Texas Department of Insurance and Cassie Brown, in Her Official Capacity as Commissioner of the Texas Department of Insurance v. Stonewater Roofing, Ltd. Co.

Texas Supreme Court·Decided June 7, 2024·No. 22-0427·Published

Opinion

Supreme Court of Texas ══════════ No. 22-0427 ══════════

Texas Department of Insurance and Cassie Brown, in her Official Capacity as Commissioner of the Texas Department of Insurance, Petitioners,

v.

Stonewater Roofing, Ltd. Co., Respondent

═══════════════════════════════════════ On Petition for Review from the Court of Appeals for the Seventh District of Texas ═══════════════════════════════════════

Argued October 26, 2023

JUSTICE DEVINE delivered the opinion of the Court, in which Chief Justice Hecht, Justice Lehrmann, Justice Busby, Justice Bland, Justice Huddle, and Justice Young joined.

JUSTICE BLACKLOCK filed an opinion concurring in the judgment, in which Justice Boyd joined.

JUSTICE YOUNG filed a concurring opinion.

Insurance adjusters investigate and help effectuate the settlement of insurance claims. The Texas Insurance Code regulates

three kinds of adjusters: public, independent, and company.1 Public insurance adjusters represent the insured in the claims-settlement process; the others work on behalf of the insurer.2 Public insurance adjusters, like the others, must be licensed and are prohibited from acting as both contractor and adjuster in connection with a claim for loss or damage to covered real or personal property.3 Texas is among more than forty states with similar regulations.4 In this declaratory judgment action, a roofing contractor that is not a licensed public insurance adjuster sued to invalidate Texas’s licensing and dual-capacity regulations, alleging the laws violate free speech and due process rights guaranteed by the First and Fourteenth Amendments of the United States Constitution. In the trial court, the state regulator prevailed on a Rule 91a motion to dismiss, which asserted that (1) the First Amendment is inapplicable because the challenged laws regulate professional conduct, not speech, and (2) the roofer failed to state cognizable void-for-vagueness claims under the Fourteenth Amendment’s Due Process Clause. We agree on both counts.

The challenged statutes do not regulate or restrict speech but, rather, representative capacity with a nonexpressive objective: employment to “act[] on behalf of an insured in negotiating for or

1 See TEX. INS. CODE §§ 4101.001–4102.208.

2 Compare id. §§ 4102.001(3) (defining “public insurance adjuster”), .002 (general exemptions), with id. §§ 4101.001(a)(1) (defining “adjuster” as including both independent contractors and insurance company employees), .002 (general exemptions).

3 See id. §§ 4102.051, .158, .163; cf. id. §§ 4101.001(a), .051, .251.

4 See infra note 17.

effecting the settlement of a claim[.]”5 Sections 4102.051(a) and 4102.163(a) of the Insurance Code are conventional licensing regulations that are triggered by the role a person plays in a nonexpressive commercial transaction, not what any person may or may not say. The statutes are also clear enough in proscribing the roofer’s alleged conduct to preclude both its as-applied and facial vagueness challenges. We therefore reverse the court of appeals’ contrary judgment and render judgment dismissing the roofer’s claims.

I. Background In 2003, the Legislature adopted laws governing “public insurance adjusters” to close a gap in the regulatory scheme and address concerns that unscrupulous contractors were preying on unwary Texans in the aftermath of catastrophic weather events.6 Now codified as Chapter 4102 of the Insurance Code, the Public Insurance Adjusters Act defines the profession of “public insurance adjuster” as:

5 See TEX. INS. CODE § 4102.001 (defining “public insurance adjuster”).

6 See Act of June 1, 2003, 78th Leg., R.S., ch. 207, § 3.02, 2003 Tex. Gen.

Laws 962, 964-76 (regulating “public insurance adjusters” effective June 11, 2003) (current version at TEX. INS. CODE §§ 4102.001–.208); S. Comm. on Bus. & Com., Bill Analysis, Tex. S.B. 127, 78th Leg., R.S. (2003); H. Rsch. Org., Bill Analysis, Tex. S.B. 127, 78th Leg., R.S. (2003).

Laws regulating insurer-side adjusters had already been in effect for three decades at that point. Act of May 26, 1973, 63d Leg., R.S., ch. 407, §§ 1–23, 1973 Tex. Gen. Laws 1045 (regulating insurance “adjusters”) (current version at TEX. INS. CODE §§ 4101.001–.251). Those laws have been amended and expanded from time to time and are now codified as sections 4101.001 through 4101.251 of the Insurance Code.

(A) a person who, for direct, indirect, or any other compensation: (i) acts on behalf of an insured in negotiating for or effecting the settlement of a claim or claims for loss or damage under any policy of insurance covering real or personal property; or (ii) on behalf of any other public insurance adjuster, investigates, settles, or adjusts or advises or assists an insured with a claim or claims for loss or damage under any policy of insurance covering real or personal property; or (B) a person who advertises, solicits business, or holds himself or herself out to the public as an adjuster of claims for loss or damage under any policy of insurance covering real or personal property.7

Like other insurance adjusters,8 a person employed or seeking employment as an insured’s representative in the settlement of a property-damage claim must be licensed.9 To secure a license to adjust insurance claims on an insured’s behalf, a person must have sufficient experience or training in the assessment of property values and losses; be sufficiently informed about the terms and effects of typical insurance contracts; and successfully

7 TEX. INS. CODE § 4102.001(3). “‘Person’ includes an individual, firm, company, association, organization, partnership, limited liability company, or corporation.” Id. § 4102.001(2).

8 See id. §§ 4101.001(a), .051.

9 Id. § 4102.051(a). Beyond the general exemptions set out in section 4102.002, the following are specifically excused from the licensing requirement: (1) licensed attorneys with sufficient training or experience in assessment of property values and losses; and (2) “a person licensed as a general property and casualty agent or personal lines property and casualty agent under Chapter 4051 while acting for an insured concerning a loss under a policy issued by that agent.” Id. § 4102.051(b).

pass an examination of the applicant’s technical competence, basic knowledge of relevant topics, and understanding of governing law and ethical standards.10 Unlicensed persons may not advertise, solicit business, or hold themselves out to the public as an insurance adjuster.11 Certain conflicts of interest are also prohibited.12 Among them, a contractor, even if licensed as a public insurance adjustor, “may not act as a public adjuster or advertise to adjust claims for any property for which the contractor is providing or may provide contracting services[.]”13 In other words, a person may not serve in a dual role—as both contractor and adjuster—in connection with property subject to an insurance claim or falsely advertise an ability to do so. A person violating the statute is subject to administrative, criminal, and civil penalties.14 Stonewater Roofing, Ltd. is a professional contractor that provides roofing services to residential and commercial customers. Stonewater is not licensed as a public insurance adjuster but reportedly claims to have extensive experience in facilitating settlement of

10 Id. §§ 4102.053, .057.

11 Id. §§ 4102.001(3)(B), .051(a).

12 Id. §§ 4102.158, .163(a); see id. §§ 4102.151–.164 (setting out other

prohibited conduct).

13 Id. § 4102.163(a); accord id. § 4102.158 (prohibiting a licensed public

adjuster from engaging in conflicts of interest, including “participat[ing] directly or indirectly in the reconstruction, repair, or restoration of damaged property that is the subject of a claim adjusted by the license holder”).

14 Id. §§ 4102.201–.208; see TEX. BUS. & COM. CODE § 17.50 (consumer

remedies under the Texas Deceptive Trade Practices–Consumer Protection Act).

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Texas Department of Insurance and Cassie Brown, in Her Official Capacity as Commissioner of the Texas Department of Insurance v. Stonewater Roofing, Ltd. Co., (Tex. 2024).

Texas Department of Insurance and Cassie Brown, in Her Official Capacity as Commissioner of the Texas Department of Insurance v. Stonewater Roofing, Ltd. Co. (Texas Department of Insurance and Cassie Brown, in Her Official Capacity as Commissioner of the Texas Department of Insurance v. Stonewater Roofing, Ltd. Co.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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