Wright v. United Services

Colorado Court of Appeals·Decided August 21, 2025·No. 24CA1373·Unpublished

Opinion

24CA1373 Wright v United Services 08-21-2025 COLORADO COURT OF APPEALS

Court of Appeals No. 24CA1373 El Paso County District Court No. 23CV31825 Honorable David Shakes, Judge

Bruce M. Wright, Plaintiff-Appellee, v.

United States Services Automobile Association, a/k/a USAA, a Texas corporation and a Colorado authorized insurance company,

Defendant-Appellant.

JUDGMENT REVERSED AND CASE REMANDED WITH DIRECTIONS

Division I

Opinion by JUDGE MOULTRIE J. Jones and Kuhn, JJ., concur

NOT PUBLISHED PURSUANT TO C.A.R. 35(e)

Announced August 21, 2025

J. Gregory Walta, Colorado Springs, Colorado, for Plaintiff-Appellee

Spencer Fane LLP, Jeremy A. Moseley, Hannah S. McCalla, Denver, Colorado, for Defendant-Appellant

¶1 Defendant, United Services Automobile Association (USAA), appeals the judgment entered in favor of plaintiff, Bruce M. Wright. We reverse and remand the case to the district court.

I. Background

¶2 In May 2023, an underinsured motorist hit and seriously injured Wright while he was riding his bicycle. Wright was insured at the time of the accident, having maintained automobile insurance through USAA for decades. From at least 2002 until Wright’s accident in 2023, Wright’s policy included uninsured motorist and underinsured motorist coverage (UM/UIM coverage) and bodily injury coverage (BI coverage). His policy included BI coverage in the amount of $300,000 per person and $500,000 per accident ($300,000/$500,000).

¶3 Wright’s injury-related expenses exceeded the underinsured driver’s BI coverage policy limits, so Wright sought to use his own UM/UIM coverage, which he believed to be equal to his BI coverage at the time of the accident: $300,000/$500,000.

¶4 Shortly after the accident, Wright informed USAA that he had been injured by an underinsured driver and that his injuries totaled more than the $300,000/$500,000 of UM/UIM coverage provided

by his policy. Wright asserted that he was entitled to $300,000/$500,000 of UM/UIM coverage based on a 2008 policy notice he received saying his UM/UIM coverage limits would equal his BI coverage limits unless he returned to USAA a “Rejection/Selection Form” (rejection/selection form) rejecting the UM/UIM coverage limits, which he didn’t do.

¶5 USAA rejected Wright’s assertion that his UM/UIM coverage limits were $300,000/$500,000. Instead, USAA told Wright his UM/UIM coverage limits were $25,000 per person and $50,000 per accident ($25,000/$50,000) and had been since at least 2002.

¶6 Wright filed a complaint against USAA in district court that, as relevant here, asserted a claim for declaratory judgment. Wright asked the court to declare that he was entitled to UM/UIM coverage in the amount of $300,000/$500,000 because (1) USAA’s 2008 notice was defective under section 10-4-609, C.R.S. 2024; “and/or” (2) he chose UM/UIM coverage of $300,000/$500,000 by not “completing, signing[,] and returning the [rejection/selection form].”

¶7 Wright filed a motion (the motion) in support of his request for declaratory judgment. Included as an exhibit to the motion was a form from Wright’s 2008 policy renewal documents generally

explaining what UM/UIM coverage entails (2008 summary disclosure form). The 2008 summary disclosure form included the following language (the increased coverage language):

Uninsured Motorists (UM) Coverage:

....

Is issued with UM Coverage limits equal to your BI [coverage] limits unless you reject UM Coverage or select lower UM Coverage limits by completing, signing, and returning the Rejection/Selection Form by mail or at usaa.com.

As he alleged in his complaint, Wright argued that the increased coverage language was an offer from USAA for UM/UIM coverage equal to his BI coverage limits that he accepted by not completing the rejection/selection form.

¶8 He also argued that because section 10-4-609(2) required USAA to notify him of his coverage options in a manner reasonably calculated to enable him to make an informed decision about whether to obtain UM/UIM coverage limits equal to his BI coverage limits, any ambiguities resulting from the increased coverage language should be resolved in his favor to require reformation of the terms of his policy.

¶9 For purposes of Wright’s request for declaratory judgment, USAA didn’t dispute that Wright was injured by an underinsured driver or that he had maintained a policy with UM/UIM coverage for decades. However, in its response to the motion, USAA argued that Wright’s references to his insurance policy documents were incomplete. USAA submitted to the court Wright’s complete automobile policy packets for the years 2002, 2008, 2014, 2020, 2022, and 2023 (collectively, the policy packets). USAA argued that (1) the plain language of the policies limited Wright’s UM/UIM coverage to $25,000/$50,000, and (2) it had complied with section 10-4-609(2) by offering Wright higher UM/UIM coverage, as demonstrated in the policy packets, so reformation of the 2008 policy or any subsequent policies was precluded. USAA also noted that Wright’s $25,000/$50,000 UM/UIM coverage limit had remained in place, unchanged through every renewal period since 2002, despite USAA’s repeated notice to Wright that higher coverage limits were available. USAA asked the court to deny Wright’s request for declaratory judgment.

¶ 10 The court treated the motion as a C.R.C.P. 56(h) motion for a determination of a question of law and granted it.

¶ 11 In its ruling, the court relied on Shelter Mutual Insurance Co. v. Mid-Century Insurance Co., 246 P.3d 651 (Colo. 2011), for its analysis of an insurer’s responsibility to adequately notify a policyholder of a reduction in coverage during the policy renewal period. The court also relied on Bailey v. Lincoln General Insurance Co., 255 P.3d 1039 (Colo. 2011), for guidance in interpreting exclusionary language1 in insurance contracts and applying the doctrine of reasonable expectations.

¶ 12 The court reasoned as follows:

• While the issue in this case “[was] not precisely a renewal reduction situation,” it found the analysis and legal principles in Shelter and Bailey persuasive.

• Shelter and Bailey advise that insurance policy renewal contracts are subject to heightened scrutiny and the doctrine of “reasonable expectations,” which requires insurers to adequately relay to policyholders any coverage-limiting provisions.

1 “An exclusion” is a provision of an insurance policy “that excepts

certain events or conditions from coverage. Dupre v. Allstate Ins. Co., 62 P.3d 1024, 1029 (Colo. App. 2002).

• The reasonable expectations doctrine has two prongs:

first, whether an ordinary, objectively reasonable person would fail to understand that he is not entitled to the coverage at issue based on the language of the policy and second, whether, because of circumstances attributable to an insurer, an ordinary, objectively reasonable person would be deceived into believing that he is entitled to coverage despite the insurer’s contention otherwise.

• Wright, as an accomplished commercial attorney, wasn’t subject to an ordinary layperson standard under the first prong of the reasonable expectations standard.

• The second prong of the reasonable expectations doctrine applied because the 2008 summary disclosure form “would lead any reasonable person to believe that he had UM/UIM coverage in the same amount as his [BI]

coverage [of] $300,000-$500,000 and that said coverage would continue in place until he took some affirmative action to make a change.”

¶ 13 The court concluded that USAA

offered no evidence that Wright was fully and fairly notified that the UM/UIM coverage was anything other than the amount of Wright’s [BI] coverage — $300,000-$500,000. Simply directing Wright to read the terms of his policy is insufficient when USAA made the representation in the 2008 notice that UM/UIM coverage would be in the amount of Wright’s [BI] coverage —

$300,000-$500,000 — and would remain in effect unless he requested otherwise in writing.

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