in Re Texas Windstorm Insurance Association

CourtCourt of Appeals of Texas
DecidedMarch 28, 2019
Docket09-18-00446-CV
StatusPublished

This text of in Re Texas Windstorm Insurance Association (in Re Texas Windstorm Insurance Association) 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 Texas Windstorm Insurance Association, (Tex. Ct. App. 2019).

Opinion

In The

Court of Appeals

Ninth District of Texas at Beaumont

_________________

NO. 09-18-00446-CV _________________

IN RE TEXAS WINDSTORM INSURANCE ASSOCIATION

________________________________________________________________________

Original Proceeding 136th District Court of Jefferson County, Texas Trial Cause No. D-201,392 ________________________________________________________________________

MEMORANDUM OPINION

In this mandamus proceeding, the Texas Windstorm Insurance Association

(“TWIA”) asks this Court to compel the trial court to vacate its Order of November

2, 2018, wherein the trial court denied TWIA’s motion for protection and compelled

the deposition of a corporate representative of TWIA to testify about matters TWIA

argues are unrelated to the limited issues that by statute may be litigated in a suit by

an insured against TWIA.

1 The underlying lawsuit relates to a property damage claim filed by the real

party in interest, Dolores Gonzalez, against TWIA. Gonzalez alleged in her

pleadings that her property was damaged by Hurricane Harvey and she sought

coverage for her damages under her TWIA insurance policy. According to Gonzalez,

initially TWIA denied the claim for alleged wind and hail damage filed by Gonzalez.

Gonzalez contends that after Gonzalez sued TWIA and demanded an appraisal,

TWIA issued a revised claim-disposition letter that accepted coverage for interior

damage caused by wind-driven rain but continued to deny coverage for all exterior

and roof damage. After filing the underlying suit, Gonzalez deposed the claims

adjuster, Michael Espinoza, and obtained an order compelling TWIA to produce a

corporate representative to address the following topics:

1. The purpose, intent and effect of “new disposition” letters;

2. The standard procedure for gathering information for, and then sending, notice letters (acceptance, denial, or partial acceptance);

3. The TWIA employee (or indep. Contractor) hierarchy during Hurricane Harvey and now; and,

4. The meaning of documentation sent to insureds informing them of their rights to appraisal and what will be appraised.

The aforementioned topics and examination thereon will be limited, however, to this matter, as well as TWIA’s general standards, policies, and procedures on instances where changes were made to an initial determination of coverage or payment of a claim. In such instances, Plaintiff may inquire into those topics set forth herein, 2 including without limitation TWIA’s practices, guidelines, and policies in situations where any changes were made to an initial determination of coverage or payment of a claim.

TWIA argues the only claims that may be litigated against it are whether

TWIA properly denied coverage for a particular claim and the insured’s recoverable

damages under the statute, which include the amount of the covered loss payable

under the policy, plus interest, consequential damages, and attorneys’ fees. See Tex.

Ins. Code Ann. § 2210.576(a)-(b) (West Supp. 2018). TWIA complains the trial

court ordered broad, institutional discovery from TWIA concerning its decision to

accept coverage in other cases after Hurricane Harvey and TWIA’s internal

organization and understanding of the appraisal process. TWIA claims the ordered

discovery has no relevance to any justiciable issue. According to TWIA, Espinoza

explained in detail how and why the “new disposition” letter was sent to Gonzalez

and any additional information about “new disposition” letters and TWIA’s

procedure for issuing “new disposition” letters would concern claims other than

Gonzalez’s. TWIA claims the employees and contractors involved in the decision to

revise Gonzalez’s coverage determination were discovered in Espinoza’s deposition

and TWIA’s institutional hierarchy is irrelevant to whether the denial of coverage

was proper or in determining Gonzalez’s damages. TWIA argues the extra-judicial

appraisal process is irrelevant to any issue before the trial court.

3 Gonzalez argues the trial court has jurisdiction over the lawsuit and discovery

is proper because TWIA failed to provide a timely notification of denial of coverage.

See generally Tex. Ins. Code Ann. §§ 2210.573, 2210.576(a), (d) (West Supp. 2018).

Gonzalez claims TWIA changed its decision from a denial to an acceptance of

coverage to avoid discovery. She argues discovery as to the manner and reason for

TWIA’s acceptance of previously denied claims is relevant to the issue of the

improper denial of her claim because she suspects there are no policies and

procedures for post-suit acceptance of coverage and such conduct is simply a

litigation tactic. She argues her deposition topics are relevant and narrowly tailored

because they relate to those claimants victimized by Hurricane Harvey.

Mandamus will issue only to correct a clear abuse of discretion when there is

no adequate remedy at law. In re Prudential Ins. Co. of Am., 148 S.W.3d 124, 135-

36 (Tex. 2004) (orig. proceeding); Walker v. Packer, 827 S.W.2d 833, 839-40 (Tex.

1992) (orig. proceeding). A trial court abuses its discretion if it reaches a decision so

arbitrary and unreasonable as to constitute a clear and prejudicial error of law, or if

it clearly fails to correctly analyze or apply the law. In re Cerberus Capital Mgmt.,

L.P., 164 S.W.3d 379, 382 (Tex. 2005) (orig. proceeding). “Mandamus relief is

available when the trial court compels production beyond the permissible bounds of

discovery.” In re Weekley Homes, L.P., 295 S.W.3d 309, 322 (Tex. 2009) (orig.

4 proceeding). “If an appellate court cannot remedy a trial court’s discovery error, then

an adequate appellate remedy does not exist.” In re Dana Corp., 138 S.W.3d 298,

301 (Tex. 2004) (orig. proceeding).

The scope of discovery is largely within the discretion of the trial court.

Dillard Dep’t Stores, Inc. v. Hall, 909 S.W.2d 491, 492 (Tex. 1995) (orig.

proceeding). The Texas Rules of Civil Procedure provide for discovery of

unprivileged matters that are relevant to the subject of the action, even though the

matter would be inadmissible at trial, provided the information sought is reasonably

calculated to lead to the discovery of admissible evidence. In re Nat’l Lloyds Ins.

Co., 449 S.W.3d 486, 488 (Tex. 2014) (orig. proceeding); see Tex. R. Civ. P.

192.3(a). The Texas Rules of Civil Procedure allow a discovery request that has a

reasonable expectation of obtaining information that will aid in resolution of the

dispute. See In re CSX Corp., 124 S.W.3d 149, 152 (Tex. 2003). In this case,

information about policies and procedures that applied to the initial denial of

coverage and the delayed acceptance of part of Gonzalez’s claim will aid in the

resolution of the dispute under the parties’ pleadings.

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

Related

In Re CSX Corp.
124 S.W.3d 149 (Texas Supreme Court, 2003)
In Re Dana Corp.
138 S.W.3d 298 (Texas Supreme Court, 2004)
In Re Prudential Insurance Co. of America
148 S.W.3d 124 (Texas Supreme Court, 2004)
In Re Cerberus Capital Management, L.P.
164 S.W.3d 379 (Texas Supreme Court, 2005)
In Re Allstate County Mutual Insurance Co.
227 S.W.3d 667 (Texas Supreme Court, 2007)
In Re Weekley Homes, L.P.
295 S.W.3d 309 (Texas Supreme Court, 2009)
Walker v. Packer
827 S.W.2d 833 (Texas Supreme Court, 1992)
Dillard Department Stores, Inc. v. Hall
909 S.W.2d 491 (Texas Supreme Court, 1995)
in Re National Lloyds Insurance Company
449 S.W.3d 486 (Texas Supreme Court, 2014)

Cite This Page — Counsel Stack

Bluebook (online)
in Re Texas Windstorm Insurance Association, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-texas-windstorm-insurance-association-texapp-2019.