Fourth Court of Appeals
San Antonio, Texas
MEMORANDUM OPINION
No. 04-19-00443-CV
ALLSTATE VEHICLE AND PROPERTY INSURANCE COMPANY,
Appellant
v.
Peter REININGER,
Appellee
From the 288th Judicial District Court, Bexar County, Texas
Trial Court No. 2016-CI-21617
Honorable Cynthia Marie Chapa, Judge Presiding
Opinion by: Beth Watkins, Justice
Sitting: Luz Elena D. Chapa, Justice
Beth Watkins, Justice
Liza A. Rodriguez, Justice
Delivered and Filed: November 25, 2020
AFFIRMED IN PART; REVERSED AND RENDERED IN PART; REVERSED AND
REMANDED IN PART
Appellant Allstate Vehicle and Property Insurance Company appeals a judgment in favor
of its insured, appellee Peter Reininger. We affirm the judgment in part, reverse and render
judgment for Allstate in part, and remand this cause for a new trial on attorney’s fees.
BACKGROUND
Before 2015, Reininger’s home was insured under a Liberty Mutual policy that covered
cosmetic hail damage to his metal roof. When Reininger began looking for a new policy in 2015,
he contacted Justin Losoya, an Allstate agent. Reininger told Losoya he wanted a policy that was
04-19-00443-CV
“apples to apples” with his Liberty Mutual policy, and Losoya stated Allstate could provide that.
Reininger also asked Losoya, “[I]f I have any bad weather, hail or any type of hail and it damaged
my roof, am I covered?” Losoya answered, “Yes, sir, Mr. Reininger, you are. You pay [a] 1 percent
[deductible].” Losoya did not mention any exclusions on coverage for the roof, and Reininger did
not make any further inquiries about exclusions.
Reininger agreed to purchase automobile and homeowners’ policies from Allstate. On June
26, 2015, Losoya sent Reininger an email with the subject line “Allstate Insurance Policies.” In
the email, Losoya stated he had “attached a copy of both policies for your records.” The
attachments were titled “Reininger Peter_Auto Policy” and “Reininger Peter_Home Policy.” The
“Reininger Peter_Home Policy” attachment was a six-page document that contained a policy
number and listed coverage amounts, deductibles, discounts to be applied to Reininger’s policy,
and information about Reininger’s property. Other than specifying the monetary limits of the
coverage, it did not identify any coverage exclusions. However, it stated, “Any insurance bound
hereunder shall otherwise be subject in all respects to the terms and conditions of the regular policy
forms of the Company at present in use and to the statements in this application.” It also contained
a “Binder Provision” providing that Allstate, “[i]n reliance on the statements in this application
and subject to the terms and conditions of the policy authorized for [Allstate’s] issuance to the
applicant, binds the insurance applied for[.]” Allstate internally refers to a document like this one
as a “binder.”
Reininger believed the “Reininger Peter_Home Policy” attachment was his homeowners’
insurance policy, and he paid his premium after he reviewed that document. After Reininger paid
his premium, Allstate created the policy. In contrast to the six-page binder, the policy was a
document of approximately sixty pages. Unlike the Liberty Mutual policy, the Allstate policy
contained a “metal roof surfaces cosmetic damage exclusion endorsement” providing the policy
-2-
04-19-00443-CV
did not cover “[c]osmetic damage caused by hail to a metal roof surface, including but not limited
to, indentations, dents, distortions, scratches, or marks, that change the appearance of a metal roof
surface.” The policy also explained, “We will not apply this exclusion to sudden and accidental
direct physical damage to a metal roof surface caused by hail that results in water leaking through
the metal roof surface.” Both Reininger and his wife, Nancy, contend the only homeowners’ policy
document they ever received from Allstate was the six-page binder.
On April 12, 2016, a hailstorm struck Reininger’s home. After the storm, Reininger
reported to Losoya that the roof and other parts of his home had been damaged, and Allstate opened
a claim. On May 2, 2016, a claims adjustor, Kevin Phillips, inspected Reininger’s property on
Allstate’s behalf. 1 Reininger reported to Phillips that there was no interior damage, and Phillips
did not inspect the home’s interior. After surveying the roof, Phillips told Reininger the storm had
caused only cosmetic damage that was not covered by the policy. Both Reininger and Nancy
testified that this was the first time they learned about the cosmetic damage exclusion, and both
testified that they would not have purchased the policy if they had known about that exclusion.
Shortly after Phillips’s inspection, Reininger and Nancy noticed water leaks inside their
home. Because they had not experienced any interior leaks before the hailstorm, they requested a
further inspection of their roof, and Allstate scheduled a second inspection with a different claims
adjustor. However, Reininger cancelled it after the second adjustor told him, without first
inspecting the property, that “he didn’t think he was going to find anything worse than Mr. Phillips
did.” Although Allstate’s claim file indicated Reininger had stated he wanted to reschedule the
second inspection, Allstate closed the file two days later.
1
While Phillips is not an Allstate employee, Allstate does not dispute that it would be liable for his wrongful actions,
if any.
-3-
04-19-00443-CV
Reininger sued Allstate and Phillips for breach of contract, fraud, and violations of the
Texas Insurance Code and the Deceptive Trade Practices Act. He claimed, inter alia, that Allstate
had misrepresented the terms of his policy, both before he purchased it and during the adjustment
of his hail damage claim; denied his claim without performing a reasonable inspection of his roof;
and refused to pay his claim after liability became reasonably clear. After an eight-day trial, the
jury found in Reininger’s favor on his breach of contract, fraud, and statutory claims against
Allstate. 2 It also found Allstate had knowingly engaged in unfair or deceptive acts or practices and
assessed additional damages as a result of that finding. Finally, the jury awarded Reininger
attorney’s fees. Reininger elected to recover on his statutory claims, and the trial court signed a
judgment consistent with the jury’s verdict on Reininger’s claims under the Insurance Code,
including its finding that Allstate had acted knowingly.
Allstate filed a motion for judgment notwithstanding the verdict and alternative motion for
new trial. Both motions were denied by operation of law. Allstate appealed.
ANALYSIS
Legal and Factual Sufficiency of Liability Findings
In its fourth issue, Allstate contends the evidence is legally and factually insufficient to
support the jury’s liability findings on Reininger’s Insurance Code claims. Because Allstate’s legal
sufficiency complaint would, if meritorious, require rendition of judgment in Allstate’s favor, we
will consider this issue first. See Maynard v. Booth, 421 S.W.3d 182, 183 (Tex. App.—San
Antonio 2013, pet. denied).
2
Reininger nonsuited his claims against Phillips during the trial.
-4-
04-19-00443-CV
Standard of Review and Applicable Law
When an appellant challenges the legal sufficiency of the evidence supporting an adverse
finding on which it did not have the burden of proof, it must show that no evidence supports the
challenged finding. In re Estate of Matthews, 510 S.W.3d 106, 117 (Tex. App.—San Antonio
2016, pet. denied). We review the evidence in the light most favorable to the verdict, crediting
evidence favorable to the verdict if a reasonable factfinder could, and disregarding contrary
evidence unless a reasonable factfinder could not. Id. Evidence is legally sufficient if it would
allow reasonable people to reach the verdict under review. Id.
When a party challenges the factual sufficiency of a finding on which it did not have the
burden of proof, it must show the evidence is insufficient to support the finding. Id. In a factual
sufficiency challenge, we review all of the evidence but may not reverse the judgment unless the
evidence that supports the jury’s verdict is so weak as to make the challenged findings clearly
wrong and manifestly unjust. Id.
In reviewing both legal and factual sufficiency challenges, we are mindful that the jury has
the sole authority to resolve conflicts in the evidence, determine the credibility of the witnesses,
and decide the weight to be given to each witness’s testimony. United Parcel Serv., Inc. v. Rankin,
468 S.W.3d 609, 615 (Tex. App.—San Antonio 2015, pet. denied). We may not substitute our own
judgment for the jury’s, even if the evidence would clearly support a different result. Id.
Application
The court’s charge on Reininger’s Insurance Code claims asked the jury whether Allstate
“engage[d] in any unfair or deceptive act or practice that caused damages to Peter Reininger.” The
unfair or deceptive acts the jury considered were whether Allstate: (1) refused to pay Reininger’s
claim without conducting a reasonable investigation; (2) misrepresented a material fact or policy
provision related to the coverage at issue; (3) failed to attempt in good faith to effectuate a prompt,
-5-
04-19-00443-CV
fair, and equitable settlement of the claim when Allstate’s liability had become reasonably clear;
(4) failed to promptly provide a reasonable explanation of the factual and legal basis for denying
the claim; or (5) failed to affirm or deny coverage within a reasonable time. See TEX. INS. CODE
ANN. § 541.060.
1. Unfair or deceptive act or practice
Reininger testified he disagreed with Phillips’s conclusion that the hail damage to the roof
was merely cosmetic. He also testified that he voiced this disagreement to Phillips on the day of
the inspection. The undisputed evidence showed that if an insured disagrees with an adjustor’s
finding of cosmetic damage, Allstate’s policies require the adjustor to request a report from a
structural engineer. See State Farm Cas. Co. v. Simmons, 963 S.W.2d 42, 45 (Tex. 1998)
(insurance company’s internal documents can support finding that its investigation of a claim was
deficient). It is further undisputed that Phillips did not request a report from a structural engineer
despite Reininger’s disagreement with the finding of only cosmetic damage. See id. This evidence
supports a finding that Allstate was required to, but did not, request a report from a structural
engineer regarding Reininger’s hail damage claim before denying the claim. While Phillips
testified Reininger never told him he disagreed with the cosmetic damage conclusion, the jury was
free to disbelieve that testimony. See LaSalle Pipeline L.P. v. Donnell Lands, L.P., 336 S.W.3d
306, 319 (Tex. App.—San Antonio 2010, pet. denied).
Additionally, Reininger’s claims adjusting expert, Earl Stigler, testified that it is
unreasonable for an adjustor investigating hail damage to a roof not to inspect inside a home, even
if the homeowner says it is not necessary. He explained, “Many times homeowners do not see
[interior damage]. Many times they do not know where to look.” He testified that a reasonable
adjustor would ask to look inside and, if the homeowner refused to allow entry, “would document
that they declined my inspection.” It is undisputed that Phillips did not inspect the interior of
-6-
04-19-00443-CV
Reininger’s home. Phillips testified that he did not do so because Reininger reported that there was
no interior damage. However, Reininger testified that he never told Phillips he could not come in
the house and that he would have allowed an inspection of the interior if Phillips had asked to
perform one. The jury was free to believe Reininger’s testimony over Phillips’s. See id. This
evidence supports a finding that Phillips should have inspected the interior of Reininger’s home,
but did not do so.
Based on this evidence, a reasonable factfinder could conclude Allstate refused to pay
Reininger’s claim without conducting a reasonable investigation. See In re Estate of Matthews,
510 S.W.3d at 117. We cannot conclude that the jury’s finding that Allstate engaged in those acts
is so against the great weight and preponderance of the evidence as to be manifestly wrong and
unjust. See id. As a result, the evidence is legally and factually sufficient to support the jury’s
finding that Allstate engaged in an unfair or deceptive act or practice. See id.; see also TEX. INS.
CODE § 541.060.
2. Producing cause
Allstate argues its actions cannot be a producing cause of Reininger’s damages because the
evidence conclusively shows the cosmetic damage exclusion bars Reininger from recovering
benefits under the policy. It therefore contends it cannot be liable for Reininger’s Insurance Code
claims because it merely denied a claim that was not covered. See Republic Ins. Co. v. Stoker, 903
S.W.2d 338, 341 (Tex. 1995).
We agree that in general, an insurer does not violate the Insurance Code by denying a claim
that is not covered by the policy. See USAA Tex. Lloyds Co. v. Menchaca, 545 S.W.3d 479, 496
(Tex. 2018); but see id. at 500–01 (recognizing an insured might, under “extreme” circumstances,
be entitled to damages based on “an injury independent of a right to benefits”). However, we
disagree that the evidence conclusively shows Reininger’s claim was not covered. Like all
-7-
04-19-00443-CV
contracts, an insurance policy must be interpreted according to its plain language and without the
insertion of language or provisions the parties did not include in their agreement. Great Am. Ins.
Co. v. Primo, 512 S.W.3d 890, 892–93 (Tex. 2017). Here, the exclusion provides that the policy
does not cover cosmetic hail damage, “including but not limited to, indentations, dents, distortions,
scratches, or marks, that change the appearance of a metal roof surface” (emphasis added). The
exception to that exclusion provides that the exclusion does not apply “to sudden and accidental
direct physical damage . . . caused by hail that results in water leaking through the metal roof
surface.” This language provides only that the policy does not cover hail damage that merely
“change[s] the appearance of a metal roof surface.” Nothing in the plain language of either the
exclusion or its exception indicates that the policy only covers hail damage that creates a hole in
the roof on impact, and Allstate’s assertion to the contrary inserts language into the contract that
the parties did not use. See id. (“A contract’s plain language controls, not what one side or the
other alleges they intended to say but did not.”) (internal quotation marks omitted). As a result, we
reject Allstate’s assertion that the terms of the policy required Reininger to present evidence that
the hailstorm created an immediate opening in the roof.
Stigler testified that the damage he observed on Reininger’s roof was structural, not
cosmetic. He opined that the dents, indentations, and marks Phillips concluded were not covered
by the policy “exceed[ed] cosmetic damage” because they reduced the roof’s ability to shed water
and therefore diminished its useful life. He also explained to the jury that when hail hits the seams
of a metal roof, “you’ve got this flat surface on top trying to seal against something that’s not flat
and you’ve got these gaps. And that’s where the water came out.” He showed the jury an “end
seam that’s . . . been bent over by hail,” and testified, “That’s structural damage. That’s not
cosmetic. . . . That seam has been compromised and it’s going to leak.” Stigler also identified hail
damage to a ridge cap on Reininger’s roof to show that “the [roof] system has failed,” as well as
-8-
04-19-00443-CV
several roof seams that had been compromised by hail and were no longer watertight. Stigler’s
testimony is consistent with evidence showing that because of the hail damage to the roof,
Reininger has not been able to find another insurance company that is willing to write a policy on
his home.
Allstate argues that even if the roof damage is structural, it is insufficient to support the
jury’s liability and damages findings because Reininger did not segregate his recoverable damages
from his unrecoverable damages. This argument seems to assume that Reininger did not
sufficiently tie his home’s interior water damage to the hail damage to the roof. Again, we disagree.
Both Reininger and Nancy testified that in the fourteen years they had lived in their home, they
never saw any water leaks until the first large rain event after the 2016 hailstorm. Additionally,
Stigler showed the jury “probable points of water intrusion” into Reininger’s home that he
attributed to the 2016 hail damage and which he testified were directly above the locations of the
interior leaks. He also testified that the water damage he observed inside Reininger’s home was
consistent with a “failing” metal roofing system. While Allstate’s expert witnesses testified the
water intrusion into Reininger’s home was due to non-covered perils like normal wear-and-tear
and lack of maintenance, Stigler testified that the interior damage he observed in Reininger’s home
was more consistent with “a recent event” than a wear-and-tear issue. Moreover, the jury was free
to conclude Allstate’s experts’ conclusions were not credible, especially in light of Nancy’s and
Reininger’s testimony that the leaks did not appear until after the hailstorm. See Bay Rock
Operating Co. v. St. Paul Surplus Lines Ins. Co., 298 S.W.3d 216, 229–30 (Tex. App.—San
Antonio 2009, pet. denied).
Allstate also argues Stigler’s testimony was conclusory and therefore constitutes no
evidence. An expert’s opinion is conclusory “if no basis for the opinion is offered, or the basis
offered provides no support.” City of San Antonio v. Pollock, 284 S.W.3d 809, 818 (Tex. 2009).
-9-
04-19-00443-CV
Stigler testified that his investigation of the roof was consistent with industry standards, and noted
that the damage he observed on Reininger’s roof was consistent with both the reported size of the
hailstones from the 2016 hailstorm and with damage from similar hailstorms he had seen during
his 36 years as an adjustor. He explained how a metal roof is constructed and why hail damage to
the seams of a metal roof compromises its ability to prevent water intrusion, and he identified
several examples of that kind of damage on Reininger’s roof. With regard to the interior damage
in Reininger’s home, he explained why the pattern of the water stains he observed showed that the
damage was not due to wear-and-tear, including why those stains and the water intrusion that
caused them could not be attributed to pre-hailstorm spots of rust on Reininger’s roof. Because
Stigler described the facts upon which he relied and explained his reasoning process in examining
those facts, his opinions were not conclusory. Gulley v. State Farm Lloyds, 461 S.W.3d 563, 571–
72 (Tex. App.—San Antonio 2014, pet. denied).
Based on this evidence, a reasonable factfinder could have found that Allstate’s
unreasonable investigation caused it to wrongfully deny a valid claim and therefore caused damage
to Reininger. 3 See Menchaca, 545 S.W.3d at 496–97; see also In re Estate of Matthews, 510
S.W.3d at 117. Moreover, the evidence on this point was not so weak as to make the jury’s finding
in Reininger’s favor manifestly wrong and unjust. See In re Estate of Matthews, 510 S.W.3d at
117.
3. Bona fide coverage dispute
Allstate contends, however, it cannot be liable for Reininger’s statutory claims because the
evidence shows only a bona fide coverage dispute. “Evidence that shows only a bona fide coverage
3
Allstate frames the causation analysis as requiring evidence of “producing cause.” However, the court’s charge
simply asked the jury to consider whether Allstate’s unfair or deceptive acts “caused damages to Peter Reininger”
without defining any specific causation standard. Because Allstate did not object to the charge on this basis, we must
review the evidence in light of the question as submitted. See Osterberg v. Peca, 12 S.W.3d 31, 55 (Tex. 2000).
- 10 -
04-19-00443-CV
dispute does not, standing alone, demonstrate bad faith. Nor is bad faith established if the evidence
shows the insurer was merely incorrect about the factual basis for its denial of the claim, or about
the proper construction of the policy.” Southland Lloyds Ins. Co. v. Cantu, 399 S.W.3d 558, 569
(Tex. App.—San Antonio 2011, pet. denied) (internal quotation marks and citations omitted).
However, whether an insurer acted in bad faith is a fact issue for the jury and “‘focuses not on
whether the claim was valid but on the reasonableness of the insurer’s conduct’ in handling the
claim.” Allison v. Fire Ins. Exch., 98 S.W.3d 227, 248 (Tex. App.—Austin 2002, pet. granted,
judgm’t vacated w.r.m.) (quoting Lyons v. Miller Cas. Ins. Co., 866 S.W.2d 597, 601 (Tex. 1993)).
One of our sister courts recently held that even if a bona fide coverage dispute exists, that dispute
does not excuse an insurer’s failure to conduct a reasonable investigation of a claim. Certain
Underwriters at Lloyd’s, London v. Prime Nat. Res., Inc., No. 01-17-00881-CV, 2019 WL
7044667, at *17 (Tex. App.—Houston [1st Dist.] Nov. 26, 2019, no pet.).
Here, we have already held that the evidence supports a finding that Phillips was required
to—but did not—request a report from a structural engineer before denying Reininger’s claim. See
id. Reininger also presented evidence that a second Allstate adjustor told Reininger that “he didn’t
think he was going to find anything worse than Mr. Phillips did,” even though that adjustor had
not yet inspected the property. Finally, that the evidence showed Allstate closed the file on
Reininger’s claim two days after he cancelled the second inspection, even though the file indicated
he had told Allstate he wanted to reschedule it. Because the cosmetic damage investigation was
still pending, Stigler testified it was unreasonable for Allstate to have closed the file before
Reininger either: (1) affirmatively indicated he wanted to abandon his claim; or (2) failed to
respond to Allstate’s scheduling inquiries for at least 90 days. On this point, Stigler told the jury,
“[W]e’re the adjustors. We’re the professionals. We’re the ones that are supposed to make sure we
take care of everything.”
- 11 -
04-19-00443-CV
As an appellate court, we are prohibited from reweighing the evidence or substituting our
opinion for the jury’s, even if the evidence would clearly support a different result. State Farm
Lloyds v. Nicolau, 951 S.W.2d 444, 450 (Tex. 1997); Rankin, 468 S.W.3d at 615. The evidence
here, when considered in the light most favorable to the verdict, would allow a reasonable
factfinder to conclude that Allstate’s denial and closure of Reininger’s claim without further
investigation was unreasonable. See Simmons, 963 S.W.2d at 45; Nicolau, 951 S.W.2d at 450.
Additionally, this evidence is not so weak as to make a finding in Reininger’s favor manifestly
unjust. In re Estate of Matthews, 510 S.W.3d at 117. As a result, we reject Allstate’s contention
that this case presents only a bona fide coverage dispute.
4. Conclusion
For these reasons, the evidence is legally and factually sufficient to support the jury’s
finding that Allstate committed unfair or deceptive acts that caused damages to Reininger. We
therefore overrule Allstate’s fourth issue. 4
Submission of Cosmetic Damage Exclusion
In its first issue, Allstate challenges the trial court’s submission of Question 1, which asked
the jury to determine whether Allstate and Reininger agreed to include a cosmetic damage
exclusion in Reininger’s policy. In its second issue, it complains the trial court erred by refusing
to submit Allstate’s proposed question and instruction on whether the cosmetic damage exclusion
applied to Reininger’s claim. In its third issue, it argues the trial court abused its discretion by
submitting Question 2 of the charge, which asked the jury to determine whether the damage to
4
Allstate’s fourth issue includes a sub-issue arguing the trial court abused its discretion by submitting Reininger’s
statutory claims to the jury. Because we have held the evidence was sufficient to support the jury’s findings on those
claims, we reject Allstate’s challenge to the submission of those issues. See TEX. R. CIV. P. 278 (“The court shall
submit the questions, instructions and definitions . . . which are raised by the written pleadings and the evidence.”).
- 12 -
04-19-00443-CV
Reininger’s roof was cosmetic, but only if it had already determined the policy excluded cosmetic
damage.
Standard of Review and Applicable Law
We review a trial court’s submission of jury questions and instructions for abuse of
discretion. Bexar Cty. Appraisal Dist. v. Abdo, 399 S.W.3d 248, 257–58 (Tex. App.—San Antonio
2012, no pet.). While a trial court has broad discretion in submitting questions to a jury, it must
ensure that its charge submits disputed, controlling issues of fact to the jury. Id. at 258. However,
to preserve a claim of charge error for our review, the complaining party must plainly and timely
make the trial court aware of the complaint and obtain a ruling. TEX. R. APP. P. 33.1; In re B.L.D.,
113 S.W.3d 340, 349–50 (Tex. 2003). Furthermore, we may not reverse based on charge error
unless the error probably caused the rendition of an improper judgment. TEX. R. APP. P. 44.1; Bed,
Bath & Beyond, Inc. v. Urista, 211 S.W.3d 753, 757 (Tex. 2006). To determine whether an error
probably caused the rendition of an improper judgment, we examine the entire record. Urista, 211
S.W.3d at 757. A jury finding that does not result in an adverse judgment against the appellant is
generally harmless, even if the issue was submitted erroneously. See, e.g., Marinecorp Int’l, Ltd.
v. Chopper Grp., LLC, No. 01-14-00707-CV, 2016 WL 1382168, at *8 (Tex. App.—Houston [1st
Dist.] Apr. 7, 2016, pet. denied) (mem. op.); GuideOne Lloyds Ins. Co. v. First Baptist Church of
Bedford, 268 S.W.3d 822, 839 (Tex. App.—Fort Worth 2008, no pet.).
Application
Reininger notes—and Allstate does not dispute—that Questions 1 and 2 represent the
jury’s findings on Reininger’s breach of contract claim and that Allstate’s proposed question also
goes to the breach of contract claim. Because Reininger elected to recover on his Insurance Code
claims rather than his common-law breach of contract claim, the jury’s breach of contract findings
are not reflected in the final judgment. Because the jury’s breach of contract findings did not result
- 13 -
04-19-00443-CV
in a judgment against Allstate, we cannot say any error in the submission of those issues directly
led to the rendition of an improper judgment. See TEX. R. APP. P. 44.1; Marinecorp Int’l, 2016 WL
1382168, at *8.
Allstate argues that while the challenged portions of the jury charge are not directly
reflected in the judgment, it was nevertheless harmed by the submission of those issues because
the cosmetic damage exclusion “was central to [its] defense.” It claims the court’s charge as
submitted confused and misled the jury about how to resolve all of Reininger’s claims, including
the claims that form the basis of the judgment. It expands on this argument in its reply brief,
contending that the jury’s findings on Reininger’s Insurance Code claims “are intertwined with”
its finding that the cosmetic damage exclusion was not part of the policy. Allstate claims the
submission of these issues was therefore harmful because those issues implicate a critical,
contested issue: Allstate’s defense that the cosmetic damage exclusion precluded recovery for
Reininger on any of his claims. See Thota v. Young, 366 S.W.3d 678, 687 (Tex. 2012).
While Allstate frames this issue as a harm analysis, we conclude it rests in an objection to
the submission of these issues. As a result, Allstate’s complaint on this issue is not preserved for
our review unless it raised that objection in the trial court “specifically enough to support the
conclusion that [the] trial court was fully cognizant of the ground of complaint and deliberately
chose to overrule it.” Hamid v. Lexus, 369 S.W.3d 291, 296 (Tex. App.—Houston [1st Dist.] 2011,
no pet.). It was also required to raise that objection before the court read the charge to the jury.
TEX. R. CIV. P. 272; Cont’l Cas. Co. v. Baker, 355 S.W.3d 375, 383 (Tex. App.—Houston [1st
Dist.] 2011, no pet.). The first time Allstate specifically argued that the submission of the cosmetic
damage exclusion was the keystone of its entire defense was in its post-judgment motion, long
after the charge was read to the jury. The only objections Allstate timely asserted to Question 1
were: (1) it was conclusively negated by the evidence; and (2) one of its instructions constituted
- 14 -
04-19-00443-CV
an improper comment on the weight of the evidence. Because the arguments Allstate timely raised
in the trial court do not comport with the argument it raises here, it waived its complaint that the
submission of Question 1 confused or misled the jury. See TEX. R. CIV. P. 272; Baker, 355 S.W.3d
at 383.
We hold Allstate also waived this complaint about the trial court’s submission of Question
2 and its refusal to submit Allstate’s competing proposed question. Both Question 2 and Allstate’s
proposed question asked the jury to consider whether the cosmetic damage exclusion applied.
Allstate described its proposed question to the trial court as “our counter-proposal to [Question]
No. 2.” Because both questions involved the same issue, the trial court asked Allstate to explain
how they differed. In response, Allstate argued: (1) its proposed question used the applicable
language from the policy and Question 2 did not; (2) Allstate’s proposed question asked the jury
to consider the cosmetic damage exclusion unconditionally, while Question 2 instructed the jury
not to consider the exclusion unless it had already found the parties agreed to include it in the
policy; and (3) Question 2 constituted an improper comment on the weight of the evidence.
However, Allstate did not argue, as it does on appeal, that Question 2’s conditional submission of
the cosmetic damage exclusion could potentially mislead or confuse the jury during its
consideration of Reininger’s non-contract claims. Because Allstate did not timely assert that
argument in the trial court, it waived it. See TEX. R. CIV. P. 272; Baker, 355 S.W.3d at 383.
We conclude Allstate has not properly preserved its complaints about the submission of
Questions 1 and 2 or the trial court’s refusal to submit its proposed question. TEX. R. APP. P. 44.1;
TEX. R. CIV. P. 272; Baker, 355 S.W.3d at 383. We therefore overrule its first three issues.
Whether Allstate “Knowingly” Violated the Insurance Code
In its fifth issue, Allstate argues the evidence is legally and factually insufficient to support
the jury’s finding that it knowingly violated the Insurance Code.
- 15 -
04-19-00443-CV
Standard of Review and Applicable Law
The Insurance Code permits a plaintiff who successfully asserts a claim that an insurer
committed an unfair or deceptive act or practice to recover treble damages if he shows “the
defendant knowingly committed the act complained of.” TEX. INS. CODE ANN. § 541.152(b). An
insurer acts “knowingly” if it has “actual awareness of the falsity, unfairness, or deceptiveness of
the act or practice on which” the claim for damages is based. TEX. INS. CODE ANN. § 541.002(a).
“Actual awareness may be inferred if objective manifestations indicate that a person acted with
actual awareness.” Id.
To demonstrate the evidence is legally insufficient to support the jury’s finding that it acted
knowingly, Allstate must show that no evidence supports that finding. In re Estate of Matthews,
510 S.W.3d at 117. To show the evidence is factually insufficient, it must show the evidence is so
weak as to make the finding clearly wrong and unjust. Id.
Application
Allstate argues there is no evidence to support the jury’s finding that it knowingly violated
the Insurance Code. In response, Reininger points to evidence showing Allstate: (1) falsely
represented that his Allstate policy would be “apples to apples” with his Liberty Mutual policy;
(2) did not explain the distinction between the binder and the full policy; and (3) slipped the
cosmetic damage exclusion into his policy without his knowledge.
We agree with Allstate. As explained above, the evidence supports a finding that certain
actions Allstate took during its handling of Reininger’s claim were unreasonable. However,
evidence that a party acted unreasonably, without more, is not sufficient to show that it acted
knowingly. See TEX. INS. CODE § 541.002(a). Even when viewing the record in the light most
favorable to the jury’s verdict, we see nothing to indicate Allstate had “actual awareness of the
- 16 -
04-19-00443-CV
falsity, unfairness, or deceptiveness of the” specific unreasonable settlement acts upon which we
affirmed the jury’s underlying finding of liability. See id.
The acts Reininger points to in his brief as evidence of knowing conduct also do not support
the jury’s finding that Allstate knowingly engaged in unfair or deceptive acts. Assuming, without
deciding, that the “apples to apples” representation constituted a violation of the Insurance Code,
there is no evidence that it rose to the level of a knowing violation. See id. The evidence shows
Reininger told Losoya he wanted his Allstate policy to be the same as his Liberty Mutual policy—
which did not include a cosmetic damage exclusion—and that Losoya stated Allstate could satisfy
that request. However, it is undisputed that Reininger neither showed his Liberty Mutual policy to
Losoya nor specifically told him that the policy did not include a cosmetic damage exclusion.
Because there is no evidence that Losoya knew the Liberty Mutual policy did not contain the
cosmetic damage exclusion, his failure to note that distinction between the two policies does not
support a finding that he had actual awareness of any falsity, unfairness, or deception in his
statements. See id.
The evidence also shows Reininger asked Losoya if his roof would be covered for hail
damage under an Allstate policy and Losoya responded, “Yes, sir, Mr. Reininger, you are. You
pay [a] 1 percent [deductible].” Reininger also points to evidence showing “it is important” for
Allstate agents “to warn customers about the cosmetic damage exclusion.” However, even if we
assume Losoya’s failure to mention the cosmetic damage exclusion in response to Reininger’s
question constituted a violation of the Insurance Code, we have found no evidence to support a
finding that Losoya acted with actual awareness of the falsity, unfairness, or deceptiveness of his
actions. See id. At most, the evidence shows Losoya behaved carelessly or unreasonably, which is
not sufficient to support an award of additional statutory damages under the Insurance Code. See
id.
- 17 -
04-19-00443-CV
There is also no evidence to support a finding that Allstate “slipped” the cosmetic damage
exclusion into Reininger’s policy with actual awareness of any falsity, unfairness, or
deceptiveness. See id. While Reininger’s brief points to Texas Department of Insurance (“TDI”)
complaints asserting similar claims against Allstate as support for the jury’s finding that it acted
knowingly in this case, Reininger relied on those complaints for impeachment only—those
complaints were not admitted into evidence and are not included in the appellate record. In
addition, Reininger did not present any evidence showing the TDI found those complaints were
meritorious or otherwise resolved them against Allstate. In this novel situation, we decline to hold
that allegations in a non-party’s administrative complaint in a different dispute constitute
competent evidence that Allstate knowingly deceived Reininger in this case.
Finally, witness testimony established that Allstate and its agents internally distinguish
between a “binder” and a full “policy” because a policy contains more detailed information that is
not explained in a binder. The evidence further shows that in an email to Reininger, Losoya used
the word “policy” three times to describe the document the parties now agree is merely the binder.
The binder itself, however, indicated the policy was subject to “the terms and conditions of the
regular policy forms of [Allstate] at present in use.” As a result, even if Losoya’s failure to
distinguish between a policy and a binder violated the Insurance Code, there is no evidence to
support a finding that this failure was a knowing act of falsity, unfairness, or deception. See TEX.
INS. CODE § 541.002(a).
For these reasons, we sustain Allstate’s fifth issue and reverse the portion of the trial court’s
judgment awarding $135,765.54 in additional statutory damages to Reininger under section
541.152(b) of the Insurance Code. Because our reversal of this portion of the judgment
substantially reduces the amount of damages awarded to Reininger, we also reverse the award of
- 18 -
04-19-00443-CV
attorney’s fees to Reininger and remand this cause for a new trial on attorney’s fees. See Barker v.
Eckman, 213 S.W.3d 306, 315 (Tex. 2006).
Evidentiary Issues
In its sixth issue, Allstate contends it was harmed by the trial court’s admission of irrelevant
and/or unduly prejudicial evidence.
Standard of Review and Applicable Law
We review the trial court’s evidentiary rulings for abuse of discretion. Rankin, 468 S.W.3d
at 624. A trial court does not abuse its discretion unless its decision is arbitrary, unreasonable, or
made without reference to guiding rules or principles. In re Estate of Denman, 362 S.W.3d 134,
140–41 (Tex. App.—San Antonio 2011, no pet.). We will uphold a trial court’s evidentiary ruling
if there is any legitimate basis for it. Drilex Sys., Inc. v. Flores, 1 S.W.3d 112, 119–20 (Tex. 1999).
“Errors in admission or exclusion of evidence are generally not reversible unless the appellant can
show the whole case turns on the complained of evidence.” In re Estate of Denman, 362 S.W.3d
at 141.
Application
Allstate argues the trial court abused its discretion by admitting the testimony of two of
Reininger’s neighbors, Valerie Meade and Lonnie Blanchard. Allstate also contends the trial court
abused its discretion by allowing Reininger to impeach its corporate representative with
complaints other insureds filed against Allstate with the TDI.
1. Neighbors’ testimony
Both Meade and Blanchard testified that they live on the same street as Reininger, saw
large hail at their homes on the night of the hailstorm, and replaced their metal roofs after the
hailstorm. Allstate argues this testimony constituted improper, harmful evidence of “the way
neighbors’ claims were handled, even though those claims involved other homes, policies, and
- 19 -
04-19-00443-CV
insurers.” We note, however, that Allstate agreed to admit into evidence an email from Reininger
to Losoya stating that multiple homes on Reininger’s street had either had their metal roofs
replaced or were scheduled for replacement. Additionally, Reininger testified “[a]ll but three” of
the twenty-five metal roofs on his street were replaced after the hailstorm, and Allstate has not
challenged this testimony on appeal. Because Meade’s and Blanchard’s testimony about the
replacement of their roofs is cumulative of other unchallenged, substantially similar evidence,
Allstate has not shown it was harmed by any error in admitting that testimony. See Nissan Motor
Co. Ltd. v. Armstrong, 145 S.W.3d 131, 144 (Tex. 2004); Grove v. Overby, No. 03-03-00700-CV,
2004 WL 1686326, at *3 (Tex. App.—Austin July 29, 2004, no pet.) (mem. op.). We therefore
overrule Allstate’s contention that the trial court committed reversible error by admitting Meade’s
and Blanchard’s testimony. See Drilex, 1 S.W.3d at 119–20.
2. TDI complaints
Allstate argues the trial court abused its discretion by allowing Reininger to impeach
Allstate’s corporate representative, Stephan Tendorf, with previous complaints filed against
Allstate with the TDI, as well as Allstate’s responses to those complaints. 5 However, the only harm
Allstate identifies from Reininger’s use of the TDI matters is: (1) it may have influenced the jury’s
finding that Allstate knowingly engaged in false, unfair, or deceptive acts; and (2) it was “unduly
prejudicial.” As Reininger notes, Allstate did not object to the TDI matters on the basis that the
material’s probative value was outweighed by its prejudicial effect. As a result, it waived that
objection. TEX. R. APP. P. 33.1; Garza v. Garza, 217 S.W.3d 538, 555 (Tex. App.—San Antonio
2006, no pet.). Moreover, to the extent the jury relied on the TDI matters to reach its finding that
5
Again, neither the TDI complaints nor Allstate’s responses were admitted into evidence. Moreover, although the
record indicates those documents were displayed for the jury as a demonstrative, they were not included in the
appellate record.
- 20 -
04-19-00443-CV
Allstate acted knowingly, we have already remedied that harm, if any, by reversing the portion of
the trial court’s judgment that is based on that finding. Because Allstate has not shown the case as
a whole turns on any error related to the TDI matters, we decline to reverse the rest of the judgment
on that basis. See In re Estate of Denman, 362 S.W.3d at 141.
For these reasons, we overrule Allstate’s contention that the trial court committed
reversible error by allowing Reininger to impeach Tendorf with the TDI documents.
Cumulative Error Doctrine
In its final issue, Allstate argues the cumulative effect of the trial court’s alleged errors
requires reversal. The cumulative error doctrine allows an appellate court to reverse a judgment if
the trial court committed numerous errors that individually do not support reversal but “taken
together may do so.” Rhey v. Redic, 408 S.W.3d 440, 462 (Tex. App.—El Paso 2013, no pet.).
Reversal on this basis is not appropriate unless the record as a whole demonstrates that “but for
the alleged errors, the jury would have rendered a verdict favorable to [the appellant].” Pitman v.
Lightfoot, 937 S.W.2d 496, 537 (Tex. App.—San Antonio 1996, writ denied). After reviewing the
entire record in this case, we conclude there is no cumulative error that supports a wholesale
reversal of the trial court’s judgment. See Crescendo Invs., Inc. v. Brice, 61 S.W.3d 465, 481 (Tex.
App.—San Antonio 2001, pet. denied).
CONCLUSION
We affirm the portion of the trial court’s judgment awarding actual damages to Reininger
under the Texas Insurance Code. We reverse the portion of the trial court’s judgment awarding
additional statutory damages based on the jury’s finding that Allstate acted knowingly, and we
render judgment for Allstate on that issue. Finally, in light of our reversal of the additional statutory
- 21 -
04-19-00443-CV
damages award, we reverse the trial court’s award of attorney’s fees to Reininger and remand this
matter for a new trial on attorney’s fees.
Beth Watkins, Justice
- 22 -