Sorensen v. USAA

Colorado Court of Appeals·Decided November 21, 2024·No. 24CA0035·Unpublished

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.

¶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.

¶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.

¶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

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).

¶ 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. Summary judgment is a high bar, and only appropriate when undisputed material facts in the parties’ pleadings and supporting documentation prove that, as a matter of law, the moving party is entitled to judgment in its favor. See id. “When considering a motion for summary judgment, ‘a court must grant the nonmoving party the benefit of all favorable inferences that may reasonably be drawn from the undisputed facts, and it must resolve all doubts against the moving party.’” Id. (citation omitted).

B. The USAA Agreement is Ambiguous ¶ 12 We start with whether the policy is ambiguous — i.e., whether, solely based on the language of the contract itself, it is susceptible to more than one reasonable interpretation. See Hansen, ¶ 4; Anglum, 119 P.3d at 1059-60.

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