1 | 1 | | 89R3560 SCL-F |
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2 | 2 | | By: Hayes H.B. No. 4020 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | |
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6 | 6 | | |
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7 | 7 | | A BILL TO BE ENTITLED |
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8 | 8 | | AN ACT |
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9 | 9 | | relating to presuit notice and inspection requirements associated |
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10 | 10 | | with, and certain liability in connection with, certain insurance |
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11 | 11 | | claims for property damage. |
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12 | 12 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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13 | 13 | | SECTION 1. Section 542.060(c), Insurance Code, is amended |
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14 | 14 | | to read as follows: |
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15 | 15 | | (c) In regard to a claim that is subject to [an action to |
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16 | 16 | | which] Chapter 542A [applies], if an insurer that is liable for the |
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17 | 17 | | [a] claim under an insurance policy is not in compliance with this |
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18 | 18 | | subchapter, the insurer is liable to pay the holder of the policy, |
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19 | 19 | | in addition to the amount of the claim, simple interest on the |
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20 | 20 | | amount of the claim as damages each year at the rate determined on |
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21 | 21 | | the date of judgment by adding five percent to the interest rate |
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22 | 22 | | determined under Section 304.003, Finance Code, together with |
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23 | 23 | | reasonable and necessary attorney's fees. Nothing in this |
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24 | 24 | | subsection prevents the award of prejudgment interest on the amount |
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25 | 25 | | of the claim, as provided by law. Interest awarded under this |
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26 | 26 | | subsection as damages accrues beginning on the date the claim was |
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27 | 27 | | required to be paid. |
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28 | 28 | | SECTION 2. Section 542A.003, Insurance Code, is amended by |
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29 | 29 | | amending Subsections (b) and (g) and adding Subsections (b-1), |
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30 | 30 | | (b-2), and (b-3) to read as follows: |
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31 | 31 | | (b) The notice required under this section must [provide]: |
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32 | 32 | | (1) reference this chapter [a statement of the acts or |
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33 | 33 | | omissions giving rise to the claim]; |
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34 | 34 | | (2) describe the damage to or loss of covered property |
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35 | 35 | | for which payment is owed under the insurance policy in sufficient |
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36 | 36 | | detail to give the insurer a fair opportunity to adjust the claim; |
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37 | 37 | | (3) state the claimant's legal and factual basis for |
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38 | 38 | | believing the claim is covered by the insurance policy; |
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39 | 39 | | (4) provide a detailed, claimant- and claim-specific |
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40 | 40 | | description of the acts or omissions by each insurer or agent that |
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41 | 41 | | constitute a violation of a provision of the insurance policy, a |
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42 | 42 | | statute, a provision of the Texas Administrative Code, or a common |
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43 | 43 | | law standard of conduct; |
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44 | 44 | | (5) except as provided by Subsection (b-1), state the |
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45 | 45 | | specific amount of money alleged to be owed by the insurer on the |
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46 | 46 | | claim for the damage to or loss of covered property described by |
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47 | 47 | | Subdivision (2); |
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48 | 48 | | (6) state [and |
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49 | 49 | | [(3)] the amount of reasonable and necessary |
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50 | 50 | | attorney's fees incurred by the claimant to investigate the claim |
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51 | 51 | | and prepare the notice required by this section, calculated by |
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52 | 52 | | multiplying the number of hours actually worked by the claimant's |
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53 | 53 | | attorney, as of the date the notice is given and as reflected in |
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54 | 54 | | contemporaneously kept time records, by an hourly rate that is |
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55 | 55 | | customary for similar legal services; and |
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56 | 56 | | (7) include the attorney's contemporaneously kept time |
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57 | 57 | | records and all existing estimates, invoices, statements, |
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58 | 58 | | receipts, engineer's or inspector's reports, or other items |
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59 | 59 | | constituting proof of the alleged loss that are possessed by the |
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60 | 60 | | claimant or subject to the claimant's control. |
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61 | 61 | | (b-1) Instead of stating the specific amount of money |
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62 | 62 | | alleged to be owed as required by Subsection (b)(5), a claimant may |
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63 | 63 | | state that the claimant needs additional time to evaluate and |
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64 | 64 | | quantify the claim before the claimant states an amount the |
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65 | 65 | | claimant will accept in full payment of the claim. By making this |
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66 | 66 | | statement, the claimant temporarily postpones the claimant's |
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67 | 67 | | obligation to comply with that subsection as provided by Section |
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68 | 68 | | 542A.005. |
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69 | 69 | | (b-2) The purpose of the notice required by this section is |
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70 | 70 | | to enable an insurer to adjust and, if the insurer chooses, satisfy |
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71 | 71 | | a claimant's claim by paying the amount the claimant has alleged is |
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72 | 72 | | owed on the claim. The amount alleged by the claimant to be owed on |
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73 | 73 | | the claim must be an amount the claimant will accept in full payment |
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74 | 74 | | of the claim. |
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75 | 75 | | (b-3) Notwithstanding Subsection (e), an insurer may pay |
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76 | 76 | | the amount the claimant alleges is owed on the claim and pursue an |
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77 | 77 | | action under Chapter 37, Civil Practice and Remedies Code, to |
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78 | 78 | | determine the reasonableness or necessity of attorney's fees |
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79 | 79 | | allegedly incurred by the claimant as stated in the claimant's |
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80 | 80 | | notice. |
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81 | 81 | | (g) At the option of a person to whom notice was given, |
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82 | 82 | | notice [Notice] given under this chapter is admissible in evidence |
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83 | 83 | | in a civil action or alternative dispute resolution proceeding |
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84 | 84 | | relating to the claim for which the notice is given. |
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85 | 85 | | SECTION 3. Section 542A.004, Insurance Code, is amended to |
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86 | 86 | | read as follows: |
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87 | 87 | | Sec. 542A.004. INSPECTION. Not later than the 15th [30th] |
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88 | 88 | | day after receiving a presuit notice given under Section |
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89 | 89 | | 542A.003(a), a person to whom notice is given may send a written |
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90 | 90 | | request to the claimant to inspect, photograph, or evaluate, in a |
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91 | 91 | | reasonable manner and at a reasonable time, the property that is the |
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92 | 92 | | subject of the claim. If reasonably possible, the inspection, |
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93 | 93 | | photography, and evaluation must be completed not later than the |
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94 | 94 | | 30th [60th] day after the date the person receives the presuit |
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95 | 95 | | notice. |
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96 | 96 | | SECTION 4. Section 542A.005, Insurance Code, is amended by |
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97 | 97 | | amending Subsections (a), (b), (c), (d), and (e) and adding |
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98 | 98 | | Subsections (d-1), (g), and (h) to read as follows: |
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99 | 99 | | (a) In addition to taking any other act allowed by contract |
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100 | 100 | | or by any other law, a person against whom an action to which this |
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101 | 101 | | chapter applies is pending may file a plea in abatement not later |
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102 | 102 | | than the 30th day after the date the person files an original answer |
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103 | 103 | | in the court in which the action is pending if the person: |
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104 | 104 | | (1) did not receive a presuit notice fully complying |
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105 | 105 | | with Section 542A.003; [or] |
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106 | 106 | | (2) received a presuit notice under Section 542A.003 |
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107 | 107 | | stating that more time is needed for the claimant to state an amount |
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108 | 108 | | the claimant will accept in full payment of the claim; or |
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109 | 109 | | (3) requested under Section 542A.004 but was not |
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110 | 110 | | provided a reasonable opportunity to inspect, photograph, or |
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111 | 111 | | evaluate the property that is the subject of the claim. |
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112 | 112 | | (b) The court shall abate the action if the court finds that |
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113 | 113 | | the person filing the plea in abatement: |
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114 | 114 | | (1) did not, for any reason, receive a presuit notice |
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115 | 115 | | fully complying with Section 542A.003; [or] |
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116 | 116 | | (2) received a presuit notice under Section 542A.003 |
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117 | 117 | | stating that more time is needed for the claimant to state an amount |
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118 | 118 | | the claimant will accept in full payment of the claim; or |
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119 | 119 | | (3) requested under Section 542A.004 but was not |
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120 | 120 | | provided a reasonable opportunity to inspect, photograph, or |
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121 | 121 | | evaluate the property that is the subject of the claim. |
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122 | 122 | | (c) An action is automatically abated without a court order |
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123 | 123 | | beginning on the 11th day after the date a plea in abatement is |
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124 | 124 | | filed if the plea: |
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125 | 125 | | (1) is verified and alleges that the person against |
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126 | 126 | | whom the action is pending: |
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127 | 127 | | (A) did not receive a presuit notice fully |
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128 | 128 | | complying with Section 542A.003; [or] |
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129 | 129 | | (B) received a presuit notice under Section |
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130 | 130 | | 542A.003 stating that more time is needed for the claimant to state |
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131 | 131 | | an amount the claimant will accept in full payment of the claim; or |
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132 | 132 | | (C) requested under Section 542A.004 but was not |
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133 | 133 | | provided a reasonable opportunity to inspect, photograph, or |
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134 | 134 | | evaluate the property that is the subject of the claim; and |
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135 | 135 | | (2) is not controverted by an affidavit filed by the |
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136 | 136 | | claimant before the 11th day after the date the plea in abatement is |
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137 | 137 | | filed. |
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138 | 138 | | (d) An affidavit described by Subsection (c)(2) |
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139 | 139 | | controverting whether the person against whom the action is pending |
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140 | 140 | | received a presuit notice fully complying with Section 542A.003 or |
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141 | 141 | | stating that more time is needed for the claimant to state an amount |
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142 | 142 | | the claimant will accept in full payment of the claim under Section |
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143 | 143 | | 542A.003 must: |
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144 | 144 | | (1) include as an attachment a copy of the document the |
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145 | 145 | | claimant sent to give notice of the claimant's action; and |
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146 | 146 | | (2) state the date on which the notice was given. |
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147 | 147 | | (d-1) If an affidavit described by Subsection (c)(2) is |
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148 | 148 | | timely filed by a claimant, the court must enter an order abating |
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149 | 149 | | the action unless the court finds that the claimant's controverting |
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150 | 150 | | affidavit establishes that the claimant timely provided a presuit |
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151 | 151 | | notice to the movant that fully complied with Section 542A.003, |
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152 | 152 | | including the requirement that the notice state an amount the |
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153 | 153 | | claimant will accept in full payment of the claim. |
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154 | 154 | | (e) An abatement under this section continues until the |
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155 | 155 | | later of: |
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156 | 156 | | (1) the 60th day after the date a notice fully |
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157 | 157 | | complying with Section 542A.003, including the requirement that the |
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158 | 158 | | notice state an amount the claimant will accept in full payment of |
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159 | 159 | | the claim, is given; or |
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160 | 160 | | (2) the 15th day after the date of the requested |
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161 | 161 | | inspection, photographing, or evaluating of the property is |
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162 | 162 | | completed. |
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163 | 163 | | (g) The filing of a plea in abatement stays all discovery in |
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164 | 164 | | the action until an order overruling the plea is signed by the trial |
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165 | 165 | | court or the abatement period provided by Subsection (e) has |
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166 | 166 | | expired. |
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167 | 167 | | (h) Prejudgment interest, interest under Section 542.060, |
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168 | 168 | | or interest that might be awarded under any other law does not |
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169 | 169 | | accrue while an action is abated under this section. |
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170 | 170 | | SECTION 5. Section 542A.007(d), Insurance Code, is amended |
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171 | 171 | | to read as follows: |
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172 | 172 | | (d) If a defendant in an action to which this chapter |
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173 | 173 | | applies pleads and proves that the defendant was entitled to but was |
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174 | 174 | | not given a presuit notice stating the specific amount alleged to be |
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175 | 175 | | owed by the insurer under Section 542A.003(b)(2) at least 61 days |
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176 | 176 | | before the date the action was filed by the claimant, the court may |
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177 | 177 | | not award [to the claimant] any attorney's fees to the claimant |
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178 | 178 | | under any law [incurred after the date the defendant files the |
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179 | 179 | | pleading with the court]. A pleading under this subsection must be |
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180 | 180 | | filed not later than the 30th day after the date the defendant files |
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181 | 181 | | an original answer in the court in which the action is pending. |
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182 | 182 | | SECTION 6. (a) Section 542.060(c), Insurance Code, as |
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183 | 183 | | amended by this Act, applies only to a claim, as defined by Section |
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184 | 184 | | 542A.001, Insurance Code, made on or after the effective date of |
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185 | 185 | | this Act. A claim made before the effective date of this Act is |
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186 | 186 | | governed by the law as it existed immediately before the effective |
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187 | 187 | | date of this Act, and that law is continued in effect for that |
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188 | 188 | | purpose. |
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189 | 189 | | (b) Chapter 542A, Insurance Code, as amended by this Act, |
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190 | 190 | | applies only to an action that is filed on or after the effective |
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191 | 191 | | date of this Act. An action filed before the effective date of this |
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192 | 192 | | Act is governed by the law as it existed immediately before the |
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193 | 193 | | effective date of this Act, and that law is continued in effect for |
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194 | 194 | | that purpose. |
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195 | 195 | | SECTION 7. This Act takes effect immediately if it receives |
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196 | 196 | | a vote of two-thirds of all the members elected to each house, as |
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197 | 197 | | provided by Section 39, Article III, Texas Constitution. If this |
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198 | 198 | | Act does not receive the vote necessary for immediate effect, this |
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199 | 199 | | Act takes effect September 1, 2025. |
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