Harris v. American Protection Insurance Co.

158 S.W.3d 614, 2005 Tex. App. LEXIS 1136, 2005 WL 327154
CourtCourt of Appeals of Texas
DecidedFebruary 10, 2005
Docket2-03-228-CV
StatusPublished
Cited by72 cases

This text of 158 S.W.3d 614 (Harris v. American Protection Insurance Co.) 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
Harris v. American Protection Insurance Co., 158 S.W.3d 614, 2005 Tex. App. LEXIS 1136, 2005 WL 327154 (Tex. Ct. App. 2005).

Opinion

OPINION

JOHN CAYCE, Chief Justice.

Introduction

This case arises from two insurance claims for successive casualty losses to the roof of a shopping mall. In six issues, appellant G.L. Harris asserts that the trial court erred by rendering a take nothing judgment against him because he proved his hail damage breach of contract and articles 21.55 and 21.21 claims as a matter of law, the trial court erred by refusing to submit his requested jury question on breach of contract, and the jury’s failure to find that American violated article 21.21 and its finding that Harris’s negligence caused his damages were against the great weight and preponderance of the evidence. In a sole issue on cross-appeal, American asserts that the trial court erred in granting a directed verdict against it on its fraud counterclaim. We will affirm.

Background Facts

On May 5, 1995, a severe hail storm damaged the roof of a vacant building known as Westridge Mall. At the time, the shopping mall was covered by two insurance policies, one issued by appellee American Protection Insurance Company (“American”) and the other by Aetna Life & Casualty (“Aetna”). Each policy effectively covered fifty percent of the loss 1 and named Southwest Portfolio (“Southwest”) as the insured. On September 6, 1995, roofing contractor Gary Boyd discovered the hail damage during a warranty-related roof inspection. Southwest made a claim for the hail damage under the Aetna policy on October 6, 1995. Because it was unaware of the American policy, Aetna agreed to cover one hundred percent of the loss and settled the claim for $712,612.50. 2 In accordance with the settlement agreement, Aetna paid Southwest $268,445 for the actual cash value of the loss (“ACV”) and retained $444,167.50 as the replacement cost holdback, which would be paid out as repair costs were incurred.

Meanwhile, the insurance broker who had sold both insurance policies to Southwest notified American of the claim. American sent a written claim acknowledgment to the broker and Aetna and assigned the file to American adjuster Dana McDade. McDade contacted Aetna’s adjuster, who asked American to reimburse Aetna for half of the ACV it had paid to Southwest. American complied after McDade inspected the roof, reviewed documentation relied upon by Aetna’s adjuster, and talked with Aetna’s adjuster, construction consultants, and Southwest representatives. Southwest representative Jeff Landel told McDade that the claim had already been settled with Aetna, and advised him to “stay out of it” and not do “anything that muddies up the stream” on the pending sale of the property to Harris. Landel also expressly declined to make a claim with American and instructed McDade to resolve American’s liability for the claim directly with Aetna.

After Southwest received the ACV payment and before any repairs were made to the roof, Southwest sold the building to Harris. The purchase and sale agreement *620 assigned to Harris “any assignable rights to the insurance claim paid or payable as a result of the hail damage to the roof of the Project occurring on or about May 5, 1995.” Pursuant to this agreement, Harris was credited at closing with $268,445, the amount of the ACV payment.

The settled claim assigned to Harris was based on an approved proposal from Boyd, the roofing contractor who discovered the damage. Boyd proposed perforating the existing roof and installing a new recovery board and rubber roof. Instead of hiring Boyd to do the repairs, Harris entered into a contract with Mike Wright under which Wright agreed to perforate the existing roof and install a recovery board and modified bitumen roof, ostensibly for $690,000. Wright replaced the roof without installing the promised recovery board.

Harris represented to Aetna that he had incurred $690,000 in replacement costs, and Aetna released payments to cover those costs, minus the prior ACV payment and the $25,000 policy deductible. Aetna, in turn, asked American to reimburse it for half of the replacement costs. American did not immediately reimburse Aetna for these costs because it recognized it was in uncharted legal territory. American questioned its liability for the replacement costs because Aetna had paid the money to Harris rather than American’s named insured, Southwest, and American had never authorized Southwest’s assignment of the policy benefits to Harris. Despite its misgivings, American ultimately reimbursed Aetna for half of the replacement costs.

In total, Harris received $680,260 for the hail damage claim, and American reimbursed Aetna for half of that amount. Further, although Harris represented to Aetna that he had paid Wright $690,000 to replace the roof, he had actually paid only $375,000.

On February 12, 1997, private adjuster Steve Mayor filed a supplemental proof of loss with Aetna on behalf of Harris, claiming a loss of over $1.8 million allegedly caused by Wright’s faulty roof replacement. Aetna rejected the claim and forwarded the statement of loss to American on March 10, 1997. American contacted Mayor and asked for a copy of his scope of loss, but did nothing further when Mayor failed to provide the requested information.

Procedural History

Harris filed suit against Aetna on March 19, 1997. After Aetna filed a plea in abatement claiming that American was a necessary party, Harris amended his petition to add American as a defendant. Harris alleged that American had breached its insurance contract by failing to pay policy benefits and that it had violated article 21.55 and section 4(10) of article 21.21 of the insurance code. See Tex. Ins. Code Ann. art. 21.55, art. 21.21, § 4(10) (Vernon Supp.2004-05). American filed a counterclaim against Harris for fraud after Wright’s deposition testimony brought Harris’s repair cost misrepresentation to light. Aetna settled with Harris before trial.

The suit between Harris and American was tried before a jury. The trial court disposed of the fraud counterclaim by granting a directed verdict against American on that issue. The jury returned a verdict finding that American had not violated article 21.21 and that Harris’s negligence had caused his damages. 3 The trial *621 court then entered a take nothing judgment against Harris.

Breach of Contract

In his second and third issues, Harris contends that the trial court erred in rendering a take nothing judgment against him because he proved as a matter of law that American owed him $175,000 for his hail damage claim under the terms of its policy. American argues that Harris failed to preserve this issue for appeal, or, alternatively, that American has discharged its liability and Harris has been fully compensated for the hail damage claim.

Harris preserved this issue for appeal by moving for an instructed verdict on his article 21.55 claim at the close of evidence. See T.O. Stanley Boot Co. v. Bank of El Paso, 847 S.W.2d 218, 220-21 (Tex.1992) (holding that party may preserve complaint that liability was established as a matter of law by filing motion for instructed verdict).

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Cite This Page — Counsel Stack

Bluebook (online)
158 S.W.3d 614, 2005 Tex. App. LEXIS 1136, 2005 WL 327154, Counsel Stack Legal Research, https://law.counselstack.com/opinion/harris-v-american-protection-insurance-co-texapp-2005.