in Re Great Lakes Insurance SE

Court of Appeals of Texas·Decided December 16, 2019·No. 13-19-00577-CV·Published

Opinion

NUMBER 13-19-00577-CV

COURT OF APPEALS

THIRTEENTH DISTRICT OF TEXAS

CORPUS CHRISTI - EDINBURG

IN RE GREAT LAKES INSURANCE SE

On Petition for Writ of Mandamus.

MEMORANDUM OPINION Before Justices Benavides, Longoria, and Perkes Memorandum Opinion by Justice Benavides1

Relator Great Lakes Insurance SE filed a petition for writ of mandamus in the

above cause number on November 12, 2019. Through this original proceeding, relator

contends that the trial court erred in allowing discovery beyond that allowed by the Texas

Citizens Participation Act (TCPA). See TEX. CIV. PRAC. & REM. CODE ANN. §§ 27.001–

.011.2 We deny the petition for writ of mandamus.

1 See TEX. R. APP. P. 52.8(d) (“When granting relief, the court must hand down an opinion as in any other case,” but when “denying relief, the court may hand down an opinion but is not required to do so.”); see also id. R. 47.4 (distinguishing opinions and memorandum opinions). 2 According to the pleadings, relator was formerly known as Great Lakes Reinsurance (UK) PLC. The real parties in interest also filed suit against Jose Lopez, an insurance adjuster; however, he has not appeared below and is not a party to this proceeding. I. BACKGROUND

According to their first amended original petition, real parties in interest Juan

Lambrecht and Rosa Cortez filed suit against relator for breach of contract because

relator insured their residential property at 1003 East 31st Street in Mission, Texas, but

failed to pay for damage sustained to the property by a severe storm.

Relator filed a third amended counterclaim against real parties and other counter-

defendants for fraud, fraud by nondisclosure, negligent misrepresentation, and

conspiracy, and relator alleged that the real parties’ lawsuit constituted a frivolous action

under the insurance code. See TEX. INS. CODE ANN. § 541.153. The other parties

delineated as counter-defendants include Cord Largo, David Poynor, Poynor Group,

Under Paid Claim, LLC, and Martha Guerra, who were generally involved in inspecting

the property and adjusting the claim. According to the allegations in relator’s third

amended counterclaim: the real parties entered a contract with the other counter-

defendants to report the insurance claim to relator for damages that allegedly occurred

on March 26, 2015; the counter-defendants inspected the property on or about August

11, 2015; these parties changed the date of loss from March 26, 2015, to August 19,

2015; and the parties nevertheless submitted a claim to relator for damages allegedly

sustained on August 19, 2015, without reinspection of the property. This counterclaim

specifically recites, in relevant part:

10. Lambrecht signed a contract with public adjuster Martha Guerra on or about July 16, 2015 wherein he authorized Guerra, Cord Largo and/or Under Paid to report an insurance claim to Great Lakes for damages to his property located at 1003 East 31st Street, Mission, Texas 78574 that had allegedly occurred on March 26, 2015.

11. Largo, Guerra, and/or Under Paid then engaged Poynor and Group to inspect the subject property and prepare an Xactimate estimate

2 for the cost of repairs. The purpose of utilizing Xactimate was to submit this estimate to Great Lakes in conjunction with a request for payment of insurance proceeds. Poynor and Group allegedly prepared this estimate and conducted their inspection on or before August 11, 2015. Poynor and Group knew Largo, Guerra, and/or Under Paid were in the business of public adjusting and received all or a substantial portion of their incomes by obtaining insurance proceeds from insurance companies. Poynor and Group also knew that the cause of damages, and when those respective damages occurred, were necessary components to whether Largo, Guerra, and/or Under Paid were entitled to receive any insurance proceeds. Therefore, Poynor and Group manipulated those necessary issues in order for their estimate to remain adaptable for Largo, Guerra, and/or Under Paid’s purposes.

12. After Poynor and Group completed their estimate and inspection . . . Lambrecht, Largo, Guerra, and/or Under Paid then elected to alter their contract to change, among other things, the date of loss from March 26, 2015 to August 19, 2015. This means that neither Poynor nor Group saw the property after, nor could they offer an opinion regarding, the August 19, 2015 date of loss.

13. Largo, Guerra, and/or Under Paid nevertheless submitted this altered contract to Great Lakes requesting Great Lakes open a claim and investigate the property for damages that had allegedly occurred on August 19, 2015. Great Lakes investigated the claim, found that the property had not sustained hail or wind damages on August 19, 2015, and promptly issued a claim disposition letter denying the claim.

14. On or about January 29, 2016, Plaintiffs’ attorney, Blayne Fisher, then sent Great Lakes a demand letter again alleging that the subject property was damaged by a covered peril on August 19, 2015. Poynor and Group’s damage estimate was included for support of the demand letter; notably the estimate stated it was prepared on August 11, 2015, yet Fisher represented those damages had occurred on August 19, 2015. In fact, neither Poynor, Group, Largo, Guerra, nor Under Paid has ever inspected the property for damages that could have occurred on August 19, 2015. Great Lakes responded to Fisher on or about February 24, 2016, informing Fisher that her allegations lacked a logical basis. Fisher’s law firm, Phipps, LLP, ignored this information and chose instead to file this frivolous lawsuit.

3 In response to the counterclaim, the real parties subsequently filed a lengthy and

detailed “Plaintiffs’ Motion for Sanctions for Filing Frivolous Pleading.” This fifty-page

motion, including evidentiary support and accompanied by an affidavit, alleged, in

summary, that relator’s counterclaim constituted a frivolous pleading and sought

sanctions against relator under Chapter 10 of the Texas Civil Practice and Remedies

Code and Rule 13 of the Texas Rules of Civil Procedure. See TEX. CIV. PRAC. & REM.

CODE ANN. § 10.001; TEX. R. CIV. P. 13; see also Nath v. Texas Children’s Hosp., 446

S.W.3d 355, 362 (Tex. 2014). The real parties alleged, inter alia, that relator insured their

property throughout 2015; there were two separate storms on March 26, 2015, and

August 19, 2015, and the date of loss was changed at the direction of relator’s agent,

McClelland & Hine, Inc.

Relator filed a motion to dismiss the real parties’ motion for sanctions under the

TCPA. It argued that its counterclaim constituted an exercise of its right to petition under

the TCPA, and therefore, the motion for sanctions should be dismissed under the TCPA.

The motion to dismiss was set for hearing in the trial court; however, the real parties

requested to continue the hearing so that they could conduct limited discovery under the

TCPA. The real parties alleged:

6. Plaintiff[s] respectfully request[] that the hearing on Defendant’s TCPA Motion to Dismiss be continued to conduct Limited Discovery pursuant to Section 27.006(b) of the Texas Civil Practices and Remedies Code (“Texas Citizens Participation Act” or “TCPA”), so that Plaintiff[s] can be provided limited discovery on the issues relating to Great Lakes’s allegations contained in its TCPA Motion to Dismiss relating to the right to petition and the good faith of Great Lakes’s Counsel and Great Lakes in filing its Third Amended Counter-Claim.

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