Bill Text: TX HB345 | 2025-2026 | 89th Legislature | Introduced
Bill Title: Relating to an appraisal process for disputed losses under residential property insurance policies.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced) 2024-11-12 - Filed [HB345 Detail]
Download: Texas-2025-HB345-Introduced.html
89R1891 CJD-F | ||
By: Perez of Harris | H.B. No. 345 |
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relating to an appraisal process for disputed losses under | ||
residential property insurance policies. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Subtitle D, Title 10, Insurance Code, is amended | ||
by adding Chapter 2009 to read as follows: | ||
CHAPTER 2009. APPRAISAL PROCESS FOR RESIDENTIAL PROPERTY INSURANCE | ||
SUBCHAPTER A. GENERAL PROVISIONS | ||
Sec. 2009.001. APPLICABILITY OF CHAPTER. (a) This chapter | ||
applies only to an insurer writing a residential property insurance | ||
policy, including: | ||
(1) a capital stock insurance company; | ||
(2) a mutual insurance company; | ||
(3) a county mutual insurance company; | ||
(4) a Lloyd's plan; | ||
(5) a reciprocal or interinsurance exchange; | ||
(6) a farm mutual insurance company; | ||
(7) an eligible surplus lines insurer if this state is | ||
the insured's home state as defined by Section 981.002; and | ||
(8) the FAIR Plan Association. | ||
(b) This chapter does not apply to: | ||
(1) the Texas Windstorm Insurance Association; or | ||
(2) a commercial insurance policy. | ||
Sec. 2009.002. RULES. The commissioner may adopt rules | ||
necessary to implement this chapter. | ||
Sec. 2009.003. REQUIRED POLICY PROVISION: APPRAISAL | ||
PROCESS. (a) Any appraisal provision contained in an insurance | ||
policy described by Section 2009.001 must comply with this chapter. | ||
(b) The requirements of this chapter control over terms of | ||
an insurance policy and other law only with respect to the specific | ||
issues addressed in this chapter. All other terms and conditions of | ||
the appraisal process remain subject to the terms of the insurance | ||
policy and applicable law. | ||
(c) The provisions of this chapter are not the sole | ||
provisions that may be included in an appraisal process provided in | ||
an insurance policy. Subject to any other provision of law, a policy | ||
may include any other provision not in direct conflict with this | ||
chapter. | ||
(d) This chapter does not alter or provide an exception to | ||
the prompt payment of claims deadlines under Subchapter B, Chapter | ||
542. | ||
SUBCHAPTER B. APPRAISAL PROCESS | ||
Sec. 2009.051. APPRAISAL DEMAND. (a) If the policyholder | ||
and insurer fail to agree to the amount of loss covered by the | ||
policy, the policyholder or insurer may provide a written demand | ||
for appraisal to the other party. | ||
(b) The policyholder may not demand appraisal after the | ||
policyholder files a lawsuit asserting the claim that is the basis | ||
for the appraisal demand. | ||
(c) The insurer may not demand appraisal after filing the | ||
insurer's original answer to the lawsuit. | ||
(d) The insurer may incorporate a demand for appraisal with | ||
the insurer's original answer to the lawsuit. | ||
(e) If the policyholder files a lawsuit and the insurer | ||
subsequently demands appraisal, the lawsuit may be abated until the | ||
appraisal process is complete, provided that the insurer has not: | ||
(1) denied the claim; or | ||
(2) reserved the right to dispute coverage following | ||
the appraisal process. | ||
Sec. 2009.052. SELECTION OF APPRAISERS. Not later than the | ||
20th day after the date an appraisal demand is provided under | ||
Section 2009.051, the policyholder and insurer shall each: | ||
(1) select a competent and impartial appraiser; and | ||
(2) provide written notice to the other party of the | ||
appraiser's identity. | ||
Sec. 2009.053. APPRAISAL OF LOSS BY APPRAISERS; SELECTION | ||
OF UMPIRE. (a) The appraisers shall appraise the loss that is the | ||
subject of the appraisal not later than the 30th day after the date | ||
both the policyholder and insurer have complied with Section | ||
2009.052. | ||
(b) The appraisers may extend the deadline described by | ||
Subsection (a) for a period not to exceed 30 days on written | ||
agreement by the appraisers, policyholder, and insurer. | ||
(c) If the appraisers agree on the amount of loss: | ||
(1) the appraisers shall issue their award and provide | ||
written notice of the award to the policyholder and insurer; and | ||
(2) the agreed amount as stated in the appraisal award | ||
is the amount of loss. | ||
(d) If the appraisers fail to agree on the amount of loss, | ||
the appraisers shall select a competent and impartial umpire. If | ||
the appraisers do not agree on an umpire after the 20th day after | ||
the deadline for the appraisers to determine the amount of loss | ||
under this section, the umpire must be selected: | ||
(1) by a policy provision, if applicable, that | ||
provides for the method of selecting an umpire; or | ||
(2) on written request by either party to a court | ||
described by Subsection (e). | ||
(e) A policy provision may provide that a competent and | ||
impartial umpire may be selected by a judge of a district court, | ||
county court at law, or constitutional county court in the county in | ||
which the policyholder resides or where the property is located. | ||
(f) A party requesting court appointment of an umpire must | ||
provide the other party with 10 days' written notice of the intent | ||
to submit the request. The appointment may not be made on an ex | ||
parte basis without both parties having an opportunity to appear | ||
before the court. | ||
(g) After the umpire is selected under Subsection (d) or | ||
(e), each appraiser shall provide written notice to the umpire and | ||
the other appraiser that includes: | ||
(1) the appraiser's determination as to the amount of | ||
loss; | ||
(2) any supporting documentation; and | ||
(3) an itemized list of the disputed differences | ||
between the appraisers regarding the amount of loss. | ||
Sec. 2009.054. AMOUNT OF LOSS DETERMINATION BY UMPIRE. (a) | ||
The umpire shall determine the amount of loss by selecting: | ||
(1) one of the amounts of loss submitted to the umpire; | ||
or | ||
(2) an amount in between the two amounts submitted to | ||
the umpire. | ||
(b) The umpire must select an amount under Subsection (a) | ||
not later than the 30th day after the date the umpire receives the | ||
submissions of both appraisers. | ||
(c) The umpire may extend the deadline described by | ||
Subsection (b) for a period not to exceed 30 days on written | ||
agreement of the appraisers, policyholder, and insurer. | ||
(d) On deciding on the amount of loss, the umpire shall | ||
issue a written appraisal award that: | ||
(1) states the amount of loss; and | ||
(2) is signed by the umpire and at least one appraiser. | ||
(e) The umpire may not alter any valuation or any portion of | ||
the amount of loss on which the appraisers agree. | ||
(f) An appraisal award issued under Subsection (d) does not | ||
prevent either party from pursuing all other rights under the | ||
policy or law. | ||
Sec. 2009.055. APPRAISAL EXPENSES; TERMINATION OF | ||
APPRAISAL PROCESS. (a) The policyholder and insurer shall equally | ||
divide and pay the umpire's expenses, as applicable, and all other | ||
appraisal expenses, except that each party shall pay their own | ||
appraiser. | ||
(b) If a party's appraiser materially fails to comply with | ||
the deadlines under this chapter and the other party makes a good | ||
faith effort to address the failure and continue the appraisal | ||
process, the other party may terminate the appraisal process and | ||
seek recovery of the party's reasonable hourly appraiser expenses | ||
incurred in the appraisal process. | ||
(c) If the umpire materially fails to comply with the | ||
deadlines under this chapter after making a good faith effort to | ||
address the failure and continue the appraisal process, the | ||
policyholder, the insurer, or both may terminate the appraisal | ||
process and seek recovery of their reasonable hourly appraiser | ||
expenses from the umpire. | ||
(d) If an appraisal process is terminated under Subsection | ||
(b), the party employing the noncompliant appraiser may not invoke | ||
the appraisal process for the dispute at issue. However, the other | ||
party may invoke the appraisal process for the dispute at issue. | ||
(e) If an appraisal process is terminated under Subsection | ||
(c), the policyholder or the insurer may invoke the appraisal | ||
process for the dispute at issue. | ||
(f) The appraisers for the policyholder and the insurer and | ||
the umpire must be paid on an hourly or flat-fee basis, using a | ||
reasonable hourly rate and based on the estimated number of hours | ||
reasonably necessary to complete the appraisal process. The | ||
appraisers for the policyholder and insurer may not be paid on any | ||
basis other than an hourly or flat-fee basis, including a | ||
contingent or success basis. | ||
Sec. 2009.056. EFFECT OF APPRAISAL. (a) The appraisal does | ||
not affect any applicable policy terms. | ||
(b) The amount of loss determined by the appraisal process | ||
under this chapter is binding as to the policyholder and the | ||
insurer. The use of the process is not a condition precedent to | ||
bringing an action for a violation of this code, for a breach of | ||
contract, or for any other common-law or statutory remedy. | ||
Sec. 2009.057. EXTENSION OF DEADLINES. If the disputed | ||
loss is the result of a weather-related catastrophe or major | ||
natural disaster, as defined by the commissioner, the appraisal | ||
deadlines imposed under Sections 2009.052 and 2009.053(a) and (b) | ||
are extended for an additional 30 days. | ||
SECTION 2. (a) Chapter 2009, Insurance Code, as added by | ||
this Act, applies only to an insurance policy delivered, issued for | ||
delivery, or renewed on or after January 1, 2026. | ||
(b) An insurance policy form providing for an appraisal | ||
process that is in use on September 1, 2025, and otherwise compliant | ||
with Chapter 2009, Insurance Code, as added by this Act, is not | ||
required to be filed with the Texas Department of Insurance as a | ||
consequence of this Act. | ||
SECTION 3. This Act takes effect September 1, 2025. |