Council of Co-Owners of Saida II Towers Condominium Ass'n v. Texas Catastrophe Property Insurance Ass'n

696 S.W.2d 60, 1985 Tex. App. LEXIS 12102
CourtCourt of Appeals of Texas
DecidedMay 29, 1985
DocketNo. 13970
StatusPublished
Cited by3 cases

This text of 696 S.W.2d 60 (Council of Co-Owners of Saida II Towers Condominium Ass'n v. Texas Catastrophe Property Insurance Ass'n) 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.

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Council of Co-Owners of Saida II Towers Condominium Ass'n v. Texas Catastrophe Property Insurance Ass'n, 696 S.W.2d 60, 1985 Tex. App. LEXIS 12102 (Tex. Ct. App. 1985).

Opinion

ON MOTION FOR REHEARING

POWERS, Justice.

Our previous opinion is withdrawn and the following is substituted.

In four separate suits, numerous property owners sued the Texas Catastrophe Property Insurance Association in a district court of Travis County, Texas, alleging causes of action on property-insurance contracts written by the association.1 The association appeared in each case by answer containing a general denial and a plea that the district court lacked subject-matter jurisdiction of the causes of action pleaded by the property owners. After hearing, the district court sustained the association’s plea to the jurisdiction, dismissing the four suits. The suits were, by agreement, consolidated for purposes of the present appeal. We will hold the trial court had jurisdiction of the pleaded causes of action; and, consequently, that it erred in dismissing the suits. We will therefore reverse the judgments below and remand the causes for trial.

The fundamental and determinative issue on appeal is whether the Legislature, in its enactment of the Catastrophe Property Insurance Pool Act (the “Act”),2 intended to abolish the common-law cause of action and remedy pleaded by the plaintiffs for breach of their insurance contracts, and to substitute therefor an exclusive and mandatory administrative course of adjudication and remedy in the State Board of Insurance. If the Legislature so intended, then the district court lacked subject-matter jurisdiction and properly dismissed the plaintiffs’ suits, for they averred such a common-law cause of action and prayed for a common-law remedy of compensatory damages. On the other hand, if the Legislature did not so intend, then the plaintiffs’ pleaded cause of action and remedy fell within the general original jurisdiction of the district court, a jurisdiction conferred [62]*62upon the court by the terms of Tex. Const. Ann. art. V, § 8 (Supp.1985), and it was reversible error to dismiss the plaintiffs’ suits. See also Tex.Rev.Civ.Stat.Ann. art. 1906 (1964).

THE CATASTROPHE PROPERTY INSURANCE POOL ACT

The general purpose of the Act is to effectuate the writing of windstorm, hail, and fire insurance in certain portions of the State where property owners would otherwise, as a practical matter, be unable to secure such insurance, owing to the location of their property in areas prone to such hazards and a resulting reluctance in insurers to contract with them for insurance protection (§ 1). In its substantive parts, the Act creates a legal entity named the “Texas Catastrophe Property Insurance Association,” a defendant below. The members of the association constitute a “pool” to which “all property insurers authorized to transact property insurance in the State” shall belong, except as they are excused by other provisions of law (§ 4). The association is empowered by the Act to write contracts of insurance in its own name and may appear before the State Board of Insurance in regard to such material matters as premium rates, risk classifications, rules, rating plans, and changes therein (§§ 5(a), 8). The profits and losses on the association’s insurance contracts are apportioned pro-rata among the members of the pool according to a prescribed formula (§ 5(c)). Members of the pool may themselves voluntarily write similar insurance in the hazard-prone areas and thereby reduce their participation in the writings of the association (Id.). The business of the association is governed by a board of directors, selected by the members, under a plan formulated by the board to provide more particularly for the assessment and recoupment of losses (§ 5(b)). The Act empowers the State Board of Insurance to “issue any orders which it considers necessary to carry out the purposes of this Act,” including rate orders and orders establishing the forms of policies issuable by the association in evidence of the terms of its contracts with property owners to whom the insurance protection is sold (§ 5A(a)).

The theme of the statute is that the association shall conduct its business as any ordinary insurer having the power to enter into insurance contracts in the State at premium rates and on policy forms established by the State Board of Insurance. We conclude, in consequence, that the association is empowered, like any insurer under the common law, to deny coverage on an owner’s claim. Even though that power is not expressly given the association by the terms of the Act, it is clearly implied. (It is alleged by the plaintiffs that the association denied coverage under its contracts with the plaintiffs, in breach thereof, entitling them to compensatory damages for the breach.)

Section 9 of the Act is entitled “Appeals.” It is primarily from the terms of this section that one may arguably be permitted an inference that the Legislature intended that the State Board of Insurance would adjudicate an insured’s claim on an insurance contract written by the association, even though the Act is absolutely silent as to such essential matters as: (1) the criteria or standards by which the Board’s adjudication shall be made; (2) the factual determinations upon which any legal criteria or standards shall depend; and (8) any remedy awardable by the Board if it be determined that the association is liable on or for breach of its insurance contract.

Section 9 does provide for both administrative review and judicial review of controversies; however, the nature of the reviewable controversies is not specified beyond what may be implied by the rather inexact word “aggrieved.” The Board’s power of administrative review extends to “appeals” taken to the Board by an insured or an insurer “aggrieved by an act, ruling or decision of the Association,” or by the association in the event it is “aggrieved” by any action of the Board. With respect to judicial review, the section provides that the association or a person “aggrieved” by an order or decision of the Board may [63]*63“appeal” to a Travis County district court, “and not elsewhere, in accordance with Article l.OJffl) of the Insurance Code of Texas ” (emphasis added). That is to say, exclusive venue in the case of an “appeal” to a district court lies in Travis County, Texas, and the appeals are governed by art. 1.04(f) of the Insurance Code.

THE ASSOCIATION’S THEORY THAT THE DISTRICT COURT LACKED SUBJECT-MATTER JURISDICTION

The association’s theory that the district court was without jurisdiction over the plaintiffs’ causes of action is this: in any suit brought under authority of § 9 of the Act, the State Board of Insurance must be named a defendant, for that is the express requirement of article 1.04(f) of the Insurance Code; and the suit must be brought within 30 days of the date the Board’s decision in the case becomes final and ap-pealable, for that is the express requirement of § 19(b) of the Administrative Procedure and Texas Register Act,3 applicable to contested cases adjudicated by the Board. We observe here that the theory rests upon a disputed premise — that the causes of action pleaded by the plaintiffs were, by the Act, committed to the State Board of Insurance for adjudication in the first instance.

In the present case, the plaintiffs sued the association in a district court of Travis County within 80 days of the Board’s final decision.

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696 S.W.2d 60, 1985 Tex. App. LEXIS 12102, Counsel Stack Legal Research, https://law.counselstack.com/opinion/council-of-co-owners-of-saida-ii-towers-condominium-assn-v-texas-texapp-1985.