Columbia Lloyds Insurance Company v. Robert Mao and Vachana Mao

CourtCourt of Appeals of Texas
DecidedMarch 24, 2011
Docket02-10-00063-CV
StatusPublished

This text of Columbia Lloyds Insurance Company v. Robert Mao and Vachana Mao (Columbia Lloyds Insurance Company v. Robert Mao and Vachana Mao) 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
Columbia Lloyds Insurance Company v. Robert Mao and Vachana Mao, (Tex. Ct. App. 2011).

Opinion

02-10-063-CV

COURT OF APPEALS

SECOND DISTRICT OF TEXAS

FORT WORTH

NO. 02-10-00063-CV

Columbia Lloyds Insurance Company

APPELLANT

AND APPELLEE

V.

Robert Mao and Vachana Mao

APPELLEES

AND APPELLANTS

------------

FROM THE 342nd District Court OF Tarrant COUNTY

MEMORANDUM OPINION[1]

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I.  Introduction

          Columbia Lloyds Insurance Company issued a Texas Dwelling Policy that named Vachana Mao as insured and covered a rental house that she owned.  After a fire occurred at the dwelling, Vachana reported the loss to Columbia Lloyds; Columbia Lloyds denied Vachana’s claim based on a vacancy clause in the policy.  This litigation ensued, and the trial court granted Columbia Lloyds’s traditional and no-evidence motion for summary judgment on the Maos’ extracontractual claims; the trial court also granted the Maos’ motion for partial summary judgment on their breach of contract claim and awarded them actual damages of $30,000.  The trial court granted Columbia Lloyds’s summary judgment on the Maos’ claim for attorney’s fees and for violations of the Prompt Payment of Claims Act (PPCA).

Columbia Lloyds and the Maos both perfected appeals.  In one issue, Columbia Lloyds contends that the trial court erred by granting summary judgment for the Maos and by denying summary judgment for Columbia Lloyds on the Maos’ breach of contract claim because Columbia Lloyds conclusively established that the dwelling was vacant, triggering the vacancy exclusion of the policy.  In three points, the Maos argue that the trial court erred by granting summary judgment for Columbia Lloyds on the Maos’ claim for attorney’s fees, their claim that Columbia Lloyds had violated the PPCA, and their extracontractual claims.  For the reasons set forth below, we will reverse and remand in part and affirm in part.

II.  Factual and Procedural Background

          The policy issued by Columbia Lloyds covered rental property located at 1109 Bewick in Fort Worth; a detached garage was also covered by the policy.  The policy period was from January 19, 2006 to January 19, 2007, and the policy limit was $30,000 with a $300 deductible.  The policy contained a vacancy clause that stated, “During the policy term, if an insured building is vacant for 60 consecutive days immediately before a loss, we will not be liable for a loss by the perils of fire and lightning or vandalism or malicious mischief.  Coverage may be provided by endorsement to this policy.”

          Judy Romero, a claims manager for Columbia Lloyds, received a phone call from Vachana on November 3, 2006, reporting that a fire had damaged the insured dwelling at 1109 Bewick on October 28, 2006.  Romero noted on the “Property Loss Notice” form that “[t]he house was vacant per insured[––]tenant moved out in Feb.”  Romero assigned the claim to Orena Claims Service.

Robert Orena inspected the dwelling on November 7, 2006, and took photographs; he determined that there were no contents in the house.  Orena orally explained the vacancy clause to Vachana.  Orena thereafter told Romero that the house was a total loss, that the origin of the fire was undetermined, and that the house had been vacant for more than sixty days.

Romero made the decision to deny the claim based on the vacancy clause in the policy and the facts supporting the vacancy (i.e., no contents in the house and no tenants in the house), and Romero told Orena to write a denial letter.  Orena sent a letter dated November 10, 2006, to Vachana denying the claim based on the vacancy clause.

          Following the letter, the Maos’ attorney sent a letter to Columbia Lloyds disputing the definition of “vacancy” it had used.  Romero printed out the definitions of “vacancy” and “unoccupied,” sent them to the Johnston Legal Group to obtain a legal opinion, and requested an examination under oath from Vachana.

          During her examination under oath on May 14, 2007, Vachana stated that as of June 8, 2006, all of the prior tenant’s furniture had been moved out, and the insured dwelling was “completely vacant.”  She said that there was a sofa, an old bed, a gas range, and a refrigerator in the detached garage[2] but that these appliances were not “hooked up.”  She explained that the house was in the process of being remodeled and that although the contractor’s proposal said that he would finish by July 12, 2006, she did not think that he had finished the work by that date because he kept coming in and out of the house.

          On September 20, 2007, Romero sent a second denial letter to the Maos because the legal opinion that she had received from the Johnston Legal Group following the examination under oath confirmed that the vacancy clause applied.

The Maos filed suit against Columbia Lloyds, alleging claims for breach of contract, breach of the duty of good faith and fair dealing, common law fraud, violations of the Deceptive Trade Practices Act (DTPA), violations of the insurance code, and violations of the PPCA.  The Maos also claimed they were entitled to attorney’s fees for their breach of contract and PPCA violation claims.

Columbia Lloyds answered, and in due course, the parties filed competing motions for summary judgment.  The Maos moved for partial summary judgment on their breach of contract claim, arguing that as a matter of law the insured dwelling was not vacant at the time of the fire as the term “vacant” is defined by Texas law.

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Bluebook (online)
Columbia Lloyds Insurance Company v. Robert Mao and Vachana Mao, Counsel Stack Legal Research, https://law.counselstack.com/opinion/columbia-lloyds-insurance-company-v-robert-mao-and-texapp-2011.