in Re Guideone Mutual Insurance Company
10-16-00404-CV
Tex. App.—WacoMay 3, 2017Background
- GuideOne insured D.S. Patel (Western Motel) for property damage from a storm; GuideOne paid two partial payments and Patel sued claiming underpayment.
- After unsuccessful mediation, GuideOne invoked the policy’s appraisal clause to resolve dispute over amount of loss; Patel refused to participate.
- GuideOne moved to compel appraisal; the trial court denied the motion, prompting GuideOne’s mandamus petition to the Tenth Court of Appeals.
- The policy contains a non-waiver clause stating policy terms can be waived or changed only by an endorsement issued by the insurer and made part of the policy.
- Patel argued GuideOne waived the appraisal right (and contended the clause was unilateral/optional); GuideOne argued no waiver and relied on the non-waiver clause.
- The Court of Appeals held the non-waiver clause controlled, rendering waiver arguments immaterial, and concluded the trial court abused its discretion by refusing to compel appraisal.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether the trial court must enforce the policy's appraisal clause | Patel: GuideOne waived appraisal by action/inaction; appraisal was a unilateral option and non-waiver clause shouldn’t prevent waiver | GuideOne: No waiver occurred; even if there were a delay, the policy’s non-waiver clause bars waiver absent an endorsement | Court: Non-waiver clause valid and no endorsement exists; waiver argument immaterial; trial court abused discretion—compel appraisal |
Key Cases Cited
- In re Universal Underwriters of Tex. Ins. Co., 345 S.W.3d 404 (Tex. 2011) (appraisal clauses generally enforceable; mandamus may be required)
- State Farm Lloyds v. Johnson, 290 S.W.3d 886 (Tex. 2009) (trial courts cannot ignore valid appraisal clauses)
- In re Allstate Cnty. Mut. Ins. Co., 85 S.W.3d 193 (Tex. 2002) (mandamus appropriate to enforce appraisal clause)
- American Cent. Ins. Co. v. Bass, 38 S.W. 1119 (Tex. 1897) (non-waiver clauses are valid and enforceable)
