Amica Life Insurance Company v. Wertz

2020 CO 29, 462 P.3d 51
CourtSupreme Court of Colorado
DecidedApril 27, 2020
Docket19SA143
StatusPublished
Cited by5 cases

This text of 2020 CO 29 (Amica Life Insurance Company v. Wertz) is published on Counsel Stack Legal Research, covering Supreme Court of 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 Company v. Wertz, 2020 CO 29, 462 P.3d 51 (Colo. 2020).

Opinion

Opinions of the Colorado Supreme Court are available to the public and can be accessed through the Judicial Branch’s homepage at http://www.courts.state.co.us. Opinions are also posted on the Colorado Bar Association’s homepage at http://www.cobar.org.

ADVANCE SHEET HEADNOTE April 27, 2020

2020 CO 29

No. 19SA143 Amica Life Insurance Company v. Wertz—Non-Delegation Doctrine— Interstate Compacts—Suicide Exclusion Policies.

This case requires the supreme court to answer the following certified

question from the Tenth Circuit Court of Appeals:

May the Colorado General Assembly delegate power to an interstate administrative commission to approve insurance policies sold in Colorado under a standard that differs from Colorado statute?

Answering the certified question narrowly, the supreme court now

concludes that the General Assembly did not have the authority to delegate to the

Interstate Insurance Product Regulation Commission the power to issue a

standard authorizing the sale of life insurance policies in Colorado containing a

two-year suicide exclusion when a Colorado statute prohibits insurers doing

business in Colorado from asserting suicide as a defense against payment on a life

insurance policy after the first year of that policy. The Supreme Court of the State of Colorado 2 East 14th Avenue • Denver, Colorado 80203

Supreme Court Case No. 19SA143 Certification of Question of Law United States Court of Appeals for the Tenth Circuit Case No. 18-1455

Plaintiff Counter Defendant-Appellee:

Amica Life Insurance Company,

v.

Defendant Counterclaimant-Appellant:

Michael P. Wertz.

Certified Question Answered en banc April 27, 2020

Attorneys for Plaintiff-Appellee: Cozen O’Connor Christopher S. Clemenson Denver, Colorado

Cozen O’Connor Lisa D. Stern West Conshohocken, Pennsylvania

Attorneys for Defendant-Appellant: The Law Office of Ruth Summers, LLC Ruth Summers Boulder, Colorado Attorneys for Amicus Curiae Colorado Trial Lawyers Association: McDermott Law, LLC Timothy M. Garvey Denver, Colorado

Attorneys for Amici Curiae National Association of Insurance Commissioners and Interstate Insurance Product Regulation Commission: Holland & Hart LLP Marcy G. Glenn Melissa Y. Lou Denver, Colorado

JUSTICE GABRIEL delivered the Opinion of the Court.

2 ¶1 This case requires us to answer the following certified question from the

Tenth Circuit Court of Appeals:

May the Colorado General Assembly delegate power to an interstate administrative commission to approve insurance policies sold in Colorado under a standard that differs from Colorado statute?

¶2 The certified question arises from a dispute in which plaintiff Amica Life

Insurance Company seeks a declaratory judgment that it is not required to pay

defendant Michael P. Wertz benefits under a life insurance policy naming Wertz

as the beneficiary. The policy, which was issued in compliance with a standard

enacted by the Interstate Insurance Product Regulation Commission (the

“Commission”), contained a two-year suicide exclusion, and the insured

committed suicide more than one year but less than two years after Amica had

issued the life insurance policy to him. Wertz contends, however, that the policy’s

two-year suicide exclusion is unenforceable because it conflicts with a Colorado

statute, section 10-7-109, C.R.S. (2019), which provides:

The suicide of a policyholder after the first policy year of any life insurance policy issued by any life insurance company doing business in this state shall not be a defense against the payment of a life insurance policy, whether said suicide was voluntary or involuntary, and whether said policyholder was sane or insane.

Wertz asserts that the Colorado General Assembly could not properly delegate to

the Commission the authority to enact a standard that would effectively override

this statute. 3 ¶3 We agree with Wertz. Accordingly, answering the certified question

narrowly, we conclude that the General Assembly did not have the authority to

delegate to the Commission the power to issue a standard authorizing the sale of

life insurance policies in Colorado containing a two-year suicide exclusion when

a Colorado statute prohibits insurers doing business in Colorado from asserting

suicide as a defense against payment on a life insurance policy after the first year

of that policy.

I. Facts and Procedural History

¶4 In 2004, the Colorado General Assembly passed legislation to join with other

states to establish the Interstate Insurance Product Regulation Compact, section

24-60-3001, C.R.S. (2019) (the “Compact”). The Compact’s purpose is, among

other things, to create the Commission and to “develop uniform standards for

insurance products covered under the Compact.” Id. at art. I, §§ 2, 6.

¶5 As pertinent here, the Compact authorized the Commission to promulgate

rules, to establish uniform standards governing the form of insurance policies

covered under the Compact, and to review and approve such insurance policies.

Id. at art. IV, §§ 1–3. Under the Compact, such rules, standards, and complying

policies are given “the force and effect of law and shall be binding in the

Compacting States.” Id.

4 ¶6 In accordance with the foregoing authority, the Commission established

certain Individual Term Life Insurance Policy Standards, IIPRC-L-04-I (2016)

(“Standards”). As pertinent here, one of these Standards provides, “The suicide

exclusion period shall not exceed two years from the date of issue of the policy.”

Id. at § 3(Y)(3).

¶7 Pursuant to this Standard, the Commission authorized the sale of life

insurance policies containing a two-year suicide exclusion in Compacting States

like Colorado. Id. In Colorado, however, by statute, insurers doing business in

this state may not assert suicide as a defense against payment of a life insurance

policy after the first year of that policy. See § 10-7-109. Thus, this case presents a

scenario in which the policy at issue complied with the Commission’s

suicide-exclusion Standard but in which enforcement of that Standard amounts to

the assertion of a defense that is precluded under Colorado statutory law.

¶8 Specifically, on January 28, 2014, Amica issued a ten-year convertible level

term life insurance policy (with an annual renewable term provision) to Martin

Fisher. The policy was in the face amount of $500,000 and named Wertz as the

beneficiary. Pursuant to the Commission’s Standards, the policy included a

suicide-exclusion section that provided, “Suicide of the Insured, while sane or

insane, within two (2) years from the Date of Issue is not covered under this

policy.” 5 ¶9 Thereafter, on March 12, 2015—that is, more than one year but less than two

years after the policy was issued—Fisher committed suicide. Wertz then

submitted a claim for the death benefit under the policy, but Amica denied that

claim, relying on the policy’s two-year suicide exclusion. Amica Life Ins. Co. v.

Wertz, 272 F. Supp. 3d 1239, 1244 (D. Colo. 2017).

¶10 Recognizing the imminent dispute between the parties, Amica filed suit in

the United States District Court for the District of Colorado, seeking a declaratory

judgment that it had properly denied Wertz’s claim. Id. Wertz responded that the

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2020 CO 29, 462 P.3d 51, Counsel Stack Legal Research, https://law.counselstack.com/opinion/amica-life-insurance-company-v-wertz-colo-2020.