Fire Insurance Exchange v. Sullivan

192 S.W.3d 99, 2006 Tex. App. LEXIS 976, 2006 WL 278254
CourtCourt of Appeals of Texas
DecidedFebruary 7, 2006
Docket14-04-00081-CV
StatusPublished
Cited by31 cases

This text of 192 S.W.3d 99 (Fire Insurance Exchange v. Sullivan) 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
Fire Insurance Exchange v. Sullivan, 192 S.W.3d 99, 2006 Tex. App. LEXIS 976, 2006 WL 278254 (Tex. Ct. App. 2006).

Opinion

OPINION

EVA M. GUZMAN, Justice.

An insurer under a homeowner’s policy appeals from a money judgment in favor of the insureds based on their claims for breach of contract, violations of the Deceptive Trade Practices Act and former article 21.55 of the Texas Insurance Code. 1 We conclude that, after properly applying the jury’s findings, the amount that the insurer tendered to the insureds before suit exceeds the amount to which the insureds are entitled under the jury’s verdict. Accordingly, we reverse the trial court’s judgment and render judgment that the insureds take nothing against the insurer.

I. Factual and PROCEDURAL Background

Appellant Fire Insurance Exchange (“FIE”) insured the home of Clifton and Diane Sullivan 2 under a standard Texas Homeowner’s Policy, Form B. 3 In late May or early June of 2001, a pipe in the attic of the Sullivans’ home burst. Clifton Sullivan repaired the pipe and vacuumed the water out of the living room carpet. On July 2, Diane Sullivan reported the leak to her insurance agent, Dwight Moody, and also informed him of a second leak, located in the master bath shower.

After inspecting the home, FIE’s adjuster, John Dunn, estimated repairs attribut *102 able to the attic leak would cost $2,944.75. He subtracted the Sullivans $880 deductible from this amount, resulting in a net payment of $2,064.75. 4 Concerned they may not be able to complete the repairs for that amount, Diane Sullivan contacted Moody, and he advised her to get a second estimate. The contractor she subsequently contacted estimated the repairs at $7,290. The Sullivans contend that they did not have the additional $5,000 for the repairs and therefore hired an attorney.

On July 31, 2001, the Sullivans’ attorney sent a written claim to FIE for mold growth and water damage. In September 2001, claiming they did not receive a satisfactory response to their written claim, the Sullivans hired a contractor to investigate the damage and the following additional leaks were discovered: an air conditioner leak, a leak in the master shower, and one in the hall bath. The Sullivans reported those additional losses to FIE on September 4 and September 7. The contractor advised the Sullivans to leave the house because it was contaminated with mold, and they relocated to a motel on September 8, 2001.

On September 12, FIE assigned another claims adjuster, Richard Norwood, to handle the Sullivans’ claims. Norwood initiated payment of additional living expenses (“ALE”) for the Sullivans and requested additional testing on the residence. That testing was done on January 3, 2002. According to the test results, there was mold growth in virtually the entire house. Nor-wood’s investigation of the claims concluded on March 6, 2002, and on April 3, FIE issued two checks to the Sullivans one for $66,734.02 and one for $15,696.55. 5

Unsatisfied with these amounts, the Sul-livans sued FIE alleging that the delay and mishandling of their claims had resulted in the deterioration of their home. They asserted claims for breach of contract, bad faith, violations of the Insurance Code and the Deceptive Trade Practices Act (“DTPA”). 6 FIE responded with a general denial alleging that the damages to the home were excluded under various policy provisions, and that the Sullivans failed to protect the home and make necessary repairs.

The case was tried to a jury, which found that FIE breached the dwelling coverage portion of the policy, but not the personal property and additional living expenses coverage provisions. The jury awarded costs for mold remediation and repair of the home, as well as personal property damage. In its final judgment, the trial court accepted the verdict, stating as follows:

The Jury found the total amount to repair the dwelling and to repair or replace contents to be $98,565.11. The court finds that [FIE] tendered payment to Plaintiffs ... in the amount of $2,064.75 and tendered further payment to Plaintiffs ... in the amount of $82,430.57 entitling [FIE] to a credit totaling $84,495.32.
Taking such into account along with the $880 deductible set out in the policy of insurance, the Plaintiffs are entitled to recover damages on their breech [sic] of contract and DTPA claims from [FIE] in the amount of $13,189.79.
Plaintiffs are further entitled to recover penalty under Art. 21.55 in the *103 amount of $31,450.67; Plaintiffs are further entitled to recover prejudgment interest of $1,798.28; plaintiffs are entitled to recover reasonable attorney fees in the amount of $39,426.04 for a total judgment in favor of Plaintiffs ... of $85,864.78.

II. Issues PRESENTED

FIE presents the following issues:

(1) Whether the trial court erred in including the personal-property costs in the judgment’s total cost amount when the Sullivans failed to obtain findings (1) that FIE breached the personal-property coverage portion of the policy, and (2) that their loss was caused by a covered, named peril.
(2) Whether the trial court erred in including the full amount of the dwellings’s remediation and repair costs in the judgment’s total cost amount when the jury found that only forty-five percent of these costs were attributable to a covered peril.
(3) Whether penalty interest under former article 21.55 of the Texas Insurance Code accrues on payments made to the insured.
(4) Whether the Sullivans are entitled to attorney’s fees.
(5) Whether the Sullivans’ failure to comply with the policy’s condition precedent that required them to prevent further damage to the property precludes their recovery under the policy.
(6) Whether the policy’s mold exclusion precludes any recovery under the policy.

III. Analysis

A. Policy Provisions

Before addressing FIE’s issues and arguments, we set out pertinent provisions of the policy and the jury’s findings. As presented to the jury, the insurance policy provides three distinct areas of coverage: (1)to the dwelling; (2) for personal property; and (3) for additional living expenses. Under the policy, the dwelling is insured against “all risk of physical loss ... unless the loss is excluded in Section I Exclusions.” The Sullivans’ personal property, subject to the same exclusions, is insured against physical loss if caused only by named perils. The named peril pertinent to this case is “Accidental Discharge, Leakage or Overflow of Water or Steam from within a plumbing, heating or air conditioning system or household appliance.” Following the accidental discharge or leakage provision is the “exclusionary repeal provision,” stating “Exclusions l.a. through l.h.

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Bluebook (online)
192 S.W.3d 99, 2006 Tex. App. LEXIS 976, 2006 WL 278254, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fire-insurance-exchange-v-sullivan-texapp-2006.