in Re Guideone Mutual Insurance Company

CourtCourt of Appeals of Texas
DecidedMay 3, 2017
Docket10-16-00404-CV
StatusPublished

This text of in Re Guideone Mutual Insurance Company (in Re Guideone Mutual Insurance Company) 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 Guideone Mutual Insurance Company, (Tex. Ct. App. 2017).

Opinion

IN THE TENTH COURT OF APPEALS

No. 10-16-00404-CV

IN RE GUIDEONE MUTUAL INSURANCE COMPANY

Original Proceeding

MEMORANDUM OPINION

GuideOne Mutual Insurance Company brings this petition for writ of mandamus

to compel the trial court to vacate its order denying GuideOne’s Motion to Compel

Appraisal and to direct the trial court to order the appraisal to proceed under the

procedure authorized by contract. Because the trial court abused its discretion in denying

the motion to compel, GuideOne’s petition for writ of mandamus is conditionally

granted.

BACKGROUND

This proceeding arises from a dispute between an insurance company, GuideOne, and its insured, D.S. Patel d/b/a Western Motel, regarding payment for claimed property

damage to the motel from a storm. GuideOne made two payments to Patel for the

damages, but Patel contends the payments are inadequate. After Patel filed suit against

GuideOne and mediation was unsuccessful, GuideOne invoked its right to appraisal

pursuant to the insurance contract. GuideOne filed a motion to compel appraisal after

Patel refused to voluntarily proceed with the appraisal process. After a hearing, the trial

court denied the motion to compel appraisal.

APPRAISAL CLAUSE

In its sole issue, GuideOne argues the trial court abused its discretion by failing to

enforce a contractual appraisal clause in the parties’ insurance contract. Appraisal

clauses, commonly found in homeowners, automobile, and property policies in Texas,

provide a means to resolve disputes about the amount of loss for a covered claim. In re

Universal Underwriters of Tex. Ins. Co., 345 S.W.3d 404, 406-07 (Tex. 2011); State Farm Lloyds

v. Johnson, 290 S.W.3d 886, 888 (Tex. 2009). These clauses are generally enforceable, absent

illegality or waiver. In re Universal Underwriters, 345 S.W.3d at 407.

Trial courts have no discretion to ignore a valid appraisal clause. State Farm Lloyds

v. Johnson, 290 S.W.3d 886, 888 (Tex. 2009). A trial court abuses its discretion in failing to

enforce a valid appraisal clause and such abuse of discretion cannot be remedied by

appeal. See In re Universal Underwriters of Tex. Ins. Co., 345 S.W.3d 404, 412 (Tex. 2011); In

re Allstate Cnty. Mut. Ins. Co., 85 S.W.3d 193, 195-96 (Tex. 2002).

In re GuideOne Mut. Ins. Co. Page 2 Patel did not argue at the trial court, nor does he argue here, that the appraisal

clause is illegal. Instead, Patel argued that GuideOne waived the ability to assert the use

of the clause. GuideOne’s argument before us is two-fold: first, GuideOne contends it

did not waive the appraisal clause by delaying the invocation of it; and second, GuideOne

argues it could not waive the appraisal clause because the insurance contract included a

“non-waiver clause.” Because it is dispositive of this case, we review GuideOne’s second

argument first.

Non-Waiver Clause

The insurance contract between the parties contains the following non-waiver

clause:

12. Waiver or Change of Provisions.

This policy contains all of the agreements between you and us concerning the insurance afforded. The first Named Insured shown in the Declarations is authorized to make changes in the terms of this policy with our consent.

This policy’s terms can be amended or waived only by endorsement issued by us and made a part of this policy.

Non-waiver clauses are generally considered valid and enforceable. See American

Cent. Ins. Co. v. Bass, 38 S.W. 1119, 1119-20, 90 Tex. 380 (1897); Breof BNK Tex., L.P. v. D.H.

Hill Advisors, Inc., 370 S.W.3d 58, 66 (Tex. App.—Houston [14th Dist.] 2012, no pet.); accord

A.G.E., Inc. v. Buford, 105 S.W.3d 667, 676 (Tex. App.—Austin 2003, pet. denied). See also

In re GuideOne Nat'l Ins. Co., No. 07-15-00281-CV, 2015 Tex. App. LEXIS 10138, at *7

(App.—Amarillo Sep. 29, 2015, orig. proceeding) (mem. op.). There is nothing in the

In re GuideOne Mut. Ins. Co. Page 3 record before us, and Patel does not argue otherwise, that indicates GuideOne issued an

endorsement waiving the appraisal clause.

In response to GuideOne’s argument regarding the non-waiver clause, Patel does

not argue that the non-waiver clause is not part of the contract or that the clause is not

valid. Rather, Patel argues that because the appraisal clause was unilateral, i.e., that only

GuideOne could invoke the appraisal process, the appraisal clause was more like an

option that would not change the policy if GuideOne chose not to exercise it.

In support of this argument, Patel relies on a footnote by the Dallas Court of

Appeals in In re GuideOne Nat'l Ins. Co., No. 05-15-00981-CV, 2015 Tex. App. LEXIS 9079,

at *2-3 n.2 (App.—Dallas Aug. 27, 2015, orig. proceeding) (mem. op.). In that footnote,

the Dallas Court refused to consider GuideOne’s non-waiver clause argument solely

because GuideOne relied on this Court’s decision in In re Certain Underwriters at Lloyds,

10-11-00263-CV, 2011 Tex. App. LEXIS 8151 (Tex. App.—Waco Oct. 12, 2011, orig.

proceeding) (mem. op.). In In re Certain Underwriters, after finding the insurer did not

unreasonably delay in invoking the appraisal clause,1 we held that the issue of waiver of

the appraisal clause was “immaterial” because the insurance policy contained a non-

waiver provision and thus, did not allow for the waiver of the appraisal clause. Id. *30.

The Dallas Court found this Court’s decision to be distinguishable because under the

policy being construed, appraisal was a condition precedent to filing suit and allowing

1 Unreasonable delay is one of the two prongs needed to establish a waiver of an appraisal clause.

In re GuideOne Mut. Ins. Co. Page 4 the case to proceed without an appraisal would modify the terms of the policy. See In re

GuideOne Nat'l Ins. Co., No. 05-15-00981-CV, 2015 Tex. App. LEXIS 9079, at *2-3 n.2

(App.—Dallas Aug. 27, 2015, orig. proceeding) (mem. op.). Without citing authority, the

Dallas Court determined that, in its case, the appraisal clause was merely an option

available only to the insurer and an intention by the insurer not to exercise the option

would not alter the terms of the policy. Id.

However, since the Dallas Court of Appeals issued its opinion, the Amarillo Court

of Appeals squarely addressed a non-waiver clause argument in a case where the insurer

was the only party to the contract with the ability to demand an appraisal. 2 In re GuideOne

Nat'l Ins. Co., No. 07-15-00281-CV, 2015 Tex. App. LEXIS 10138 (App.—Amarillo Sep. 29,

2015, orig. proceeding) (mem. op.). Rather than rewriting the contract to convert the

appraisal clause into an option as the Dallas Court did, the Amarillo Court noted that

insurance contracts are construed to ascertain the parties’ intent, and the language in the

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Related

In Re Universal Underwriters of Texas Insurance Co.
345 S.W.3d 404 (Texas Supreme Court, 2011)
In Re Allstate County Mutual Insurance Co.
85 S.W.3d 193 (Texas Supreme Court, 2002)
A.G.E., Inc. v. Buford
105 S.W.3d 667 (Court of Appeals of Texas, 2003)
State Farm Lloyds v. Johnson
290 S.W.3d 886 (Texas Supreme Court, 2009)
in Re Liberty Insurance Corporation
496 S.W.3d 229 (Court of Appeals of Texas, 2016)
American Central Insurance v. Bass Bros.
38 S.W. 1119 (Texas Supreme Court, 1897)
In re State Farm Lloyds
514 S.W.3d 789 (Court of Appeals of Texas, 2017)

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