Heard v. State Farm Lloyds

District Court, N.D. Texas·Decided February 6, 2025·No. 3:23-cv-02222·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF TEXAS DALLAS DIVISION

STEPHANIE HEARD & § AMOS HEARD, § § Plaintiffs, § § v. § Civil No. 3:23-CV-02222-K § STATE FARM LLOYDS, § § § Defendant. §

MEMORANDUM OPINION AND ORDER

Before the Court are Defendant State Farm Lloyds’s (“State Farm”) Motion for Summary Judgment (the “Motion”) along with its Brief and Appendix in Support (Doc. Nos. 31-33), and Plaintiffs Stephanie Heard and Amos Heard’s (“the Heards”) Response (the “Response”), Brief and Appendix in Support (Doc. Nos. 35-37), to which State Farm filed its Reply (Doc. No. 38). After careful consideration of State Farm’s Motion, the Heards’ Response, State Farm’s Reply, the Parties’ cited evidence and the relevant law, the Court finds the Heards fail to establish a genuine dispute of material fact on one or more essential elements for each of their claims. Accordingly, the Court GRANTS State Farm’s Motion for Summary Judgment, and DISMISSES all the Heards’ claims with prejudice. A final judgment will issue separately. I. Background On February 19, 2021, the Heards were living in their home in Dallas insured by State Farm, when they suffered a deep winter freeze. Doc. No. 33 at 94-95 (all references to ECF pages). The freeze led the Heards’ home to suffer numerous burst

pipes, and cause water damage in their kitchen, bath, and several other rooms. Id. at 94. The Heards made plumbing repairs themselves, moved to temporary housing, and reported the claim to State Farm. Id. at 95. State Farm inspected the Heards’ home March 24, 2021, and estimated the cost to repair the Heards’ home as $2,933.86. Id.

at 90. State Farm’s adjusters noted they observed “no water damage appeared on walls or flooring” and estimated repairs would take the Heards six weeks. Id. Over the following year, State Farm several times re-appraised the Heards’ damage and authorized water-related wallboard removal, water-related asbestos removal, hired an engineer to assess the Heards’ foundation for water-related damage,

and issued numerous supplemental payments, ultimately totaling $189,706.98 for the Heards’ necessary repairs, additional living expenses and temporary storage. Id. at 273. Ultimately, the Heards’ repairs were never completed, and the Heards brought a state court action against State Farm for breach of contract as well as statutory

violations and common law torts. Id. at 10-95; Doc. No. 1-3 at ¶10-27. State Farm removed to this Court and moved for summary judgment. Doc. No. 1; Doc. No. 31. II. Standard of Review The court “shall grant summary judgment if the movant shows there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” FED. R. CIV. P. 56(a). A genuine dispute of a material fact is a dispute about a fact which “might affect the outcome of the suit” under the governing law. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986). Thus, summary judgment is

proper when it is clear from the evidence cited by the parties to the court, that as a matter of law, a trial would be unnecessary. Id. at 255. To show there is a genuine dispute, or lack thereof, the parties must cite to “particular parts of materials in the record.” FED. R. CIV. P. 56(c). At summary judgment, it is a “fundamental principle”

that the Court is to view the evidence in light most favorable to the non-movant and draw all “reasonable inferences” in their favor. Tolan v. Cotton, 572 U.S. 650, 660 (2014). The court must disregard “conclusory allegations and denials, speculation, improbable inferences, unsubstantiated assertions and legalistic argumentation.” TIG Ins. Co. v. Sedgewick James of Washington, 276 F. 3d 754, 759 (5th Cir. 2002).

III. Analysis The Heards claim that State Farm breached its contract by failing to pay for (i) asbestos removal, (ii) foundation repairs, (iii) additional living expenses, and (iv) replacement cost benefits. Doc. No. 36 at 6-10. In addition, the Heards allege State

Farm violated the Texas Prompt Payment of Claims Act, made misrepresentations and committed bad faith under the Texas Insurance Code while also committing common law torts of bad faith, fraud, and engaging in a conspiracy to commit fraud. Id. A. Breach of contract In any action to enforce an insurance policy, the insured must plead and prove the facts necessary to establish coverage. Seger v. Yorkshire Ins. Co., Ltd., 503 S.W.3d 388, 400 (Tex. 2016). Further, it is “essential that the insured produce evidence which

will afford a reasonable basis for estimating the amount of damage or proportionate part of damage caused by a risk covered by the insurance policy.” Travelers Indem. Co. v. McKillip, 469 S.W.2d 160, 163 (Tex. 1971). Accordingly, when “covered and non- covered events combine to cause the damage, the insured must segregate between the

damage attributable to the covered event and the damage attributable to other causes.” Landmark Partners, Inc. v. Western World Ins., 2023 WL 8940812, at *2 (Tex. App.— Fort Worth Dec. 28, 2023, no pet.). Since establishing which losses are covered is “central to the claim for coverage,” an insured’s failure to introduce any evidence to segregate the contribution from covered and uncovered loss is “fatal” to their claim.

See Wallis v. United Servs. Auto. Ass’n, 2 S.W.3d 300, 303-04 (Tex. App.—San Antonio 1999, pet. denied). If an insured fails to cite proper summary judgment evidence to meet its two burdens to establish coverage and segregate any covered and uncovered loss, the insured fails to establish a genuine dispute on an essential element, and

summary judgment for the insurer is proper. See Certain Underwriters at Lloyd’s of London v. Lowen Valley View, LLC, 892 F.3d 167, 170 (5th Cir. 2018); Feiss v. State Farm Lloyds, 392 F.3d 802, 807 (5th Cir. 2004). The Heards allege several theories of breach by State Farm, but for each alleged breach, the Heards fail to introduce evidence necessary to establish a genuine dispute on all elements required for coverage, and for several, fail to introduce evidence to segregate their loss. 1. Asbestos

The Heards claim that State Farm breached its contract by failing to pay $9,357.72 for asbestos removal which the Heards allege was covered by their policy. The summary judgment evidence shows that the Heards had their demolition contractor complete both water related and non-water related asbestos removal, and in

this action the Heards seek payment for the non-water related asbestos removal. The Heards fail to cite any evidence that the non-water related removal was in fact a covered loss, and further fail to cite evidence to reasonably segregate the covered removal costs from the uncovered removal costs as required. Since the Heards fail to cite evidence to raise a genuine dispute on these essential elements of coverage, the Court must grant

summary judgment for State Farm on the Heards’ asbestos claim. The Heards’ demolition contractor submitted two invoices totaling $13,061.37 directly to State Farm to remove water-damaged wallboard containing asbestos from the Heards’ home. Doc. No. 33 at 328-42. State Farm paid these invoices. Id. at 273.

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