Thompson v. State Farm Lloyds

Court of Appeals for the Fifth Circuit·Decided May 20, 2026·No. 24-20519·Unpublished

Opinion

United States Court of Appeals for the Fifth Circuit United States Court of Appeals Fifth Circuit

____________ FILED May 20, 2026

No. 24-20519 Lyle W. Cayce ____________ Clerk

Dora Doss Thompson,

Plaintiff—Appellant,

versus

State Farm Lloyds,

Defendant—Appellee.

Appeal from the United States District Court for the Southern District of Texas USDC No. 4:23-CV-2322

Before Southwick, Higginson, and Wilson, Circuit Judges. Per Curiam: * The Plaintiff, Dora Doss Thompson, brought this suit against the Defendant, State Farm Lloyds, for failing to pay a claim for hail damage to her roof. The district court granted summary judgment to State Farm Lloyds. Thompson appealed to this court. Because Thompson has not met her burden under Texas law to show the timing of her loss, we AFFIRM.

*

This opinion is not designated for publication. See 5th Cir. R. 47.5.

No. 24-20519

FACTS AND PROCEDURAL BACKGROUND State Farm began as the sole insurer of Dora Thompson’s home in Cypress, Texas, on April 12, 2007. In February 2022, Thompson, concerned about recurring leaks, asked her contractor, Shingle Hut, LLC, to examine her roof. On February 11, Martin Langley, an employee of Shingle Hut, inspected the property. Three days later, the owner of Shingle Hut, Kevin Catchings, sent a letter to Thompson informing her that her home needed a complete reroofing, with an estimated cost of $44,419.05, due to damage from a hailstorm on September 28, 2021.

Based on the letter, Thompson filed a claim with State Farm for wind and hail damage from the September storm. State Farm sent a third-party contractor, Seek Now, to inspect the house. Seek Now found hail damage on a window screen and the home’s back gutter system, but no hail damage to the roof itself. In a February 24 letter, State Farm informed Thompson that, based on the inspection, it estimated the covered damage to be $541.92, well below Thompson’s policy deductible of $14,186. The letter also noted “additional damage not caused by hail” and listed the insurance policy exclusions for damage caused by wear and tear, corrosion, rot, settling, plants, and animals. As State Farm’s estimation of the covered loss was under the policy deductible, it made no payment on the claim.

In March 2022, Thompson invoked her right of appraisal under the insurance policy. Prior to appraisal, State Farm conducted a second inspection, which found no wind or hail damage to the roof and instead noted above-average wear on the shingles, including “heavy blistering.” The appraisal took place in September 2022. The umpire agreed with Thompson’s appraiser and set the replacement cost value of the damage at $57,983.61 and the actual cost value at $36,803.96. Later that month, State Farm sent a letter to Thompson acknowledging receipt of the appraisal award

No. 24-20519

and reiterating that the covered losses did not exceed her policy deductible. The letter stated State Farm’s “investigation revealed no accidental direct physical loss resulting from hail and/or wind damage to the dwelling roof” and provided another, narrower list of policy exclusions, namely wear and tear, corrosion, and rot.

Thompson sued State Farm in Texas state court for breach of contract, breach of the common-law duty of good faith, and multiple violations of the Texas Insurance Code. State Farm removed the case to the United States District Court for the Southern District of Texas. There, State Farm moved for summary judgment and to strike Thompson’s expert, Micah Harrison. The district court granted State Farm’s motion for summary judgment on all claims and dismissed its motion to strike as moot. Thompson timely appealed to this court.

DISCUSSION

We review the grant of summary judgment de novo, “under the same standards the district court applies to determine whether summary judgment is appropriate.” Amburgey v. Corhart Refractories Corp., 936 F.2d 805, 809 (5th Cir. 1991). Summary judgment is proper when “there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a). “We may affirm a summary judgment on any ground supported by the record, even if it is different from that relied on by the district court.” Holtzclaw v. DSC Commc’ns Corp., 255 F.3d 254, 258 (5th Cir. 2001).

The district court granted summary judgment on the breach of contract claim on two bases: (1) Thompson failed to provide evidence of hail damage on the date of loss that exceeded the policy deductible and (2) Thompson failed to segregate her losses under the concurrent cause doctrine. We agree with the district court on the first issue and, therefore,

No. 24-20519

do not reach the second. Additionally, we hold that Thompson’s extra- contractual claims fall with her breach of contract claim.

In this diversity case, Texas law applies. See Weaver v. Metro. Life Ins.

Co., 939 F.3d 618, 626 (5th Cir. 2019). “In Texas, insurance policies are contracts and are controlled by rules of contract construction.” Mid- Continent Cas. Co. v. Swift Energy Co., 206 F.3d 487, 491 (5th Cir. 2000). “[W]hen an insurance policy is ambiguous or inconsistent, the construction that would afford coverage to the insured must govern.” Id.

I. Breach of Contract The elements of a breach of contract in Texas are: “(1) the existence of a valid contract; (2) performance or tendered performance by the plaintiff; (3) breach of the contract by the defendant; and (4) damages sustained by the plaintiff as a result of the breach.” Certain Underwriters at Lloyd’s of London v. Lowen Valley View, L.L.C., 892 F.3d 167, 170 (5th Cir. 2018) (quoting Smith Int’l, Inc. v. Egle Grp., LLC, 490 F.3d 380, 387 (5th Cir. 2007)).

Thompson contends that the district court erred in granting summary judgment on her breach of contract claim. She insists the summary judgment evidence was sufficient to establish a prima facie case of coverage.

Under Texas law, an insured has the burden of making a prima facie case of coverage. JAW The Pointe, L.L.C. v. Lexington Ins. Co., 460 S.W.3d 597, 603 (Tex. 2015). To make that initial showing, a plaintiff must prove “a covered injury or loss was incurred at a time covered by the policy and incurred by a person whose injuries are covered by the policy.” Seger v. Yorkshire Ins. Co., 503 S.W.3d 388, 400 (Tex. 2016). 1 “It is a time-honored

1 In briefing, Thompson substitutes the term “fortuitous loss” for “covered loss.”

This is a distinction without a difference for the purposes of this case, as a panel of this court accurately explained in an unpublished opinion. See Hamilton Props. v. Am. Ins. Co.,

No. 24-20519

principle that the insurer’s obligation to pay is contingent on a covered loss occurring during the policy period.” Jordan R. Plitt et al., Couch on Insurance § 102:2 (3d ed. 2025). In other words, establishing the “time of the insured’s damages is a precondition to any coverage.” See Employers Cas. Co. v. Block, 744 S.W.2d 940, 944 (Tex. 1988), disapproved of on other grounds by State Farm Fire & Cas. Co. v. Gandy, 925 S.W.2d 696, 714 (Tex. 1996).

Our analysis is simplified by assuming without deciding that Thompson made a showing of a loss from a covered cause that exceeded the policy deductible. Thompson still must present evidence that the loss occurred at a time covered by her policy. Thompson contends she has met this burden by establishing that State Farm has continuously insured her home under a single policy number from the time that it was built. In essence, “[t]he policy was . . . in effect whenever the damage to the roof occurred.”

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