Louis Rosales, Sr. v. Allstate Vehicle and Property Insurance Company

Court of Appeals of Texas·Decided May 16, 2023·No. 05-22-00676-CV·Published

Opinion

Affirm and Opinion Filed May 16, 2023

In The

Court of Appeals

Fifth District of Texas at Dallas No. 05-22-00676-CV

LOUIS ROSALES, SR., Appellant V.

ALLSTATE VEHICLE AND PROPERTY INSURANCE COMPANY, Appellee

On Appeal from the 193rd Judicial District Court Dallas County, Texas

Trial Court Cause No. DC-21-06737

OPINION

Before Justices Molberg, Pedersen, III, and Miskel Opinion by Justice Miskel Louis Rosales, Sr. appeals a summary judgment that disposed of all his claims,

including his claim for attorney’s fees under the Texas Prompt Payment of Claims Act (TPPCA).1 Rosales’s main argument in favor of attorney’s fees concerns the recent opinion Barbara Technologies Corp. v. State Farm Lloyds, 589 S.W.3d 806

1 Courts sometimes refer to this statute in plain language as the “Prompt Payment Act.” See, e.g., Ortiz v. State Farm Lloyds, 589 S.W.3d 127 (Tex. 2019); Tex. Fair Plan Ass’n v. Ahmed, 654 S.W.3d 488 (Tex. App.—Houston [14th Dist.] 2022, no pet.). In this opinion, we use the acronym the Texas Supreme Court used in Barbara Technologies Corp. v. State Farm Lloyds, 589 S.W.3d 806 (Tex. 2019).

(Tex. 2019). According to Rosales, Barbara Technologies forecloses the reasoning that Allstate Insurance Company relied on in its summary judgment motion: that its preemptive payment of TPPCA damages blocked his claim for attorney’s fees.

But unlike Barbara Technologies, this case is governed by Chapter 542A of the Insurance Code. That chapter provides a distinctive damage formula that precludes any award of attorney’s fees in cases like this one, where the defendant has paid the full amount that could be awarded under the policy. We therefore affirm the summary denial of Rosales’s claim for attorney’s fees, which is the only aspect of the summary judgment that Rosales has challenged on appeal.

I. BACKGROUND

On October 28, 2020, a hailstorm hit Mesquite, Texas, where Rosales owned property. A few days later, Rosales filed an insurance claim with Allstate for damage to his property. On November 5, 2020, Allstate’s adjuster determined that the covered damage amounted to only $474.07. Because this amount was less than Rosales’s deductible, Allstate denied payment on the claim.

On November 13, 2020, Rosales’s contractor provided Allstate with an estimate to replace the entire roof of Rosales’s property as well as photographs of the damage. On November 25, 2020, another Allstate adjuster reviewed the photographs and revised the damage estimate upward to $862.83. This amount was still less than Rosales’s deductible, so Allstate paid Rosales nothing.

Rosales filed suit on May 27, 2021, alleging breach of contract, bad-faith violations, and breach of the TPPCA. On October 8, 2021, Rosales invoked the appraisal clause in his policy. The case was abated pending the outcome of the appraisal.

The appraisers found the actual cash value of the loss was $14,869.68.

Allstate received the appraisal award on January 7, 2022, and on January 10, 2022, Allstate issued payment for $11,751.68—the full actual cash value minus Rosales’s deductible. At the same time, Allstate also issued a check for $1,408, which, in Allstate’s words, was intended “to cover any additional interest you could possibly allege to be owed” under the TPPCA. Rosales has not disputed that the amount of the interest payment is sufficient under the statute.

In March, Allstate filed a hybrid motion for summary judgment. Allstate moved for—and ultimately obtained—a traditional summary judgment on Rosales’s contract and bad-faith claims, and Rosales does not challenge those rulings on appeal.

With regard to Rosales’s TPPCA claim, Allstate argued on traditional grounds that because it paid all that could be owed on the claim (i.e., the full appraisal award plus any possible TPPCA interest), Rosales was not entitled to any money judgment on this claim. Allstate further reasoned that because Rosales was not entitled to a money judgment, this cut off Rosales’s right to recover attorney’s fees under Chapter 542A, which makes the amount of attorney’s fees dependent on the amount of the

money judgment. Allstate also moved for no-evidence summary judgment on Rosales’s TPPCA claim, arguing that Rosales had produced no proof that Allstate violated any TPPCA deadline or was liable on the claim.

The trial court granted a final summary judgment in Allstate’s favor without stating the grounds on which its ruling was based. Rosales appeals with respect to only his TPPCA claim.

II. DISCUSSION

In his first and second issues, Rosales contends that the trial court erred to the extent that it granted traditional summary judgment on his TPPCA claim. He makes essentially the same argument in both issues: that Allstate’s “gratuitous” payment of what it characterized as any interest that could be owed under the TPPCA did not establish Allstate’s right to summary judgment on his claim for attorney’s fees. According to Rosales, several authorities—including Barbara Technologies and multiple federal decisions interpreting Chapter 542A—dictate that Allstate cannot prevail.

In his third issue, Rosales challenges the summary judgment to the extent that it was granted on no-evidence grounds. Because Rosales’s first and second issues are dispositive, we do not consider his third issue. A. Summary Judgment Standard We review a grant of summary judgment de novo. Trial v. Dragon, 593 S.W.3d 313, 316 (Tex. 2019). If no grounds are specified for the ruling, we must

affirm if any of the grounds on which judgment is sought are meritorious. Merriman v. XTO Energy, Inc., 407 S.W.3d 244, 248 (Tex. 2013). We credit evidence favorable to the nonmovant if reasonable jurors could, and we disregard evidence contrary to the nonmovant unless reasonable jurors could not. Timpte Indus. v. Gish, 286 S.W.3d 306, 310 (Tex. 2009).

In a traditional motion, the movant has the burden to show there is no genuine issue of material fact and the movant is entitled to judgment as a matter of law. Painter v. Amerimex Drilling I, Ltd., 561 S.W.3d 125, 130 (Tex. 2018). A defendant is entitled to summary judgment if it conclusively negates at least one element of the plaintiff’s claim, id., or if it conclusively proves all elements of an affirmative defense, Frost Nat’l Bank v. Fernandez, 315 S.W.3d 494, 508 (Tex. 2010).

When a party files a hybrid motion for summary judgment, we generally first review the summary judgment under the no-evidence standard of review. Rico v. L- 3 Commc’ns Corp., 420 S.W.3d 431, 438–39 (Tex. App.—Dallas 2014, no pet.). However, if the court is required to affirm the trial court’s ruling on traditional grounds, then we need only address those grounds. Gibson v. Stonebriar Mall, LLC, No. 05-17-01242-CV, 2019 WL 494068, at *5 (Tex. App.—Dallas Feb. 8, 2019, no pet.) (mem. op.). B. Applicable Law: The TPPCA and Chapter 542A’s New Limits The TPPCA imposes several requirements on insurers, one of which is that if the insurer delays payment of a claim for more than the applicable statutory period

or sixty days, the insurer shall pay TPPCA damages. Barbara Techs., 589 S.W.3d at 812–13 (citing, inter alia, TEX. INS. CODE. § 542.058(a)). Those damages include statutory interest on the claim along with reasonable and necessary attorney’s fees. TEX. INS. CODE § 542.060(a).

On September 1, 2017, significant changes to the Texas Insurance Code took effect that were aimed at limiting TPPCA damages and attorney’s fees in cases of natural disaster. Morakabian v. Allstate Vehicle & Prop. Ins. Co., No. 4:21-CV- 00100-SDJ-CAN, 2022 WL 17501024, at *5 (E.D. Tex. Dec. 6, 2022) (quoting White v. Allstate Vehicle & Prop. Ins. Co., No. 6:19-CV-00066, 2021 WL 4311114, at *9 (S.D. Tex. Sept. 21, 2021)). “Codified as Chapter 542A, the recent amendments apply to any first-party claim ‘made by an insured under an insurance policy providing coverage for real property’ that ‘arises from damage to or loss of covered property caused’ by hail, wind, or a rainstorm.” Id. (quoting TEX. INS. CODE § 542A.001(2)).

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