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City of Dallas, Self Insured v. in the Matter of Charlie Jaimes, Elvia Jaimes, Beneficiary ( 2024 )


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  • Affirmed and Opinion Filed March 27, 2024
    S   In The
    Court of Appeals
    Fifth District of Texas at Dallas
    No. 05-22-00818-CV
    IN THE MATTER OF CHARLIE JAIMES, DECEASED
    On Appeal from the 382nd Judicial District Court
    Rockwall County, Texas
    Trial Court Cause No. 1-18-0209
    MEMORANDUM OPINION
    Before Justices Nowell, Goldstein, and Breedlove
    Opinion by Justice Goldstein
    Appellant, the City of Dallas, appeals a trial court judgment in favor of
    appellee Elvia Jaimes, as the claimant in a worker’s compensation claim against the
    City. In three issues, the City asserts that the trial court erred (1) by denying the
    City’s limitations defense, (2) because the evidence conclusively established that
    Elvia1 failed to timely file a claim for death benefits, and (3) because the evidence
    conclusively established that the City’s claims-servicing contractor timely contested
    Elvia’s claim for death benefits. We affirm in this memorandum opinion. See TEX.
    R. APP. P. 47.4.
    1
    We refer to appellee by her first name as she shares a surname with the decedent.
    BACKGROUND
    Elvia’s husband Charlie worked as a firefighter for the City, a self-insured
    worker’s compensation provider. In 2011, Charlie was diagnosed with glioblastoma,
    a type of brain cancer. He filed a claim for occupational disease injury with the
    Department of Insurance, Division of Workers’ Compensation (Division), which the
    City denied.
    On June 2014, Charlie died as a result of the cancer, and Elvia filed a claim
    for death benefits in April 2016. The City disputed Elvia’s claim in part on the
    ground that she did not bring the claim within one year of Charlie’s death. Elvia
    responded that the City waived that defense by failing to timely assert it. The
    contested case was tried before an administrative law judge (ALJ).
    On October 3, 2017, the ALJ issued his decision and order. The ALJ found in
    favor of Elvia on the compensability of Charlie’s occupational injury, but in favor
    of the City on the claim for death benefits. Both parties appealed to the Division. On
    January 10, 2018, the Division notified the parties of its decision adopting the ALJ’s
    decision and order. Both parties filed lawsuits seeking judicial review of the appeals
    panel’s decision, and the two lawsuits were consolidated.
    Elvia filed her original petition on February 23, 2018, averring the ALJ and
    the appeals panel wrongly denied her claim for death benefits. In the petition, Elvia
    incorrectly listed the City of Rockwall as the defendant. However, attached to the
    petition was the ALJ’s decision and order and the appeals panel’s decision adopting
    –2–
    same. Elvia’s process server mailed the original petition and citation directed to the
    City’s registered agent, at the Marilla address for Dallas City Hall. On February 27,
    2018, Elvia filed her first amended petition, which still incorrectly listed the City of
    Rockwall as the defendant, failed to include the attachments, but again listed the
    City of Dallas address for service. Elvia’s second amended petition, filed on March
    8, 2018, corrected the mistake and listed the City as the defendant.
    The City filed an answer, asserting among other things the affirmative defense
    of limitations, as well as a motion for summary judgment on the ground that Elvia’s
    claim was filed outside the forty-five-day limitations period. The City acknowledged
    that Elvia’s original petition was timely, but argued that the original petition
    misidentified the City of Rockwall as the defendant. Notwithstanding the correct
    identification of the defendant in the second amended petition, the City contended it
    was untimely because of the misidentification and therefore the limitations period
    was not tolled. Elvia responded that her second amended petition related back to the
    filing of her original petition because her mistake in identifying the correct defendant
    was a misnomer, not a misidentification. The trial court denied the City’s motion.
    On May 21, 2021, the City nonsuited its claim for judicial review, and on
    April 11, 2022, the parties proceeded to jury trial on Elvia’s claim for death benefits.
    Both parties submitted a proposed jury charge prior to trial. The City’s proposed
    charge included Question 4, which asked:
    –3–
    Did Elvia Jaimes file a lawsuit against City of Dallas not later than the
    45th day after the date on which the Texas Department of Insurance,
    Division of Workers’ Compensation mailed Elvia Jaimes the decision
    of the Texas Department of Insurance, Division of Workers’
    Compensation Appeals Panel?
    At the charge conference, the trial court declined to include Question 4 in the charge,
    explaining its decision as follows:
    THE COURT: Okay. As it relates to question number four, the Court is
    not submitting that to the jury because I don’t think there’s a disputed
    fact issue for them to decide. That issue has been addressed in an
    extensive Motion for Summary Judgment, and I think there’s no
    question that the lawsuit was filed. It named the wrong defendant at one
    time and it was later cured, naming the right defendant. So I think it’s
    a question of law, which you do have set up for an appeal, if necessary,
    as a result of my ruling on the Motion for Summary Judgment.
    The case was therefore submitted to the jury on three questions:
    (1) Did Elvia Jaimes file a claim for death benefits with the Texas
    Department of Insurance, Division of Workers’ Compensation
    within one year of June 9, 2014, the date of Charlie Jaimes’ death?
    (2) Did Elvia Jaimes have good cause for delay in filing a claim for
    death benefits with the Texas Department of Insurance, Division of
    Workers’ Compensation?
    (3) Did City of Dallas fail to contest Elvia Jaimes’ claim for death
    benefits within 60 days after the date on which the City’s claims
    servicing contractor received notification of the death resulting from
    an injury to Charlie Jaimes?
    The jury answered “No” to Question 1 and “Yes” to Questions 2 and 3. The trial
    court entered judgment on the verdict in Elvia’s favor. The City filed a motion for
    new trial, complaining of the trial court’s refusal to include Question 4 in the charge.
    The trial court did not rule on the motion for new trial, and it was denied by operation
    of law. See TEX. R. CIV. P. 329b(c). This appeal followed.
    –4–
    DISCUSSION
    I.       LIMITATIONS
    In its first issue, the City asserts that the trial court erred by “not granting [its]
    affirmative defense of limitations,” referring to the forty-five-day period during
    which a claimant must seek judicial review of a worker’s compensation denial. See
    TEX. LAB. CODE ANN. § 410.252(a). The City concedes that Elvia timely filed her
    original petition but erroneously listed the City of Rockwall as Charlie’s employer.
    The City argues that this was a misidentification, which does not toll the limitations
    period. Therefore, according to the City, by the time Elvia filed a petition correctly
    naming the City as the proper defendant, the limitations period had expired. Elvia
    responds that the clerical mistake2 in naming the proper defendant was a misnomer
    and not a misidentification, and thus the limitations period was tolled.
    We first address Elvia’s waiver argument that the City failed to preserve this
    complaint for appeal because the City’s opening brief does not properly assign error
    to any specific ruling in which the trial court failed to “grant” the City’s limitations
    defense. In its reply brief, the City argues that it preserved both the trial court’s denial
    of the City’s motion for summary judgment and the trial court’s refusal to include
    Question 4, the City’s proposed jury question on limitations, in the jury charge.
    2
    Elvia explained to the trial court that at the time of initial draft, “the Original Petition correctly named
    the CITY OF DALLAS as the Defendant; however, the county of suit erroneously listed DALLAS
    COUNTY (the correct Venue was Rockwall County). Upon review, this error in Venue was found and in
    the process of correcting the Venue from DALLAS to ROCKWALL, the other references to DALLAS
    throughout the Original Petition were inadvertently changed to Rockwall. This was purely a clerical error
    and the intent was at all times to sue the CITY OF DALLAS, not the City of Rockwall.”
    –5–
    A.     Preservation of Summary Judgment Denial
    The City asserts that the trial court erred in denying the City’s pretrial motion
    for summary judgment on limitations. Elvia argues that the order is not reviewable
    on appeal. We agree with Elvia. “The general rule is that a denial of a summary
    judgment is not reviewable on appeal.” Cincinnati Life Ins. Co. v. Cates, 
    927 S.W.2d 623
    , 625 (Tex. 1996). “This is because a denial of a summary judgment is not a final
    judgment.” Id.; see also Reese v. Duncan, 
    80 S.W.3d 650
    , 665 (Tex. App.—Dallas
    2002, pet. denied) (summary-judgment denial not reviewable on appeal where trial
    court denied the motion and the case was later tried on the merits).
    We overrule the City’s first issue to the extent the City seeks review of the
    trial court’s order denying the City’s motion for summary judgment on limitations.
    B.     Waiver
    The City next asserts that the trial court erred in refusing to include Question
    4 in the jury charge. Elvia contends that the City failed to preserve this issue for
    appeal because the City’s opening brief did not include an argument expressly
    assigning error to this ruling as a ground for reversal. Although Elvia asserts the City
    waived this complaint by failing to preserve error, the gravamen of her argument is
    based on alleged inadequate briefing. The Texas Rules of Appellate Procedure
    recognize a distinction between these two types of waiver. See TEX. R. APP. P.
    33.1(a) (preservation of error); TEX. R. APP. P. 38.1(f), (i) (briefing requirements).
    –6–
    “To preserve error for a no evidence or a matter of law point of error, the
    appellant must raise the issue through one of the following: (1) a motion for directed
    verdict; (2) a motion for judgment notwithstanding the verdict; (3) an objection to
    the submission of the question to the jury; (4) a motion to disregard the jury’s answer
    to a vital fact question; or (5) a motion for new trial. See United Parcel Serv., Inc. v.
    Tasdemiroglu, 
    25 S.W.3d 914
    , 916 (Tex. App.—Houston [14th Dist.] 2000, pet.
    denied) (emphasis in original) (citing Cecil v. Smith, 
    804 S.W.2d 509
    , 510–11 (Tex.
    1991)). Failure to preserve the error by raising it in the trial court precludes appellate
    review except in very narrow circumstances not applicable here. See In re B.L.D.,
    
    113 S.W.3d 340
    , 350 (Tex. 2003) (explaining that failure to preserve error waives
    an issue except in cases of “fundamental error” involving subject-matter jurisdiction
    or in or quasi-criminal juvenile-delinquency cases).
    In the case of briefing waiver, we employ a more lenient approach. See Horton
    v. Stovall, 
    591 S.W.3d 567
    , 570 (Tex. 2019). Appellate briefs are “meant to acquaint
    the court with the issues in a case and to present argument that will enable the court
    to decide the case.” 
    Id.
     (quoting TEX. R. APP. P. 38.9). Thus, we must liberally, but
    reasonably, construe briefs such that “the right to appeal is not lost by waiver.” 
    Id.
    We also must “reach the merits of an appeal whenever reasonably possible” and
    strive to avoid resolving cases based on defects of form rather than substance. 
    Id.
    The record reflects that the City filed a proposed charge that included
    Question 4, requested its inclusion in the charge at the charge conference, and
    –7–
    obtained an adverse ruling. The City then filed a motion for new trial asserting that
    the trial court erred in failing to include Question 4 in the charge. The City thus
    complied with the rules for error preservation. See TEX. R. APP. P. 33.1(a). Therefore,
    the question is not whether the City preserved this issue for appeal, but whether the
    City waived this issue due to inadequate briefing.
    An appellant’s brief should generally identify the ruling, order, or judgment
    (or any portions thereof) that the appellant complains of on appeal. See TEX. R. APP.
    P. 33.1, 33.8(f), (i). We were not favored with such a brief. Nevertheless, the City’s
    opening brief contains a salient argument as to the merits of its first issue, including
    a discussion on limitations, misnomer, misidentification, and tolling. Further, once
    Elvia pointed out the City’s failure to assign error to a specific trial-court ruling in
    her response brief, the City corrected the omission in its reply brief, with appropriate
    record citations.3
    In light of our duty to reach the merits of an appeal whenever reasonably
    possible and to avoid resolving a case based on defects of form rather than substance,
    we conclude that the City did not waive its first issue for failing to identify the trial
    court ruling being appealed from in its opening brief. See Horton, 591 S.W.3d at
    570; TEX. R. APP. P. 38.9.
    3
    It was not asserted and we do not find that the City raises this issue for the first time in its reply brief.
    –8–
    C.     Charge Error
    We now turn to whether the trial court erred in denying the City’s request to
    include Question 4 in the charge. A trial court must submit “such instructions and
    definitions as shall be proper to enable the jury to render a verdict.” TEX. R. CIV. P.
    277. Likewise, a trial court must submit in its charge to the jury all questions,
    instructions, and definitions that are raised by the pleadings and the evidence. See
    TEX. R. CIV. P. 278. The parties have the right to be judged by a jury properly
    instructed in the law. Crown Life Ins. Co. v. Casteel, 
    22 S.W.3d 378
    , 388 (Tex.
    2000). A trial court may refuse to submit a question to the jury only if there is no
    evidence to support the submission. See Elbaor v. Smith, 
    845 S.W.2d 240
    , 243 (Tex.
    1992).
    We review a trial court’s decision to give or refuse a particular question or
    instruction in the jury charge for abuse of discretion. Namdarkhan v. Glast, Phillips
    & Murray, P.C., No. 05-18-00802-CV, 
    2020 WL 1969507
    , at *4 (Tex. App.—
    Dallas Apr. 24, 2020, pet. denied). “This discretion yields only to the requirements
    that the questions submitted must: (1) control the disposition of the case; (2) be
    raised by the pleadings and the evidence; and (3) properly submit the disputed issues
    for the jury’s determination.” 
    Id.
     (citing TEX. R. CIV. P. 277, 278; and Bexar Cnty.
    Appraisal Dist. v. Abdo, 
    399 S.W.3d 248
    , 257–58 (Tex. App.—San Antonio 2012,
    no pet.)). “Whether a charge submits the controlling issues in a case, in terms of
    proper theories of recovery or defense, however, is a question of law we review de
    –9–
    novo.” 
    Id.
     (citing Hamid v. Lexus, 
    369 S.W.3d 291
    , 295 (Tex. App.—Houston [1st
    Dist.] 2011, no pet.); and Fin. Ins. Co. v. Ragsdale, 
    166 S.W.3d 922
    , 926 (Tex.
    App.—El Paso 2005, no pet.)). Evaluating the existence of reversible error in a jury
    charge requires that we consider the pleadings, the evidence presented at trial, and
    the charge in its entirety. 
    Id.
     (citing Rosell v. Cent. W. Motor Stages, Inc., 
    89 S.W.3d 643
    , 653 (Tex. App.—Dallas 2002, pet. denied)). “We reverse a judgment for charge
    error only if the error probably caused the rendition of an improper judgment or
    probably prevented a meaningful appellate review.” 
    Id.
     (citing TEX. R. APP. P. 44.1
    and Thota v. Young, 
    366 S.W.3d 678
    , 680 (Tex. 2012)).
    The elements of the affirmative defense of limitations include “when a cause
    of action accrued and that the plaintiff did not file suit within the limitations period.”
    Sutton v. Sheikh, No. 05-12-01168-CV, 
    2013 WL 4041552
    , at *2 (Tex. App.—
    Dallas Aug. 9, 2013, no pet.) (mem. op.). The City asserts that section 410.252 of
    the Labor Code provides the relevant limitations period in this case, to wit:
    A party may seek judicial review by filing suit not later than the 45th
    day after the date on which the division mailed the party the decision
    of the appeals panel. For purposes of this section, the mailing date is
    considered to be the fifth day after the date the decision of the appeals
    panel was filed with the division.
    
    Tex. Lab. Code Ann. § 410.252
    (a). We assume, without deciding, that section
    410.252(a) is a statute of limitations. Thus, in order to be entitled to a jury question
    on the City’s limitations defense, the City would have needed to introduce some
    evidence of (1) the mailing date of the appeals panel’s decision to support the
    –10–
    accrual-date element; and (2) the filing date of Elvia’s suit for judicial review to
    support the late-filing element. See Elbaor, 845 S.W.2d at 243.
    At trial, the City offered the testimony of Brent Cox, the City’s claims
    manager. Cox testified about numerous topics, including Charlie’s cancer diagnosis,
    the handling of Charlie’s worker’s compensation claim and Elvia’s claim for death
    benefits, the denial of the death-benefits claim, and the administrative appeals filed
    by both Elvia and the City. Cox did not testify, however, about the date on which
    the final decision of the appeals panel was mailed to Elvia or the date on which Elvia
    filed this suit for judicial review. The only other witness who testified at trial, Elvia,
    also did not testify about these issues.
    In its brief before this Court, the City cites to the clerk’s record as evidence of
    the appeals panel’s decision and the filing date of Elvia’s lawsuit. The clerk’s record
    contains the parties’ summary-judgment motions and responses, including a copy of
    the appeals panel’s decision. However, the appeals panel’s decision was not made
    part of the trial record as either evidence to be considered or through judicial notice
    of the court’s file. In order to determine whether the trial court erred in refusing to
    include a question in the jury charge, we consider only the evidence that was
    admitted at trial. See Elbaor, 845 S.W.2d at 243; Namdarkhan, 
    2020 WL 1969507
    ,
    at *4; see also Celadon Trucking Services, Inc. v. Titan Textile Co., Inc., 
    130 S.W.3d 301
    , 307 (Tex. App.—Houston [14th Dist.] 2004, pet. denied) (“On appeal from a
    –11–
    trial on the merits, we cannot consider summary-judgment evidence that was not
    admitted in evidence at trial.”).
    Similarly, we cannot consider Elvia’s original and amended petitions as
    evidence of the filing date. The City did not offer these pleadings into evidence or
    request that the trial court take judicial notice of its file. See, e.g., Evans v. Allen,
    
    358 S.W.3d 358
    , 366 n.4 (Tex. App.—Houston [1st Dist.] 2011, no pet.) (trial court
    may take judicial notice of its file for the purpose of determining whether case was
    filed outside of limitations period). Rather, the City attempted to make an offer of
    proof, which included Elvia’s original, first amended, and second amended petitions,
    each bearing a filing stamp by the trial court clerk. The purpose of an offer of proof
    is to preserve error when a trial court erroneously excludes evidence. See TEX. R.
    EVID. 103(a) (“A party may claim error in a ruling to . . . exclude evidence only if
    the error affects a substantial right of the party and . . . a party informs the court of
    its substance by an offer of proof, unless the substance was apparent from the
    context.”). Here, the trial court did not make an evidentiary ruling that would trigger
    the need for an offer of proof because City did not offer the pleadings into evidence.
    On the contrary, the City’s counsel explained that he was not offering the pleadings
    “into evidence,” but rather “just to preserve the record.” Because Elvia’s pleadings
    were not offered into evidence and the City does not claim any error with respect to
    their exclusion from the evidence, we cannot consider the pleadings for the purpose
    –12–
    of determining whether the trial erred in refusing to include Question 4 in the jury
    charge.
    We conclude that the trial record contains no evidence of either element of the
    City’s limitations defense. Therefore, the trial court did not err in refusing to include
    Question 4 into the jury charge.4
    D.      Tolling
    Even if the trial court erred in refusing to include Question 4 in the charge,
    the result would not change. We may reverse a trial court’s judgment on the basis of
    charge error only if the error resulted in an improper judgment or prevented
    meaningful appellate review. Namdarkhan, 
    2020 WL 1969507
    , at *4.
    We discern that the central issue the City would have us resolve is whether
    Elvia’s original petition contains a misnomer or a misidentification. “A misnomer
    differs from a misidentification.” Exxon Mobil Corp. v. Rincones, 
    520 S.W.3d 572
    ,
    594 (Tex. 2017) (quoting In re Greater Houston Orthopaedic Specialists, Inc., 
    295 S.W.3d 323
    , 325 (Tex. 2009) (per curiam)). “Misidentification—the consequences
    of which are generally harsh—arises when two separate legal entities exist and a
    plaintiff mistakenly sues an entity with a name similar to that of the correct entity.”
    
    Id.
     (quoting In re Greater Houston, 295 S.W.3d at 325). If a “plaintiff is mistaken
    4
    We note again that the trial court, during the charge conference, advised there was no fact issue for
    the jury to decide; rather, limitations was addressed as a matter of law relative to the filing date of the
    petition, the error in naming the City of Dallas and the curative amended petition. We address misnomer
    versus misidentification below.
    –13–
    as to which of two defendants is the correct one and there is actually existing a
    corporation with the name of the erroneously named defendant (misidentification),
    then the plaintiff has sued the wrong party and limitations is not tolled.” Id. (quoting
    Enserch Corp. v. Parker, 
    794 S.W.2d 2
    , 5 (Tex. 1990)). An exception exists to the
    rule that tolling does not apply in cases of misidentification: “The statute of
    limitations will be tolled in misidentification cases if there are two separate, but
    related, entities that use a similar trade name and the correct entity had notice of the
    suit and was not misled or disadvantaged by the mistake.” Flour Bluff Indep. Sch.
    Dist. v. Bass, 
    133 S.W.3d 272
    , 274 (Tex. 2004).
    In contrast to misidentification, a “misnomer occurs when a party misnames
    itself or another party, but the correct parties are involved.” In re Greater Houston,
    295 S.W.3d at 325. “The courts of this state generally allow parties to correct a
    misnomer if it is not misleading.” Id. “The main distinction between
    misidentification and misnomer is whether the correct party received notice of the
    suit.” Pierson v. SMS Fin. II, L.L.C., 
    959 S.W.2d 343
    , 347 (Tex. App.—Texarkana
    1998, no pet.). “The main reason that the statute of limitations is tolled in cases of
    misnomer is that the party intended to be sued has been served and put on notice that
    he is the intended defendant.” 
    Id.
    Here, Elvia’s original petition lists the City of Rockwall as the defendant.
    However, the citation, although listing the City of Rockwall, was directed to and
    served upon the City’s registered agent at the address for Dallas City Hall, 1500
    –14–
    Marilla, 5D South. The citation included a copy of the petition, attached to which
    were (1) the ALJ’s decision and order and (2) the notice of the appeals panel’s
    decision. Both of these attachments clearly identified the City as the party from
    whom Elvia sought relief. Thus, although Elvia listed the wrong city as the
    defendant, the “correct parties [were] involved” and “the party intended to be sued
    [was] served and put on notice that [it was] the intended defendant.” See In re
    Greater Houston, 295 S.W.3d at 325; Pierson, 959 S.W.2d at 347. As such, Elvia’s
    mistake constituted a misnomer, not a misidentification, and her second amended
    petition related back to the filing of her original petition, which was filed within the
    limitations period.
    We conclude that even if the trial court erred in failing to include Question 4
    in the jury charge, such error did not result in the rendition of an improper judgment.
    We overrule the City’s first issue.
    II.       TIMELINESS OF ELVIA’S CLAIM FOR DEATH BENEFITS
    In its second issue, the City asserts that the evidence conclusively established
    that Elvia did not have good cause for untimely filing her claim for death benefits
    and requests that we reverse and render judgment against Elvia. We construe this as
    a legal-sufficiency challenge.5 See Lua v. Capital Plus Fin., LLC, 
    646 S.W.3d 622
    ,
    5
    Similar to her response to the first issue, Elvia argues that the City also waived this issue because the
    City’s appellate brief does not assign error to a specific ruling by the trial court. We reject Elvia’s argument.
    The City’s appellate brief on this issue comports with the arguments it made in its motion for directed
    verdict. We therefore construe the City’s argument as a challenge to the trial court’s denial of the City’s
    motion for directed verdict.
    –15–
    632 (Tex. App.—Dallas 2022, pet. denied) (“Evidence is legally insufficient to
    support a finding when: (1) the record bears no evidence of a vital fact; (2) the court
    is barred by rules of law or of evidence from giving weight to the only evidence
    offered to prove a vital fact; (3) the evidence offered to prove a vital fact is no more
    than a mere scintilla; or (4) the evidence conclusively establishes the opposite of a
    vital fact.” (emphasis added)); see also Dolgencorp of Tex., Inc. v. Lerma, 
    288 S.W.3d 922
    , 929 (Tex. 2009) (“Generally, if an appellate court holds there is legally
    insufficient evidence to support a judgment after a trial on the merits, the proper
    disposition is to reverse and render judgment.”). “When determining whether legally
    sufficient evidence supports a finding, an appellate court must consider evidence
    favorable to the finding if the factfinder could reasonably do so and disregard
    evidence contrary to the finding unless a reasonable factfinder could not.” Lua, 646
    S.W.3d at 632.
    As a preliminary step in the legal sufficiency analysis, we must identify the
    standard against which the evidence is to be measured. See St. Joseph Hosp. v. Wolff,
    
    94 S.W.3d 513
    , 530 (Tex. 2002). If an objection to the charge is preserved, we
    determine whether the charge submitted was erroneous and, if so, measure the
    sufficiency of the evidence against the correct standard. See 
    id.
     If there has been no
    objection to the jury charge, however, then the charge actually submitted is the
    proper measure of the sufficiency of the evidence. Osterberg v. Peca, 
    12 S.W.3d 31
    ,
    55 (Tex. 2000).
    –16–
    Here, Question 3 of the jury charge asked whether Elvia had good cause for
    delay in filing her death-benefits claim. The question included the following
    instructions:
    A person has “good cause” in this context if he or she has pursued the
    claim for death benefits with such diligence as a reasonably prudent
    person would have used under the same or similar circumstances.
    The good cause must have arisen within one year of the date of death
    and continued until the claim was filed, must have been believe [sic]
    and relied on by the claimant, and must have caused the delayed filing.
    The City did not object to these instructions. Indeed, this was the very good-cause
    language the City urged the trial court to submit in the City’s proposed jury charge.
    We must therefore determine whether there was some evidence to support the jury’s
    affirmative answer to Question 3 based on these instructions.
    At trial, Elvia testified regarding the filing of her claim. She stated that before
    Charlie passed, his worker’s compensation claim was being handled by a City
    employee named Jane Lewis.6 Elvia testified that Charlie told her that “Jane was
    going to help him with the – his workman’s comp claim.” Elvia said that she
    “couldn’t call the City or call Jane because [she was] not an employee” so she did
    not get involved. It was her understanding that “whatever paperwork needed to be
    filed with the State for him had been filed by Jane Lewis.” After Charlie passed in
    June 2014, Elvia found workers’ compensation documents in his files with a note
    6
    Brent Cox testified that Lewis was the City’s workers’ compensation supervisor.
    –17–
    from Lewis that “she had taken care of this.”7 She testified that nobody from the
    “insurance carrier or the State of Texas” told her that there was some form that had
    not been filed. Over the next year, Elvia spoke with other City firefighters and their
    widows who intimated to her that Charlie’s claim was compensable and that she
    should consult with an attorney. Elvia retained counsel on the one-year anniversary
    of Charlie’s death. On cross-examination, Elvia explained that she did so because
    she “just thought, it’s been a year, [she] need[ed] to do something.” She felt like she
    “was going through a system, like cattle just being corralled.” Elvia testified that she
    did not hire an attorney to file forms for her, but rather because she believed based
    on her discussions with people in the firefighting community that Charlie’s claim
    should not have been denied. Elvia’s testimony was not controverted by any other
    witness. Elvia stated that it was not until the following year that she learned that her
    death-benefits claim was never filed.
    On this record, the jury could have reasonably concluded that Elvia’s
    mistaken belief—that everything that needed to be filed for her death-benefits claim
    had been filed—was reasonable based on Charlie’s representations and the note from
    Lewis. The jury could also have reasonably concluded that the good cause
    7
    Plaintiff’s Exhibit 8 of the reporter’s record is a January 10, 2012 notice from the Division confirming
    receipt of Charlie’s claim. Affixed to the notice is a post-it note from Lewis stating, “Charlie – This is the
    claim we filed using the date of injury we discussed – plus copies of the ‘injury reports’ & turned in – call
    if you have any questions – Jane.”
    –18–
    “continued until the claim was filed” given that Elvia continued to hold her mistaken
    belief even after the deadline had passed.
    Relying on Texas Employers Insurance Association v. Wermsky, 
    349 S.W.2d 90
    , 94–95 (Tex. 1961), the City argues that any good cause Elvia may have had
    ended when she hired an attorney because “the attorney is the client’s agent, and the
    attorney’s failure to file a claim is attributable to the client.” The City also argues,
    relying on Texas Employers Insurance Association v. Tobias, that Elvia’s claim of
    good cause fails as a matter of law because “ignorance of the law is not good cause.”
    
    614 S.W.2d 901
    , 902–03 (Tex. App.—Eastland 1981, writ dism’d).
    We reject these arguments. First, our task is to measure the sufficiency of the
    evidence against the charge that was actually submitted, not the charge that should
    have been submitted. See Osterberg, 12 S.W.3d at 55. The trial court was not asked
    to include, and therefore did not submit, an instruction regarding principal-agent law
    or rules about ignorance of the law. Moreover, Wermsky and Tobias are readily
    distinguishable, as both cases involved attorneys being hired expressly for the
    purpose of filing a workers’ compensation claim. See Wermsky, 349 S.W.2d at 91
    (widow of deceased employee hired her estate attorney to handle her husband’s
    workers’ compensation claim, which he failed to do despite assuring her several
    times that he did); Tobias, 614 S.W.2d at 902 (widow of deceased employee hired
    attorney to file husband’s workers’ compensation claim but never heard from him
    again despite multiple attempts to reach him by telephone). In contrast, Elvia
    –19–
    testified that she did not hire her attorneys to file her claim because she believed,
    albeit mistakenly, that everything that needed to be filed already had been.
    We conclude that the evidence was legally sufficient to support the jury’s
    answer to Question 2 and that trial court did not err in denying the City’s motion for
    directed verdict as to this question. We overrule the City’s second issue.
    III.     TIMELINESS OF THE CITY’S DENIAL OF ELVIA’S CLAIM FOR DEATH
    BENEFITS
    In its third issue, the City asserts that the evidence conclusively established
    that Elvia’s death-benefits claim was timely denied. Under the Labor Code, a
    workers’ compensation carrier may waive its defenses, including the defense that
    the claim was untimely filed, if it fails to contest the claim within sixty days of being
    notified. See TEX. LAB. CODE ANN. § 409.021(c). Because we upheld the jury’s
    rejection of the City’s defense under the second issue above, we need not consider
    whether the City timely raised it. TEX. R. APP. P. 47.1. We overrule the City’s third
    issue.
    CONCLUSION
    We affirm the trial court’s judgment.
    /Bonnie Lee Goldstein/
    BONNIE LEE GOLDSTEIN
    JUSTICE
    220818F.P05
    –20–
    S
    Court of Appeals
    Fifth District of Texas at Dallas
    JUDGMENT
    IN THE MATTER OF CHARLIE                       On Appeal from the 382nd Judicial
    JAIMES, DECEASED                               District Court, Rockwall County,
    Texas
    No. 05-22-00818-CV                             Trial Court Cause No. 1-18-0209.
    Opinion delivered by Justice
    Goldstein. Justices Nowell and
    Breedlove participating.
    In accordance with this Court’s opinion of this date, the judgment of the trial
    court is AFFIRMED.
    It is ORDERED that appellee ELVIA JAIMES recover her costs of this
    appeal from appellant CITY OF DALLAS.
    Judgment entered this 27th day of March 2024.
    –21–
    

Document Info

Docket Number: 05-22-00818-CV

Filed Date: 3/27/2024

Precedential Status: Precedential

Modified Date: 4/3/2024