Jordan v. Safeco Ins. Co. of Am.Jordan v. Safeco Ins. Co. of Am.
Dufford & Brown, P.C., Lawrence D. Stone, Christian D. Hammond, Denver, Colorado, for Defendant–Appellee.
Roberts Levin Rosenberg PC, Michael J. Rosenberg, Denver, Colorado, for Amicus Curiae The Colorado Trial Lawyers Association.
Opinion
Opinion by JUDGE J. JONES
¶ 1 Plaintiffs, Philip Jordan and Roberta Jordan, appeal the district court‘s summary judgment in favor of defendant, Safeco Insurance Company of America, Inc., on their claim that Safeco unreasonably denied them underinsured motorist benefits. We affirm.
¶ 2 Among the issues the Jordans raise is an issue of first impression in Colorado. Under
I. Background
¶ 3 In 2009, J.F., a minor driver, and the Jordans were involved in an automobile accident. The Jordans were injured, and they sued J.F. J.F.‘s automobile insurance policy covered damages for injuries to others up to $100,000 per person or $300,000 per accident. Mr. and Mrs. Jordan settled their claims against J.F. for $60,000 and $38,500, respectively.
¶ 4 The Jordans sought UIM benefits under their policy with Safeco, asserting that the policy covers all damages unpaid under the settlements, up to the policy limit.1 Safeco told the Jordans that their UIM coverage would be triggered only if either of them had damages exceeding the $100,000 liability limit of J.F.‘s policy. Safeco valued
¶ 5 The Jordans sued Safeco, asserting claims for (1) сommon law bad faith breach of an insurance contract; (2) unreasonable delay and denial of payment of a claim for benefits in violation of
¶ 6 The district court granted Safeco‘s motion for summary judgment. The court determined that under amended
¶ 7 On appeal, the Jordans challenge only the district court‘s grant of summary judgment in favor of Safeco on their second claim under
II. Standard of Review
¶ 8 We review a grant of summary judgment de novo. Shelter Mut. Ins. Co. v. Mid–Century Ins. Co., 246 P.3d 651, 667 (Colo.2011). Summary judgment is appropriate when no genuine issue of material fact exists and the moving party is entitled to judgment
III. Discussion
¶ 9 In challenging the district court‘s order granting summary judgment for Safeco and its refusal to grant their motion for summary judgment, the Jordans contend that Safeco unreasonably denied their UIM claim because payment was required by (1) the plain terms of the Safeco policy; and (2)
A. The Safeco Policy
¶ 10 The Safeco policy‘s UIM coverage provision (Part C, “INSURING AGREEMENT,” section A) says that Safeco
will pay damages under this coverage caused by an accident with an underinsured motor vehicle only if 1. or 2. below applies: 1. The limits of liability under any applicable bodily injury liability bonds or policies have been exhausted by payment of judgments or settlements, or 2. [not applicable].4
¶ 11 The policy later defines an underinsured motоr vehicle (in Part C, “INSURING AGREEMENT,” section C) as follows:
“Underinsured motor vehicle” means a land motor vehicle, the ownership, maintenance or use of which is insured or bonded for bodily injury at the time of the accident, but the amount paid for bodily injury under such insurance or bonds is not enough to pay the full amount the insured is legally entitled to recover as damages.
¶ 12 And, as also relevant here, the UIM portion of the policy contains a provision regarding the effect of other insurance on UIM coverage (in Part C, “OTHER INSURANCE,” section B). It states: “[UIM] Coverage shall be excess over all bodily injury liability bonds or policies applicable at the time of the accident.”
¶ 13 We review the interpretation of an insurance contract de novo, employing “well-settled principles of contractual interpretation.” Allstate Ins. Co. v. Huizar, 52 P.3d 816, 819 (Colo.2002); accord Shelter Mut. Ins. Co., 246 P.3d at 666. We construe the plain language of the contract to fulfill the intent of the insured and the insurer, and we resolve ambiguities in favor of the insured. Shelter Mut. Ins. Co., 246 P.3d at 666.
¶ 14 We agree with Safeco and the district court that the policy terms unambiguously provide for payment of UIM benefits only for damages above the tortfeasor‘s insurance policy liability limit.
¶ 15 The relevant UIM coverage provision states that Safeco will pay UIM benefits if “the limits of liability ... have been exhausted by payment of judgments or settlements.” These terms clearly restrict Safeco‘s UIM
¶ 16 Also contrary to the Jordans’ assertion, the policy‘s definition of “underinsured motor vehicle” does not dictate a different conclusion. To be sure, a conditiоn of UIM coverage under the policy is that the vehicle is underinsured, as defined in the policy. But, as noted, the coverage provision further conditions payment of UIM benefits – as relevant here, by requiring exhaustion of the tortfeasor‘s liability policy limit. The definition of “underinsured motor vehicle” does not negate that further condition.
¶ 17 The cases on which the Jordans rely primarily, Freeman v. State Farm Mut. Auto. Ins. Co., 946 P.2d 584 (Colo.App.1997); State Farm Mut. Auto. Ins. Co. v. Tye, 931 P.2d 540 (Colo.App.1996); and State Farm Mut. Auto. Ins. Co. v. Bencomo, 873 P.2d 47 (Colo.App.1994), are distinguishable. In Freeman and Bencomo, the relevant policy provisions granted coverage once the limits of liability for all bodily injury policies had been “used uр” by payments of settlements or judgments. Freeman, 946 P.2d at 585; Bencomo, 873 P.2d at 49. The divisions analyzed the meaning of those provisions in light of the former version of
¶ 18 Tye also relied on the prior version of
¶ 19 The coverage provision at issue in this case does not include that same “used up” or “paid or payable” language at issue in the cases decided under the prior version of
¶ 20 And in any event, the prior version of
B. Section 10–4–609
¶ 21 Next, the Jordans contend that under the current version of
¶ 22 Even if a UIM coverage provision is unambiguous, we may conclude that it is void if it conflicts with the UIM insurance statute by diluting, conditioning, or limiting coverage mandated thereby. Farmers Ins. Exch. v. Anderson, 260 P.3d 68, 75 (Colo.App.2010); see DeHerrera v. Sentry Ins. Co., 30 P.3d 167, 173 (Colo.2001) (“An insurance contract that denies statutorily mandated coverage is void and unenforceable.“). We perceive no such conflict here.
¶ 23
¶ 24 Before the 2008 amendments to
The maximum liability of the insurer under the uninsured motorist coverage provided shall be the lesser of:
(a) The difference between the limit of uninsured motorist coverage and the amount paid to the insured by or for any person or organization who may be held legally liable for the bodily injury; or
(b) The amount of damages sustained, but not recovered.
Ch. 92, sec. 1, § 10–4–609(5), 1983 Colo. Sess. Laws 455 (emphasis added).
¶ 25 Underinsured motor vehicles were defined, as relevant here, as vehicles insured for less than the uninsured motorist coverage under the insured‘s policy, or vehicles for which payments to persons other than the insured reduced coverage for the vehicle to less than the uninsured motorist coverage under the insured‘s policy. See Ch. 92, sec. 1, § 10–4–609(4), 1983 Colo. Sess. Laws 455.
¶ 26 Senate Bill 07–256, now codified at
[Underinsured motorist coverage] shall be in addition to any legal liability coverage and shall cover the difference, if any, between the amount of the limits of any legal liability coverage and the amount of the damages sustained ... up to the maximum amount of the coverage obtained pursuant to this section.... The amount of the coverage available pursuant to this section shall not be reduced by a setoff from any other coverage ....
(Emphasis added.)
¶ 27 It is against this backdrop that we must consider the Jordans’ statutory construction argument, and the three cases on which they again rely, Freeman, Tye, and Bencomo. Taken together, those cases stand for the proposition that UIM benefits must be provided for damages in excess of any amount paid by a tortfeasor in settlement or of any judgment against the tortfeasor. But, as discussed above, the statute which was the linchpin of the holdings in those cases,
¶ 28 We presume that the General Assembly has knowledge of existing statutes and relevant judicial decisions when it enacts legislation. In re Miranda, 2012 CO 69, ¶ 17, 289 P.3d 957; Colo. Water Conservation Bd. v. City of Central, 125 P.3d 424, 434 (Colo.2005). “Thus, when a statute is amended, the previous judicial construction stands only to the extent that it remains unaffected by the amendment.” People v. O‘Donnell, 926 P.2d 114, 115 (Colo.App.1996); accord Rauschenberger v. Radetsky, 745 P.2d 640, 643 (Colo.1987) (“When a statute is amended, the judicial construction previously placed upon the statute is deemed approved by the Genеral Assembly to the extent that the provision remains unchanged.“).
¶ 29 As noted, effective January 1, 2008 (before the effective date of the Jordans’ policy and the accident in this case), the General Assembly repealed subsection
¶ 30 Had the General Assembly intended to preserve UIM coverage for the gap between a settlement amount and a tortfeasor‘s liability policy limit, it could have incorporated the language from
¶ 31 Nonetheless, the Jordans (and amicus curiae the Colorado Trial Lawyers Association) contend that interpreting
¶ 32 The facts of this case present a situation where the insureds may suffer a gap in coverage, and would have been better off under the old version of the statute.6 But that is not an absurd result.
¶ 33 Courts in many other states have held that under UIM statutes (or former statutes, in the case of Minnesota) worded similarly to
¶ 34 The court in Schmidt articulated the public policy reasons for not allowing an insured to recover the gap from the UIM insurer. If an insured could recover the gap from the UIM insurer, the insured would not havе an incentive to obtain the best settlement from the tortfeasor, the tortfeasor (or the tortfeasor‘s insurer) would have less incentive to make its best offer, the UIM insurer would be placed at an unfair disadvantage because it would be liable without having any ability to control the insured‘s right to settle with the tortfeasor, and UIM claims processing would be delayed. 338 N.W.2d at 261; see Boyle v. Erie Ins. Co., 441 Pa.Super. 103, 656 A.2d 941, 943 (1995) (“The statutorily mandated coverage for underinsured motorist benefits was not intended to permit the insured absolute and arbitrary discretion to determine how payment should be apportioned between his or her own insurance company and the tortfeasor‘s liability carrier.“).
¶ 35 In essence, the Jordans (and amicus) contend that any interpretation of insurance statutes which could result in less coverage than was available under prior law must be against public policy. But the statute necessarily reflects public policy. Hurley, 90 Cal.Rptr.2d at 701. And thе Jordans have not cited any authority for the proposition that the General Assembly cannot change the law in a way that, in some instances, may prove detrimental to insureds. We are not at liberty to impose any such policy restriction on the actions of the General Assembly. Hamill v. Cheley Colo. Camps, Inc., 262 P.3d 945, 954 (Colo.App.2011) (judiciary‘s role is to recognize and enforce public policy implemented by the General Assembly); see Board of Cnty. Commr‘s v. Colo. Dep‘t of Pub. Health & Env‘t, 218 P.3d 336, 343 n. 11 (Colo.2009) (public policy concerns are properly addressed to the General Assembly); Scoggins v. Unigard Ins. Co., 869 P.2d 202, 205 (Colo.1994) (“We will not judicially legislate by reading a statute to accomplish something the plain language does not suggest, warrant[,] or mandate.“); see Curran, 29 P.3d at 833 (“public policy can guide statutory construction but cannot override a clear and unequivocal statutory requirement“).
¶ 36 As noted, the General Assembly‘s decision not to require coverage for the so-called gap serves legitimate рolicy interests. And we observe that, considered as a whole, the General Assembly‘s amendments to the UIM statute will, in most if not all cases, as discussed below, prove more beneficial to the insureds than prior law.
¶ 37 The new version of the UIM statute increases the amount of UIM coverage that an insurer must offer.
¶ 38 Also, under the new statutory scheme, insurers of all potentially applicable UIM policies (such as those covering the vehicle, driver, passenger, or pedestrian) are liable for damages, as the policies must be allowed to “stack” – that is, a second policy‘s coverage begins where the first policy‘s coverage leaves off, without reducing the amount of available recovery under the second policy. See
¶ 39 Nor are we swayed by the Jordans’ argument that allowing insureds to be responsible for a gap in coverage
¶ 40 We conclude that the district court properly determined that, as a matter of law, Safeco was not obligated to pay UIM benefits to the Jordans. It follows that Safeco was entitled to summary judgment on the Jordans’ claim under
¶ 41 The judgment is affirmed.
JUDGE BERNARD and JUDGE RICHMAN concur.