Karl Wallace v. Amtrust Insurance Company of Kansas, Inc., John Cole Insurance Agency, Inc. and John Cole, Individually

Court of Appeals of Texas·Decided June 2, 2016·No. 10-14-00209-CV·Published

Opinion

IN THE

TENTH COURT OF APPEALS

No. 10-14-00209-CV

KARL WALLACE, Appellant

v.

AMTRUST INSURANCE COMPANY OF KANSAS, INC., JOHN COLE INSURANCE AGENCY, INC. AND JOHN COLE, INDIVIDUALLY, Appellee

From the 278th District Court Walker County, Texas

Trial Court No. 1125693

MEMORANDUM OPINION ON REHEARING

In several issues, appellant, Karl Wallace, challenges summary judgments entered in favor of appellees, AmTrust Insurance Company of Kansas, Inc., John Cole Insurance Agency, Inc., and John Cole, individually. In our original opinion, we reversed the trial court’s judgment as to AmTrust and affirmed the judgment entered in favor of the Cole defendants. In response to our opinion, Wallace filed a motion for rehearing challenging our conclusion with respect to the Cole defendants. After reviewing the record, we grant Wallace’s motion for rehearing, withdraw our memorandum opinion and judgment issued January 14, 2016, and substitute the following in its place. We reverse and remand.

I. BACKGROUND

Until the time of his death in 2007, Wallace’s father lived on property located at 1100 Lone Oak Drive in Oakhurst, Texas—a few hundred miles from Fort Worth, Texas. This property included both a mobile home and 130 acres of land. Because he had been granted a life estate in the property, Robert Guenther began living in the mobile home until he died in 2009. Wallace, a resident of Fort Worth, subsequently took sole ownership of the property in late 2009.

Realizing that the property was left vacant and that the mobile home was deteriorating, Wallace decided to sell the property. However, to protect his interest in the interim, Wallace contacted John Cole of the John Cole Insurance Agency, Inc. to procure insurance. Wallace transacted with Cole because Cole’s company had insured the property for Wallace’s father.

Because he did not have authority to sell or bind coverage on behalf of AmTrust, Cole had to submit an application for insurance to Stroud Insurance Agency, Inc.—a managing general agency that had a duty to follow the underwriting guidelines of AmTrust. Cole asserts that Stroud and AmTrust do not issue Farm and Ranch insurance policies on properties that are vacant or unoccupied at the time the insurance application is submitted. Wallace claims that he told Cole that the property was vacant and unoccupied. Nevertheless, an insurance application was submitted to Stroud and AmTrust for approval.

Wallace admitted that, on January 12, 2010, he signed the commercial application of insurance that was submitted to Stroud and AmTrust for approval. Wallace further testified that he believed that he answered all of the application questions truthfully. In any event, Cole, on behalf of Wallace, indicated that the property was 100% occupied, among other things. Furthermore, in the Farm and Ranch Supplemental, which was made a part of the application, Cole indicated that none of the dwellings on the property were vacant or unoccupied. Once the application was completed, Cole faxed the document to Wallace for review. Cole instructed Wallace to verify the accuracy of the statements and to correct any mistakes. Without making any corrections, Wallace signed the application, including the Farm and Ranch Supplemental, and returned it to Cole, who, in turn, submitted the application to Stroud for approval. Stroud and AmTrust ultimately approved Wallace’s application and issued a policy, with a renewal effective on January 18, 2011. The policy was subsequently renewed.

No problems arose until January 29, 2011, when a grass fire destroyed the mobile home on the property. In an affidavit that was executed on May 17, 2012, and later struck by the trial court as to the Cole defendants, Wallace noted the following:

I turned in the claim for the loss to the house the day after the loss. Within a week or two at most, I gave statements and answered questions posed to Wallace v. Amtrust Insurance Company of Kansas, Inc. Page 3 me by the adjuster. At that time, the adjuster was informed that the house was vacant and unoccupied at the time of the loss and had been vacant and unoccupied since I had taken possession of it. The adjuster was also informed that all utilities were off at the house and had been since I had taken possession of the house. I told them this in response to their repeated requests to provide them with utility bills.

AmTrust began investigating Wallace’s claim.

In the meantime, Wallace filed suit against AmTrust and the John Cole Insurance Agency, asserting numerous claims against: (1) the John Cole Insurance Agency for violations of the Texas Insurance Code and the Texas Deceptive Trade Practices Act; and (2) AmTrust for breach of contract and violations of the Texas Insurance Code. Nevertheless, as part of AmTrust’s investigation, Wallace submitted to an examination under oath on July 26, 2011. Thereafter, on August 18, 2011, AmTrust sent a letter to Wallace’s attorney, stating:

This is to follow up on our conversation after the recent examination under oath of Karl Wallace. More particularly, AmTrust Insurance Company of Kansas, Inc. (“AmTrust”) discovered several things during the examination. First, it determined that the house was both vacant and unoccupied not only at the time of loss, but also, prior to the time that the application for insurance was filled out and sent to AmTrust for review.

Mr. Wallace testified that both he and Mr. John Cole knew that the property was vacant and unoccupied. Mr. Wallace confirmed that it was his signature on the application. He was not under duress or any other condition that would have forced him to sign the application. Mr. Wallace knew that the executed application would be analyzed by AmTrust for the purposes of determining whether to issue the policy or not.

As we discussed, AmTrust does not issue or underwrite residential properties that are vacant or unoccupied. The risk of loss is simply too high.

Accordingly, AmTrust is under no obligation to pay your client any benefits that he contends are due and owing under the policy.

Wallace v. Amtrust Insurance Company of Kansas, Inc. Page 4

AmTrust hereby offers to settle the case on the following terms and conditions. If Mr. Wallace will agree to dismiss AmTrust from the lawsuit with prejudice, AmTrust will immediately refund all premiums going back to the original policy it issued to Mr. Wallace. The first policy became effective on or about January 11, 2010.

Wallace declined AmTrust’s settlement offer and proceeded with his lawsuit.

Wallace later amended his petition to include John Cole as an individual defendant. In his live petition, Wallace made agency claims, including liability for acts and omissions occurring within the scope of actual or apparent authority, and vicarious-liability and negligence claims against all the defendants. As to AmTrust, Wallace alleged: (1) statutory vicarious liability under section 4001.051 of the Texas Insurance Code; (2) that AmTrust violated numerous other provisions of the Insurance Code; and (3) breach-of- contract and breach-of-the-duty-of-good-faith-and-fair-dealing claims. With respect to the Cole defendants, Wallace asserted claims for DTPA and Texas Insurance Code violations.

In response to Wallace’s petitions, the Cole defendants filed traditional and no-

evidence motions for summary judgment, arguing that, among other things, Wallace admitted that Cole did not make a misrepresentation regarding the insurance policy; the Cole defendants owed no duty to Wallace to procure coverage not specifically requested by Wallace; and the Cole defendants had no duty to extend Wallace’s insurance

Wallace v. Amtrust Insurance Company of Kansas, Inc. Page 5 protection.1 More specifically, the summary-judgment motions of the Cole defendants addressed Wallace’s Insurance Code and DTPA claims, but did not explicitly address his negligence or vicarious-liability claims.

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Karl Wallace v. Amtrust Insurance Company of Kansas, Inc., John Cole Insurance Agency, Inc. and John Cole, Individually, (Tex. Ct. App. 2016).

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