Michael Knopp and Sandra Rybicki-Knopp v. State Farm Lloyd's ( 2024 )


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  • Affirmed and Opinion Filed July 30, 2024.
    S  In The
    Court of Appeals
    Fifth District of Texas at Dallas
    No. 05-22-00749-CV
    MICHAEL KNOPP AND SANDRA RYBICKI-KNOPP, Appellants
    V.
    STATE FARM LLOYDS, Appellee
    On Appeal from the 471st Judicial District Court
    Collin County, Texas
    Trial Court Cause No. 471-04386-2021
    MEMORANDUM OPINION
    Before Justices Pedersen, III, Goldstein, and Kennedy
    Opinion by Justice Pedersen, III
    In this appeal arising from an insurance dispute, appellants complain the trial
    court erred by granting summary judgment that they take nothing on their claims for
    breach of contract and violations of the Texas Insurance Code. We affirm the trial
    court’s judgment.
    Background
    Appellee State Farm Lloyds insured the home of appellants Michael Knopp
    and Sandra Rybicki-Knopp. A hail storm damaged the home’s roof on March 24,
    2019. Appellants submitted a claim to appellee on April 4, 2019.
    On April 22, 2019, independent adjuster James L. Ulibarri inspected the roof.
    In an April 23, 2019 letter to appellants, Ulibarri acknowledged hail damage to roof
    vents, valley metal, aluminum wall coping, exhaust caps, and rain caps. However, a
    number of composite roof tiles were not damaged and, therefore, were not covered
    by the policy due to lack of “accidental direct physical loss.” Moreover, tears to other
    tiles were “not consistent with wind or hail damage” and, therefore, the policy did
    not cover damage to the torn tiles. Ulibarri’s estimate, enclosed with his letter,
    included $630.24 for labor “to manipulate undamaged composite slate tiles in order
    to replace valley metal and roof vents.” Ulibarri estimated the damage to appellants’
    roof to be $8,800.71. The total payable amount due to appellants from appellee was
    $3,525.49, after reductions for depreciation and the policy’s deductible. Payment of
    $3,525.49 was enclosed with Ulibarri’s letter. Appellee reserved its defenses.
    Appellants disagreed with appellee’s coverage decision. Appellee retained an
    engineer who performed a second inspection of the roof on or about August 23,
    2019. In a September 9, 2019 letter to appellants, appellee continued to deny
    coverage for any damage to the roof tiles. However, appellee enclosed payment of
    $2,713.30 for additional labor to manipulate undamaged roof tiles. Appellee
    reserved its policy defenses.
    More than a year later, in December 2020, a roofing company sent appellee a
    letter from the manufacturer of the roof tiles. According to appellee’s records, the
    letter stated the roof tiles are “extremely difficult to repair” and recommended
    –2–
    replacing tiles in areas where the valley metal is to be replaced. An employee of
    appellee spoke to a person associated with the manufacturer who stated the tiles are
    easily replaced if damaged and that it did not matter whether such tiles were in a
    valley or slope area. Subsequently, appellee’s employee spoke with persons at two
    roofing companies. One company reported it frequently repaired roofs like
    appellants’ and that such roofs can be repaired. The other company also stated the
    tiles can be repaired. Appellee’s employee conferred with another person involved
    in assessing appellants’ claims. They agreed no changes to appellee’s existing
    estimate were necessary because “a repair has been included for the roof and an
    update for additional D&R of shingles in labor has been made in [S]eptember.”
    Appellants invoked the policy’s appraisal clause.1 Appellee received the
    appraisal demand December 15, 2020. On January 20, 2021, the appraisers issued
    1
    Appellants’ policy provides in part,
    Appraisal. If you and we fail to agree on the amount of loss, either party can demand that
    the amount of the loss will be set by appraisal.
    *    *    *
    The appraisers will . . . attempt to set the amount of the loss of each item in dispute as
    specified by each party, and jointly submit to each party a written report of agreement
    signed by them. . . . The written report of agreement will set the amount of the loss of each
    item in dispute and will be binding upon you and us.
    *    *    *
    You and we do not waive any rights by demanding or submitting to an appraisal, and retain
    all contractual rights to determine if coverage applies to each item in dispute.
    *    *    *
    –3–
    an “award form” stating the monetary amount to replace the roof was $96,195.04 in
    replacement cost value and $91,475.77 in actual cost value.2 The award stated it was
    not a determination of coverage or cause of loss.
    On January 28, 2021, appellee received the appraisal award.
    On February 9, 2021, appellee informed appellants by letter that it would not
    pay to replace the roof because damage to the roof’s shingles was not caused by hail
    or wind and, therefore, was not covered by the policy. However, appellee paid
    $2,550.86 to appellants as a supplemental payment for minor roof repair.
    On May 27, 2021, appellants sent a notice letter to appellee. Appellants stated
    appellee had breached the policy and violated Chapter 541 of the insurance code by
    refusing in bad faith to pay the appraisal award and had violated Chapter 542 of the
    insurance code by delaying payment. Appellants stated they had incurred $9,600.00
    attorney’s fees. Appellants claimed “total damages” of $84,956.25. On July 11,
    2021, appellee declined appellants’ request for additional payment.
    Appraisal is only available to determine the amount of the loss of each item in dispute. The
    appraisers and the umpire have no authority to decide: (1) any other questions of fact; (2)
    questions of law, (3) questions of coverage; (4) other contractual issues . . . .
    2
    The policy differentiates payment for (1) actual cash value at the time of loss and (2) replacement cost
    value. For example, the policy in part provides appellee will pay the cost to repair or replace damaged
    property “subject to the following:”
    (1) until actual repair or replacement is completed, we will pay only the actual cash value at the
    time of the loss of the damaged part of the property, up to the applicable limit of liability shown in
    the Declarations, not to exceed the cost to repair or replace the damaged part of the property;
    (2) when the repair or replacement is actually completed, we will pay the covered additional amount
    you actually and necessarily spend to repair or replace the damaged part of the property, or an
    amount up to the applicable limit of liability shown in the Declarations, whichever is less . . . .
    –4–
    On August 11, 2021, appellants filed this lawsuit against appellee and John
    Altizer, appellee’s adjustor, in district court.3 Against appellee, appellants alleged
    breach of contract, statutory bad faith in violation of Chapter 541 of the insurance
    code, common law bad faith, and failure to promptly pay their claim in violation of
    Chapter 542 of the insurance code.4 They also sought declaratory relief.
    One day after filing this lawsuit, appellants sent appellee a “demand for relief
    under the Texas Insurance Code.” In it, they repeated that appellee breached the
    policy and violated the insurance code. Appellants stated market costs of repair had
    significantly increased since the date of the appraisal award. They attached to their
    letter an estimate of increased costs prepared by independent adjuster Art Boutin.
    Appellants asserted $105,044.03 in actual damages, $26,261.01 in attorney’s fees,
    and $23,634.01 in penalties for failure to promptly pay their claim. The asserted
    damages totaled $154.939.95.
    On September 7, 2021, appellee replied to appellants by letter that it had
    handled appellants’ claim promptly and in good faith. It declined appellants’ demand
    for payment. Also on September 7, 2021, appellee filed its answer in district court.
    On December 30, 2021, appellee paid appellants the $77,686.12 balance of
    the actual cash value set by the appraisal award. Additionally, appellee paid
    3
    Against Altizer, appellants alleged statutory bad faith and violation of the Texas Deceptive Trade
    Practices-Consumer Protection Act. Appellants subsequently filed a notice of nonsuit with prejudice of all
    their claims against Altizer.
    4
    Appellants do not complain in this Court about the trial court’s judgment dismissing their claim for
    common law bad faith or for declaratory relief.
    –5–
    appellants $20,432.21 for “potential” statutory interest pursuant to Chapter 542 of
    the insurance code. Moreover, appellee paid $15,000.00 in attorney’s fees related to
    appellants’ claim for alleged violation of Chapter 542 of the insurance code.
    Additionally, appellee stated it would not count the time between April 22, 2019,
    and December 30, 2021—the time from Ulibarri’s inspection of appellants’ roof to
    appellee’s payment of the appraisal award to appellants—toward the policy’s two-
    year replacement-cost-value period. Appellee’s letter stated its position regarding
    coverage “remains unchanged[.]”
    On March 18, 2022, appellee filed a traditional motion for summary
    judgment. Appellee argued its payment of the appraisal award disposed of
    appellants’ claims for breach of contract and bad faith. Appellee argued it was
    entitled to summary judgment for appellants’ claims that appellee violated Chapter
    542 of the insurance code because it had paid all possible statutory interest
    authorized by Chapter 542. Moreover, appellee argued that Chapter 542A of the
    insurance code bars appellants from recovering statutory attorney’s fees otherwise
    authorized by Chapter 542. Additionally, appellee objected to admission of Art
    Boutin’s report concerning increased costs of repair to the roof. In response,
    appellants argued appellee was not entitled to summary judgment on its claims for
    breach of contract and violation of Chapter 541 of the insurance code because, in
    part, appellee did not timely pay the appraisal award. They argued that appellee’s
    payment of the appraisal award did not preclude their claim for violation of Chapter
    –6–
    542 of the insurance code. They also argued appellee’s objection to Boutin’s report
    concerning increased costs of repair should be overruled.
    The trial court sustained appellee’s objection to Boutin’s report concerning
    increased costs of repair. It entered summary judgment that appellants take nothing
    on their claims against appellee.
    Appellants filed a notice of appeal. This appeal followed.
    Summary Judgment Standard of Review
    We review a grant of a summary judgment de novo. See Herrera v. Dallas
    Indep. Sch. Dist., No. 05-22-00384-CV, 
    2023 WL 4101358
    , at *3 (Tex. App.—
    Dallas June 21, 2023, pet. denied) (mem. op.) (citing Trial v. Dragon, 
    593 S.W.3d 313
    , 316 (Tex. 2019)). A traditional motion for summary judgment requires the
    moving party to show that no genuine issue of material fact exists and that it is
    entitled to judgment as a matter of law. See TEX. R. CIV. P. 166a(c); Lujan v.
    Navistar, Inc., 
    555 S.W.3d 79
    , 84 (Tex. 2018). If the movant carries this burden, the
    burden shifts to the nonmovant to raise a genuine issue of material fact. See Herrera,
    
    2023 WL 4101358
    , at *3 (citing Lujan, 555 S.W.3d at 84). We take evidence
    favorable to the nonmovant as true, and we indulge every reasonable inference and
    resolve any doubts in the nonmovant’s favor. See id. (citing Ortiz v. State Farm
    Lloyds, 
    589 S.W.3d 127
    , 131 (Tex. 2019)).
    –7–
    Breach of Contract
    The Parties’ Arguments
    In their first issue, appellants complain the trial court erred in granting
    summary judgment against them on their claim for breach of contract. Appellants
    claim for breach of contract “exclusively concerns State Farm’s actions after it
    received the award.” (Emphasis in original.) Appellants argue appellee breached or
    “repudiated” the contract by not timely paying them the appraisal award as they
    demanded.
    Conversely, appellee argues it was entitled to summary judgment because no
    breach occurred. Appellee argued the policy provides that the appraisal award is
    binding insofar as the amount of damage but not as to issues of coverage or
    causation. It argued it paid the appraisal award and that appellants thereby received
    all policy benefits pursuant to the policy. Therefore, it argued, appellants’ claim for
    breach of the policy fails as a matter of law.
    Rules of Contract Construction and Applicable Law
    We construe unambiguous contracts under a de novo standard of review. See,
    e.g., Tawes v. Barnes, 
    340 S.W.3d 419
    , 425 (Tex. 2011) (citations omitted). We must
    give effect to the parties’ intentions, as expressed in their agreement. See, e.g.,
    Murphy Expl. & Prod. Co.—USA v. Adams, 
    560 S.W.3d 105
    , 108 (Tex. 2018)
    (citation omitted). Because insurance policies are contracts, we construe them
    according to general rules of contract construction to ascertain the parties’ intent.
    –8–
    See JAW The Pointe, L.L.C. v. Lexington Ins. Co., 
    460 S.W.3d 597
    , 603 (Tex. 2015).
    We examine the entire agreement and seek to harmonize and give effect to all
    provisions so that none will be meaningless. See 
    id.
     We give contract language its
    plain, grammatical meaning unless it would defeat the parties’ intentions. See, e.g.,
    Finley Res., Inc. v. Headington Royalty, Inc., 
    672 S.W.3d 332
    , 343 n.41 (Tex. 2023).
    Analysis
    Appellants’ argument in this Court is specific. They argue appellee was
    obligated to pay the appraisal award and that appellee breached or “repudiated” the
    policy when appellee did not pay the award on demand.
    In analyzing appellants’ argument, we first address appraisal awards and their
    legal effect. Appellee’s summary-judgment evidence included appellants’ policy
    and its appraisal provisions. The policy provides, “You and we do not waive any
    rights by demanding or submitting to an appraisal, and retain all contractual rights
    to determine if coverage applies to each item in dispute.” The policy states the
    appraisal award determines the monetary amount of loss in dispute. It also states the
    appraisers and appraisal umpire are without authority to decide coverage or other
    contract issues.
    Moreover, the appraisal award contained a disclaimer stating,
    APPRAISAL DISCLAIMER: Appraisal panel makes no
    determination concerning coverage or cause of loss and
    understands that these decisions remain the sole responsibility of
    the carrier.
    –9–
    (Bold typeface in original.)
    Similarly, Texas law recognizes appraisal awards do not establish a party’s
    liability or lack thereof. See Ortiz, 589 S.W.3d at 132 (citing In re Allstate Cnty.
    Mut. Ins. Co., 
    85 S.W.3d 193
    , 195 (Tex. 2002) (orig. proceeding)). Rather, appraisal
    awards contractually resolve a particular type of dispute among insurers and
    insureds: the amount of loss. See 
    id.
     (citing In re Allstate Cnty. Mut. Ins. Co., 85
    S.W.3d at 195). Thus, an enforceable appraisal award, like the one issued in this
    case, is binding on the parties with respect to that amount. See id. (first quoting State
    Farm Lloyds v. Johnson, 
    290 S.W.3d 886
    , 890 (Tex. 2009) (noting that “[t]he scope
    of appraisal is damages, not liability”); and then quoting Allison v. Fire Ins. Exch.,
    
    98 S.W.3d 227
    , 253 (Tex. App.—Austin 2002, pet. granted, judgm’t vacated w.r.m.)
    (“The effect of an appraisal decision is to estop one party from contesting the issue
    of the value of damages in a suit on the insurance contract.”).
    In response to appellant’s assertions, appellee argues that—based on policy
    provisions and Texas law—the appraisal award determined the amount of roof
    damage but did not establish “liability or right to policy benefits” and “is not a
    determination as to the insurer’s liability.” It argues, “There is no contractual
    obligation to pay an appraisal award.” We agree with appellee’s argument.
    Accordingly, based on the policy’s provisions, the award’s terms, and the
    Texas law cited above, we disagree with appellants’ basic underlying premise that
    appellee was obligated to pay to appellants the appraisal award on demand. See also
    –10–
    Barbara Techs. Corp. v. State Farm Lloyds, 
    589 S.W.3d 806
    , 824 n.12 (Tex. 2019),5
    superseded by statute on other grounds as stated in, Rodriguez v. Safeco Ins. Co. of
    Ind., 
    684 S.W.3d 789
    , 794 (Tex. 2014). Therefore, as a matter of law, appellee did
    not “repudiate” or breach the policy due to its denial of appellants’ demands to pay
    the appraisal award.
    Moreover, appellee argues Ortiz disposes of appellants’ claim for breach of
    contract. The supreme court recently stated that in Ortiz it “clarified that full
    payment of an appraisal award does discharge the insurer’s liability for a claim under
    the insurance policy.” Rodriguez, 684 S.W.3d at 794 (emphasis in original); see
    Ortiz, 589 S.W.3d at 129 (“We hold that the insurer’s payment of the [appraisal]
    award bars the insured’s breach of the contract claim premised on failure to pay the
    amount of the covered loss.”). In this case, appellee demonstrated as a matter of law
    that it paid the actual cash value of the covered loss—measured at the time of loss,
    as the policy provides—pursuant to the award. Additionally, the only possible
    benefits available to appellants were for actual cash value at the time of the loss
    because there was no evidence that appellants had actually undertaken necessary
    5
    [I]f a contractual appraisal provision such as the one in this case is invoked after the insurer has
    received all information requested from the claimant, conducted an investigation, and rejected the
    claim, the insurer may choose to: (1) refuse to pay the appraisal amount and maintain its denial of
    liability for the claim; (2) pay the appraisal amount without accepting liability; or (3) accept the
    claim, essentially admitting it was incorrect to deny liability initially, and then pay the claim in
    accordance with the appraisal amount.
    Id. (emphasis added).
    –11–
    repairs.6 Thus, appellee’s payment of the award bars appellants’ claim for breach of
    contract premised on failure to pay the amount of the covered loss. See Ortiz, 589
    S.W.3d at 129.
    Nonetheless, appellants argue the present lawsuit is distinguishable from Ortiz
    because,
    State Farm accepted liability for the appraisal award in Ortiz and
    promptly paid Ortiz what it owed within seven business days of
    receiving the award. Here—by stark contrast—State Farm chose not to
    pay the award, repudiated its obligation to pay the award thrice, and
    waited until the Knopps had no choice but to file a lawsuit to get State
    Farm to finally pay the amount of the award.
    (Emphasis in original.) Appellants’ attempt to distinguish Ortiz from this case,
    quoted above, is premised on their underlying assertion that appellee “repudiated its
    obligation to pay the award.” However, we concluded above that appellee was not
    obligated to pay the award on appellants’ demand. Consequently, we are
    unconvinced that Ortiz should be distinguished from this case based on appellants’
    assertion that appellee “repudiated its obligation to pay the award.” Additionally,
    appellants rely on two supreme court opinions in support of their timeliness
    argument. However, neither opinion involves a claim for breach of contract. See
    Hinojos v. State Farm Lloyds, 
    619 S.W.3d 651
    , 653 (Tex. 2021) (addressing Chapter
    542 of the Texas Insurance Code); Barbara Techs. Corp., 589 S.W.3d at 808 (same).
    6
    See supra note 2 (policy description of benefits for (1) actual cash value at the time of the loss and (2)
    replacement cost value for covered amounts actually and necessarily spent to repair or replace the damaged
    part of the property).
    –12–
    Moreover, we look to the policy to determine whether its provisions support
    appellants’ argument that appellee’s payment of the award was untimely. See
    Bustamante v. State Farm Lloyds, No. 5:15-cv-184, 
    2017 WL 6210889
    , at *2 (S.D.
    Tex. Apr. 24, 2017) (“The rules governing the timeliness of an appraisal award
    payment are determined by the intent of the parties as manifested in the contract.”).
    The supreme court has emphasized the contractual nature of the appraisal process.
    See Ortiz, 599 S.W.3d at 133 (“[T]he contractual nature of the appraisal process is
    significant.”). “We recently reiterated that an insurance policy is a contract that
    establishes the respective rights and obligations to which an insurer and its insured
    have mutually agreed.” Id. (internal quotation marks omitted) (quoting USAA Tex.
    Lloyds Co. v. Menchaca, 
    545 S.W.3d 479
    , 488 (Tex. 2018)). In this lawsuit,
    appellants fail to identify a policy provision to substantiate their assertion that
    appellee’s payment of the appraisal award was untimely. However, the policy
    provides, “You and we do not waive any rights by demanding or submitting to an
    appraisal, and retain all contractual rights to determine if coverage applies to each
    item in dispute.” Applying the rules of contract construction described above, we
    conclude the policy expresses the parties’ intent that the policy did not require
    appellee to pay the appraisal award on appellants’ demand—or at any time. See
    Barbara Techs. Corp., 589 S.W.3d at 824 n.12 (under the appraisal clause, the
    insurer had the option of refusing to pay the appraisal amount and maintaining its
    –13–
    denial of liability for the claim). We reject appellants’ arguments that appellee’s
    payment of the appraisal award was untimely.
    Therefore, we conclude appellee proved as a matter of law that it did not
    breach the policy. Moreover, appellants failed to raise a fact issue to the contrary.
    Consequently, the trial court did not err in granting summary judgment against
    appellants on their claim for breach of contract.
    We overrule appellants’ first issue.
    Statutory Bad Faith
    Appellants complain in their second issue that the trial court erred in granting
    summary judgment against them on their claim for bad faith in violation of § 541.060
    of the Texas Insurance Code. See TEX. INS. CODE ANN. § 541.060. They allege
    appellee knowingly violated § 541.060 by,
     failing to attempt in good faith to effectuate a prompt, fair, and equitable
    settlement of a claim with respect to which their liability has become
    reasonably clear;
     refusing to pay Plaintiffs’ claim without conducting a reasonable
    investigation; and/or
     misrepresenting to Plaintiffs a material fact or policy provision relating to the
    coverage at issue.
    See INS. §§ 541.060(a)(1), (a)(2)(A), (a)(7). Specifically, appellants argue appellee
    is liable for “post-appraisal breach of contract or post-appraisal bad faith where it
    received the appraisal award and refused to pay it until after the insured was forced
    to file a lawsuit.” Similarly, they argue, “By refusing to pay the appraisal award and
    –14–
    forcing the Knopps to sue, State Farm both breached the contract and committed
    post-appraisal bad faith.” In response, appellee relies on Ortiz, in which the supreme
    court stated, “We . . . hold that the [appraisal award] payment bars the insured’s
    common law and statutory bad faith claims to the extent the only actual damages
    sought are lost policy benefits.” Ortiz, 589 S.W.3d at 129.
    We conclude Ortiz forecloses appellants’ claim for statutory bad faith. As we
    discussed above, the only actual damages appellants seek are for lost policy benefits
    which appellee paid when it paid the award. See id. Consequently, Ortiz also
    provides appellants may not recover (1) court costs and reasonable and necessary
    attorney’s fees or (2) an award of up to three times the amount of actual damages if
    the trier of fact finds appellee acted knowingly. See INS. §§ 541.152(a)(1),
    541.152(b); Ortiz, 589 S.W.3d at 135-36 (“By the statute’s [INS. § 541.152’s] terms,
    any award of attorney’s fees or treble damages is premised on an award of
    underlying ‘actual damages.’ However, the only ‘actual damages’ Ortiz seeks are
    the policy benefits wrongfully withheld, and those benefits have already been paid
    pursuant to the policy.”).
    Nonetheless, appellants argue they may recover on their claim for statutory
    bad faith because they suffered “independent injury” due to increased market cost
    of repair since the date of the award. The supreme court has recognized the
    possibility that in denying a claim, an insurer may commit some act—an act “so
    extreme”—that would cause injury independent of the policy claim. See Menchaca,
    –15–
    545 S.W.3d at 499. If an insurer’s statutory violation causes an injury independent
    of the insured’s right to recover policy benefits, the insured may recover damages
    for that injury even if the policy does not entitle the insured to receive benefits. See
    id. Thus, an insured can recover actual damages caused by the insurer’s bad-faith
    conduct if the damages are separate from and differ from benefits under the contract.
    See id. This aspect of the independent-injury rule applies only if the damages are
    truly independent of the insured’s right to receive policy benefits. See id. at 499–
    500. Moreover, the supreme court stated in 2018 that a statutory violation that could
    cause an independent-injury claim would be rare, “and we have yet to encounter
    one.” Id. at 500 (quoting Mid-Continent Cas. Co. v. Eland Energy, Inc., 
    709 F.3d 515
    , 521-22 (5th Cir. 2013) (“The Stoker language [concerning possible independent
    injuries] has frequently been discussed, but in seventeen years since the decision
    appeared, no Texas court has yet held that recovery is available for an insurer’s
    extreme act, causing injury independent of the policy claim . . . )).
    Appellant’s asserted independent injury is increased cost of repair.
    Appellants’ policy provides appellee will pay an amount “not to exceed the cost to
    repair or replace the damaged part of the property[.]” (Emphasis added.) The policy
    provides for actual cash value for cost of repairs and repair cost value for actual and
    necessary costs of repair. Consequently, costs of repair for appellants’ claimed
    damage—whether increased or not—are not separate from or different from benefits
    under the contract and, thus, do not constitute independent injury. See id. at 499. We
    –16–
    conclude there is no evidence to demonstrate that this lawsuit presents the “rare”
    successful independent-injury claim. Id. at 500.
    Moreover, we conclude the trial court did not err by entering summary
    judgment for appellee on appellants’ claim for statutory bad faith.
    We overrule appellants’ second issue.
    Prompt Payment of Claims Act
    Appellants complain in their third issue that the trial court erred in granting
    summary judgment against them on their claim for violation of Texas Insurance
    Code, Chapter 542, Subchapter B, the “Prompt Payment of Claims Act” (“PPCA”).
    See INS. §§ 542.051–.061.7
    Chapter 542 of the insurance code imposes deadlines for the payment of
    certain insurance claims. See INS. §§ 542.057–.059. Failure to meet these deadlines
    results in statutory liability for interest and reasonable and necessary attorney’s fees.
    See id. § 542.060.
    In 2017, the legislature added Chapter 542A to the insurance code. See INS. §§
    542A.001–.007. Chapter 542A governs first-party claims by an insured that arise
    “from damage to or loss of covered property caused, wholly or partly, by forces of
    nature, including . . . hail, wind, . . . or a rainstorm.” Id. § 542A.001(2)(C). When it
    applies, Chapter 542A changes the rules applicable to litigation of certain statutory
    7
    Subchapter B of Chapter 542 is sometimes referred to as the “Prompt Payment of Claims Act.” See, e.g.,
    Lazos v. State Farm Lloyds, 
    601 S.W.3d 783
    , 784 (Tex. 2020) (per curiam).
    –17–
    and common-law claims against insurers, including claims asserting violations of
    Chapter 542’s prompt-payment requirements. See Rodriguez, 684 S.W.3d at 792
    (citing INS. § 542A.002). Chapter 542A limits recovery of attorney’s fees. See
    id. (citing INS. § 542A.007).
    After the parties filed briefs in this Court, the supreme court issued Rodriguez,
    
    684 S.W.3d 789
    . Rodriguez answered the following certified question from the U.S.
    Court of Appeals for the Fifth Circuit: “In an action under Chapter 542A of the Texas
    Prompt Payment of Claims Act, does an insurer’s payment of the full appraisal
    award plus any possible statutory interest preclude recovery of attorney’s fees?” Id.
    at 790. The supreme court held, “[T]he answer is yes.” Id.
    Subsequent to issuance of Rodriguez, appellants filed a supplemental letter
    brief and notice of new authority in this Court. In it, appellants concede “the effect
    of Rodriguez” is that this Court can affirm the summary judgment on their claim for
    recovery of attorney’s fees under Chapter 542A. We agree.
    Moreover, we conclude that appellants’ concession that Rodriguez bars their
    recovery of attorney’s fees impliedly concedes that appellee paid them the full
    appraisal award plus any possible interest. See id. (holding full payment of full
    appraisal award plus any possible statutory interest precludes recovery of attorney’s
    fees under Chapter 542A). Regardless, appellee presented summary judgment
    evidence of (1) appellee’s payment to appellants of the appraisal award and (2) a
    detailed calculation of appellee’s payment to appellants of interest that might be
    –18–
    awarded pursuant to the prompt payment of claims act. See INS. § 542.060. We
    conclude appellee proved the payments as a matter of law. Moreover, appellants did
    not raise a fact issue to the contrary.
    Consequently, the trial court did not err in entering summary judgment in
    favor of appellee on appellants’ claim for violation of the prompt payment of claims
    act.
    We overrule appellant’s third issue.
    Exclusion of Evidence
    In their fourth issue, appellants complain the trial court erred by excluding an
    “estimate report” of loss prepared by Art Boutin.
    The rules of evidence control the admissibility of evidence in summary
    judgment proceedings; thus, we review a trial court’s decision to admit or exclude
    evidence for an abuse of discretion. See Est. of Little, No. 05-18-00704-CV, 
    2019 WL 3928755
    , at *5 (Tex. App.—Dallas Aug. 20, 2019, pet. denied) (mem. op.)
    (citing Seim v. Allstate Tex. Lloyds, 
    551 S.W.3d 161
    , 163 (Tex. 2018)). An abuse of
    discretion occurs when the trial court acts arbitrarily or without reference to any
    guiding rules and principles. See 
    id.
     (citing Downer v. Aquamarine Operators, Inc.,
    
    701 S.W.2d 238
    , 241–42 (Tex. 1985)). We set aside the trial court’s judgment only
    if the “erroneous evidentiary ruling probably caused the rendition of an improper
    judgment.” 
    Id.
     (citing Horizon/CMS Healthcare Corp. v. Auld, 
    34 S.W.3d 887
    , 906
    (Tex. 2000)); see TEX. R. APP. P. 44.1(a)(1).
    –19–
    Appellants argue the report was relevant to prove increased market costs of
    repair since the date of the award. They argue such increased costs constitute
    evidence of independent injury. However, we concluded above the insurance policy
    and the law preclude appellants from demonstrating independent injury.
    Accordingly, the trial court’s error, if any, in excluding the report that would be
    offered to prove the precluded independent injury could not have probably caused
    the rendition of an improper judgment. See TEX. R. APP. P. 44.1(a)(1). Consequently,
    appellants have not demonstrated reversible error.
    We overrule appellants’ fourth issue.
    Conclusion
    We affirm the trial court’s judgment.
    /Bill Pedersen, III/
    BILL PEDERSEN, III
    220749F.P05                               JUSTICE
    –20–
    S
    Court of Appeals
    Fifth District of Texas at Dallas
    JUDGMENT
    MICHAEL KNOPP AND SANDRA                       On Appeal from the 471st Judicial
    RYBICKI-KNOPP, Appellants                      District Court, Collin County, Texas
    Trial Court Cause No. 471-04386-
    No. 05-22-00749-CV           V.                2021.
    Opinion delivered by Justice
    STATE FARM LLOYDS, Appellee                    Pedersen, III. Justices Goldstein and
    Kennedy participating.
    In accordance with this Court’s opinion of this date, the judgment of the trial
    court is AFFIRMED.
    It is ORDERED that appellee STATE FARM LLOYDS recover its costs of
    this appeal from appellants MICHAEL KNOPP AND SANDRA RYBICKI-
    KNOPP.
    Judgment entered July 30, 2024
    –21–
    

Document Info

Docket Number: 05-22-00749-CV

Filed Date: 7/30/2024

Precedential Status: Precedential

Modified Date: 8/7/2024