State Farm Lloyds v. Johnson

290 S.W.3d 886, 52 Tex. Sup. Ct. J. 1042, 2009 Tex. LEXIS 470, 2009 WL 1900538
CourtTexas Supreme Court
DecidedJuly 3, 2009
Docket06-1071
StatusPublished
Cited by189 cases

This text of 290 S.W.3d 886 (State Farm Lloyds v. Johnson) is published on Counsel Stack Legal Research, covering Texas Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State Farm Lloyds v. Johnson, 290 S.W.3d 886, 52 Tex. Sup. Ct. J. 1042, 2009 Tex. LEXIS 470, 2009 WL 1900538 (Tex. 2009).

Opinion

Justice BRISTER

delivered the opinion of the Court.

Appraisal clauses have appeared in most property insurance policies in Texas for many years. Although they rarely detail the scope of appraisal, there has rarely been any litigation about it. The parties here agree that the scope of appraisal includes damage questions and excludes liability questions, but they disagree which is involved in this dispute about hail damage to a homeowner’s roof. Because an appraisal has yet to take place, we agree with the insured that the record does not establish that it will exceed the permissible scope of appraisal. Accordingly, we affirm the court of appeals’ judgment in favor of the insured.

I. Background

A hailstorm moved through Plano, Texas in April of 2003, damaging the roof of Becky Ann Johnson’s home. She filed a claim under her homeowners insurance policy with State Farm Lloyds. State Farm’s inspector concluded that hail had damaged only the ridgeline of her roof, and estimated repair costs at $499.50 (less than the policy’s $1,477 deductible). By contrast, Johnson’s roofing contractor concluded the entire roof needed to be replaced at a cost of more than $13,000. 1

To settle this difference, Johnson demanded appraisal of the “amount of loss” under the following provision in her standard-form policy:

Appraisal. If you and we fail to agree on the amount of loss, either one can demand that the amount of the loss be set by appraisal. If either makes a written demand for appraisal, each shall select a competent, disinterested appraiser. Each shall notify the other of the appraiser’s identity within 20 days of re *888 ceipt of the written demand. The two appraisers shall then select a competent, impartial umpire.... The appraisers shall then set the amount of the loss. If the appraisers submit a written report of an agreement to us, the amount agreed upon shall be the amount of the loss. If the appraisers fail to agree within a reasonable time, they shall submit their differences to the umpire. Written agreement signed by any two of these three shall set the amount of the loss.

State Farm refused to participate in an appraisal, asserting that the parties’ dispute concerned causation and not “amount of loss.” Johnson filed suit seeking only a declaratory judgment compelling appraisal. On cross-motions for summary judgment, the trial court agreed with State Farm that no appraisal was warranted. The court of appeals reversed, holding that appraisal was required. 2 We granted State Farm’s petition to decide whether the dispute here fell within the scope of this appraisal clause. 3

While trial courts have some discretion as to the timing of an appraisal, they have no discretion to ignore a valid appraisal clause entirely. 4 Accordingly, we review the entire record to decide whether either party was entitled to summary judgment as a matter of law. 5

II. A Brief History of Appraisal Clauses

Insurance appraisal clauses have been around for a long time. In 1888 in Scottish Union & National Insurance Co. v. Clancy, this Court enforced an appraisal clause much like the one used here. 6 It would be going too far to say the Court approved of such clauses, but we unequivocally found them enforceable:'

However injudicious it may be for parties to bind themselves by such agreement, it seems to be well settled that, having done so, they cannot disregard it.... In the absence of fraud, accident, or mistake, the parties having agreed that the amount of loss shall be determined in a particular way, we are constrained to hold that such stipulation is valid.... 7

Today, appraisal clauses “are uniformly included in most forms of property insurance policies.” 8 “Virtually every property insurance policy for both homeowners and corporations contains a provision specify *889 ing ‘appraisal’ as a means of resolving disputes about the ‘amount of loss’ for a covered claim.” 9 An appraisal clause like the one used here “appears in almost every homeowners, automobile, and property policy in Texas.” 10

Although the history of such clauses is both deep and wide, they have required this Court’s attention only five times since Scottish Union: in 1892, 11 1897, 12 1919, 13 1965, 14 and 2002. 15 All of these cases concerned waiver or enforceability of the appraisal clause itself; we have never resolved a dispute about the scope of appraisal, or the meaning of “amount of loss.” Accordingly, in addressing this issue for the first time we keep in mind that appraisals have apparently resolved such matters for many years without our aid.

III. The Scope of Appraisal: Damages vs. Liability

In Scottish Union, we referred to the scope of appraisal in the course of distinguishing it from arbitration:

But here the [appraisal clause] does not divest the courts of jurisdiction, but only binds the parties to have the extent or amount of the loss determined in a particular way, leaving the question of liability for such loss to be determined, if necessary, by the courts. 16

In 1897, we repeated this distinction between damage questions for appraisers and liability questions for the courts:

It seems to be generally held that a stipulation that the question of liability shall be determined by arbitration is contrary to public policy and void, but it is otherwise, as we have seen, as to the ascertainment of the amount of the loss. There is neither repugnancy nor inconsistency in leaving the former question to the courts when the liability is disputed, and at the same time in providing that the amount of the recovery shall be settled by arbitration. 17

While policies hostile to arbitration have largely been preempted, 18 limiting appraisal to damages and not liability is surely *890 still correct. 19

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Related

Xiang Zhao v. State Farm Fire & Casualty Co.
2025 IL App (2d) 240723 (Appellate Court of Illinois, 2025)
In Re State Farm Lloyds v. the State of Texas
Court of Appeals of Texas, 2023

Cite This Page — Counsel Stack

Bluebook (online)
290 S.W.3d 886, 52 Tex. Sup. Ct. J. 1042, 2009 Tex. LEXIS 470, 2009 WL 1900538, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-farm-lloyds-v-johnson-tex-2009.