Martinez v. State Farm Lloyds

CourtDistrict Court, S.D. Texas
DecidedJanuary 31, 2025
Docket4:23-cv-00641
StatusUnknown

This text of Martinez v. State Farm Lloyds (Martinez v. State Farm Lloyds) is published on Counsel Stack Legal Research, covering District Court, S.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Martinez v. State Farm Lloyds, (S.D. Tex. 2025).

Opinion

Southern District of Texas ENTERED _ IN THE UNITED STATES DISTRICT COURT January 31, 2025 FOR THE SOUTHERN DISTRICT OF TEXAS Nathan Ochsner, Clerk . . HOUSTON DIVISION NORMA MARTINEZ, . § Plaintiff; : VS. § CIVIL ACTION NO. 4:23-CV-00641

STATE FARM LLOYDS, Defendant. §

ORDER Pending before the Court is Plaintiff Norma Martinez’s Motion to Alter or Amend. (Doc. No. 17). Defendant State Farm Lloyds (“Defendant” or “State Farm’’) filed a response. (Doc No.

18). In addition, State Farm filed a Notice of Additional Authority Relevant to the Motion to Alter or Amend. (Doc. No. 19). The Court hereby DENIES Plaintiff's Motion to Alter or Amend the Judgment. (Doc. No. 17). BACKGROUND This is an insurance dispute arising from damage that Plaintiff suffered to her home after a storm in July 2021. (Doc. No. 1 at 9). Plaintiff submitted a claim to her insurer, State Farm, against her Homeowner’s Insurance Policy (“Policy”) for damage to the property. (/d.). State Farm completed an inspection on July 12, 2021, and issued a damage estimate of $548.69. (id. at 10). This amount fell below Plaintiff's $3,292.00 deductible, and State Farm sent Plaintiff a letter explaining that no payment would be made. (Doc. No. 11 at 5). On November 8, 2021, Plaintiff's counsel sent a letter of representation to State Farm alleging property damage in the amount of $16,706.92. (Doc. No. 12 at 4). State Farm acknowledged receipt of the notice letter and requested

a reinspection of the Property, which was conducted on January 11, 2022 (id. at 5). No changes were made to the State Farm estimate after the second inspection. (Doc. No. 11 at 6). On March 2, 2022, Plaintiff sent a letter requesting the claim be sent to appraisal pursuant provisions under the insurance policy. (Doc. No. 12 at 5). Both parties named their independent appraisers. On October 27, 2022, an appraisal award letter was issued which determined property damage losses in the amount of $14,446.87, on a replacement cost basis, and $7,028.93, on an actual cash value basis. (Doc. No. 11 at 6). On November 18, 2022, State Farm issued to Plaintiff, through her counsel, payment of the actual cash value award in the amount of $7,028.93. (Doc. No. 11 at 6). In the payment letter, State Farm extended the period for Plaintiff to claim replacement cost benefits equal to the depreciation amount determined in the appraisal award of $3,849.06 until November 6, 2024, if she completed repairs or replacement of the damages identified in the appraisal award and submitted appropriate documentation to State Farm within thirty (30) days after the work was completed. (/d. at 6-7). On February 14, 2023, State Farm voluntarily issued additional payment to Plaintiff in the amount of $1,139.59 for potential interest under the Texas Prompt Payment of Claims Act (“TPPCA”). This amount was calculated using an annual rate of 12.5% applied to the appraisal award payment for 473 days, the duration between the first inspection plus fifteen business days (August 2, 2021) and the date State Farm issued its appraisal decision letter and payment (November 18, 2022). (Id. at 7). Plaintiff filed the instant action in state court on J anuary 10, 2023, asserting causes of action for breach of contract (based on State Farm’s “failure and/or refusal to pay adequate coverage

under the Policy”), violations of Texas Insurance Code Chapters 541 and 542, and attorney’s fees under the TPPCA. □

In its Motion for Summary Judgment, State Farm argued that its payment of the appraisal award estops Plaintiff from maintaining a claim for breach of contract. (Doc. No. 11 at 9). State Farm also argued that Plaintiff cannot maintain extra-contractual causes of action without evidence that she was owed additional benefits under the Policy or an independent cause of action, and that it has paid all conceivable prompt-payment damages. (Doc. No. 11 at 9-10). In response, Plaintiff argued that there are genuine issues of material fact as to whether State Farm delayed in paying the appraisal award, paid the appropriate amount, and paid the appropriate amount of interest. (Doc. No. 12 at 8-14). Plaintiff also argued that there are issues of material fact as to her causes of action for breach of contract, statutory extra-contractual claims under Chapter 541 of the Texas Insurance Code, claims under the TTPCA, and violations of the Deceptive Trade Practices Act (DTPA). (/d@.). The Court granted summary judgment on all issues. (Doc. No. 16). First, the Court granted summary judgment on the contractual claims because, even accepting Plaintiff's statements of fact as true, the Court could not find that State Farm’s appraisal payment was “untimely” as a matter of law. (Id. at 5). The Court concluded that Fifth Circuit precedent required the finding that “the insured is estopped by the appraisal award from maintaining a breach of contract claim against the

insurer.” (Id.); see Blum's Furniture Co., Inc. v. Certain Underwriters at Lloyds London, 459 Fed. Appx. 366, 368 (Sth Cir. 2012) (unpublished) (citation omitted) (internal quotation marks omitted). Second, the Court granted summary judgment on Plaintiff’s statutory claims because “Plaintiff received all policy benefits to which she is entitled, and no outstanding benefits remain to be recovered as actual damages for an alleged statutory violation under Chapter 541.” (Ud. at 7)

.

(citing Ortiz v. State Farm Lloyds, 589 S.W.3d 127, 134 (Tex. 2019)). Further, Plaintiff’s DTPA claims were precluded because Plaintiff failed to succeed at summary judgment on a bad faith claim. (Doc. No. 16 at 8) (citing Douglas v. State Farm Lloyds, 37 F. Supp. 2d 532, 544 (S.D. Tex. 1999)). . Finally, the Court granted summary judgment on Plaintiffs claims under the Texas Prompt Payment of Claims Act (“TPPCA”) based on State Farm’s preemptory payment of statutory interest. (Doc. No. 16 at 10). While there was a case in which the prepayment of statutory interest was held to be insufficient to grant summary judgment without evidence that Plaintiff had accepted the funds, the Court found that case to be something of an outlier. Compare Martinez v. Allstate Veh. And Prop. Ins. Co., No. 4:19-cv-2975, 2020 WL 6887753 at *2 (S.D. Tex. Nov. 20, 2020) (holding that evidence showing acceptance of the pre-paid interest is required) with Morakabian v. Allstate Veh. And Prop. Ins. Co., 2023 WL 2712481 at *3-*4 (E.D. Tex. Mar. 30, 2023) (collecting cases to the contrary). Based on State Farm’s pre-payment of the maximum statutory interest possible, the Court found that Plaintiff’s TPPCA claim was precluded as a matter of law. Following the Court’s Order Granting Summary Judgment, (Doc. No. 16), Plaintiff filed a Motion to Alter or Amend the Judgment. (Doc. No. 17). Plaintiff’s argument primarily relies on a single order from a different court within the Southern District held that the pre-payment of statutory interest was not sufficient for summary judgment absent evidence that the Plaintiff accepted, or intended to accept, the payment. (/d. at 1) (citing Jana Jordan v. State Farm Lloyds, 4:23-cv-1276, 2024 WL 1392562 (S.D. Tex. Apr. 1, 2024)). Accordingly, Plaintiff argues that the Jordan case qualifies as an “intervening change in controlling law,” and that the Court should amend its order to follow the Jordan Court’s reasoning. (Doc. No. 17 at 3-4).

4 □ □

State Farm responded, arguing that the Jordan Court’s reasoning was based solely on one previous order that this Court has already deemed to be “an outlier.” (Doc. No. 18 at 1). State Farm further pointed the Court to numerous opinions from the Fifth Circuit, various Texas courts of appeals, and the Supreme Court of Texas, all holding to the contrary. (/d. at 5). LEGAL STANDARD

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Martinez v. State Farm Lloyds, Counsel Stack Legal Research, https://law.counselstack.com/opinion/martinez-v-state-farm-lloyds-txsd-2025.