Sorensen v. USAA

CourtColorado Court of Appeals
DecidedNovember 21, 2024
Docket24CA0035
StatusUnpublished

This text of Sorensen v. USAA (Sorensen v. USAA) 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
Sorensen v. USAA, (Colo. Ct. App. 2024).

Opinion

24CA0035 Sorensen v USAA 11-21-2024

COLORADO COURT OF APPEALS

Court of Appeals No. 24CA0035 El Paso County District Court No. 22CV32106 Honorable Thomas K. Kane, Judge

Nathan Sorensen and Amanda Sorensen, a/k/a Amanda Armstrong,

Plaintiffs-Appellants,

v.

USAA Casualty Insurance Company,

Defendant-Appellee.

JUDGMENT REVERSED AND CASE REMANDED WITH DIRECTIONS

Division II Opinion by JUDGE FOX Johnson, J., concurs Schock, J., concurs in part and dissents in part

NOT PUBLISHED PURSUANT TO C.A.R. 35(e) Announced November 21, 2024

Robert J. Anderson, P.C., Robert J. Anderson, Timothy G. Buxton, Scott F. Anderson, Colorado Springs, Colorado, for Plaintiff-Appellants

Rider Kafer, P.C., Kelly L. Kafer, Denver, Colorado, for Defendant-Appellee ¶1 Plaintiffs, Nathan and Amanda Sorensen, a/k/a Amanda

Armstrong (collectively, the Sorensens), appeal the district court’s

grant of summary judgment in favor of USAA Casualty Insurance

Company (USAA). We reverse and remand the case to the district

court for further proceedings.

I. Background

¶2 This appeal concerns an insurance dispute following an April

11, 2021, car accident in Colorado Springs involving the Sorensens

and another driver, which the Sorensens allege caused them

serious injuries. After the accident, the Sorensens made a claim for

compensation through a USAA uninsured/underinsured motorist

(UM/UIM) insurance policy (the policy) issued to Nathan’s mother,

Susan Sorensen.1

1 The Toyota 4Runner driven by the Sorensens during the crash

was not identified in the USAA policy. According to the Sorensens’ complaint, the other driver’s insurance policy was limited to $25,000 per person and $50,000 per accident, and the Sorensens’ 4Runner was also insured by Geico for $25,000 per person and $50,000 per accident. The Geico policy paid out the full limit of its coverage.

1 ¶3 Susan was listed as the “named insured” on the policy’s

declarations page, but Nathan, his sister Shannon Sorensen,2 and

Susan were also listed as “operators.” The policy defines a “covered

person,” i.e., a person who may be entitled to insurance coverage,

as the individual listed as the named insured and her “family

members.” The policy then defines family members as “a person

related to [the named insured] by blood, marriage or adoption who

resides primarily in [the named insured’s] household.”

¶4 Susan owns two properties in Colorado Springs, the “Garden

Place” property and the “Bates Drive” property, about ten minutes

apart by car. At the time of the accident, Nathan and Amanda were

living at the Bates Drive property while Susan lived at the Garden

Place property. While they did not have a formal lease agreement,

Nathan testified that he paid Susan rent each month. Susan’s and

Nathan’s deposition testimony indicated that there was some degree

of shared habitation between the two properties with each going

“back and forth” between the properties.

2 For clarity we will respectfully refer to Susan, Nathan, Shannon,

and Amanda Sorensen by their first names.

2 ¶5 Susan’s address on the policy was the Garden Place property

and Nathan lived at the Bates Drive property, so USAA rejected the

Sorensens’ UM/UIM claim as Nathan did not meet the definition of

a family member and thus was not deemed a covered person. The

Sorensens later sued, arguing that (1) the USAA policy did not

differentiate between an operator and a named insured on the

declarations page; (2) Susan was charged a premium for Nathan to

be on the policy; and (3) Susan and Nathan reasonably believed

that he was insured. As relevant here, the Sorensens contended

Nathan was entitled to UM/UIM benefits.3

¶6 USAA and the Sorensens filed competing motions for summary

judgment pursuant to C.R.C.P. 56. The district court granted

summary judgment in favor of USAA, finding that (1) the term

“covered persons” was unambiguous and (2) the Sorensens were not

covered persons under the policy because they were not named

insureds nor did they reside in Susan’s household and thus were

not qualifying family members.

3 The Sorensens also raised a claim for unreasonable denial or

delay of insurance benefits under sections 10-3-1115(1)(a) and -1116(1), C.R.S. 2024, and requested damages.

3 ¶7 This appeal followed. The Sorensens argue that the USAA

policy’s term “operator” is ambiguous and there is effectively no

difference between a named insured and an operator. They

contended this was particularly true as USAA was charging a

premium to include Nathan on the policy, thus, under the

“reasonable expectations” doctrine, Nathan would have reasonably

understood that he was covered by the policy and was entitled to

coverage. Alternatively, they assert that, given the “fluid”

households Nathan and Susan shared, Nathan and Amanda met

the criteria of a covered family member under the USAA policy.

These contentions were preserved. See Gebert v. Sears, Roebuck &

Co., 2023 COA 107, ¶ 25.

II. Analysis

A. Standard of Review

¶8 “An insurance policy is a contract, the interpretation of which

is a matter of law that we review de novo.” Farmers Ins. Exch. v.

Kretzer, 2023 COA 94, ¶ 11. If an insurance contract is

unambiguous, we interpret it in a manner that effectuates the

intent of the parties. We give words and phrases in an insurance

policy their plain, everyday meaning and may not force strained

4 constructions. Id. at ¶¶ 11-12. But when a contract is within a

trade or technical field, like insurance, and unless a different intent

is manifested, “technical terms and words of art are given their

technical meaning when used in a transaction within their technical

field.” People ex rel. Rein v. Jacobs, 2020 CO 50, ¶ 43 (quoting

Bledsoe Land Co. v. Forest Oil Corp., 277 P.3d 838, 843 (Colo. App.

2011)). “The language of an insurance contract is determinative of

the parties’ intent.” Kretzer, ¶ 11.

¶9 “Whether an insurance policy is ambiguous is a question of

law.” Id. at ¶ 12. “A policy is ambiguous if it is susceptible on its

face to more than one reasonable interpretation.” USAA Cas. Ins.

Co. v. Anglum, 119 P.3d 1058, 1059-60 (Colo. 2005). “An ambiguity

must appear in the four corners of the document before extrinsic

evidence can be considered. In other words, extrinsic evidence

cannot create ambiguity; it is an aid to ascertaining the intent of

the parties once an ambiguity is found.” Am. Fam. Mut. Ins. Co. v.

Hansen, 2016 CO 46, ¶ 4 (citation omitted). “Undefined terms do

not create ambiguity if the provision can be understood by

considering its context.” Usick v. Am. Fam. Mut. Ins. Co., 131 P.3d

1195, 1200 (Colo. App. 2006).

5 ¶ 10 “When ‘an insurer seeks to restrict coverage, the limitation

must be clearly expressed.’ If the limitation is ‘ambiguous, then the

contract must be construed in favor of coverage and against’ the

limitation.” Kretzer, ¶ 13 (citation omitted).

¶ 11 Finally, “we review de novo orders granting summary

judgment.” Essentia Ins. Co. v. Hughes, 2024 CO 17, ¶ 20.

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