses, including counsel feesâ in the Travelers lawsuitâ which is what the Briar Green jury determined â is more than sufficient to compensate Primo for his costs of defense in the Travelers lawsuit given that he also prosecuted third-party claims in the Travelers lawsuit.
. Primo raised additional arguments against the application of collateral estoppel in his supplemental responses to Great Americanâs motion for summary judgment filed on March 27 and April 5, 2013. These arguments included that in the lawsuit against Briar Green, his previous counsel from the Travelers suit did not testify as to their fees, his counsel in the Briar Green suit did not adequately advocate for the admission of a recording relating to the transactions for which Travelers had sought reimbursement from Primo, and the court permitted an expert witness who Primo felt was biased against him to testify. Because these arguments were not raised at least seven days before the summary judgment hearing occurred on March 28, and our record does not contain "an affirmative indication that the trial court permitted the late filingâ as required by Texas Rule of Civil Procedure 166a(c), we do not consider the arguments. Pipkin v. Kroger Tex., L.P., 383 S.W.3d 655, 663 (Tex.App.-Houston [14th Dist.] 2012, pet. denied). We therefore need not address whether collateral estoppel applies despite a partyâs dissatisfaction with his counselâs performance or the courtâs evi-dentiary rulings in the prior lawsuit.
. Thus, we need not address whether Primo may ultimately recover such damages.
. Great American does not address the application of the one satisfaction rule to a situation where, as here, the trial court's judgment in the previous case reduced the damages found by the trier of fact based on the plaintiff's rejection of a settlement offer covered by Chapter 42 of the Texas Civil Practice and Remedies Code. Cf. First Title Co. of Waco, 860 S.W.2d at 78 (holding one-satisfaction rule bars litigants from "recovering an amount greater than the trier of fact has determined would fully compensate for the injury''). Because we hold Great American has not carried its burden to prove that the attorneysâ fees and expenses Primo incurred in the Travelers suit were the only damages he sought in this suit, we need not decide whether Briar Green's payment of the judgment rendered against it for Primoâs Travelers-related losses â the amount of which was much less than the losses found by the jury due to Primoâs rejection of a settlement offer from Briar Green â would fully compensate Primo for the Travelers-related losses he seeks to recover from Great American in this suit.
. On appeal, Great American additionally asserts that any common-law and statutory extra-contractual claims would fail on their merits because its reliance on the âInsured v. Insuredâ exclusion was a bona fide dispute concerning coverage. Cf. State Farm Fire & Cas. Co. v. Simmons, 963 S.W.2d 42, 56 (Tex.1997) ("Evidence establishing only a bona fide 'coverage dispute does not demonstrate bad faith.â). This ground does not appear in Great Americanâs motion for summary judgment, however.