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

Court of Appeals of Texas·Decided February 2, 2022·No. 07-21-00016-CV·Published

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.

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

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).

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 *7 (citing In re Farmers Tex. Cty. Mut. Ins. Co., 604 S.W.3d 421, 425-26 (Tex. App.—San Antonio 2019, orig. proceeding)). Dismissal of a cause of action under Rule 91a is a harsh remedy with fee-shifting consequences; thus, an appellate court strictly construes the rule’s requirements. Antolik, 2021 Tex. App. LEXIS 7272, at *7 (citing Bedford Internet Office Space, LLC v. Tex. Ins. Grp., Inc., 537 S.W.3d 717, 720-21 (Tex. App.— Fort Worth 2017, pet. dism’d)).

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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).

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) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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