Articles Posted in Hail Claims

Fort Worth insurance law attorneys will often find themselves in a position where they are suing an Allstate adjuster. One reason for doing so would be to keep a lawsuit in a State Court rather than a Federal Court which is where Allstate would prefer to litigate a case. A U.S. Corpus Christi Division of the Southern District of Texas court issued a remand in a case that Allstate had removed to Federal Court. The style of the case is, W. Ohio St. Condo Association v. Allstate Insurance Company, et al.

This is an insurance coverage dispute arising from wind and hail storm damage to W. Ohio commercial property. Allstate timely removed the case from state court on the basis of diversity jurisdiction, with its allegation that the non-diverse claims adjuster, Kevin Pakenham, was improperly joined.

Pursuant to 28 U.S.C. 1332, diversity jurisdiction requires the citizenship of all plaintiffs to be diverse from the citizenship of all defendants and the amount in controversy to exceed the sum or value of $75,000, exclusive of interest and costs. It is undisputed that the parties, with the exception of Pakenham, are diverse and that the amount in controversy exceeds the sum of $75,000. Therefore, the only issue for the Court is whether Pakenham was improperly joined such that his non-diverse citizenship may be disregarded.

When suing an insurance company, the pleading of a lawsuit have to be proper or the case gets thrown out of court. An example of an insurance company trying to do this is found in a 2015 case from the United States District Court, Southern District of Texas. It is styled, Garza v. Scottsdale Insurance Company,et al.

This is an insurance coverage dispute arising from hail storm damage to Garza’s home. Scottsdale removed the case from state court on the basis of diversity jurisdiction, with its allegation that the non- diverse claims adjusters, Wardlaw Claims Service, L.L.P. and Michael Clark (jointly Adjusters), were improperly joined. The Court granted the motion of Garza to remand from the Federal Court to the State Court, ruling that in this case the proper pleading standard was met.

Scottsdale’s argument is that Garza has not satisfied pleading rules because, while federal courts often apply Texas “fair notice” pleading rules in removal decisions, Texas pleading rules are no longer as liberal as they once were. Scottsdale refers to newly adopted Texas Rule of Civil Procedure 91a, which provides for dismissal “on the grounds that [the cause of action] has no basis in law or fact.”

Duncanville insurance attorneys need to know how the courts looks at the appraisal provisions in an insurance policy. This issue came up in a recent Amarillo Court of Appeals opinion styled, Texas Farm Bureau Insurance Company v. Brittni Sampley.

Farm Bureau insured Sampley’s vehicle under a Texas personal automobile policy. The vehicle suffered hail damage and, when the parties disagreed over the cost of repairs, Sampley invoked the appraisal provision in the policy. It requires each party to select a “competent appraiser.” Each party selected an appraiser. After being notified of Sampley’s choice of Robert Batt as her appraiser, Farm Bureau sent her a letter advising her choice was “unacceptable as Mr. Batt is an employee of Bernard’s Advanced Collision, the body shop who repaired your vehicle. Texas law not only requires appraisers to be competent, but also disinterested in the outcome of the appraisal process.” The letter asked Sampley to “inform us once you have selected a disinterested appraiser.” When Sampley declined to change appraisers, Farm Bureau filed suit asking the trial court to remove Batt as appraiser. The parties stipulated Batt “is not disinterested as to the appraisal of the loss at issue because he is employed by Bernard’s Advanced Collision and that company will be paid from the results of the appraisal.”

Farm Bureau filed a motion for summary judgment which was denied. The court issued a further order stating in part that it “sees no requirement that an appraiser in this appraisal process must be both competent and disinterested and will not impose such a requirement.”

Richardson insurance law attorneys will find that when suing insurance companies that the companies want to remove cases to Federal Court. Federals Courts are more favorable grounds for insurance companies to fight their legal battles. Insurance lawyers working for the insureds want to keep the fight in State Courts.

A 2015, opinion from the US District Court, Fort Worth Division is a good opinion to read. It is styled, Living Word Teaching Center v. Robert Morris Adams, Jr. and Allstate Insurance Company.

Living Word brought the instant insurance action in State Court. The church, secured an insurance policy from Allstate covering its 5,000 square foot church. The church later built a large arena next to the church and sought additional coverage for the arena from Allstate. In December 2013, the arena suffered a collapse and was damaged. When Living Word filed an insurance claim for the damage suffered, Allstate advised that the arena was not listed on the policy and therefore, was not covered.

Fort Worth insurance lawyers handling hail damage claims as well as any other insurance claims need to read this 2004, Texas Supreme Court opinion. It is styled, Republic Underwriters Insurance Co. v. Mex-Tex, Inc.

This is a first part claim. Following a hail storm Mex-Tex, Inc. notified its property insurer, Republic, of damage to the roof of Signature Mall, a retail shopping center that Mex-Tex owned. Mex-Tex claimed that the roof had been destroyed and should be replaced. Republic immediately investigated the claim but disputed the amount of damage attributable to hail. The roof had leaked for a long time, and months before the storm Mex-Tex had obtained estimates to replace it. While Republic was still investigating the claim, it learned that Mex-Tex had retained a contractor to go ahead, without waiting on Republic, and replace the roof at a cost of $179,000 with one of the same kind, but which would be fixed to the building mechanically rather than by ballast (that is, rocks) as the old roof had been. Republic’s first response was to offer what it believed was the cost to repair the minimal hail damage, $22,000, as what it termed “partial payment” of Mex-Tex’s claim, but when Mex-Tex rejected that offer, Republic sent Mex-Tex a check on August 20, 1999, including $145,460, an amount representing what Republic’s engineer had determined was the cost of replacing the mall’s roof with an identical one, attached by ballast.

Mex-Tex returned the check. Republic re-sent it. Mex-Tex re-returned it. Republic then replied that it would hold the money until Mex-Tex accepted it, which Mex-Tex did on October 12, 2000, as partial payment of its claim. Meanwhile, Mex-Tex had sued Republic for breach of the policy and delay penalties under the Prompt Pay Statute.  After trial the court found that Republic’s failure to pay Mex-Tex the $179,000 was a breach of Republic’s policy obligation to replace the roof with one of “like kind and quality”-despite the fact that Mex-Tex’s cost exceeded the replacement cost of an identical roof by $33,540-and awarded Mex-Tex that difference in damages. The court also awarded Mex-Tex 18% per annum on $179,000 from November 4, 1999, the date the court determined that Republic should have tendered that amount, which was 75 days after it tendered $145,460, to the date Mex-Tex accepted that partial payment almost a year later, and thereafter on the $33,540 difference until judgment.  

Dallas insurance lawyers who handle roof damage claims will want to ready this “Order” from a Fort Worth Federal Court. The style of the case is, Living Word Teaching Center v. Robert Morris Adams, Jr. and Allstate Insurance Company.

Living Word, a church, secured an insurance policy from Allstate covering its 5,000 square foot church. Living Word later built a large arena next to the church and sought additional coverage for the arena from Allstate. In December 2013, the arena suffered a collapse and was damaged. When Living Word filed an insurance claim with Allstate for the damage suffered, Allstate advised Living Word that the arena was not listed on the policy and therefore, was not covered.

Living Word brought the following claims against Defendants: (1) violations of the Texas Deceptive Trade Practices Act against Allstate insurance agent, Adams; (2) negligent misrepresentation against Adams; (3) negligence/negligent procurement against Adams; and (4) agency and vicarious liability against Adams and Allstate.

Parker County lawyers who handle hail storm claims should keep up legislation dealing with the topic. The Insurance Journal published an article that should be read. The title of the article is, Bills Aimed At Property Claims Litigation Expected In Texas Legislative Session. Here is what the article says.

Texas lawmakers are expected to file legislation this year aimed at stemming the tide of property claims litigation in the wake of catastrophic weather events, such as hailstorms.

Proponents of such legislation would like to see a measure that limits the time in which claims over property losses may be filed, similar to the limitations put in place for the Texas Windstorm Insurance Association after it was inundated with claims-related lawsuits following Hurricane Ike.

Dallas lawyers handling hail damage claims need to be aware of the actions taking place in Austin. A recent article from the Insurance Journal needs to be read. The title of the article is, Attorneys, Insurers Facing Off Over Hail Litigation In Texas. Here is what it tells us about the battle between hail claims attorneys and insurance companies.

The vestiges of twin hailstorms that ravaged the south Texas coast in 2012 are now blowing through the halls of the Capitol in Austin.

Two of the state’s most-powerful lobbies, the insurance industry and trial lawyers, are gearing up for a fight over a push to ease penalties against companies that deny homeowners their hail-damage claims.

Mansfield attorneys handling hail damage claims can tell you that the insurance companies are always trying to have lawsuits in Federal Court rather than State Court. Here is another opinion on that issue from the US Court, Northern District, Dallas Division. The style of this case is Ocotillo Real Estate Investments I, LLC, v. Lexington Insurance Company, et al.

This action arises from an insurance claim Ocotillo submitted to Tudor Insurance and Lexington Insurance Company regarding property loss from hail. Ocotillo filed suit against Defendants in state court. Ocotillo alleged claims for violations of the Texas Insurance Code, violations of the Texas Deceptive Trade Practices Act, breach of contract, and negligence. The carriers removed the state court action to Federal Court. Ocotillo moved to remand.

A defendant may remove a state court action to federal court if he establishes the federal court’s original jurisdiction over the action. It is the defendant’s burden to establish the existence of federal jurisdiction. Thus, to remove a case, a defendant must show that the action either arises under federal law or satisfies the requirements of diversity under 28 U.S.C. § 1441(b). Because removal raises significant federalism concerns, the removal statute is strictly construed and any doubt as to the propriety of removal should be resolved in favor of remand. A district court must remand a case if, at any time before final judgment, it appears that the court lacks subject matter jurisdiction. 28 U.S.C. § 1447(c).

Burleson lawyers handling hail damage claims will know that insurance companies try to get cases into Federal Court. The US District Court, Northern District of Texas, Dallas Division issued an opinion in a case, illustrative of this tactic. The style of the case is, Tudor Insurance Company, et al. v. Ocotillo Real Estate Investments I, LLC.

This is declaratory judgment action in which Tudor and Lexington Insurance Company seek a declaration that they have no duty to provide coverage to Ocotillo for losses resulting from alleged hail damage to Ocotillo’s property. In its motion to dismiss, Ocotillo argues that because it has filed a state court action that will resolve all issue between the parties, the Court should abstain from considering this case.

Ocotillo filed the State Court Action on August 1, 2014. In the State Court Action, Ocotillo alleges claims against Carriers and additional defendants for violations of the Texas Insurance Code, violations of the Texas Deceptive Trade Practices Act, breach of contract, and negligence. Carriers timely removed the State Court Action. By separate order of this date, the Court denied the motion to remand on the grounds that Ocotillo had improperly joined in-state defendants.

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