Cooper v. Shelter General Insurance Company

CourtDistrict Court, D. Colorado
DecidedJanuary 31, 2023
Docket1:21-cv-02957
StatusUnknown

This text of Cooper v. Shelter General Insurance Company (Cooper v. Shelter General Insurance Company) 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
Cooper v. Shelter General Insurance Company, (D. Colo. 2023).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLORADO Judge Robert E. Blackburn Civil Action No. 21-cv-02957-REB-MEH SHAWN COOPER, Plaintiff, v. SHELTER GENERAL INSURANCE COMPANY, Defendant.

ORDER RE: DEFENDANT’S MOTION FOR SUMMARY JUDGMENT Blackburn, J. This matter is before me on Defendant’s Motion for Summary Judgment [#24],1 filed February 25, 2022, as supplemented by Defendant’s Supplement to Motion for Summary Judgment [#62], filed November 30, 2022. (See also Order [#61], filed November 10, 2022 (requesting supplemental briefing from the parties).)2 I grant the motion in part and deny it in part. I. JURISDICTION

I have jurisdiction over this matter pursuant to 28 U.S.C. § 1332 (diversity of citizenship).

II. STANDARD OF REVIEW 1 “[#24]” is an example of the convention I use to identify the docket number assigned to a specific paper by the court’s case management and electronic case filing system (CM/ECF). I use this convention throughout this order. 2 Given my resolution of the summary judgment motion, I again express my apologies to the Summary judgment is proper when there is no genuine issue as to any material fact and the movant is entitled to judgment as a matter of law. FED. R. CIV. P. 56(a); Celotex Corp. v. Catrett, 477 U.S. 317, 322, 106 S.Ct. 2548, 2552, 91 L.Ed.2d 265 (1986). A dispute is “genuine” if the issue could be resolved in favor of either party.

Matsushita Electric Industrial Co., Ltd. v. Zenith Radio Corp., 475 U.S. 574, 586, 106 S.Ct. 1348, 1356, 89 L.Ed.2d 538 (1986); Farthing v. City of Shawnee, 39 F.3d 1131, 1135 (10th Cir. 1994). A fact is “material” if it might reasonably affect the outcome of the case. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248, 106 S.Ct. 2505, 2510, 91 L.Ed.2d 202 (1986); Farthing, 39 F.3d at 1134. A party who will not have the burden of proof at trial must show the absence of a genuine fact issue. Concrete Works, Inc. v. City & County of Denver, 36 F.3d 1513, 1517 (10th Cir. 1994), cert. denied, 115 S.Ct. 1315 (1995). Once the motion has been

properly supported, the burden shifts to the nonmovant to show, by tendering depositions, affidavits, and other competent evidence, that summary judgment is not proper. Id. at 1518. All the evidence must be viewed in the light most favorable to the party opposing the motion. Simms v. Oklahoma ex rel Department of Mental Health and Substance Abuse Services, 165 F.3d 1321, 1326 (10th Cir.), cert. denied, 120 S.Ct. 53 (1999). III. ANALYSIS On September 25, 2019, plaintiff Shawn Cooper was injured in an automobile accident in Denver, Colorado. Mr. Cooper was insured by defendant Shelter General

Insurance Company (“Shelter”); the at-fault driver was uninsured. On April 6, 2021, Mr. 2 Cooper made a claim for uninsured/underinsured motorist (UIM”) coverage under the terms of his policy. The following day, the claims adjuster, Virginia Ris, sent counsel a letter acknowledging receipt of Mr. Cooper’s “settlement demand packet.” (Motion App., Exhs. B & C ¶ 5 at 1.) Mr. Cooper does not contest that characterization of the

documents his counsel sent to Shelter (Resp. ¶ II.5. at 3), nor is there any evidence to suggest he did so at the time the letter was received.3 In evaluating the claim, Ms. Ris noted substantiated past medical expenses of $2,256. However, Mr. Cooper’s most recent medical bill was from November 2019, more than eighteen months prior, despite the fact that medical records indicated further treatment had been suggested for him. (Motion App., Exh. D at 3.) On April 27, Ms. Ris called Mr. Cooper’s attorney to inquire. I asked if treatment ended in November of 2019 as we do not have any records or bills beyond that date - he advised [insured] did not seek any additional treatment after November of 2019 due to treatment fatigue. At this time, he is simply living with the pain from this loss and it is not clear if he will resume treatment. (Id., Exh. D at 4.) Based on the information before her, Ms. Ris estimated Mr. Cooper’s damages for past and future pain and suffering at $12,774 to $17,744 and valued his claim at $15,000 to $20,000. On April 27, she offered Mr. Cooper $15,000 on his claim plus a Fisher4 payment of $2,256, i.e., the amount of Mr. Cooper’s substantiated past medical 3 The documents which comprised the “settlement package” are not part of the record before me. 4 Referring to Fisher v. State Farm Mutual Automobile Insurance Co. (“Fisher I”), 419 P.3d 985 (Colo. App. 2015), aff'd, 418 P.3d 501 (Colo. 2018) (“Fisher II”). 3 expenses. (Motion App., Exh. C ¶ 6 at 1-2, Exh. D at 4.) According to Ms. Ris, in response to that proposal, counsel for Mr. Cooper told her he “wanted to see if the parties could settle the case outright before Shelter made any Fisher payment.” (Id., Exh. C ¶ 8 at 2.) Mr. Cooper does not contest Ms. Ris’s testimony that his counsel

made that statement. (See Resp. ¶ II.5. at 3.) In response to Shelter’s opening offer, Mr. Cooper made a counteroffer of $30,000, and Ms. Ris countered at $20,000, the upper limit of her claim evaluation. Counsel told Ms. Ris he would speak to Mr. Cooper about that offer. (Id., Exh. C ¶ at 2- 3.) The following day, Mr. Cooper demanded $25,000 and Shelter agreed to that amount. (Id., Exh. C ¶ 10 at 3.) Ms. Ris subsequently sent Mr. Cooper a letter purportedly confirming the parties’ agreement. Attached thereto was a copy of Shelter’s Receipt and Trust Agreement (the “Agreement”), which Ms. Ris represented Mr. Cooper needed to sign to allow Shelter to

enforce its subrogation rights against the at-fault driver. (Motion App., Exhs. E & F.) In actuality and instead, the Agreement released Shelter from all further liability for damages under the UIM provisions of the insurance policy. (Id., Exh. L.) Counsel for Mr. Cooper responded the following day: I’m a little bit confused because I’ve not seen a UM carrier request such an agreement in the past. Since he’s making a claim for first-party benefits, rather than attempting to settle a liability claim, there’s really not anything to settle. He should be permitted to leave the claim open and seek additional benefits if he decides to get collision-related insurance in the future[.] (Motion App., Exh. H at 1.) A month later, counsel asked whether Shelter was willing 4 to “issue payment” of the $25,000 “without cutting off Mr. Cooper’s ability to pursue treatment in the future[.]” When Ms. Ris indicated she was inquiring with her supervisor, counsel asked whether Shelter would issue the money as a Fisher payment. (Id., Exh. I.)

On June 14, 2021, Ms. Ris confirmed Shelter would require a signed Agreement to release any payment other than Fisher payments for past medical expenses, which she offered to forward to Mr. Cooper. (Id., Exh. J.) Although Mr. Cooper agreed to assign his rights to Shelter to allow it to pursue the at-fault driver, he declined to sign the Agreement releasing future claims. Instead, he took the position that Shelter already had agreed he was entitled to non-economic benefits of $25,000. (Id., Exh. K.)

Two weeks later, Shelter sent Mr. Cooper a Fisher payment of $2,256, which he concedes represents his past medical expenses. Mr. Cooper again demanded a

payment of $25,000. (Id., Exh.

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Cooper v. Shelter General Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cooper-v-shelter-general-insurance-company-cod-2023.