Colorado Hospitality Services, Inc. v. Owners Insurance Company
1:14-cv-01857
D. Colo.Sep 3, 2015Background
- Owners Insurance insured Days Inn under a commercial property policy; Days Inn claimed hail damage from a June 6, 2012 storm and reported the loss on October 25, 2013.
- Owners retained engineer Timothy Phelan (PT&C) who inspected the property on Nov. 20, 2013 and reported on Nov. 22, 2013 that the roof showed no hail damage from the alleged storm.
- On Dec. 5, 2013 Owners denied coverage citing Phelan’s investigation; Days Inn later retained engineer Ryan Hardesty who inspected on Apr. 2, 2014 and issued a report on Apr. 20, 2014 concluding there was hail damage.
- Days Inn sued Owners for statutory and common-law bad faith after Owners declined to change its denial following receipt of Hardesty’s report; the case was removed to federal court.
- Owners moved for partial summary judgment seeking dismissal of the bad faith claims; Owners argued its investigation and reliance on Phelan were reasonable. Days Inn argued Owners acted unreasonably by failing to reconsider after receiving Hardesty’s report.
- The court found a genuine dispute of material fact whether Owners reasonably refused to reconsider the denial after receiving the contrary expert report and denied Owners’ motion for partial summary judgment.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether Owners acted reasonably in denying the claim based on Phelan’s report | Denial became unreasonable when Owners refused to reconsider after Hardesty’s contrary report | Denial was reasonable because Owners retained and relied on a qualified independent engineer; not required to accept later report | Court did not decide initial denial; held a triable issue exists on reasonableness of Owners’ refusal to reconsider after Hardesty’s report |
| Whether post-denial conduct (failure to reopen) supports bad faith | Post-denial refusal to reconsider constitutes bad faith if unreasonable | Post-denial refusal was reasonable because insurer had a prior, competent investigation | Court held material factual dispute as to whether post-denial conduct was reasonable, precluding summary judgment |
| Whether insurer may rely on expert report not available at denial time | Hardesty’s later report undermines reasonableness of continuing denial | It can rely on its contemporaneous expert and deny claim; not obligated to accept subsequent report without review | Court distinguished Sipes and found refusal to consider later report can create triable bad faith claim here |
| Standard for summary judgment and admissible evidence | Plaintiff must show genuine dispute about insurer’s reasonableness | Defendant asserts evidence supports its reasonable conduct | Court applied Rule 56 standards and denied summary judgment due to disputed material facts about post-denial investigation |
Key Cases Cited
- Celotex Corp. v. Catrett, 477 U.S. 317 (summary judgment allocation of burdens)
- Anderson v. Liberty Lobby, 477 U.S. 242 (genuine issue and materiality standard)
- Scott v. Harris, 550 U.S. 372 (do not adopt blatantly contradicted factual narratives at summary judgment)
- Goodson v. American Standard Insurance Co., 89 P.3d 409 (Colo.) (common-law bad faith tied to insurer reasonableness)
- Vaccaro v. American Family Insurance Group, 275 P.3d 750 (Colo. App.) (statutory bad faith centers on denial without reasonable basis)
- Sipes v. Allstate Indemnity Co., 949 F. Supp. 2d 1079 (D. Colo. 2013) (insurer not unreasonable for not considering expert report unavailable at denial time)
- Glacier Construction Co. v. Travelers Property Casualty Co. of America, [citation="569 F. App'x 582"] (10th Cir.) (insurer’s further investigation and expert use can justify denial on reconsideration)
- Saiz v. Charter Oak Fire Ins. Co., [citation="299 F. App'x 836"] (10th Cir.) (reopening investigation after additional information can still support later denial)
