In Re Certain Underwriters at Lloyd's, London Subscribing Severally to Policy No. THM000938-01 v. the State of Texas

Court of Appeals of Texas·Decided December 11, 2024·No. 13-24-00428-CV·Published

Opinion

NUMBER 13-24-00428-CV

COURT OF APPEALS

THIRTEENTH DISTRICT OF TEXAS CORPUS CHRISTI – EDINBURG

IN RE CERTAIN UNDERWRITERS AT LLOYD’S, LONDON SUBSCRIBING SEVERALLY TO POLICY NO. THM000938-01

ON PETITION FOR WRIT OF MANDAMUS

MEMORANDUM OPINION

Before Chief Justice Contreras and Justices Tijerina and Peña Memorandum Opinion by Justice Tijerina1

By petition for writ of mandamus, relators Certain Underwriters at Lloyd’s, London Subscribing Severally to Policy No. THM000938-01 contend that the trial court2 abused its discretion by: (1) striking their plea in intervention; and (2) denying their motion to

1 See TEX. R. APP. P. 52.8(d) (“When denying relief, the court may hand down an opinion but is not

required to do so. When granting relief, the court must hand down an opinion as in any other case.”); id. R. 47.1 (“The court of appeals must hand down a written opinion that is as brief as practicable but that addresses every issue raised and necessary to final disposition of the appeal.”); id. R. 47.4 (explaining the differences between opinions and memorandum opinions).

2 This lawsuit arises from trial court cause number CL-24-1987-G in the County Court at Law No.

7 of Hidalgo County, Texas, and the respondent is the Honorable Sergio Valdez. See id. R. 52.2.

compel appraisal. We agree that the trial court abused its discretion by striking the plea in intervention because relators were not provided with notice of a hearing or an opportunity to be heard. Accordingly, we conditionally grant the petition for writ of mandamus in part and deny it in part.

I. BACKGROUND

Real parties in interest Jesus and Cynthia Santoyo submitted a claim for hailstorm-

related property damages pursuant to an insurance policy issued by relators. On March 19, 2024, after attempts to resolve their claim failed, the Santoyos’ counsel sent a pre- suit demand letter to relators. On March 27, 2024, relators “declare[d] an impasse in the amount of loss [in] dispute” and demanded appraisal pursuant to the terms of the insurance policy. On May 8, 2024, relators notified the Santoyos that they elected to assume their agents’ legal responsibility for the Santoyos’ insurance claim pursuant to § 542A.006 of the Texas Insurance Code. See TEX. INS. CODE ANN. § 542A.006.3 This section provides that if a claimant files an action under Chapter 542A of the insurance code and the insurer elects to accept “whatever liability an agent might have to the claimant for the agent’s acts or omissions related to the claim,” then “the court shall dismiss” an action against the agent “with prejudice.” Id. § 542A.006(a), (b), (c). Later that same day, the Santoyos filed suit against American Claims Management, Inc. (ACM) and Judah Hale Hays alleging that they failed to properly investigate and adjust the property damage claim. The Santoyos asserted causes of action for negligence, violations of the

3 Texas Insurance Code Chapter 542A applies to actions regarding first-party insurance claims

arising from damage caused by hail and wind. See TEX. INS. CODE ANN. §§ 542A.001(2), 542A.002(a); Advanced Indicator & Mfg., Inc. v. Acadia Ins., 50 F.4th 469, 474 (5th Cir. 2022) (per curiam) (stating that “§ 542A.006’s mandate that an agent be dismissed with prejudice dictates that [the plaintiff] had no possibility of recovery against him”).

Texas Insurance Code, breach of the duty of good faith and fair dealing, and violations of the Texas Deceptive Trade Practices Act.

On July 8, 2024, relators filed a “Plea in Intervention and Petition to Compel Appraisal.” Relators stated that they issued the insurance policy at issue and engaged ACM to assist in the adjustment of the Santoyos’ claim as a third-party administrator, and ACM then assigned Hays to serve as an independent field adjuster for the claim. Relators asserted that there was “minimal interior water damage” to the Santoyos’ property and the covered losses fell below the deductible; however, the Santoyos disagreed. Relators advised the court that they had previously demanded appraisal. Relators further asserted that they had elected to accept all potential liability regarding their agents, including ACM and Hays, and all other persons or entities who participated in the adjustment of the claim under § 542A.006. Relators thus asserted that they had a justiciable interest supporting their plea in intervention and they sought to compel appraisal under the terms of the insurance policy.

On July 15, 2024, relators filed a separate “Motion to Compel Appraisal and to Abate.” Relators asserted, inter alia, that the insurance policy required appraisal as a condition precedent to coverage and to any legal action. On July 22, 2024, the trial court signed an order setting a hearing on “[Relators’] Motion to Compel Appraisal and to Abate” for August 5, 2024, at 8:30 a.m.

On August 1, 2024, the Santoyos filed their first amended petition against ACM and Hayes. Their amended petition generally reiterates the claims made in their original petition but states that the Santoyos “are seeking only tort claims,” and “there are no breach of contract claims herein alleged or sought.” On August 2, 2024, the Santoyos

filed a “Motion to Strike [Relators’] Plea in Intervention, Response to [Relators’ Motion] to Compel Appraisal[,] and Response to Motion to Compel Appraisal and Abate.” On August 5, 2024, the trial court held the hearing, as previously noticed, on relators’ motion to compel appraisal and abate. That same day, by separate orders, the trial court struck relators’ plea in intervention and denied their motion to compel appraisal and abatement.

This original proceeding ensued. Relators raise two issues asserting that the trial court abused its discretion by: (1) striking their plea in intervention on its merits and doing so without notice of a hearing or affording relators an opportunity to be heard or respond to the Santoyos’ motion to strike; and (2) denying their motion to compel appraisal. Relators also filed a motion to stay the trial court proceedings pending the resolution of their petition for writ of mandamus. The Court granted the stay and requested and received responses to the petition for writ of mandamus from ACM and Hayes, who support the relief sought, and from the Santoyos, who oppose mandamus relief. Relators and the Santoyos further filed additional pleadings for our review.

II. STANDARD OF REVIEW Mandamus is an extraordinary and discretionary remedy. See In re Allstate Indem.

Co., 622 S.W.3d 870, 883 (Tex. 2021) (orig. proceeding); In re Garza, 544 S.W.3d 836, 840 (Tex. 2018) (orig. proceeding) (per curiam); In re Prudential Ins. Co. of Am., 148 S.W.3d 124, 138 (Tex. 2004) (orig. proceeding). The relator must show that: (1) the trial court abused its discretion; and (2) the relator lacks an adequate remedy on appeal. In re USAA Gen. Indem. Co., 624 S.W.3d 782, 787 (Tex. 2021) (orig. proceeding); In re Prudential Ins. Co. of Am., 148 S.W.3d at 135–36; Walker v. Packer, 827 S.W.2d 833, 839–40 (Tex. 1992) (orig. proceeding). “The relator bears the burden of proving these two

requirements.” In re H.E.B. Grocery Co., 492 S.W.3d 300, 302 (Tex. 2016) (orig. proceeding) (per curiam); Walker, 827 S.W.2d at 840.

III. ANALYSIS

Free access — add to your briefcase to read the full text and ask questions with AI

In Re Certain Underwriters at Lloyd's, London Subscribing Severally to Policy No. THM000938-01 v. the State of Texas, (Tex. Ct. App. 2024).

In Re Certain Underwriters at Lloyd's, London Subscribing Severally to Policy No. THM000938-01 v. the State of Texas (In Re Certain Underwriters at Lloyd's, London Subscribing Severally to Policy No. THM000938-01 v. the State of Texas) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

In Re Prudential Insurance Co. of America
148 S.W.3d 124 (Texas Supreme Court, 2004)
In Re Union Carbide Corp.
273 S.W.3d 152 (Texas Supreme Court, 2008)
Texas Commerce Bank, N.A. v. Grizzle Ex Rel. Grizzle
96 S.W.3d 240 (Texas Supreme Court, 2002)
In Re Lumbermens Mutual Casualty Co.
184 S.W.3d 718 (Texas Supreme Court, 2006)
Inter-Continental Corporation v. Moody
411 S.W.2d 578 (Court of Appeals of Texas, 1966)
Caprock Investment Corp. v. Federal Deposit Insurance Corp.
17 S.W.3d 707 (Court of Appeals of Texas, 2000)
Potash Corp. of Saskatchewan, Inc. v. Mancias
942 S.W.2d 61 (Court of Appeals of Texas, 1997)
In Re Acceptance Insurance Co.
33 S.W.3d 443 (Court of Appeals of Texas, 2000)
Grizzle Ex Rel. Grizzle v. Texas Commerce Bank, N.A.
38 S.W.3d 265 (Court of Appeals of Texas, 2001)
Prototype MacHine Co. v. Boulware
292 S.W.3d 169 (Court of Appeals of Texas, 2009)
Zeifman v. Michels
229 S.W.3d 460 (Court of Appeals of Texas, 2007)
Guaranty Federal Savings Bank v. Horseshoe Operating Co.
793 S.W.2d 652 (Texas Supreme Court, 1990)
National Union Fire Insurance Co. of Pittsburgh v. Pennzoil Co.
866 S.W.2d 248 (Court of Appeals of Texas, 1993)
Walker v. Packer
827 S.W.2d 833 (Texas Supreme Court, 1992)
Union Carbide Corp. v. Moye
798 S.W.2d 792 (Texas Supreme Court, 1990)
in Re: ReadyOne Industries, Inc.
463 S.W.3d 623 (Court of Appeals of Texas, 2015)
the Insurance Company of the State of Pennsylvania v. Lavonne Neese
407 S.W.3d 850 (Court of Appeals of Texas, 2013)
In re Cunningham
454 S.W.3d 139 (Court of Appeals of Texas, 2014)