No. 95-20034United States Court of Appeals, Fifth Circuit.
April 16, 1996
Page 1454
Jerry L. Bryan, II, Houston, TX, Thomas Mason Whiteside, Houston, TX, for plaintiff-appellant.
William Louis Kirkman, Boulard, Kirkman and Seidler, Fort Worth, TX, Jacalyn D. Scott, Houston, TX, for defendant-appellee.
Appeal from the United States District Court for the Southern District of Texas.
Before DAVIS, PARKER, and BUNTON[1] , Circuit Judges.
ROBERT M. PARKER, Circuit Judge:
[1] I. FACTS
[2] On November 28, 1983, plaintiff-appellant Nancy Palma (“Palma”) borrowed $121,300 from City Federal Savings Loan (“City Federal”) to purchase a condominium. As a condition of the loan, Palma was required to purchase mortgage insurance to protect City Federal from a loss in the event she defaulted on the loan. The mortgage insurance was purchased by City Federal from defendant-appellee Verex Assurance, Inc. (“Verex”). The premiums were paid with Palma’s money, which had been placed in an escrow account.
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auction for $30,800 to City Federal, the mortgage holder. After the foreclosure there remained a principal balance of $115,825.14 due and owing to City Federal under the terms of the note. On June 23, 1989, Verex paid City Federal $51,122.47 pursuant to the mortgage insurance policy and received an assignment of the entire deficiency due on Palma’s note.
[4] On April 1, 1991, Verex, as subsequent assignee of City Federal, demanded that Palma repay $117,521.98 as the “deficiency balance due.” This amount included accrued interest and costs of foreclosure, as well as a credit for the proceeds received from the foreclosure of the condominium. The amount demanded did not include a credit for the proceeds Verex paid to City Federal under the mortgage guarantee insurance policy. [5] We have had difficulty in sorting out the record concerning the economic facts of the claims in this litigation and have been unable to resolve some apparent inconsistencies. However, we believe we can at least get in the ballpark with a summary that approaches accuracy. [6] Palma paid $121,300 for the house. She made mortgage payments and payments for the mortgage insurance for approximately four years. However, after four years of mortgage payments and a $30,800 credit to her balance from the foreclosure proceeds, she still owed $115,825.14. The difference apparently was attributable to charges assessed against Palma by City Federal’s attorneys. To state it another way, Palma was assessed foreclosure costs that in effect wiped out the $30,800 credit from the foreclosure proceeds. However, the story is far from over. By the time the court granted Verex’s motion for summary judgment and ruled against Palma on her wrongful foreclosure claim she was assessed additional attorneys’ fees for Verex’s lawyers in the astonishing amount of $225,750. This additional amount raised the judgment against Palma to a total of $419,898.12.[7] II. PROCEEDINGS BELOW
[8] Palma filed suit in state district court alleging that Verex’s pursuit of the deficiency was in violation of the terms of the mortgage insurance policy. Based upon diversity jurisdiction Verex removed the suit to the Southern District of Texas and filed a counterclaim for the deficiency and attorneys’ fees.
[11] III. ANALYSIS[12] A. STANDING ART. 21.21
[13] The district court granted Verex’s motion for summary judgment as to Palma’s claims based upon alleged violations of the Texas Insurance Code after concluding that Palma did not have standing to assert those claims under art. 21.21(16) of the Texas Insurance Code.[2] We review the district
Page 1456
court’s grant of summary judgment de novo. Thomas v. Price, 975 F.2d 231, 235 (5th Cir. 1992).
[14] The district court’s jurisdiction in this case was based on diversity of citizenship and it correctly held that it was bound to apply the substantive law of the State of Texas. Erie R. Co. v. Tompkins, 304 U.S. 64, 78, 58 S.Ct. 817, 822, 82 L.Ed. 1188 (1938). We begin our review of the district court’s decision by examining the applicable law. [15] Art. 21.21(16) of the Texas Insurance Code provides:[16] Although “any person” would appear to be sufficiently broad to permit Palma to have standing, it appears to have been narrowly construed. This court, interpreting the laws of Texas, has held that “absent privity of contract or some sort of reliance by the person bringing the claim on the words or deeds of the insurer, a suit will not lie under art. 21.21.” Warfield v. Fidelity and Deposit Co., 904 F.2d 322, 327 (5th Cir. 1990). In reaching this holding the court analyzed two decisions from the Texas courts of appeal that had addressed standing under art. 21.21. The first case was Chaffin v. Transamerica Ins. Co., 731 S.W.2d 728, 731 (Tex.App.-Houston [14th Dist.] 1987, writ ref’d n.r.e.). The court, discussing Chaffin, stated that the Texas court “held that the term `person’ in art. 21.21 means either an insured or a beneficiary of the policy.” Warfield, 904 F.2d at 326. The second case was Hermann Hosp. v. National Standard Ins. Co., 776 S.W.2d 249, 252Any person who has sustained actual damages as a result of another’s engaging in an act or practice declared in Section(s) 4 of this Article . . . [to be] unfair or deceptive acts . . . in the business of insurance or in any practice defined by Section(s) 17.46 of the Business and Commerce Code . . . as an unlawful trade practice may maintain an action against the person . . . engaging in such acts. (emphasis added).
[18] Id. at 149. The court then noted that although it had previously extended standing to third-party beneficiaries of automobile insurance policies, it refused to extend standing to third-party claimants of those policies under art. 21.21. Id. at 150 (citing Dairyland County Mut. Ins. Co. v. Childress, 650 S.W.2d 770 (Tex. 1983)).[3] [19] Due to the unique nature of the mortgage insurance policy in the instant case, Palma,A third-party claimant has no contract with the insurer or the insured, has not paid any premiums, has no legal relationship to the insurer or special relationship of trust with the insurer, and in short, has no basis upon which to expect or demand the benefit of the extra-contractual obligations imposed on insurers under art. 21.21 with regard to their insureds.
Page 1457
unlike the third-party claimant in Watson, satisfies most of the the factors discussed by the Texas Supreme Court that weighed against standing in that case. Palma had a contract with the insured, City Federal, in the form of a mortgage. Palma paid the premiums for the mortgage insurance. Additionally, Palma is designated by name in the certificate of insurance issued by Verex to City Federal. The considerations that weighed against standing in Watson weigh in favor of granting Palma standing in the instant case. However, because the court did not expressly state that these factors were to be used when deciding whether a party was entitled to standing under art. 21.21 we must determine what the Texas Supreme Court would do if it were presented with the issue before us.
[20] “When presented with an unsettled point of state law, our role under Erie is to determine how the [Texas] Supreme Court would resolve the issue if presented with it.” Coatings Mfrs., Inc. v. DPI, Inc., 926 F.2d 474, 479 (5th Cir. 1991). The factors discussed by the Texas Supreme Court in Watson that weighed against extending standing to the third-party claimant in that case are present in the instant case. This, combined with the unique nature of mortgage insurance, we believe impacts on our analysis of standing under art. 21.21. Consequently, we conclude that if the Texas Supreme Court were presented with the question before us it would hold that standing under art. 21.21 is satisfied by not only those who can establish privity of contract or reliance on a representation of the insurer, but also by those who can establish that they were an intended third-party beneficiary of the insurance contract.[4] Therefore, we must determine whether Palma was an intended third-party beneficiary of the contract between Verex and City Federal in order to determine if the district court was correct when it found that Palma lacked standing to sue under art. 21.21. [21] 1. THIRD-PARTY BENEFICIARY STATUS[25] This language benefits the borrower only, in this case Palma. However, the very next condition in the contract states:15. NO RIGHT OF SUBROGATION AGAINST THE BORROWER. The Borrower shall not be liable to the Company for any loss paid to the Insured pursuant to this policy; provided, however, that the real estate shall consist of a single-family dwelling occupied by the Borrower; otherwise, the Company reserves the right to make a claim against the Borrower for any loss paid or deficiency suffered by the Company.
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[26] Under Texas law, contracts for insurance are generally enforced as written; however, ambiguous insurance contracts are interpreted against the insurer. National Union Fire Ins. Co. v. Hudson Energy Co., Inc., 811 S.W.2d 552, 555 (Tex. 1991). The interpretation of an insurance contract, including whether it is ambiguous, is a legal determination subject to de novo review. Truehart v. Blandon, 884 F.2d 223, 226 (5th Cir. 1989). Therefore, we must examine Condition 15 and Condition 16 in order to determine if an ambiguity exists. [27] Condition 15 is written for the sole benefit of the borrower. The policy specifies additional beneficiaries in Condition 16 which states that the policy provisions are written for the benefit of Verex and City Federal. Neither condition is mutually exclusive. However, if these two provisions create an ambiguity it is to be construed against Verex. National Union Fire Ins. Co., 811 S.W.2d at 555. In any event, we find no ambiguity created by Conditions 15 and 16. We also find that the insurance contract was actually made, in part, for the benefit of Palma. [28] Finally, we must determine if Verex and City Federal intended the contract to benefit Palma. The intent of the contracting parties is discerned from the four corners of the instrument. See Talman, 924 F.2d at 1350 (“It is the intention and purpose of the contracting parties, as disclosed within the four corners of the instrument, which should control”) (internal citation omitted). [29] One Texas court has stated that “[w]here a stranger contends that it was intended that the provisions of a contract should inure to his benefit such intention must be clearly apparent. If there is any doubt concerning the intent in this regard as it appears from the contract itself, such doubt should be construed against such intent.”Republic Nat’l Bank v. Nat’l Bankers Life Ins. Co., 427 S.W.2d 76, 8016. TO WHOM PROVISIONS APPLICABLE. The provisions of this policy shall inure to the benefit of and be binding upon the Company and the Insured and their successors and assigns.
Page 1459
Borrower.” (emphasis added). Consequently, we must determine whether Palma was required to occupy the property at the time of default in order to be entitled to the protection afforded to borrowers by Condition 15.
[35] Condition 15 provides us with no guidance as to when occupancy is to be determined. If occupancy is determined at the time the contract was entered into, then Palma is clearly within the language of Condition 15. However, if occupancy is determined at the time of default, then the district court correctly found that Palma was afforded no protection. The ambiguity is apparent and it must be interpreted against Verex. National Union Fire Ins. Co., 811 S.W.2d at 555. Therefore, we hold that occupancy is determined at the time the contract of insurance was entered into and the policy was issued. As a result of this determination, we find that the district court erred in its alternative finding, and we hold that Palma satisfied the language of the policy by occupying the dwelling at the time the contract of insurance was entered into and the policy was issued. The impact of the court’s error, concerning Palma’s ability to enforce the terms of the contract, is discussed below. [36] B. ASSIGNMENT OF THE DEFICIENCY BALANCE[41] a. Condition 10 and Bidding Requirements
[42] When City Federal elected to collect mortgage insurance proceeds, the contract for insurance imposed bidding requirements upon City Federal. These bidding requirements therefore impacted the amount that might remain as a deficiency after foreclosure on Palma’s property. The relevant conditions of the policy form read as follows:
[43] Palma contends that under the provisions quoted above, if City Federal intended to collect the mortgage insurance proceeds it was required to bid the total amount of the debt due at foreclosure, thereby eliminating the deficiency balance on the note. [44] The trial court considered Palma’s “full-debt bid argument” but rejected it. In finding of fact number one the court found that Condition 10 did not require the lender to pay as its bid at foreclosure sale the full amount of the loan. However, the trial court did not specify what Condition 10 did require of City Federal.10. PROCEDURE UNDER FAULT . . . The Insured shall also furnish to the Company, at least (15) days prior to the foreclosure sale, if any, a statement indicating the amount anticipated to be due, at the time of sale, to the Insured under the terms of the policy and shall be required to bid, at the sale, the amount due to the Insured under the terms of the policy (emphasis added) . . . .
11. COMPUTATION OF LOSS — The amount of loss payable to the Insured shall be limited to the principal balance due pursuant to the mortgage agreement, accumulated interest computed through the date of the tender of conveyance, as hereinafter set forth (penalty interest excluded),Page 1460
real estate taxes and hazard insurance premiums necessarily advanced.
13. OPTION TO PAY A PERCENTAGE OF THE AMOUNT DUE — In lieu of conveyance of the title to the mortgage premises and payment in accordance with Condition 11, the Company shall have the option of paying the percentage of the amount due to the Insured in accordance with the amount of coverage selected and paid for as indicated on the face of the Certificate, or subsequent Certificate amendments, and shall have no claim to said real estate, such payment to be full and final discharge of the Company’s liability.
[45] b. “Full-Debt Bid Argument”
[46] If City Federal intended to collect the proceeds of the mortgage insurance policy after foreclosure, Condition 10 required it to bid “the amount due to [City Federal] under the terms of the policy.” Palma contends that the amount due under the terms of the policy is to be determined by looking at the language contained in Condition 11, entitled “Computation of Loss”. If we were to adopt the reasoning proferred by Palma, we would be requiring lenders who entered into contracts prior to February 24, 1984,[6] to bid the entire amount due under the terms of the mortgage if they intended to collect mortgage proceeds after foreclosure.
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did not intend to collect mortgage guaranty insurance proceeds. Only when the lender intended to collect insurance proceeds would he be obligated under the terms of the contract to bid a minimum of twenty-five percent, assuming that this amount was neither “grossly inadequate” nor the result of an irregularity in the foreclosure sale.
[50] In the instant case, City Federal purchased the property at foreclosure for $30,800.[8] This amount was then credited against Palma’s deficiency balance. The trial court found that the amount bid by City Federal was not “grossly inadequate”. It is not necessary for us to determine whether the trial court erred when it found that the amount bid by City Federal was not “grossly inadequate” because it is clear that the trial court erred when it found that there had been no violation of Condition 10 of the contract. [51] If the trial court had interpreted Condition 10 as written, it would have found that City Federal was required to submit a minimum bid of twenty-five percent, or $37,139.72.[9] The trial court’s error in interpreting Condition 10 was compounded when it failed to properly credit the deficiency balance that would have remained after foreclosure. Palma was entitled to a credit of $37,139.72 in proceeds from the sale at foreclosure, leaving a deficiency balance of $111,447.16.[10] As discussed below the trial court further erred when it failed to credit this deficiency with the insurance proceeds received by City Federal.[52] c. Condition 15 and Waiver of Subrogation
[53] Condition 15 waived Verex’s rights to pursue Palma “for any loss paid to the insured pursuant to this policy.” The amount paid to City Federal was $51,122.47. It is clear that Palma was entitled to enforce the waiver of subrogation rights present in Condition 15, which entitled her to a credit of $51,122.47 on the amount assigned by City Federal to Verex.[11] The trial court should have properly credited the deficiency balance owed by Palma with the amount paid by Verex to City Federal. If it had done so it would have found that the deficiency assignable to Verex was $60,326.69.[12]
Page 1462
[54] The errors committed by the trial court in determining the amount of the deficiency balance caused it to further err in finding of fact number eight. In finding of fact number eight the trial court stated that “Verex is the assignee of the deficiency claimed, and has the right to recover it under the lawful assignment agreement.” This finding is erroneous because the assignment agreement violated the express terms of the contract, thereby violating Palma’s rights as a third-party beneficiary. As a result of the errors present in the trial court’s finding of facts, we must reverse the judgment of the trial court. [55] 2. ILLEGAL ASSIGNMENT[57] The agreement entered into between Verex and City Federal clearly violated the original contract for insurance. The assignment agreement gave Verex the right to pursue Palma for the entire amount of the deficiency balance. This amount included the amount which Verex had paid to City Federal in insurance proceeds, which, as previously stated, violated Condition 15’s limitation on Verex’s subrogation rights. Under art. 21.21A the agreement was “other than as expressed in the policy” and was therefore illegal. “It is a familiar law of contracts that an illegal agreement is unenforceable.” DiFrancesco v. Houston Gen. Ins. Co., 858 S.W.2d 595, 598 (Tex.App — Texarkana 1993, no writ). The illegality of the agreement giving Verex the right to pursue Palma for the deficiency provides an independent ground for reversing the judgment of the trial court. [58] 3. PUBLIC POLICYSection 1. No insurer . . . may make any contract of insurance or agreement as to such contract other than as expressed in the policy issued thereon . . .
Section 3. If any person violates any of the provisions of this Article, the person shall, in addition to any other penalty specifically provided, be guilty of a Class A misdemeanor.
Section 4. The commissioner, upon giving 10 days’ notice of hearing by certified mail, and upon hearing, may suspend or cancel the certificate, charter, permit, or license to engage in the business of insurance of any society, association, corporation, or person violating the provisions of this Article.
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in the contract for insurance was expressly approved and adopted by the Texas Board of Insurance, we have a basis for discerning Texas’ public policy as it relates to the actions of Verex. See Wallgren, supra.
[61] On May 11, 1970, the Texas Board of Insurance issued Board Order 13772. As required by statute, Verex incorporated every condition contained in the order into its policy for mortgage insurance. Included in the order were Conditions 10 and 15, which as previously discussed, were both violated by City Federal and Verex. Condition 10 was violated when City Federal failed to place a proper bid at foreclosure, which resulted in a larger deficiency than would have existed if City Federal had placed a proper bid. Verex then pursued Palma for this incorrect deficiency without crediting it with the amount of insurance proceeds paid to City Federal. Their failure to credit the deficiency balance resulted in a violation of Condition 15. The violations of Conditions 10 and 15 were violations of the public policy of the State of Texas and they provide an independent basis for reversing the judgment of the trial court. [62] C. CLASS CERTIFICATION[64] IV. CONCLUSION
[65] Palma requests this court to reverse the judgment of the trial court. However, the only issues that have been adequately briefed are those that relate to wrongful foreclosure, Verex’s counterclaim for the deficiency and attorneys’ fees, and the grant of summary judgment to Verex on the issue of standing under art. 21.21. Accordingly, our reversal of the trial court’s judgment is limited to those issues. All issues not raised are waived and the judgment is final as to those other issues. Therefore, the judgment of the trial court is REVERSED in part, AFFIRMED in part, and the case is REMANDED for further proceedings consistent with this opinion.
At trial, the general counsel for Verex, Thomas Anderson, stated that Verex occasionally advised lenders as to what amount to bid at foreclosure, but could not remember for certain if they had advised City Federal in the instant case. This is a peculiar practice, in light of the fact that Verex and City Federal disregarded the terms of the insurance contract that dictated bidding at foreclosure.
It is apparent that a mortgage insurer, who intends to receive an assignment to pursue borrowers for deficiencies, has an interest in the property being sold at foreclosure for the lowest price possible. After all, the insurer is obligated by contract to pay proceeds to the insured. If he can minimize the amount received at foreclosure, then the amount of the remaining deficiency will be larger. This is one of the dangers that the policy language protected against, and it provides support to our interpretation of the contractual conditions at issue in the instant case.
No policy of mortgage guaranty insurance shall contain a provision which allows subrogation rights or any other claim by the insurer against the borrower for a deficiency arising from a foreclosure sale of a single-family dwelling occupied by the borrower as the principal residence of the borrower.
Tex. Ins. Code Ann. Art. 21.50 Section(s) 1A(c) (Vernon 1996) (emphasis added). Assignment of the right to pursue Palma for a deficiency falls squarely within the prohibition restricting insurers from pursuing borrowers for deficiencies via “subrogation rights or any other claim”. However, because the contract for insurance between Verex and City Federal was entered into in late 1983 we must determine what the public policy of Texas, as it relates to mortgage guaranty insurance, was at that time.
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[68] The majority holds that Clause 15 of the policy makes Palma a third-party beneficiary to the insurance contract. Clause 15 provides:NO RIGHT OF SUBROGATION AGAINST THE BORROWER.
[69] I agree with the majority that, when its conditions are met, Clause 15 is designed to afford a waiver of subrogation from the insurer to the borrower. It is clear to me, however, that in this case all of the conditions were not met; the real estate which served as collateral for the subject loan was not a “single family dwelling occupied by the borrower” at the time of the loss. [70] The majority disposes of the occupation condition by concluding that the policy is ambiguous — one reasonable interpretation is that the occupation requirement must be met at the time the policy issues; another is that it must be met at the time of the loss. Having declared Clause 15 ambiguous, the majority then resolves the ambiguity against the insurer. The majority concludes that Palma, therefore, is a third-party beneficiary even though, at the time she defaulted on the loan, she had long since ceased to live on the premises. [71] Unlike the majority, I find no ambiguity in Clause 15. It focuses the reader on the relevant time period: “the borrower shall not be liable to the company for any loss paid to the insured pursuant to this policy.” This phrase orients the clause toward the time when the insured suffers a loss. And the earliest such a loss can occur is the date on which the borrower defaults. In sum, I read Clause 15 to give the borrower the right to insist that the insurer waive any right of subrogation against her for any insurance proceeds paid to the insured if, but only if, the borrower occupied the premises at the time of the default. Thus, Palma is not a beneficiary because she did not occupy the premises when she defaulted. Therefore, she has no right to claim a waiver of subrogation. [72] Even if we assume, however, that this clause is ambiguous as to when the borrower must occupy the premises, I would still conclude that Palma is not a third-party beneficiary. Texas law requires that one claiming to be a third-party beneficiary establish that the parties to the contract clearly intended to benefit her. In Corpus Christi Bank Trust v. Smith, 525 S.W.2d 501, 503-04 (Tex. 1975), the Texas Supreme Court summarized this well-established rule as follows:The Borrower shall not be liable to the Company for any loss paid to the Insured pursuant to this policy; provided, however, that the real estate shall consist of a single-family dwelling occupied by the Borrower; otherwise, the Company reserves the right to make a claim against the Borrower for any loss paid or deficiency suffered by the Company.
[73] Contrary to the majority’s conclusion, Palma cannot bootstrap a finding of third-party beneficiary status from an ambiguous provision. The contract must clearly demonstrate that the parties intended to benefit her. [74] Republic National Bank v. National Banker’s Life Insurance Co., 427 S.W.2d 76 (Tex.Civ.App.-Dallas 1968, writ ref’d n.r.e.), relied upon by the majority, does not purport to announce a different rule. In that case, an intermediate Texas court stated the third-party beneficiary rule as follows: “Where a stranger contends that it was intended that the provisions of a contract should inure to his benefit such intention must be clearly apparent. If there is any doubt concerning the intent in this regard as it appears from the contract itself, such doubt should be construed against such intent.” Id. at 80. A stranger to a contract is one who is not a party to the contract. As evidenced by her efforts to achieve third-party beneficiary status, Palma was not a party to this insurance contract between Verex and City Federal. If there is any lingering doubt on this point, the Texas cases interpreting mortgage guarantyThe intention of the contracting parties is of controlling significance to a determination that a third party may enforce the contract provision. In deriving intent, we must begin with the presumption that parties contract for themselves, and a contract will not be construed as having been made for the benefit of third parties unless it clearly appears that such was the intention of the contracting parties. (citations omitted).
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insurance policies unanimously hold that a borrower is not a party to such contracts. Pineda v. PMI Mortgage Ins. Co., 843 S.W.2d 660 (Tex.App.-Corpus Christi 1992), writ denied per curiam, 851 S.W.2d 191 (Tex. 1993); Shields v. Atlantic Fin. Mortgage Corp., 799 S.W.2d 441, 444 (Tex.App. — El Paso 1990, no writ); Hunt v. Jefferson Savings Loan Assoc., 756 S.W.2d 762, 765 (Tex.App.-Dallas 1988, writ denied), cert. denied, 489 U.S. 1079, 109 S.Ct. 1532, 103 L.Ed.2d 837 (1989).
[75] In conclusion, because Palma was not occupying the premises at the time the insured suffered the loss, Palma cannot clearly establish that she is a third-party beneficiary of Clause 15. And, without third-party beneficiary status, Palma may not claim the benefit of the policy’s waiver of subrogation clause. I would therefore affirm the district court’s judgment.Page 137
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