Stonewater Roofing, Ltd. Co. v. Texas Department of Insurance and Kent Sullivan, in His Official Capacity as Commissioner of the Texas Department of Insurance

CourtCourt of Appeals of Texas
DecidedFebruary 2, 2022
Docket07-21-00016-CV
StatusPublished

This text of Stonewater Roofing, Ltd. Co. v. Texas Department of Insurance and Kent Sullivan, in His Official Capacity as Commissioner of the Texas Department of Insurance (Stonewater Roofing, Ltd. Co. v. Texas Department of Insurance and Kent Sullivan, in His Official Capacity as Commissioner of the Texas Department of Insurance) 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.

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Stonewater Roofing, Ltd. Co. v. Texas Department of Insurance and Kent Sullivan, in His Official Capacity as Commissioner of the Texas Department of Insurance, (Tex. Ct. App. 2022).

Opinion

In The Court of Appeals Seventh District of Texas at Amarillo ________________________

No. 07-21-00016-CV ________________________

STONEWATER ROOFING, LTD. CO., APPELLANT

V.

TEXAS DEPARTMENT OF INSURANCE AND KENT SULLIVAN IN HIS OFFICIAL CAPACITY AS COMMISSIONER OF THE TEXAS DEPARTMENT OF INSURANCE, APPELLEES

On Appeal from the 201st District Court Travis County, Texas Trial Court No. D-1-GN-20-003172; Honorable Lora J. Livingston, Presiding

February 2, 2022

OPINION Before QUINN, C.J., and PIRTLE and DOSS, JJ.

Appellant, Stonewater Roofing, Ltd. Co., appeals from the trial court’s Order

Granting Motion to Dismiss, entered pursuant to Rule 91a of the Texas Rules of Civil

Procedure, in favor of Appellees, Texas Department of Insurance and Kent Sullivan, in

his official capacity as Commissioner of the Texas Department of Insurance (hereinafter collectively “TDI”). By two issues, Stonewater contends the trial court erred in granting

TDI’s motion to dismiss because its pleadings demonstrated an adequate basis in law

and in fact, under the appropriate Rule 91a standard, to support its causes of action under

the First and Fourteenth Amendments to the United States Constitution. See TEX. R. CIV.

P. 91a. 1 (providing for the dismissal of any cause of action that does not have a “basis in

law or fact”). Based on the facts of this case, we will reverse the order of the trial court

and remand the matter for further proceedings not inconsistent with this ruling. TEX. R.

APP. P. 43.2(d). 2

BACKGROUND

In 2005, the Texas Legislature enacted provisions under the insurance code

regulating “public insurance adjusting.” 3 Public insurance adjusters are frequently hired

by an insured to help resolve and settle insurance claims. The enacted provisions provide

that a public insurance adjuster must be licensed in order to adjust insurance claims on

an insured’s behalf. TEX. INS. CODE ANN. § 4102.051 (West Supp. 2021). 4 Under these

provisions, any person or entity defined as a contractor is prohibited from adjusting

1Rule 91a is analogous to Federal Rule of Civil Procedure 12(b)(6) and thus, case law interpreting Rule 12(b)(6) is helpful in our analysis herein. 2 Originally appealed to the Third Court of Appeals, sitting in Austin, this appeal was transferred to

this court by the Texas Supreme Court pursuant to its docket equalization efforts. TEX. GOV’T CODE ANN. § 73.001 (West 2013). Should a conflict exist between precedent of the Third Court of Appeals and this court on any relevant issue, this appeal will be decided in accordance with the precedent of the transferor court. TEX. R. APP. P. 41.3. 3 The Texas Legislature enacted chapter 4102 of the Texas Insurance Code effective September 1, 2005. See Act of May 24, 2005, 79th Leg., R.S., ch. 728, § 11.082(a), 2005 Tex. Gen. Laws 2259, 2259- 72 (codified at TEX. INS. CODE ANN. §§ 4102.001-.208). Chapter 4102 is a comprehensive licensing statute regulating public insurance adjusters. See TEX. INS. CODE ANN. §§ 4102.001-.208 (West 2009 & Supp. 2021). 4 This provision is simply a licensing requirement. The parties have little dispute regarding this provision. 2 insurance claims for properties at which the contractor is, or will be, providing contracting

services. TEX. INS. CODE ANN. § 4102.163 (West 2009). Likewise, licensed public

insurance adjusters are prohibited from providing any contracting services on property at

which they are, or will be, providing public insurance adjusting services. In other words,

acting as a public insurance adjuster and a contractor on the same claim is a statutorily

defined conflict of interest. TEX. INS. CODE ANN. § 4102.158(a)(1) (West 2009).

Stonewater is a professional roofing company that repairs and replaces

commercial and residential roofs in Texas. Stonewater is not licensed as a public

insurance adjuster. However, Stonewater’s website purportedly includes statements

such as it is “highly experienced with the insurance claims process,” that it has “done

thousands of roof restorations due to insurance claims over the years,” and it

“understand[s] the supplement process required.” Stonewater’s website has also

allegedly referenced the company as a “Trusted Roofing and Insurance Specialist” and

“The Leader In Insurance Claim Approval,” having “developed a system which helps our

customers settle their insurance claims as quickly, painlessly and comprehensively as

possible.” Some of Stonewater’s prior form agreements ostensibly contained language

that “authorized” Stonewater “to negotiate on [the customer’s] behalf with [the] insurance

company and upon insurance approval to do the work specified.” One of Stonewater’s

customers sued it, arguing these statements violated the prohibitions set forth in chapter

4102 of the Insurance Code.

In June 2020, Stonewater filed suit against TDI, challenging the prohibitions as

impermissible regulations of commercial speech and alleging the provisions were

3 unconstitutionally vague. 5 Stonewater requested a declaration that the prohibitions are

invalid on their face and as applied under the First and Fourteenth Amendments to the

United State Constitution and “corresponding provisions” of the Texas Constitution. TDI

filed a general denial on July 17, 2020, and a Rule 91a motion to dismiss on August 21,

2020. TDI argued that Stonewater’s constitutional challenges were subject to dismissal

because they had no basis in law. The trial court held a hearing on the motion and without

explanation as to the basis for its ruling, granted TDI’s motion to dismiss.

STANDARD OF REVIEW

Rule 91a provides a procedure for dismissal of a case that has no basis in law or

no basis in fact. TEX. R. CIV. P. 91a. A court of appeals reviews the merits of a Rule 91a

motion “de novo because the availability of a remedy under the facts alleged is a question

of law and the rule’s factual plausibility standard is akin to a legal-sufficiency review.”

Antolik v. Antolik, No. 07-20-00281-CV, 2021 Tex. App. LEXIS 7272, at *6 (Tex. App.—

Amarillo Aug. 31, 2021, no pet.) (mem. op.) (citing City of Dallas v. Sanchez, 494 S.W.3d

722, 724 (Tex. 2016)).

“A cause of action has no basis in law if the allegations, taken as true, together

with reasonable inferences drawn from them, do not entitle the claimant to the relief

sought.” Antolik, 2021 Tex. App. LEXIS 7272, at *6-7 (citation omitted). Except as

required by 91a.7 (award of costs and attorney fees), the court “may not consider

5 We note that Stonewater properly filed notice with the attorney general’s office that it was challenging the statute as unconstitutional. TEX. GOV’T CODE ANN. § 402.010 (requiring party to notify attorney general when raising constitutional challenge to statute); TEX. CONST. art. V, § 32 (permitting legislature to require court to provide notice to attorney general of constitutional challenge). 4 evidence in ruling on the motion and must decide the motion based solely on the pleading

of the cause of action . . . .” Id. (citing TEX. R. CIV. P. 91a.6).

Furthermore, the trial court construes the pleadings liberally in favor of the plaintiff,

looks to the plaintiff’s intent, and accepts the plaintiff’s factual allegations as true, and, if

necessary, draws reasonable inferences from the factual allegations to determine if the

cause of action has a basis in both law and fact. Antolik, 2021 Tex. App. LEXIS 7272, at

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Stonewater Roofing, Ltd. Co. v. Texas Department of Insurance and Kent Sullivan, in His Official Capacity as Commissioner of the Texas Department of Insurance, Counsel Stack Legal Research, https://law.counselstack.com/opinion/stonewater-roofing-ltd-co-v-texas-department-of-insurance-and-kent-texapp-2022.