PAJ, INC. D/B/A PRIME ART & JEWEL v. THE HANOVER INSURANCE COMPANY (dissenting)

IN THE SUPREME COURT OF TEXAS

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No. 05-0849

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PAJ, Inc., d/b/a Prime Art & Jewel, Petitioner,

v.

The Hanover Insurance Company, Respondent

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On Petition for Review from the

Court of Appeals for the Fifth District of Texas

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Argued October 18, 2006

Justice Willett, joined by Justice Hecht, Justice Wainwright, and Justice Johnson, dissenting.

I respectfully dissent. I would follow Members Mutual Insurance Co. v. Cutaia[1] and hold that a policy s unambiguous notice-of-suit language, a condition precedent to coverage, constitutes a defense to liability and must be enforced as written, unless positive law dictates otherwise.[2] Because positive law does not dictate otherwise, I would affirm the court of appeals.

I. Discussion

PAJ argues that under Hernandez v. Gulf Group Lloyds[3] and Harwell v. State Farm Mutual Automobile Insurance Co.,[4] the policy s notice provisions are covenants, not conditions precedent to coverage, and therefore Hanover must demonstrate prejudice before denying coverage for untimely notice. I disagree. Settled Texas precedent construes notice provisions as conditions precedent that impose no prejudice requirement, unless the policy s literal text, a statute, or an agency directive demands it.

A. The Timely Notice Provision Is a Condition Precedent, Not a Covenant

The parties dispute whether the policy s prompt-notice language constitutes a condition precedent (as Hanover argues), the failure of which defeats coverage,[5] or a covenant (as PAJ argues), the breach of which, if immaterial, does not defeat coverage.[6] PAJ concedes that [f]or years, Texas courts have held that timely notice of suit provisions in liability insurance policies [are] conditions to coverage and that a long line of Texas cases hold[s] that the notice requirements of policies similar to the Policies [in this case] are conditions precedent to liability, but contends that those cases involved materially different policy language.

This Court has indeed repeatedly described insurance policy notice provisions as conditions precedent to coverage.[7] In 1972, we held in Cutaia that when a notice provision requiring the immediate forwarding of suit papers is breached, liability on the claim [was] discharged, and harm (or lack of it) resulting from the breach [is] immaterial. [8] The policy in Cutaia provided that no action shall lie against the company unless, as a condition precedent thereto, the insured shall have fully complied with all the terms of this policy, including the notice requirement in issue.[9]

PAJ insists the notice requirement in Hanover s CGL policy is necessarily a covenant because it omits the as a condition precedent thereto clause present in the Cutaia policy. I disagree. Magic words are not controlling; labeling something a condition precedent does not make it so, and the absence of such a label does not make it not so. Whether a notice provision constitutes a condition precedent turns on what the provision actually does, its nature and purpose, not merely on what it is called or because it appears under a heading, as here, that includes the word Conditions. A condition precedent may be either a condition to the formation of a contract or to an obligation to perform an existing agreement. [10] A condition precedent to an obligation to perform is an act or event that must occur before there is a right to immediate performance and before there is a breach of contractual duty [11]; failure to comply with such a condition forfeits coverage and releases the insurer from any duty to defend or indemnify.[12] By contrast, a covenant is an agreement to act or refrain from acting in a certain way, [13] and only a material breach will forfeit coverage.[14] While no mantra or magic words are necessary, an intent to create a condition precedent is sometimes indicated by the use of conditional terms such as if, provided that, on condition that, or some similar limiting phrase that conditions performance.[15] As the Court has explained, such terms usually connote an intent for a condition rather than a promise. [16]

The notice provision at issue is a condition precedent, as coverage is expressly conditioned on compliance with the notice requirement. Section IV of the policy, entitled Commercial General Liability Conditions, contains a list of Duties In The Event Of Occurrence, Offense, Claim Or Suit, one of which states: If a claim is made or suit is brought against any insured, you must . . . . [n]otify us as soon as practicable. Section IV also specifies that [n]o person or organization has a right under this Coverage Part . . . to sue us on this Coverage Part unless all of its terms have been fully complied with (emphasis added). The prompt-notice requirement, expressly identified in the policy as a condition and, more importantly, providing that no suit may take place absent full compliance, is plainly a condition that precedes the insurer s obligations to perform under the policy.

PAJ s reliance on Hernandez is misplaced. Hernandez involved an insured s breach of a settlement-without-consent exclusion in an automobile policy, which said that the insurance did not apply to bodily injury or property damage with respect to which the insured . . . shall, without written consent of the company, make any settlement with any person or organization who may be legally liable therefor. [17] Rather than treat the exclusion as a condition precedent, the Court viewed it as a covenant, an ordinary contractual obligation, the performance of which was excused only if the breach were material.[18] As such, we found it unenforceable absent a showing by the insurer that it has been prejudiced by an insured s failure to obtain consent before settling. [19] The Court recognized a prejudice requirement in Hernandez consistent with the basic contract law principle that one party s breach of a covenant must be material in order to excuse performance by the other party.[20]

Hernandez s materiality-of-breach analysis is inapposite here because PAJ did not breach a covenant. Rather, it failed to comply with a condition precedent, a strict requirement that precedes any obligation on the part of Hanover under the policy. As noted above, and as PAJ concedes, the Court has long and consistently treated notice requirements as conditions precedent to coverage rather than covenants.[21] Such treatment flows naturally from the fact that performance of an obligation to defend or indemnify cannot ordinarily be expected of an insurer until it first receives notice of a claim s existence. Breach of a settlement-without-consent exclusion, on the other hand, might occur long after the insurer has learned of a suit and assumed its duty to defend. Hence, I agree with the court of appeals in this case in recognizing a significant difference between a policy condition (performance of which is necessary to trigger any obligation for coverage) and a policy exclusion (which operates only after the obligation for coverage is in place). [22] Further, treating every breach of a settlement-without-consent clause as automatically ending the insurer s obligations not only makes little sense from a timing standpoint but also disserves the interests of both parties to the insurance contract. It is easy to conceive of instances where a resourceful insured succeeds through its own efforts in obtaining a favorable third-party settlement that the insurer is only too happy to fund. Considering the prejudice, if any, to the insurer of a breach of the consent requirement is therefore warranted. On the other hand, it is hard to conceive of an instance where a failure to give notice of a suit or claim at the outset of litigation would ever operate to the insurer s benefit. In short, Hernandez is distinguishable.

B. A Late-Notice Defense Should Require No Showing of Prejudice Unless the Policy or Positive Law Specifically Provides Otherwise

PAJ s reliance on our 1995 decision in Harwell likewise falls short. In Harwell, prejudice was expressly required by the policy itself: If we show that your failure to provide notice prejudices our defense, there is no liability coverage under the policy. [23] Given this unambiguous requirement, we enforced the contract s literal text and examined whether the insurer had in fact demonstrated actual prejudice.[24] PAJ s policy, by contrast, does not require the insurer to show prejudice with respect to advertising injury claims.

In Cutaia, we held that a late-notice defense requires no showing of prejudice, refusing to insert a provision that violations of conditions precedent will be excused if no harm results from their violation. [25] The Board of Insurance (now the Texas Department of Insurance (TDI)) responded the following year, issuing two Board orders mandating a prejudice requirement for bodily injury and property damage coverage in automobile and general liability policies:

As respects bodily injury liability coverage and property damage liability coverage, unless the company is prejudiced by the insured s failure to comply with the requirement, any provision of this policy requiring the insured to give notice of action, occurrence or loss, or requiring the insured to forward demands, notices, summons or other legal process, shall not bar liability under this policy.[26]

PAJ casts this 1973 Board action as a regulatory rejection of Cutaia s no-prejudice rule. As concerns the dispositive issue before us, I disagree. This Board-mandated policy language, while clearly applicable to the automobile policy in Harwell, was not an across-the-board abrogation of Cutaia s no-prejudice rule; by its terms, the Board s endorsement reaches only certain lines of insurance and a defined subset of claims for bodily injury and property damage.

PAJ s policy provided for three kinds of coverage: Coverage A, for bodily injury and property damage; Coverage B, for personal and advertising injury; and Coverage C, for medical payments. The agency s required endorsement is targeted solely at Coverage A. The endorsement imposes no prejudice requirement for any other types of coverages.

My text-based construction of the policy is consistent with the principle of expressio unius est exclusio alterius, meaning that the naming of one implies the exclusion of others.[27] This maxim, while not conclusive, is useful and applies perfectly here, where TDI s prejudice requirement, by its terms, covers only a specified subset of claims. My construction also honors stare decisis as explained recently in Fiess v. State Farm Lloyds.[28] In Fiess, the Court discussed one of our prior decisions and observed that if TDI disputed our construction of the insurance policy in that case, it is strange that insurance regulators did nothing to change the policy for a quarter century. [29] In the instant case, the Board acted following Cutaia, but in a circumscribed manner.

The Court points out that the prejudice requirement TDI imposed in 1973 predated the availability of CGL coverage for advertising injury. True enough, but as the Court also acknowledges, such coverage has now been available through standard CGL policies for nearly three decades during which TDI declined to broaden its 1973 order even as new coverages, like advertising injury, were added to the standard CGL policy. Given this lengthy inaction by the agency charged with mandating changes in policy forms, Fiess counsels us to decline the invitation to overrule our earlier precedent.[30] If anything, the argument for deference to state regulators in the instant case is even stronger than it was in Cutaia. The Board responded swiftly following Cutaia, to be sure, but also surgically, overriding Cutaia as to some coverages but not others. The implication from this targeted response followed by decades of subsequent executive and legislative inaction is plain: Hanover must show prejudice from late notice of bodily injury and property damage claims but not from late notice of advertising injury claims.

I would reaffirm Cutaia s recognition that the Legislature and the state agency overseeing the insurance industry are better suited to decide whether an insurer must show prejudice to deny coverage based on late notice. TDI and legislators are free to supplant Cutaia s no-prejudice rule with a more liberal notice-prejudice rule if they believe, on public policy grounds, that the latter is preferable. I would not fault them for doing so. But when interpreting text whether a contract, regulatory edict, statute, or constitution formalism matters, and key to formalism is consistency in entrusting policy matters to policymakers.

In any event, I find it understandable that an insurer would insist on a strict notice requirement. An insured s failure to provide prompt notice of a suit or claim to an insurer, who has the resources and experience to handle such claims, can obviously work a substantial hardship on both the insurer and the insured. The insurer understandably wishes to discourage late notice and to avoid ancillary litigation devoted to whether or not it was prejudiced by a failure to provide prompt notice; litigation could have the effect of raising premiums on all insured parties, thus forcing punctual insured parties to subsidize those who flout the policy s notice requirements.

Regardless of which side makes the superior public policy argument as to what an insurance policy should provide, I would decline to insert nonexistent language into the parties agreement. The Court is construing a contract, not editing it, and just six months ago, in Fortis Benefits v. Cantu, this Court unanimously stressed that contract rights generally arise from contract language; they do not derive their validity from principles of equity but directly from the parties agreement. [31] Fortis Benefits directs courts in contractual interpretation cases to follow a modest, text-based approach anchored in the parties agreed contract,[32] rather than imposing external, judge-made rules. Indeed, Fortis Benefits cited Cutaia, which should control today, for the sound principle that balancing policy concerns is best left to nonjudicial bodies.[33] The Court affirmed that view last year in Fiess when it concluded: If the political branches of Texas government decide that mold should be covered in Texas insurance policies, they have tools at their disposal to do so; Texas courts must stick to what those policies say . . . . [34] Cutaia s core holding remains valid. [O]n balance it is better policy for the contracts of insurance to be changed by the public body charged with their supervision . . . or by the Legislature, rather than for this Court to insert a provision that violations of conditions precedent will be excused if no harm results from their violation. [35]

In a post-submission brief, Hanover points out that since October 2000 a Texas Changes endorsement, designated endorsement CG 01 03 and published by the Insurance Services Office (ISO), has included a prejudice requirement for personal and advertising injury claims as well as bodily injury and property damage claims. Hanover alternatively describes this endorsement as approved or required by TDI. Under current and prior law, TDI has been authorized to approve standardized policy forms.[36] The ISO is a national organization that publishes standard policy forms. [37] The record and briefing before us are inconclusive as to whether TDI has merely approved the use of this endorsement as one which may be used in Texas CGL policies or has in effect required the use of the endorsement in all CGL policies by approving this form or otherwise mandating its use through some other mechanism. Even if TDI now mandates a prejudice requirement for advertising injury claims in all Texas CGL policies, that requirement, as Hanover notes, was not imposed until some time in 2000 at the earliest and does not apply to the policy in the pending case. The parties stipulated that the Hanover policies covered the period from July 1993 through June 1999. It is undisputed that the ISO endorsement used in the Hanover policy in issue did not contain a prejudice requirement for advertising injury claims. For the reasons described above, I would not impose a prejudice requirement where the policy contains no such language and where TDI did not require such an endorsement at the time the policy was in effect even if TDI has since changed the endorsement language that must be used.

Today the Court treats Cutaia as a dead letter, overruled by Hernandez, reasoning that the Court in Hernandez declined to draw any distinction between covenants and conditions and apparently rejected Cutaia s holding that failure to comply with a coverage condition precluded liability irrespective of harm.[38] I disagree. This Court has never expressly equated covenants with conditions or abolished the sometimes fine (but sometimes significant) distinction between them; Texas law has traditionally viewed covenants and conditions differently. Hernandez may not have classified the settlement-without-consent exclusion in that case as one or the other, but other post Hernandez decisions from this Court have certainly done so. Indeed, just one year after Hernandez, in Harwell, we retained the distinction, deeming the prompt-notice requirement in that case a condition precedent and not a covenant.[39]

Put simply, Hernandez concerned a policy exclusion not a policy condition and this Court has restated the distinction repeatedly since Hernandez was decided.[40] In any event, Hernandez did not overrule or modify Cutaia, expressly or by implication; the Hernandez majority never even mentions Cutaia. Nor has any subsequent case from this Court, until today, limited Cutaia or remotely criticized it. For the reasons discussed above,[41] Cutaia and Hernandez can be reconciled, with today s notice case falling squarely under Cutaia, a case this Court recently cited and unanimously reaffirmed for the core teaching regarding policy intervention/abstention.[42]

The Court finds my reading of the policy unreasonable because identical policy language creates a condition precedent as to one type of coverage (advertising injury), but a covenant as to the other (bodily injury and property damage). [43] I think my reading of the policy is exactly what is expected when a national insurance company uses a standard CGL form but modifies it only to the extent necessary to comply with the law of the jurisdiction where the policy is sold, in this case Texas. The policy generally provides that notice of an occurrence or claim is a condition precedent to coverage and that [n]o person . . . has a right . . . [t]o sue the insurer absent compliance with this requirement, as discussed more fully above, but modifies these standard provisions as needed to comply with Texas law. Hence, the policy includes an endorsement, titled Texas Changes Conditions Requiring Notice and providing that prejudice must be shown to deny coverage [w]ith regard to Bodily Injury and Property Damage Liability only. The absence of a similar endorsement for advertising injury claims is unsurprising since Texas law did not require such an endorsement. I see nothing odd or abhorrent in allowing an insurer to sell a policy using a nationally standardized form that is modified only to the extent necessary to comply with a unique Texas requirement.

Finally, the Court views my approach as imposing draconian consequences for even de minimis deviations from the duties the policy places on insureds. [44] In this case, PAJ s failure to comply with the policy s prompt-notice requirements cannot be described as de minimis. The record shows that several months passed before PAJ notified Hanover of the lawsuit, notification that PAJ admits was not as soon as practicable. PAJ was not merely facing an occurrence or a potential claim under the policy; it had actually been sued. I do not intend to suggest that even the most trivial missteps in complying with notice or other policy requirements will justify total forfeiture of coverage. Texas law, for example, has long recognized that substantial compliance with a policy s notice or proof-of-loss provisions will suffice and that trivial missteps in complying with notice or other policy requirements are excused.[45] I would leave intact the substantial compliance doctrine as to an insured s myriad policy obligations, but there was no substantial compliance here. Our sole focus today should be whether to judicially engraft a prejudice requirement where none exists in the wording of the policy or in Texas law, and I would decline to do so.

II. Conclusion

Courts should enforce unambiguous policy terms in accordance with their plain meaning.[46] As this Court recently affirmed in Fiess, we cannot fashion for parties a new-and-improved contract, nor change that which they have made under the guise of construction, [47] nor impose by judicial fiat a brand of justice, however earnest and strongly felt, that we find more personally congenial. The better policy remains that insurance contracts should be construed by courts and spruced up, if necessary, by nonjudicial bodies.[48] Accordingly, I would decline to embellish this policy s unequivocal notice-of-suit and no action restrictions by imposing an extra-contractual prejudice requirement that excuses the failure of a condition precedent to coverage.[49] I would affirm the court of appeals judgment that Hanover is not bound to defend or indemnify PAJ in the copyright infringement suit.

____________________________________

Don R. Willett

Justice

Opinion delivered: January 11, 2008

[1] 476 S.W.2d 278, 279 (Tex. 1972).

[2] Id. at 281.

[3] 875 S.W.2d 691 (Tex. 1994).

[4] 896 S.W.2d 170 (Tex. 1995).

[5] Klein v. Century Lloyds, 275 S.W.2d 95, 96 (Tex. 1955).

[6] See Hernandez, 875 S.W.2d at 692.

[7] Harwell, 896 S.W.2d at 173 74; Liberty Mut. Ins. Co. v. Cruz, 883 S.W.2d 164, 165 (Tex. 1993); Weaver v. Hartford Accident & Indem. Co., 570 S.W.2d 367, 369 (Tex. 1978); Dairyland County Mut. Ins. Co. v. Roman, 498 S.W.2d 154, 157 (Tex. 1973); Cutaia, 476 S.W.2d at 278; Klein, 275 S.W.2d at 96.

[8] Cutaia, 476 S.W.2d at 279, 281 (discussing New Amsterdam Cas. Co. v. Hamblen, 190 S.W.2d 56 (Tex. 1945)); see also Klein, 275 S.W.2d at 96.

[9] Cutaia, 476 S.W.2d at 278.

[10] Hohenberg Bros. Co. v. George E. Gibbons & Co., 537 S.W.2d 1, 3 (Tex. 1976).

[11] Id.

[12] See, e.g., Cutaia, 476 S.W.2d at 279.

[13] Landscape Design & Constr., Inc. v. Harold Thomas Excavating, Inc., 604 S.W.2d 374, 376 (Tex. App. Dallas 1980, writ ref d n.r.e.); see also Reinert v. Lawson, 113 S.W.2d 293, 295 (Tex. Civ. App. Waco 1938, no writ).

[14] Hernandez v. Gulf Group Lloyds, 875 S.W.2d 691, 692 93 (Tex. 1994).

[15] Criswell v. European Crossroads Shopping Ctr., Ltd., 792 S.W.2d 945, 948 (Tex. 1990); see also Hohenberg Bros., 537 S.W.2d at 3.

[16] Hohenberg Bros., 537 S.W.2d at 3.

[17] 875 S.W.2d at 692 n.1.

[18] Id. at 692 93.

[19] Id. at 692.

[20] See id.

[21] See supra note 7 and accompanying text.

[22] 170 S.W.3d at 263.

[23] Harwell v. State Farm Mut. Auto. Ins. Co., 896 S.W.2d 170, 173 (Tex. 1995).

[24] Id. at 174 (citing Liberty Mut. Ins. Co. v. Cruz, 883 S.W.2d 164, 165 (Tex. 1993)). Cruz, like Hernandez, involved an insurance policy with a notice provision that required a showing of prejudice before the insurer could escape coverage. The policy in Cruz stated: unless the company is prejudiced by the insured s failure to comply with the requirement, any provision of this policy requiring the insured to give notice . . . shall not bar liability under this policy. 883 S.W.2d at 165 66 n.3.

[25] Members Mut. Ins. Co. v. Cutaia, 476 S.W.2d 278, 281 (Tex. 1972).

[26] State Bd. of Ins., Revision of Texas Standard Provision for Automobile Policies Editions of April 1, 1955 and October 1, 1966 Amendatory Endorsement Notice, Order No. 22582 (Jan. 26, 1973), available at http://www.tdi.state.tx.us/commercial/pcck22582.html; State Bd. of Ins., Revision of Texas Standard Provision for General Liability Policies Amendatory Endorsement-Notice, Order No. 23080 (Mar. 13, 1973), available at http://www.tdi.state.tx.us/commercial/pcck23080.html.

[27] CKB & Assocs., Inc. v. Moore McCormack Petroleum, Inc., 734 S.W.2d 653, 655 (Tex. 1987).

[28] 202 S.W.3d 744 (Tex. 2006).

[29] Id. at 749 50.

[30] Id. at 750.

[31] 234 S.W.3d 642, 647 (Tex. 2007).

[32] Id. at 649.

[33] Id. at 649 50.

[34] Fiess, 202 S.W.3d at 753.

[35] Members Mut. Ins. Co. v. Cutaia, 476 S.W.2d 278, 281 (Tex. 1972).

[36] Under current law, an insurer offering a CGL policy must use forms filed with and approved by TDI, Tex. Ins. Code 2301.003(b)(3), 2301.006, subject to an exemption for certain large risks, 2301.004. TDI may adopt standard insurance policy forms . . . that an insurer may use instead of the insurer s own forms. 2301.008. The Commissioner may approve the use of policy forms and endorsements adopted by a national organization of insurance companies or a similar organization, if such forms or endorsements are filed with and are approved by the commissioner in accordance with this article. Tex. Ins. Code art. 5.35(c) (Vernon Supp. 1997). Similarly, under prior law applicable to CGL policies, insurers were required to file and obtain approval of policy forms with TDI, which was also authorized to promulgate standard insurance policy forms. See id. art. 5.13-2, 2(a)(1), 8(a), 8(e), repealed by Act of May 24, 2005, 79th Leg., R.S., ch. 727, 18(d), 2005 Tex. Gen. Laws 1752, 2186 87.

[37] Progressive County Mut. Ins. Co. v. Sink, 107 S.W.3d 547, 558 (Tex. 2003) (Phillips, C.J., dissenting).

[38] ___ S.W.3d at ___.

[39] Harwell v. State Farm Mut. Auto. Ins. Co., 896 S.W.2d 170, 173 74 (Tex. 1995) ( Compliance with the notice of suit provision is a condition precedent to the insurer s liability on the policy. (quoting Weaver v. Hartford Accident & Indem. Co., 570 S.W.2d 367, 369 (Tex. 1978))). Another of our post-Hernandez insurance cases retained the distinction, labeling a policy provision a condition precedent and concluding because [the insured] did not comply with all conditions precedent to recover under the insurance policy, he was not entitled to sue or recover on the contract. State Farm Lloyds Ins. Co. v. Maldonado, 963 S.W.2d 38, 41 (Tex. 1998). Maldonado did not reach the issue of prejudice, but its reaffirmation that an insured s failure to comply with a condition precedent barred recovery undercuts the application of Hernandez to conditions precedent.

[40] In Maldonado, 963 S.W.2d at 40, and Harwell, 896 S.W.2d at 173-74, we characterized insurance policy provisions as conditions precedent.

[41] See supra Part I.A.

[42] Fortis Benefits v. Cantu, 234 S.W.3d 642, 649 50 (Tex. 2007).

[43] ___ S.W.3d at ___.

[44] ___ S.W.3d at ___.

[45] See Bituminous Cas. Corp. v. Vacuum Tanks, Inc., 75 F.3d 1048, 1056 (5th Cir. 1996) (stating that this court and Texas courts have held that substantial compliance with an insurance policy notice requirement will suffice, and holding that failure to forward suit papers as required in policy was excused where insured substantially complied with the notice requirement by apprising [the insurer] in writing of the essential allegations of the underlying suits ); Bekins Moving & Storage Co. v. Williams, 947 S.W.2d 568, 576 n.1 (Tex. App. Texarkana 1997, no writ) (recognizing that proof of loss and notice of claim are conditions precedent to recovery on the policy, but that a claimant may still recover upon jury findings supporting theories of waiver or substantial compliance ); Henry v. Aetna Cas. & Sur. Co., 633 S.W.2d 583, 584-85 (Tex. App. Texarkana 1982, writ ref d n.r.e.) (holding that failure to comply with written proof of claim requirement was excused because insured substantially complied with requirement when he had his mother report particulars of accident to insurance agent, who prepared written report on insurer s own form); Dairyland County Mut. Ins. Co. v. Keys, 568 S.W.2d 457, 458-59 (Tex. Civ. App. Tyler 1978, writ ref d n.r.e.) (holding, where insurer complained that insured failed to give the proper notice of proof of loss in accordance with the terms of the policy, that insured substantially complied with policy when he went to agent s office and filled out a form providing particulars of loss); Austin Bldg. Co. v. Nat l Union Fire Ins. Co., 403 S.W.2d 499, 505-06 (Tex. Civ. App. Dallas 1966, writ ref d n.r.e.) (holding that insured substantially complied with policy requirement that it provide sworn proof of claim, where insured provided unsworn proof of claim to insurer s agent and communicated with adjuster regarding particulars of loss); Home Ins. Co. v. F.C. Flewellen Produce Co., 247 S.W. 833, 835-836 (Tex. Comm n App. 1923, holding approved) (holding that failure to produce one inventory record did not violate policy requiring preservation and production of business records, where insured produced all other records and was not culpable for loss of the missing record); see also Gladding v. Prudential Ins. Co. of Am., 521 S.W.2d 736, 737, 739 (Tex. Civ. App. Houston [1st Dist.] 1975, writ ref d n.r.e.) (holding that insured substantially complied with policy change of beneficiary provision by submitting an insurance form referring to designees by initials rather than full names as required by the form).

[46] Blaycock v. Am. Guarantee Bank Liab. Ins. Co., 632 S.W.2d 719, 721 (Tex. 1982).

[47] Fiess v. State Farm Lloyds, 202 S.W.3d 744, 753 (Tex. 2006)(internal quotation marks omitted) (quoting E. Tex. Fire Ins. Co. v. Kempner, 27 S.W. 122, 122 (Tex. 1894)).

[48] Members Mut. Ins. Co. v. Cutaia, 476 S.W.2d 278, 281 (Tex. 1972).

[49] Texas courts are not alone in adopting the traditional rule and concluding that (1) notice requirements are conditions precedent, see Greycoat, 657 A.2d at 768; Livorsi Marine, 856 N.E.2d at 343; Las Vegas Star Taxi, 714 P.2d at 562; Argo, 827 N.E.2d at 764; Goodyear Tire & Rubber Co. v. Aetna Cas. & Sur. Co., 769 N.E.2d 835, 842 (Ohio 2002); Walton, 423 S.E.2d at 192; Colonial Ins. Co. v. Barrett, 542 S.E.2d 869, 874 (W. Va. 2000); Askren Hub States Pest Control Servs., Inc. v. Zurich Ins. Co., 721 N.E.2d 270, 277 (Ind. Ct. App. 1999), (2) the modern CGL no action language renders the notice requirement a condition of coverage that must be honored before the insurer is liable, see AIG Centennial Ins. Co. v. Fraley Landers, 450 F.3d 761, 764-65, 767 (8th Cir. 2006) (citing a prior case reviewing Arkansas law and so holding); Las Vegas Star Taxi, Inc. v. St. Paul Fire & Marine Ins. Co., 714 P.2d 562, 562 63 (Nev. 1986); Federated Mut. Ins. Co. v. Ownbey Enters., Inc., 627 S.E.2d 917, 919 & n.2 (Ga. Ct. App. 2006), and (3) the insurer need not show prejudice in order to avoid coverage, see AIG, 450 F.3d at 768 (applying Arkansas law and concluding that although there are some divergent cases, Arkansas courts would not impose a prejudice requirement); Greycoat Hanover F St. Ltd. P ship v. Liberty Mut. Ins. Co., 657 A.2d 764, 768 n.3 (D.C. 1995); Country Mut. Ins. Co. v. Livorsi Marine, Inc., 856 N.E.2d 338, 346 (Ill. 2006); Argo Corp. v. Greater N.Y. Mut. Ins. Co., 827 N.E.2d 762, 764 (N.Y. 2005); State Farm Fire & Cas. Co. v. Walton, 423 S.E.2d 188, 192 (Va. 1992).

Maryland holds otherwise; a court has held that notice provisions are covenants rather than conditions precedent. See Sherwood Brands, Inc. v. Hartford Accident & Indem. Co., 698 A.2d 1078, 1082 (Md. 1997). Notably, however, Maryland has a specific statute that requires proof of prejudice, Md. Code Ann., Insurance 19-110 (West 1997), something the Texas Legislature has never imposed and something TDI has expressly mandated only for property damage and bodily injury claims, see State Bd. of Ins., supra note 26.

Likewise, leading legal commentators recognize that notice provisions have been treated as conditions precedent rather than covenants. See 22 Eric Mills Holmes, Appleman on Insurance 139.1[B] (2d ed. 2003); Donald S. Malecki & Arthur L. Flitner, Commercial General Liability 76 77 (4th ed. 1992); 13 Lee R. Russ & Thomas F. Segalla, Couch on Insurance 190.20, 190.25 (3d ed. 1999).