Juan Alvarez v. State Farm Lloyds
04-17-00251-CV
| Tex. App. | Jan 10, 2018Background
- Alvarez's home sustained wind/hail damage in 2014 and he filed a claim under a State Farm policy.
- State Farm initially found damages below the deductible, then after reinspection paid Alvarez $832.57.
- Alvarez sued, alleging underpayment and wrongful denial. State Farm invoked the policy's appraisal clause.
- Appraisal set loss at $14,377.14; after deductible, prior payment, and depreciation, State Farm paid Alvarez $9,676.62.
- State Farm moved for and obtained a take-nothing summary judgment, relying on this court's precedent that payment of an appraisal award bars the insured's contractual and extra-contractual claims. Alvarez appealed.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether Menchaca requires reconsideration of Garcia and prevents summary judgment after payment of an appraisal award | Alvarez: Menchaca altered governing law such that Garcia should no longer control | State Farm: Garcia remains controlling; payment of appraisal award entitles insurer to summary judgment absent grounds to set aside award or independent bad-faith injury | Court: Menchaca is distinguishable and does not abrogate Garcia; summary judgment affirmed |
| Whether payment of an appraisal award bars insured's contract and extra-contractual claims | Alvarez: Appraisal payment does not automatically bar his claims | State Farm: Payment resolves the insured's damages and forecloses contract and bad-faith claims unless appraisal is set aside or insurer committed independent actionable conduct | Court: Payment of the appraisal award entitles insurer to summary judgment where insured offers no basis to set aside the award or evidence of independent injury |
Key Cases Cited
- Garcia v. State Farm Lloyds, 514 S.W.3d 257 (Tex. App.—San Antonio 2016) (holding an insurer's payment of an appraisal award entitles insurer to summary judgment on insured's contractual and extra-contractual claims)
