25-0461
Tex.May 8, 2026Background
- Insured owned and managed commercial properties insured by multiple property policies, including a Dallas warehouse policy covering the relevant loss period. 1
- A ruptured water line under the warehouse slab caused substantial damage, and Insured timely submitted a claim. 2
- The policy required appraisal when the parties disagreed on the amount of loss, and Insurers demanded appraisal after paying undisputed amounts and asserting remaining scope-and-cost disputes. 3
- Insured refused appraisal and sued for breach of contract, bad faith, Insurance Code violations, and declaratory relief. 4
- The trial court and court of appeals denied appraisal relief, and Insurers sought mandamus in the Texas Supreme Court. 5
- The Supreme Court held the parties disputed at least in part the amount of loss and that alleged bad faith did not excuse appraisal. 6
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Does a coverage dispute bar appraisal? 7 | Insured said the dispute was about coverage, causation, and damage existence, not amount of loss. | Insurers said the dispute included valuation of repair, mold, and code-compliance costs. | No; appraisal may proceed because the dispute is at least partly about amount of loss. 8 |
| Was there a genuine disagreement over amount of loss? 9 | Insured claimed Insurers never clearly fixed their valuation and their positions shifted. | Insurers said they had paid all owed amounts and consistently valued the claim lower than Insured. | Yes; Insurers adequately disputed the amount of loss. 10 |
| Does alleged bad-faith claim handling excuse appraisal? 11 | Insured argued Insurers' delay, underpayment, and coverage defenses were prior material breaches. | Insurers said prior breach is not an appraisal exception and would nullify the clause. | No; alleged bad faith does not create an exception to appraisal. 12 |
| Did the trial court abuse its discretion by denying appraisal? 13 | Insured urged the court to deny appraisal until coverage and breach issues were resolved. | Insurers sought mandamus to compel appraisal under the policy. | Yes; mandamus granted and trial court directed to compel appraisal. 14 |
Key Cases Cited
- In re Universal Underwriters of Texas Insurance Co., 345 S.W.3d 404 (Tex. 2011) (appraisal clauses are generally enforceable and mandamus may compel appraisal 15)
- State Farm Lloyds v. Johnson, 290 S.W.3d 886 (Tex. 2009) (appraisal determines amount of loss, not policy liability; courts should avoid preemptively blocking appraisal 16)
- Mustang Pipeline Co. v. Driver Pipeline Co., 134 S.W.3d 195 (Tex. 2004) (a material breach can excuse further contractual performance 17)
- In re Acceptance Indemnity Insurance Co., 562 S.W.3d 645 (Tex. App.—San Antonio 2018) (prior-breach arguments do not defeat an appraisal clause 18)
- Michels v. Safeco Insurance Co. of Indiana, 544 F. App'x 535 (5th Cir. 2013) (bad-faith and coverage-handling arguments are incompatible with mandatory appraisal 19)
- Gulf Insurance Co. v. Pappas, 73 S.W.2d 145 (Tex. App.—San Antonio 1934, writ ref'd) (appraisers may separate covered loss from preexisting or other damage in valuing loss 20)
- Lundstrom v. United Services Automobile Ass'n-CIC, 192 S.W.3d 78 (Tex. App.—Houston [14th Dist.] 2006, pet. denied) (courts may later disregard certain appraisal awards in limited circumstances 21)
