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

Court of Appeals of Texas·Decided November 20, 2025·No. 01-25-00580-CV·Published

Opinion

Opinion issued November 20, 2025

In The

Court of Appeals

For The

First District of Texas

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.

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

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

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.

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 the cancellation of their builder’s risk policy and the cost increase; (4) causing soft costs associated with Zurich’s delay; and (5) subjecting them to increased costs to build.

In reply, Zurich argued that the policy’s deadline for appraisal had not expired because the deadline had not been triggered. Zurich argued that the proof of loss provision could be waived by the insurer and that it disagreed that the parties had reached an impasse in February 2024 or that Steinfeld showed prejudice.

After a hearing, the trial court denied Zurich’s motion to compel appraisal.

This mandamus proceeding followed.

Standard of Review

Mandamus is an extraordinary remedy that is available only in limited circumstances. See Walker v. Packer, 827 S.W.2d 833, 840 (Tex. 1992) (orig. proceeding). To secure mandamus relief, a relator must establish that (1) the trial court committed a clear abuse of discretion or violated a duty imposed by law and (2) there is no adequate remedy by appeal. In re Prudential Ins. Co., 148 S.W.3d 124, 135–36 (Tex. 2004) (orig. proceeding). A trial court abuses its discretion when “it reaches a decision so arbitrary and unreasonable as to amount to a clear and prejudicial error of law or if it clearly fails to correctly analyze or apply the law.” In re Cerberus Cap. Mgmt. L.P., 164 S.W.3d 379, 382 (Tex. 2005) (orig. proceeding) (internal quotation marks and citations omitted).

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

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