Robles v. American Family Mutual Insurance Company

CourtDistrict Court, D. Colorado
DecidedSeptember 15, 2020
Docket1:19-cv-01748
StatusUnknown

This text of Robles v. American Family Mutual Insurance Company (Robles v. American Family Mutual Insurance Company) is published on Counsel Stack Legal Research, covering District Court, D. Colorado primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Robles v. American Family Mutual Insurance Company, (D. Colo. 2020).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLORADO Judge William J. Martínez Civil Action No. 19-cv-1748-WJM-STV RAYMOND ROBLES, Plaintiff, v. AMERICAN FAMILY MUTUAL INSURANCE COMPANY, Defendant.

ORDER DENYING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT AND DENYING AS MOOT PLAINTIFF’S MOTION TO STRIKE Plaintiff Raymond Robles brings this insurance action against Defendant American Family Mutual Insurance Company (“American Family”), arguing that American Family breached its insurance contract with Robles following a single-car automobile accident which resulted in the death of Robles’s five-year-old son and has denied and/or delayed payments of uninsured motorist benefits to Robles in bad faith. (ECF No. 5 at 3–5.) Currently before the Court is American Family’s Motion for Summary Judgment,

filed on February 24, 2020. (ECF No. 37.) Also before the Court is Robles’s Motion to Strike New Arguments and Evidence In Defendant’s Reply Brief In Support of Summary Judgment, and For Leave to File Sur-Reply (“Motion to Strike”), filed on June 11, 2020. (ECF No. 70.) For the reasons explained below, the Motion for Summary Judgment is denied, and the Motion to Strike is denied as moot. I. STANDARD OF REVIEW Summary judgment is warranted under Federal Rule of Civil Procedure 56 “if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a); see also Anderson v.

Liberty Lobby, Inc., 477 U.S. 242, 248–50 (1986). A fact is “material” if, under the relevant substantive law, it is essential to proper disposition of the claim. Wright v. Abbott Labs., Inc., 259 F.3d 1226, 1231–32 (10th Cir. 2001). An issue is “genuine” if the evidence is such that it might lead a reasonable trier of fact to return a verdict for the nonmoving party. Allen v. Muskogee, 119 F.3d 837, 839 (10th Cir. 1997). In analyzing a motion for summary judgment, a court must view the evidence and all reasonable inferences therefrom in the light most favorable to the nonmoving party. Adler v. Wal-Mart Stores, Inc., 144 F.3d 664, 670 (10th Cir. 1998) (citing Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587 (1986)). In

addition, the Court must resolve factual ambiguities against the moving party, thus favoring the right to a trial. See Houston v. Nat’l Gen. Ins. Co., 817 F.2d 83, 85 (10th Cir. 1987). II. BACKGROUND A. Factual Allegations1 American Family issued an uninsured or underinsured motorist insurance policy (the “Policy”) to Robles, which provides uninsured motorist coverage with a per person

1 The following factual summary is based on the parties’ briefs on the Motion for Summary Judgment and documents submitted in support thereof. These facts are undisputed unless attributed to a party or source. All citations to docketed materials are to the page number in the CM/ECF header, which sometimes differs from a document’s internal pagination. 2 limit of $100,000. (ECF No. 37 ¶ 1.) While the Policy was in effect, Robles’s five-year- old son, T.R.,2 tragically died in a car accident on August 16, 2018. (Id. ¶¶ 1–2, 5.) The owner or operator of the vehicle involved in T.R.’s accident did not have liability insurance at the time. (Id. ¶ 6.)

Following the accident, Robles made a claim on the Policy for uninsured motor benefits for his son, who was an Insured under the Policy. (Id. ¶¶ 7, 9.) To demonstrate that he is entitled to uninsured motorist benefits, Robles provided American Family with T.R.’s death certificate and a custody agreement, which reflected that Robles shared custody of his son with T.R.’s mother, Annaliese Borgman. (ECF No. 37 ¶¶ 3–4, 9; ECF No. 37-3.) American Family argues that Borgman is also an Insured and potential claimant under the Policy.3 (ECF No. 37 ¶ 8; ECF No. 37-2 at § B.1.) On March 8, 2019, American Family sent an e-mail to Robles’s counsel, offering to write a single $100,000 check to both Robles and Borgman. (ECF No. 37 ¶ 10; ECF No. 37-4.) To date,

however, Borgman has not contacted American Family or made a claim under the Policy. (ECF No. 65 at 15–16 ¶¶ 19–20.) On March 21, 2019, Robles’s counsel sent a letter to American Family asserting that “Ms. Bor[g]man is not an [I]nsured under the terms of the subject American Family 2 To preserve the deceased minor’s privacy, the Court will refer to the minor using his initials. 3 In the claim notes created prior to this action, American Family referred to Borgman as a “claimant.” (ECF No. 65 at 13 ¶ 3; ECF No. 65-4 at 2 (“Our position is that [T.R.’s] father, Raymond Robles and [T.R.’s] mother, Annaliese Borgman are both claimants in this matter. We will issue a settlement payment with both parents’ names on the check.”).) American Family contends that “[t]he term insured and claimant are synonymous in the context of the communications in this case.” (ECF No. 69 at 6 ¶¶ 1, 3.) 3 policy. Accordingly, she has no contractual right to receive any portion of the $100,000.00 uninsured motorist benefits and American Family cannot insist that Ms. Robles share these insurance benefits with Ms. Borgman.” (ECF No. 37 ¶ 11; ECF No. 37-5 at 1.) Nonetheless, on March 26, 2019, American Family issued a check for the

$100,000 uninsured motorist policy limit, payable to Robles and Borgman. (ECF No. 37 ¶ 12.) On that day, American Family informed Robles’s attorney that: (1) T.R. was a minor at the time of his accident; and (2) it was American Family’s position that because Robles and Borgman “are both claimants in this matter,” it would “issue a settlement payment with both parents’ names on the check.” (ECF No. 37 ¶ 12; ECF No. 37-6 at 2.) B. Procedural History On May 16, 2019, Robles sued American Family in Denver District Court.4 (ECF Nos. 1, 5.) The Complaint alleges that American Family: (1) breached its contract with

Robles by not paying him the amounts due under the uninsured motorist coverage (ECF No. 5 at 3–4); (2) denied and/or delayed payments of uninsured motorist benefits to Robles “by requiring a condition which is in contravention of black letter Colorado law as a condition of payment” in violation of Colo. Rev. Stat. §§ 10-3-1115 and 10–3-1116 (id. at 4); and (3) breached its duties to Robles and acted in bad faith (id. at 4–5). American Family filed the Motion for Summary Judgment on February 24, 2020. (ECF No. 37.) Robles responded on May 14, 2020 (ECF No. 65), and American Family

4 American Family removed this action to federal court on June 17, 2019. (ECF No. 1.) 4 replied on June 4, 2020 (ECF No. 69). On June 11, 2020, Robles filed the Motion to Strike. (ECF No. 70.) American Family responded on July 2, 2020 (ECF No. 71), and Robles replied on July 16, 2020 (ECF No. 72). III. ANALYSIS

A. Whether Borgman Is an Insured Person Under the Policy As an initial matter, the Court must determine whether Borgman is an Insured under the Policy. American Family contends that Borgman is an Insured (ECF No. 37 at 5), which Robles disputes (ECF No. 65 at 8–9). In a contract case, a motion for summary judgment allows for contract interpretation as a matter of law. Lake Durango Water Co., Inc. v. Pub. Utils. Comm’n of Colo., 67 P.3d 12, 20 (Colo.

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Robles v. American Family Mutual Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/robles-v-american-family-mutual-insurance-company-cod-2020.