Grange Insurance Association v. Reson Woods

CourtBankruptcy Appellate Panel of the Tenth Circuit
DecidedJuly 11, 2024
Docket23-012
StatusPublished

This text of Grange Insurance Association v. Reson Woods (Grange Insurance Association v. Reson Woods) is published on Counsel Stack Legal Research, covering Bankruptcy Appellate Panel of the Tenth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Grange Insurance Association v. Reson Woods, (bap10 2024).

Opinion

BAP Appeal No. 23-12 Docket No. 83 Filed: 07/11/2024 Page: 1 of 28

PUBLISH UNITED STATES BANKRUPTCY APPELLATE PANEL OF THE TENTH CIRCUIT _________________________________

IN RE RESON LEE WOODS and SHAUN BAP No. CO-23-012 WOODS,

Debtors. ___________________________________ Bankr. No. 21-15592 GRANGE INSURANCE ASSOCIATION, Adv. No. 22-01108 Chapter 7 Plaintiff - Appellee,

v. OPINION RESON LEE WOODS and SHAUN WOODS,

Defendants - Appellants. _________________________________

Appeal from the United States Bankruptcy Court for the District of Colorado _________________________________

Drew Moore of Grand Junction, Colorado for Defendant – Appellants.

Martin E. Long of Long & Long P.C., Denver, Colorado for Plaintiff – Appellee. _________________________________

Before JACOBVITZ, LOYD, and THURMAN, Bankruptcy Judges. _________________________________

JACOBVITZ, Bankruptcy Judge.

Mistakes happen, but mistakes, by definition, are not the result of clearly planned

efforts. Appellant-Debtors, Shaun and Reson Lee (“Lee”) Woods, contend that Shaun BAP Appeal No. 23-12 Docket No. 83 Filed: 07/11/2024 Page: 2 of 28

Woods mistakenly submitted a receipt for a riding lawn mower and a bill of sale for a

diamond ring in support of replacement cash value insurance claims for the mower and

ring lost in a fire. These replacement cash value claims initiated Appellee Grange

Insurance Company’s (“Grange”) insurance fraud claim in a Colorado state district court.

On summary judgment, the state court found Lee and Shaun Woods committed insurance

fraud by submitting claims for payment for loss of the mower and ring based on

fabricated documentation and concluded that the fraud voided the insurance contract

entitling Grange to recover all the funds it paid under their insurance policy. The state

court entered a summary judgment against Lee and Shaun Woods in the amount of

$582,122.79. The Colorado Court of Appeals affirmed.

Armed with these decisions, the Bankruptcy Court determined the state court

rulings precluded further litigation of the fraud issue in the nondischargeability adversary

proceeding and granted Grange’s motion for summary judgment under § 523(a)(2)(A) 1

on the theory of actual fraud, which it determined does not require proof of justifiable

reliance. In the alternative, the Bankruptcy Court determined that Grange justifiably

relied on the fabricated documentation.

But that is not the entire story. Grange paid at most $1,186.58 on the replacement

cash value claim for the mower, and it made no payment on the claim for the ring. The

Debtors, having obtained at most $1,186.58 by fraud, both ended up with a $582,122.79

nondischargeable judgment. The Debtors appealed.

1 Unless other specified, references to “section” and “§” are to sections of title 11 of the United States Code. 2 BAP Appeal No. 23-12 Docket No. 83 Filed: 07/11/2024 Page: 3 of 28

We agree that the Bankruptcy Court properly determined that Shaun Woods made

false representations with intent to deceive based on the issue-preclusive effect of the

state court judgment. But the Bankruptcy Court erred when it ruled that Grange was not

required to prove justifiable reliance under § 523(a)(2)(A) on a theory of actual fraud

and, in the alternative, determined that there was no genuine dispute of material fact with

respect to proof of justifiable reliance under § 523(a)(2)(A). There is also a genuine

dispute of material fact regarding whether Grange suffered a loss because of the false

representations, precluding summary judgment.

Accordingly, we REVERSE and REMAND to the Bankruptcy Court for further

proceedings consistent with this opinion.

I. Background

A. The Insurance Dispute

The Debtors owned a farm near Ignacio, Colorado and bought an insurance policy

(the “Policy”) from Grange in 2016. The Policy included coverage on the farm, the

residence on the farm, and the Debtors’ personal property. In 2017, the farmhouse, where

the Debtors resided, burned down.

The Debtors then submitted insurance claims to Grange related to the farmhouse,

use of the farmhouse, and personal property damaged in the fire. A dispute arose as to the

value of the farmhouse. The parties attempted to settle the dispute, but the bank holding a

mortgage against the property would not agree to the settlement and negotiations ended.

Grange then, in accordance with the Policy, initiated a declaratory judgment action before

3 BAP Appeal No. 23-12 Docket No. 83 Filed: 07/11/2024 Page: 4 of 28

a Colorado state court (the “State District Court”) to obtain a judicial valuation of the

farmhouse (the “State Court Litigation”).

The Debtors answered the complaint and asserted counterclaims for, among other

things, breach of contract, bad faith, and violation of the Colorado Consumer Protection

Act. The State District Court valued the farmhouse at $354,660.11. Grange tendered a

check in that amount to the Debtors. Grange paid the Debtors additional amounts on their

claims for loss of use of the farmhouse and damage to personal property. That included

payment of claims for the actual cash value of damaged personal property, which did not

require submission of documentation in support of the claims.

Despite continuing to dispute the amount Grange owed for damage to the

farmhouse, the Debtors cashed the check for the court-determined value. The Debtors

then had their counsel reach out to Grange to see what other claims Grange would

consider for reimbursement. Grange’s counsel responded by email that Grange would

“entertain any submissions made pursuant to the terms of the policy.” 2 Following this

email, the Debtors submitted replacement cash value claims with supporting

documentation for various items of personal property under the contents provision of the

Policy, seeking the difference between the replacement cash value and the actual cash

value Grange had already paid. Unlike actual cash value claims, the Policy required that

replacement cash value claims be supported by appropriate documentation.

2 November 20, 2018 email from Stuart Morse, in Appellants’ App. at 114. 4 BAP Appeal No. 23-12 Docket No. 83 Filed: 07/11/2024 Page: 5 of 28

The Debtors’ replacement cash value claims included claims for a Kubota Mower

Z-122 R-42 riding lawn mower (the “Mower”) and a diamond ring (the “Ring”). The

documentation Shaun Woods submitted to Grange in support of these replacement cash

value claims included a purported receipt and a purported bill of sale showing that the

Debtors purchased the Mower from Jose Sergio Verboonen for $3,825 and purchased the

Ring from Italian Design Jewelers for $2,900.

The day after the Debtors submitted the claims, Grange sent a letter and check for

$2,817.48 representing the difference between the replacement cash value and the

previously paid actual cash value for the replacement cash value claims it decided to pay.

Grange attached to the letter various documents Shaun Woods had submitted with

follow-up requests noted for the claims it would not pay without further documentation.

The claim for the Ring was among the claims Grange would not pay without further

documentation. The $2,817.48 check included $1,186.58 in payment of the replacement

cash value claim for the Mower. The same day Grange sent the letter and check to the

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