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Preferred Professional Insurance Co. v. The Doctors Co.

Court of Appeals of Colorado, Fourth Division

April 5, 2018

Preferred Professional Insurance Company, Plaintiff-Appellee,
v.
The Doctors Company, Defendant-Appellant.

          City and County of Denver District Court No. 15CV31295 Honorable Elizabeth A. Starrs, Judge.

          Sweetbaum Sands Anderson, P.C., Jon F. Sands, Marilyn S. Chappell, Denver, Colorado, for Plaintiff-Appellee

          Taylor Anderson, LLP, Kyle P. Seedorf, John M. Roche, Lauren E. Rhinehart, Denver, Colorado, for Defendant-Appellant

          OPINION

          DAVIDSON [*] JUDGE.

         ¶ 1 Suppose that an injured party sues a person who has both primary and excess insurance covering the claim. The injured party offers to settle for an amount within the primary coverage limit. The primary insurer exercises its contractual, discretionary right not to accept the settlement. But the excess insurer, perhaps spooked by the prospect of a judgment exceeding the primary coverage limit, pays the settlement demanded by the injured party. When the excess insurer sues the primary insurer to recover the amount paid in settlement, claiming that the primary insurer should have accepted the settlement offer, what sort of claim may the excess insurer assert? And must the excess insurer plead and prove that the primary insurer acted in bad faith in declining to settle?

         ¶ 2 We hold that an excess insurer in this situation must proceed on a theory of equitable subrogation premised on the rights of the insured under his contract with the primary insurer - that is, the excess insurer must step into the shoes of the insured. It follows that, under Colorado law, because the insured would have to prove bad faith in an action against his primary insurer based on the insurer's refusal to settle, the excess insurer must also plead and prove such bad faith.

         ¶ 3 The facts of this case match those of our hypothetical. Preferred Professional Insurance Company (PPIC) is the excess insurer that paid the settlement. The Doctors Company (TDC) is the primary insurer that declined to settle. But while PPIC purported to bring a claim of equitable subrogation against TDC, it disavowed any intent to proceed on the legal theory that it stands in the insured's shoes. And it did not plead or attempt to show that TDC acted in bad faith. Instead, PPIC's theory is that general equitable principles allow it to recover from TDC apart from any rights of the insured under his contract with TDC, and that it need not plead or prove that TDC acted in bad faith.

         ¶ 4 The district court accepted PPIC's theory and granted summary judgment in its favor. But we conclude that PPIC's theory of recovery is not viable under Colorado law. So we reverse the summary judgment and remand the case to the district court for entry of judgment in TDC's favor.

         I. Background

         ¶ 5 The undisputed facts establish that the parties both held separate professional liability policies for the same insured, Dr. Rupinder Singh. A medical malpractice suit was filed against Dr. Singh and other parties.

         ¶ 6 TDC defended Dr. Singh in the suit as required by its primary liability policy. The policy provided coverage up to a limit of $1 million. TDC's policy required Dr. Singh's consent before accepting any settlement offers, but TDC retained the discretion whether to accept or reject any such offers.

         ¶ 7 PPIC's insurance policy was an "excess policy, " which would cover any losses that exceeded TDC's $1 million coverage up to an additional $1 million. As an excess insurer, PPIC did not have any duty to defend Dr. Singh in the suit.

         ¶ 8 The plaintiff in the medical malpractice suit offered to settle the case with Dr. Singh for $1 million. Dr. Singh conveyed his desire to accept the settlement offer to both insurers, but TDC declined the plaintiff's offer. PPIC told Dr. Singh he should accept, and it paid the $1 million settlement.

         ¶ 9 PPIC filed a claim for equitable subrogation, seeking payment of the $1 million from TDC. Both parties filed summary judgment motions. In its motion, PPIC argued that the applicable standard for recovery under equitable subrogation is a five-factor test set forth in Hicks v. Londre, 125 P.3d 452, 456 (Colo. 2005). TDC responded that in order to recover under equitable subrogation, PPIC was required to prove that TDC refused to settle in bad faith. In reply, PPIC argued that its claim for equitable subrogation was "not premised on the assertion that it has stepped into the shoes of its insured, Dr. Singh, through its payment of the settlement, " and that it was "not required to establish [bad faith]" to recover, relying exclusively on Unigard Mutual Insurance Co. v. Mission Insurance Co., 907 P.2d 94, 99 (Colo.App. 1994), and Hicks. The district court applied the Hicks factors and found in PPIC's favor without addressing TDC's argument concerning the need to show bad faith.

         ¶ 10 On appeal, TDC contends that the district court erred as a matter of law. TDC asserts that, under well-established Colorado insurance law, an equitable subrogation claim brought by an excess insurer against the primary insurer to recover the amount paid in settlement can only be derivative ("standing in the shoes") of the insured's rights. Consequently, TDC argues, PPIC's refusal to plead and present evidence that TDC acted in bad faith in declining to settle, under the circumstances here, requires dismissal of PPIC's claim. We agree with TDC.

         II. Standard of Review

         ¶ 11 We review an appeal of a summary judgment de novo. Edwards v. Bank of Am., N.A., 2016 COA 121, ¶ 13. Summary judgment is a drastic remedy that should be granted only when the pleadings and the supporting documents demonstrate that no genuine issue of material fact exists and that the moving party is legally entitled to judgment. W. Elk Ranch, L.L.C. v. United States, 65 P.3d 479, 481 (Colo. 2002). The moving party carries the burden to establish the lack of a genuine issue of fact. Any doubts in that regard must be resolved against the moving party. Bankr. Estate of Morris v. COPIC Ins. Co., 192 P.3d 519, 523 (Colo.App. 2008).

         ¶ 12 An appellate court may "independently review the question of whether the doctrine of equitable subrogation applies to the circumstances." Hicks, 125 P.3d at 455.

         III. Issue Preservation

         ¶ 13 As a threshold matter, we address and reject PPIC's argument that TDC did not properly preserve this issue in the district court. TDC argued in opposing PPIC's motion for summary judgment that PPIC was pursuing a novel theory of recovery in the primary/excess insurance coverage context that should be rejected, and that the Hicks test has never been applied in this setting to allow an excess carrier to usurp the primary insurer's role without a showing that the primary insurer acted in bad faith. TDC cited several bad faith failure to settle cases, including some arising in the insurance context between excess and primary ...


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