Filed: Feb. 06, 2014
Latest Update: Mar. 02, 2020
Summary: FILED United States Court of Appeals PUBLISH Tenth Circuit UNITED STATES COURT OF APPEALS February 6, 2014 Elisabeth A. Shumaker TENTH CIRCUIT Clerk of Court CITY CENTER WEST, LP, a Colorado limited partnership, Plaintiff - Appellant, v. No. 12-1343 AMERICAN MODERN HOME INSURANCE COMPANY, an Ohio corporation, Defendant - Appellee. APPEAL FROM THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLORADO (D.C. No. 1:12-CV-01370-RPM) Adam F. Aldrich (Kenneth R. Bennington with him on the briefs),
Summary: FILED United States Court of Appeals PUBLISH Tenth Circuit UNITED STATES COURT OF APPEALS February 6, 2014 Elisabeth A. Shumaker TENTH CIRCUIT Clerk of Court CITY CENTER WEST, LP, a Colorado limited partnership, Plaintiff - Appellant, v. No. 12-1343 AMERICAN MODERN HOME INSURANCE COMPANY, an Ohio corporation, Defendant - Appellee. APPEAL FROM THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLORADO (D.C. No. 1:12-CV-01370-RPM) Adam F. Aldrich (Kenneth R. Bennington with him on the briefs), B..
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FILED
United States Court of Appeals
PUBLISH Tenth Circuit
UNITED STATES COURT OF APPEALS February 6, 2014
Elisabeth A. Shumaker
TENTH CIRCUIT Clerk of Court
CITY CENTER WEST, LP, a Colorado
limited partnership,
Plaintiff - Appellant,
v. No. 12-1343
AMERICAN MODERN HOME
INSURANCE COMPANY, an Ohio
corporation,
Defendant - Appellee.
APPEAL FROM THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF COLORADO
(D.C. No. 1:12-CV-01370-RPM)
Adam F. Aldrich (Kenneth R. Bennington with him on the briefs), Bennington Johnson
Biermann & Craigmile, LLC, Denver, Colorado for Plaintiff - Appellant.
Christopher J. Shannon (Patrick Q. Hustead with him on the brief), The Hustead Law
Firm, Denver, Colorado, for Defendant - Appellee.
Before HARTZ, HOLLOWAY, and HOLMES, Circuit Judges.
HARTZ, Circuit Judge.
A bank obtained insurance on a commercial property mortgaged to it by a
borrower. The policy prohibited an assignment “of this Policy” without the insurer’s
consent. J. App. at 36. But after the property was damaged, the bank assigned its loss
claim to the borrower. The insurer refused to pay the borrower’s claim because of the
nonassignment provision, and the borrower sued. The district court held that the suit was
barred and awarded judgment for the insurer. On appeal the parties primarily argue about
whether a provision prohibiting assignment of postloss claims is enforceable. In our
view, however, the provision here does not apply to the assignment of a postloss claim,
so we do not need to determine the enforceability of a provision prohibiting such
assignments. Exercising jurisdiction under 28 U.S.C. § 1291, we reverse and remand for
further proceedings.
I. BACKGROUND
City Center West LP (City Center), a Colorado limited partnership, owned a
commercial property in Greeley, Colorado, subject to a mortgage held by Summit Bank
& Trust (Summit Bank). When Summit Bank learned that City Center had failed to
insure the property, the bank’s parent company, Heartland Financial USA, Inc.
(Heartland Financial), obtained coverage for the property through its blanket insurance
policy (the Policy) with American Modern Home Insurance Company (American
Modern), an Ohio corporation. The Policy identified Heartland Financial and its
branches, including Summit Bank, as the “Named Insured Mortgagee.” J. App. at 56. It
provided that losses be paid to the Named Insured Mortgagee to the extent of its interest
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and that any benefits payable in excess of that interest “shall be paid to the mortgagor”
(which was City Center).
Id. at 30. Liability was limited to the interest in the property of
the mortgagee and the mortgagor. The Policy was excess insurance—that is, it paid out
only if there was no other insurance policy that would cover the claim. It included a
nonassignment provision that stated: “Assignment of this Policy shall not be valid unless
we [American Modern] give our written consent.”
Id. at 36.
On September 23, 2011, the property was damaged by vandalism and a burglary.
City Center estimated that the cost of repair would exceed $3.5 million. On October 10,
City Center notified American Modern of the loss; and four months later it requested
payment. American Modern refused to pay the amount requested, but tendered a
$321,069 check to Summit Bank. (The record does not indicate the rationale for that
amount.) On May 7, 2012, Heartland Financial and Summit Bank assigned to City
Center all their rights with respect to the claim. American Modern never consented to the
assignment. On May 25, City Center filed its complaint against American Modern in the
United States District Court for the District of Colorado. It asserted claims for bad-faith
breach of insurance contract, breach of contract, and violations of Colorado insurance
statutes. American Modern filed a motion to dismiss on the grounds that the assignment
to City Center was prohibited by the Policy’s nonassignment provision and City Center
was not a third-party beneficiary. The district court granted the motion.
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II. DISCUSSION
We review de novo a district court’s dismissal of a complaint under Fed. R. Civ.
P. 12(b)(6). See Jordan-Arapahoe, LLP v. Bd. of Cnty. Comm’rs,
633 F.3d 1022, 1025
(10th Cir. 2011). The parties agree that Colorado law applies to the interpretation of the
insurance contract in this diversity case. In Colorado an insurance policy’s terms are
construed “according to principles of contract interpretation.” Thompson v. Md. Cas.
Co.,
84 P.3d 496, 501 (Colo. 2004). The terms in the policy “should be assigned their
plain and ordinary meaning” so that we “give effect to the intent and reasonable
expectations of the parties.”
Id. A court should not employ “a strained construction” to
change the effect of unambiguous language. Parrish Chiropractic Ctrs., P.C. v.
Progressive Cas. Ins. Co.,
874 P.2d 1049, 1055 (Colo. 1994). “[A]mbiguous terms,”
however, “are construed against the insurer.”
Thompson, 84 P.3d at 502.
The issue before us is whether the Policy’s restriction on assignment of “this
Policy” forbids the assignment of a postloss claim under the Policy. It is undisputed that
the entire policy was not assigned to City Center. Perhaps the nonassignment provision
could preclude assignments of divisible portions of the Policy—such as coverage with
respect to one particular piece of property or one particular mortgagor; after all, the
Policy was a blanket policy that substituted for individual policies for particular banks,
particular mortgagors, and particular pieces of property. But that was not the type of
assignment to City Center. The assignment was only the assignment of one claim for a
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specific piece of property. Any other claims regarding the property still belonged to
Heartland Financial and Summit Bank.
We do not agree with American Modern that the nonassignment provision
precludes the assignment of a postloss claim under the Policy. American Modern argues
that the term Policy necessarily captures any rights that “flow directly from the policy
and would not exist absent the policy.” Aplee. Br. at 8–9. But the weight of authority is
that assignment of a postloss claim under an insurance policy is not an assignment of the
policy. A leading treatise states: “[T]he great majority of courts adhere to the rule that
general stipulations in policies prohibiting assignments of the policy, except with the
consent of the insurer, apply only to assignments before loss, and do not prevent an
assignment after loss . . . .” 3 Steven Plitt et al., Couch on Insurance § 35:8 (3d ed.
2013); see, e.g., In re Katrina Canal Breaches Litig.,
63 So. 3d 955, 963 (La. 2011)
(“Post-loss assignment of claims arising under the policy is not equivalent to the
assignment of the policy itself . . . .”); Windey v. N. Star Farmers Mut. Ins. Co.,
43 N.W.2d 99, 102 (Minn. 1950) (“Assignment, after loss, of the proceeds of insurance
does not constitute an assignment of the policy, but only of a claim or right of action on
the policy.”). Indeed, American Modern cites no case to the contrary, and we have found
none.1
1
Couch on Insurance cites as contrary authority a case in which a court enforced a
nonassignment provision against a postloss claim when the provision said, “any
assignment of this policy or of any of the benefits thereunder shall be void and of no
Continued . . .
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Of particular importance, Colorado has recognized that there is a difference
between an assignment of a contract and an assignment of a claim under a contract. Long
ago, in Metropolitan Life Ins. Co. v. Lanigan,
222 P. 402, 403 (Colo. 1924), the state
supreme court held that the assignment of a claim for benefits under a life-insurance
policy after the insured’s death did not forfeit the coverage despite a prohibition on
assignment of the policy.2 And more recently that court, in considering the validity of an
assignment of payment owed under a contract, wrote, “Under the law of assignments, it is
a well settled principle that the right to receive money due or to become due under an
existing contract may be assigned even though the contract itself may not be assignable.”
Farmers Acceptance Corp. v. DeLozier,
496 P.2d 1016, 1017 (Colo. 1972); see Interbank
Invs., LLC v. Vail Valley Consol. Water Dist.,
12 P.3d 1224, 1228 (Colo. App. 2000)
(following Farmers Acceptance). The distinction between assigning a contract and
assigning a claim for money due under that contract has particular force in the insurance
context. There is very good reason to forbid preloss assignment of a policy, because the
insurer’s risk can be greatly altered by a change in the insured. There is ordinarily no
effect.” Tyler v. Nat’l Life & Accident Ins. Co.,
172 S.E. 747 (Ga. Ct. App. 1934)
(emphasis added) (internal quotation marks omitted); see 3 Steven Plitt et al., Couch on
Insurance § 35:8. The case is not truly contrary because the nonassignment provision
included more than a general prohibition against assigning the policy; it explicitly
prohibited assigning benefits under the policy.
2
The decision in Parrish did not overrule Lanigan in this respect. See
Parrish, 874 P.2d
at 1055 n.8.
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such change in risk once the loss has occurred. That context must be considered in
interpreting the nonassignment clause.
Moreover, even if it were ambiguous whether the nonassignment provision
precluded assignment of a postloss claim, “ambiguous terms in an insurance policy are
construed against the insurer.”
Thompson, 84 P.3d at 502. It is “incumbent on insurers to
include clear and unambiguous language in their policies” if they intend to prohibit
postloss assignments. In re Katrina Canal Breaches
Litig., 63 So. 3d at 963. American
Modern’s policy could have barred assignment of postloss claims by simply saying that
such assignments were barred. Or, at least in Colorado, it could have used more general
language. For example, the Colorado Supreme Court has held that a provision stating
that “[i]nterest in this policy may not be assigned without our written consent” prohibited
postloss assignment of a claim for medical care under a no-fault automobile policy.
Parrish, 874 P.2d at 1051 (emphasis and internal quotation marks omitted). But
American Modern did not use such language and we will not give the language it did use
“a strained construction” to broaden its effect.
Id. at 1055. We can leave for another day,
and likely another court, whether a provision barring assignment of a postloss claim in
commercial-property coverage is enforceable or contrary to Colorado public policy.
III. CONCLUSION
We REVERSE the judgment of the district court and REMAND for further
proceedings consistent with this opinion.
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