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

CourtCourt of Appeals of Texas
DecidedDecember 11, 2024
Docket13-24-00428-CV
StatusPublished

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

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”).

2 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

3 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

4 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

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