Bob Greene, as Next Friend of Lewayne Greene v. Farmers Insurance Exchange
446 S.W.3d 761
| Tex. | 2014Background
- LaWayne Greene insured a dwelling in Irving under Farmers HOA form; the policy suspended dwelling coverage after 60 days of vacancy unless extended-vacancy endorsement (TDP-011) was purchased.
- Greene moved to a retirement community and notified Farmers of her sale plans, giving a change of address.
- Nov. 14, 2007, fire damaged Greene’s vacant home; Farmers denied the claim on the basis of vacancy over 60 days.
- Greene sued for breach of contract and extra-contractual damages; trial court granted Greene’s breach claim; court of appeals reversed and held vacancy gap applied only by its terms and not requiring causation.
- The Texas Supreme Court affirmed, holding §862.054 did not apply and the vacancy provision is not a breach under that statute; it is a coverage scope issue governed by policy language and TDI form endorsements.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether Tex. Ins. Code § 862.054 precludes the vacancy clause as a defense | Greene—statute precludes a technicality defense | Farmers—statute does not apply to this policy issue | §862.054 does not apply; vacancy clause not a breach under the statute |
| Whether the vacancy clause requires prejudice/causation analysis to deny coverage | Greene—vacancy did not cause loss; no prejudice to insurer | Farmers—clause governs coverage scope regardless of causation | Prejudice analysis not controlling; clause defines scope of coverage, not a traditional breach |
| Whether public policy bars enforcing the vacancy clause | Greene—anti-technicality policy and Puckett protect coverage | Public policy favors adherence to form and TDI endorsements | Public policy does not preclude enforcement; TDI HO-A form and TDP-011 endorsement support enforcement |
| Whether the material-breach framework applies to this case | Greene—Hernandez/PAJ/Prodigy/Lennar require prejudice inquiry for immaterial breaches | Court may apply material-breach framework to determine coverage | Court declines material-breach rationale; case is coverage-defining, not breach-based |
| Whether the decision should be limited to this policy or extend to similar provisions | Greene—apply Hernandez lineage to similar terms | Extend public-policy/public-regulatory approach only to narrow provisions | Conclude policy terms governing coverage, not extend Hernandez beyond its scope |
Key Cases Cited
- Lennar Corp. v. Markel Am. Ins. Co., 413 S.W.3d 750 (Tex. 2013) (material breach means loss of anticipated insurer benefits; prejudice required)
- Prodigy Commc’ns Corp. v. Agric. Excess & Surplus Ins. Co., 288 S.W.3d 374 (Tex. 2009) (immaterial notice breach not depriving insurer of bargain; prejudice required)
- PAJ, Inc. v. Hanover Insurance Co., 243 S.W.3d 630 (Tex. 2008) (notice/advertising injury provisions; prejudice analysis for coverage)
- Hernandez v. Gulf Group Lloyds, 875 S.W.2d 691 (Tex. 1994) (settlement-without-consent; prejudice-based approach to coverage)
- Kline v. Guar. Cnty. Mut. Ins. Co., 845 S.W.2d 810 (Tex. 1992) (breach/coverage distinction in insurance)
- Cutaia v. Fort Worth Ins. Co., 476 S.W.2d 278 (Tex. 1972) (judicial deference to statutes/board-approved forms in insurance)
- Puckett v. U.S. Fire Ins. Co., 678 S.W.2d 936 (Tex. 1984) (public policy for anti-technicality in aviation insurance)
