The Jesus Church of Victoria Texas, Inc. v. Church Mutual Insurance Company
S.D. Tex.9/13/2022
AI Case Brief
Generate an AI-powered case brief with:
đKey Facts
âïžLegal Issues
đCourt Holding
đĄReasoning
đŻSignificance
Estimated cost: $0.10â$0.50 per brief, depending on opinion length and retries
Full Opinion
UNITED STATES DISTRICT COURT September 14, 2022 SOUTHERN DISTRICT OF TEXAS Nathan Ochsner, Clerk VICTORIA DIVISION THE JESUS CHURCH OF VICTORIA § TEXAS, INC., § § Plaintiff, § § v. § Civil Action No. 6:19-CV-00093 § CHURCH MUTUAL INSURANCE § COMPANY, § § Defendant. § MEMORANDUM OPINION AND ORDER The Jesus Church of Victoria, Texas was damaged when Hurricane Harvey hit Texas in August 2017. The Jesus Church of Victoria Texas, Inc. (the âJesus Churchâ) filed this lawsuit against its insurer, Church Mutual Insurance Company (âChurch Mutualâ), arguing that Church Mutual mishandled its claim. Church Mutual moves for partial summary judgment, arguing that regardless of whether its coverage determinations were correct, it did not act in bad faith. The Jesus Church disagrees. For the following reasons, the Court GRANTS IN PART and DENIES IN PART Church Mutualâs Motion for Partial Summary Judgment. I. BACKGROUND Church Mutual issued a property insurance policy to the Jesus Church covering the main church building and the parsonage (the âPropertyâ). (Dkt. No. 30 at ¶ 2); (Dkt. No. 36 at ¶ 9); see also (Dkt. No. 36-1). After the hurricane, the Jesus Church submitted a claim to Church Mutual for damage to the Property. (Dkt. No. 30 at ¶ 3); (Dkt. No. 36 at ¶ 9). Church Mutual acknowledged the claim shortly after and began an investigation. (Dkt. No. 36-2). In September 2017, Church Mutual assigned an independent adjusterâSean Odenwaldâto inspect the damage to the Property. (Dkt. No. 30 at ¶ 3); (Dkt. No. 36 at ¶ 11). After his inspection, Odenwald recommended that Church Mutual make a payment of $127,502.22 to the Jesus Church. (Dkt. No. 36-6). On October 1, 2017, Church Mutual sent the Jesus Church a letter requesting 30 additional days to complete its investigation. (Dkt. No. 36-3). Church Mutual requested the extension because of âthe heavy claim volume associated with Hurricane Harvey.â (Id. at 2). Four days later, Church Mutual sent the Jesus Church a letter confirming that the Property had sustained damages from Hurricane Harvey and tendered an advance payment of $40,000 to the Jesus Church. (Dkt. No. 36-16). On October 30, 2017, Church Mutual requested a second 30-day extension, again citing the heavy claim volume associated with Hurricane Harvey. (Dkt. No. 36-4). On December 20, 2017, Church Mutual received an estimate from the Jesus Churchâs hired public adjuster: John Olle. (Dkt. No. 42-1 at 53); see also (Dkt. No. 42 at 2â 3). Church Mutual claims this estimate was the âonly statement of lossâ the Jesus Church provided. (Dkt. No. 42 at 3). On January 12, 2018, another Church Mutual adjusterâKirk Greshamâ completed an additional estimate based on his inspection of the Property sometime in the Fall of 2017.1 (Dkt. No. 36-20). Gresham determined the replacement cost value of the Jesus Churchâs claim was $298,568.36â$228,772.92 for the church and $69,795.44 for the parsonage. (Id. at 41, 51). In calculating his estimate, Gresham applied a credit for a prior payment in the amount of $127,502.22âthe same amount Odenwald (Church Mutualâs first adjuster) recommended. (Id. at 42â43); (Dkt. No. 36-6 at 2). On January 26, 2018, the Jesus Churchâs corporate representativeâJoel Steinhauerâsent an email to Church Mutual expressing frustration with how Church Mutual had handled the Jesus Churchâs claim. (Dkt. No. 36-9 at 2â4). Steinhauer cited delays and switching adjusters as the source of his frustration and accused Church Mutual of deliberately avoiding its obligations under the Policy. (Id.) On February 1, 2018, Church Mutual advised the Jesus Church that it was issuing payment of $216,412.67 for the claim. (Dkt. No. 36-21 at 2). This amount was based on Greshamâs estimate, which determined that the replacement cost value of the Property was $298,568.36. (Id.). Church Mutual subtracted $39,655.69 for recoverable depreciation, $2,500 for the deductible, and $40,000 for the previous advance payment. (Id.). Though Greshamâs original estimate erroneously applied a credit for a $127,502.22 payment that Church Mutual never issued, Church Mutual seemingly corrected this error when it issued payment; the only credit for prior payment applied was the $40,000 1 The Jesus Church states that Gresham performed his inspection on October 13, 2017. (Dkt. No. 36 at ¶ 15). But the report the Jesus Church cites lists the date inspected as September 2, 2017. (Dkt. No. 36-20 at 2). advance payment. (Id.); see also (Dkt. No. 42 at 3). Church Mutual issued this payment on February 8, 2018. (Dkt. No. 36-21 at 3). On February 28, 2018, Church Mutual had the Property inspected again, this time by Unified Building Services & Engineering, Inc. (âUBSEâ). (Dkt. No. 36-7 at 3). After completing its inspection, UBSE issued a report detailing its observations and conclusions (the âEngineerâs Reportâ). (Id. at 3â7). The Engineerâs Report attributed some of the damage to preexisting defects as opposed to Hurricane Harvey. (Id. at 6â7) Nevertheless, on July 12, 2018, Church Mutual issued an additional payment to the Jesus Church of $48,033.20. (Dkt. No. 36-23 at 2). This payment was based on a revised replacement cost value of $355,073.91â which was $56,505.55 higher than Greshamâs (Church Mutualâs second adjuster) original replacement cost value determination. (Id.); see also (Dkt. No. 36-21). Church Mutual subtracted $48,128.04 for ârecoverable withholding,â $2,500 for the deductible, and $256,412.67 for prior payments ($40,000 in October 2017 and $216,412.67 in February 2018). (Dkt. No. 36-23 at 2). This was the final payment Church Mutual made to the Jesus Church. In total, Church Mutual has paid $304,445.87 on the claim. (Id.); (Dkt. No. 36-16); (Dkt. No. 36-21). The Jesus Church filed suit because it was dissatisfied with how its claim was handled and believed that additional amounts were owed.2 (Dkt. No. 1). The Jesus Church asserts claims for breach of contract, violations of Chapters 541 and 542 of the 2 The Jesus Church is a citizen of Texas, and Church Mutual is a citizen of Wisconsin. (Dkt. No. 1 at 1). Neither party disputes that this Court has diversity jurisdiction under 28 U.S.C. § 1332, and the Court finds that it does. Texas Insurance Code, and breach of the common-law duty of good faith and fair dealing. (Id. at 18â22). Church Mutual filed a Motion for Partial Summary Judgment, seeking summary judgment only on the Jesus Churchâs claims for violations of the common-law duty of good faith and fair dealing and Chapter 541 of the Texas Insurance Code. (Dkt. No. 30 at 2). II. LEGAL STANDARD Summary judgment is appropriate when there is âno genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.â Fed. R. Civ. P. 56(a). âA material fact is one that might affect the outcome of the suit under governing law,â and âa fact issue is genuine if the evidence is such that a reasonable jury could return a verdict for the non-moving party.â Renwick v. PNK Lake Charles, L.L.C., 901 F.3d 605, 611 (5th Cir. 2018) (internal quotation marks omitted). The moving party âalways bears the initial responsibility of informing the district court of the basis for its motion,â and identifying the record evidence âwhich it believes demonstrate[s] the absence of a genuine issue of material fact.â Celotex Corp. v. Catrett, 477 U.S. 317, 323, 106 S.Ct. 2548, 2553, 91 L.Ed.2d 265 (1986). âIf the moving party fails to meet [its] initial burden, the motion [for summary judgment] must be denied, regardless of the nonmovantâs response.â Little v. Liquid Air Corp., 37 F.3d 1069, 1075 (5th Cir. 1994) (en banc) (per curiam). If the movant meets this burden, the nonmovant must then come forward with specific facts showing there is a genuine issue for trial. Fed. R. Civ. P. 56(c); Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 586â87, 106 S.Ct. 1348, 1356, 89 L.Ed.2d 538 (1986). The nonmovant must âgo beyond the pleadings and by [the nonmovantâs] own affidavits, or by the depositions, answers to interrogatories, and admissions on file, designate specific facts showing that there is a genuine issue for trial.â Nola Spice Designs, LLC v. Haydel Enters., Inc., 783 F.3d 527, 536 (5th Cir. 2015) (internal quotation marks omitted). âIf the evidence is merely colorable, or is not significantly probative,â summary judgment is appropriate. Parrish v. Premier Directional Drilling, L.P., 917 F.3d 369, 378 (5th Cir. 2019) (internal quotation marks omitted). The nonmovantâs burden âwill not be satisfied by âsome metaphysical doubt as to the material facts, by conclusory allegations, by unsubstantiated assertions, or by only a scintilla of evidence.ââ Boudreaux v. Swift Transp. Co., 402 F.3d 536, 540 (5th Cir. 2005) (quoting Little, 37 F.3d at 1075). But the district court must view the evidence in the light most favorable to the nonmovant. Coleman v. Hous. Indep. Sch. Dist., 113 F.3d 528, 533 (5th Cir. 1997). III. EVIDENTIARY OBJECTIONS Both Parties object to certain summary-judgment evidence introduced by the other. (Dkt. No. 36 at 10â11); (Dkt. No. 40). The Jesus Church objects to Church Mutualâs Exhibits AâI, arguing these exhibits are inadmissible hearsay and otherwise inadmissible. (Dkt. No. 36 at 10â11). Church Mutual objects to the Jesus Churchâs Exhibits 12, 14, 15, and 21, arguing these exhibits contain improper expert testimony and are not relevant. (Dkt. No. 40). The Court addresses each Partyâs objections in turn. A. THE JESUS CHURCHâS EVIDENTIARY OBJECTIONS In what can only be described as a âhead-scratcher,â the Jesus Church objects to some of Church Mutualâs evidence only to introduce that same evidence itself. As Church Mutual points out, its Exhibits CâI, which the Jesus Church objects to, are identical to exhibits the Jesus Church introduces. (Dkt. No. 41 at ¶ 4). Church Mutualâs Exhibit A, which the Jesus Church also objects to, includes portions of the Policy. (Dkt. No. 30-1). But the Jesus Church includes the entire Policy as its Exhibit 1, which includes everything in Church Mutualâs Exhibit A and then some. (Dkt. No. 36-1); see also (Dkt. No. 41 at 3â 4). The only exhibit offered by Church Mutual that the Jesus Church objects to and doesnât introduce itself is Church Mutualâs Exhibit B. (Dkt. No. 41 at ¶ 4). Church Mutualâs Exhibit B is a copy of a letter in which Church Mutual acknowledged receipt of the Jesus Churchâs claim. (Dkt. No. 30-2). The Court does not rely on any of the exhibits the Jesus Church objects to and did not itself offer, either because they are not relevant to the Courtâs analysis of the issues raised by the Partiesâwhich is the case for Church Mutualâs Exhibit B. Accordingly, the Court OVERRULES the Jesus Churchâs evidentiary objections as moot. See, e.g., Garcia v. City of Laredo, 5:12-CV-00117, 2014 WL 2815682, at *1 n.1 (S.D. Tex. June 20, 2014). B. CHURCH MUTUALâS EVIDENTIARY OBJECTIONS 1. Exhibit 12 Church Mutual first objects to the Jesus Churchâs Exhibit 12: the affidavit of Phil Spotts. (Dkt. No. 40 at 2). Church Mutual argues that Spottsâs affidavit is inadmissible because it primarily consists of legal opinions, which expert witnesses may not offer. (Id. at ¶¶ 2â5). The Jesus Church counters that the affidavit is admissible because it includes factual background information that would be helpful to a jury. (Dkt. No. 46 at ¶¶ 11â 13). â[U]nsupported allegations or affidavits setting forth ultimate or conclusory facts and conclusions of law are insufficient to either support or defeat a motion for summary judgment.â Galindo v. Prevision Am. Corp., 754 F.2d 1212, 1216 (5th Cir. 1985) (internal quotation marks omitted). Spottsâs affidavit consists almost entirely of restating facts found elsewhere in the evidence and drawing legal conclusions concerning the application of the Texas Insurance Code to the Jesus Churchâs claims. See (Dkt. No. 37- 1). Spotts walks through each provision of Chapter 541 of the Texas Insurance Code that Church Mutual allegedly violated and opines on why those provisions were violated. (Id.). Because Spottsâs affidavit is âwholly or almost wholly conclusory,â it is inadmissible as summary-judgment evidence.3 See Orthopedic & Sports Inj. Clinic v. Wang Labâys, Inc., 922 F.2d 220, 225 (5th Cir. 1991). Accordingly, the Court SUSTAINS this objection. 2. Exhibit 14 Church Mutual also objects to the Jesus Churchâs Exhibit 14, the Underwriting Risk Control Inspection Report (the âUnderwriting Reportâ). (Dkt. No. 36-17); (Dkt. No. 40 at 7). Church Mutual argues that the Underwriting Report is inadmissible because it is irrelevant. (Dkt. No. 40 at ¶¶ 10â14). In Church Mutualâs view, the Underwriting Report âconducted over two years before the stormâ was not intended to reflect âa 3 Church Mutual does not appear to object to the Jesus Churchâs Exhibit 12-A, which is Phil Spottsâs report. See (Dkt. No. 36-15). Spotts authored the report before Church Mutualâs corporate representative was deposed. Spotts authored the affidavit (Exhibit 12) after the deposition. See (Dkt. No. 37-1 at 3 ¶ 6). The Courtâs ruling on this evidentiary objection is limited to Spottsâs affidavit. (Id.). comprehensive assessment of the propertyâs conditionâ and is not relevant evidence of the Propertyâs condition before Hurricane Harvey hit. (Id. at ¶ 13). The Jesus Church disagrees, arguing that the Underwriting Report is relevant under Federal Rule of Evidence 401. (Dkt. No. 46 at ¶¶ 18â22). Federal Rule of Evidence 401 states that evidence is relevant if âit has any tendency to make a fact more or less probable than it would be without the evidence; and . . . the fact is of consequence in determining the action.â Fed. R. Evid. 401. The Fifth Circuit has described this threshold as a âlow bar.â Novick v. Shipcom Wireless, Inc., 946 F.3d 735, 741 (5th Cir. 2020). One of the facts at issue in this case is the condition of the Property before Hurricane Harvey. Church Mutual raises valid points as to how much bearing the Underwriting Report has on that question, but those points go to the weight of the evidence, not its admissibility. The Underwriting Report recommends that the overall exterior of the Property was âfound to be in overall good condition and good maintenance.â (Dkt. No. 36-17 at 6). The Court cannot say that this evidence does not have any tendency to make it more likely that the Property was in good condition before the storm. See Fed. R. Evid. 401. Because the Jesus Churchâs Exhibit 14 surpasses Rule 401âs âlow bar,â it is admissible summary-judgment evidence. Accordingly, the Court OVERRULES this objection. 3. Exhibit 15 Next, Church Mutual objects to the Jesus Churchâs Exhibit 15, which is Church Mutualâs âClaim Handling Best Practices and Guidelines.â (Dkt. No. 36-18). Church Mutual argues that it is irrelevant and is therefore inadmissible. (Dkt. No. 40 at ¶¶ 15â 21). Specifically, Church Mutual contends that Exhibit 15 is only referenced in Spottsâs affidavit (i.e., Exhibit 12, which it also objects to); Spotts makes only limited references to Exhibit 15; and those references are irrelevant as evidence of bad faith. (Id.). In response, the Jesus Church argues that the focus of the inquiry is the âreasonablenessâ of Church Mutualâs claims handling conduct, and that compliance with its own claims handling guidelines is relevant to how the claim was handled. (Dkt. No. 46 at ¶¶ 23â26). As discussed in greater detail below, the central focus of the Courtâs analysis is whether Church Mutual had a reasonable basis to deny or delay payment of the Jesus Churchâs claim. The Court OVERRULES Church Mutualâs objection. See Garcia, 2014 WL 2815682, at *1 n.1. 4. Exhibit 21 Finally, Church Mutual objects to the Jesus Churchâs Exhibit 21. (Dkt. No. 40 at ¶¶ 22â25). Exhibit 21 is Church Mutualâs Non-Renewal Letter of the Jesus Churchâs Policy and the Jesus Churchâs Claims History. (Dkt. No. 36-24). Again, Church Mutual argues that Exhibit 21 is irrelevant. (Dkt. No. 40 at ¶¶ 22â25). The Jesus Church disagrees. (Dkt. No. 46 at ¶¶ 27â30). The only apparent purpose for which the Jesus Church introduces Exhibit 21 is as evidence that Church Mutual acted in bad faith. Again, as discussed below, whether Church Mutual acted in bad faith turns on whether it had a reasonable basis to deny or delay payment of the Jesus Churchâs claim. But in undertaking that inquiry, the Court is limited to the facts before the insurer at the time the claim was denied. Thompson v. Zurich Am. Ins. Co., 664 F.3d 62, 67 (5th Cir. 2011). Church Mutualâs Non-Renewal Letter was issued after the claim was allegedly denied and does not otherwise concern the delay of payment. The Court cannot consider it with respect to Church Mutualâs alleged bad faith. See id. Accordingly, the Court SUSTAINS this objection. IV. DISCUSSION Having addressed the evidentiary issues, the Court now turns to the Partiesâ substantive arguments. Church Mutual moves for summary judgment on the Jesus Churchâs claims that Church Mutual violated the common-law duty of good faith and fair dealing and failed to comply with Chapter 541 of the Texas Insurance Code.4 First the Court addresses Church Mutualâs argument that these claims fail because the Jesus Church has not suffered an âindependent injury.â Then, the Court addresses the claims on the merits. A. INDEPENDENT-INJURY RULE Church Mutual argues that the Jesus Churchâs common-law and statutory claims fail because the Jesus Church did not suffer an injury independent from the loss of benefits. (Dkt. No. 30 at ¶¶ 34â37). The Jesus Church contends no independent injury is required. (Dkt. No. 36 at ¶¶ 33â35). The Court agrees with the Jesus Church. Both Parties rely on the Supreme Court of Texasâs decision in USAA Texas Lloyds Co. v. Menchaca. 545 S.W.3d 479 (Tex. 2018). In Menchaca, the Supreme Court of Texas described âfive distinct but interrelated rules that govern the relationship between 4 Church Mutual has not moved for summary judgment on the Jesus Churchâs breach-of- contract claim. (Dkt. No. 1 at 18â19) (Count I). Nor has Church Mutual moved for summary judgment on the Jesus Churchâs claim under Chapter 542 of the Texas Insurance Code. (Id. at 20â 21) (Count III). contractual and extra-contractual claims in the insurance context.â Id. at 489. Three are relevant here. First, an insured cannot recover policy benefits as damages for the insurerâs statutory violation if the policy doesnât give the insured a right to those benefits. Id. at 490â95. The Parties agree that a dispute remains as to whether the Jesus Church is entitled to additional benefits under the Policy. Because that remains an open question at this stage, the Jesus Church is not precluded from asserting extra-contractual claims. Second, âan insured who establishes a right to receive benefits under an insurance policy can recover those benefits as âactual damagesâ under the statute if the insurerâs statutory violation causes the loss of the benefits.â Id. at 495. Put differently, â[i]f an insurerâs wrongful denial of a valid claim for benefits results from or constitutes a statutory violation, the resulting damages will necessarily include at least the amount of the policy benefits wrongfully withheld.â Id. at 496 (internal quotation marks omitted). An insured can recover under the Texas Insurance Code even without asserting a breach- of-contract claim. Id at 495. Third, âif an insurerâs statutory violation causes an injury independent of the loss of policy benefits, the insured may recover damages for that injury even if the policy does not grant the insured a right to benefits.â Id. at 489. This âindependent-injury ruleâ says that an insured can assert extra-contractual claims to recover damages for an independent injury even if the policy does not entitle the insured to benefits. Id. at 499. It also says that âan insurerâs statutory violation does not permit the insured to recover any damages beyond policy benefits unless the violation causes an injury that is independent from the loss of the benefits.â Id. at 500 (emphasis in original). Menchaca âclarifies definitively that where an insured seeks to recover damages for an insurerâs violations of the Texas Insurance Code, the insured must prove either (1) a right to receive benefits under the policy; or (2) compliance with the independent-injury rule.â Garza v. Allstate Fire & Cas. Ins. Co., 466 F. Supp. 3d 705, 713 (S.D. Tex. 2020) (emphasis added); accord Burgess v. Allstate Fire & Cas. Ins. Co., 641 S.W.3d 474, 485 (Tex. App.âAustin 2021, no pet.). Here, the Jesus Church is pursuing the first option but not the second. Church Mutualâs assertion that Menchaca requires an independent injury to assert extra-contractual claims is incorrect. See Lyda Swinerton Builders, Inc. v. Okla. Sur. Co., 903 F.3d 435, 451 (5th Cir. 2018) (â[T]he independent-injury rule does not restrict the damages an insured can recover under the entitled-to-benefits rule. Rather, the independent-injury rule limits the recovery of other damages that âflowâ or âstemâ from a mere denial of policy benefits.â (emphasis in original)). B. COMMON-LAW DUTY OF GOOD FAITH The Court now turns to the merits, starting with the Jesus Churchâs claim that Church Mutual violated the common-law duty of good faith and fair dealing. (Dkt. No. 1 at ¶¶ 76â79). Under Texas Law, an insurer has a common-law duty of good faith and fair dealing. Arnold v. Natâl Cnty. Mut. Fire Ins. Co., 725 S.W.2d 165, 167 (Tex. 1987). Claims alleging violations of this duty are analyzed under the reasonable-basis test. Higginbotham v. State Farm Mut. Auto. Ins. Co., 103 F.3d 456, 459 (5th Cir. 1997). Under this test, a breach of the duty of good faith and fair dealing by the insurer can only be found if there was âno reasonable basis for denying or delaying payment of a claim or when the insurer fails to determine or delays in determining whether there is any reasonable basis for denial.â Id. (emphasis in original). Thus, the insured must establish not just the absence of a reasonable basis for denying or delaying payment of the claim, but that the insurer knew or should have known of that absence. Id. This requires the insured to show âthat there were no facts before the insurer which, if believed, would justify denial of the claim.â Id. âAs long as the insurer has a reasonable basis to deny or delay payment of a claim, even if that basis is eventually determined by the fact finder to be erroneous,â the insurer is not liable for breach of the duty of good faith and fair dealing. Id. âEvidence establishing only a bona fide coverage dispute does not demonstrate bad faith.â State Farm Fire & Cas. Co. v. Simmons, 963 S.W.2d 42, 44 (Tex. 1998). 1. Church Mutualâs Evidence5 Church Mutual argues there is no genuine dispute that it had a reasonable basis for its coverage determination. Church Mutual bears the burden on this issue. Celotex, 477 U.S. at 323, 106 S.Ct. at 2553. Church Mutualâs chief contention is that it never denied coverage at all and that it paid the Jesus Churchâs claim. (Dkt. No. 30 at 2, 7). As a result, Church Mutual reasons, the Partiesâ only remaining disagreement is whether the amount 5 Throughout this Memorandum Opinion and Order, the Courtâs review is limited to the specific evidence identified by the Parties in their briefing on Church Mutualâs Motion for Partial Summary Judgment. See Hernandez v. Yellow Transp., Inc., 670 F.3d 644, 651 (5th Cir. 2012). âIf somewhere in a record there is evidence that might show a dispute of material fact, the district court needs to be pointed to that evidence as opposed to having to engage in an extensive search.â Id. Church Mutual paid was sufficient. (Id.). The Court finds that Church Mutual has provided sufficient evidence to meet its initial burden. Church Mutual argues that it never denied the claim at all. Church Mutual cites evidence that it ultimately determined the total replacement cost value of the Jesus Churchâs claim was $355,073.91. (Dkt. No. 30 at ¶ 6); (Dkt. No. 36-23). Based on this total and subtracting the deductible and depreciation, Church Mutual ultimately paid the Jesus Church a total of $304,445.87 for its claim. (Dkt. No. 36-16); (Dkt. No. 36-21); (Dkt. No. 36-23). From Church Mutualâs perspective, this payment represented full coverage for the damage. (Dkt. No. 42 at ¶ 1). Thus, according to Church Mutual, the Jesus Churchâs only remaining dispute is over the amount Church Mutual paid on the claim, which is merely a âbona fide coverage dispute.â Simmons, 963 S.W.2d at 44. Church Mutual further contends that regardless of whether the amount it paid on the Jesus Churchâs claim is later determined to be correct, the amount it paid was not unreasonable or otherwise the product of bad faith. In support, Church Mutual cites the following evidence. Church Mutual acknowledged the Jesus Churchâs claim two days after it was received. (Dkt. No. 36-2). Just over one month later, Church Mutual issued an advance payment of $40,000 to the Jesus Church. (Dkt. No. 36-16). The letter accompanying this payment stated that Church Mutual had âconfirmed damages caused by Hurricane Harvey to the Church and the [parsonage]â and was issuing advanced payment âuntil we can determine the agreed scope of repairs.â (Id. at 2). Church Mutualâs independent adjusters continued to investigate the claim, and based on a detailed estimate, determined the replacement cost value of the Jesus Churchâs claim was $298,568.36. (Dkt. No. 36-20 at 41, 51). Approximately five months after receiving the claim, Church Mutual issued payment to the Jesus Church based on this replacement cost value, subtracting recoverable depreciation, the deductible, and the prior $40,000 payment, totaling $216,412.67.6 (Dkt. No. 36-21). Church Mutual then claims that â[b]ecause [the Jesus Churchâs] adjuster disagreed with the scope and valuation of the damages as identified by Church Mutualâs independent adjusters,â Church Mutual continued to investigate the claim. (Dkt. No. 30 at ¶ 5). Church Mutual retained an engineering firm, which conducted a site inspection and issued the Engineerâs Report detailing the extent of the storm-related damage during Hurricane Harvey. (Dkt. No. 36-7). After the Engineerâs Report, Church Mutual prepared a revised estimate, reflecting a new, increased total replacement cost value of $355,073.91. (Dkt. No. 36-23). Based on this new total replacement cost value and subtracting recoverable depreciation, the deductible, and the two prior payments totaling $256,412.67, Church Mutual issued an additional $48,033.20 payment to the Jesus Church on July 12, 2018. (Id.). 6 The Jesus Church argues that Church Mutualâs adjuster subtracted $127,502.22 for a prior payment that was never made to the Jesus Church. (Dkt. No. 36 at ¶ 15). Church Mutual agrees that its adjusterâs estimate erroneously reflected this prior payment, but asserts that when Church Mutual actually issued payment, the error was corrected. (Dkt. No. 42 at 3). The evidence shows the erroneously applied payment was not factored into the payment actually issued. (Dkt. No. 36-21). Concerning the five months it took to issue what Church Mutual claims it initially determined to be full payment, Church Mutual attributes the delay to the large number of Hurricane Harvey claims it received and to the Jesus Churchâs own adjusterâs delay in submitting a statement of loss or estimate of damages. (Dkt. No. 42 at 3â4). Church Mutual cites the two letters it sent the Jesus Church requesting additional time due to the heavy claim volume associated with Hurricane Harvey. (Dkt. No. 36-3); (Dkt. No. 36-4). Church Mutual also cites evidence that it received the Jesus Churchâs required proof of loss on December 20, 2017âless than two months before it issued payment. (Dkt. No. 42-1); see also (Dkt. No. 36-1 at 42â43) (Policy provision requiring the insured to provide proof of loss). Church Mutual has provided sufficient evidence to carry its initial burden. See Celotex, 477 U.S. at 323, 106 S.Ct. at 2553. The evidence demonstrates that Church Mutual had a reasonable basis for its coverage determination, the payment it issued, and the time it took to issue payment. See Higginbotham, 103 F.3d at 459â60. Church Mutualâs determination was reasonably based on multiple investigations, reports, and estimates. While Church Mutualâs determination could still turn out to be incorrect at trial, the question at this stage is only whether Church Mutualâs determination was reasonable, and the evidence shows that it was. 2. The Jesus Churchâs Evidence Because Church Mutual carried its initial burden, it now becomes the Jesus Churchâs burden to come forward with specific facts showing a genuine issue for trial. Matsushita, 475 U.S. at 586â87, 106 S.Ct. at 1356. The Jesus Church has identified evidence that it argues shows a genuine issue as to whether Church Mutual denied its claim, whether that denial was reasonable, and whether Church Mutualâs delay in issuing payment was reasonable. The Court now evaluates each piece of evidence in turn, ultimately concluding that the Jesus Church has failed to satisfy its burden. a. Whether the Claim Was Denied The Jesus Church disputes Church Mutualâs position that it never denied the Jesus Churchâs claim. On this point, the Jesus Church has identified evidence that creates a genuine fact issue. Church Mutualâs corporate representative, DeWade Wiggins, testified during his deposition as follows: Questioner: Okay. And itâs Church Mutualâs position that theyâre denying part of this claim for wear and tear, rust, deterioration, hidden or latent defects. Is that correct? Wiggins: Correct. Questioner: Okay. And theyâre relying on the March 15th, 2018, engineer report to make that determination, right? Wiggins: Yes. (Dkt. No. 36-19 at 49). This evidence shows that Church Mutualâs position, at least at one time, was that it denied part of the Jesus Churchâs claim because of preexisting defects identified in the Engineerâs Report. (Id.). Church Mutual points to other statements from Wigginsâs deposition to argue that his testimony is actually consistent with Church Mutualâs position that the Jesus Churchâs claim was never denied. (Dkt. No. 42 at 4). But at the summary-judgment stage, the Jesus Church need only identify evidence to demonstrate a genuine fact issue. Wigginsâs unequivocal confirmation that part of the Jesus Churchâs claim was denied is sufficient to create a fact issue as to whether Church Mutual denied part of the Jesus Churchâs claim. b. Whether the Denial Was Reasonable But the inquiry doesnât end there. Even if Church Mutual did deny payment for a portion of the claim, Church Mutual is still entitled to summary judgment if it had a reasonable basis to do so. Higginbotham, 103 F.3d at 459. The Jesus Church must identify evidence showing there is a genuine dispute over whether there are any facts before Church Mutual, which, if believed, would justify its denial of the Jesus Churchâs claim. See id. Church Mutualâs corporate representative testified that part of the claim was denied based on information in the Engineerâs Report. The Jesus Church argues that relying on the Engineerâs Report was unreasonable. â[T]he mere fact that an insurer relies upon an expertâs report to deny a claimâ does not automatically foreclose a finding of bad faith. State Farm Lloyds v. Nicolau, 951 S.W.2d 444, 448 (Tex. 1997); accord Certain Underwriters at Lloydâs, London v. Prime Nat. Res., Inc., 634 S.W.3d 54, 75 (Tex. App.â Houston [1st Dist.] 2019, no pet.). If âthe report was not objectively prepared or the insurerâs reliance on the report was unreasonable,â a jury could still find that the insurer acted in bad faith. Nicolau, 951 S.W.2d at 448. Additionally, âevidence casting doubt on the reliability of the insurerâs expertâs opinions may support a bad-faith finding.â Id. As discussed, the Jesus Church has identified evidence that Church Mutual denied part of the Jesus Churchâs claim based on the Engineerâs Report. (Dkt. No. 36-19 at 49). The Jesus Church argues Church Mutualâs reliance on the Engineerâs Report was unreasonable for two reasons: (1) the report incorrectly found preexisting defects and (2) Church Mutual erroneously relied on it to determine there was flooding. Preexisting Defects Because Church Mutual purportedly relied on the Engineerâs Reportâs findings of preexisting defects to the Property to partially deny the claim, the Jesus Church points to evidence showing there were no preexisting defects to the Property. (Dkt. No. 36 at ¶¶ 21â22). The Jesus Church cites the Underwriting Report, which Church Mutual completed in 2015. (Dkt. No. 36-17 at 2). In the Underwriting Report, Church Mutual found â[t]he overall exteriors of [the Property] to be in overall good condition and good maintenance.â (Id. at 6). The Jesus Church also points out that none of the adjusters who inspected the Property before the engineer found any preexisting defects. (Dkt. No. 36 at ¶ 46) (citing (Dkt. No. 36-5 at 4); (Dkt. No. 36-20)). Church Mutual argues that this evidence does not show that the Property was free from preexisting defects prior to Hurricane Harvey. (Dkt. No. 40 at ¶¶ 12â13). While that could prove true at trial, the Court may not weigh the evidence at the summary-judgment stage. Nevertheless, the evidence the Jesus Church has provided is insufficient to generate a fact question concerning whether Church Mutualâs reliance on the Engineerâs Report was reasonable. First, the fact that the Engineerâs Report was inconsistent with the adjustersâ previous reports doesnât make it unreasonable for Church Mutual to rely on it.7 See 7 The Jesus Church raises many arguments related to Church Mutualâs adjusters. For instance, the Jesus Church takes issue with Church Mutual changing adjusters, (Dkt. No. 36 at ¶ 4), choosing not to abide by each adjusterâs recommendation, (Id. at ¶ 40), the duration of the (continue) Thompson, 664 F.3d at 67 (âConflicting expert opinions, by themselves, do not establish that the insurer acted unreasonably in relying on its own expert.â). The Jesus Church must also âbring direct or circumstantial evidence showing that [Church Mutualâs] expertâs opinion was questionable and that [Church Mutual] knew or should have known that the opinion was questionable.â Id. The Jesus Church has failed to meet this burden. Second, even assuming the Underwriting Report does show that the Engineerâs Report was wrong to find preexisting defects in the Property, the Jesus Church must provide evidence showing not just that the Engineerâs Report was inaccurate, but that the error in the engineerâs investigation âis of such magnitude as to affirmatively cast doubt on [Church Mutualâs] basis for denial.â Id. at 68. Though the Jesus Church points to actions not taken by the engineer, such as failing to request âmaintenance records, receipts, documents, prior photos, or [other] informationâ about the Propertyâs condition, (Dkt. No. 36 at ¶ 22), it is not Church Mutualâs duty to âleave no stone unturned.â Wells v. Minn. Life Ins. Co., 885 F.3d 885, 897 (5th Cir. 2018) (internal quotation marks omitted). At most, this evidence shows a genuine dispute as to whether the Engineerâs Reportâs adjustersâ inspections, (Dkt. No. 36-15 at 24), and the methodology employed by the adjusters, (Id.). These arguments amount to nothing more than disagreements with Church Mutualâs investigation of the Jesus Churchâs claim and its ultimate determination. Even if the Jesus Churchâs assertions about the adjusters ultimately prove true, they do not change the fact that Church Mutualâs coverage determination was supported by numerous inspections and estimates. See Higginbotham, 103 F.3d at 459; see also State Farm Lloyds, Inc. v. Polasek, 847 S.W.2d 279, 287 (Tex. App.âSan Antonio 1992, writ denied) (â[T]he bad faith action is reserved for cases of flagrant denial or delay of payment where no reasonable basis existed, and not for mere unreasonable denial or delay.â). Thus, the Jesus Churchâs arguments related to Church Mutualâs adjusters do not âestablish the absence of a reasonable basis for denying or delaying payment of the claim.â See Higginbotham, 103 F.3d at 459. conclusion about preexisting damage was correct, not that it wasnât âobjectively prepared or the insurerâs reliance on the report was unreasonable.â Nicolau, 951 S.W.2d at 448. Flood Damage The Jesus Church also provides evidence that Church Mutual relied on the Engineerâs Report to determine there was flooding to the Property when in fact there was none.8 (Dkt. No. 36 at ¶ 39); (Dkt. No. 46 at ¶¶ 15â17). The Jesus Church points to the deposition testimony of its own corporate representative, Joel Steinhauer, who testified that there was no flooding to the Property. (Dkt. No. 36-13 at 12); see also (Dkt. No. 36-8 at ¶ 14). In its briefing, Church Mutual agrees but maintains that neither it nor the Engineerâs Report âever alleged that the building flooded.â (Dkt. No. 40 at ¶¶ 6â7). Itâs true that the Engineerâs Report did not find flooding (which is excluded) on the Propertyâit only found that wind-driven rain (which is not excluded) intruded under the doors and âfloodedâ the floors. (Dkt. No. 36-7 at 7). Yet Church Mutualâs corporate representative, DeWade Wiggins, testified during his deposition that the Property did flood and that this determination was based on the Engineerâs Report: Questioner: [I]s it Church Mutualâs position that there was the traditional type of flooding at Jesus Church property that came from the ground or a tidal wave or a body of water? Wiggins: Yes. 8 Flooding is relevant because the Jesus Churchâs Policy contains a âWater Exclusion Endorsement,â which âexcludes from coverage damage as a result of flood, surface water, waves (including tidal wave and tsunami), tides, tidal water, overflow of any body of water, . . . water under the ground surface pressing on flowing or seeping through foundations, wall, floors, basements, doors, windows or other openings.â (Dkt. No. 36-2); see also (Dkt. No. 36-1 at 53). Questioner: Okay. So Church Mutual believes that there was flood on the property from Hurricane Harvey? Wiggins: Yes. Questioner: Okay. Where does Church Mutual obtain the information from to verify floodwaters for that location? Wiggins: The engineerâs report. (Dkt. No. 36-19 at 48). The conflict between the Engineerâs Report and Wigginsâs deposition shows that Church Mutual has been inconsistent about whether there was flooding on the Property. But that is irrelevant to whether it was reasonable for Church Mutual to rely on the Engineerâs Report to partially deny the Jesus Churchâs claim. The Jesus Church has provided no evidence that Church Mutual denied coverage because of the policy exclusion for flood damage. The only evidence that there was any denial at all suggests that denial was based on pre-existing defectsânot flood damage. (Dkt. No. 36-19 at 49). What is more, Church Mutual has cited evidence that it paid for the wind-driven rain damage the Engineerâs Report refers to. (Dkt. No. 40 at ¶ 7) (citing (Dkt. No. 36-20 at 11â 12); (Dkt. No. 36-21). *** The Jesus Church has not provided evidence demonstrating a genuine fact issue about whether Church Mutualâs reliance on the Engineerâs Report was reasonable. At most, the Jesus Church has shown there is still a dispute over whether the Engineerâs Reportâs findings were accurate and whether Church Mutualâs valuation of the claim was correct. In other words, the Jesus Church has shown a âbona fide coverage dispute.â See Simmons, 963 S.W.2d at 44. The Jesus Church has not shown that Church Mutualâs reliance on the Engineerâs Report was unreasonable or that the Engineerâs Report wasnât objectively prepared. See Nicolau, 951 S.W.2d at 448. The Engineerâs Report was based on a site visit and examination of the Property, reviewing photographs, and meetings with representatives from the Jesus Church. (Dkt. No. 36-7 at 3â6). It was reasonable for Church Mutual to rely on this report. c. Whether the Delay Was Reasonable The Jesus Church argues not just that Church Mutual had no reasonable basis to deny its claim, but also that it had no reasonable basis to delay its claim. See Higginbotham, 103 F.3d at 459 (âA cause of action for breach of the duty of good faith and fair dealing exists when the insurer has no reasonable basis for denying or delaying payment of a claim or when the insurer fails to determine or delays in determining whether there is any reasonable basis for denial.â). As stated above, Church Mutual has provided evidence sufficient to carry its initial burden to show that any delay was reasonable: Church Mutual points out that it notified the Jesus Church that there was covered damage and issued an advance payment just over a month after receiving the claim. (Dkt. No. 36-16). Church Mutual also points to the two requests for additional time it made due to the heavy claim volume associated with Hurricane Harvey. (Dkt. No. 36-3); (Dkt. No. 36-4). Last, Church Mutual attributes delay to the Jesus Church. Church Mutual highlights that the insurance policy required the Jesus Church to submit a âsigned, sworn proof of loss.â (Dkt. No. 36-1 at 43). But the estimate from the Jesus Churchâs adjusterâthe only statement of loss Church Mutual receivedâwas not sent until December 20, 2017. (Dkt. No. 42-1). Church Mutual issued payment less than two months later. (Dkt. No. 36-21). In response, the Jesus Church has only provided evidence of the delay itself; it has come forward with no evidence to dispute Church Mutualâs explanation for the delay or discount Church Mutualâs evidence showing that the delay was reasonable and not the product of bad faith. Accordingly, there is no genuine dispute concerning the Jesus Churchâs bad-faith claim based on Church Mutualâs delay. See Cooper Indus., Ltd. v. Natâl Union Fire Ins. Co., No. 4:12-CV-01591, 2016 WL 3405295, at *10 (S.D. Tex. June 21, 2016) (finding an eleven-month delay in filing proof of loss meant that the insured could not claim a bad-faith delay); Gen. Star Indem. Co. v. Sherry Brooke Revocable Trust, 243 F. Supp. 2d 605, 613 (W.D. Tex. 2001) (â[A]ll that [the plaintiffs] have to support their claim of bad faith is the fact that it took a year and nine months for [the insurer] to deny their claims. This allegation is not sufficient to raise a genuine issue of material fact.â). *** In sum, Church Mutual is entitled to summary judgment on the Jesus Churchâs common-law duty-of-good-faith-and-fair-dealing claim if Church Mutual had a reasonable basis for its determination. Higginbotham, 103 F.3d at 459. The summary- judgment evidenceâthe investigations, estimates, and reports of Church Mutualâs adjusters and its engineerâshows that Church Mutual had a reasonable basis. Even if the Jesus Church could prove at trial that Church Mutualâs denial or delay of payment was erroneous, they were not unreasonable. Id. The Jesus Churchâs arguments and evidence establish only a bona fide coverage dispute. Simmons, 963 S.W.2d at 44. This is insufficient to create a genuine dispute as to whether Church Mutual acted in bad faith. Id. Accordingly, the Court grants summary judgment in favor of Church Mutual on the Jesus Churchâs common-law duty-of-good-faith-and-fair-dealing claim. C. CHAPTER 541 OF THE TEXAS INSURANCE CODE The Jesus Church also raises claims under Chapter 541 of the Texas Insurance Code. Some Chapter 541 claims ârequire the same predicate for recoveryâ as common- law duty-of-good-faith claims: a showing of bad faith. Higginbotham, 103 F.3d at 460. For these Chapter 541 claims, the same âreasonable-basis testâ used to evaluate common-law good-faith claims applies. Weiser-Brown Operating Co. v. St. Paul Surplus Lines Ins. Co., 801 F.3d 512, 525â26 (5th Cir. 2015). Not all Chapter 541 claims, however, share the same bad-faith predicate for recovery as common-law duty-of-good-faith claims, and therefore, not all Chapter 541 claims are analyzed under the reasonable-basis test. Jajou v. Safeco Ins. Co. of Ind., No. SA- 20-CV-00839-XR, 2022 WL 220391, at *10â12 (W.D. Tex. Jan. 24, 2022); J.P. Columbus Warehousing, Inc. v. United Fire & Cas. Co., No. 5:18-CV-00100, 2021 WL 799321, at *11â12 (S.D. Tex. Jan. 13, 2021); Greenville Townhome Owners Assân, Inc. v. Phila. Indem. Ins. Co., 473 F. Supp. 3d 692, 699â700 (N.D. Tex. 2020); Hall Arts Ctr. Office, LLC v. Hanover Ins. Co., 327 F. Supp. 3d 979, 999â1000 (N.D. Tex. 2018). When a Chapter 541 claim relies on a theory other than bad faith, it must be analyzed separately from the bad-faith claims. Greenville Townhome Owners Assân Inc., 473 F. Supp. 3d at 699â700 (âPlaintiffâs claims under the Texas Insurance Code that do not share the same theory of liability as Plaintiffâs bad faith claim are unrelated to an allegedly incorrect coverage determination and are instead related to other claimed improper practices related to the settlement process.â). The Jesus Church raises claims under Sections 541.060(a)(1), (a)(2)(A), (a)(3), (a)(4), and (a)(7) of the Texas Insurance Code. (Dkt. No. 1 at ¶¶ 64â70). As discussed above, the Jesus Churchâs theory of liability for its claim that Church Mutual breached the common-law duty of good faith and fair dealing is that Church Mutual unreasonably delayed payment and unreasonably denied part of the claim. The Jesus Church relies on this same theory in support of its Chapter 541 claims against Church Mutual under Sections 541.060(a)(1),9 (a)(2)(A), and (a)(7). See (Dkt. No. 36 at 14â17). Accordingly, for the same reasons the Court grants summary judgment in favor of Church Mutual on the breach of the common-law duty-of-good-faith-and-fair-dealing claims, the Court grants summary judgment on the Jesus Churchâs claims under Sections 541.060(a)(1), (a)(2)(A), and (a)(7). This leaves only the claims under Sections 541.060(a)(3) and (a)(4). Unlike the other Chapter 541 claims, the Jesus Churchâs theory of liability for its claim under Sections 541.060(a)(3) and (a)(4) is not based on bad faith. Under Section 541.060(a)(3), it is an unfair settlement practice if an insurer âfail[s] to promptly provide to a policyholder a 9 Under Section 541.060(a)(1), it is an unfair settlement practice if an insurer âmisrepresent[s] to a claimant a material fact or policy provision relating to coverage at issue.â The Jesus Church attempts to frame Church Mutualâs coverage determinations (which it disagrees with) as misrepresentations of policy provisions. (Dkt. No. 36 at ¶¶ 37â41). The Jesus Church disagreements with Church Mutualâs conclusions does not make them misrepresentations. â[A] bona fide dispute over the extent of coverage does not rise to the level of a violation of section 541.060(a)(1).â Richardson E. Baptist Church v. Phila. Indem. Ins. Co., No 05- 14-01491-CV, 2016 WL 1242480, at *8 (Tex. App.âDallas Mar. 30, 2016, pet. denied). reasonable explanation of the basis in the policy . . . for the insurerâs denial of a claim[.]â Tex. Ins. Code § 541.060(a)(3). Under Section 541.060(a)(4), it is an unfair settlement practice if the insurer âfail[s] within a reasonable time to[] affirm or deny coverage of a claim to a policy holder [or] submit a reservation of rights to a policyholder.â Id. § 541.060(a)(4). For both of these claims, the Jesus Churchâs theory is that Church Mutual partially denied its claim yet never provided any explanation for the denial. (Dkt. No. 36 at ¶¶ 43â45). The Jesus Church cites the deposition of Church Mutualâs corporate representative, which shows that Church Mutual did not provide an explanation for its denial prior to litigation. (Dkt. No. 36-19 at 43, 61). This theory does not rest on whether Church Mutual had a reasonable basis to deny the Jesus Churchâs claim or otherwise acted in bad faithâthe theory is simply that Church Mutual was required to provide an explanation for denying the claim and it failed to do so. Church Mutualâs only response is that it did not provide an explanation for the denial because there was no denialâit argues that it never denied the claim. (Dkt. No. 42 at ¶ 1). But as has been discussed, there is a genuine dispute about whether Church Mutual denied part of the claim. (Dkt. No. 36-19 at 49). Because the Jesus Churchâs Section 541.060(a)(3) and (a)(4) claims are based on Church Mutualâs failure to provide an explanation for denying its claimâa different theory than its bad-faith claimsâand the evidence provided shows that Church Mutual didnât provide an explanation, the Court denies summary judgment on the Jesus Churchâs claims under Sections 541.060(a)(3) and (a)(4) of the Texas Insurance Code. See Jajou, 2022 WL 220391, at *12 (finding the insuredâs Section 541.060(a)(4) claim was premised on a different theory than the bad-faith claims); J.P. Columbus Warehousing, Inc., 2021 WL 799321, at *12 (finding the insuredâs Section 541.060(a)(3) claim was premised on a different theory than the bad- faith claims). D. ADDITIONAL DAMAGES Church Mutual also moves for summary judgment on the Jesus Churchâs claim for âadditional damages under the Texas Insurance Code and exemplary damages.â (Dkt. No. 30 at ¶ 38). Because the Court concludes that Church Mutual is entitled to summary judgment on the Jesus Churchâs claims under Section 541.060(a)(1), (a)(2)(A), and (a)(7), Church Mutual is likewise entitled to summary judgment on the Jesus Churchâs request for additional damages based on these claims. See Riley v. Safeco Ins. Co. of Ind., No. SA- 20-CV-00481-XR, 2021 WL 4340970, at *5 n.5 (W.D. Tex. Sept. 22, 2021). But because the Jesus Churchâs Section 541.060(a)(3) and (a)(4) claims survive summary judgment, its request for additional damages based on these claims must also be addressed. (Dkt. No. 1 at ¶ 84). âWhen an insurerâs violations of Chapter 541 cause the denial of benefits, an insured may recover additional damages of up to three times the amount of actual damages when the complained-of act or acts were done knowingly.â Certain Underwriters at Lloydâs, London 634 S.W.3d at 78 (emphasis added) (citing Tex. Ins. Code § 541.152(b)). The Texas Insurance Code defines âknowinglyâ as âactual awareness of the falsity, unfairness, or deceptiveness of the act or practice on which a claim for damages under Subchapter D is based.â Id. (citing Tex. Ins. Code § 541.002(1)). Church Mutual has failed to meet this burden. See Celotex, 477 U.S. at 323, 106 S.Ct. at 2553. Church Mutualâs only argument is that âthe absence of evidence of an independent tort of âbad faithâ necessarily leads to the conclusion that there is no culpable conduct to support findingâ additional damages. (Dkt. No. 30 at ¶ 38). Itâs true that there is no genuine dispute that Church Mutual had a reasonable basis for its determination, foreclosing a finding of bad faith. But as discussed, that finding does not preclude the Jesus Churchâs Section 541.060(a)(3) and (a)(4) claims, which are brought on the theory that Church Mutualâs failure to provide an explanation for denying benefits violated the statute. Violating Sections 541.060(a)(3) and (a)(4) can support a claim for additional damages under Section 541.125(a)(2). Because Church Mutual has not carried its initial burden, the Court denies summary judgment on the Jesus Churchâs claim for additional damages as to its Section 541.060(a)(3) and (a)(4) claims. V. CONCLUSION For the foregoing reasons, the Court GRANTS IN PART and DENIES IN PART Defendant Church Mutualâs Motion for Partial Summary Judgment.10 (Dkt. No. 30). The Court GRANTS summary judgment in favor of Church Mutual on the Jesus Churchâs claim for violation of the common-law duty of good faith and fair dealing. (Dkt. No. 1 at ¶¶ 76â79). 10 Church Mutual styled its objections to the Jesus Churchâs summary judgment evidence as a Motion to Strike. (Dkt. No. 40). The Court addressed those objections in this Order. Accordingly, the Clerk is DIRECTED to terminate this pending motion from the docket. The Court GRANTS summary judgment in favor of Church Mutual on the Jesus Churchâs claims under Tex. Ins. Code § 541.060(a)(1), (a)(2)(A), and (a)(7). (Id. at 9] 66- 67, 69-70). Likewise, the Court GRANTS summary judgment in favor of Church Mutual on the Jesus Churchâs claim for additional damages based on these claims. (Id. at § 84). The Court DENIES summary judgment on the Jesus Churchâs claim under Tex. Ins. Code § 541.060(a)(3) and (a)(4). (Id. at { 68). Likewise, the Court DENIES summary judgment on the Jesus Churchâs claim for additional damages based on these claims. (Id. at 84). It is SO ORDERED. Signed on September 13, 2022. R J ⥠DREW B. TIPTON UNITED STATES DISTRICT JUDGE 31 Case Information
- Court
- S.D. Tex.
- Decision Date
- September 13, 2022
- Status
- Precedential