In Re American Zurich Insurance Company v. the State of Texas

CourtCourt of Appeals of Texas
DecidedNovember 20, 2025
Docket01-25-00580-CV
StatusPublished

This text of In Re American Zurich Insurance Company v. the State of Texas (In Re American Zurich Insurance Company v. the State of Texas) 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
In Re American Zurich Insurance Company v. the State of Texas, (Tex. Ct. App. 2025).

Opinion

Opinion issued November 20, 2025

In The

Court of Appeals For The

First District of Texas ———————————— NO. 01-25-00580-CV ——————————— IN RE AMERICAN ZURICH INSURANCE COMPANY, Relator

Original Proceeding on Petition for Writ of Mandamus

MEMORANDUM OPINION

Real Parties in Interest Jay Steinfeld and Barbara Winthrop sued Relator

American Zurich Insurance Company following a dispute concerning the scope of

repairs for fire-related damage to Real Parties’ newly-built home. Zurich filed a

motion to compel appraisal, which Steinfeld and Winthrop opposed. After the trial

court denied Zurich’s motion to compel appraisal, Zurich filed a petition for writ of

mandamus challenging the trial court’s denial. We conditionally grant mandamus relief.1

Background

Steinfeld and Winthrop (collectively, Steinfeld) hired The Southhampton

Group to build an 8,009 square foot home in West University Place, a small city

inside Houston. Construction began in 2021. The Southhampton Group obtained

a Zurich builder’s risk insurance policy, which named Steinfeld as an additional

insured. A few days prior to move-in, Steinfeld alleges that Sheet Metal Crafts, a

subcontractor working on the home’s roof, caused a fire that substantially damaged

the home.

The Southhampton Group notified Zurich of the claim on July 25, 2023.

Zurich began an investigation, hired an industrial hygienist and building

consultant, and inspected the home in 2023 and 2024. Steinfeld also hired

consultants to determine the amount of damage. Around February 2024, Zurich

issued a $500,000 advance payment to Steinfeld to begin remediation and

necessary repairs. Throughout 2023 and 2024, the parties continued to inspect and

investigate the damage to the home and continued to negotiate the loss amount.

1 The underlying case is Jay Steinfeld and Barbara Winthrop v. American Zurich Insurance Company and Sheet Metal Crafts, LLC, cause number 2024-74640, pending in the 295th District Court of Harris County, Texas, the Honorable Donna Roth presiding.

2 On March 1, 2024, Steinfeld notified Zurich that it had retained counsel. On

May 15, 2024, Steinfeld acknowledged that Zurich’s building consultant had

estimated $1,480,394.80 in reconstruction costs. And, in May 2024, Steinfeld

provided Zurich with a reconstruction estimate of $4.8 million. Zurich then

reinspected the home in July 2024. On August 19, 2024, Steinfeld sent a notice

and demand letter, seeking $4.5 million from Zurich for early settlement and asked

for mediation within 90 days. On September 25, 2024, Zurich informed Steinfeld

that it had agreed to replace interior stone walls but that windows would need to be

reinspected.

After Steinfeld received what they contend was an inadequate response to its

demand letter, Steinfeld sued Zurich in October 2024, alleging claims for

violations of the Texas Insurance Code, prompt payment of claims, statutory

interest penalties, breach of the insurance policy, breach of the duty of good faith

and fair dealing, punitive damages for bad faith, and violations of the Texas

Deceptive Trade Practices Act. Steinfeld also made a claim against Sheet Metal

Crafts for negligence.

Zurich answered, generally denying the allegations and raising various

defenses. Zurich’s answer included a reservation of “all rights and defenses that it

may have or that may arise under the Policy.” In a November 7, 2024 email to

Steinfeld, Zurich stated that the net undisputed amount was $1.9 million but that no

3 payments were owed because Zurich had previously paid $500,000 and no work

had started to exhaust the advance. On November 18, 2024, Zurich notified

Steinfeld that counsel had been retained, that Zurich would agree to mediate once

its investigation was complete and it had the opportunity to reinspect the home’s

windows, and that it “remain[ed] optimistic that the parties c[ould] reach resolution

in mediation.” In December 2024, Zurich emailed Steinfeld that, because Steinfeld

disagreed with Zurich’s conclusion that no windows had been damaged, Zurich

would reinspect the windows.

On January 31, 2025, Zurich emailed Steinfeld that it agreed to schedule

mediation. Steinfeld’s attorney responded that it was “welcome news.” In April

2025, Zurich informed Steinfeld that its claim for coverage remained open and

under ongoing investigation subject to a reservation of rights.

While the suit proceeded, the parties attended mediation on May 8, 2025.

Zurich made a demand for appraisal on May 16, 2025, eight days after mediation

concluded.

When Steinfeld opposed appraisal, Zurich filed a motion to compel appraisal

and stay litigation. Zurich contended that the fire was a “covered cause of loss,”

that it continued to investigate and determine the “amount of the fire loss payable

under the Policy,” and that it had paid Steinfeld for water mitigation and soft costs

but that the costs for fire and smoke damage had not been paid. Zurich maintained

4 that it hired an independent loss adjuster, industrial hygienist, building consultant,

and two engineering firms to determine the extent of the fire damage and the cost

to repair and replace that damage. Zurich also recognized that Steinfeld had

engaged with a team of consultants and sent an extensive report to Zurich on

September 20, 2023, with two incomplete cost estimates.

Steinfeld responded to the motion, arguing that Zurich failed to comply with

the contractual deadlines within its own policy. Specifically, Steinfeld asserted

that Zurich had 15 days following their notice of the claim to request a signed

proof of loss. Steinfeld would then have 91 days to return a signed proof of loss

and Zurich would then have 60 days from receipt of the proof of loss to issue a

demand for appraisal. Steinfeld asserted that Zurich never commenced this

contractual process, which it claimed constituted a “condition precedent to

demanding appraisal,” because it neither supplied a proof of loss nor requested that

Steinfeld complete one.

Steinfeld also argued that coverage barriers would preclude an efficient and

effective appraisal. It argued that Zurich was withholding the remainder of the

$1.9 million net undisputed payments that were owed to Steinfeld and that

appraisal would not remedy its breach or Zurich’s extracontractual violations

related to that issue.

5 Finally, Steinfeld argued that Zurich had waived its right to demand

appraisal because it had not timely invoked appraisal after the parties’ impasse.

Steinfeld claimed that the parties had reached an impasse in February 2024

because (1) Zurich only released $500,000 instead of the full undisputed amount;

(2) Zurich told Steinfeld it would “not be able to honor Mr. Steinfeld[’s] request”;

and (3) Steinfeld informed Zurich that they had retained counsel on March 1, 2024.

Based on the February 2024 impasse, Steinfeld argued Zurich failed to

invoke appraisal within a “reasonable time” after the impasse.

Steinfeld points out that Zurich did not raise its demand for appraisal until

May 2025—15 months after the parties reached an impasse and that Zurich’s delay

caused them prejudice by (1) having to retain counsel; (2) having to retain

litigation experts to investigate and opine on the amount of damages; (3) causing

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