v. Shelter Mutual Insurance , 2019 COA 88 ( 2019 )


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  •      The summaries of the Colorado Court of Appeals published opinions
    constitute no part of the opinion of the division but have been prepared by
    the division for the convenience of the reader. The summaries may not be
    cited or relied upon as they are not the official language of the division.
    Any discrepancy between the language in the summary and in the opinion
    should be resolved in favor of the language in the opinion.
    SUMMARY
    June 13, 2019
    2019COA88
    No. 18CA0748, Ryser v. Shelter Mutual Insurance — Insurance
    — Motor Vehicles — Uninured/Underinsured; Workers’
    Compensation — Coverage and Liability
    In this uninsured/underinsured motorist (UM/UIM) benefits
    case, a division of the court of appeals concludes that the
    exclusivity provision of the Workers’ Compensation Act of Colorado,
    section 8-41-102, C.R.S. 2018, and the related co-employee
    immunity rule, bar a person who was injured in the course and
    scope of employment by a co-employee’s negligence in driving a car
    from receiving UM/UIM benefits under an insurance policy
    maintained by another co-employee who owned the car.
    COLORADO COURT OF APPEALS                                        2019COA88
    Court of Appeals No. 18CA0748
    City and County of Denver District Court No. 17CV33797
    Honorable Robert L. McGahey, Jr., Judge
    Kent Ryser,
    Plaintiff-Appellant,
    v.
    Shelter Mutual Insurance Company,
    Defendant-Appellee.
    JUDGMENT AFFIRMED
    Division III
    Opinion by JUDGE WEBB
    Furman and Márquez*, JJ., concur
    Announced June 13, 2019
    Killian Davis Richter & Mayle, PC, Nicholas W. Mayle, Damon Davis, Grand
    Junction, Colorado, for Plaintiff-Appellant
    Morgan Rider Riter Tsai, P.C., Sophia H. Tsai, Kelly L. Kafer, Denver, Colorado,
    for Defendant-Appellee
    *Sitting by assignment of the Chief Justice under provisions of Colo. Const. art.
    VI, § 5(3), and § 24-51-1105, C.R.S. 2018.
    ¶1    In this uninsured/underinsured motorist (UM/UIM) benefits
    case, plaintiff, Kent Ryser, appeals the summary judgment entered
    in favor of defendant, Shelter Mutual Insurance Company, based on
    the exclusivity provision of the Workers’ Compensation Act of
    Colorado (WCA), section 8-41-102, C.R.S. 2018, and the related
    co-employee immunity rule. The case requires us to decide whether
    this immunity bars a person who was injured in the course and
    scope of employment by a co-employee’s negligence in driving a car
    from receiving UM/UIM benefits under an insurance policy
    maintained by another co-employee who owned the car. 1 Because
    of the tortfeasor’s coworker immunity, we conclude that Ryser
    cannot satisfy the UM/UIM statutory requirement of being “legally
    entitled to recover.” On this basis, we affirm the summary
    judgment.
    ———————————————————————
    1Answering this question fills a gap between cases in which
    divisions of this court have addressed the interplay between
    UM/UIM coverage and tortfeasor immunity in different contexts,
    such as where the insurance policy belonged to the claimant and
    where immunity arose under the Colorado Governmental Immunity
    Act (CGIA) rather than under the WCA.
    1
    I. Undisputed Facts and Procedural Background
    ¶2    Ryser suffered serious injuries in a one-car accident. Sherri
    Babion owned the car. Linda Forster was driving, with Babion’s
    permission. Ryser was a passenger, also with her permission.
    When the accident occurred, all three of them were Walmart
    employees acting in the course and scope of their employment.
    According to Ryser, Forster’s negligence caused his injuries.
    ¶3    Babion maintained an auto insurance policy written by
    Shelter. The policy provided UM/UIM coverage. Because Forster
    was driving with Babion’s consent and Ryser was a permitted
    passenger, they were both insured under the policy. But the
    policy’s UM/UIM coverage applied only where “the owner or
    operator of an uninsured/underinsured motor vehicle is legally
    obligated to pay damages.” As well, the policy excluded from the
    definition of uninsured/underinsured motor vehicle “[t]he described
    auto,” i.e., Babion’s car.
    ¶4    Ryser received workers’ compensation benefits. He also
    obtained UM/UIM benefits under his own auto policy on the basis
    that the co-employee immunity rule rendered Forster an uninsured
    motorist. Still, he claimed UM/UIM benefits from Shelter to the
    2
    extent that Babion’s UM/UIM coverage had a higher limit than his
    own policy.
    ¶5    When Shelter rejected the claim, Ryser brought this action for
    UM/UIM benefits. He also raised statutory bad faith and
    unreasonable delay and denial of benefits claims, along with a
    common law bad faith claim.
    ¶6    Shelter moved for summary judgment. It argued that Forster’s
    co-employee immunity precluded the claim, as did the exclusion of
    Babion’s car from UM/UIM coverage. For purposes of summary
    judgment, it did not contest that Ryser had been injured or that
    Forster’s negligence had caused his injuries.
    ¶7    Ryser opposed Shelter’s motion on the described auto
    exclusion and filed a cross-motion for partial summary judgment on
    the co-employee immunity question. He did not assert any
    negligence as to Babion.
    ¶8    Neither party opposed the other’s motion based on disputed
    issues of material fact. Nor was the co-employee immunity of
    Forster disputed.
    ¶9    In a written order, the trial court ruled for Shelter and against
    Ryser based on co-employee immunity, thus ending the case. The
    3
    court did not address the described auto exclusion. On appeal,
    Shelter concedes preservation.
    II. Standard of Review
    ¶ 10   Summary judgment is reviewed de novo, applying the same
    standard as the trial court. City of Fort Collins v. Colo. Oil & Gas
    Ass’n, 
    2016 CO 28
    , ¶ 9. It is appropriate only when no genuine
    issue of material fact exists and the moving party is entitled to
    judgment as a matter of law. C.R.C.P. 56(c); Martini v. Smith, 
    42 P.3d 629
    , 632 (Colo. 2002). The opposing party is entitled to the
    benefit of all favorable inferences that may reasonably be drawn
    from the undisputed facts, and all doubts as to the existence of a
    triable issue of fact must be resolved against the moving party.
    
    Martini, 42 P.3d at 632
    .
    ¶ 11   Statutory interpretation is a question of law that is also
    reviewed de novo. Cont’l Divide Ins. Co. v. Dickinson, 
    179 P.3d 202
    ,
    204 (Colo. App. 2007). So is the interpretation of an insurance
    policy. Smith v. State Farm Mut. Auto. Ins. Co., 
    2017 COA 6
    , ¶ 5.
    ¶ 12   Although earlier decisions from divisions of this court are not
    binding on another division, “the later division should give the prior
    4
    decision some deference.” People v. Oliver, 
    2018 COA 146
    , ¶ 24 n.1
    (quoting People v. Bondsteel, 
    2015 COA 165
    , ¶ 14).
    III. Law
    A. Statutes
    ¶ 13   In Colorado, statutes regulate UM/UIM coverage. Under
    section 10-4-609(1)(a), C.R.S. 2018, auto insurers must offer
    UM/UIM coverage with all liability policies covering the same class
    of persons who are included in the liability provisions. UM/UIM
    benefits are available only to persons who are “legally entitled to
    recover.” 
    Id. This phrase
    is not defined. Coverage extends to
    permissive users. § 10-4-620, C.R.S. 2018.
    ¶ 14   Nor do the statutes define “uninsured motorist” or “uninsured
    automobile.” An “underinsured” motor vehicle is defined as “a land
    motor vehicle, the ownership, maintenance, or use of which is
    insured or bonded for bodily injury or death at the time of the
    accident.” § 10-4-609(4). Under that section, “[u]ninsured motorist
    coverage shall include coverage for damage for bodily injury or
    death that an insured is legally entitled to collect from the owner or
    driver of an underinsured motor vehicle.” 
    Id. (emphasis added).
    But the phrase “legally entitled to collect” is also undefined.
    5
    B. Case Law
    ¶ 15   The parties primarily focus on three decisions by divisions of
    this court: Borjas v. State Farm Mutual Automobile Insurance Co., 
    33 P.3d 1265
    (Colo. App. 2001); Dickinson, 
    179 P.3d 202
    ; and
    American Family Mutual Insurance Co. v. Ashour, 
    2017 COA 6
    7. To
    a lesser extent, they point to Aetna Casualty & Surety Co. v.
    McMichael, 
    906 P.2d 92
    (Colo. 1995). Unsurprisingly, they read
    these cases differently. And in any event, at most these cases
    provide only background.
    1. Borjas
    ¶ 16   The plaintiff sought UM/UIM benefits under her personal auto
    policy for injuries suffered in a collision with a car driven by a police
    officer. The officer was immune under the CGIA. After examining
    the policies underlying UM/UIM coverage and governmental
    immunity, the division allowed recovery. In doing so, it explained
    that “legally entitled to recover” under section 10-4-609(1)(a)
    “means that the insured must be able to establish that the fault of
    the uninsured motorist gave rise to damages and the extent of those
    damages.” 
    Borjas, 33 P.3d at 1269
    .
    6
    2. Dickinson
    ¶ 17   The plaintiff, an independent contractor, sustained an injury
    caused by a co-employee’s negligent operation of a motor vehicle.
    Because he had elected not to be covered by the employer’s workers’
    compensation policy and had not obtained his own coverage, the
    WCA limited the liability of the employer and the co-employee to a
    total of $15,000. § 8-41-401(3), C.R.S. 2018. After having been
    paid that amount, he sought UM/UIM benefits from the employer’s
    insurer.
    ¶ 18   The division rejected the claim. It held that “[a]llowing an
    independent contractor, who like Dickinson had not procured
    workers’ compensation insurance, to recover damages in excess of
    $15,000 through the employer’s UM/UIM insurance for injuries
    sustained in a work-related accident would undercut the[] policies
    [of the WCA].” 
    Dickinson, 179 P.3d at 207
    . In doing so, the division
    declined to follow Borjas and aligned with what it described as the
    “majority of jurisdictions that have addressed this issue,” holding
    that “an insured is not ‘legally entitled to recover’ under the
    uninsured motorist provisions of an [employer’s] insurance policy if
    the exclusivity provisions of the workers’ compensation statute
    7
    would bar an action against the tortfeasor.” 
    Id. at 204
    (citation
    omitted).
    3. Ashour
    ¶ 19      The plaintiff was injured at work in a motor vehicle accident
    caused by a co-employee’s negligence. After having received
    workers’ compensation benefits, he sought UM/UIM benefits under
    his own auto insurance policy. The division held that this claim
    was “not barred by the exclusivity provisions of the [WCA], or by the
    ‘legally entitled to recover’ language” of section 10-4-609. Ashour,
    ¶ 73. As to this phrase, the division followed Borjas and held that it
    means “the insured must be able to establish that the fault of the
    uninsured motorist gave rise to damages and the extent of those
    damages.” 
    Id. at ¶
    63 (quoting 
    Borjas, 33 P.3d at 1269
    ). So, it
    concluded, “allowing [the plaintiff] to claim benefits from his own
    insurance carrier would not in any way affect the immunity
    provided to his employer and co-employee by the [WCA].” 
    Id. at ¶
    71.
    4. McMichael
    ¶ 20      The plaintiff, an employee, sustained injuries while working
    near his employer’s truck and sought UM/UIM benefits under the
    8
    employer’s insurance policy. The supreme court addressed whether
    the plaintiff was covered, although he had left the truck before
    being injured. Unlike Borjas, Dickinson, and Ashour, this case did
    not involve WCA immunity because the plaintiff was struck by a
    third-party tortfeasor.
    ¶ 21   The court addressed the WCA only to the extent of noting that
    “[t]he Workers’ Compensation statute does not bar McMichael from
    bringing a tort action against the driver who caused the accident.”
    
    McMichael, 906 P.2d at 100
    n.7. It held that “insurers must provide
    UM/UIM coverage for the protection of persons insured under the
    liability policy that the insurer is issuing.” 
    Id. at 97.
    It also held
    that an exclusion of employer’s liability for workers’ compensation
    benefits did not limit UM/UIM coverage.
    ¶ 22   In sum, whether an employee injured in an auto accident
    caused by a co-employee’s negligence while in the course and scope
    of employment is “legally entitled to recover” — a condition
    precedent to obtaining UM/UIM benefits under another co-
    employee’s auto insurance policy — remains unresolved. 2
    ———————————————————————
    2 Of course, the General Assembly could fill this gap, but it has not
    done so.
    9
    IV. Ryser Is Not Legally Entitled to Recover
    ¶ 23   Relying on Borjas and Ashour, Ryser contends he is entitled to
    UM/UIM benefits under Babion’s policy because “he can prove
    [Forster] was at fault for the collision and that he suffered injuries
    therefrom.” Recall that, for summary judgment purposes, neither
    fault nor damages are disputed. So, resolving this contention
    begins with determining the meaning of “legally entitled to recover”
    under section 10-4-609. 3 After doing this, we conclude that Ryser
    is not entitled to UM/UIM benefits under Babion’s insurance policy.
    ¶ 24   When interpreting statutes, “we endeavor to give effect to the
    intent of the General Assembly.” Colorow Health Care, LLC v.
    Fischer, 
    2018 CO 52M
    , ¶ 11. To divine that intent, we start by
    ———————————————————————
    3 Section 10-4-609(4), C.R.S. 2018, also uses the phrase “legally
    entitled to collect,” when discussing coverage related to an
    “underinsured motor vehicle.” The division in American Family
    Mutual Insurance Co. v. Ashour, 
    2017 COA 6
    7, ¶ 21 n.2, found “no
    legally significant difference between the phrase ‘legally entitled to
    recover’ and ‘legally entitled to collect.’” Shelter’s policy uses the
    phrase, “legally obligated to pay damages,” but Shelter does not
    argue that this language provides less coverage than what is
    required by section 10-4-609. See Arline v. Am. Family Mut. Ins.
    Co., 
    2018 COA 82
    , ¶ 14 (“[A] term of an insurance policy ‘is void
    and unenforceable if it violates public policy by attempting to
    “dilute, condition, or limit statutorily mandated coverage”’ . . . .”
    (quoting Huizar v. Allstate Ins. Co., 
    952 P.2d 342
    , 345 (Colo. 1998))).
    10
    looking to the plain language of the statute, construing words and
    phrases according to the rules of grammar and common usage.
    Roberts v. Bruce, 
    2018 CO 58
    , ¶ 8.
    ¶ 25   Neither the division in Borjas nor that in Ashour found the
    phrase “legally entitled to recover damages from owners or
    operators of uninsured motor vehicles” to be ambiguous. Still, both
    divisions interpreted the phrase based on policy considerations.
    See 
    Borjas, 33 P.3d at 1269
    (“The contrary line of cases all give a
    strict interpretation to the statutory language ‘legally entitled to
    recover’ that we find inconsistent with the public policy expressed
    in § 10-4-609.”); see also Ashour, ¶ 62 (“[W]e choose to adopt the
    Borjas interpretation of that phrase because it is consistent with the
    policies underlying the UM/UIM statute, the purpose of which is to
    compensate the injured party ‘for injuries received at the hands of
    one from whom damages cannot be recovered.’” (quoting 
    Borjas, 33 P.3d at 1267
    )).
    ¶ 26   Neither party argues that section 10-4-609(1)(a) is ambiguous.
    At least one division of this court has held that it is not. See Jaimes
    v. State Farm Mut. Auto. Ins. Co., 
    53 P.3d 743
    , 746 (Colo. App.
    2002) (Referring to “the unambiguous language of the statute itself,”
    11
    the division explained “[s]ection 10-4-609(1)(a) plainly states that
    UM/UIM coverage is ‘for the protection of persons insured [under
    the policy] who are legally entitled to recover damages from owners
    or operators of uninsured motor vehicles.’”). And where the plain
    language of a statute is unambiguous and does not conflict with
    other statutory provisions, we should look no further. People in
    Interest of W.P., 
    2013 CO 11
    , ¶ 11.
    ¶ 27   That said, what does the plain language of this phrase mean?
    ¶ 28   Starting with the words “legally entitled,” because the General
    Assembly included the word “legally,” it must have meant
    something more than simply “entitled.” See Colo. Water
    Conservation Bd. v. Upper Gunnison River Water Conservancy Dist.,
    
    109 P.3d 585
    , 597 (Colo. 2005) (“[W]hen examining a statute’s plain
    language, we give effect to every word and render none superfluous
    because ‘[w]e do not presume that the legislature used language
    “idly and with no intent that meaning should be given to its
    language.”’”) (citations omitted).
    ¶ 29   “Legally” means “[i]n a lawful way; in a manner that accords
    with the law.” Black’s Law Dictionary 1032 (10th ed. 2014); see,
    e.g., Loncar v. Progressive Cty. Mut. Ins. Co., 
    553 S.W.3d 586
    , 590
    12
    (Tex. App. 2018) (“[I]f the insured has no legal right to recover
    anything from the vehicle’s owner or operator, whether because of
    the motorist’s lack of fault, immunity, or some other substantive
    defense, the insured is not ‘legally entitled to recover’ any damages
    against the owner or operator . . . .”); State Farm Mut. Auto. Ins. Co.
    v. Hunt, 
    856 N.W.2d 633
    , 638 (Wis. Ct. App. 2014) (“[B]y its terms,
    the statute mandates underinsured motorist coverage where the
    insured is legally entitled to obtain damages, by a judgment or
    other legal process, against the underinsured motorist.”). So, any
    entitlement to damages under section 10-4-609 must be as
    provided under the law.
    ¶ 30   Under the morality play of the common law, a person injured
    by the negligence of another is usually entitled to damages. But the
    WCA says otherwise, partly in response to the fellow servant rule.
    See Williams v. State Farm Mut. Auto. Ins. Co., 
    641 A.2d 783
    , 787
    (Conn. 1994) (“Whether the uninsured motorist was legally liable
    must be determined in light of any substantive defenses that would
    have been available to the uninsured motorist.”). Through this
    lens, we take another look at the statutory language.
    13
    ¶ 31   Section 10-4-609 also uses the word “recover.” The definition
    of this word includes “[t]o obtain (relief) by judgment or other legal
    process” and “[t]o obtain damages or other relief; to succeed in a
    lawsuit or other legal proceeding.” Black’s Law Dictionary 1466;
    see Mitchell v. Residential Funding Corp., 
    334 S.W.3d 477
    , 503 (Mo.
    Ct. App. 2010) (“We believe ‘recover’ and ‘recovery’ have two
    meanings as relevant to the arguments here. The first, the plain
    definition, is to get or obtain something under a claim of right, to
    collect. The second, narrower, definition is to obtain through legal
    judgment.”).
    ¶ 32   In short, because of coworker immunity, under either the
    broader or the narrower definition, Ryser cannot recover from
    Forster.
    ¶ 33   Consistent with these definitions, Colorado cases hold that
    “legally entitled” under section 10-4-609 means entitlement as
    provided under the law. In Briggs v. American Family Mutual
    Insurance Co., 
    833 P.2d 859
    , 861-62 (Colo. App. 1992), for example,
    the division explained:
    Under the statute, the insurer must pay to the
    insured, up to the limit of the policy, whatever
    losses the insured proves he or she is “legally
    14
    entitled to recover” from the uninsured
    motorist. Thus, the insured has the burden to
    prove that the uninsured motorist was
    negligent and the extent of the damages. This
    can be done in a judicial proceeding against
    either the uninsured motorist or the insurer, or
    in an arbitration proceeding.
    (Emphasis added.) See State Farm Mut. Auto. Ins. Co. v. Brekke,
    
    105 P.3d 177
    , 188 (Colo. 2004) (“However, section 10-4-609’s
    coverage applies only if the insured is ‘legally entitled’ to damages.
    Consequently a finding of no liability or of limited damages on the
    part of the uninsured motorist will eliminate or limit a claim under
    the insurance provider’s UM coverage.”) (emphasis added); see also
    USAA v. Parker, 
    200 P.3d 350
    , 358 (Colo. 2009) (“The language of
    the UM/UIM statute indicates that its aim is to provide the insured
    a means to recover from the insurer all of the ‘damages’ he or she is
    legally entitled to recover in an action against the tortfeasor up to
    the insured’s policy limits.”) (emphasis added).
    ¶ 34   But where WCA immunity protects the tortfeasor, this
    immunity is “from suit,” not just from damages. See, e.g.,
    Rodriquez v. Nurseries, Inc., 
    815 P.2d 1006
    , 1008 (Colo. App. 1991)
    (“As it pertains to the immunity from suit of a complying employer,
    the exclusivity of the Workers’ Compensation Act has been
    15
    continually reaffirmed . . . .”). Simply put, Ryser cannot bring a
    “judicial proceeding” or “an action” against Forster, as section
    10-4-609 contemplates (“from owners or operators of uninsured
    motor vehicles”).
    ¶ 35   Still, what about the interpretations in Borjas and Ashour,
    which limited the statutory requirement to proving the tortfeasor’s
    “fault,” as could easily be done in a case against a UM/UIM
    insurer? To be sure, fault is a necessary step. But under the plain
    language of section 10-4-609, it is not sufficient. Because the
    tortfeasor may have affirmative defenses, merely showing that the
    tortfeasor was at fault would not establish a legal entitlement to
    recover from an owner or operator of an uninsured motor vehicle.
    And WCA and co-employee immunity are just such defenses. Bain
    v. Town of Avon, 
    820 P.2d 1133
    , 1135 (Colo. App. 1991), overruled
    on other grounds by Bertrand v. Bd. of Cty. Comm’rs, 
    872 P.2d 223
    (Colo. 1994).
    ¶ 36   Given all of this, how does “legally entitled to recover” apply
    here? Forster was both the “operator” of Babion’s vehicle under
    section 10-4-609 as well as an insured under her policy because
    Forster was driving with Babion’s permission. Likewise, as a
    16
    permitted passenger, Ryser was covered by Babion’s insurance
    policy. And he meets the threshold for seeking UM/UIM benefits
    under her policy because the coworker immunity rule renders the
    driver uninsured. See 
    Borjas, 33 P.3d at 1268
    (“Negligent drivers
    and their employers who are immune from liability . . . may not be
    financially irresponsible in the sense that they lack the ability to
    pay, but from the perspective of the injured innocent driver, the
    lack of legal responsibility has the same effect.”); see also Atl. Mut.
    Ins. Co. v. Payton, 
    682 N.E.2d 1144
    , 1148 (Ill. App. Ct. 1997) (“A
    reason that the driver is deemed noninsured is because the
    Workers’ Compensation Act grants immunity from any liability
    towards a co-employee.”).
    ¶ 37   Even so, these undisputed facts only get Ryser so far.
    “Uninsured motorist coverage is not triggered unless an insured
    [Ryser] is legally entitled to recover damages from the [owner or]
    operator of an uninsured automobile [Forster].” Parsons v. Allstate
    Ins. Co., 
    165 P.3d 809
    , 814 (Colo. App. 2006). In other words,
    under the plain language of section 10-4-609, Ryser is not entitled
    to UM/UIM benefits because he is not “legally entitled to recover
    damages” from Forster by virtue of the co-employee immunity rule.
    17
    ¶ 38   To Ryser, this outcome seems simplistic and even harsh. But
    it reflects the dominant view. See generally 2A A. Larson,
    Workmen’s Compensation Law § 71.23(j) (1983 & Supp. 1987)
    (“Ordinarily, for the uninsured motorist clause to operate in the first
    place, the uninsured third person must be legally subject to liability
    . . . . [I]f the third person is specifically made immune to tort suit
    by the compensation act’s exclusive remedy clause, the uninsured
    motorist provision does not come into play.”); John P. Ludington,
    Annotation, Automobile Uninsured Motorist Coverage: “Legally
    Entitled to Recover” Clause as Barring Claim Compensable Under
    Workers’ Compensation Statute, 
    82 A.L.R. 4th 1096
    (1990) (Where
    “the uninsured motorist coverage has been bought and paid for by
    someone other than the injured employee, the results have been
    uniform.”) (emphasis added). 4
    ———————————————————————
    4 Numerous cases are in accord, holding that “where the plaintiff
    cannot maintain a claim against the [tortfeasor] due to the
    application of the co-employee rule, the plaintiff is not ‘legally
    entitled to recover’ under the uninsured motorist provision.” Kobak
    v. Sobhani, 2011-Ohio-13, ¶ 33 (citation omitted); see, e.g., Medders
    v. U.S. Fid. & Guar. Co., 
    623 So. 2d 979
    , 989 (Miss. 1993) (“[T]he
    clear meaning of the phrase legally entitled to recover . . . limits the
    scope of the coverage mandated by the statute to those instances in
    which the insured would be entitled at the time of injury to recover
    18
    ¶ 39   We consider these authorities persuasive and follow them
    here. As one court explained, “[t]he phrase ‘legally entitled to
    recover’ cannot be stretched so far as to cover situations when an
    insured could have never recovered from the uninsured motorist
    because the law did not provide for any recovery.” Otterberg v. Farm
    Bureau Mut. Ins. Co., 
    696 N.W.2d 24
    , 30 (Iowa 2005) (interpreting
    “legally entitled to recover” to require “not only that the insured
    ‘suffered damages caused by the fault of the uninsured motorist,’
    but also that the insured’s action against the uninsured motorist
    was not barred under substantive law”) (citation omitted).
    ¶ 40   Nor is this outcome clouded by cases allowing recovery of
    UM/UIM benefits from an employer’s insurer where the employee
    was injured by a third-party tortfeasor, who does not enjoy
    ———————————————————————
    through legal action.”); Cormier v. Nat’l Farmers Union Prop. & Cas.
    Co., 
    445 N.W.2d 644
    , 647 (N.D. 1989) (“[T]he clear meaning of the
    language, ‘legally entitled to recover,’ imports a condition precedent
    to the uninsured motorist insurer’s obligation that the insured have
    a legally enforceable right to recover damages from the owner or
    operator of the uninsured motor vehicle.”); Aetna Cas. & Sur. Co. v.
    Dodson, 
    367 S.E.2d 505
    , 508 (Va. 1988) (“The phrase ‘legally
    entitled to recover as damages’ interposes, as a condition precedent
    . . . , the requirement that the insured have a legally enforceable
    right to recover damages from an owner or operator of an uninsured
    motor vehicle.”).
    19
    immunity. See 
    McMichael, 906 P.2d at 94
    . After all, the linchpin of
    these cases is the tortfeasor’s lack of immunity. See William v. City
    of Newport News, 
    397 S.E.2d 813
    , 816 (Va. 1990) (employee injured
    in the course and scope of employment was entitled to UM/UIM
    benefits “where the injury was inflicted by someone other than a
    fellow-employee — a stranger to the business”); Henry v. Benyo, 
    506 S.E.2d 615
    , 621 (W. Va. 1998) (because a plaintiff “has an
    undisputed statutory right to seek recovery from . . . the third-party
    tortfeasor chargeable with the motor vehicle accident,” the plaintiff
    is legally entitled to recover UM/UIM benefits under his or her
    employer’s policy). But tortfeasor immunity is alive and well here.
    ¶ 41   Despite all of this, Ryser points to cases where recovery of
    UM/UIM benefits is allowed even though the injured party cannot
    obtain an enforceable judgment against the tortfeasor. Examples
    include unidentified hit-and-run drivers, see Farmers Ins. Exch. v.
    McDermott, 
    34 Colo. App. 305
    , 308-09, 
    527 P.2d 918
    , 920 (1974),
    and bankrupt tortfeasors, see Wilkinson v. Vigilant Ins. Co., 
    224 S.E.2d 167
    (1976). This argument misses the mark because the
    test for UM/UIM benefits is not whether an enforceable judgment
    20
    has been obtained — it is whether the injured plaintiff is legally
    entitled to recover damages from the tortfeasor.
    ¶ 42   In McDermott, the court explained “[t]here can be no doubt as
    to the liability of the errant driver here, had his identity been
    
    known.” 34 Colo. App. at 308
    , 527 P.2d at 920. Similarly, cases
    involving bankrupt tortfeasors explain “there is nothing preventing
    [the injured plaintiff] from establishing that he is legally entitled to
    recover from [the tortfeasor] on the merits of his claims; instead,
    [the plaintiff] is merely barred, by operation of [the tortfeasor’s]
    bankruptcy discharge, from actually collecting demonstrated
    damages from her.” Easterling v. Progressive Specialty Ins. Co., 
    251 So. 3d 767
    , 775 (Ala. 2017). Again, neither of these examples
    involves a tortfeasor who is immune from liability.
    ¶ 43   Not easily deterred, Ryser also cites to Torres v. Kansas City
    Fire & Marine Insurance Co., 
    849 P.2d 407
    , 410 (Okla. 1993), where
    an employee injured by a coworker received UM/UIM benefits under
    their employer’s policy. The court held, like the Ashour division,
    that the phrase “legally entitled to recover” requires only that “the
    insured must be able to establish fault on the part of the uninsured
    21
    motorist which gives rise to damages and prove the extent of those
    damages.” 
    Torres, 849 P.2d at 410
    .
    ¶ 44   But Colorado cases have not extended the “establish fault”
    rationale this far. Both Ashour and Borjas involved claimants who
    sought to recover UM/UIM benefits under their own insurance
    policies. Ashour, ¶ 56; 
    Borjas, 33 P.3d at 1266
    . The Ashour
    division explained: “In our view, the fact that Ashour sought
    recovery of benefits under his own insurance policy is critical . . . .
    Ashour did not seek to recover additional damages from the
    immune parties in this case — his employer and co-employee.”
    Ashour, ¶ 52; see 
    Dickinson, 179 P.3d at 208
    (“[W]e acknowledge
    that the statutory policies which we have reconciled may interact
    differently if a claimant . . . sought UM/UIM benefits from the
    claimant’s own insurance carrier . . . .”). And Ryser has already
    received UM/UIM benefits under his own policy. 5 He got what he
    paid for.
    ———————————————————————
    5 We leave for another division or our supreme court to decide
    whether our interpretation of “legally entitled to recover” would
    foreclose future claims like those in Borjas and Ashour. See
    Matarese v. N.H. Mun. Ass’n Prop. Liab. Ins. Tr., Inc., 
    791 A.2d 175
    ,
    182 (N.H. 2002) (“New Hampshire’s uninsured motorist statute is
    22
    ¶ 45   Ryser’s remaining arguments examine policy considerations
    related to the WCA and UM/UIM coverage. We decline to follow him
    down this path because “[p]olicy does not justify disregarding the
    plain language of [a statute].” Krol v. CF & I Steel, 
    2013 COA 32
    ,
    ¶ 28 n.6; see Braata, Inc. v. Oneida Cold Storage Co., LLP, 
    251 P.3d 584
    , 587 (Colo. App. 2010) (“[A]lthough Colorado has a strong
    public policy favoring arbitration, that policy does not trump
    statutory plain language.”); Bontrager v. La Plata Elec. Ass’n, 
    68 P.3d 555
    , 561 (Colo. App. 2003) (“We need not address plaintiff’s
    public policy arguments because we view the relevant Colorado
    statutes as unambiguous . . . .”).
    V. Conclusion
    ¶ 46   We conclude that the trial court properly granted summary
    judgment in favor of Shelter on Ryser’s claim for UM/UIM benefits.
    Having so concluded, we need not address Shelter’s alternative
    ———————————————————————
    designed to compensate people injured in automobile accidents
    whose losses would otherwise be uncompensated because the
    tortfeasor lacked liability coverage or because the tortfeasor’s
    identity was unknown. The underlying purpose of the statute is to
    provide coverage only where there is a lack of liability insurance on
    the part of the tortfeasor and the tortfeasor would be legally liable to
    the injured driver in a tort action; it does not provide coverage in all
    situations that might go uncompensated.”) (citation omitted).
    23
    argument based on the “described auto” exclusion in Babion’s
    policy.
    ¶ 47   The judgment is affirmed.
    JUDGE FURMAN and JUDGE MÁRQUEZ concur.
    24
    

Document Info

Docket Number: 18CA0748, Ryser

Citation Numbers: 2019 COA 88

Filed Date: 6/13/2019

Precedential Status: Precedential

Modified Date: 1/30/2020

Authorities (23)

Jaimes v. State Farm Mutual Automobile Insurance Co. , 2002 Colo. App. LEXIS 105 ( 2002 )

Roberts v. Bruce , 420 P.3d 284 ( 2018 )

People v. Oliver , 2018 COA 146 ( 2018 )

Torres v. Kansas City Fire & Marine Insurance Co. , 64 O.B.A.J. 995 ( 1993 )

People v. Bondsteel , 2015 COA 165 ( 2015 )

Parsons Ex Rel. Parsons v. Allstate Insurance Co. , 2006 Colo. App. LEXIS 1996 ( 2006 )

City of Fort Collins v. Colorado Oil and Gas Ass'n , 2016 CO 28 ( 2016 )

USAA v. Parker , 200 P.3d 350 ( 2009 )

Bontrager v. LA PLATA ELEC. ASS'N INC. , 2003 Colo. App. LEXIS 281 ( 2003 )

Medders v. U.S. Fidelity and Guar. Co. , 623 So. 2d 979 ( 1993 )

Aetna Casualty & Surety Co. v. Dodson , 235 Va. 346 ( 1988 )

Rodriquez v. Nurseries, Inc. , 15 Brief Times Rptr. 896 ( 1991 )

Braata, Inc. v. Oneida Cold Storage Co. LLP. , 2010 Colo. App. LEXIS 1225 ( 2010 )

Arline v. American Family Mutual Insurance Co , 431 P.3d 670 ( 2018 )

American Family Mutual Insurance Co. v. Ashour , 2017 Colo. App. LEXIS 628 ( 2017 )

Farmers Insurance Exchange v. McDermott , 34 Colo. App. 305 ( 1974 )

Briggs v. American Family Mutual Insurance Co. , 16 Brief Times Rptr. 582 ( 1992 )

Bertrand v. Board of County Commissioners of Park County , 18 Brief Times Rptr. 639 ( 1994 )

Bain v. Town of Avon , 15 Brief Times Rptr. 609 ( 1991 )

Wilkinson v. Vigilant Insurance Company , 236 Ga. 456 ( 1976 )

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