Preferred Professional Insurance Co. v. The Doctors Company

2018 COA 49, 419 P.3d 1020
CourtColorado Court of Appeals
DecidedApril 5, 2018
Docket17CA0405
StatusPublished
Cited by2 cases

This text of 2018 COA 49 (Preferred Professional Insurance Co. v. The Doctors Company) 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
Preferred Professional Insurance Co. v. The Doctors Company, 2018 COA 49, 419 P.3d 1020 (Colo. Ct. App. 2018).

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 5, 2018

2018COA49

No. 17CA405, Preferred Professional Insurance Company v. The Doctors Company — Insurance — Subrogation — Excess Insurer

A division of the court of appeals concludes that an excess

insurer seeking recovery under equitable subrogation for a primary

insurer’s failure to settle a case against their mutual insured “steps

in the shoes of the insured” and must plead and prove the primary

insurer’s bad faith. COLORADO COURT OF APPEALS 2018COA49

Court of Appeals No. 17CA0405 City and County of Denver District Court No. 15CV31295 Honorable Elizabeth A. Starrs, Judge

Preferred Professional Insurance Company,

Plaintiff-Appellee,

v.

The Doctors Company,

Defendant-Appellant.

JUDGMENT REVERSED AND CASE REMANDED WITH DIRECTIONS

Division IV Opinion by JUDGE DAVIDSON* J. Jones and Richman, JJ., concur

Announced April 5, 2018

Sweetbaum Sands Anderson, P.C., Jon F. Sands, Marilyn S. Chappell, Denver, Colorado, for Plaintiff-Appellee

Taylor Anderson, LLP, Kyle P. Seedorf, John M. Roche, Lauren E. Rhinehart, Denver, Colorado, for Defendant-Appellant

*Sitting by assignment of the Chief Justice under provisions of Colo. Const. art. VI, § 5(3), and § 24-51-1105, C.R.S. 2017. ¶1 Suppose that an injured party sues a person who has both

primary and excess insurance covering the claim. The injured party

offers to settle for an amount within the primary coverage limit.

The primary insurer exercises its contractual, discretionary right

not to accept the settlement. But the excess insurer, perhaps

spooked by the prospect of a judgment exceeding the primary

coverage limit, pays the settlement demanded by the injured party.

When the excess insurer sues the primary insurer to recover the

amount paid in settlement, claiming that the primary insurer

should have accepted the settlement offer, what sort of claim may

the excess insurer assert? And must the excess insurer plead and

prove that the primary insurer acted in bad faith in declining to

settle?

¶2 We hold that an excess insurer in this situation must proceed

on a theory of equitable subrogation premised on the rights of the

insured under his contract with the primary insurer — that is, the

excess insurer must step into the shoes of the insured. It follows

that, under Colorado law, because the insured would have to prove

bad faith in an action against his primary insurer based on the

1 insurer’s refusal to settle, the excess insurer must also plead and

prove such bad faith.

¶3 The facts of this case match those of our hypothetical.

Preferred Professional Insurance Company (PPIC) is the excess

insurer that paid the settlement. The Doctors Company (TDC) is

the primary insurer that declined to settle. But while PPIC

purported to bring a claim of equitable subrogation against TDC, it

disavowed any intent to proceed on the legal theory that it stands in

the insured’s shoes. And it did not plead or attempt to show that

TDC acted in bad faith. Instead, PPIC’s theory is that general

equitable principles allow it to recover from TDC apart from any

rights of the insured under his contract with TDC, and that it need

not plead or prove that TDC acted in bad faith.

¶4 The district court accepted PPIC’s theory and granted

summary judgment in its favor. But we conclude that PPIC’s theory

of recovery is not viable under Colorado law. So we reverse the

summary judgment and remand the case to the district court for

entry of judgment in TDC’s favor.

2 I. Background

¶5 The undisputed facts establish that the parties both held

separate professional liability policies for the same insured, Dr.

Rupinder Singh. A medical malpractice suit was filed against Dr.

Singh and other parties.

¶6 TDC defended Dr. Singh in the suit as required by its primary

liability policy. The policy provided coverage up to a limit of $1

million. TDC’s policy required Dr. Singh’s consent before accepting

any settlement offers, but TDC retained the discretion whether to

accept or reject any such offers.

¶7 PPIC’s insurance policy was an “excess policy,” which would

cover any losses that exceeded TDC’s $1 million coverage up to an

additional $1 million. As an excess insurer, PPIC did not have any

duty to defend Dr. Singh in the suit.

¶8 The plaintiff in the medical malpractice suit offered to settle

the case with Dr. Singh for $1 million. Dr. Singh conveyed his

desire to accept the settlement offer to both insurers, but TDC

declined the plaintiff’s offer. PPIC told Dr. Singh he should accept,

and it paid the $1 million settlement.

3 ¶9 PPIC filed a claim for equitable subrogation, seeking payment

of the $1 million from TDC. Both parties filed summary judgment

motions. In its motion, PPIC argued that the applicable standard

for recovery under equitable subrogation is a five-factor test set

forth in Hicks v. Londre, 125 P.3d 452, 456 (Colo. 2005). TDC

responded that in order to recover under equitable subrogation,

PPIC was required to prove that TDC refused to settle in bad faith.

In reply, PPIC argued that its claim for equitable subrogation was

“not premised on the assertion that it has stepped into the shoes of

its insured, Dr. Singh, through its payment of the settlement,” and

that it was “not required to establish [bad faith]” to recover, relying

exclusively on Unigard Mutual Insurance Co. v. Mission Insurance

Co., 907 P.2d 94, 99 (Colo. App. 1994), and Hicks. The district

court applied the Hicks factors and found in PPIC’s favor without

addressing TDC’s argument concerning the need to show bad faith.

¶ 10 On appeal, TDC contends that the district court erred as a

matter of law. TDC asserts that, under well-established Colorado

insurance law, an equitable subrogation claim brought by an excess

insurer against the primary insurer to recover the amount paid in

settlement can only be derivative (“standing in the shoes”) of the

4 insured’s rights. Consequently, TDC argues, PPIC’s refusal to plead

and present evidence that TDC acted in bad faith in declining to

settle, under the circumstances here, requires dismissal of PPIC’s

claim. We agree with TDC.

II. Standard of Review

¶ 11 We review an appeal of a summary judgment de novo.

Edwards v. Bank of Am., N.A., 2016 COA 121, ¶ 13. Summary

judgment is a drastic remedy that should be granted only when the

pleadings and the supporting documents demonstrate that no

genuine issue of material fact exists and that the moving party is

legally entitled to judgment. W. Elk Ranch, L.L.C. v. United States,

65 P.3d 479, 481 (Colo. 2002). The moving party carries the

burden to establish the lack of a genuine issue of fact.

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2018 COA 49, 419 P.3d 1020, Counsel Stack Legal Research, https://law.counselstack.com/opinion/preferred-professional-insurance-co-v-the-doctors-company-coloctapp-2018.