Shelter Mutual Insurance Co. v. Tam

811 P.2d 388, 15 Brief Times Rptr. 650, 1991 Colo. LEXIS 340, 1991 WL 81158
CourtSupreme Court of Colorado
DecidedMay 20, 1991
DocketNo. 90SC188
StatusPublished
Cited by3 cases

This text of 811 P.2d 388 (Shelter Mutual Insurance Co. v. Tam) is published on Counsel Stack Legal Research, covering Supreme Court of Colorado primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Shelter Mutual Insurance Co. v. Tam, 811 P.2d 388, 15 Brief Times Rptr. 650, 1991 Colo. LEXIS 340, 1991 WL 81158 (Colo. 1991).

Opinions

Chief Justice ROVIRA

delivered the Opinion of the Court.

This is a certiorari proceeding initiated by Shelter Mutual Insurance Company (Shelter) to review the court of appeals decision in Tam v. Shelter Mutual Insurance Co., 786 P.2d 501 (Colo.App.1990). The court of appeals held that the trial court erred in deducting a setoff from a damage award prior to trebling the damage award pursuant to section 10-4-708, 4A C.R.S. (1987). We disagree and accordingly reverse and remand with directions.

I

The respondent Winnie Tam was involved in an automobile accident in November 1983, and she subsequently began receiving chiropractic treatment for the injuries. Guaranty National Insurance Company (Guaranty), Tam’s automobile insurer, paid for the chiropractic treatment, which by May 1985 had been reduced to one visit per week.

In August 1985, Tam was involved in a second automobile accident, and Shelter then was Tam’s automobile insurer. Following the August 1985 accident Tam again began receiving chiropractic treatment three times each week. Shelter agreed to pay for chiropractic treatment in excess of one visit per week, reasoning that Tam had already been receiving, and Guaranty had been paying for, chiropractic treatment once each week prior to the second accident. In early 1986, Tam underwent a Shelter-initiated medical examination, and the examining physician informed Shelter that Tam would probably not need chiropractic care beyond three additional months. Shelter subsequently informed Tam that it would pay benefits only through June 6, 1986. Tam, however, continued to receive chiropractic treatment through October 1986.

In October 1987, Tam sued Shelter to obtain payment of $8,323.78, later reduced to $8,311.78, which represented Tam’s unpaid medical expenses that Tam alleged Shelter was obligated to pay. Shelter defended in part on the ground that the chiropractic treatment following June 6, 1986, was not “reasonable and necessary.” In November 1987, Guaranty paid Tam $3,957.54 in return for a release from any liability for claims arising out of the November 1983 accident.

[390]*390The jury returned a verdict finding that the chiropractic treatment was reasonable and necessary, that Shelter’s refusal to pay the chiropractic-treatment expenses was willful and wanton, and that Tam had incurred $14,541.78 in expenses for chiropractic treatment. The trial court subsequently granted Shelter’s motion for remit-titur and setoff of $6,230 — thus reducing the jury award to $8,311.78 — because the jury had added the amount to the award even though that amount had already been paid.

During the trial, the parties had stipulated that the jury would not be told of the amount Guaranty had paid Tam in settlement, but only that an insurance company other than Shelter had paid some of Tam’s medical bills; “but [the jury was] not to take that into consideration” in assessing Tam’s unpaid medical expenses because “the court will handle that.” Following the trial the court determined treble damages against Shelter for willful and wanton failure to pay insurance benefits pursuant to subsection 10-4-708(1), 4A C.R.S. (1987), after deducting $3,957.54 (the amount Guaranty paid to Tam in settlement) from the damage award.

The court of appeals reversed the trial court’s damage award and remanded with directions to recalculate the damage award by trebling $8,311.78 before deducting Guaranty’s settlement payment to Tam. We granted certiorari to consider whether the district court properly deducted the settlement payment from the jury award before trebling damages pursuant to subsection 10-4-708(1).

II

Tam argues 1 that the stipulation reached during the trial required that the trial court deduct the settlement amount only after the court had trebled the jury’s award of damages. We disagree.

As we view the circumstances and terms of the stipulation, the trial court was correct in its construction of the stipulation, and its implementation of the stipulation by deducting the settlement amount before trebling damages pursuant to subsection 10-4-708(1). Prior to Shelter’s presentation of its case-in-chief at trial, counsel for both parties and the trial judge held a conference outside the presence of the jury. Tam’s attorney objected to Shelter obtaining testimony from a claims adjuster for Guaranty. In Shelter’s offer of proof, Shelter stated:

[The claims adjuster] would be called to testify to the following: First, that he was the claims representative for the personal injury protection insurance carrier regarding the first accident; that his office received a demand from [Tam] for payment of some of the very same bills which are a controversy in this case; that [the claims adjuster] in fact[ ] paid a portion of those bills that are in controversy in this case in response to [Tam’s] request under the personal injury protection coverages afforded by his company; and, finally, that [Tam], as a part of their discussions, represented to him that [Tam’s] treating physicians were of the opinion that 25 percent of the treatment that she was receiving was properly ap-portionable to the first accident.

The court ruled that pursuant to C.R.E. 408 the claims adjuster would not be permitted to refer to his settlement negotiations with Tam’s attorney, including the attorney’s statement that 25 percent of Tam’s treatment was apportionable to the November 1983 accident. The court, however, overruled Tam’s attorney’s objection to the claims adjuster's testimony concerning benefits that Guaranty had already paid Tam. This testimony, the court ruled, was “relevant to the jury to make a determination as to what is due and owing” under the Colorado Auto Accident Reparations Act (the [391]*391Act), §§ 10-4-701 to -723, 4A C.R.S. (1987 & 1990 Supp.). Implicit in the court’s ruling was that under the Act Tam was not permitted to recover benefits from one insurance company that had already been paid by another.2

Following the court’s ruling, Tam’s counsel agreed to “[t]ell the jury that 25 percent [of Tam’s medical bills] ha[s] been paid.” After Shelter argued that the jury should be informed that it could not award any damages against Shelter that had already been paid by Guaranty, Tam’s counsel stated: “[I]t’s my position that the jury should not be advised of this and it will be set off — if this is the method by which it should be handled, is that the Court should make the set-off following the jury verdict.” This colloquy followed:

[Shelter’s counsel]: The only problem is, the inference for the jury is that these bills are still unpaid....
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THE COURT: We can do it two ways; we can simply tell them that 25 percent has been paid by another insurance company and therefore they’re not to take that into consideration, or I can tell them that 25 percent has been paid by another insurance company, they’re not to take it into consideration and, if necessary, the Court will do any set-off based on their award.
[[Image here]]
[Tam’s counsel]: May I inquire if there’s a third alternative which is the jury not be advised in any manner whatsoever and the Court makes a setoff following final verdict?

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Bluebook (online)
811 P.2d 388, 15 Brief Times Rptr. 650, 1991 Colo. LEXIS 340, 1991 WL 81158, Counsel Stack Legal Research, https://law.counselstack.com/opinion/shelter-mutual-insurance-co-v-tam-colo-1991.