Christopher Hall v. Germania Farm Mutual Insurance Association
07-16-00304-CV
| Tex. App. | Oct 13, 2017Background
- May 2013 storm damages Hall's insured property; Germania adjusted, valued net claim around $13,000.
- Germania tendered two checks totaling about $9,700, then ~$1,200 after adjustments; Hall rejected.
- Hall sued Germania in 2014 for breach of contract, Prompt Pay Act, Insurance Code, and DTPA.
- Germania demanded appraisal in Oct. 2014; appraisal concluded Feb. 12, 2016 valuing loss at $31,497.
- Germania paid $18,566.32 on Feb. 24, 2016, with counsel conditioning payment on Hall's dismissal of suit.
- Trial court granted summary judgment for Germania; court of appeals reversed on estoppel and extra-contractual claims and remanded.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Estoppel defense based on appraisal payment timing | Hall: payment within reasonable time not proven; estoppel not established | Germania: tender within reasonable time; estoppel should bar contract claims | Partly sustained; material facts about payment timing unresolved; estoppel not proven as a matter of law |
| Extra-contractual claims viability after contract estoppel | Hall: extra-contractual claims survive if contract claims survive | Germania: without contract breach, no extra-contractual claims | Remanded; summary judgment reversed to permit record development on extra-contractual claims |
Key Cases Cited
- State Farm Lloyds v. Johnson, 290 S.W.3d 886 (Tex. 2009) (enforceability of appraisal clauses; time to pay not strictly defined by clause)
- Hennessey v. Vanguard Ins. Co., 895 S.W.2d 794 (Tex. App.—Amarillo 1995) (estoppel as an affirmative contract-based defense; requires proof of elements)
- Garcia v. State Farm Lloyds, 514 S.W.3d 257 (Tex. App.—San Antonio 2016) (appraisal as binding; estoppel considerations)
- Moore v. Dilworth, 179 S.W.2d 942 (Tex. 1944) (implied reasonable time for payment when not specified)
- Cross Timbers Oil Co. v. Exxon Corp., 22 S.W.3d 24 (Tex. App.—Amarillo 2000) (cannot rewrite contract to fix provisions not included)
- Scottish Union & Nat’l Ins. Co. v. Clancy, 8 S.W. 630 (Tex. 1888) (appraisal results binding; damages calculated per contract)
