Sanderson v. American Family Mutual Insurance Co.

251 P.3d 1213, 2010 Colo. App. LEXIS 1665, 2010 WL 4492375
CourtColorado Court of Appeals
DecidedNovember 10, 2010
Docket09CA1263
StatusPublished
Cited by74 cases

This text of 251 P.3d 1213 (Sanderson v. American Family Mutual 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
Sanderson v. American Family Mutual Insurance Co., 251 P.3d 1213, 2010 Colo. App. LEXIS 1665, 2010 WL 4492375 (Colo. Ct. App. 2010).

Opinion

Opinion by

Judge GABRIEL.

Plaintiff, Leonard Sanderson, appeals the district court's grant of summary judgment in favor of defendant, American Family Mutual Insurance Company (AFT), on his claim for bad faith breach of an underinsured motorist (UIM) policy. He also appeals the denial of leave to amend his complaint to assert a claim for exemplary damages based on the purported breach. Because we conclude that (1) Sanderson has failed to show a genuine issue of material fact and (2) on the facts presented here, AFI was entitled to judgment as a matter of law, we affirm.

I. Background

On October 15, 2008, Sanderson was injured in an automobile accident with Kelly Pierce, who had bodily injury liability coverage of $25,000. Because Sanderson allegedly suffered injuries in excess of that amount, the accident implicated his UIM policy with AFI, which had a $100,000 policy limit.

Sanderson initially sued Pierce. After approximately one year of litigation, Sanderson settled with Pierce for her $25,000 policy limit. The settlement amount counted toward Sanderson's UIM coverage limit, thus leaving a UIM limit of $75,000. As a result of the settlement, neither liability nor the relative fault of the parties was determined.

Two days after Sanderson and Pierce filed a stipulated motion to dismiss based on their settlement, and twenty days before the court granted that stipulated motion and dismissed the case, Sanderson exercised his contractual right with AFI to demand arbitration to resolve a disagreement regarding either damages or the liability of the underinsured driver in the accident at issue. Specifically, Sanderson demanded that AFI enter into binding arbitration regarding his entitlement to the remaining $75,000 in UIM coverage, stating, without explanation, that his case was worth "well in excess" of the policy limit. He also demanded that AFI "set out [its] evaluation of the UIM case now" and threatened to sue for bad faith if he was successful in arbitration. AFI apparently responded to this demand two days later, but its response is not included in the record on appeal.

The record reflects that within days after Sanderson demanded arbitration, AFI had information regarding Sanderson's medical treatment history and claimed damages, as well as copies of various pleadings, disclosures, and depositions from Sanderson's lawsuit against Pierce. Thereafter, Sanderson and AFI undertook additional discovery, and Sanderson provided further information to substantiate his damages claims.

Sanderson then made a "final demand" that AFI pay the $75,000 UIM limit, stating that AFI had had "ample time to research and review" his medical records, and that his future pain management costs, conservatively *1216 estimated by one of his experts to be over $250,000, far exceeded the policy limit, In light of this information, Sanderson claimed that AFI had no reasonable basis to value his case below the policy limit.

In response to Sanderson's demand, AFI made a counteroffer of $30,000. AFI asserted that (1) Sanderson had suffered no loss of past or present income as a result of the accident, (2) he had a preexisting degenerative neck condition, and (8) AFI had paid all of his medical expenses to date through his Personal Injury Protection (PIP) coverage and would pay his future medical expenses until five years after the date of the accident or the PIP policy limits were exhausted. Neither Sanderson's "final demand" nor AFT's counteroffer discussed whether Sand-erson or Pierce was responsible, either in whole or part, for the accident.

The parties did not reach a settlement, and the matter proceeded to arbitration. After a two-day hearing, the arbitration panel awarded Sanderson $857,387.80 in damages. This award reflected an offset of the $25,000 settlement from Pierce, as well as the panel's finding that Sanderson was fifteen percent at fault for the accident. The panel, however, rejected AFI's contention that it was entitled to an offset for the PIP benefits that it had paid.

Within days of the panel's decision, AFI tendered the remaining $75,000 in insurance proceeds, plus $4,191.05 in arbitration costs and fees and prejudgment interest of eight percent per year from the date of the accident.

Sanderson then filed suit against AFI, alleging, among other things, that AFI had acted in bad faith by improperly handling his claim, thereby forcing him to endure arbitration and causing a delay in payment of the insurance proceeds. He later moved to amend his complaint to assert a claim for exemplary damages, but the district court denied that motion, concluding that Sander-son had failed to make a prima facie showing of his possible entitlement to such damages.

The district court ultimately granted summary judgment for AFI and against Sander-son. As pertinent here, the court held, as a matter of law, that (1) an insurer may properly challenge claims that are "fairly debatable"; (2) the claims at issue here were "fairly debatable" because there was a genuine issue of fact as to the parties' liability (Le., the respective fault of Sanderson and Pierce) and a genuine issue of law as to the amount of payment owing under the policy (i.e., the PIP offset); and (8) the above-referenced factual and legal questions gave AFI a reasonable basis to delay payment of Sanderson's claim, thus rendering irrelevant any evidence concerning AFI's alleged bad faith in processing the claim.

Sanderson now appeals the district court's summary judgment for AFI and its denial of leave to amend his complaint to assert an exemplary damages claim.

II Standard of Review

Summary judgment is proper only when the pleadings and supporting documents clearly demonstrate that there is no genuine issue of material fact and the moving party is entitled to judgment as a matter of law. C.R.C.P. 56(c);, Jenkins v. Panama Canal Ry. Co., 208 P.3d 238, 240 (Colo.2009). In determining whether summary judgment is proper, we grant the nonmoving party any favorable inferences reasonably drawn from the evidence, and we resolve all doubts in favor of the nonmoving party. Jenkins, 208 P.3d at 241.

When, as here, a party moves for summary judgment on an issue on which that party would not bear the burden of persuasion at trial, the moving party's initial burden of production is satisfied by showing an absence of evidence in the record to support the nonmoving party's case. Casey v. Christie Lodge Owners Ass'n, 923 P.2d 365, 366 (Colo.App.1996). The burden then shifts to the nonmoving party to present sufficient evidence to demonstrate that a reasonable jury could return a verdict for the nonmoving party. Andersen v. Lindenbaum, 160 P.3d 237, 239 (Colo.2007). If the nonmoving party fails to do so, then summary judgment may be entered in favor of the moving party. Casey, 923 P.2d at 366.

*1217 We review de novo an order granting summary judgment. Jenkins, 208 P.3d at 241.

III. Bad Faith Breach

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

Related

Cite This Page — Counsel Stack

Bluebook (online)
251 P.3d 1213, 2010 Colo. App. LEXIS 1665, 2010 WL 4492375, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sanderson-v-american-family-mutual-insurance-co-coloctapp-2010.