National Lloyds Insurance Company v. Latosha A. Lewis

CourtCourt of Appeals of Texas
DecidedFebruary 19, 2015
Docket09-13-00413-CV
StatusPublished

This text of National Lloyds Insurance Company v. Latosha A. Lewis (National Lloyds Insurance Company v. Latosha A. Lewis) 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
National Lloyds Insurance Company v. Latosha A. Lewis, (Tex. Ct. App. 2015).

Opinion

In The

Court of Appeals Ninth District of Texas at Beaumont ________________ NO. 09-13-00413-CV ________________

NATIONAL LLOYDS INSURANCE COMPANY, Appellant

V.

LATOSHA A. LEWIS, Appellee ________________________________________________________________________

On Appeal from the 60th District Court Jefferson County, Texas Trial Cause No. B-188,072 ________________________________________________________________________

MEMORANDUM OPINION

National Lloyds Insurance Company (“Lloyds”) appeals the trial court’s

judgment in favor of Latosha A. Lewis following a jury trial. In seven appellate

issues, Lloyds challenges (1) the legal sufficiency of the evidence supporting the

jury’s findings regarding causation, damages for mental anguish, breach of

contract, and breach of the DTPA, and exemplary damages, (2) the trial court’s

inclusion in the charge of an instruction regarding waiver and its refusal to include

1 an instruction on spoliation, (3) and the trial court’s rendition of a judgment that

allegedly failed to force Lewis to make an election of remedies. We affirm the trial

court’s judgment as modified.

PROCEDURAL BACKGROUND

Lewis1 sued Lloyds, alleging that when Hurricane Ike occurred in 2008, her

home in Beaumont was covered by a policy from Lloyds. According to Lewis, her

home and personal property were seriously damaged by the storm, and she also

incurred additional living expenses. Lewis asserted that Lloyds wrongfully denied

her claim for repairs of the property, despite the fact that her policy provided

coverage for such losses, and underpaid some of her claims. In addition, Lewis

contended that all conditions precedent for her to recover under the policy had

been satisfied. Lewis asserted causes of action for breach of contract, DTPA

violations, unfair insurance practices, breach of the duty of good faith and fair

dealing, and fraud. Lewis sought economic damages, as well as damages for

mental anguish, treble damages pursuant to the DTPA and the Texas Insurance

Code, exemplary damages, and attorney’s fees.

1 Lewis married and changed her last name to “James” after purchasing her home. We will refer to appellee throughout as “Lewis.” 2 THE EVIDENCE

At trial, Lloyds’s corporate representative, Paul Boswell, testified that

Lewis’s policy provided coverage for her dwelling in the amount of $54,000 and

an additional $5000 coverage for incurred expenses. Boswell testified that Lloyds

did not exclude Lewis’s roof from coverage when Lloyds decided to cover Lewis’s

house, nor did Lloyds inform Lewis that it would not cover the roof unless she

repaired any damage. Boswell explained that in 2005, after Hurricane Rita, Lloyds

paid Lewis for new shingles, but did not pay to replace the decking, and Lloyds’s

adjuster did not see any structural problems with the roof. According to Boswell,

Lloyds found no evidence during its investigation of Lewis’s Hurricane Rita claim

that the structure of the roof was compromised. Boswell also testified that when

Hurricane Humberto struck approximately two years later, Lloyds found no

evidence of interior water damage to the home.

Boswell testified that selling actual cash value (ACV) policies “to insure

people with lower valued homes and people with lower levels of education” is one

of Lloyds’s “main markets[.]” After Hurricane Rita damaged Lewis’s home,

Lloyd’s paid (pursuant to Lewis’s ACV policy) $3,884.86. Boswell testified that

Lloyds neither instructed Lewis concerning how to use the money paid for her

Hurricane Rita claim, nor informed Lewis that future claims would be barred if she

3 did not replace the roof. Lloyds never refused to cover the roof when the policy

renewed annually. Boswell did not believe that Lloyds required Lewis to obtain a

windstorm certificate for her roof.

Boswell explained that Lewis’s policy required her to make reasonable and

necessary repairs to protect the property. Lloyds took the position that Lewis failed

to protect the property and mitigate her damages as required by the policy, and that

the problem with the roof after Hurricane Ike struck had existed since Hurricane

Rita. According to Boswell, Lloyds did not pay any money to Lewis for evacuation

expenses or living expenses because Lloyds determined that Lewis’s home was not

completely uninhabitable after Hurricane Ike.

Boswell testified that at Lewis’s request, Lloyds wrote a letter to FEMA

stating that Lloyds denied coverage because the home was not completely

uninhabitable; however, Lewis’s policy did not require that her home be wholly

uninhabitable to make a claim. Boswell admitted that the letters Lloyds sent to

Lewis about the denial of her claim “could have been better” and probably did not

comply with Lloyds’s obligation to give Lewis its reasons for denying her claim.

When asked whether Lewis’s policy contained any language requiring her to

replace her entire roof after receiving an insurance payment, Boswell testified,

“[t]hat exact language is not in the policy.” According to Boswell, an email from

4 claims processor Nathan Rendo and the inspection performed by adjuster Brian

Zepeda are the only documents in Lloyds’s file that document the investigation of

Lewis’s Hurricane Ike claim. Boswell testified that he has no criticisms of

Zepeda’s work with respect to the investigation and adjustment of Lewis’s

Hurricane Ike claim.

Zepeda, the independent adjuster who inspected Lewis’s home after

Hurricane Ike, testified that he reported to Lloyds that storm winds from Hurricane

Ike “caused wind damage to the roofing shingles on the rear slope and produced a

storm-created opening allowing water intrusion to the interior.” Zepeda testified

that the roof damage to which he referred had not been present after Hurricane

Humberto. Zepeda distinguished damage caused by Hurricane Humberto from that

caused by Hurricane Ike by inspecting photographs and comparing them with what

he saw in person. Zepeda testified that he removed roofing from his estimate and

issued a new report pursuant to Rendo’s email which stated, “Please remove the

roofing from the estimate. It was paid in 2005 and never replaced.”

Lewis testified that she purchased this house for $54,000.00 in 2003 when

she was twenty-three or twenty-four years old. Lewis obtained insurance for the

property from Lloyds. Hurricane Rita damaged Lewis’s home, and she filed a

claim with Lloyds. Lewis explained that the master bedroom sustained water

5 damage, and the shingles on the roof were damaged. Lewis testified that her son’s

bedroom did not sustain water damage after Hurricane Rita.

Lloyds paid Lewis’s Hurricane Rita claim in January 2006. Lewis testified

that she received $5300, and she made repairs with that money and also used it to

purchase a $500 generator, as well as for her evacuation expenses. She spent “the

majority of it” on repairing her roof. Lewis testified that she was never paid for

damage to gutters, fascia, or soffits after Hurricane Rita. According to Lewis, the

checks from Lloyds did not come with any letters telling her what losses the

payments were covering, and no one from Lloyds told her that she needed to

replace her entire roof with the money she received. When asked why she did not

replace the entire roof after Hurricane Rita, Lewis testified, “I didn’t have enough

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National Lloyds Insurance Company v. Latosha A. Lewis, Counsel Stack Legal Research, https://law.counselstack.com/opinion/national-lloyds-insurance-company-v-latosha-a-lewi-texapp-2015.