LIABILITY EXPANDING DECISIONS
Four Colorado Supreme Court decisions issued in 2018 have exposed insurers to expanded liability, which will lead to higher rates for consumers.
Each of these decisions addressed the responsibility of insurers to promptly pay valid insurance claims. That is a reasonable and common requirement, however, Colorado takes an outlier approach. Under Colorado’s bad faith law, a person can recover the amount of the covered benefit that was improperly delayed or denied, plus two times that value (essentially, triple damages), plus attorneys’ fees and costs.
On May 21, the Colorado Supreme Court ruled that insurers must pay undisputed portions of a claim even when the total value of the claim is disputed. The court’s decision in State Farm v. Fisher imposes an obligation on insurers to promptly make piecemeal payments of medical or other expenses or face a lawsuit. That type of system is inefficient and costly, and it has already led to a spike on the premiums Colorado drivers pay for insurance.
One week later, the court issued a trio of rulings under the statute. The first subjected insurers to higher damage awards under the statute. In American Family Mutual Insurance Co. v. Barriga, the court held that damages awarded to a plaintiff as a result of a lawsuit alleging an unreasonable delay or denial of a claim should not be reduced by money the insurer later paid the policyholder. The court reasoned that the text of the statute provides no basis for such a reduction and found that “the general rule against double recovery for a single harm” does not apply.
The second ruling expanded the amount of time plaintiffs have to bring a lawsuit against insurers. Several federal judges interpreting Colorado law had found that the statute was “penal” in nature and therefore subject to a one-year statute of limitations period. In Rooftop Restoration, Inc. v. American Family Mutual Insurance Co., however, the Colorado Supreme Court disagreed, concluding that while the statutory penalties “clearly carry a punitive element,” the one-year period for “[a]ll actions for any penalty or forfeiture of any penal statutes” does not apply to unreasonable delay and denial claims. The decision will allow these types of claims to be filed for two years.
In the third case, Guarantee Trust Life Ins. Co. v. Estate of Casper, the court ruled that since damages and attorneys’ fees awarded under the insurance law are not considered penalties, but rather as actual damages, these amounts can be considered when calculating punitive damages. Colorado law permits recovery of punitive damages in an amount equal to actual damages awarded to a party. Thus, as Colorado lawyers representing policyholders observed: “So, if the standards for punitive damages are met, then the actual damages a policyholder could receive under [the insurance law] — twice the covered benefits plus attorney fees — would be doubled. This means the policyholder could recover four times the covered benefit and twice the attorney fees!”
Colorado lawyers observe that “[t]aken together, these four decisions suggest that insurers operating in Colorado should not expect favorable decisions in statutory bad-faith cases for the foreseeable future.”
Colorado lawyers observe that “[t]aken together, these four decisions suggest that insurers operating in Colorado should not expect favorable decisions in statutory bad-faith cases for the foreseeable future.”
These decisions provide further incentive for gamesmanship that occurs in Colorado. Plaintiffs’ lawyers may submit medical bills or damage information piecemeal to see if they can confuse the insurer or cause a mistake, opening up the potential for a lucrative lawsuit. Greater liability for insurance companies will lead to an increase in rates for consumers as the companies look to absorb the additional costs.
The Colorado Supreme Court did provide a small ray of light for insurers in a year clouded with liability-expanding rulings. In Munoz v. American Family Insurance, the court ruled that lawyers representing policyholders cannot demand that insurers pay them prejudgment interest, which is calculated at 9% annually, when settling claims. In a September 2018 decision, the court found that prejudgment interest is only available when a complaint is actually filed, litigated, and results in a damage award.