Debora
Caddell's (Caddell) roof was damaged by hail in April 2002. On July 19, 2002,
Caddell used a toll-free number provided by Travelers Lloyds of Texas Insurance
Company (Travelers) to make a claim for damages. She also claimed that leakage
from the damaged roof caused other damage, including growth of mold in the
house. Caddell never filed a written notice of loss. Travelers responded to the
telephone claim by sending an inspector to the residence. Both parties agreed
that they failed to properly communicate with one another after that. For
example, Travelers sent Caddell a letter indicating it would be sending her a
check for $3,057.64 and that she should contact them if she did not receive it.
Caddell acknowledged that she received the letter but she never received the
check and neither party ever followed up on the matter. Traveler's homeowner's
policy coverage terminated on July 19, 2002.
Caddell
sued Travelers on July 13, 2004, joined by her parents who resided in the home
with her. She maintained that the unrepaired leaky roof caused growth of
dangerous mold throughout the house and its presence caused health problems and
emotional trauma to both her and her parents. She also maintained that
Travelers acted in bad faith. On May 27, 2005, Travelers filed a traditional
motion for summary judgment, alleging that Caddell failed to mitigate damages
and failed to cooperate in the loss investigation and to repair damages. It
also alleged that she failed to comply with policy provisions, that some of the
damages claimed occurred after the policy termination date and that the claim
included uninsured losses. Travelers' primary arguments were that Caddell
failed to comply with the contractual obligation to provide prompt written
notice of loss and violated her duty to mitigate damages.
The
trial court granted a take-nothing summary judgment in favor of Travelers on
all of Caddell's claims but allowed her to request issuance of the check for
$3,057.64. Caddell appealed, stating that she was not aware of the hail damage
until July 2002. In addition, she cited another court case as authority that,
while she failed to comply with the written notice provision clearly outlined
in the policy, failure to do so was not an irreversible error unless Travelers
was unduly prejudiced or biased.
The
appellate court ruled that the cited case Caddell referred to did not apply to
this case because it involved liability insurance. It found that Caddell failed
to comply with the contractual provision to file a written proof of loss and
that doing so was a condition precedent to coverage under the policy. It
affirmed the judgment of the trial court that properly found that Caddell
failed to comply with the requirement of filing a written proof of loss and
that such filing was a condition precedent to coverage under the policy.
The
fact that Travelers provided a toll-free telephone number and that it responded
to Caddell's call could have been a waiver under the policy. Travelers may not
have been able to deny that its actions in responding to the call precluded it
from raising the defense at trial. Since neither waiver nor estoppel was pled
nor pursued, and since Caddell did not raise these issues, neither court explored
what the outcome might have been if she had. The issue of mitigation of damages
was also not addressed. Travelers was not liable due to the violation of a
condition precedent to coverage and neither the amount of the damages sustained
nor the question of whether the damages could have been mitigated was
pertinent.
Debora
Caddell, Appellant v. Travelers Lloyds of Texas Insurance Company, Appellee.
No. 06-06-00063-CV. S.W. 3d, 2007 WL 1574244 (Tex.App.-Texarkana)