MLCSV10 v. Stateside Enterprises, Inc.

866 F. Supp. 2d 691, 2012 U.S. Dist. LEXIS 44790, 2012 WL 1098415
CourtDistrict Court, S.D. Texas
DecidedMarch 30, 2012
DocketCivil Action No. H-10-4186
StatusPublished
Cited by18 cases

This text of 866 F. Supp. 2d 691 (MLCSV10 v. Stateside Enterprises, Inc.) 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
MLCSV10 v. Stateside Enterprises, Inc., 866 F. Supp. 2d 691, 2012 U.S. Dist. LEXIS 44790, 2012 WL 1098415 (S.D. Tex. 2012).

Opinion

MEMORANDUM AND OPINION

LEE H. ROSENTHAL, District Judge.

This is one of the many insurance cases filed in or removed to the Southern District of Texas after Hurricane Ike. The plaintiffs, MLCSV10 and Stateside Enterprises, Inc., sued five insurance companies [695]*695in two separate actions in state court, asserting causes of action for breach of an insurance contract, breach of the duty of good faith and fair dealing, violations of the Texas Insurance Code (“TIC”), and violations of the Texas, Deceptive Trade Practices Act (“DTPA”). The plaintiffs alleged that the defendants underpaid two insurance claims under a commercial lines policy that one of the defendants, the Massachusetts Bay Insurance Company, issued to Stateside. The insurance claims sought to recover the cost of repairing damage from the hurricane and from vandalism to the Deerbrook Crossing Shopping Center, a commercial property that Stateside owned and that MLCSV10 now owns. The defendants removed the two actions to federal court, where they have been consolidated.

Before suing, the plaintiffs invoked appraisal under the Massachusetts Bay policy. While the consolidated case was pending in this court, the appraisal panel issued its award. The defendants have moved for summary judgment on all claims based on their tendering full payment of the amount the appraisal panel awarded. (Docket Entry No. 33.) Stateside and MLCSV10 oppose the motion, arguing that there are disputed fact issues material to determining whether the appraisal award should be disregarded. (Docket Entries No. 34 & 41.) Stateside and MLCSV10 contend that the summary judgment record shows that the appraisal panel was not impartial because of a business-referral relationship between the companies for which the umpire and the appraiser selected by the defendants worked. Stateside and MLCSV10 also contend that the award resulted from accident or mistake because it was not based on a sound, reasonable, or reliable methodology for assessing the loss amount. Finally, Stateside and MLCSV10 contend that the appraisal panel exceeded its authority by deciding causation and coverage issues reserved for the court.

The court heard oral argument on the summary judgment motion. Based on the pleadings; the motion, responses, and replies; the record; the arguments of counsel; and the relevant law, this court grants in part and denies in part the defendants’ motion for summary judgment. The reasons for these rulings are explained below.

A status conference to set a schedule to resolve the remaining claims is set for April 16, 2012 at 5:00 p.m.

I. Background1

Massachusetts Bay issued Stateside a commercial lines policy (the “Policy”) for the Deerbrook Crossing Shopping Center (the “Property”), with coverage from August 2008 to August 2009. The Policy contained the following appraisal provision:

If we and you disagree on the amount of loss, either may make written demand for an appraisal of the loss. In this event, each party will select a competent and impartial appraiser and notify the other of the appraiser selected within 20 days of such demand. The two appraisers will select an umpire. If they cannot agree within 15 days upon such umpire, either may, request that selection be made by a judge of a court having jurisdiction. Each appraiser will state the amount of loss. If they fail to agree, they will submit their differences to the umpire. A decision agreed to by any [696]*696two will be binding as to the amount of loss. Each party will:
a. Pay its chosen appraiser; and
b. Bear the other expenses of the appraisal and umpire equally.
If there is an appraisal:
a. You will still retain your right to bring a legal action against us, subject to the provisions of the Legal Action Against Us Commercial Property Condition; and
b. We will still retain our right to deny the claim.

(Docket Entry No. 33-4, at 44.)

In September 2008, Stateside submitted a claim under the Policy to Massachusetts Bay for damage to the Property caused by Hurricane Ike. While the insurer’s adjuster was investigating the claim, Stateside submitted a separate claim for vandalism-related damage to the Property’s rooftop HVAC units. Massachusetts Bay paid $219,529.27 for the hurricane-damage claim and $50,000.00 for the vandalism-damage claim. Dissatisfied with the amounts, Stateside invoked appraisal under the Policy in March 2009. Stateside appointed Brian Haden as its appraiser, and Massachusetts Bay appointed Brett Lochridge. At Haden’s recommendation, the two appraisers selected Chuck McCool as umpire.

McCool was a national general adjuster for VeriClaim, an international independent adjusting firm. Lochridge was the president of Unified Building Sciences (“UBS”), a national construction-consulting firm. Before the appraisal in this case, VeriClaim and UBS had worked on some of the same projects and VeriClaim had on occasion recommended that its clients hire UBS. McCool and Lochridge testified that they disclosed the extent of the VeriClaimUBS relationship to Haden at the beginning of the appraisal process. Haden contradicted that testimony. It is undisputed that although McCool and Lochridge had met once before they began working on the appraisal in this case, they had not previously worked together. There is no evidence in the record that McCool referred clients to Lochridge or that Lochridge referred clients to McCool.

While the appraisal was underway, MLCSV10 purchased the Property and entered into a Settlement Agreement with Stateside. Under the Settlement Agreement, MLCSV10 obtained “the exclusive right” to prosecute “Policy-Based Claims,” defined as “those contractual claims for damages ... related to the Losses ... covered by the Policy.” (Docket Entry No. 33-10, at 2.) Stateside retained the “exclusive right” to prosecute “Bad Faith Claims.” (Id. at 3.) The Settlement Agreement defined “Bad Faith Claims” as “those extra-contractual claims for damages ... that arise from the Insurer’s claims settlement practices,” including claims for breach of the duty of good faith and fair dealing and claims under the TIC and the DTPA. (Id. at 2.)

In September 2010, during the appraisal process, MLCSV10 filed a state-court suit against the Massachusetts Bay, the Hanover Lloyd’s Insurance Company, the Hanover Insurance Company, the Hanover American Insurance Company, and the Hartford Steam Boiler Inspection and Insurance Company. MLCSV10 asserted a breach of contract claim for Massachusetts Bay’s alleged underpayment under the Policy. Stateside filed a state-court suit against the same defendants, asserting, in addition to breach of contract, causes of action for breach of the duty of good faith and fair dealing and violations of the TIC and DTPA. The defendants timely removed to federal court, where the two suits were consolidated.

In May 2011, Stateside filed a third amended complaint, dropping the breach of contract claim but continuing to assert [697]*697extracontractual claims against Massachusetts Bay and Hartford. After Stateside filed its third amended complaint, both plaintiffs dismissed their claims against Hartford.

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866 F. Supp. 2d 691, 2012 U.S. Dist. LEXIS 44790, 2012 WL 1098415, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mlcsv10-v-stateside-enterprises-inc-txsd-2012.