Standard Fire Insurance Co. v. Fraiman

588 S.W.2d 681, 1979 Tex. App. LEXIS 4228
CourtCourt of Appeals of Texas
DecidedOctober 10, 1979
DocketA2134
StatusPublished
Cited by15 cases

This text of 588 S.W.2d 681 (Standard Fire Insurance Co. v. Fraiman) 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
Standard Fire Insurance Co. v. Fraiman, 588 S.W.2d 681, 1979 Tex. App. LEXIS 4228 (Tex. Ct. App. 1979).

Opinion

J. CURTISS BROWN, Chief Justice.

Melvin L. Fraiman, dba Jamaican Apartments (appellee) sued the Standard Fire Insurance Company (appellant) to recover damages, interest and attorney’s fees under the terms of an insurance policy issued by the company and under other theories of liability. After trial to a jury, appellee was awarded damages for his rental losses and *683 for expenses incurred because of appellant’s breach of a policy provision.

On December 4, 1972, and January 29, 1973, appellee’s apartment complex sustained fire damage because of two separate fires. After the insurance company refused to pay amounts claimed for building damage, appellee demanded that the losses be determined through appraisal, as provided for in the insurance policy. Appellant refused to submit to appraisal and appellee brought an action for declaratory judgment to determine the rights of the parties under the appraisal provision. In Standard Fire Insurance Co. v. Fraiman, 514 S.W.2d 343 (Tex.Civ.App. — Houston [14th Dist.] 1974, no writ), the court held that the insured has the right to enforce the appraisal provision of an insurance policy against an unwilling insurer. An appraiser was appointed and on November 15, 1974, the fire losses were paid by Standard Fire Insurance Company according to the appraisal award.

In the present action, filed July 11, 1975, Fraiman sued to recover rental loss, interest on the rental loss amount, damages for the insurer’s breach of the appraisal provision of the policy, interest on the appraisal award, and attorney’s fees.

Appellant’s main contention is that the telephone and travel expenses awarded by the jury are consequential damages for appellant’s refusal to appraise, and as such are not recoverable under a Texas standard fire insurance policy.

Generally, in the normal suit upon an insurance policy because of the insurance company’s refusal to pay, the insured is only entitled to recover under the terms of the policy itself. Gross v. Connecticut General Life Insurance Co., 390 S.W.2d 388, 390 (Tex.Civ.App. — El Paso 1965, no writ). At least in the absence of bad faith or a controlling statute, the insured can not recover consequential damages for breach or repudiation of an insurance policy.

However, appellant did not repudiate the policy, but instead breached a procedural provision calling for the appointment of appraisers in the event the parties failed to agree as to the replacement cost of the building damages. Whether damages may be awarded for the breach of such a provision seems to be a case of first impression in Texas. In an analogous situation Texas courts have sustained actions for damages for breach of an agreement to arbitrate. Owens v. Withee, 3 Tex. 161 (1848); Brown v. Eubank, 443 S.W.2d 386 (Tex.Civ.App.— Dallas 1969, no writ).

Although there are differences between an arbitration agreement and an appraisal provision, there are also similarities in that they both are contractual methods for resolving disputes without litigation. Appellant correctly points out that a remedy for damages was available to plaintiffs in arbitration suits because at common law an arbitration agreement could not be specifically enforced. But just because the appraisal agreement can be specifically enforced by the insured is no reason to prevent a cause of action for damages based on an insurer’s breach of such provision. This is particularly true when the appraisal clause of the policy was designed to expedite claims settlements and to prevent litigation. To not allow damages would allow insurance companies to breach this provision without fear of any consequences and force insureds to bring suit to enforce the appraisal provision.

Appellant contends that the only damages contemplated by the parties to the insurance policies are those that are set out in the policy itself. It is claimed that the policy is similar to a promissory note and as such is just a contract to pay money. The policy, like a promissory note, describes the liability and losses for which the insurer may be liable. The appellant would be correct if this were a normal suit upon an insurance policy. However, as discussed above, this suit is based upon the breach of a procedural provision of the policy and not upon the breach of the entire policy itself.

Appellant next contends that appel-lee is not entitled to recover his consequential damages because the jury found against appellee on the “bad faith” theory of liabili *684 ty and plaintiff’s consequential damages were predicated upon this theory. We do not agree. There is no evidence in the record to show on which theory the case was tried. The breach of the appraisal provision was pled and was undisputed. The jury found, in response to special issues, that appellee suffered damages as a result of appellant’s refusal to appraise. Since a statement of facts was not brought up on appeal, all liability issues on breach of contract that were not submitted must be deemed found in support of the judgment. Schweizer v. Adcock, 145 Tex. 64, 194 S.W.2d 549 (1946). Thus, we hold that a party clearly breaching an appraisal clause of an insurance policy should be liable in damages caused by such breach.

Under appellant’s third point of error, it is urged that plaintiff’s suit for rental loss was barred by the contractual limitations period in the policy. As regards the limitations period, “the general rule seems to be that limitation runs from the time when the loss becomes due and payable and the right to sue accrues, and not from the time when the loss occurs.” Whitehead v. National Casualty Co., 273 S.W.2d 678 (Tex.Civ.App. — Fort Worth 1954, writ ref’d) (emphasis added).

Appellant claims that the limitations period began April 15, 1973, or sixty days after filing proof of loss for the fire damage. Appellant misconstrues the policy provision. The clause provides:

“the amount of loss for which this Company may be liable shall be payable sixty days after proof of loss, as herein provided, is received by this Company and ascertainment of the loss is made either by agreement between the insured and this Company expressed in writing or by the filing with this Company of an award as herein provided.” (emphasis added).

The limitations period began to run sixty days after proof of loss and ascertainment of the loss was made by agreement or an award was filed with the company. There has been no agreement as to the rental loss. The appraisal award, filed on September 24, 1974, is the only award in the record. Furthermore, the proofs of loss for rental losses were not filed until March 10,1975. This is because the losses were continuing and did continue until October 31,1974. There was no way to determine the rental losses until the losses ceased.

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Bluebook (online)
588 S.W.2d 681, 1979 Tex. App. LEXIS 4228, Counsel Stack Legal Research, https://law.counselstack.com/opinion/standard-fire-insurance-co-v-fraiman-texapp-1979.