Kent Ryser, Plaintiff-Appellant, v. Shelter Mutual Insurance Company, Defendant-Appellee.
No. 18CA0748
COLORADO COURT OF APPEALS
June 13, 2019
2019COA88
Honorable Robert L. McGahey, Jr., Judge
City and County of Denver District Court No. 17CV33797
The summaries of the Colorado Court of Appeals published opinions constitute no part of the opinion of the division but have been prepared by the division for the convenience of the reader. The summaries may not be cited or relied upon as they are not the official language of the division. Any discrepancy between the language in the summary and in the opinion should be resolved in favor of the language in the opinion.
SUMMARY
June 13, 2019
2019COA88
No. 18CA0748, Ryser v. Shelter Mutual Insurance — Insurance — Motor Vehicles — Uninured/Underinsured; Workers’ Compensation — Coverage and Liability
In this uninsured/underinsured motorist (UM/UIM) benefits case, a division of the court of appeals concludes that the exclusivity provision of the Workers’ Compensation Act of Colorado, section 8-41-102, C.R.S. 2018, and the related co-employee immunity rule, bar a person who was injured in the course and scope of employment by a co-employee‘s negligence in driving a car from receiving UM/UIM benefits under an insurance policy maintained by another co-employee who owned the car.
JUDGMENT AFFIRMED
Division III
Opinion by JUDGE WEBB
Furman and Márquez*, JJ., concur
Announced June 13, 2019
Killian Davis Richter & Mayle, PC, Nicholas W. Mayle, Damon Davis, Grand Junction, Colorado, for Plaintiff-Appellant
Morgan Rider Riter Tsai, P.C., Sophia H. Tsai, Kelly L. Kafer, Denver, Colorado, for Defendant-Appellee
*Sitting by assignment of the Chief Justice under provisions of
¶ 1 In this uninsured/underinsured motorist (UM/UIM) benefits case, plaintiff, Kent Ryser, appeals the summary judgment entered in favor of defendant, Shelter Mutual Insurance Company, based on the exclusivity provision of the Workers’ Compensation Act of Colorado (WCA),
I. Undisputed Facts and Procedural Background
¶ 2 Ryser suffered serious injuries in a one-car accident. Sherri Babion owned the car. Linda Forster was driving, with Babion‘s permission. Ryser was a passenger, also with her permission. When the accident occurred, all three of them were Walmart employees acting in the course and scope of their employment. According to Ryser, Forster‘s negligence caused his injuries.
¶ 3 Babion maintained an auto insurance policy written by Shelter. The policy provided UM/UIM coverage. Because Forster was driving with Babion‘s consent and Ryser was a permitted passenger, they were both insured under the policy. But the policy‘s UM/UIM coverage applied only where “the owner or operator of an uninsured/underinsured
¶ 4 Ryser received workers’ compensation benefits. He also obtained UM/UIM benefits under his own auto policy on the basis that the co-employee immunity rule rendered Forster an uninsured motorist. Still, he claimed UM/UIM benefits from Shelter to the extent that Babion‘s UM/UIM coverage had a higher limit than his own policy.
¶ 5 When Shelter rejected the claim, Ryser brought this action for UM/UIM benefits. He also raised statutory bad faith and unreasonable delay and denial of benefits claims, along with a common law bad faith claim.
¶ 6 Shelter moved for summary judgment. It argued that Forster‘s co-employee immunity precluded the claim, as did the exclusion of Babion‘s car from UM/UIM coverage. For purposes of summary judgment, it did not contest that Ryser had been injured or that Forster‘s negligence had caused his injuries.
¶ 7 Ryser opposed Shelter‘s motion on the described auto exclusion and filed a cross-motion for partial summary judgment on the co-employee immunity question. He did not assert any negligence as to Babion.
¶ 8 Neither party opposed the other‘s motion based on disputed issues of material fact. Nor was the co-employee immunity of Forster disputed.
¶ 9 In a written order, the trial court ruled for Shelter and against Ryser based on co-employee immunity, thus ending the case. The court did not address the described auto exclusion. On appeal, Shelter concedes preservation.
II. Standard of Review
¶ 10 Summary judgment is reviewed de novo, applying the same standard as the trial court. City of Fort Collins v. Colo. Oil & Gas Ass‘n, 2016 CO 28, ¶ 9. It is appropriate only when no genuine issue of material fact exists and the moving party is entitled to judgment as a matter of law.
¶ 11 Statutory interpretation is a question of law that is also reviewed de novo. Cont‘l Divide Ins. Co. v. Dickinson, 179 P.3d 202, 204 (Colo. App. 2007). So is the interpretation of an insurance policy. Smith v. State Farm Mut. Auto. Ins. Co., 2017 COA 6, ¶ 5.
¶ 12 Although earlier decisions from divisions of this court are not binding on another division, “the later division should give the prior decision some deference.” People v. Oliver, 2018 COA 146, ¶ 24 n.1 (quoting People v. Bondsteel, 2015 COA 165, ¶ 14).
III. Law
A. Statutes
¶ 13 In Colorado, statutes regulate UM/UIM coverage. Under
¶ 14 Nor do the statutes define “uninsured motorist” or “uninsured automobile.” An “underinsured” motor vehicle is defined as “a land motor vehicle, the ownership, maintenance, or use of which is insured or bonded for bodily injury or death at the time of the accident.”
B. Case Law
¶ 15 The parties primarily focus on three decisions by divisions of this court: Borjas v. State Farm Mutual Automobile Insurance Co., 33 P.3d 1265 (Colo. App. 2001); Dickinson, 179 P.3d 202; and American Family Mutual Insurance Co. v. Ashour, 2017 COA 67. To a lesser extent, they point to Aetna Casualty & Surety Co. v. McMichael, 906 P.2d 92 (Colo. 1995). Unsurprisingly, they read these cases differently. And in any event, at most these cases provide only background.
1. Borjas
¶ 16 The plaintiff sought UM/UIM benefits under her personal auto policy for injuries suffered in a collision with a car driven by a police officer. The officer was immune under the CGIA. After examining the policies underlying UM/UIM coverage and governmental immunity, the division allowed recovery. In doing so, it explained that “legally entitled to recover” under
2. Dickinson
¶ 17 The plaintiff, an independent contractor, sustained an injury caused by a co-employee‘s negligent operation of a motor vehicle. Because he had elected not to be covered by the employer‘s workers’ compensation policy and had not obtained his own coverage, the WCA limited the liability of the employer and the co-employee to a total of $15,000.
¶ 18 The division rejected the claim. It held that “[a]llowing an independent contractor, who like Dickinson had not procured workers’ compensation insurance, to recover damages in excess of $15,000 through the employer‘s UM/UIM insurance for injuries sustained in a work-related accident would undercut the[] policies [of the WCA].” Dickinson, 179 P.3d at 207. In doing so, the division declined to follow Borjas and aligned with what it described as the “majority of jurisdictions that have addressed this issue,” holding that “an insured is not ‘legally entitled to recover’ under the uninsured motorist provisions of an [employer‘s] insurance policy if the exclusivity provisions of the workers’ compensation statute would bar an action against the tortfeasor.” Id. at 204 (citation omitted).
3. Ashour
¶ 19 The plaintiff was injured at work in a motor vehicle accident caused by a co-employee‘s negligence. After having received workers’ compensation benefits, he sought UM/UIM benefits under his own auto insurance policy. The division held that this claim was “not barred by the exclusivity provisions of the [WCA], or by the ‘legally entitled to recover’ language” of
4. McMichael
¶ 20 The plaintiff, an employee, sustained injuries while working near his employer‘s truck and sought UM/UIM benefits under the employer‘s insurance policy. The supreme court addressed whether the plaintiff was covered, although he had left the truck before being injured. Unlike Borjas, Dickinson, and Ashour, this case did not involve WCA immunity because the plaintiff was struck by a third-party tortfeasor.
¶ 21 The court addressed the WCA only to the extent of noting that “[t]he Workers’ Compensation statute does not bar McMichael from bringing a tort action against the driver who caused the accident.” McMichael, 906 P.2d at 100 n.7. It held that “insurers must provide UM/UIM coverage for the protection of persons insured under the liability policy that the insurer is issuing.” Id. at 97. It also held that an exclusion of employer‘s liability for workers’ compensation benefits did not limit UM/UIM coverage.
IV. Ryser Is Not Legally Entitled to Recover
¶ 23 Relying on Borjas and Ashour, Ryser contends he is entitled to UM/UIM benefits under Babion‘s policy because “he can prove [Forster] was at fault for the collision and that he suffered injuries therefrom.” Recall that, for summary judgment purposes, neither fault nor damages are disputed. So, resolving this contention begins with determining the meaning of “legally entitled to recover” under
¶ 24 When interpreting statutes, “we endeavor to give effect to the intent of the General Assembly.” Colorow Health Care, LLC v. Fischer, 2018 CO 52M, ¶ 11. To divine that intent, we start by looking to the plain language of the statute, construing words and phrases according to the rules of grammar and common usage. Roberts v. Bruce, 2018 CO 58, ¶ 8.
¶ 25 Neither the division in Borjas nor that in Ashour found the phrase “legally entitled to recover damages from owners or operators of uninsured motor vehicles” to be ambiguous. Still, both divisions interpreted the phrase based on policy considerations. See Borjas, 33 P.3d at 1269 (“The contrary line of cases all give a strict interpretation to the statutory language ‘legally entitled to recover’ that we find inconsistent with the public policy expressed in § 10-4-609.“); see also Ashour, ¶ 62 (“[W]e choose to adopt the Borjas interpretation of that phrase because it is consistent with the policies underlying the UM/UIM statute, the purpose of which is to compensate the injured party ‘for injuries received at the hands of one from whom damages cannot be recovered.‘” (quoting Borjas, 33 P.3d at 1267)).
¶ 26 Neither party argues that
¶ 27 That said, what does the plain language of this phrase mean?
¶ 28 Starting with the words “legally entitled,” because the General Assembly included the word “legally,” it must have meant something more than simply “entitled.” See Colo. Water Conservation Bd. v. Upper Gunnison River Water Conservancy Dist., 109 P.3d 585, 597 (Colo. 2005) (“[W]hen examining a statute‘s plain language, we give effect to every word and render none superfluous because [w]e do not presume that the legislature used language ‘idly and with no intent that meaning should be given to its language.‘“) (citations omitted).
¶ 30 Under the morality play of the common law, a person injured by the negligence of another is usually entitled to damages. But the WCA says otherwise, partly in response to the fellow servant rule. See Williams v. State Farm Mut. Auto. Ins. Co., 641 A.2d 783, 787 (Conn. 1994) (“Whether the uninsured motorist was legally liable must be determined in light of any substantive defenses that would have been available to the uninsured motorist.“). Through this lens, we take another look at the statutory language.
¶ 31
¶ 32 In short, because of coworker immunity, under either the broader or the narrower definition, Ryser cannot recover from Forster.
¶ 33 Consistent with these definitions, Colorado cases hold that “legally entitled” under
Under the statute, the insurer must pay to the insured, up to the limit of the policy, whatever losses the insured proves he or she is “legally
entitled to recover” from the uninsured motorist. Thus, the insured has the burden to prove that the uninsured motorist was negligent and the extent of the damages. This can be done in a judicial proceeding against either the uninsured motorist or the insurer, or in an arbitration proceeding.
(Emphasis added.) See State Farm Mut. Auto. Ins. Co. v. Brekke, 105 P.3d 177, 188 (Colo. 2004) (“However,
¶ 34 But where WCA immunity protects the tortfeasor, this immunity is “from suit,” not just from damages. See, e.g., Rodriquez v. Nurseries, Inc., 815 P.2d 1006, 1008 (Colo. App. 1991) (“As it pertains to the immunity from suit of a complying employer, the exclusivity of the Workers’ Compensation Act has been
continually reaffirmed . . . .“). Simply put, Ryser cannot bring a “judicial proceeding” or “an action” against Forster, as
¶ 35 Still, what about the interpretations in Borjas and Ashour, which limited the statutory requirement to proving the tortfeasor‘s “fault,” as could easily be done in a case
¶ 36 Given all of this, how does “legally entitled to recover” apply here? Forster was both the “operator” of Babion‘s vehicle under
permitted passenger, Ryser was covered by Babion‘s insurance policy. And he meets the threshold for seeking UM/UIM benefits under her policy because the coworker immunity rule renders the driver uninsured. See Borjas, 33 P.3d at 1268 (“Negligent drivers and their employers who are immune from liability . . . may not be financially irresponsible in the sense that they lack the ability to pay, but from the perspective of the injured innocent driver, the lack of legal responsibility has the same effect.“); see also Atl. Mut. Ins. Co. v. Payton, 682 N.E.2d 1144, 1148 (Ill. App. Ct. 1997) (“A reason that the driver is deemed noninsured is because the Workers’ Compensation Act grants immunity from any liability towards a co-employee.“).
¶ 37 Even so, these undisputed facts only get Ryser so far. “Uninsured motorist coverage is not triggered unless an insured [Ryser] is legally entitled to recover damages from the [owner or] operator of an uninsured automobile [Forster].” Parsons v. Allstate Ins. Co., 165 P.3d 809, 814 (Colo. App. 2006). In other words, under the plain language of
¶ 38 To Ryser, this outcome seems simplistic and even harsh. But it reflects the dominant view. See generally 2A A. Larson, Workmen‘s Compensation Law § 71.23(j) (1983 & Supp. 1987) (“Ordinarily, for the uninsured motorist clause to operate in the first place, the uninsured third person must be legally subject to liability . . . . [I]f the third person is specifically made immune to tort suit by the compensation act‘s exclusive remedy clause, the uninsured motorist provision does not come into play.“); John P. Ludington, Annotation, Automobile Uninsured Motorist Coverage: “Legally Entitled to Recover” Clause as Barring Claim Compensable Under Workers’ Compensation Statute, 82 A.L.R.4th 1096 (1990) (Where “the uninsured motorist coverage has been bought and paid for by someone other than the injured employee, the results have been uniform.“) (emphasis added).4
¶ 39 We consider these authorities persuasive and follow them here. As one court explained, “[t]he phrase ‘legally entitled to recover’ cannot be stretched so far as to cover situations when an insured could have never recovered from the uninsured motorist because the law did not provide for any recovery.” Otterberg v. Farm Bureau Mut. Ins. Co., 696 N.W.2d 24, 30 (Iowa 2005) (interpreting “legally entitled to recover” to require “not only that the insured ‘suffered
¶ 40 Nor is this outcome clouded by cases allowing recovery of UM/UIM benefits from an employer‘s insurer where the employee was injured by a third-party tortfeasor, who does not enjoy
immunity. See McMichael, 906 P.2d at 94. After all, the linchpin of these cases is the tortfeasor‘s lack of immunity. See William v. City of Newport News, 397 S.E.2d 813, 816 (Va. 1990) (employee injured in the course and scope of employment was entitled to UM/UIM benefits “where the injury was inflicted by someone other than a fellow-employee — a stranger to the business“); Henry v. Benyo, 506 S.E.2d 615, 621 (W. Va. 1998) (because a plaintiff “has an undisputed statutory right to seek recovery from . . . the third-party tortfeasor chargeable with the motor vehicle accident,” the plaintiff is legally entitled to recover UM/UIM benefits under his or her employer‘s policy). But tortfeasor immunity is alive and well here.
¶ 41 Despite all of this, Ryser points to cases where recovery of UM/UIM benefits is allowed even though the injured party cannot obtain an enforceable judgment against the tortfeasor. Examples include unidentified hit-and-run drivers, see Farmers Ins. Exch. v. McDermott, 34 Colo. App. 305, 308-09, 527 P.2d 918, 920 (1974), and bankrupt tortfeasors, see Wilkinson v. Vigilant Ins. Co., 224 S.E.2d 167 (1976). This argument misses the mark because the test for UM/UIM benefits is not whether an enforceable judgment
has been obtained — it is whether the injured plaintiff is legally entitled to recover damages from the tortfeasor.
¶ 42 In McDermott, the court explained “[t]here can be no doubt as to the liability of the errant driver here, had his identity been known.” 34 Colo. App. at 308, 527 P.2d at 920. Similarly, cases involving bankrupt tortfeasors explain “there is nothing preventing [the injured plaintiff] from establishing that he is legally entitled to recover from [the tortfeasor] on the merits of his claims; instead, [the plaintiff] is merely barred, by operation of [the tortfeasor‘s] bankruptcy discharge, from actually collecting demonstrated damages from her.” Easterling v. Progressive Specialty Ins. Co., 251 So. 3d 767, 775 (Ala. 2017). Again, neither of these examples involves a tortfeasor who is immune from liability.
¶ 43 Not easily deterred, Ryser also cites to Torres v. Kansas City Fire & Marine Insurance Co., 849 P.2d 407, 410 (Okla. 1993), where an employee injured by a coworker received UM/UIM benefits under their employer‘s policy. The court held, like the Ashour division, that the phrase “legally entitled to recover” requires only that “the insured must be able to establish fault on the part of the uninsured
motorist which gives rise to damages and prove the extent of those damages.” Torres, 849 P.2d at 410.
¶ 44 But Colorado cases have not extended the “establish fault” rationale this far. Both Ashour and Borjas involved claimants who sought to recover UM/UIM benefits under their own insurance policies. Ashour, ¶ 56; Borjas, 33 P.3d at 1266. The Ashour division explained: “In our view, the fact that Ashour sought recovery of benefits under his own insurance policy is critical . . . . Ashour did not seek to recover additional damages from the immune parties in this case — his employer and co-employee.” Ashour, ¶ 52; see Dickinson, 179 P.3d at 208 (“[W]e acknowledge that the statutory policies which we have reconciled may interact differently if a claimant . . . sought UM/UIM benefits from the claimant‘s own insurance carrier . . . .“). And Ryser has already received UM/UIM benefits under his own policy.5 He got what he paid for.
V. Conclusion
¶ 46 We conclude that the trial court properly granted summary judgment in favor of Shelter on Ryser‘s claim for UM/UIM benefits. Having so concluded, we need not address Shelter‘s alternative
argument based on the “described auto” exclusion in Babion‘s policy.
¶ 47 The judgment is affirmed.
JUDGE FURMAN and JUDGE MÁRQUEZ concur.
