In Re Surechoice Underwriters Reciprocal Exchange. v. the State of Texas

Court of Appeals of Texas·Decided November 14, 2024·No. 01-24-00367-CV·Published

Opinion

Opinion issued November 14, 2024

In The Court of Appeals For The First District of Texas ———————————— NO. 01-24-00367-CV ——————————— IN RE SURECHOICE UNDERWRITERS RECIPROCAL EXCHANGE, Relator

Original Proceeding on Petition for Writ of Mandamus

OPINION

Real Party in Interest Nicole Glasper filed suit against Relator SureChoice

Underwriters Reciprocal Exchange following its denial of Glasper’s insurance claim

for property damage. SureChoice filed a Motion to Compel Appraisal and to Abate

the trial court proceedings, which Glasper opposed. SureChoice seeks a writ of

mandamus commanding the trial court to vacate her order denying the Motion to Compel Appraisal and ordering the trial court to compel the parties to engage in the

appraisal process.

We reject Glasper’s argument that SureChoice waived the appraisal provision

in the insurance policy by denying coverage of her claim and not invoking appraisal

until after she filed suit. The insurance policy mandates appraisal and Glasper has

not shown a basis for denying enforcement of the appraisal provision.

We conditionally grant mandamus relief to compel the appraisal.

Background

The underlying case involves a lawsuit brought by Glasper for claims arising

from SureChoice’s handling of her property damage insurance claim.1 SureChoice

issued to Glasper an insurance policy, effective April 2022, that provided coverage

for her home (“Policy”). Among other provisions, the Policy contained an appraisal

clause that states:

F. Appraisal

If you [Glasper] and we [SureChoice] fail to agree on the amount of loss, either may demand an appraisal of the loss. In this event, each party will choose a competent and impartial appraiser within 20 days after receiving a written request from the other. The two appraisers will choose an umpire. If they cannot agree upon an umpire within 15 days, you or we may request that the choice be made by a judge of a court of record in the state where the “residence premises” is located. The appraisers will separately set the amount of loss. If the appraisers

1 The underlying case is Nicole Glasper v. SureChoice Underwriters Reciprocal Exchange, Cause No 2024-06021, pending in the 234th District Court of Harris County, Texas, the Honorable Lauren Reeder presiding.

2 submit a written report of an agreement to us, the amount agreed upon will be the amount of loss. If they fail to agree, they will submit their differences to the umpire. A decision agreed to by any two will set the amount of loss. Each party will:

1. Pay its own appraiser; and

2. Bear the other expenses of the appraisal and umpire equally.

The Policy also included a “Waiver or Change of Policy” provision, stating that “[a]

waiver or change of a provision of this [P]olicy must be in writing by us

[SureChoice] to be valid. Our request for an appraisal or examination will not waive

any of our rights.”

On August 29, 2023, Glasper submitted a claim to SureChoice for damage to

her property allegedly sustained during a storm on April 5, 2023. SureChoice’s

adjuster inspected Glasper’s property and prepared an estimate of damages totaling

$1,502.77. The adjuster ultimately determined that the covered damage was below

the Policy’s deductible amount, and as a result, denied the claim.2 Glasper argued

the adjuster had “grossly undervalued the cost of repairs in its estimate and yielded

an unrealistic amount to underpay coverage.” Glasper hired her own adjuster who

found there was “$28,596.49 worth of damage to the property caused by the

hail/windstorm event.” According to Glasper, her adjuster found “additional storm

2 According to Glasper, “[a]fter . . . depreciation and $1,000[] deductible, [she] was left without adequate funds to make repairs on the entirety of h[er] claim.” 3 damage that was completely absent from” the estimate prepared by SureChoice’s

adjuster.

SureChoice requested that its engineer reinspect the property, but the

inspection revealed no additional hail- or windstorm-related damage. On October

10, 2023, SureChoice informed Glasper that its engineer had “determined that the

roof covering was not damaged by wind and/or hail or by a covered cause of loss”

but rather due to “a combination of age-related deterioration, fatigue, inadvertent

manmade damage, and/or mechanical damage.” According to Glasper, SureChoice

“effectively claim[ed] that all remaining damages (all damages beyond [its] original

$1,112.37 determination) to the property were caused by something that wa[s] NOT

covered by the [P]olicy.” (Emphasis in original.)

On October 24, 2023, Glasper issued a demand letter to SureChoice for

$28,596.49 in replacement costs for the property’s roof, plus $3,002.63 in claimed

statutory interest costs and $1,940.00 in attorney’s fees. On November 3, 2023,

SureChoice rejected Glasper’s demand stating: “We must respectfully reject your

demand as there was no supportive documentation included with your demand . . .

We have concluded our claim review process and our decision coverage will remain

the same. Should you wish to provide additional information, and such information

4 has not been previously reviewed by the carrier for consideration, please do so at

your earliest opportunity.”3

Glasper did not respond. Instead, she filed the instant suit against SureChoice

on January 30, 2024, asserting causes of action for breach of contract, violations of

the Insurance Code, breach of duty of good faith and fair dealing, and violations of

the Deceptive Trade Practices Act. Glasper sought $28,596.49 in actual damages.

SureChoice was served with Glasper’s suit on February 26, 2024. The

following day, on February 27, 2024, SureChoice sent a letter to Glasper invoking

and demanding appraisal under the Policy and designating its appraiser, stating: “It

appears that an impasse has been reached between Nicole Glasper and S[ureChoice]

regarding the amount, if any, of Ms. Glasper’s loss. S[ureChoice] thus invokes and

demands appraisal pursuant to the Policy.” SureChoice stated that its letter was “not

intended to be, and should not be construed as, a waiver of any of [its] rights,

defenses, terms, conditions, and/or exclusions available under the Policy or Texas

law, whether or not specifically addressed in this letter.” Glasper responded by email

on March 12, 2024, stating without explanation or elaboration, “We do not agree

with appraisal.”

3 SureChoice’s November 3, 2023 letter is not included in the record. The letter, however, was attached as Exhibit B to Glasper’s Response to SureChoice’s Motion to Compel, and Glasper’s Response to SureChoice’s Petition for Writ of Mandamus contains an excerpt from the letter, including the quoted language.

5 On March 18, 2024, SureChoice field an answer and an Opposed Motion to

Compel Appraisal and to Abate requesting that the trial court compel appraisal and

abate the lawsuit until after completion of the appraisal. SureChoice argued that it

was contractually entitled to an appraisal under the Policy, and that it had not waived

its right because there was no written waiver of its right, as required by the Policy,

and Glasper could not establish prejudice.

Glasper filed a response arguing that because SureChoice had not invoked

appraisal within the 60-day statutory notice following her demand letter, SureChoice

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In Re Surechoice Underwriters Reciprocal Exchange. v. the State of Texas, (Tex. Ct. App. 2024).

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