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2013 COA 153
Colo. Ct. App.
2013
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Background

  • Consolidated plaintiffs challenge PERA Rule 7.45(E) and Standard’s disability policy as inconsistent with §24-51-702(1)(a).
  • PERA administers short-term disability and disability retirement; Standard under contract insures STD benefits.
  • Section 708 authorizes PERA to contract with a disability program administrator and adopt rules including disability standards.
  • Rule 7.45(E) provides STD eligibility only if the member cannot perform any job earning at least 75% of predisability earnings.
  • District court upheld Rule 7.45(E) and the STD policy as consistent with the statute; the judgments were entered against plaintiffs.
  • Court reviews the statutory interpretation de novo and defers to PERA’s construction if reasonable and consistent with the statute’s language and purpose.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether Rule 7.45(E) conflicts with §24-51-702(1)(a). Lawless/Hogan/Mills argue 702(1)(a) requires STD for those unable to perform their own job. PERA contends Rule 7.45(E) fits a framework and allows broad discretion consistent with 708. No conflict; Rule 7.45(E) reasonable within PERA’s discretion.
Whether PERA had authority to implement Rule 7.45(E) under the statute. Statute’s ambiguity limits PERA’s rulemaking to clear mandates. Legislative framework grants PERA broad authority to define disability and administer STD. PERA acted within its delegated authority; rule within statutory framework.
Whether the statutory language is ambiguous and thus subject to extrinsic construction. Ambiguity exists between mandatory benefits and flexible framework. Ambiguity exists but extrinsic aids support PERA’s interpretation. Statute is ambiguous; extrinsic aids support PERA’s interpretation.

Key Cases Cited

  • McCool v. Sears, 186 P.3d 147 (Colo. App. 2008) (agency rule cannot contravene statute; regulation must align with statute)
  • Hawes v. Colo. Div. of Ins., 65 P.3d 1008 (Colo. 2003) (implications of agency discretion in regulatory schemes)
  • Chevron U.S.A., Inc. v. Natural Res. Def. Council, Inc., 467 U.S. 837 (U.S. 1984) (deference to agency interpretations when authorized by statute)
  • Hewlett-Packard Co. v. State, Dep't of Revenue, 749 P.2d 400 (Colo. 1988) (regulatory interpretations persuasively continued when legislature reenacts)
  • Colo. Consumer Health Initiative v. Colo. Bd. of Health, 240 P.3d 525 (Colo. App. 2010) (agency interpretations deemed consistent with statute when not contrary to plain language)
  • Sperry v. Field, 205 P.3d 865 (Colo. 2009) (ambiguity can arise from statute structure and language)
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Case Details

Case Name: Lawless v. Standard Insurance Co.
Court Name: Colorado Court of Appeals
Date Published: Nov 21, 2013
Citations: 2013 COA 153; 338 P.3d 398; 2013 Colo. App. LEXIS 1780; 2013 WL 6116134; Court of Appeals No. 12CA0567
Docket Number: Court of Appeals No. 12CA0567
Court Abbreviation: Colo. Ct. App.
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    Lawless v. Standard Insurance Co., 2013 COA 153