Coats v. Farmers Insurance Exchange

230 S.W.3d 215, 2006 Tex. App. LEXIS 5534, 2006 WL 1765925
CourtCourt of Appeals of Texas
DecidedJune 29, 2006
Docket14-04-00686-CV
StatusPublished
Cited by15 cases

This text of 230 S.W.3d 215 (Coats v. Farmers Insurance Exchange) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Coats v. Farmers Insurance Exchange, 230 S.W.3d 215, 2006 Tex. App. LEXIS 5534, 2006 WL 1765925 (Tex. Ct. App. 2006).

Opinion

OPINION

CHARLES W. SEYMORE, Justice.

In this case of first impression, appellants, John and Shahin Coats, appeal a summary judgment in favor of appellee, *217 Farmers Insurance Exchange, contending the trial court erred (1) by granting summary judgment because the homeowner’s insurance policy in question is either ambiguous or Farmers expressly agreed to remit an amount not to exceed policy limits for each loss sustained during the policy period; and (2) by concluding that appellants’ claims under former Article 21.55 of the Texas Insurance Code fail as a matter of law. We affirm in part and reverse and remand in part.

Background

Farmers issued a homeowner’s insurance policy to appellants on July 30, 2000. The policy was effective from July 30, 2000 to July 30, 2001, and the policy limits were $138,000 for damage to the dwelling, $82,800 for loss to contents within the dwelling, and $27,600 for loss of use including alternative living expenses (ALE). On or about April 18, 2001, appellants filed an insurance claim for hail and water damage to their roof. By letter dated May 9, 2001, Farmers informed appellants that the costs to repair the damage did not exceed the $1,000 policy deductible. On June 14, 2001, appellants filed another claim for water and roof damage to their home that occurred as a result of Tropical Storm Allison. After first issuing a denial, Farmers re-opened the claim and discovered several water sources had caused damage to the home. Among those sources were a leak in the air-conditioning and heating system (HVAC), several leaks in the roof, and a hot tub leak. During March 2002, Farmers determined appellants’ residence was a total loss and paid the policy limits of $138,000 for the dwelling and $27,600 for ALE. Farmers paid $37,671.69 under the contents coverage. During July 2002, appellants filed another claim in which they alleged an HVAC overflow had caused water and mold damage to the dwelling. Farmers investigated the claim and determined the damage allegedly caused by HVAC overflow was considered when appellants received the policy limits.

During December 2002, appellants sued Farmers for nonpayment of the subsequent HVAC claim. Appellants pursued causes of action for breach of contract, negligence, gross negligence, violations of the Texas Deceptive Trade Practices Act, violations of articles 21.21 and 21.55 of the Texas Insurance Code, and breach of the duty of good faith and fair dealing. Farmers filed a motion for summary judgment contending there were no genuine issues of material fact because Farmers paid appellants the policy limits. Appellants responded that they are entitled to receive a sum not to exceed policy limits for each source of damage. Appellants seek reversal of the trial court’s order granting summary judgment in favor of Farmers.

Standard of Review

Under the traditional standard for summary judgment, the movant has the burden to prove there is no genuine issue of material fact and judgment should be granted as a matter of law. Tex.R. Civ. P. 166a(c); KPMG Peat Marwick v. Harrison County Hous. Fin. Corp., 988 S.W.2d 746, 748 (Tex.1999). In reviewing a grant of summary judgment, we take as true all evidence favorable to the nonmovant and consider all reasonable inferences in the nonmovant’s favor. Nixon v. Mr. Prop. Mgmt. Co., 690 S.W.2d 546, 549 (Tex.1985). Interpretation or construction of an unambiguous written instrument is a matter of law to be determined by the trial court. Phillips v. Union Bankers Ins. Co., 812 S.W.2d 616, 617-18 (Tex.App.-Dallas 1991, no writ). When the controversy can be resolved by proper construction of an unambiguous document, rendition of summary judgment is appropriate. Moody v. Moody Nat’l Bank, 522 S.W.2d 710, 715 *218 (Tex.Civ.App.-Houston [14th Dist.] 1975, writ ref'd n.r.e.).

Insurance policies are subject to the same rules of construction as other contracts. Nat’l Union Fire Ins. Co. v. CBI Indus., 907 S.W.2d 517, 520 (Tex.1995). The primary concern of the court is to ascertain the true intent of the parties as expressed in the instrument. Forbau v. Aetna Life Ins. Co., 876 S.W.2d 132, 133 (Tex.1994). If a written contract is so worded that it can be given a definite or certain legal meaning, then it is not ambiguous. Coker v. Coker, 650 S.W.2d 391, 393 (Tex.1983). The simple fact that the parties advance conflicting interpretations of the contract does not make it ambiguous. Kelley-Coppedge, Inc. v. Highlands Ins. Co., 980 S.W.2d 462, 465 (Tex.1998). If an insurance contract is subject to more than one reasonable interpretation, the contract is ambiguous and the interpretation that most favors coverage for the insured will be adopted. Grain Dealers Mut. Ins. Co. v. McKee, 943 S.W.2d 455, 458 (Tex.1997). When interpreting an insurance policy, a court should not isolate a single phrase, sentence, or section and consider it separately from other provisions. State Farm Life Ins. Co. v. Beaston, 907 S.W.2d 430, 433 (Tex.1995).

Limit op Liability

The policy form under consideration is a standard Homeowners Form B, which is prescribed by the Texas Department of Insurance. Appellants contend the phrase “any one loss” that appears under the first sub-heading of “SECTION 1-CONDITIONS” entitled “Insurable Interest and Limit of Liability” creates an ambiguity or expressly requires Farmers to remit an amount not to exceed the declared limit of liability for each loss sustained during the policy period. Appellants also argue that omission of reinstatement clauses for losses caused by perils other than fire supports their contention that the policy is ambiguous or the carrier expressly agreed to remit policy limits for each loss (other than fire) regardless of the number of losses during the policy period. Farmers contends there is no ambiguity when the policy is read and interpreted as a whole and refers this court to language under the fourth sub-heading of “SECTION 1-CONDITIONS” entitled “Loss Settlement.” The language in both sub-headings is set forth verbatim for consideration in context:

1. Insurable Interest and Limit of Liability. Even if more than one person has an insurable interest in the property covered, we will not be liable in any one loss:
a.

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Cite This Page — Counsel Stack

Bluebook (online)
230 S.W.3d 215, 2006 Tex. App. LEXIS 5534, 2006 WL 1765925, Counsel Stack Legal Research, https://law.counselstack.com/opinion/coats-v-farmers-insurance-exchange-texapp-2006.