in Re Guideone Mutual Insurance Company ( 2017 )

IN THE
TENTH COURT OF APPEALS
No. 10-16-00404-CV
IN RE GUIDEONE MUTUAL INSURANCE COMPANY
Original Proceeding
MEMORANDUM OPINION
GuideOne Mutual Insurance Company brings this petition for writ of mandamus
to compel the trial court to vacate its order denying GuideOne’s Motion to Compel
Appraisal and to direct the trial court to order the appraisal to proceed under the
procedure authorized by contract. Because the trial court abused its discretion in denying
the motion to compel, GuideOne’s petition for writ of mandamus is conditionally
granted.
BACKGROUND
This proceeding arises from a dispute between an insurance company, GuideOne,
and its insured, D.S. Patel d/b/a Western Motel, regarding payment for claimed property
damage to the motel from a storm. GuideOne made two payments to Patel for the
damages, but Patel contends the payments are inadequate. After Patel filed suit against
GuideOne and mediation was unsuccessful, GuideOne invoked its right to appraisal
pursuant to the insurance contract. GuideOne filed a motion to compel appraisal after
Patel refused to voluntarily proceed with the appraisal process. After a hearing, the trial
court denied the motion to compel appraisal.
APPRAISAL CLAUSE
In its sole issue, GuideOne argues the trial court abused its discretion by failing to
enforce a contractual appraisal clause in the parties’ insurance contract. Appraisal
clauses, commonly found in homeowners, automobile, and property policies in Texas,
provide a means to resolve disputes about the amount of loss for a covered claim. In re
Universal Underwriters of Tex. Ins. Co., 345 S.W.3d 404, 406-07 (Tex. 2011); State Farm Lloyds
v. Johnson, 290 S.W.3d 886, 888 (Tex. 2009). These clauses are generally enforceable, absent
illegality or waiver. In re Universal Underwriters, 345 S.W.3d at 407.
Trial courts have no discretion to ignore a valid appraisal clause. State Farm Lloyds
v. Johnson, 290 S.W.3d 886, 888 (Tex. 2009). A trial court abuses its discretion in failing to
enforce a valid appraisal clause and such abuse of discretion cannot be remedied by
appeal. See In re Universal Underwriters of Tex. Ins. Co., 345 S.W.3d 404, 412 (Tex. 2011); In
re Allstate Cnty. Mut. Ins. Co., 85 S.W.3d 193, 195-96 (Tex. 2002).
In re GuideOne Mut. Ins. Co. Page 2
Patel did not argue at the trial court, nor does he argue here, that the appraisal
clause is illegal. Instead, Patel argued that GuideOne waived the ability to assert the use
of the clause. GuideOne’s argument before us is two-fold: first, GuideOne contends it
did not waive the appraisal clause by delaying the invocation of it; and second, GuideOne
argues it could not waive the appraisal clause because the insurance contract included a
“non-waiver clause.” Because it is dispositive of this case, we review GuideOne’s second
argument first.
Non-Waiver Clause
The insurance contract between the parties contains the following non-waiver
clause:
12. Waiver or Change of Provisions.
This policy contains all of the agreements between you and us concerning
the insurance afforded. The first Named Insured shown in the Declarations
is authorized to make changes in the terms of this policy with our consent.
This policy’s terms can be amended or waived only by endorsement issued
by us and made a part of this policy.
Non-waiver clauses are generally considered valid and enforceable. See American
Cent. Ins. Co. v. Bass, 38 S.W. 1119, 1119-20, 90 Tex. 380 (1897); Breof BNK Tex., L.P. v. D.H.
Hill Advisors, Inc., 370 S.W.3d 58, 66 (Tex. App.—Houston [14th Dist.] 2012, no pet.); accord
A.G.E., Inc. v. Buford, 105 S.W.3d 667, 676 (Tex. App.—Austin 2003, pet. denied). See also
In re GuideOne Nat'l Ins. Co., No. 07-15-00281-CV, 2015 Tex. App. LEXIS 10138, at *7
(App.—Amarillo Sep. 29, 2015, orig. proceeding) (mem. op.). There is nothing in the
In re GuideOne Mut. Ins. Co. Page 3
record before us, and Patel does not argue otherwise, that indicates GuideOne issued an
endorsement waiving the appraisal clause.
In response to GuideOne’s argument regarding the non-waiver clause, Patel does
not argue that the non-waiver clause is not part of the contract or that the clause is not
valid. Rather, Patel argues that because the appraisal clause was unilateral, i.e., that only
GuideOne could invoke the appraisal process, the appraisal clause was more like an
option that would not change the policy if GuideOne chose not to exercise it.
In support of this argument, Patel relies on a footnote by the Dallas Court of
Appeals in In re GuideOne Nat'l Ins. Co., No. 05-15-00981-CV, 2015 Tex. App. LEXIS 9079,
at *2-3 n.2 (App.—Dallas Aug. 27, 2015, orig. proceeding) (mem. op.). In that footnote,
the Dallas Court refused to consider GuideOne’s non-waiver clause argument solely
because GuideOne relied on this Court’s decision in In re Certain Underwriters at Lloyds,
10-11-00263-CV, 2011 Tex. App. LEXIS 8151 (Tex. App.—Waco Oct. 12, 2011, orig.
proceeding) (mem. op.). In In re Certain Underwriters, after finding the insurer did not
unreasonably delay in invoking the appraisal clause,1 we held that the issue of waiver of
the appraisal clause was “immaterial” because the insurance policy contained a non-
waiver provision and thus, did not allow for the waiver of the appraisal clause. Id. *30.
The Dallas Court found this Court’s decision to be distinguishable because under the
policy being construed, appraisal was a condition precedent to filing suit and allowing
1
Unreasonable delay is one of the two prongs needed to establish a waiver of an appraisal clause.
In re GuideOne Mut. Ins. Co. Page 4
the case to proceed without an appraisal would modify the terms of the policy. See In re
GuideOne Nat'l Ins. Co., No. 05-15-00981-CV, 2015 Tex. App. LEXIS 9079, at *2-3 n.2
(App.—Dallas Aug. 27, 2015, orig. proceeding) (mem. op.). Without citing authority, the
Dallas Court determined that, in its case, the appraisal clause was merely an option
available only to the insurer and an intention by the insurer not to exercise the option
would not alter the terms of the policy. Id.However, since the Dallas Court of Appeals issued its opinion, the Amarillo Court
of Appeals squarely addressed a non-waiver clause argument in a case where the insurer
was the only party to the contract with the ability to demand an appraisal. 2 In re GuideOne
Nat'l Ins. Co., No. 07-15-00281-CV, 2015 Tex. App. LEXIS 10138 (App.—Amarillo Sep. 29,
2015, orig. proceeding) (mem. op.). Rather than rewriting the contract to convert the
appraisal clause into an option as the Dallas Court did, the Amarillo Court noted that
insurance contracts are construed to ascertain the parties’ intent, and the language in the
policy is presumed to reflect the intentions of the parties. Id. at *6. It further noted that
when reviewing a contract, the reviewing court must strive to honor the parties'
agreement and not remake their contract. Id. Keeping these principles in mind, the court
determined that it could not “ignore language in the contract simply because we or one
2
Also since the Dallas Court of Appeals issued its opinion, the Courts of Appeals in Houston favorably
addressed non-waiver clause arguments by the insurer where both parties could invoke the appraisal
process. See In re Liberty Ins. Corp., 496 S.W.3d 229 (Tex. App.—Houston [1st Dist.] 2016, orig. proceeding);
In re State Farm Lloyds, No. 14-16-00696-CV, 2017 Tex. App. LEXIS 173 (App.—Houston [14th Dist.] Jan. 10,
2017, orig. proceeding) (mem. op.).
In re GuideOne Mut. Ins. Co. Page 5
of the parties comes to dislike the provision or thinks that some other action is intended.”
Id. at *7-8. The court decided that the parties chose the language when the decision to
enter into the insurance contract was made, and the court would not “change that
language at this late date.” Id. at *8. Based on these determinations, the court held that
the trial court “clearly abused its discretion by refusing to enforce the contract according
to its terms[,]” and by failing to compel compliance with the appraisal process provided
for in the contract. Id.
APPLICATION
We agree with the reasoning of the Amarillo Court. We cannot ignore the
language of the insurance contract between the parties in this case. The policy provides
that its terms can only be waived by endorsement issued by GuideOne and made a part
of the policy. There is no indication in this record that an endorsement waiving the
appraisal clause was issued and made a part of the policy. Also, Patel does not argue the
non-waiver clause is invalid. Patel essentially argues that we should modify the language
in the contract. We decline the invitation to rewrite the agreement of the parties. We
hold the non-waiver clause is valid. Further, because the non-waiver clause is valid, and
based on the undisputed facts in this case, any issue of waiver of the appraisal clause
argued by Patel in the trial court is immaterial. See In re Certain Underwriters at Lloyds, 10-
11-00263-CV, 2011 Tex. App. LEXIS 8151, *29 (Tex. App.—Waco Oct. 12, 2011, orig.
proceeding) (mem. op.). Thus, the trial court abused its discretion in refusing to grant
In re GuideOne Mut. Ins. Co. Page 6
GuideOne’s motion to compel appraisal, and GuideOne’s sole issue is sustained.
CONCLUSION
Accordingly, GuideOne’s petition for writ of mandamus is conditionally granted.
We are confident the trial court will vacate its order denying appraisal and promptly
enter an order consistent with this opinion. The writ will issue only if the trial court does
not take the appropriate action within 14 days from the date of this opinion.
TOM GRAY
Chief Justice
Before Chief Justice Gray,
Justice Davis, and
Justice Scoggins
Pet. conditionally granted
Opinion delivered and filed May 3, 2017
[OT06]
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