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OneBeacon Insurance Company v. T. Wade Welch & Ass

Citations: 841 F.3d 669; 2016 U.S. App. LEXIS 20440; 2016 WL 6694548Docket: 15-20402

Court: Court of Appeals for the Fifth Circuit; November 14, 2016; Federal Appellate Court

Original Court Document: View Document

Narrative Opinion Summary

This case involves an appeal by OneBeacon Insurance Company following a jury verdict favoring T. Wade Welch & Associates, who cross-appealed the denial of their motion for entry of judgment. The dispute originates from Welch’s representation of DISH Network and subsequent discovery non-compliance in a lawsuit, leading to potential malpractice claims. Welch falsely stated their lack of awareness of potential claims in insurance applications with OneBeacon, which issued policies with prior-knowledge exclusions. After sanctions were imposed, OneBeacon refused to settle within policy limits, citing coverage defenses, leading to a declaratory judgment action and counterclaims by Welch and DISH for Stowers doctrine violations and Texas Insurance Code breaches. The court upheld the jury's finding of OneBeacon's knowing violation of Section 541.060, awarding damages, though it required selecting between overlapping damage claims due to the one satisfaction rule. Despite OneBeacon’s challenge to the jury's awards, procedural missteps barred its sufficiency challenges, solidifying the district court’s judgment.

Legal Issues Addressed

Insurance Policy Coverage and Prior-Knowledge Exclusion

Application: The court affirmed that the prior-knowledge exclusion must be interpreted in the context of the entire policy, ensuring retroactive coverage is not rendered illusory.

Reasoning: The trial court ruled that the exclusion must be interpreted in the context of the entire policy to avoid rendering retroactive coverage illusory.

One Satisfaction Rule in Damage Awards

Application: The district court applied the one satisfaction rule, limiting recovery to one award for the same injury, thus requiring the Welch Firm to choose between additional damages under Chapter 541 and exemplary damages under Stowers.

Reasoning: The district court ruled that only one award could be included in the final judgment due to the one satisfaction rule under Texas law, which limits recovery to one award for the same injury.

Stowers Doctrine and Valid Settlement Demands

Application: The district court recognized DISH’s letter as a valid Stowers demand, outlining that an insurer could be liable for not settling within policy limits when specific conditions were met.

Reasoning: During a pretrial conference, the court recognized DISH’s June 14 letter as a valid Stowers demand, outlining that under Texas law, an insurer could be liable for not settling a claim within policy limits when specific conditions were met.

Texas Insurance Code Section 541.060: Good Faith Settlement Practices

Application: The jury found that OneBeacon knowingly violated Section 541.060 by failing to attempt a good faith settlement when liability was clear, warranting additional damages.

Reasoning: The district court's judgment affirming the jury's award of additional damages against OneBeacon for 'knowingly' violating Section 541.060 of the Texas Insurance Code was deemed appropriate.