In Re Trisura Insurance Company v. the State of Texas
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Unknown Court
Decided
July 29, 2025
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NUMBER 13-25-00119-CV COURT OF APPEALS THIRTEENTH DISTRICT OF TEXAS CORPUS CHRISTI – EDINBURG IN RE TRISURA INSURANCE COMPANY ON PETITION FOR WRIT OF MANDAMUS MEMORANDUM OPINION Before Chief Justice Tijerina and Justices West and Cron Memorandum Opinion by Justice Cron1 By petition for writ of mandamus, relator Trisura Insurance Company (Trisura) asserts that the trial court 2 abused its discretion by denying its motion to compel appraisal 1 See TEX. R. APP. P. 52.8(d) (“When denying relief, the court may hand down an opinion but is not required to do so. When granting relief, the court must hand down an opinion as in any other case.”); id. R. 47.1 (“The court of appeals must hand down a written opinion that is as brief as practicable but that addresses every issue raised and necessary to final disposition of the appeal.”); id. R. 47.4 (explaining the differences between opinions and memorandum opinions). 2 This original proceeding arises from trial court cause number C-2095-24-C in the 139th District Court of Hidalgo County, Texas, and the respondent is the Honorable J. R. “Bobby” Flores. See id. R. 52.2. of a property damage claim filed by the real party in interest, Angelita Cavazos. We conditionally grant the petition for writ of mandamus. I. BACKGROUND On May 6, 2024, Trisura filed an original petition and claim for declaratory judgment against Cavazos. Trisura alleged that it insured Cavazos’s property, which reportedly sustained damage due to inclement weather on April 28, 2023. Cavazos submitted a claim regarding the alleged damage, and after investigation, Trisura determined that there was partial coverage for Cavazos’s damages under her insurance policy. Cavazos retained counsel and sent presuit notice and a demand letter to Trisura’s adjusters alleging that her claim was improperly adjusted and Trisura’s adjusters committed misconduct in handling her claim. Thereafter, Trisura, by and through its third- party claims administrator, Wellington Claim Service, LLC (Wellington), invoked Trisura’s right to appraisal under the insurance policy. In its original petition, Trisura thus sought, in relevant part, a declaratory judgment that Cavazos was required to submit her claims to appraisal pursuant to her insurance policy. On May 30, 2024, Cavazos filed an original answer including affirmative defenses and a counterclaim for declaratory relief. Thereafter, on December 3, 2024, Trisura filed a separate motion to compel appraisal. The insurance policy at issue provides in relevant part that: 8. Appraisal. If you and we fail to agree on the actual cash value, amount of loss, or cost of repair or replacement, either can make a written demand for appraisal. Each will then select a competent, independent appraiser and notify the other of the appraiser’s identity within 20 days of receipt of the written demand. The two appraisers will choose an umpire. If they cannot agree upon an umpire within 15 days, you 2 or we may request that the choice be made by a judge of a district court of a judicial district where the loss occurred. The two appraisers will then set the amount of loss, stating separately the actual cash value and loss to each item. If the appraisers fail to agree, they will submit their differences to the umpire. An itemized decision agreed to by any two of these three and filed with us will set the amount of the loss. Such award shall be binding on you and us. Each party will pay its own appraiser and bear the other expenses of the appraisal and umpire equally. .... 12. Suit Against Us. No suit or action can be brought unless the policy provisions have been complied with. Action brought against us must be started within two years and one day after the cause of action accrues. The “Special Provisions Endorsement” of Cavazos’s insurance policy modifies these provisions, in part, but does not affect our analysis of the issue presented in this original proceeding. On January 3, 2025, Cavazos filed a first amended answer, again including a plea in abatement, affirmative defenses, and a counterclaim for declaratory relief. On January 6, 2025, Cavazos also filed a response in opposition to Trisura’s motion to compel appraisal. On January 13, 2025, the trial court denied Trisura’s motion to compel appraisal. This original proceeding ensued. By
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NUMBER 13-25-00119-CV
COURT OF APPEALS
THIRTEENTH DISTRICT OF TEXAS
CORPUS CHRISTI – EDINBURG
IN RE TRISURA INSURANCE COMPANY
ON PETITION FOR WRIT OF MANDAMUS
MEMORANDUM OPINION
Before Chief Justice Tijerina and Justices West and Cron
Memorandum Opinion by Justice Cron1
By petition for writ of mandamus, relator Trisura Insurance Company (Trisura)
asserts that the trial court 2 abused its discretion by denying its motion to compel appraisal
1 See TEX. R. APP. P. 52.8(d) (“When denying relief, the court may hand down an opinion but is not
required to do so. When granting relief, the court must hand down an opinion as in any other case.”); id. R. 47.1 (“The court of appeals must hand down a written opinion that is as brief as practicable but that addresses every issue raised and necessary to final disposition of the appeal.”); id. R. 47.4 (explaining the differences between opinions and memorandum opinions). 2 This original proceeding arises from trial court cause number C-2095-24-C in the 139th District
Court of Hidalgo County, Texas, and the respondent is the Honorable J. R. “Bobby” Flores. See id. R. 52.2. of a property damage claim filed by the real party in interest, Angelita Cavazos. We
conditionally grant the petition for writ of mandamus.
I. BACKGROUND
On May 6, 2024, Trisura filed an original petition and claim for declaratory
judgment against Cavazos. Trisura alleged that it insured Cavazos’s property, which
reportedly sustained damage due to inclement weather on April 28, 2023. Cavazos
submitted a claim regarding the alleged damage, and after investigation, Trisura
determined that there was partial coverage for Cavazos’s damages under her insurance
policy. Cavazos retained counsel and sent presuit notice and a demand letter to Trisura’s
adjusters alleging that her claim was improperly adjusted and Trisura’s adjusters
committed misconduct in handling her claim. Thereafter, Trisura, by and through its third-
party claims administrator, Wellington Claim Service, LLC (Wellington), invoked Trisura’s
right to appraisal under the insurance policy. In its original petition, Trisura thus sought,
in relevant part, a declaratory judgment that Cavazos was required to submit her claims
to appraisal pursuant to her insurance policy.
On May 30, 2024, Cavazos filed an original answer including affirmative defenses
and a counterclaim for declaratory relief. Thereafter, on December 3, 2024, Trisura filed
a separate motion to compel appraisal. The insurance policy at issue provides in relevant
part that:
8. Appraisal.
If you and we fail to agree on the actual cash value, amount of loss,
or cost of repair or replacement, either can make a written demand
for appraisal. Each will then select a competent, independent
appraiser and notify the other of the appraiser’s identity within 20
days of receipt of the written demand. The two appraisers will choose
an umpire. If they cannot agree upon an umpire within 15 days, you
2
or we may request that the choice be made by a judge of a district court of a judicial district where the loss occurred. The two appraisers will then set the amount of loss, stating separately the actual cash value and loss to each item.
If the appraisers fail to agree, they will submit their differences to the
umpire. An itemized decision agreed to by any two of these three and
filed with us will set the amount of the loss. Such award shall be
binding on you and us.
Each party will pay its own appraiser and bear the other expenses of
the appraisal and umpire equally.
....
12. Suit Against Us. No suit or action can be brought unless the policy
provisions have been complied with. Action brought against us must
be started within two years and one day after the cause of action
accrues.
The “Special Provisions Endorsement” of Cavazos’s insurance policy modifies these
provisions, in part, but does not affect our analysis of the issue presented in this original
proceeding.
On January 3, 2025, Cavazos filed a first amended answer, again including a plea
in abatement, affirmative defenses, and a counterclaim for declaratory relief. On January
6, 2025, Cavazos also filed a response in opposition to Trisura’s motion to compel
appraisal. On January 13, 2025, the trial court denied Trisura’s motion to compel
appraisal.
This original proceeding ensued. By
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