Stickley v. State Farm Mutual Automobile Insurance

402 F. Supp. 2d 1226, 2005 U.S. Dist. LEXIS 32078, 2005 WL 3111212
CourtDistrict Court, D. Colorado
DecidedNovember 18, 2005
DocketCiv.A04CV01685EWNOES
StatusPublished
Cited by6 cases

This text of 402 F. Supp. 2d 1226 (Stickley v. State Farm Mutual Automobile Insurance) 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
Stickley v. State Farm Mutual Automobile Insurance, 402 F. Supp. 2d 1226, 2005 U.S. Dist. LEXIS 32078, 2005 WL 3111212 (D. Colo. 2005).

Opinion

ORDER AND MEMORANDUM OF DECISION

NOTTINGHAM, District Judge.

This is an insurance case. Plaintiff Virgil Stickley alleges that Defendant State Farm Mutual Automobile Insurance Company (1) breached the insurance contract between them; (2) willfully and wantonly breached the insurance contract; and (3) breached the implied covenant of good faith and fair dealing. In addition, Plaintiff seeks declaratory relief and reformation of the insurance contract. This matter is before the court on (1) “Defendant’s Motion for Summary Judgement,” filed April 18, 2005; (2) “Plaintiffs Motion for Partial Summary Judgment,” filed April 18, 2005; and (3) Plaintiffs “Request for Oral Argument,” filed April 21, 2005. Jurisdiction is based on 28 U.S.C. § 1332, diversity of citizenship.

FACTS

1. Factual Background

a. Overview of No-Fault Act and Brennan

Before addressing the issues raised by this case, I review the relevant portions of Colorado’s No-Fault Act, which was re *1228 pealed in 2003, 1 and the decision in Brennan v. Farmers Alliance Mutual Insurance Company, 961 P.2d 550 (Colo.App.1998), ce rt. denied, 1998 Colo. Lexis 587 (Colo. Aug. 24, 1998), interpreting those provisions. “The No-Fault Act requires that a complying [contract] include mandatory PIP benefits.” Brennan, 961 P.2d at 552. Section 10 — 4—706(1) sets forth the basic coverages for inclusion in a complying insurance contract. Specifically, section 10 — 4—706(1), as relevant here, requires a carrier to provide:

(b)(1) Compensation without regard to fault, up to a limit of fifty thousand dollars per person for any one accident, for payment of all reasonable and necessary expenses for medical ... and non-medical remedial care and treatment ... performed within five years after the accident for bodily injury arising out of the use or operation of a motor vehicle ....
(c)(1) Compensation without regard to fault up to a limit of fifty thousand dollars per person for any one accident within ten years after such accident for payment of the cost of rehabilitation procedures or treatment and rehabilitative occupational training necessary because of bodily injury arising out of the use or operation of a motor vehicle.

Colo.Rev.Stat. § 10 — 4—706(l)(b)(I), (l)(c)(I). Further, section 10 — 4— 706(4)(a) provides that:

An insurer issuing policies providing coverages as set forth in this section shall provide written explanations of all available coverages prior to issuing any policy to an insured. After a named insured selects a policy with desired personal injury protection coverage, an insurer shall not be under any further obligation to notify such policy holder in any renewal or replacement policy of the availability of basic personal injury protection policy or of any alternative personal injury protection coverage.

Colo.Rev.Stat. § 10—4—706(4)(a). Section 10—4—707 defines the category of people who receive coverage under section 10 — 4—706 to include: (1) the named insured, (2) resident relatives of the named insured, (3) passengers occupying the insured’s vehicle with the consent of the insured, and (4) pedestrians who are injured by the covered vehicle. Brennan, 961 P.2d at 553.

The Colorado No-Fault Act also requires every insurer to offer the named insured extended PIP benefits in exchange for higher premiums. See Colo.Rev.Stat. § 10—4—710(2)(a); see also Clark v. State Farm Mut. Auto. Ins. Co., 319 F.3d 1234, 1238 (10th Cir.2003). Specifically, section 10 — 4—710(2)(a) requires that:

Every insurer shall offer the following enhanced benefits for inclusion in a complying policy, in addition to the basic coverages described in section 10 — 4— 706, at the option of the named insured:
(I) Compensation of all expenses of the type described in section 10 — 4— 706(l)(b) without dollar or time limitation;
(II) Compensation of all expenses of the type described in section 10 — 4— 706(l)(b) without dollar or time limitations and payment of benefits equivalent to eighty-five percent of loss of gross income per week from work the injured person would have performed had such injured person not been injured during *1229 the period commencing on the day after the date of the accident without dollar or time limitations.

Colo.Rev.Stat. § 10 — 4—710(2)(a). In Brennan, the Colorado Court of Appeals determined that the extended PIP coverage set forth in section 10 — 4—710(2)(a) applied to pedestrians. Brennan, 961 P.2d at 553. The Brennan court concluded that “it is apparent that the extended coverages offered there must apply to the categories of persons listed in [section] 10 — 4— 707(1).” Id. Thus, following Brennan, insurers could not use the pedestrian limitation in their insurance contracts. The court noted that the “directive of [section] 10 — 4—710 is to the insurer, not the insured: all that is required is that the' insurer offer these extended benefits.” Id. at 554.

b. Facts Relevant to Plaintiff Stick-ley

On December 21, 1992, Plaintiffs wife, Mary Stickley, purchased an. automobile insurance policy on Plaintiffs behalf from Defendant. (Def.’s Mot. for Summ. J., Def.’s Mem. Br. in Supp. of its Mot. for Summ. J., Statement of Undisputed Material Facts ¶¶ C, D [filed Apr. 18, 2005] [hereinafter “Def.’s Br.”]; admitted at Pl.’s Resp. to Mot. for Summ. J., Resp. to Statement of Undisputed Material Facts ¶¶ C, D [filed May 25, 2005] [hereinafter “Pl.’s Resp.”], PL’s Mot/for Partial Summ. J., Statement of Undisputed Material Facts ¶ 1 [filed Apr. 18, 2005] [hereinafter “PL’s Br.”].) On or about December 21,' 1992, Plaintiffs wife signed Plaintiffs application for automobile insurance. (Id., Statement of Undisputed Material Facts ¶ D; admitted in relevant part at PL’s Resp., Resp. to Statement of Undisputed Material Facts ¶0.) The application offered four options of personal injury protection (“PIP”) benefits. (Id., Ex. A — 4 [Application for State Farm Auto. Ins.].) Defendant insured Plaintiffs vehicle under policy number 656 0248 — C22—06G (“the Policy”). (Id., Statement of Undisputed Material Facts ¶B; admitted at PL’s Resp., Resp. to Statement of Undisputed Material Facts ¶ B.)

In or about August 1998, Defendant sent Plaintiff a renewal notice for the Policy along with an informational bulletin captioned “News & Notes.” (Def.’s Br., Statement of Undisputed Material Facts ¶ S; admitted at PL’s Resp., Resp.

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Cite This Page — Counsel Stack

Bluebook (online)
402 F. Supp. 2d 1226, 2005 U.S. Dist. LEXIS 32078, 2005 WL 3111212, Counsel Stack Legal Research, https://law.counselstack.com/opinion/stickley-v-state-farm-mutual-automobile-insurance-cod-2005.