Sims v. Allstate Fire and Casualty Insurance Company

CourtDistrict Court, W.D. Texas
DecidedSeptember 2, 2025
Docket5:22-cv-00580
StatusUnknown

This text of Sims v. Allstate Fire and Casualty Insurance Company (Sims v. Allstate Fire and Casualty Insurance Company) is published on Counsel Stack Legal Research, covering District Court, W.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sims v. Allstate Fire and Casualty Insurance Company, (W.D. Tex. 2025).

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF TEXAS SAN ANTONIO DIVISION

JAMES SIMS, TERRIE SIMS, NEAL COMEAU, LILIANA COMEAU, JENIFER SIDDALL, JON HOWELL, TERRY DUHON, INDIVIDUALLY AND ON BEHALF OF OTHER’S SIMILARLY SITUATED;

Plaintiffs,

v. CASE NO. SA-22-CV-00580-JKP

ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY, ALLSTATE VEHICLE AND PROPERTY INSURANCE COMPANY, ALLSTATE INDEMNITY COMPANY,

Defendants.

MEMORANDUM OPINION AND ORDER Before the Court is Defendant Allstate Vehicle and Property Insurance Company’s (Allstate) Motion for Summary Judgment on the causes of action asserted by Plaintiffs Liliana Comeau, Neal Comeau, Jon Howell, and Terry Duhon (“the Collective Plaintiffs”). ECF No. 142. The Collective Plaintiffs responded, and within the Response, sought to strike Allstate’s summary judgment evidence of Declarations by Edith Chau and Matthew Camarco. ECF No. 163. Upon consideration, the Court concludes Allstate’s Motion for Summary Judgment is GRANTED IN PART, DENIED IN PART, and DENIED WITHOUT PREJUDICE IN PART. The Court dismisses the Collective Plaintiffs’ internal objections, or motion to strike the declarations, as moot. UNDISPUTED FACTUAL BACKGROUND The Collective Plaintiffs purchased individual homeowner’s insurance policies from Allstate, and subsequently, incurred damage to their individual homes and submitted independent claims for coverage. The parties do not dispute the damage to the Collective Plaintiffs’ properties is covered under their individual, but identical, insurance policies (the

Policy). The dispute arises in how Allstate calculates the initial payment to each Plaintiff for the covered loss. The parties do not dispute the Policy is a replacement cost value (RCV) insurance policy, under which there is a two-step process for recovery of loss payments. First, Allstate pays an insured the actual cash value (ACV) of the insured loss when it is damaged or destroyed. Second, if the insured chooses to complete repairs or replacement of the subject property, they may then seek reimbursement for the actual cost of repairs under the replacement-cost-value provisions of the Policy. Thus, the Policy does not require payment of the RCV unless repairs are completed within 365 days from the date of loss and the insured submits an insurance claim for

reimbursement of the additional, actual costs of repair. Until repairs are complete, Allstate owes only the ACV. The parties do not dispute the Policy provides the ACV payment may include a deduction for depreciation, and the Policy does not provide a specific definition of ACV or depreciation. In each of the Collective Plaintiffs’ loss, Allstate calculated their initial ACV payment by estimating the cost to repair or replace the damage with new building materials and then subtracted depreciation for both the cost of materials and the cost of future labor. The Collective Plaintiffs allege Allstate incorrectly calculated the initial ACV payment by deducting depreciation for the anticipated labor cost. The Collective Plaintiffs contend the Policy language is ambiguous, by omission, by failing to define ACV specifically to disclose Allstate’s practice of calculating the ACV payment by deducting depreciation of anticipated labor costs. Allstate contends the Collective Plaintiffs’ theory that Allstate breached the Policy by depreciating future labor when calculating ACV of damaged insured property is based on an

unreasonable interpretation of the Policy terms. Allstate contends the Collective Plaintiffs’ interpretation allows insureds to receive the full amount estimated for all labor costs for repairing property before the insureds have incurred that cost and even if they decide to not repair the damaged property. This conflicts with the policy language, Texas case law, and the ordinary dictionary meaning of the terms actual cash value and depreciation. Instead, the Policy is a replacement cost insurance policy which allows an insured to receive the ACV of their insured property when it is damaged or destroyed by a covered loss. If the insured makes the repairs or replacements, they will receive reimbursement up to the policy limits for the full amount of costs expended in making the repairs or replacements, less the ACV amount they already received.

Thus, Allstate contends its practice of calculating the ACV payment is in accordance with the Policy’s plain terms, and therefore, is not ambiguous. On May 8, 2024, this Court granted Howell and Duhon’s Motion to Join this action, which was filed in March 2024. ECF No. 92. The Collective Plaintiffs assert a cause of action for breach of contract and seek declaratory relief stating their insurance contracts prohibit the withholding of depreciation of future labor costs when calculating the initial ACV loss payment. ECF No. 92, pp. 24-25. Allstate moved to dismiss the Complaint for failure to state a claim arguing the Policy language governing ACV payments unambiguously permitted withholding depreciation of future labor costs. ECF No. 90. This Court denied the Motion to Dismiss following the Fifth Circuit’s decision in Mitchell v. State Farm Fire & Cas. Co., 954 F.3d 700, 706 (5th Cir. 2020). ECF No. 106. In denying the Motion to Dismiss, this Court found, as with the policies at issue in Mitchell, the insurance policies in this case are ambiguous on this point, and following Mitchell, the ambiguity must be resolved in the Collective Plaintiffs’ favor to find they stated plausible causes

of action for breach of contract and declaratory relief. Id. Subsequently, this Court administratively closed this case as it proceeded through the process for independent appraisal of the Collective Plaintiffs’ insurance claims. On July 22, 2024, the appraisal panel issued its assessment decision on each of the Collective Plaintiffs’ insurance claims. ECF No. 142, exhs. 1-21, 1-22. With the appraisal process complete, Allstate now seeks summary judgment on the breach of contract cause of action and the request for declaratory judgment asserted by each of the Collective Plaintiffs. LEGAL STANDARD Summary judgment is appropriate if the record shows “there is no genuine dispute as to

any material fact and the movant is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a); Celotex Corp. v. Catrett, 477 U.S. 317, 322 (1986); see also Rodriguez v. Pacificare, Inc., 980 F.2d 1014, 1019 (5th Cir. 1993).1 “A fact is material only if its resolution would affect the outcome of the action.” Wiley v. State Farm Fire & Cas. Co., 585 F.3d 206, 210 (5th Cir. 2009). A genuine dispute for trial exists if the record taken as a whole could lead a reasonable trier of fact to find for the nonmoving party. Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587 (1986); Bayle v. Allstate Ins. Co., 615 F.3d 350, 355 (5th Cir. 2010). Because there

1 Although 2010 amendments replaced “issue” with “dispute,” the summary judgment standard “remains un- changed.” Fed. R. Civ. P. 56 advisory committee notes (2010 amend.).

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