in Re Interinsurance Exchange of the Automobile Club

CourtCourt of Appeals of Texas
DecidedJanuary 14, 2015
Docket01-14-00979-CV
StatusPublished

This text of in Re Interinsurance Exchange of the Automobile Club (in Re Interinsurance Exchange of the Automobile Club) 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 Interinsurance Exchange of the Automobile Club, (Tex. Ct. App. 2015).

Opinion

ACCEPTED 01-14-00979-cv FIRST COURT OF APPEALS HOUSTON, TEXAS 1/14/2015 12:02:53 PM CHRISTOPHER PRINE CLERK

CASE NO . 01-14-00979-CV

IN RE INTERINSURANCE § INFILED THEINFIRST 1st COURT OF APPEALS EXCHANGE OF THE § HOUSTON, TEXAS AUTOMOBILE CLUB, § COURT OF 12:02:53 1/14/2015 APPEALS PM Realtor. § CHRISTOPHER A. PRINE § HOUSTON, ClerkTEXAS

§ § § § § § § § §

RESPONSE TO THE PETITION FOR WRIT OF MANDAMUS

Come now, John Amponsah and Melanie Amponsah ("Amponsahs"), Real

Parties in Interest, and make this Response to the Petition for Writ of Mandamus.

I. BACKGROUND

1.1 The Amponsahs filed this lawsuit in January 2013. They are suing their

homeowners insurance carrier (Relator) for denying their claim that should have

been paid, for significant damage to their home and foundation.

1.2 On June 9, 2014, Relator presented their retained testifying engineer for

deposition, Derrick S. Hancock, P.E. Mr. Hancock was the engineer hired by Page 1 of 11 Relator to inspect the Amponsahs' home. Mr. Hancock wrote a report after his

inspection and submitted his report to Relator. Relator relied on Mr. Hancock's

report as the sole basis for denying the Amponsahs' claim on their homeowners'

insurance coverage. Relator has designated Mr. Hancock as a retained testifying

expert witness in this action. In deposition, Mr. Hancock testified to the following

facts:

(1) Mr. Hancock has done several thousand forensic evaluations of property foundations that failed.

(2) His forensic investigations of failed foundations have all been done on behalf of an insurance company.

(3) Mr. Hancock has been retained by insurance companies as a consultant in lawsuits since the mid- 1980's.

(4) When Mr. Hancock has been hired to do a forensic investigation of a foundation failure, it has always been to help an insurance company, never an insured.

(5) When Mr. Hancock is hired by an insurance company, it would be rare for him to not provide a written report of his findings and conclusions.

(6) Mr. Hancock has worked for AAA Texas (the defendants in this lawsuit), State Farm, USAA, Travelers Insurance, Zurich Insurance, and AllState.

(7) Mr. Hancock has been hired by the claims adjuster who denied the Plaintiffs' claim, Mike Hendricks, on as many as 50 claims.

(8) Mr. Hancock has been hired before by Cecil Shepherd, another of the Defendants' claims adjusters. Mr. Shepherd is designated by the Defendants as a witness on the Plaintiffs' claims in this lawsuit.

(9) Mr. Hancock has been hired by 3-4 other claims adjusters of the Defendants, on approximately 10- 15 assignments.

Page 2 of 11 (1 0) With respect to the approximately 50 projects that Mr. Hancock has been hired by AAA Texas' adjuster Mike Hendricks, those projects have all been within the last 7-10 years.

(11) Mr. Hancock understands that when he determines as he did with respect to the Plaintiffs' claims, that a leak under the foundation did not contribute to the foundation failure, that AAA Texas uses his determination as the basis for denying the insurance claim.

(12) On 70-80% of the foundation claims on which Mr. Hancock has been hired by the Defendants, Mr. Hancock concluded that the foundation failure was not related to a plumbing leak, and so the insurer can deny coverage.

(13) Mr. Hancock uses the electronic file of his reports as a template for a current 1 project, since leaks under a foundation are a common problem in Houston.

1.3 Relator's petition notes correctly that, after severance of the extra-

contractual claims against Relator, discovery is being conducted at this time only

for breach of contract.

II.

SUMMARY

2.1 Bias, credibility, and reliability of evidence offered by a retained testifying

expert witness, any witness for that matter, is always relevant. Relator argues

simply that their retained testifying expert witness' testimony already indicates

bias, and no further evidence is discoverable, necessary or relevant. Whether

Relator, the insurer, had a duty to perform its obligations under the msurance

1 Tab A, Deposition of DerrickS. Hancock, P.E.; pages II, 13, 16, 18, 19, 23 , 24, 25, 27, 28, 30, and 33.

Page 3 of 11 contract, such that denying the Amponsahs' claim constituted breach of contract, is . 2 t h e ISSUe.

2.2 Relator decided they had no duty to perform, based entirely on the opinion

of their retained testifying expert witness, that the plumbing leak under their

foundation did not cause the foundation to sink, but rather the soil

settling/dropping caused the foundation to sink and crack. 3 As Relator has

admitted, this same engineer has managed to reach the same conclusion on "70-

80%" of the other foundation claims he has been hired on by Relator.

2.3 The question therefore turns on the credibility of the expert's analysis and

opinions. The issue is whether this retained expert's opinions are grounded in

legitimate science, and Relator really had no obligation to pay the Amponsahs ' and

other claims; or whether the science and the facts are irrelevant to this expert and

the overriding objective is to make a determination that favors Relator. That

question can be answered only by discovery of facts and data that underlie the

expert's opinions, evident in the reports sought, which are fair game under Texas

Rule of Evidence 705, Disclosure of Facts or Data Underlying Expert Opinion.

III.

AUTHORITIES

2 See, e.g., Greene v. Farm ers Ins. Exch., No. 12-0867 (Tex. 2014). 3 Tabs C, D and E.

Page 4 of 11 A. Bias, reliability and credibility of a retained testifying expert witness are always relevant.

3.1 Relator's sole basis for denying the Amponsahs' claim was their retained

testifying expert witness' opinion that the home's foundation failed because the

ground under the foundation settled/dropped, not because of the leak in the

plumbing under the foundation. 4 Armed with their retained expert's report, Relator

decided they had no duty to perform under their insurance contract, and so denied

the Amponsahs' claim. 5 The credibility of the expert's opinion is therefore central

to Relator's duty to perform under the insurance contract.

3.2 Texas Rule of Evidence 705 provides, in part, that an "expert may in any

event disclose on direct examination, or be required to disclose on cross-

examination, the underlying facts or data," of the expert's opinion. Factors that a

court may consider in determining admissibility of an expert's opinion are non-

exclusive, and include "the extent to which the theory has been or can be tested,

the extent to which the technique relies upon the subjective interpretation of the

expert, whether the theory has been subjected to peer review and/or publication,

the technique's potential rate of error, whether the underlying theory or technique

has been generally accepted as valid by the relevant scientific community, and the

non-judicial uses that have been made of the theory or technique (emphasis

4 Tab D report dated July 15, 20 11 , and Tab E, report dated September 12, 2011 ; HSA Engineering , Derrick S. Hancock, P.E. 5 Tab C, letter from Relator's employee dated September 13, 20 11.

Page 5 of 11 added) ." 6 If the expert's opinion is not admissible in the breach of contract action,

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

Related

Ford Motor Co. v. Castillo
279 S.W.3d 656 (Texas Supreme Court, 2009)
In Re Alford Chevrolet-Geo
997 S.W.2d 173 (Texas Supreme Court, 1999)
Weiss v. Mechanical Associated Services, Inc.
989 S.W.2d 120 (Court of Appeals of Texas, 1999)
in Re National Lloyds Insurance Company
449 S.W.3d 486 (Texas Supreme Court, 2014)

Cite This Page — Counsel Stack

Bluebook (online)
in Re Interinsurance Exchange of the Automobile Club, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-interinsurance-exchange-of-the-automobile-club-texapp-2015.