Legal Case

In Re Trisura Insurance Company v. the State of Texas

Court

Unknown Court

Decided

July 29, 2025

Importance

34%

Standard

Practice Areas

Insurance Law
Regulatory Compliance

Case Summary

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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Case Details

Case Details

Legal case information

Status

Decided

Date Decided

July 29, 2025

Legal Significance

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Importance Score
Standard
Score34%
Citations
0
Legal Topics
State Sovereignty
Federal Preemption
Insurance Regulation

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AddedAug 2, 2025
UpdatedAug 4, 2025

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Areas of law covered in this case

State Sovereignty
Federal Preemption
Insurance Regulation

Case Information

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Court Proceedings

Date FiledJuly 29, 2025
Date DecidedJuly 29, 2025

Document Details

Times Cited
0
Importance Score
0.3

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80% match
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341 Or. App. 30

80% match
Court of Appeals of Oregon
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30 June 4, 2025 No. 484 IN THE COURT OF APPEALS OF THE STATE OF OREGON Richard GRIFFITH and Reta Griffith, husband and wife, Plaintiffs-Appellants Cross-Respondents, v. PROPERTY AND CASUALTY INSURANCE COMPANY OF HARTFORD, Defendant-Respondent Cross-Appellant, and ALPINE ABATEMENT ASSOCIATES, INC., Defendant. Wallowa County Circuit Court 22CV10452; A181951 Wes Williams, Judge. On appellants’ petition for reconsideration filed March 28, 2025, and respondent’s response filed April 2, 2025. Opinion filed March 19, 2025. 339 Or App 40, 566 P3d 1235 (2025). Kelly Vance for petition. Thomas M. Christ and Sussman Shank LLP for response. Before Tookey, Presiding Judge, Kamins, Judge, and Jacquot, Judge. TOOKEY, P. J. Reconsideration allowed; former opinion modified and adhered to as modified. Cite as 341 Or App 30 (2025) 31 TOOKEY, P. J. Plaintiffs petition for reconsideration of our deci- sion in Griffith v. Property and Casualty Ins. Co. of Hartford, 339 Or App 40, 566 P3d 1235 (2025), asserting, among other reasons that we should reconsider our decision, that we “committed factual error in opining that all plaintiffs’ counsel did was file a complaint, which was contrary to the evidence.” Plaintiffs assert that “the trial court file shows far more activity than is depicted by the panel’s opinion.” We grant reconsideration, modify our previous opinion in two respects, and adhere to it as modified. First, in our opinion, we stated, “The complaint and Hartford’s answer were the only filings relating to Hartford in plaintiffs’ civil action. Shortly thereafter, plaintiffs and Hartford executed a ‘Release and Settlement Agreement,’ under which the parties settled plaintiffs’ insurance and breach of contract claims ‘and all related controversies.’ ” Id. at 42. We modify those sentences to read, “After Vance filed the civil action, plaintiffs and Hartford executed a ‘Release and Settlement Agreement,’ under which the parties settled plaintiffs’ insurance and breach of contract claims ‘and all related controversies.’ ” Second, in our opinion, we stated, “Prior to the par- ties’ settlement and release, there was minimal litigation by plaintiffs’ counsel (the filing of a complaint) with respect to plaintiffs’ claims against Hartford.” Id. at 48. We mod- ify that sentence so that it reads, “Prior to the parties’ set- tlement and release, litigation by plaintiffs’ counsel with respect to plaintiffs’ claims against Hartford included fil- ing a complaint and amended complaint, filing a reply to Hartford’s affirmative defenses, filings related to summary judgment, and oral argument before the court.” We have also considered the other reasons that plaintiffs assert that we should reconsider our opinion and have determined that reconsideration is not warranted. Reconsideration allowed; former opinion modified and adhered to as modified.

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