Harris v. Allstate Vehicle and Property Insurance Company

CourtDistrict Court, S.D. Texas
DecidedOctober 25, 2023
Docket4:22-cv-03199
StatusUnknown

This text of Harris v. Allstate Vehicle and Property Insurance Company (Harris v. Allstate Vehicle and Property Insurance Company) is published on Counsel Stack Legal Research, covering District Court, S.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Harris v. Allstate Vehicle and Property Insurance Company, (S.D. Tex. 2023).

Opinion

IN THE UNITED STATES DISTRICT COURT October 25, 2023 FOR THE SOUTHERN DISTRICT OF TEXAS Nathan Ochsner, Clerk HOUSTON DIVISION

§ VALERIE G. HARRIS, § § Plaintiff, § v. § CIVIL ACTION NO. H-22-3199 § ALLSTATE VEHICLE AND PROPERTY § INSURANCE COMPANY, § § Defendant. § §

MEMORANDUM AND OPINION The plaintiff, Valerie Harris, filed an insurance claim with the defendant, Allstate Vehicle and Property Insurance Company, after noticing that rainwater was leaking through her ceiling into her living room. Allstate denied the claim because it concluded that the damage, which it categorized as non-storm related, fell below the deductible on Harris’s homeowners’ insurance policy. Harris filed this action in state court, and Allstate removed on the basis of diversity jurisdiction. (Docket Entry No. 1). Allstate now moves for summary judgment. (Docket Entry No. 22). Based on the motion, the response, the record, and the applicable law, summary judgment is granted in part and denied in part. The reasons are set out below. I. Background Valerie Harris, owns a home in Katy, Texas. (Docket Entry No. 22-1 at 99; Docket Entry No. 25-1 at 146). She lives there with her sister, Gerlaonda Harris. (Docket Entry No. 25-1 at 147). On April 10, 2021, Harris purchased homeowners’ insurance from Allstate Vehicle and Property Insurance Company. (Docket Entry No. 22 at 5). Harris renewed the policy for a one- year term on April 10, 2022. (Docket Entry No. 22-1 at 99). Around April 22, 2022, during a rainstorm, Harris noticed that water was leaking from her ceiling. (Docket Entry No. 25-1 at 146). She called a roofer, who conducted an inspection on April 25, 2022, concluded that Harris’s roof had been damaged from hail and told her that it would cost $1,000 to put tarps on the roof. (Id.; Docket Entry No. 22-1 at 36). The next day, Harris called her insurance agency, Joe McGee & Associates. (Docket Entry No. 25-1 at 146). She told

the agent, Andrew Day, that her roof was leaking from storm damage on April 22, 2022. (Id.). Because Harris’s homeowners’ insurance had a deductible of $4,811, Day advised Harris to get a repair estimate from a roofer before filing a claim with Allstate. (Id. at 146–47). Either Harris or her sister, Gerlaonda, called Joe McGee & Associates back the same day. (Id. at 147). Harris and her sister testified in their depositions that it was Harris who called back. (Docket Entry No. 22-1 at 246, 259–60). They then contradicted this testimony in their summary judgment affidavits, swearing that Harris’s sister Gerlaonda called the second time because Harris “had to get on a work call on Teams.” (Docket Entry No. 25-1 at 147, 149). The sister stated in her affidavit that she had pretended to be Harris on the phone because Harris’s “name is on the

house.” (Id. at 149). As explained below, the sisters’ about-face triggers the sham-affidavit doctrine, so the court disregards the statements in the affidavit and finds that Harris made the second call. When Harris called Joe McGee & Associates the second time, an agent named William Hooks answered. (Docket Entry No. 22-1 at 163). Harris told Hooks that the damage to her roof “occurred awhile ago during the freeze” and that she “didn’t realize that the[] [damage] w[as] so severe” until she noticed the leak “just yesterday during the storm.” (Id.). Hooks asked whether she meant the freeze of February 2021, and Harris confirmed that she did. (Id.). When Hooks told Harris that her home was not covered by Allstate in February 2021, Harris pivoted to an April 25, 2022, date of loss, while stating that “I don’t know when it all occurred.” (Id.). Hooks submitted a claim identifying an April 25, 2022, date of loss, as Harris requested. (Id.; Docket Entry No. 22- 1 at 65). Hooks then notified Allstate that he suspected Harris’s claim was fraudulent. (Docket Entry No. 22-1 at 164, 167). Allstate inspected Harris’s home the following week. The inspector, Amauri Thompson,

took photographs of the roof. He found and photographed blisters on the roof, but no wind or hail damage. (Id. at 56). Thompson observed interior damage to Harris’s home, including “ceiling damage.” (Id.). Allstate’s assigned adjuster, Ryan Hulbert, reviewed Thompson’s report and photos, concluding that the “photos show there was no collateral damages to the insureds roof components as the roof vents are clean and have no marks that [s]how hail was present . . . .” (Id.). Hulbert agreed with Thompson that the marks on the roof were “blisters.” (Id.). Hulbert concluded that, “[a]t this time, the insureds damages do not exceed their deductible.” (Id.). On May 6, 2022, Allstate sent Harris a denial letter explaining that Allstate would issue no payment because “your damage estimate is less than your policy deductible of $4,811.00.” (Id. at

155). In June 2022, Harris sent Allstate a pre-suit notice letter as required by § 542A.003 of the Texas Insurance Code.1 (See Docket Entry No. 22-1 at 153). Because Harris’s letter claimed that there was “additional damage not originally inspected by [Allstate’s] adjusters,” Allstate conducted a second inspection of Harris’s home, led by adjuster Sarah Wilson. (Id. at 15, 153). Wilson concluded, based on weather reports, that there had been no hailstorms during the policy

1 Section 542A.003(a) provides: In addition to any other notice required by law or the applicable insurance policy, not later than the 61st day before the date a claimant files an action to which this chapter applies in which the claimant seeks damages from any person, the claimant must give written notice to the person in accordance with this section as a prerequisite to filing the action. period. (Id. at 16). Wilson observed “[m]inor water damage to ceiling of living room, kitchen/dining area, bathroom and bedroom.” (Id.). She also observed that three tarps had been installed on the roof. (Id.). Under the tarps, Wilson observed “zippering,” “an open hole of non- storm origin,” and a “creased shingle due to wind.” Wilson concluded that the damage was “[b]elow [d]eductible.” (Id.).

In August 2022, Harris filed this action against Allstate, alleging breach of contract, violations of the Texas Prompt Payment of Claims Act, TEX. INS. CODE § 542.051 et seq., and violations of Chapter 541 of the Texas Insurance Code, § 541.001 et seq. (Docket Entry No. 1-4). Harris seeks actual damages “in at least the amount of policy benefits wrongfully withheld.” (Id. at 5). She also seeks treble and exemplary damages under § 541.152, and attorneys’ fees. (Id.). II. The Rule 56 Standard “Summary judgment is appropriate where ‘the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.’” Springboards to Educ., Inc. v. Pharr-San Juan-Alamo Indep. Sch. Dist., 33 F.4th 747, 749 (5th

Cir. 2022) (quoting FED. R. CIV. P. 56(a)). “A fact is material if it might affect the outcome of the suit and a factual dispute is genuine if the evidence is such that a reasonable jury could return a verdict for the nonmoving party.” Thompson v. Microsoft Corp., 2 F.4th 460, 467 (5th Cir. 2021) (quoting reference omitted). The moving party “always bears the initial responsibility of informing the district court of the basis for its motion[] and identifying” the record evidence “which it believes demonstrate[s] the absence of a genuine issue of material fact.” Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986).

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Harris v. Allstate Vehicle and Property Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/harris-v-allstate-vehicle-and-property-insurance-company-txsd-2023.