US General v. Guideone Mutual Insurance Company

Court of Appeals for the Tenth Circuit·Decided December 12, 2022·No. 22-1145·Unpublished

Opinion

Appellate Case: 22-1145 Document: 010110780343 Date Filed: 12/12/2022 Page: 1 FILED

United States Court of Appeals UNITED STATES COURT OF APPEALS Tenth Circuit

FOR THE TENTH CIRCUIT December 12, 2022

Christopher M. Wolpert

Clerk of Court

US GENERAL, LLC,

Plaintiff - Appellee,

v. No. 22-1145 (D.C. No. 1:18-CV-01256-REB-NRN)

GUIDEONE MUTUAL INSURANCE (D. Colo.) COMPANY,

Defendant - Appellant.

ORDER AND JUDGMENT*

Before HARTZ, TYMKOVICH, and MATHESON, Circuit Judges.

Defendant-Appellant GuideOne Mutual Insurance Company (“GuideOne”)

appeals following a jury verdict in favor of Plaintiff-Appellee US General, LLC (“US General”). Exercising jurisdiction under 28 U.S.C. § 1291, we affirm.

I. BACKGROUND

A. Factual History

The evidence presented at trial, stated in the light most favorable to the jury’s verdict, Johnson v. Unified Government of Wyandotte County/Kansas City, Kansas,

*

This order and judgment is not binding precedent, except under the doctrines of law of the case, res judicata, and collateral estoppel. It may be cited, however, for its persuasive value consistent with Fed. R. App. P. 32.1 and 10th Cir. R. 32.1.

Appellate Case: 22-1145 Document: 010110780343 Date Filed: 12/12/2022 Page: 2

371 F.3d 723, 728-29 (10th Cir. 2004), was as follows. In 2016, a hailstorm damaged a building owned by Crossroads American Baptist Church (“Crossroads”) and insured by GuideOne.

Crossroads submitted a claim to GuideOne for the hailstorm damage.

Crossroads hired US General as its general contractor to perform the repairs and later assigned its interest in the insurance policy to US General.

GuideOne retained independent adjuster Jon Hayes to estimate the cost of repairs, which he said was about $55,000.1 US General believed the repairs would cost significantly more and commissioned its own estimate, which was at least $190,000. GuideOne next asked an engineer to assess the nature and extent of damage to the building. The engineer’s report identified significant areas of damage beyond Mr. Hayes’s estimate.

Mr. Hayes then revised his estimate upward, but it still failed to include large portions of the damage and did not allow for any overhead and profit for US General. Throughout 2017, US General continued requesting payments for repairs not included in Mr. Hayes’s estimate. GuideOne then commissioned a building consultant, Jeff Arreguy, to provide a second opinion on the cost of repairs. In November 2017, he found that the scope of the project was $369,000.

Throughout this time, GuideOne issued partial payments for certain areas of damage, but the payments fell far short of the funds US General needed to complete

1 We use round numbers to refer to the sums in dispute.

Appellate Case: 22-1145 Document: 010110780343 Date Filed: 12/12/2022 Page: 3

the repairs. This hindered US General’s ability to begin making the repairs because, according to the testimony of its principal, all of the repairs “had to start concurrently” and it is “more expensive to start and stop a project.” App., Vol. VIII at 165. Thus, US General did not begin work on the building until early 2018. According to testimony at trial, the repeated delays in payment caused significant difficulties for US General in its relationship with the subcontractors hired to perform some of the work. Id. at 170 (the delayed payments resulted in “a contentious period of time”).

US General continued working through the spring of 2018 and encountered additional expenses covered by the insurance policy. On April 4, 2018, US General sent an invoice to GuideOne for $91,000. The same day, a GuideOne representative said a “check [wa]s in the mail” for that amount. App., Vol. VIII at 169. The check did not arrive. In July 2018, GuideOne issued a partial payment of $23,000. US General did not receive full payment for the $91,000 invoice until October 4, 2018.

By that point, GuideOne had paid most of the money it owed under the insurance policy. But one area remained in dispute. US General requested $70,000 for work it expected to perform on the building’s electrical systems and heating, ventilation, and air conditioning (“HVAC”). GuideOne, however, refused to pay the $70,000 for the electrical and HVAC systems.

B. Procedural History

The Complaint and Pretrial Motion Practice Crossroads brought this case against GuideOne in May 2018. It filed an amended complaint on October 19, 2018, after US General had received the final payment from GuideOne. The amended complaint asserted three claims:

(1) Breach of contract, based on GuideOne’s refusal to pay the $70,000 requested for electrical and HVAC work;

(2) Common law bad faith breach of insurance contract, based on GuideOne’s alleged bad faith in refusing to pay the amount it owed under the policy;

and

(3) Unreasonable delay of payment under Colo. Rev. Stat. §§ 10-3-1115 and 10-3-1116.

In September 2019, Crossroads successfully moved to join US General to act as Plaintiff.

In May 2019, GuideOne moved for summary judgment on all of US General’s claims. In response, US General voluntarily dismissed its second claim for common law bad faith breach of insurance contract. The district court denied summary judgment as to the remaining claims, writing, “[i]t is apparent that there exist genuine disputes as to material facts that are not appropriate for summary resolution.” App., Vol. IV at 169-70.

The Jury Trial The case proceeded to a jury trial on US General’s remaining two claims—

breach of insurance contract and unreasonable delay of insurance benefits. GuideOne did not file a motion for a judgment as a matter of law under Federal Rule of Civil

Appellate Case: 22-1145 Document: 010110780343 Date Filed: 12/12/2022 Page: 5

Procedure 50(a) during the trial, either at the close of US General’s evidence or after it presented its own evidence. App., Vol. IX at 59-61, 248-58.

The district court drafted jury instructions and a verdict form and circulated them to the parties. GuideOne said it had “[n]o objection” to the instructions or verdict form. App., Vol. X at 218.

The district court instructed the jury that it must find in favor of US General on the unreasonable delay claim if it determined:

“1. That the defendant delayed and/or denied payment of insurance benefits to the plaintiff; and

2. That the defendant’s delay and/or denial of payment was without a reasonable basis.”

App., Vol. V at 227. The court then instructed the jury that if it found GuideOne liable on the unreasonable delay claim, it must record on the verdict form “the total dollar amount of the insurance benefits for which payment was delayed and/or denied without a reasonable basis.” Id. at 231.

The verdict form required the jury (1) to indicate whether GuideOne was liable on each of US General’s two claims, and (2) to state the amount of damages for each claim on which it found liability. App., Vol. V at 199-203.

For US General’s breach-of-contract claim, the verdict form required the jury to list the amount of “general damages” that US General had suffered due to GuideOne’s breach. Id. at 200. If the jury found no general damages, it was permitted to award nominal damages of one dollar.

For the unreasonable delay claim, the verdict form required the jury to identify the “total amount of insurance benefits, if any, [it] f[ound] by a preponderance of the evidence were delayed or denied by GuideOne . . . without a reasonable basis.” Id. at 202. The form also required the jury to assess damages on the unreasonable delay claim separately for the time periods before and after May 23, 2018, the date the original complaint was filed. Id.

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