Court Opinion

ID: 4526879
Source: CourtListenerOpinion
Date Created: 2020-04-20 07:13:07.955472+00
Date Added: 2024-06-11T08:43:41.032038
License: Public Domain

IN THE SUPREME COURT OF TEXAS
                                       ══════════
                                         No. 18-0911
                                       ══════════

                           STEVEN BIASATTI AND PAUL GROSS
                        D/B/A TOPDOG PROPERTIES, PETITIONERS,

                                               V.

              GUIDEONE NATIONAL INSURANCE COMPANY, RESPONDENT

            ══════════════════════════════════════════
                          ON PETITION FOR REVIEW FROM THE
                 COURT OF APPEALS FOR THE SEVENTH DISTRICT OF TEXAS
            ══════════════════════════════════════════

                                        PER CURIAM

       At issue in this insurance dispute is whether an insurer’s payment of an appraisal award—

obtained under a unilateral appraisal clause—bars an insured’s claims under the Texas Prompt

Payment of Claims Act (TPPCA), codified as Chapter 542 of the Insurance Code. Also at issue is

whether such payment bars an insured’s statutory and common-law bad-faith claims. The court

of appeals held all of the insured’s claims were barred. Because we conclude the insured’s claims

should be considered in light of our recent decisions on these issues, we now reverse and remand.

       In June 2013, properties insured by GuideOne National Insurance Company and owned by

Steven Biasatti and Paul Gross (d/b/a TopDog Properties) sustained wind and hail damage. After

its first inspection, GuideOne determined that the loss fell below TopDog’s $5,000 deductible and

thus declined to pay. A second inspection at TopDog’s request confirmed this conclusion. After

GuideOne declined a third inspection request, TopDog asked to invoke the policy’s appraisal
process. GuideOne refused, explaining that it was the only party that could invoke appraisal under

the policy’s unilateral appraisal clause, and it considered appraisal unnecessary. 1

         Believing the loss still undervalued, TopDog sued GuideOne, alleging claims for breach of

contract, common-law and statutory bad faith, and violations of the TPPCA. Over eight months

later, GuideOne demanded an appraisal, but TopDog declined. GuideOne then obtained an order

compelling appraisal. Through the appraisal process, the loss was set at $168,808—well above

GuideOne’s initial estimates. In October 2013, GuideOne paid TopDog the appraisal award less

the deductible and depreciation, after which both parties moved for summary judgment. The trial

court denied TopDog’s motion and granted GuideOne’s, rejecting all of TopDog’s claims based

on GuideOne’s payment of the appraisal award.

         The court of appeals affirmed, holding that (1) TopDog failed to raise a fact issue on

damages for breach of contract because GuideOne paid all benefits available under the policy when

it paid the appraisal award, and (2) TopDog’s bad-faith and TPPCA claims failed because it did

not allege an injury independent from the policy benefits and did not demonstrate policy benefits

were withheld after the appraisal award was paid. 560 S.W.3d 739, 743–44 (Tex. App.—Amarillo

2018).

         TopDog petitioned this Court, asking whether the court of appeals’ holdings were

consistent with our precedents and whether the unilateral nature of the appraisal clause should

         1
           The appraisal clause states: “If the Named Insured and the Company fail to agree on the amount of the loss,
the Company can demand that the amount of loss be set by appraisal. If the company makes a written demand for
appraisal, each party shall select a competent independent appraiser. Each party shall notify the other of the selected
appraiser’s identity within 20 days of the receipt of the written demand.”

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change the result. 2 In the interim, we decided two cases relevant to the issues TopDog raised in

its petition. In Barbara Technologies Corp. v. State Farm Lloyds, we held that payment in

accordance with an appraisal clause does not foreclose TPPCA damages, but it is “neither an

acknowledgement of liability nor a determination of liability under the policy for purposes of

TPPCA damages under section 542.060.” 589 S.W.3d 806, 820 (Tex. 2019). We declined to

decide whether an acknowledgment or determination of liability was necessary to obtain damages

under section 542.058. Id. at 823–24. On the same day, we held in Ortiz v. State Farm Lloyds

that payment of an appraisal award forecloses an insurer’s liability for breach of contract and

common-law and statutory bad faith unless the insured suffered an independent injury. 589
S.W.3d 127, 129, 133, 135 (Tex. 2019).

        After Barbara Technologies and Ortiz, TopDog filed its brief on the merits, addressing its

claims for breach of contract, violation of the TPPCA, and bad faith in light of those opinions.

Regarding the TPPCA, TopDog contends GuideOne is liable under Barbara Technologies, and it

is therefore entitled to damages under section 542.060. At the least, it requests a remand in light

of that opinion. TopDog alternatively argues section 542.058 does not require a finding of liability

before an insurer must pay TPPCA damages, urging this Court to address the question left open in

Barbara Technologies.

        Concerning its claims for breach of contract and bad faith, TopDog contends the Court

should create an exception to the independent injury rule noted in Ortiz. Specifically, it urges that

insureds need not establish independent injury to recover for breach of contract and bad faith where

        2
         TopDog cited the following precedents: USAA Tex. Lloyds Co. v. Menchaca, 545 S.W.3d 479 (Tex. 2018);
In re Universal Underwriters of Tex. Ins. Co., 345 S.W.3d 404 (Tex. 2011); In re Allstate Cty. Mut. Ins. Co., 85
S.W.3d 193 (Tex. 2002).

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an insurer relies on a unilateral appraisal clause to force the insured to file suit, compels appraisal,

and then pays the appraisal award. In that situation, TopDog argues, the appraisal award itself

constitutes actual damages. 3

         The court of appeals held that TopDog could not maintain its TPPCA claim because it

failed to allege an independent injury and all available policy benefits had been paid. 560 S.W.3d

at 742–43. Under Barbara Technologies, this was error. See Barbara Techs., 589 S.W.3d at 823

(insurer’s payment of appraisal value does not foreclose TPPCA damages under section 542.060).

         The court of appeals also held that TopDog’s claims for breach of contract and bad faith

were barred. 560 S.W.3d at 743–44. This holding comports with Ortiz generally, but Ortiz did

not involve a unilateral appraisal clause. Ortiz, 589 S.W.3d at 131 & n.6. Thus, we did not

consider whether payment of an appraisal award under a unilateral clause would have the same

effect as to these claims. Id. The trial court may consider that question on remand.

         Without hearing oral argument, see TEX. R. APP. P. 59.1, we reverse the judgment of the

court of appeals and remand the case to the trial court to consider TopDog’s claims in light of these

decisions.

OPINION DELIVERED: April 17, 2020

         3
            TopDog also contends unilateral appraisal clauses are illusory and thus unenforceable. TopDog did not
raise this argument until its motion for rehearing in the trial court and did not pursue it in the court of appeals, nor did
the court of appeals address it. We therefore do not consider it, see TEX. R. APP. P. 33.1, though the parties are free
to brief the issue further on remand.

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