Amica Life Insurance Co. v. Wertz

272 F. Supp. 3d 1239
CourtDistrict Court, D. Colorado
DecidedSeptember 11, 2017
DocketCivil Action No. 15-cv-1161-WJM-CBS
StatusPublished
Cited by4 cases

This text of 272 F. Supp. 3d 1239 (Amica Life Insurance Co. v. Wertz) is published on Counsel Stack Legal Research, covering District Court, D. Colorado primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Amica Life Insurance Co. v. Wertz, 272 F. Supp. 3d 1239 (D. Colo. 2017).

Opinion

ORDER GRANTING SUMMARY JUDGMENT IN PART AND SUA SPONTE CERTIFYING QUESTION OF LAW TO THE COLORADO SUPREME COURT

William J. Martinez, United States District Judge

Under the separation-of-powers principles inherent in the Colorado Constitution, a Colorado administrative agency may not lawfully promulgate rules and regulations that conflict with a Colorado statute. But, may the Colorado Legislature enact an interstate compact creating an interstate administrative agency with lawful power to promulgate rules and regulations that .conflict with a Colorado statute?

The question arises in this case, sadly, from the suicide of a Colorado resident, Martin Fisher (“Fisher”), fourteen months after Plaintiff Arnica Life Insurance Company (“Arnica”) issued him a life insurance policy. The policy contains a two-year suicide exclusion, and such an exclusion is permissible under a regulation promulgated by an administrative agency created by an interstate compact to which Colorado is a party. A Colorado statute, however, nullifies suicide exclusions longer than one year. See Colo. Rev. Stat. § 10-7-109. If Colorado may validly delegate authority to an interstate administrative agency to develop insurance standards that may conflict with Colorado insurance statutes, then Arnica’s two-year exclusion is valid. Otherwise, Arnica’s exclusion is invalid and Arni-ca owes the death benefit to Fisher’s beneficiary, Defendant Michael P. Wertz (“Wertz”).

This dispute is currently before the Court on. Arnica’s motion for summary judgment (ECF No. 67), and the proper outcome under Colorado law is unclear given Colorado’s pragmatic approach to issués of legislative delegation. Yet the answer is of great public policy importance. If “yes,” it demonstrates that the Colorado Legislature may, in certain circumstances, delegate to an administrative body the ability to make law superior to its own. If “no,” then Colorado’s ability to participate in some interstate compacts becomes significantly limited, and the entire basis of the interstate compact at issue here — the Interstate Insurance Product Regulation Compact — is called into question.

For the reasons explained below, the Court rules in Arnica’s favor on certain factual questions presented in Arnica’s summary judgment motion. However, as to the ultimate legal question, the Court sua sponte certifies it to the Colorado Supreme Court.

I. LEGAL STANDARD

Summary judgment is warranted under Federal Rule of Civil Procedure 56 “if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a); see also Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248-50, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986). A fact is “material’-’ if, under the relevant substantive law, it is essential to proper disposition of the claim. Wright v. Abbott Labs., Inc., 259 F.3d 1226, 1231-32 (10th Cir. 2001). An issue is “genuine” if the evidence is such that it might lead a reasonable trier of fact to return a verdict for the nonmoving party. Allen v. Muskogee, 119 F.3d 837, 839 (10th Cir. 1997).

In analyzing a motion for summary judgment, a court must view the evidence [1242]*1242and all reasonable inferences therefrom- in the light most favorable to the nonmoving party. Adler v. Wal-Mart Stores, Inc., 144 F.3d 664, 670 (10th Cir. 1998) (citing Matsushita Elec. Indus. Co., Ltd. v. Zenith Radio Corp., 475 U.S. 574, 587, 106 S.Ct. 1348, 89. L.Ed.2d 538 (1986)). In addition, the Court must resolve factual ambiguities against the moving party, thus favoring the right to a trial. See Houston v. Nat’l Gen. Ins. Co., 817 F.2d 83, 85 (10th Cir. 1987).

II. STATUTORY BACKGROUND

Understanding anything else in this case first requires understanding the Interstate Insurance Product Regulation Compact, which has.been enacted by the Colorado Legislature at Colorado Revised Statutes § 24-60-3001 (“Insurance Compact” or “Compact”). Having enacted the Insurance Compact, Colorado participates with most of the other states in the Union in an arrangement intended “[t]o develop uniform standards” for “individual and group annuity, life insurance, disability income and long-term [care] insurance products.” Id., art. I, §§ 1, 2; see also id., art. II, § 11.1

The Compact creates the Interstate Insurance Product Regulation Commission (“Interstate Commission” or “Commission”), “a joint public agency” to which each compacting state may send one representative. Id., art. III, § 1; art. V, § 1(a). The Commission is empowered to promulgate. “Uniform Standards” for insurance products “which shall have the force and effect of law and shall be binding in the Compacting States.” Id., art. II, § 15; art. IV, § 1; art. VII, § 1. Insurance companies may then submit insurance products to the Interstate Commission for approval under the Uniform Standards, and such approval authorizes the insurance company to sell that product in any Compact member state in which the company is otherwise authorized to do business. Id., art. X, §§ 1, 3. In short, the -Interstate Commission acts as a near-national insurance commissioner with respect to “individual and group annuity, life insurance, disability income, and long-term [care]' insurance products.” Id., art. I, § 1,

In promulgating Uniform Standards, the Insurance Compact requires the Interstate Commission to follow “a rulemaking process that conforms to the Model State Administrative Procedure Act of 1981 as amended, as may be appropriate to the operations of the Commission.” Id., art. VII, § 2. Moreover, “[b]efore the Commission adopts a Uniform Standard, the Commission’ shall give written notice" to the relevant state legislative committee(s) in each Compacting State responsible for insurance issues of its intention to adopt the Uniform Standard.” Id. Uniform Standards become effective ninety days after promulgation “or such later date as the Commission may determine.” Id., art. VII, § 3.

Any member state of the Compact may opt out of a Uniform Standard “either'by legislation or regulation duly promulgated by the Insurance Department under the Compacting State’s Administrative Procedure Act.” Id., art. VII, § 4. If a state opts out after a Uniform Standard has gone into effect, the opt out is prospective only. Id., art. VII, § 5.

“[I]n the event the Commission exercises its rulemaking authority in a manner that is beyond the scope of the purposes of [1243]*1243this [Compact], or. the powers granted hereunder, then such an action by the Commission shall be invalid and have no force and effect.” Id., art. VII, § 1.

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Bluebook (online)
272 F. Supp. 3d 1239, Counsel Stack Legal Research, https://law.counselstack.com/opinion/amica-life-insurance-co-v-wertz-cod-2017.