Grange Insurance Association v. Reson Woods

Bankruptcy Appellate Panel of the Tenth Circuit·Decided July 11, 2024·No. 23-012·Published

Opinion

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

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.

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

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.

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 Debtors, it also served them with its first set of discovery requests relating to the claim for the Mower. Following this set of discovery requests, the Debtors’ counsel emailed Grange’s counsel offering to return the $2,817.48 check to Grange or to destroy it. The Debtors then filed a response to the first set of discovery requests contending Shaun Woods mistakenly included the Mower receipt in support of the claims.

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