Breaux v. American Family Mutual Insurance

387 F. Supp. 2d 1154, 2005 U.S. Dist. LEXIS 26206
CourtDistrict Court, D. Colorado
DecidedSeptember 22, 2005
DocketCiv.A. 04-CV00191EWN, Civ.A. 04-CV00539EWN
StatusPublished
Cited by15 cases

This text of 387 F. Supp. 2d 1154 (Breaux v. American Family Mutual Insurance) 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
Breaux v. American Family Mutual Insurance, 387 F. Supp. 2d 1154, 2005 U.S. Dist. LEXIS 26206 (D. Colo. 2005).

Opinion

ORDER AND MEMORANDUM OF DECISION

NOTTINGHAM, District Judge.

This is an insurance case. Plaintiff Kimberly Breaux alleges that by failing to disclose, offer, and provide certain personal injury protection (“PIP”) coverage, Defendant American Family Mutual Insurance Company (1) violated the Colorado Auto Accident Reparations Act (“CAARA”), specifically Colorado Revised Statute sections 10—4—710 and 10—4—706(4)(a); (2) breached her insurance contract; (3) breached her insurance contract in bad faith; and (4) breached the implied covenant of good faith and fair dealing. This matter is before the court on (1) “Plaintiffs Motion for Partial Summary Judgment,” filed November 30, 2004; and (2) Defendant American Family Mutual Insurance Company’s Motion for Partial Summary Judgment, filed November 30, 2004. 1 Jurisdiction is based on diversity of citizenship, 28 U.S.C. § 1332.

FACTS

1. Factual Background

a. Overview of CAARA

Before addressing the issues raised in this case, I review and interpret the relevant portions of CAARA. 2 Repealed in 2003, CAARA was Colorado’s No-Fault *1157 Insurance Act. Clark v. State Farm Mut. Auto. Ins. Co., 292 F.Supp.2d 1252, 1258 (D.Colo.2003) (hereinafter “Clark II”) (citing Nationwide Mut. Ins. Co. v. United States, 3 F.3d 1392, 1394) (10th Cir.1993). CAARA governed the legal rights of automobile accident victims and their insurers in Colorado and required that motor vehicle owners maintain minimum insurance coverage on their vehicles, including no-fault PIP coverage. See Colo.Rev.Stat. § 10—04—705 (2002); Brennan v. Farmers Alliance Mut. Ins. Co., 961 P.2d 550, 552 (Colo.App.1998). The required mandatory minimum PIP coverage provided for reasonable and necessary medical care, rehabilitative care, lost wages, and death benefits in the event of an accident without regard to fault. See Colo.Rev.Stat. §§ 10—04—706(1)(b)—(e) (2002). In relevant part, CAARA required insurers to offer coverage providing for:

[compensation without regard to fault, up to a limit of fifty thousand dollars per person for any one accident, for payment of all reasonable and necessary expenses for medical ... and nonmedical remedial care and treatment ... performed within five years after the accident for bodily injury arising out of the use or operation of a motor vehicle;

Colo.Rev.Stat. § 10 — 04—706(l)(b)(I)

[compensation without regard to fault up to a limit of fifty thousand dollars per person for any one accident within ten years after such accident for payment of the cost of rehabilitation procedures or treatment and rehabilitative occupational training necessary because of bodily injury arising out of the use or operation of a motor vehicle; [and]

Colo.Rev.Stat. § 10—4—706(1)(c)(I)

[p]ayment of benefits equivalent to one hundred percent of the first one hundred twenty-five dollars of loss of gross income per week, seventy percent of the next one hundred twenty-five dollars of loss of gross income per week, and sixty percent of any loss of gross income per week in excess thereof, with the total benefit under this subparagraph (I) not exceeding four hundred dollars per week, from work the injured person would have performed had he not been injured during a period commencing the day after the date of the accident, and not exceeding fifty-two additional weeks.

Colo.Rev.Stat. § 10-4 — 706(l)(d)(I).

CAARA also required that insurers provide and offer an option for increased PIP coverage in exchange for higher premiums. See Colo.Rev.Stat. § 10—04—710(1); Clark v. State Farm Mut. Auto. Ins. Co., 319 F.3d 1234, 1238 (10th Cir.2003) (hereinafter “Clark I”). Specifically, CAARA required that:

Every insurer shall offer the following enhanced benefits for inclusion in a complying policy, in addition to the basic coverages described in section 10—4—706, at the option of the named insured:
(I) Compensation of all expenses of the type described in section 10—4—706(1)(b) without dollar or time limitation; or
(II) Compensation of all expenses of the type described in section 10—4—706(1)(b) without dollar or time limitation and payment of benefits equivalent to eighty-five percent of loss of gross income per week from work the injured person would have performed had such injured person not been injured during the period commencing on the day after *1158 the date of the accident without dollar or time limitations.

Colo.Rev.Stat. § 10 — 04—710(2)(a)

The Brennan court noted that the “directive of [section] 10 — 4—710 is to the insurer, not the insured: all that is required is that the insurer offer these extended benefits.” Brennan, 961 P.2d at 554. Colorado Revised Statutes section 10—4—710(2)(b) authorized insurers to place an aggregate limit of $200,000 on the total amount payable for complying policies. Colo.Rev.Stat. § 10—4—710(2)(b).

b. Defendant’s Insurance Policies and Practices

Defendant is a Wisconsin corporation licensed to do business in Colorado, and was at all times pertinent engaged in the business of selling automobile insurance policies in the State of Colorado. (Compl. and Jury Demand ¶ 4 [filed Feb. 2, 2004] [hereinafter “Compl.”], admitted at Def. Am. Family Mut. Ins. Co.’s Answer, Affirmative Defense, and Jury Demand ¶ 4 [Filed Mar. 2, 2004] [hereinafter “Def.’s Answer”].) On or about February 16, 2000, Plaintiff purchased a Colorado automobile insurance policy from Defendant. (Def.’s Opening Br. in Supp. of Def. Am. Family Mut. Ins. Co.’s Mot. for Partial Summ. J., Statement of Undisputed Material Facts ¶ 1 [filed Nov. 30, 2004] [hereinafter, “Def.’s Br.”]; admitted at Pl.’s Resp. to Am. Family’s Mot. for Partial Summ. J., Resp. to Statement of Undisputed Material Facts, Statement of Undisputed Material Facts ¶ 4 [filed Jan. 21, 2005] [hereinafter “Pl.’s Resp.”].) 3 Defendant was bound by the obligations and duties imposed by CAARA at the time Plaintiffs contract was created. (PL’s Mot. for Partial Summ. J., Resp. to Statement of Undisputed Material Facts, Statement of Undisputed Material Facts ¶ 1 [filed Nov. 30, 2004] [hereinafter “PL’s Br.”]; admitted at Def.’s Resp. Br. in Opp’n to PL’s Mot. for Partial Summ. J., Statement of Undisputed Material Facts ¶ 1 [filed Jan.

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Cite This Page — Counsel Stack

Bluebook (online)
387 F. Supp. 2d 1154, 2005 U.S. Dist. LEXIS 26206, Counsel Stack Legal Research, https://law.counselstack.com/opinion/breaux-v-american-family-mutual-insurance-cod-2005.