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Savio v. Travelers Insurance Co.
678 P.2d 549
Colo. Ct. App.
1984
Check Treatment

*1 wаs deter- amount of The total $521,182. liability is sole- This

mined to be Webb, responsible he is

ly that Regardless of the in full.

satisfying it Fag- and the Brancucci

agreement between $521,- liability is fixed at

erbergs, Webb’s

182. denying Brancucci’s claim judgment

The judgment is affirmed. The indemnity is reversed.

against Dessert Seed that the is remanded with directions

cause against Des-

trial court dismiss the claims against modify judgment

sert Seed and judgment above. Such

Webb as reflected is affirmed.

as modified STERNBERG, JJ., concur.

PIERCE SAVIO, Plaintiff-Appellant, A.

William COMPANY,

TRAVELERS INSURANCE

Defendant-Appellee.

No. 82CA0070. Appeals, Court of

Div. I.

July 1983. Aug. 1983.

Rehearing Denied March 1984.

Certiorari Granted

layed payment of rehabilitation bene- fits which insurer knew there was no pay. reasonable basis not to He further proximate aas direct and re- delay, sult of this he suffered the of a loss job opportunity, present future loss had he earnings which he could have made *3 rehabilitation, necessary the men- obtained distress, attorneys incurred tal and that he pursuing fees in his claims. The first claim negli- that the for relief аsserted insurer’s gence constituted a tortious breach of its implied covenant of faith and fair in the of claims. The dealing settlement alleged second claim that this conduct con- a breach of contract. stituted grаnted The trial court the insurer’s mo- complaint, reasoning the tion to dismiss the tort and contract claims were that both by exclusivity provision the of- the barred Compensation Act. Colorado Workmen’s although there The court аlso ruled that to the insurer’s was no material issue as negligence, tort claim failed to state Savio’s it al- a claim under Colorado law because simple negligence rather leged a claim for than an intentional tоrt. Thomas, Ranson, Livingston, Cook & Jon appeal, principal In this as Thomas, Springs, plaintiff- for C. Compen sertions are that the Workmen’s appellant. recovery the Act does not bar for sation deMarino, Florey, R. Thomas J. James in of an insurance carrier tortious conduct Jr., Denver, defendant-appellee. for processing of a claim for workmen’s the Associates, P.C., James L. Gilbert James simple neg benefits and that compensation Arvada, Gilbert, curiae L. for amicus Colo- of care ligence appropriate is the standard Lawyer’s Ass’n. rado Trial an carrier’s applied to be to insurance agree claims. We with processing in the of STERNBERG, Judge. by the claim is not barred that the Savio Savio, appeals William A. plaintiff, The Act, and that Compensation Workmen’s dismissing his com- summary judgment appropriate stan simple negligence is the damages negli- the sought plaint which dard of cаre. defendant, ‍‌​‌‌‌‌​​​‌​‌‌​​​​​‌​​‌​​​​‌​​​​​‌‌​​​‌‌​‌​‌​​‌​‌‍employ- of the his gent conduct Non-Exclusivity Workmen’s insurer, Company, Travelers Insurance I. er’s of Compensation Act work- of his claim for processing in the reverse. compensation benefits. We men’s complied employer has When an Com electrician, provisions of the Workmen’s Savio, with the suffered a work-re- an Act, nor its employer neither the pensation filed a workmen’s com- injury. lated He liability for subject carrier arе to employer defend- insurance claim with pensation any to em personal injury or the death of ant, employer’s insurance carrier. The the Act, and except provided in the as liability ployee, the admitted оn behalf of actions, remedies rights, and However, in all causes employer. of or death on account of such negligently the insurer de- complaint that 552 employee employer procures an in injury any covered When

personal 8-42-102, C.R.S. against are Section surance under the abolished. (1982 Cum.Supp.) in Compensation 1973 Workmen’s Act from an carrier, subject contract surance pre- this statute question whether Act. provisions One of these against an insurance cludes a tort claim carrier provisions is that insurance settling negligent conduct carrier for directly employee. to the shall be liable in Colorado. claim has not been addressed 8-44-105, C.R.S.1973; Section Industrial Court, 661 P.2d Wright In v. District Lopez, Commission Colo. (Colo.1983) malpractice claim a medical To the extent that an paid physician was held against company right employee Act because the has direct of action be barred insurer, place against outside the he is in effect a third- tortious conduct took relationship. The scope employment beneficiary party who is entitled to sue on Act was intended Couch, court reasoned that the Cyclopedia the contract. 11 G. *4 § injuries which arise out of a risk to cover (M. Insurance Law 2d 44:206 Rhodes exposed employee the is or hazard to which Rev.Vol.1982); Couch, Cyclopedia 3 G. of job. Medical perfоrmance § in the of the (R. Insurance Law 23:30 Anderson Rev. risk, phy- a the malpractice being such Ed.1960). Consequently, we hold that Sav liability. sician was not immune from See may the io assert tort claim based on Johnson, Inc., P.2d 517 Dorr v. 660 C.B. insurance contract between the insurer and (Colo.App.1983). employer. Using reasoning, the courts of similar jurisdictions have held that their other II. Standard Review of Compenatioon Acts do not ren- Workmen’s may plaintiff A recover from an der an insurance carrier immune from lia- negligent insurance carrier on a claim of bility for tortious conduct. See Martin v. performance duty repre of the carrier’s of (1st Co., 497 F.2d 329 Travelers Insurance Trimble, Group v. sentation. Farmers Cir.1974); v. Firе In- Westchester Stafford (Colo.App.1982); 658 P.2d 1370 Aetna Cas Co., (Alaska 1974); P.2d surance ‍‌​‌‌‌‌​​​‌​‌‌​​​​​‌​​‌​​​​‌​​​​​‌‌​​​‌‌​‌​‌​​‌​‌‍526 37 Kornbluth, ualty Surety & Co. v. 28 Colo. Underwriters, Hayes v. Aetna Fire 609 194, (1970). App. 471 P.2d 609 This claim (Mont.1980); P.2d 257 Coleman v. Ameri- duty arises out of the to exercise due care Co., Insurance 86 Wis.2d can Universal implicit is in the contractual relation which 615, (1979). 273 220 N.W.2d ship between the insurer and its insured. The claim asserted here is analo Kornbluth, Thus, supra. when an insurer gous: complained the conduct of occurred offer, negligently rejects a settlement Act, by an accident covered the after thereby exposing its insured to a risk of damages claimed were not sustained

the policy in excess of the loss scope employment rela within the limit, may the insured recover. hold, therefore, that a claim tionship. We in connection with the for tortious conduct In situations in an insurer is which handling compensation of a claim for is not insured, dealing directly with its Compensation precluded by the Workmen’s recognizes of the tort of bad faith breach Act. an insurance contract. This tort arises upon contract which Savio The insurance pay from the to insurer’s bad faith refusal duty good faith sues and from which the Group а valid claim. v. See Farmers dealing and fair arises was between the Trimble, supra.

employer may and the insurer. none duty good faith in to act theless assert the claim if his status is that duty implied by dealing ‍‌​‌‌‌‌​​​‌​‌‌​​​​​‌​​‌​​​​‌​​​​​‌‌​​​‌‌​‌​‌​​‌​‌‍with its insured is a third-party beneficiary. aof See Montezu insurance con Heating law as covenant of the Plumbing Housing ma & v. Au Inc., (Colo.App.1982). Comprecare, v. thority, 651 P.2d 426 tract. Rederscheid

553 (Colo.App.1983); Gruenberg 766 contravene its faith 667 P.2d and fair Co., dealing. agree. 9 Cal.3d We do not v. Aetna Insurance (1973). In- Cal.Rptr. procedure appear The relevant rules of deed, an when obligations the insurer Colo.Reg. at 7 Code 1101-3. Rule III of dealing claims of the insured and with regulation, relating to vocational reha- parties of third dealing with claims when bilitation, obligates the report carrier to duty. merely aspects two of the same are conclusions the to Division on whether an Accordingly, Gruenberg, supra. when the employee will be able to return to work. unreasonably and in bad faith with- provides Rule IV that a vocational rehabili- insured, it payment holds of the claim of its plan tation shall be developed by quali- subject liability in tort. Gruenberg, is representative fied rehabilitation designat- Whether the action amounts to bad supra. carrier, by ed employer, or the Division depends faith on whether the insurer failed in consultation with the employee as soon delayed payment honor a claim or with- request as the need is identified and a doing a rеasonable basis for so. out made employer carrier or or the Sparks Republic v. National Insur- Life separate Division. This creates rule three Co., 132 Ariz. 647 P.2d 1127 ance proceeding avenues for in an effort to de- vеlop plan: through carrier, the em- ployer, III, By or the Division. Rule Although this tort has been denominated carrier, however, responsibil- has the initial tort,” see, e.g., an “intentional Farmers ity identify plan. need for such a Trimble, Group supra; Noble v. Na- disagreement Should arise on the need for Co., tional American Insurance Life *5 content, plan a hearing or its is available. 188, (1981), Ariz. 624 P.2d 866 as the court possible voluntary The scheme makes explained Sparks Republic, supra, in v. litigation settlement without need for or the tort relates to action taken on a claim state intervention. necessarily and an inten- submitted will be inquiry tional act. The relevant rea- Here, upon Savio’s suit is based the acts the action under the circum- sonableness of in taking prompt of the insurer not action Sparks Republic, supra. v. stances. spite in on his claim of internal memoranda indicating the insurer’s conclusion that he Savio’s first сlaim for relief probably eligible. was The insurer neither delayed payment the insurer of a valid approved rejected proposal his re- nor for it claim for benefits which knew there was habilitation, request nor did it additionаl deny. no reasonable basis to With his mo information. The record contains evidence summary judgment, Savio filed an tion for that, tending to show had Savio received sup and a chronicle of the events affidavit denial, sought notice of the he could have Thus, allegation. has porting Savio review a referee. He also showed before stated a claim for relief sufficient ‍‌​‌‌‌‌​​​‌​‌‌​​​​​‌​​‌​​​​‌​​​​​‌‌​​​‌‌​‌​‌​​‌​‌‍sur timely, that had the insurer’s decision been dismiss, the insurer’s motion to and vive he wоuld have enrolled in a vocational reha- dismissing in the trial court erred training program would bilitation which claim. qualified specific job him which have for a longer no was available to him the time III. training. he did obtain that, even if The insurer asserts context, assertions, recognizes a claim in this Under these factual Savio’s proper proceeding suit must dismissed for failure suit is without his first be The in- present agency. his claim to the Division of La before the administrative denying thе claim filing it with the insurer. The surer’s actions not bor before argues, respect, that it could well have caused to rest on in this was Savio claim obligated act on the claim until oars to his detriment. Had the been buried, upon, than the insur- plan had acted rather vocational rehabilitation been sub Division, argument would have merit. delay mitted to the so did not er’s Financial Data Discovery IV. exemplary- for asserted a claim had Colorado, The PEOPLE State of the insurer’s con- contending that

damages, Plaintiff-Appellee, of mal- by circumstances duct was attended v. constituting a wanton insult and ice and rights disregard of his VIGIL, and reckless Defendant-Appellant. Donnie E. feelings. No. 81CA0418. ruling deny- court’s Hе contests the trial Appeals, Colorado Court financial data ing discovery of the insurer’s establishing exemplary Div. II. purposes for damages. 4, Aug. 1983. defendant’s fi Evidence of a Rehearing Aug. Denied 1983. plaintiff if is discoverable nancial worth Denied March 1984. Certiorari prima proof facie of a “tria- demonstrates punitive damages. issue” on ble Court, P.2d 768

Leidholt v. District

(Colo.1980). of a claim for Establishment faith alone is not

breach of punitive to establish a claim

sufficient Group, Inc. v. Trim-

damages. Farmers

ble, having record of the supra. Not us, summary judgment befоre

hearing on ruled cor presume must the trial court

we

rectly may ruling not disturb ‍‌​‌‌‌‌​​​‌​‌‌​​​​​‌​​‌​​​​‌​​​​​‌‌​​​‌‌​‌​‌​​‌​‌‍this on Churchill, 44 Colo.

appeal. See Weeks ruling This

App. right preclude

does not Savio's to demon punitive on the dam

strate a triable issue *6 discovery. If

age question after additional established, discovery then

such issue is proper. financial data would be judgment dismissing the action is the cause is remanded with

reversed and complaint.

directions to reinstate Savio’s

BERMAN, J., concurs. *, J., dissents.

COYTE

COYTE, Judge, dissenting: not seek relief

I dissent. Plaintiff did of the Industrial Com-

within the confines allege nor did he that the insurer

mission manner. In

acted in a willful and wanton view,

my plaintiff failed to state a claim for properly and the trial court dismissed

relief complaint. * Const., VI, 5(3), Judge Appeals sitting by assign- § the Colo. 607(5), Art. Sec. 24-51- Retired Court of (1982 10). Repl.Vol. provisions C.R.S.1973 ment of the Chief Justice under

Case Details

Case Name: Savio v. Travelers Insurance Co.
Court Name: Colorado Court of Appeals
Date Published: Mar 5, 1984
Citation: 678 P.2d 549
Docket Number: 82CA0070
Court Abbreviation: Colo. Ct. App.
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