Apodaca v. Allstate Ins. Co.

Docket: 10SC39

Court: Supreme Court of Colorado; June 20, 2011; Colorado; State Supreme Court

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The Supreme Court of Colorado ruled on the case of Codiejo Apodaca (now Codiejo Martinez) and Michelle I. Carlton v. Allstate Insurance Company, affirming the court of appeals' decision that the Uninsured Motorist Act (section 10-4-609, C.R.S. 2010) does not require insurers to offer uninsured/underinsured motorist (UM/UIM) coverage with umbrella policies. The case arose from a June 2002 automobile accident involving the insureds, who were covered under both an Allstate auto policy and a personal umbrella policy. The auto policy included UM/UIM coverage, but Allstate did not separately offer UM/UIM coverage for the umbrella policy. The insureds sought to reform the umbrella policy to include UM/UIM coverage, arguing that the statute mandates the offer due to the inclusion of automobile liability coverage. However, both the trial court and the court of appeals dismissed their claim, determining that umbrella policies do not qualify as 'automobile liability or motor vehicle liability' policies under the statute. The Supreme Court affirmed these findings, concluding that Allstate had no obligation to provide UM/UIM coverage in connection with the umbrella policy.

Premiums for vehicles included discounts for safety features and surcharges for inexperienced drivers, with pricing based on vehicle usage. An umbrella policy offered up to $1 million in excess liability coverage, applicable when an insured was liable for personal injury, property damage, or bodily injury due to an 'occurrence,' which encompassed accidents related to personal activities or the use of vehicles for transportation. The policy mandated the maintenance of primary auto liability insurance with minimum limits of $100,000 per person and $300,000 per accident, providing benefits when those limits were exceeded. Unlike the auto policy, it charged a single premium for basic liability, covering four automobiles and a young driver. Importantly, the umbrella policy excluded UM/UIM coverage and specifically excluded personal injury or bodily injury to an insured.

The insureds initiated a lawsuit against Allstate, claiming that their injuries resulted from an accident with an underinsured driver. They sought judicial reform of the umbrella policy to include UM/UIM coverage, arguing that Allstate was legally obligated to offer it per section 10-4-609(1)(a). The trial court dismissed this claim, stating that the section only applied to liability policies related to licensed vehicles in Colorado. The umbrella policy, according to the court, did not meet this criteria since it did not reference specific licensed vehicles or limit coverage to vehicle-related liability. The court of appeals upheld this decision, noting that umbrella policies provide general liability coverage and require primary policies for specific risks, contrasting with auto insurance that directly covers vehicle operation liabilities. The court referenced similar legal interpretations from other states with comparable UM/UIM laws and characterized Colorado's scheme as a 'minimum recovery system,' mandating UM/UIM coverage only in established minimum amounts. The court also dismissed arguments for public policy necessitating UM/UIM coverage in umbrella policies.

The analysis focuses on whether an umbrella policy with supplemental liability coverage for automobiles qualifies as an 'automobile liability or motor vehicle liability policy' under section 10-4-609(1)(a), thus necessitating the insurer to offer uninsured/underinsured motorist (UM/UIM) coverage. The conclusion is that UM/UIM requirements do not apply to general liability policies, such as the umbrella policy in question. This interpretation differs from the court of appeals and rejects the reasoning that distinguishes 'minimum liability' from 'full recovery' UM/UIM statutes, deeming it unpersuasive in the context of Colorado law. Additionally, public policy arguments presented by the insureds for a different interpretation of the statute are dismissed.

The court employs a de novo standard of review for a dismissal under C.R.C.P. 12(b)(5) and for statutory interpretation, adhering to the intent of the General Assembly by focusing on the statute's express language and ensuring a coherent interpretation of its provisions.

Primary liability policies provide immediate coverage upon an occurrence, protecting against liabilities associated with specific automobiles. The policy in this case, under Allstate, serves as the primary coverage. Conversely, excess and umbrella policies offer protection in catastrophic loss scenarios exceeding primary coverage limits, with umbrella policies also providing primary coverage for certain risks not covered by underlying policies. The umbrella policy in question only offers excess liability coverage for land motor vehicles and mandates the maintenance of minimum underlying automobile liability coverage.

UM/UIM coverage, unlike traditional auto liability insurance, is not liability coverage but rather first-party coverage that enables the insured to recover from their insurer for injuries caused by uninsured or underinsured drivers. It is complementary to auto liability insurance, both being related to driving activities.

UM/UIM (Uninsured/Underinsured Motorist) coverage is mandated by Colorado law to protect insured motorists from injuries caused by drivers lacking adequate liability insurance. Colorado's statute, specifically Section 10-4-609(1)(a), requires that any automobile or motor vehicle liability insurance policy must include UM/UIM coverage at specified minimum limits, unless the insured explicitly rejects it in writing. The minimum coverage requires at least $25,000 per person and $50,000 for multiple persons per accident. This legislative measure aims to ensure that individuals purchasing such insurance can receive compensation equivalent to what they would have received from an insured driver.

The statute also mandates that insurers offer UM/UIM coverage up to the insured's bodily injury liability limits, or $100,000 per person and $300,000 per accident, whichever is lower. If an insurer does not offer this coverage or if the policyholder does not decline it in writing, the policy will automatically include UM/UIM coverage. In the case examined, the policyholder had purchased UM/UIM coverage limits of $100,000 per person and $300,000 per accident in their auto policy, but Allstate did not offer UM/UIM coverage in the umbrella policy.

The determination of whether the umbrella policy is subject to the UM/UIM statute hinges on the interpretation of statutory language. The UM/UIM statute explicitly addresses only "automobile liability or motor vehicle liability policies" related to vehicles licensed for highway use in Colorado. No Colorado statute governs umbrella policies, and thus the umbrella policy does not fall under the regulatory framework established by the UM/UIM statute.

The text outlines the distinction between specific auto insurance policies and umbrella insurance policies in Colorado. It clarifies that the statute applies exclusively to insurance policies linked to the ownership and use of particular motor vehicles licensed for highway use in the state. The auto policy discussed specifies coverage for four vehicles, with premiums calculated based on vehicle-specific factors such as year, make, model, and usage patterns. In contrast, the umbrella policy serves as a general liability policy, providing excess coverage for a broader range of activities rather than being tied to specific vehicles or their use. The umbrella policy's premium calculation does not focus on particular automobiles, and while it offers excess liability coverage related to automobile use, it does not qualify as an "automobile or motor vehicle liability policy" under the statute. As a result, insurers are not mandated to offer Underinsured/Uninsured Motorist (UM/UIM) coverage as part of an umbrella policy. The document also addresses the debate over whether Colorado's UM/UIM statute aligns more with a "minimum liability" or "full recovery" approach, concluding that the statute allows insureds to choose UM/UIM coverage above minimum limits, reinforcing the exclusion of umbrella policies from the UM/UIM mandate. Public policy considerations raised by insureds suggest that a broad interpretation of "automobile liability or motor vehicle liability policy" should include UM/UIM coverage, emphasizing the goal of maximizing coverage options.

Public policy considerations do not necessitate a different interpretation of section 10-4-609 regarding uninsured/underinsured motorist (UM/UIM) coverage. Since its enactment in 1965, the General Assembly has expanded UM/UIM coverage several times, including the addition of underinsured motorists in 1983 and the removal of anti-stacking provisions in 1992. However, the class of policies to which UM/UIM requirements apply, specifically 'automobile' and 'motor vehicle' liability policies, has not been broadened. The court emphasizes that while policy considerations are important, the language of the statute has not changed to include umbrella policies. The insureds' argument for a broad interpretation of the statute, to prevent insurers from circumventing legislative intent, is noted, but the court maintains that the determination hinges on the plain language of the policy itself rather than its labeling. The court concludes that umbrella policies are not covered by section 10-4-609(1)(a), meaning insurers are not required to offer UM/UIM coverage with these policies. Consequently, the trial court's dismissal of the insureds' claims against Allstate was upheld, as they could not substantiate a claim for UM/UIM coverage under the statute for the umbrella policy. Additional claims related to personal injury protection and negligence against the Allstate agent were either dismissed or withdrawn and are not part of this appeal.

Certiorari review was granted to determine if the court of appeals incorrectly ruled that the Colorado Uninsured Motorist Act does not apply to supplemental liability policies providing automobile liability insurance. The statute, enacted in 1965, retains language similar to its original form. Section 10-4-609(1)(a) specifically mentions "owners or operators of uninsured motor vehicles," while subsection (4) clarifies that uninsured motorist coverage encompasses underinsured motorist coverage, collectively referred to as the "UM/UIM statute." The relevant accident occurred in 2002, prompting consideration of the statute as it stood in that year, prior to its 2007 amendment which removed a $100,000/$300,000 coverage cap. Currently, insurers must offer uninsured motorist coverage equal to the insured’s bodily injury liability limits. The auto policy includes various coverages related to vehicle use and ownership, but Allstate contends that the definition of "policy" in section 10-4-601(10) should apply here. Insured parties argue this definition is inapplicable to the UM/UIM statute, referencing the case of Passamano v. Travelers Indemnity Co., where the definition was deemed irrelevant for interpreting the UM/UIM statute. The court relies on the plain language of section 10-4-609, avoiding the need to address the parties' arguments on this matter. Additionally, it notes that some states have included umbrella policies within their UM/UIM requirements.