Hansen v. State Farm Mutual Automobile Insurance Co.

936 P.2d 584
CourtColorado Court of Appeals
DecidedApril 21, 1997
Docket94CA1891, 95CA0042
StatusPublished
Cited by6 cases

This text of 936 P.2d 584 (Hansen v. State Farm Mutual Automobile Insurance Co.) is published on Counsel Stack Legal Research, covering Colorado Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hansen v. State Farm Mutual Automobile Insurance Co., 936 P.2d 584 (Colo. Ct. App. 1997).

Opinions

Opinion by

Judge ROY.

In this consolidated appeal, defendant, State Farm Mutual Automobile Insurance Company (State Farm), appeals a judgment entered on a jury verdict in favor of plaintiff, Linda Hansen, on her claims for unpaid PIP benefits, bad faith breach of an insurance contract, and attorney fees and interest. We reverse and remand for a new trial.

Plaintiff’s claims arose from State Farm’s alleged failure to investigate adequately and pay PIP benefits for injuries she suffered in two automobile accidents, one in August 1991 in which she apparently sustained a brain injury, and the other in April 1992.

State Farm refused to pay or delayed payment on a number of bills related to plaintiffs rehabilitation and suspended all payments in July 1992 after she failed to be examined by two physicians designated by State Farm, an orthopedic surgeon and a psychiatrist.

The insurance policy contained the following pertinent provisions:

REPORTING A CLAIM-INSURED’S DUTIES
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4. Other Duties Under No-Fault, Uninsured Motor Vehicle and Death, Dismemberment and Loss of Sight Coverages.
The person making claim also shall:
[587]*587[[Image here]]
b. be examined by physicians chosen and paid by us [State Farm] as often as we reasonably may require. A copy of the report will be sent to the person upon written request. If the person is dead or unable to act, his or her legal representative shall authorize us to obtain all medical reports and records.
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CONDITIONS
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2. Suit Against Us.
There is no right of action against us:
a. until all the terms of this policy have been met .... (emphasis in original)

Prior to the scheduled examination with the orthopedic surgeon, plaintiffs counsel announced in a letter to State Farm that plaintiff would be accompanied by a nurse paralegal retained by plaintiffs counsel who would observe the examination and take notes. Counsel gave no reason for this condition. The examining physician refused to permit the nurse paralegal to be present during the examination.

Plaintiffs counsel later requested the psychiatrist’s curriculum vita, which was not provided by State Farm, and the plaintiff did not appear for an examination by the psychiatrist.

Following the initial problems with the physician examinations, the parties became increasingly intransigent. Plaintiff, through counsel, refused to submit to an examination by an orthopedic physician unless he was board certified, was officed in Boulder County, and did not refuse the third party observation. State Farm, even though it knew that its original physician’s partner had no objection to the observer, nevertheless refused to designate any alternate physician.

Relying on the provisions of the insurance contract, State Farm discontinued payment of PIP benefits.

In March 1993, plaintiff commenced this action alleging breach of contract for failure to pay PIP benefits pursuant to § 10-4-701, C.R.S. (1994 Repl.Vol. 4A) and bad faith breach of an insurance contract.

At trial, there was evidence that plaintiff, while she had visited male health care professionals of her own choosing unaccompanied, was fearful of being alone with men she did not know because she had been sexually assaulted as a child. Plaintiff had not provided this information to State Farm prior to the commencement of the action because she and her counsel considered it to be confidential.

The principal issue at trial was whether State Farm’s request for an examination by physicians of its choosing was reasonable or whether plaintiff complied with the policy provisions relating to the examinations.

The jury returned a verdict in favor of plaintiff for unpaid PIP benefits of $28,207 plus interest at 18% after July 8, 1992, and for $300,000 for economic and noneconomic damages plus statutory interest calculated after July 8,1992, for the bad faith breach of insurance contract claim. The trial court awarded plaintiff $86,750 in attorney fees and $11,823.22 in costs. The judgment on the merits and the award of attorney fees and costs have been consolidated for purposes of appeal.

I.

State Farm argues that the trial court erred in not instructing the jury concerning plaintiffs failure to submit to an examination by the orthopedic surgeon or the psychiatrist. We agree and conclude that a new trial is required.

The form of jury instructions is within the sound discretion of the trial court. Hendricks v. Weld County School District No. 6, 895 P.2d 1120 (Colo.App.1995).

Regardless of whether a party’s instruction is correct in form, the offering of an instruction which is supported by evidence at trial and the applicable law triggers the trial court’s obligation to give a correct instruction. See Short v. Kinkade, 685 P.2d 210 (Colo.App.1983); see also DeBose v. Bear Valley Church of Christ, 890 P.2d 214 (Colo.App.1994) (cert. granted, June 19, 1995); see generally Jordan v. Bogner, 844 P.2d 664, [588]*588667 (Colo.1993) (“A trial judge is obligated to correctly instruct the jury on the law applicable to the case.”); 9A C. Wright & A. Miller, Federal Practice & Procedure Civil 2d § 2556 (2d ed. 1995) (federal practice requires the trial court to instruct the jury properly on the controlling issues in the case even though there has been no request for an instruction or the instruction requested is defective).

As our supreme court stated in Davis v. Cline, 177 Colo. 204, 210, 493 P.2d 362, 365 (1972):

[T]he trial court had a duty to instruct the jury on [plaintiffs theory of the case], a theory amply supported by competent evidence, when requested to do so, even though counsel may have failed to tender an entirely suitable instruction.

Moreover, when a party submits instructions which are incorrect as to form, but otherwise correct, a trial court’s refusal to instruct the jury concerning a party’s defense constitutes prejudicial error because the jury has no standard against which to judge the defense. Lee v. Great Empire Broadcasting, Inc., 794 P.2d 1032 (Colo.App.1989); see also Trione v. Mike Wallen Standard, Inc., 902 P.2d 454 (Colo.App.1995) (reasonable to conclude that refusal of tendered instruction in two trials which had adverse verdicts constituted prejudicial error).

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936 P.2d 584, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hansen-v-state-farm-mutual-automobile-insurance-co-coloctapp-1997.