Karyn Gregory v. Safeco Insurance Company of America

Colorado Court of Appeals·Decided April 21, 2022·No. 20CA1694·Published

Opinion

The summaries of the Colorado Court of Appeals published opinions constitute no part of the opinion of the division but have been prepared by the division for the convenience of the reader. The summaries may not be cited or relied upon as they are not the official language of the division. Any discrepancy between the language in the summary and in the opinion should be resolved in favor of the language in the opinion.

SUMMARY

April 21, 2022

2022COA45

No. 20CA1694, Gregory v. Safeco Ins. Co. of America — Insurance — Property and Casualty Insurance — Homeowners’ Insurance — Late Notice — Notice-Prejudice Rule

A division of the court of appeals considers whether Colorado’s notice-prejudice rule applies to a notice-of-loss provision in a homeowners’ insurance policy. This rule excuses an insured’s late filing of a claim when the insurer is unable to demonstrate that its interests were prejudiced by the late notice. Concluding that the supreme court has not yet extended the notice-prejudice rule to first-party claims under homeowners’ policies — or authorized the court of appeals to do so — the division instead holds that the older, traditional rule still applies to such policies.

The division also considers whether a provision of an insurance policy requiring an insurer to give notice within 365 days of a covered loss is invalid under section 10-4-110.8(12)(a), C.R.S. 2021, of the Colorado Homeowner’s Reform Act of 2013. This provision provides that homeowners may still file suit against their insurer within the applicable statute of limitations notwithstanding any provision in their insurance policy that requires homeowners to file suit within a shorter time period. The division concludes that the 365-day notice provision in question does not contravene this statute.

COLORADO COURT OF APPEALS 2022COA45

Court of Appeals No. 20CA1694 City and County of Denver District Court No. 19CV34856 Honorable Michael A. Martinez, Judge

Karyn Gregory, Plaintiff-Appellant, v. Safeco Insurance Company of America, Defendant-Appellee.

JUDGMENT AFFIRMED

Division II

Opinion by JUDGE KUHN

Furman and Pawar, JJ., concur

Announced April 21, 2022

Roth Milne, David Roth, Jennifer A. Milne, Denver, Colorado, for Plaintiff- Appellant

Lewis Roca Rothgerber Christie LLP, Brian J. Spano, Holly C. White, Aurora Temple Barnes, Denver, Colorado, for Defendant-Appellee

MoGo LLC, Rodney J. Monheit, Katherine E. Goodrich, Denver, Colorado, for Amicus Curiae Colorado Trial Lawyers Association

Waltz Reeves, Christopher R. Reeves, Denver, Colorado, for Amicus Curiae Colorado Defense Lawyers Association

¶1 In this late-notice insurance coverage dispute, Karyn Gregory brought suit against her insurer, Safeco Insurance Company of America, after Safeco denied her first-party insurance claim for property damage as untimely under her homeowners’ insurance policy. Gregory appeals the district court’s grant of summary judgment to Safeco rejecting the applicability of Colorado’s notice- prejudice rule to policies like hers.

¶2 Our appellate courts have not yet considered this issue, and there appears to be uncertainty surrounding it in federal courts applying Colorado law. Gregory asks us to resolve this uncertainty. We conclude that only the supreme court may decide whether to replace the traditional rule with the notice-prejudice rule for first- party claims under homeowners’ insurance policies. We therefore affirm the judgment of dismissal, but we note that this case may present an opportunity for our supreme court to provide clarity on this question.

I. Background

¶3 The facts of this case are undisputed. Gregory procured a homeowners’ insurance policy (the Policy) from Safeco that covered specified direct physical damage to her home that “occurs during

the policy period.” The Policy ran from February 15, 2017, to February 15, 2018, and in May 2017, a hailstorm damaged Gregory’s roof — a type of loss covered under the Policy.

¶4 But Gregory did not notify Safeco or file a claim for the loss until roughly eighteen months later, shortly after a contractor informed her of the hail damage. Safeco did not initially investigate the damage to Gregory’s home, but its initial review determined that the May 2017 hailstorm was the most recent one to occur near Gregory’s property.1 Based on this determination, Safeco summarily denied her claim as untimely, citing the eighteen-month delay and a notice provision in the Policy specific to hail damage:

In case of a loss to which this insurance may apply, you must perform the following duties:

...

give immediate notice to us or our agent. With respect to loss caused by the peril of . . . Hail,

1 Safeco did not inspect the damage to Gregory’s roof until after she filed suit in December 2019. Gregory filed an affidavit by a licensed public adjuster who inspected her home in February 2020 — more than thirty-three months after the hailstorm. He believed her roof had visible and prevalent hail damage from the May 2017 hailstorm that could still have been inspected more than a year after the damage occurred.

the notice must be within 365 days after the date of the loss . . . .

Under the same section, the Policy provides that “[n]o action shall be brought against [Safeco] unless there has been compliance with the policy provisions . . . .” And at the very beginning of the Policy, it states that Safeco “will pay claims and provide coverage as described in this policy if [Gregory] . . . compl[ies] with all the applicable provisions outlined in this policy.”

¶5 More than two years after Safeco denied her claim, Gregory filed suit, claiming that Safeco’s denial was a breach of contract and a bad-faith breach of an insurance policy, and that Safeco unreasonably delayed and denied payment of her claim under sections 10-3-1115 and -1116, C.R.S. 2021.

¶6 Safeco filed a motion for summary judgment under C.R.C.P. 56(b), and Gregory responded with a motion for determination of a question of law under C.R.C.P. 56(h). Both motions addressed the same two issues Gregory appeals here:

(1) whether Colorado’s notice-prejudice rule applies, which would require Safeco to demonstrate it was prejudiced by

Gregory’s late notice before denying her benefits for an untimely claim; and

(2) whether the Policy’s 365-day notice provision is invalid under section 10-4-110.8(12)(a), C.R.S. 2021, which limits insurers’ ability to contractually shorten the applicable statute of limitations for insureds to file suits like Gregory’s against them.

¶7 The district court ruled in favor of Safeco. It concluded that the 365-day notice requirement did not contravene the statute-of- limitations provision, that Gregory’s claim was untimely under the plain terms of the Policy, that her delay was unexcused as a matter of law, and that Safeco was therefore relieved of its obligation to provide coverage benefits for her claim.

¶8 In so concluding, the court reasoned that the supreme court has not extended Colorado’s notice-prejudice rule to first-party claims under homeowners’ insurance policies like Gregory’s, and, in this absence, the supreme court’s precedent regarding the “traditional approach” required the court to strictly apply Gregory’s failure to abide by the Policy’s notice provision against her. The

court thus determined it did not need to reach the question of whether Safeco was prejudiced by Gregory’s late notice.

II. Analysis

¶9 We review the court’s order granting summary judgment de novo. MarkWest Energy Partners, L.P. v. Zurich Am. Ins. Co., 2016 COA 110, ¶ 11. Summary judgment is proper if there is no genuine issue as to any material fact and Safeco is entitled to judgment as a matter of law. Id.

¶ 10 We agree with the district court on both issues and therefore conclude that the court properly granted summary judgment to Safeco.

A. Notice-Prejudice Rule

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