in Re Texas Windstorm Insurance Association

417 S.W.3d 119, 2013 WL 5947342, 2013 Tex. App. LEXIS 13735
Court of Appeals of Texas·Decided November 7, 2013·No. 01-13-00123-CV·Published·Cited by 16 cases

Opinions

OPINION

MICHAEL MASSENGALE, Justice.

By petition for writ of mandamus,1 Texas Windstorm Insurance Association (TWIA) challenges the trial court’s order disqualifying the law firm of Martin, Disi-ere, Jefferson & Wisdom, L.L.P. (MDJW) and its attorneys from representing TWIA in any of the consolidated Hurricane Ike lawsuits pending in Galveston County. Among other reasons, TWIA asserts that the trial court abused its discretion because there is no disqualifying conflict of interest under Rules 1.09 or 1.15 of the Texas Disciplinary Rules of Professional Conduct and because the disqualification movants failed to show actual prejudice.

We conditionally grant the petition for writ of mandamus.

Background

The individual, commercial, and governmental-entity plaintiffs in the underlying consolidated cases allege that TWIA breached duties owed to them in the handling of insurance claims arising from damage caused by Hurricane Ike. Real party in interest Craig Eiland is a state legislator and an attorney. Through his law firm, A. Craig Eiland Attorney at Law, P.C., he represents plaintiffs in cases that are part of the consolidated Hurricane Ike litigation in Galveston County.

Chris Martin is an attorney who specializes in insurance matters. He has frequently lectured and written on insurance law. Martin was testifying before the Texas Legislature on a matter relating to insurance when he met Eiland. Thereafter Eiland occasionally contacted Martin to ask questions about insurance law, relating both to issues pending before the Legislature and to issues arising from cases he was handling as an attorney. He retained Martin as an expert in two of his Hurricane Ike cases which did not involve claims against TWIA: the South Coast Cement case2 and the La Porte ISD case.3 But the two lawyers were also adversaries in other litigated Ike claims pending in Galveston County in late 2010, including cases in which Eiland, along with his co-counsel Steve Mostyn, filed lawsuits on behalf of multiple policyholders against State Farm [122]*122Lloyds and related entities, which are represented by Martin.4

Eiland was retained by Galveston County to review its Hurricane Ike insurance claims and to determine if it “had any-potential money due and owing” from TWIA. Although no lawsuit was ever filed in connection with the Galveston County matter, Eiland testified that he contacted Martin in January 2011 “to seek his expert counsel,” particularly concerning TWIA’s alleged “failure to pay overhead and profit and sales tax.” Eiland contends that he was seeking Martin’s assistance for the benefit of his client and as an “expert.”5 He also claims to have sought Martin’s guidance to inform how to structure the operation of his law firm “in terms of what cases and types of cases” he accepted and how he would “handle” them. Eiland testified that Martin orally agreed to accept the representation and that they discussed the preparation of an expert report.6

After initial discussion by telephone, Ei-land sent Martin the following email:

From: A. Craig Eiland
Sent: Monday, January 17, 2011 6:22 PM
To: ‘Chris Martin’
Subject: Eiland re Confidential Consulting Expert Communication FW: Galveston County — Texas Windstorm Insurance Association
Chris,
To follow up on our discussions, attached is my demand letter and reasoning with exhibits. Let me know if you have any insight or opinions. I think that the Ghoman decision helps and hurts. It helps in supporting the opinion that you do not have to hire a General Contractor to get the 0 & P, but hurts re the Tax.
A Craig Eiland

Eiland attached several documents to this email. One was a copy of the federal district court opinion referenced in the email text, Ghoman v. New Hampshire Ins. Co., 159 F.Supp.2d 928 (N.D.Tex.2001). Also attached was a “formal initial demand” letter addressed to TWIA and sent by Eiland on behalf of Galveston [123]*123County. Eiland’s letter-was dated January 17, 2010, and it demanded the payment of “undisputed damages,” which included contractor’s overhead and profit (commonly known as “0 & P”) and sales tax. The letter referenced and attached commissioner’s bulletins from the Texas Department of Insurance, dated from 1998 and 2008, addressing the payment of O & P and sales tax.7

Eiland had attached to the demand letter a chain of email correspondence dated from 2008 which appears to have been an interoffice TWIA communication. In response to a suggestion that “we may want to stress that a general contractor is needed in order to include the O & P,” TWIA Vice President of Claims Reggie Warren stated that according to the Texas Department of Insurance, “that doesn’t matter.we need to add OH & P to arrive at the appropriate repair/replacement cost, regardless if a contractor is involved.”

On the afternoon of January 20, 2011, Eiland sent Martin another email, the text of which stated simply, “Any luck?” Martin responded, “Yes, report will follow later tonight.” Eiland replied, “Great, Thanks! Send bill.” Five hours later, Eiland sent another email that stated, “Just a reminder.”

Late that night, Martin sent Eiland an email bearing the subject line of “Re: Report.” That email stated:

Craig,
When we spoke last Friday, you asked about the industry custom and practice of paying certain components of a property claim when the insured doesn’t actually incur the cost of the line item in question. The example you gave involved a unit of government (here Galveston County) which didn’t have to pay sales tax on repair materials. You mentioned your argument involving the payment of premiums for items such as sales tax as a justification for the insurer’s obligation to pay.
Over the last four days, I have had extended conversations with very senior executives in the Claims Departments at Travelers, Zurich, CNA, Hartford, Fireman’s Fund and State Farm specifically regarding units of government or quasi-units and generally regarding sales tax and O & P. These men are long time acquaintances who spoke to me as a friend to answer my questions because I occasionally seek their industry perspectives to help research or writing projects I undertake. For anonymity, I get candid accuracy.
On this issue, the reactions were consistent. The primary principal seems to be the indemnity nature of property cover[124]*124age. In other words, property policies provide indemnity to the insured for losses to buildings and their component parts. To this end, each carrier exec articulated a similar thought around the idea of a loss incurred or “reasonably likely to be incurred.” That point seems to be the industry dividing point on your precise question. As to sales tax for an entity who will never have to pay such sales tax, the issue is consistently addressed along the same lines of incurred or reasonably likely to be incurred. It can’t be incurred for a unit of government so it is never paid under the aforementioned indemnity principal.

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in Re Texas Windstorm Insurance Association, 417 S.W.3d 119, 2013 WL 5947342, 2013 Tex. App. LEXIS 13735 (Tex. Ct. App. 2013).

417 S.W.3d 119 (in Re Texas Windstorm Insurance Association) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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