Alpha/Omega Ins Svcs v. Prudential Insurance ( 2000 )


Menu:
  •                 IN THE UNITED STATES COURT OF APPEALS
    FOR THE FIFTH CIRCUIT
    No. 99-20200
    ALPHA/OMEGA INSURANCE SERVICES, INC.,
    Plaintiff-Appellant,
    v.
    PRUDENTIAL INSURANCE COMPANY OF AMERICA,
    Defendant-Appellee.
    _______________________________
    Appeal from the United States District Court
    for the Southern District of Texas
    (H-97-CV-3435)
    _______________________________
    January 12, 2000
    Before JOLLY, EMILIO M. GARZA and BENAVIDES, Circuit Judges.
    PER CURIAM:*
    Appellant Alpha/Omega Insurance Services, Inc.
    (“Alpha/Omega”) appeals from the district court’s grant of
    summary judgment to appellee Prudential Insurance Company of
    America (“Prudential”).      We affirm the summary judgment as to
    Alpha/Omega’s fraud and misrepresentation claim and vacate the
    summary judgment as to Alpha/Omega’s conversion and tortious
    interference claim.
    I.      Factual and Procedural Background
    In July, 1991, Prudential appointed Alpha/Omega as its
    *
    Pursuant to 5th Cir. R. 47.5, the court has determined that this opinion
    should not be published and is not precedent except under the limited
    circumstances set forth in 5th Cir. R. 47.5.4.
    special agent,2 thereby authorizing Alpha/Omega to write and sell
    Prudential’s property and casualty insurance.
    On December 7, 1995, Prudential gave Alpha/Omega notice that
    the agency relationship would terminate on December 31, 1995.
    Alpha/Omega protested: under the Texas Insurance Code, article
    21.11-1(1)(a), Prudential owed Alpha/Omega six months notice and
    payment of renewal commissions until December 31, 1996.             In a
    letter dated December 22, 1995, Prudential relented,
    acknowledging that it had a “unique relationship” with
    Alpha/Omega and agreeing to follow Texas law.
    In February, 1996, Prudential began contacting Alpha/Omega
    clients insured by Prudential, notifying them of non-renewal, and
    offering them replacement policies with other carriers.
    Alpha/Omega objected to Prudential’s conduct, and Prudential
    agreed to stop soliciting Alpha/Omega’s clients.
    Alpha/Omega filed suit on June 27, 1997, in Texas state
    court.   Though the original petition stated causes of action for
    fraud and misrepresentation, conversion and tortious interference
    with contract, the heart of Alpha/Omega’s complaint is that
    Prudential is stealing Alpha/Omega’s book of business.3
    Prudential removed to federal court on grounds of diversity.
    2
    Alpha/Omega is an “independent insurance agent,” which means that it is
    “not owned or controlled by any insurer or group of insurers and whose agency
    agreement does not prohibit the representation of other insurers.”
    Alpha/Omega Ins. Servs. Inc. v. Prudential Ins. Co. of America, No. 97-3435,
    slip op. at 2 n.2 (S.D. Tex. Feb. 1, 1999).
    3
    The “book of business” or “expirations” refers to a copy of the policy
    containing the date of the insurance policy, the name of the insured, the date
    of its expiration, the amount of insurance, premiums, property covered and the
    terms of insurance. See 
    id. at 8.
    2
    The district court granted summary judgment to Prudential on
    February 1, 1999.    It held that Alpha/Omega had not introduced
    facts to support its claim for fraud and misrepresentation, and
    that Prudential owned the book of business, thus rendering
    conversion and tortious interference impossible.
    Alpha/Omega timely filed this appeal.
    II.       Standard of Review
    We apply de novo review to summary judgment motions and
    evaluate the case under the same standards employed by the
    district court.     See Shakelford v. Deloitte & Touche, LLP, 
    190 F.3d 398
    , 403 (5th Cir. 1999).
    The district court should grant summary judgment where “the
    pleadings, depositions, answers to interrogatories, and
    admissions on file, together with the affidavits, if any, show
    that there is no genuine issue as to any material fact and that
    the moving party is entitled to judgment as a matter of law.”
    Fed. R. Civ. Proc. 56(c).      “An issue is genuine if the evidence
    is sufficient for a reasonable jury to return a verdict for the
    nonmoving party.”     Owsley v. San Antonio Indep. Sch. Dist., 
    187 F.3d 521
    , 523 (5th Cir. 1999).      On summary judgment, “we consider
    the evidence and all reasonable inferences to be drawn therefrom
    in the light most favorable to the nonmovant[.]”      Rushing v.
    Kansas City S. Ry. Co., 
    185 F.3d 496
    , 505 (5th Cir. 1999).
    III.          Fraud and Misrepresentation
    Alpha/Omega claims that Prudential committed fraud and
    misrepresentation when it led Alpha/Omega to believe that it was
    3
    seeking a principal-agent relationship for purposes of
    distributing its property and casualty insurance products.
    Rather, Alpha/Omega contends, Prudential planned to use the
    principal-agent relationship to gather the information necessary
    to steal Alpha/Omega’s clientele.    Alpha/Omega maintains that
    Prudential made misrepresentations when it: (1) failed to
    disclose that it intended to compete with Alpha/Omega; (2) failed
    to reveal that it intended to steal Alpha/Omega’s book of
    business; and (3) promised that it would follow industry customs.
    Prudential responds that the fraud and misrepresentation
    claim involved only the claim that Prudential promised to pay
    renewal commissions through December 31, 1996 and failed to do
    so.   Because Robert Wheeler (“Wheeler”), Alpha/Omega’s CEO,
    conceded that Prudential did in fact make such payments,
    Prudential argues that no fraud and misrepresentation occurred.
    We hold that the district court properly dismissed this
    claim.   Alpha/Omega’s complaint identifies only one
    representation as fraudulent: that Prudential would continue
    paying renewal commissions through December 31, 1996.    Wheeler
    admits in his deposition that he received renewal commissions up
    until that date.   As Prudential’s representation was true, no
    action for fraud and misrepresentation can lie, and the district
    court did not err in granting summary judgment for Prudential.
    As to Alpha/Omega’s contentions about other
    misrepresentations on Prudential’s part, Alpha/Omega    cannot
    raise these additional claims of fraud for the first time on
    4
    appeal.     See Fed. R. Civ. Proc. 9(b) (requiring claims of fraud
    to be pled with particularity in the complaint); see also United
    States ex rel Wallace v. Flintco Inc., 
    143 F.3d 955
    , 971 (5th
    Cir. 1998) (refusing to consider a new argument, raised for the
    first time on appeal, unless it “presents a pure question of
    law,” or, “if ignored, would result in a miscarriage of justice”
    or which “meets the plain error standard.”).           We therefore affirm
    the summary judgment as to the fraud and misrepresentation claim.
    IV.     Conversion and Tortious Interference with Contract
    Alpha/Omega alleges that Prudential converted Alpha/Omega’s
    book of business and tortiously interfered with Alpha/Omega’s
    contracts with its own clients.
    Prudential counters that it owns the book of business and
    therefore cannot have converted its own property or tortiously
    interfered with its own contracts.
    Because we find that the question of ownership of the book
    of business is a contested factual issue, we hold that summary
    adjudication was improper.       The question of ownership turns on
    the terms set forth in the contract governing the agency
    relationship.4    Here, the parties disagree as to the meaning of
    4
    Alpha/Omega argued that the contract in the record pertained merely to
    life insurance, not property and casualty insurance, policies. It based its
    argument on Wheeler’s testimony that he thought the written contract pertained
    only to life insurance. But the plain language of the contract grants
    Alpha/Omega authority “[t]o solicit and procure applications for all types of
    insurance policies.” Without evidence of an oral agreement that the contract
    at issue applied only to life insurance, Wheeler’s misunderstanding of the
    contract does not create an ambiguity. See Davis v. Davis, 
    175 S.W.2d 226
    ,
    229 (Tex. 1943); 14 Texas Jurisprudence § 191 (3d ed. 1981). We therefore
    proceed with the understanding that the contract does govern the terms of the
    agency relationship.
    5
    section 6(g) of the contract, which states, in its relevant part,
    “All books, accounts . . . records . . . and all other items
    provided by [Prudential], and relating to or connected with the
    business of the [Prudential] . . . shall be the property of the
    [Prudential].”
    Alpha/Omega argues that the contractual provision either
    does not convey the book of business or is ambiguous as to its
    meaning.   Whether a contract is ambiguous in Texas is a question
    of law.    See Triad Elec. & Controls, Inc. v. Power Sys. Eng’g,
    Inc., 
    117 F.3d 180
    , 187 (5th Cir. 1997).      Alpha/Omega posits that
    the clause only applies to those items provided to Alpha/Omega by
    Prudential; the book of business is indisputably provided by
    Alpha/Omega to Prudential.    Whether “provided by [Prudential]”
    modifies “all books, accounts [and] records” or merely “and all
    other items” is unclear, as is Prudential’s contention that the
    clause can be read, “books, accounts [and] records . . . relating
    to or connected with the business of [Prudential].”      Thus, the
    contract is ambiguous, and the parties may introduce additional
    facts of custom and practice in the industry to guide
    interpretation of the provision.       See Cicciarella v. Amica Mut.
    Ins. Co., 
    66 F.3d 764
    , 768 (5th Cir. 1995) (“Once the document is
    found to be ambiguous, the determination of the parties’ intent
    through extrinsic evidence is a question of fact.”).      Because we
    find the contract provision ambiguous, and inasmuch as
    Alpha/Omega has submitted evidence that the disputed contractual
    provision did not convey the book of business to Prudential, a
    6
    fact issue sufficient to survive summary judgment exists.5
    Finally, Prudential agreed to comply with Texas Insurance
    Code, article 21.11-1(1)(a), even though that provision does not
    apply “where the policies and the insurance business is owned by
    the company and not the agent.”        Tex. Ins. Code, art. 21.11-1(3).
    Prudential’s compliance with article 21.11-1(3) evidences its own
    belief that it did not own Alpha/Omega’s book of business on
    December 22, 1995 when it agreed, by letter, to comply with the
    terms of the statutory provision, and its own understanding of
    its ownership of the book of business contributes to the genuine
    factual dispute that exists.       In short, Alpha/Omega proffered
    sufficient, specific evidence that the contract did not convey
    the book of business to Prudential to survive summary judgment.
    We therefore vacate the summary judgment on the conversion and
    tortious interference claims for further proceedings.
    For the foregoing reasons we affirm the summary judgment
    with respect to the fraud and misrepresentation claim and vacate
    the summary judgment with respect to the conversion and tortious
    interference claims.
    AFFIRMED IN PART, VACATED IN PART.
    5
    Prudential argues that the compensation schedule, incorporated by
    reference in section 3 of the contract, conveys the book of business to it.
    We reject this argument. While section 3 undoubtedly incorporates by
    reference a compensation schedule, we have no reason to believe that it
    incorporated the compensation schedule included in the record, which, on its
    face, applies to all ordinary agency representations. Alpha/Omega was a
    special agent.
    7