Employers Mutual Casualty Company v. Trejo
1:18-cv-03066
D. Colo.Jun 3, 2019Background
- Plaintiff (Employers Mutual Casualty Co.) issued a commercial auto policy to Defendant’s employer; Defendant was injured in an accident caused solely by a co-employee while both were on the job.
- Defendant received workers’ compensation benefits; the employer and co-employee are immune from suit under Colorado’s Workers’ Compensation Act (WCA).
- Defendant seeks UM/UIM recovery under the employer’s commercial policy; Plaintiff filed for declaratory judgment denying coverage.
- The sole legal question is whether Defendant is “legally entitled to recover” under the employer’s policy given WCA immunity.
- The parties moved for summary judgment; no material factual disputes exist and Colorado law governs.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether Defendant is "legally entitled to recover" under his employer's UM/UIM policy despite WCA immunity | Defendant cannot be legally entitled to recover from the employer's insurer because the employer and co-employee are immune under the WCA | Defendant would be legally entitled to recover because, absent the WCA immunity, he would prevail on a negligence claim against the co-employee | Court: Defendant is not legally entitled to recover under the employer's policy; summary judgment for Plaintiff |
| Whether allowing recovery under the employer's policy would conflict with WCA public policy | Allowing recovery from employer’s insurer would undermine the WCA and permit recovery that derives from immune parties | Defendant analogizes to cases allowing insureds to claim UIM under their own policies despite immunity and argues the WCA and UM statutes are compatible | Court: Distinguishes prior cases where insureds claimed their own policies; allowing recovery from employer’s policy would erode WCA policy and discourage individuals from obtaining their own coverage |
Key Cases Cited
- American Family Mut. Ins. Co. v. Ashour, 410 P.3d 753 (Colo. App. 2017) (division held injured employee could pursue UIM benefits under his personal policy despite WCA benefits)
- Borjas v. State Farm Mut. Auto. Ins. Co., 33 P.3d 1265 (Colo. App. 2001) (holding governmental-immunity of tortfeasor did not prevent insured from bringing UM claim against her own insurer)
- Continental Divide Ins. Co. v. Dickinson, 179 P.3d 202 (Colo. App. 2007) (refusing to allow independent contractor who declined to obtain coverage to recover under employer’s UM/UIM coverage)
- Kandt v. Evans, 645 P.2d 1300 (Colo. 1982) (Workers’ Compensation Act provides exclusive remedy for covered workplace injuries)
