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
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  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.
feedback