England v. Amerigas Propane and Indemnity Insurance Company of North America
2017 CO 55
| Colo. | 2017Background
- Victor England, a truck driver, injured his shoulder at work and underwent two surgeries; in Sept. 2013 he settled his workers’ compensation claim for $35,000 using the Director’s mandatory Form WC104, which was approved by the Director.
- The Form’s paragraph 4 incorporated the statutory right to reopen settlements for fraud or mutual mistake of material fact; paragraph 6 contained a broad release of claims for "unknown injuries."
- After settlement approval England continued to experience pain; subsequent evaluation revealed a previously undiagnosed scapular fracture that existed at the time of settlement and was caused by a pre-settlement surgery.
- England moved to reopen the settlement on the ground of mutual mistake of material fact; an ALJ and the ICAO granted the reopening, finding the fracture was a mutual, material, preexisting fact unknown to the parties.
- The Colorado Court of Appeals reversed, holding paragraph 6’s release of "unknown injuries" excluded such preexisting, unknown surgical complications from reopening; the Supreme Court granted certiorari.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether the Form's paragraph 6 release of "unknown injuries" waives or limits the statutory right to reopen a settlement for mutual mistake of material fact | England: paragraph 6 cannot eliminate the statutory right to reopen under § 8-43-204(1); paragraph 4 preserves that right | Amerigas: paragraph 6 excludes "unknown injuries," including undisclosed surgical complications, so the scapular fracture cannot be a basis to reopen | The Form cannot waive statutory reopening rights; paragraph 6 must be construed to apply only to injuries that develop after settlement, leaving paragraph 4 operative for preexisting mutual mistakes |
| Whether the undisclosed scapular fracture here constituted a mutual mistake of material fact allowing reopening | England: both parties were unaware of an existing, material condition that would have prevented settlement | Amerigas: the fracture falls within the Form's "unknown injuries" release and thus cannot support reopening | The court held the fracture was a mutual, material, preexisting fact; England may reopen his claim |
Key Cases Cited
- Padilla v. Industrial Comm’n, 696 P.2d 273 (Colo. 1985) (settlement waivers cannot nullify statutory reopening principles; relief available for mistake)
- Monfort Transp. v. Indus. Claim Appeals Office, 942 P.2d 1358 (Colo. App. 1997) (agency rules conflicting with statute are void)
- Carpenter v. Hill, 283 P.2d 963 (Colo. 1955) (mutual mistake voids contracts where fact is the very basis of the agreement)
- Hailpern v. Dryden, 389 P.2d 590 (Colo. 1964) (mutual mistake cannot concern a future fact)
