Cesar De Leon v. State Farm Lloyds

Texas Court of Appeals, 9th District (Beaumont)·Decided July 2, 2026·No. 09-24-00212-CV·Published

Opinion

In The

Court of Appeals

Ninth District of Texas at Beaumont

NO. 09-24-00212-CV

CESAR DE LEON, Appellant

V.

STATE FARM LLOYDS, Appellee

On Appeal from the 457th District Court Montgomery County, Texas

Trial Cause No. 23-03-04388-CV

MEMORANDUM OPINION

In this first party insurance lawsuit, Cesar De Leon appeals the trial court’s Order Granting State Farm Lloyds’ (“State Farm”) Motion for Summary Judgment. He also complains that the trial court abused its discretion by sustaining State Farm’s objections to certain summary judgment evidence, and by its ruling on State Farm’s Motion to Exclude Expert Witnesses. As discussed below, we affirm the trial court’s judgment.

BACKGROUND

De Leon sued State Farm, his home insurer, for damage his home allegedly sustained when his waterpipes burst during a winter storm that occurred in February 2021. The record shows that on February 22, 2021, De Leon made a claim with State Farm. Before the adjuster arrived, De Leon along with family, friends, and neighbors began making repairs, including stopping the pipe leaks. On March 21, 2021, State Farm sent an adjuster to inspect the property, after rescheduling an inspection on March 12, 2021, at De Leon’s request.

On March 23, 2021, State Farm sent a letter to De Leon telling him that they determined the loss was less than his $2,800.00 deductible, so State Farm would not be paying any money on the claim. According to State Farm, it did not hear from De Leon again until he retained counsel. State Farm Claims Team Manager Nick D’Alessandro stated that State Farm timely acknowledged the letter of representation it received from De Leon’s attorney in writing, and it requested to complete a second inspection to address De Leon’s new concerns. After rescheduling a second inspection in April 2023, nobody was present at De Leon’s property on the agreed upon date, and before State Farm could reschedule, De Leon filed suit.

Later, Brandon Gadrow, an adjuster with Quantum Claim Consulting Services hired by De Leon’s attorney, inspected the property and estimated repairs would cost

$110,785.25. Gadrow testified, however, that he did not speak with De Leon about whether the damage was old or new and did not investigate the cause of damages or any issues in the home. Likewise, De Leon testified in his deposition that he did not have receipts for the repairs he made, nor could he track the costs for those repairs. De Leon’s Petition and Causes of Action On March 23, 2023, De Leon filed “Plaintiff’s Original Petition Expedited Action Under TRCP 169[.]” Except for identifying the date of loss, the factual details in De Leon’s Original Petition are sparse. That said, he alleged that State Farm “failed to properly adjust the claim and summarily improperly paid the claim with obvious knowledge and evidence of serious damages.” He also asserted that State Farm “failed to perform its contractual duty to adequately compensate Plaintiff under the terms of the policy” and “misrepresented to Plaintiff that the damage to the property was not in excess to the amount paid even though the damage was caused by a covered occurrence.” He alleged that “Defendant refused to fully compensate Plaintiff, under the terms of the policy, even though Defendant failed to conduct a reasonable investigation.” De Leon pleaded the following causes of action: (1) breach of contract; (2) breach of the duty of good faith and fair dealing; (3) violation of the Texas Deceptive Trade Practices Act (DTPA); (4) violation of chapter 542 of the Texas Insurance Code, Prompt Payment of Claims Act; (5) unfair

insurance practices in violation of Texas Insurance Code chapter 541; (6) common- law fraud; and (7) ongoing conspiracy to commit illegal acts. State Farm’s Motion for Summary Judgment On May 2, 2024, State Farm filed its Traditional and No-Evidence Motion for Summary Judgment. State Farm argued that after one year of discovery and litigation, De Leon failed to produce any credible or reliable evidence supporting that there were covered damages beyond what State Farm estimated or that the reasonable cost to repair any undisputed damages exceeded his policy deductible. State Farm argued that instead, the evidence established it had conducted a “diligent investigation and prepared an estimate for the reasonable and proper scope and cost of repairs for the covered damage[,]” which fell below De Leon’s policy deductible, and he had no evidence to the contrary. Additionally, State Farm asserted that it was entitled to summary judgment on De Leon’s extra-contractual claims, regardless of the breach of contract claim, because: (1) the summary judgment record established a reasonable basis for its claim decision; (2) it timely acknowledged the claim, investigated, and explained the decision; and (3) it communicated its position to De Leon in writing, and his frustration that the loss fell below his deductible was irrelevant and insufficient to support his claims. State Farm described the nature of the damage it observed after the freeze. It explained that it determined the water damage from the plumbing leaks was confined to the kitchen, laundry room, and

master bathroom. It also observed the home had issues unrelated to the freeze, like signs of ongoing and long-term damage from bathing activity or poor or improper ventilation in the master bathroom.

Based on its inspection and interactions with De Leon, State Farm prepared an estimate for $2,345.14, which fell below the policy deductible. State Farm asserted that it relayed its decision to De Leon on March 23, 2021, De Leon reviewed and understood State Farm’s position but took no further action regarding the decision. According to State Farm, De Leon did not provide pre-suit notice or any documentation advising of the scope or amount of damages claimed. Then, on May 2, 2023, De Leon submitted an estimate prepared by Gadrow from Quantum Claim Consulting Services. State Farm outlined the deficiencies in De Leon’s discovery responses and expert designations noting his failure to supplement or timely designate. State Farm asserted that “[b]ecause Plaintiff has not produced any admissible evidence and has not timely and properly designated expert witnesses, Plaintiff’s causes of action fail as a matter of law.”

In the no-evidence portion of its motion, State Farm argued that De Leon did not produce any reports or actual opinions or the experts’ resumes. Additionally, State Farm claimed that De Leon, in response to request for admissions, conceded the designated “expert witnesses” Morgan, Bray, Degeyter, Perera, and Cole had not inspected the property, reviewed any documents pertaining to the claim, nor formed

any opinions. State Farm argued that Gadrow with Quantum Claim Consulting Services was the only person who inspected the property on behalf of opposing counsel, and it was after De Leon sued. State Farm added that Gadrow was not designated as an expert in the case, and Gadrow conceded in his deposition that he did not investigate the cause of the damage or issues he observed in the home.

State Farm alleged that the breach of contract claim failed because there was no evidence that the occurrence caused covered damages beyond the policy deductible. It argued that for De Leon to recover under the policy, he must prove that the damage claimed was caused by water damage from the freeze and was covered under the policy. State Farm also asserted that he must prove the actual cash value of the damages, if covered, exceeded the $2,800 policy deductible. It argued that proving covered damages associated with the freeze required physical observations or expert opinions, but De Leon had neither, so there was no evidence of breach, causation, or damage elements of his breach of contract claim.

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Cesar De Leon v. State Farm Lloyds, (Tex. Ct. App. 2026).

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