Etherton v. Owners Insurance Company

829 F.3d 1209, 100 Fed. R. Serv. 1108, 2016 U.S. App. LEXIS 13156, 2016 WL 3912812
CourtCourt of Appeals for the Tenth Circuit
DecidedJuly 19, 2016
Docket14-1164
StatusPublished
Cited by119 cases

This text of 829 F.3d 1209 (Etherton v. Owners Insurance Company) is published on Counsel Stack Legal Research, covering Court of Appeals for the Tenth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Etherton v. Owners Insurance Company, 829 F.3d 1209, 100 Fed. R. Serv. 1108, 2016 U.S. App. LEXIS 13156, 2016 WL 3912812 (10th Cir. 2016).

Opinions

MATHESON, Circuit Judge.

I. INTRODUCTION

On December 19, 2007, a driver rear-ended Donald Etherton’s vehicle. The collision injured Mr. Etherton’s back. He filed a claim with his insurer, Owners Insurance Company (“Owners”), seeking uninsured or underinsured motorist coverage up to his policy limit. After months of back and forth, Owners offered to pay an amount significantly lower than the policy limit. Mr. Etherton sued, alleging claims for (1) breach of contract and (2) unreasonable delay or denial of a claim for benefits under Colo. Rev. Stat. §§ 10-3-1115 and - 1116.

A jury found in Mr. Etherton’s favor on both claims. The district court entered judgment for Mr. Etherton, awarding $2,250,000 in damages. Owners appeals. Exercising jurisdiction under 28 U.S.C. § 1291, we affirm.

II. BACKGROUND

A. Factual History

Mr. Etherton filed his claim with Owners on July 6, 2009. His policy included uninsured or underinsured motorist coverage up to $1,000,000. The other driver’s insurer settled with Mr. Etherton for $250,000. Mr. Etherton’s claim to Owners requested payment up to $750,000, the remainder of his policy limit. Mr. Etherton’s vehicle had only minor damage, but he underwent three back surgeries to repair disc damage in his spine.

Between July and December of 2009, Mr. Etherton and Owners communicated frequently. Owners repeatedly indicated it needed additional information to assess his claim. On December 30, 2009, Owners of[1215]*1215fered to settle for $150,000. Mr. Etherton asked Owners to explain the basis for the low offer. On January 19, 2010, Owners responded, “Our 150k offer is based on the documentation you have provided to date.... We note serious questions of causation of Mr. Etherton’s injuries.... ” App. Vol. XII at 2982. Many additional communications between Mr. Etherton and Owners failed to resolve the matter. Mr. Etherton initiated this suit in March 2010.

B. Procedural History

Mr. Etherton sued in Colorado state court. Owners removed the action to federal court, where it was assigned to Judge Krieger.

As trial approached, Owners filed a motion in limine under Federal Rule of Evidence 702, seeking to exclude Dr. Joseph Ramos, Mr. Etherton’s causation expert. Owners argued Dr. Ramos’s methodology was not reliable under Rule 702 and Daubert v. Merrell Dow Pharmaceuticals, Inc., 509 U.S. 579, 113 S.Ct. 2786, 125 L.Ed.2d 469 (1993). After a Federal Rule of Evidence 104(a) Daubert hearing, Judge Krieger ruled from the bench and excluded Dr. Ramos’s testimony, concluding his methodology was not reliable. Shortly thereafter, Mr. Etherton moved for reconsideration.

Judge Krieger recused herself from the case, and it was reassigned to Judge Brim-mer, who granted Mr. Etherton’s motion to reconsider. Based upon his review of the Daubert hearing transcript, Judge Brim-mer concluded Dr. Ramos’s methodology was rehable and he therefore could testify.

The court held a six-day jury trial. At the close of evidence, Owners moved for judgment as a matter of law on Mr. Ether-ton’s claim for the unreasonable delay or denial of an insurance claim under Colo. Rev. Stat. §§ 10-3-1115 and -1116. The court denied the motion. The jury returned a verdict in Mr. Etherton’s favor on his claims for breach of contract and unreasonable delay or denial. The jury found Mr. Etherton’s noneconomic losses were $375,000, his economic losses were $857,000, and his physical impairment and disfigurement damages were $150,000. The district court initially entered judgment for a total of $1,500,000. It concluded Mr. Etherton was entitled to $750,000 in breach of contract damages for the remainder of his policy limit, and an additional $750,000 for the unreasonable delay or denial claim under Colo. Rev. Stat. § 10-3-1116.

Owners filed a motion seeking a new trial under Federal Rule of Civil Procedure 59 and renewing.its motion for judgment as a matter of law under Federal Rule of Civil Procedure 50. For a new trial, Owners argued the district court had erroneously admitted Dr. Ramos’s unreliable expert testimony. For judgment as a matter of law on Mr. Etherton’s unreasonable delay or denial claim, it argued that without Dr. Ramos’s erroneously admitted testimony, Mr. Etherton failed to prove causation. The court rejected these arguments and denied the motion.

Mr. Etherton moved to amend the judgment under Rule 59(e), arguing Colo. Rev. Stat. § 10-3-1116 permits not just an award of his breach of contract damages multiplied by two, but double his covered benefits in addition to any award for breach of contract damages. The district court granted the motion and amended the judgment to award Mr. Etherton $2,250,000. This amount includes (1) $750,000 for breach of contract, the amount remaining on Mr. Etherton’s policy limit, and (2) $1,500,000 for the unreasonable delay or denial claim. The court arrived at the latter figure by doubling the amount of covered benefits, which was the $750,000 left on his $1,000,000 policy after [1216]*1216receiving $250,000 from the other driver’s insurer.

Owners filed a timely notice of appeal. See Fed. R. App. P. 4(a)(1)(A). After oral argument, we sua sponte abated this appeal pending issuance of the Colorado Supreme Court’s decision in American Family Mutual Insurance Co. v. Hansen, No. 14SC99. The Colorado Supreme Court’s grant of certiorari in Hansen included'two state law questions relevant to this appeal: (1) whether an insurer’s denial of a “fairly debatable” claim can be unreasonable, and (2) whether Colo. Rev. Stat. § 10-3-1116 permits an insured whose claim has been unreasonably denied to recover the benefit itself plus a penalty of two times that benefit. Hansen, 375 P.3d 115, 120 n. 3, 2016 WL 3398507, at *5 n. 3 (Colo. June 20, 2016). On June 20, 2016, the Colorado Supreme Court decided Hansen on alternative grounds and did not reach either of the questions relevant to Mr. Etherton’s case. Id. at 122, 2016 WL 3398507 at *7.

III. DISCUSSION

Owners appeals the district court’s decision (a) denying Owners’ motion for a new trial based on the alleged erroneous admission of Dr. Ramos’s testimony under Rule 702. Regarding the state-law claims, Owners appeals the district court’s decisions (b) denying Owners’ motion for judgment as a matter of law based on Owners’ purported reasonableness, and (c) granting Mr. Etherton’s motion to amend the judgment. We affirm on each issue.

A. Motion for New Trial — Rule 702

Owners does not contest the Rule 102/Daubert standard the district court used to assess Dr. Ramos’s testimony.

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829 F.3d 1209, 100 Fed. R. Serv. 1108, 2016 U.S. App. LEXIS 13156, 2016 WL 3912812, Counsel Stack Legal Research, https://law.counselstack.com/opinion/etherton-v-owners-insurance-company-ca10-2016.