May v. Travelers Property Casualty Co. of America

263 F. App'x 673
CourtCourt of Appeals for the Tenth Circuit
DecidedFebruary 4, 2008
Docket06-1531
StatusUnpublished
Cited by2 cases

This text of 263 F. App'x 673 (May v. Travelers Property Casualty Co. of America) 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
May v. Travelers Property Casualty Co. of America, 263 F. App'x 673 (10th Cir. 2008).

Opinion

ORDER AND JUDGMENT *

WADE BRORBY, Circuit Judge.

Carolyn May, a Colorado resident and passenger injured in a motor vehicle accident, sued the insurer of the vehicle, Travelers Property Casualty Company of America (Travelers), a Connecticut corporation. Mrs. May sought reformation of the insurance policy for added personal injury protection (APIP) benefits in conjunction with the now repealed Colorado Auto Accident Reparations Act, Colo.Rev. Stat. §§ 10-4-701 to -726 (repealed July 1, 2003) (“No Fault Act” or “Act”). In addition to her reformation claim, Mrs. May brought claims for breach of contract and bad faith. In an order on the parties’ cross motions for partial summary judgment, the district court granted Mrs. May’s request for reformation of the insurance policy as a matter of law but determined reformation was subject to a $200,000 aggregate per person, per accident, limit—as provided in the policy. In a second summary judgment order, the district court determined the effective reformation date of the insurance policy occurred on the date of the court’s initial order on partial summary judgment, and therefore, all of Mrs. May’s remaining claims involving bad faith and breach of contract failed as a matter of law because Travelers promptly paid the additional benefits due her following the court’s reformation order. Mrs. May now appeals from the district court’s summary judgment orders on issues held in favor of Travelers. On appeal, we exercise jurisdiction pursuant to 28 U.S.C. § 1291 and affirm.

I. Background

As background, in 1973, the Colorado legislature enacted the No Fault Act for the purpose of avoiding inadequate compensation to victims of automobile accidents. See Reid v. Geico Gen. Ins. Co., 499 F.3d 1163, 1165 (10th Cir.2007). The Act required complying policies to include certain minimum or basic personal injury protection (PIP) benefits to compensate *675 injured persons for medical expenses and lost wages. Id. This initial basic level of PIP included, but was not limited to, $50,000 for medical services per person for any one accident, regardless of fault, if performed within five years of the accident; and $50,000 for rehabilitative services per person for any one accident, regardless of fault, if performed within ten years of the accident. See Colo.Rev.Stat. § 10-4-706(l)(b)-(c); Stickley v. State Farm Mut. Auto. Ins. Co., 505 F.3d 1070, 1072-73 (10th Cir.2007). By 1992, the Act also “allowed an insurer to offer an ‘alternative to the minimum coverages’ known as a ‘reduced’ PIP policy” which reduced the above coverage to up to $25,000 per person for any one accident for identified types of medical procedures, if performed within five years of the accident. Stickley, 505 F.3d at 1073 (relying on Colo.Rev.Stat. § 10-4-706(3)(b)(I) (2001)).

Also by 1992, § 10-4-710 of the Act required insurers to “offer,” in exchange for higher premiums, optional APIP coverage. See Colo. Rev. Stat § 10-4-710(2)(a) (2001); Stickley, 505 F.3d at 1074. Specifically, § 10-4-710(2)(a) stated:

Every insurer shall offer the following enhanced benefits for inclusion in a complying policy, in addition to the basic coverages described in section 10-4-706, at the option of the named insured:
(I) Compensation of all expenses of the type described in section 10—4—706(l)(b) without dollar or time limitation; or
(II) Compensation of all expenses of the type described in section 10-4-706(l)(b) without dollar or time limitations and payment of benefits equivalent to eighty-five percent of loss of gross income per week from work the injured person would have performed had such injured person not been injured during the period commencing on the day after the date of the accident without dollar or time limitations.

Colo.Rev.Stat. § 10-4-710(2)(a) (2001)

(emphasis added). The Colorado Court of Appeals noted the directive of § 10-4-710 was to the insurer, not the insured, stating “all that is required is that the insurer offer these extended benefits.” Brennan v. Farmers Alliance Mut. Ins. Co., 961 P.2d 550, 554 (Colo.Ct.App.1998). 1

Section 10-4-710 also stated:

A complying policy may provide that all benefits set forth in section 10-4-706(l)(b) to (l)(e) and in this section are subject to an aggregate limit of two hundred thousand dollars payable on account of injury to or death of any one person as a result of any one accident arising out of the use or operation of a motor vehicle.

Colo.Rev.Stat. § 10-4-710(2)(b) (2001) (emphasis added). Based on this language, “[sjection 710(2)(b) permitted an enhanced policy to have an aggregate limit of $200,000 for any one person as a result of any one accident.” Stickley, 505 F.3d. at 1074 n. 5.

On November 26, 2001, Mrs. May was injured while riding as a passenger in a vehicle driven by her husband, Shawn May. At the time of the accident, she was insured as a “resident relative” under her husband’s insurance policy with Travelers and entitled, under the Declarations provi *676 sions, to receive reduced or basic PIP benefits pursuant to the policy. Travelers paid the PIP benefits.

Following Travelers’ payment of PIP benefits, Mrs. May sent Travelers a demand letter for APIP benefits, without a dollar or time limitation, which she claimed •Travelers was required to offer by statute, but failed to do. After Travelers denied her claim for APIP benefits, she filed a complaint requesting reformation of the insurance policy to include APIP benefits, contending Travelers failed to meet the statutory requirement of offering her husband APIP coverage at the time he purchased the insurance policy, either by providing a written or oral explanation of APIP benefits or obtaining a signed application or selection form from Mr. May evidencing his knowledge of securing APIP benefit coverage. 2 Mrs. May also brought claims for breach of contract, statutory bad faith, breach of the implied covenant of good faith and' fair dealing, and common law bad faith, based on Travelers’ denial of APIP benefits. Following discovery, the parties filed cross-motions for partial summary judgment under Rule 56 of the Federal Rules of Civil Procedure on Mrs. May’s request for reformation of the policy for unlimited, aggregate APIP benefits.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Warren v. Liberty Mutual Fire Insurance
691 F. Supp. 2d 1255 (D. Colorado, 2010)

Cite This Page — Counsel Stack

Bluebook (online)
263 F. App'x 673, Counsel Stack Legal Research, https://law.counselstack.com/opinion/may-v-travelers-property-casualty-co-of-america-ca10-2008.