Source: http://ace-insurance-litigation.com/ace-ina-litigation/case/jones-v-ace-american-insurance-company-ace
Timestamp: 2019-04-25 08:00:33+00:00

Document:
"FIRST CAUSE OF ACTION- Violation of the Texas Insurance Code.
4.1 Plaintiff Scottie Jones re-alleges and incorporate each allegation contain in paragraph 1-28 Of this petition as if fully set forth herein.
4.2 Defendants failed to effectuate a prompt, fair and equitable settlement of a claim with respect to which liability has become reasonably clear, in violation of the Texas Insurance Code Section 541.060 (a)(2)(A)(formerly Art. 21.21§ 4 (10)(ii).
4.5 Defendants refused to pay a claim without conducting •ajpteonable investigation with respect to the claim in violation of the Texas Insurance Code SectiojnA.060(a)(7)(formerly Art 21.21§4(10)(vii).
4.6Defendants misrepresented the insurance policsjlgder which Defendants affords workers compensation coverage to Plaintiff SCOTTIEtf^JES by making an untrue statement of material fact, in violation of the Texas Insurance Code Sec0i 541.060 (l)(formerly Art. 21.21 §4(ll)(a).
4.7 Defendants misrepresented the in&Klace policy under which Defendants affords workers compensation coverage to PldntifeSCOTTIE JONES, by failing to state a material fact that is necessary to make others statements mjaae^iot misleading, in violation of the Texas Insurance Code Section 541.060 (2)(formerlyA%2f.21 §(ll)(b).
4.8 ©Defendants njkf|presented the insurance policy under which Defendants affords workers compensation cojltage to Plaintiff SCOTTIE JONES, by making a statement in such a manner as to mislead a reasonably prudent person to a false conclusion of material fact, and failing to disclose a matter required by law to be disclosed, in violation of the Texas Insurance Code Section 541.002 (l)(fonnerly Art. 21.21 §4(ll)(e).
4.9Defendants misrepresented the insurance policy under which Defendants affords workers compensation coverage to Plaintiff SCOTTIE JONES by making an untrue statement of material fact, in violation of the Texas Insurance Code Section 541.060 (l)(formerly Art. 21.21 §(1 l)(a).
410 Defendants allowed the employer, company officers and directors, to dictate the methods by which and the terms on which a claim is handled and settled, in violation of the Texafjhsurance Code Section 415.022.
5.1Plaintiff SCOTTIE JONES re-alleges and incorporate ea^fallegation contained in Paragraph 1-28 of the petition as if set forth herein.
8.1 Plaintiff SCOTT^pONES is entitled to the actual damages resulting both jointly and severally from Defendants violalfHis of the law. These damages the consequential damages to the economic welfare from the wrongful denial and delay of benefits, the mental anguish and physical suffering resulting from the wrongful actions and denial of benefits, and continued impact on the medical evaluation, treatment and final diagnosis of all the other actual damages permitted by law. In addition, Plaintiff SCOTTJE JONES is entitled to exemplary damages.
8.2 As a result of Defendants' acts and or omissions, Plaintiff has sustained damages in excess of the minimum jurisdictional limits of this court.
WHEREFORE PREMISES CONSIDERED, Plaintiff respectfully r||Sest that Plaintiff have judgment against Defendants for actual damages jointly and severally in<6«pss of minimum jurisdictional limits of this Court, pre-and post judgment interest as allowed by<j|p, cost of suit and all other relief, at or inequity, to which SCOTTEE JONES may be entitled/-^ Plaintiff JONES hereby demand a Constitution of the United States many."

References: Art. 21
 Art 21
 Art. 21
 §4
 Art. 21
 §4
 Art. 21