PHILIP A. BRIMMER, District Judge.
This matter is before the Court on defendant GEICO Indemnity Company's Motion for Summary Judgment and Brief in Support [Docket No. 26]. This Court has jurisdiction pursuant to 28 U.S.C. § 1332. Plaintiff alleges that defendant improperly denied MedPay coverage on her motorcycle insurance policy.
In March 2008, plaintiff Lori Morgan insured her Honda motorcycle with GEICO Indemnity Company ("GEICO"). Docket No. 31 at 4, ¶ 1. To obtain such coverage, Ms. Morgan went to a GEICO office in Colorado Springs, Colorado and filled out the documents presented to her. Id., ¶ 2.
(emphasis in original). Id. at 14.
On August 6, 2013, plaintiff called GEICO to add a 1992 Harley-Davidson motorcycle to her insurance policy. Docket No. 26 at 4, Statement of Undisputed Material Facts ("SUMF") 5. GEICO's Policy Log for plaintiff's policy indicates that plaintiff declined medical payments ("Med Pay") coverage; GEICO states that plaintiff declined said coverage verbally. Docket No. 26-3 at 1; Docket No. 26 at 4, SUMF 5. In regard to the August 6, 2013 phone call, plaintiff states that she told GEICO she wanted the same coverage that she had on her previous policy and denies that any discussion of Med Pay coverage occurred, including any rejection of Med Pay coverage. Docket No. 31 at 6, ¶ 18.
The declarations page included with Ms. Morgan's policy after the August 6, 2013 phone call and which lists only the Harley-Davidson motorcycle states: "This is a description of your coverage" and provides the following:
GEICO sent plaintiff a Summary Disclosure Form annually from 2012 through 2014. Docket No. 31-3 at 5, 11, 17. The Summary Disclosure Form states:
Id.
Plaintiff was in an accident while driving her Harley-Davidson motorcycle on June 28, 2014.
On November 3, 2014, plaintiff filed a class action complaint and jury demand in the District Court for Boulder County, Colorado against GEICO alleging several claims for relief related to GEICO's denial of Med Pay coverage. See Docket No. 1-1. On December 1, 2014, defendant removed the case to this Court on the ground that this Court has jurisdiction pursuant to 28 U.S.C. § 1332(d). Docket No. 1. On October 22, 2015, plaintiff filed the operative amended complaint. Docket No. 37. Plaintiff no longer asserts any class claims. See id.
On April 16, 2015, GEICO filed a motion for summary judgment on all of plaintiff's claims. Docket No. 26. GEICO argues that Ms. Morgan never had Med Pay coverage and therefore GEICO's denial of Med Pay benefits under the policy is not a breach of the policy as a matter of law. Docket No. 26 at 3. GEICO further argues that, because the Policy does not provide Med Pay coverage, plaintiff's other common law and statutory bad faith claims fail. Docket No. 26 at 15, 17. Plaintiff responds that she never declined Med Pay coverage and that the policy provides Med Pay coverage. Docket No. 31 at 9.
Summary judgment is warranted under Federal Rule of Civil Procedure 56 when the "movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." Fed. R. Civ. P. 56(a); see Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248-50 (1986). A disputed fact is "material" if under the relevant substantive law it is essential to proper disposition of the claim. Wright v. Abbott Labs., Inc., 259 F.3d 1226, 1231-32 (10th Cir. 2001). Only disputes over material facts can create a genuine issue for trial and preclude summary judgment. Faustin v. City & Cty. of Denver, 423 F.3d 1192, 1198 (10th Cir. 2005). An issue is "genuine" if the evidence is such that it might lead a reasonable jury to return a verdict for the nonmoving party. Allen v. Muskogee, 119 F.3d 837, 839 (10th Cir. 1997). Where "the moving party does not bear the ultimate burden of persuasion at trial, it may satisfy its burden at the summary judgment stage by identifying a lack of evidence for the nonmovant on an essential element of the nonmovant's claim." Bausman v. Interstate Brands Corp., 252 F.3d 1111, 1115 (10th Cir. 2001) (quoting Adler v. Wal-Mart Stores, Inc., 144 F.3d 664, 671 (10th Cir. 1998) (internal quotation marks omitted)). "Once the moving party meets this burden, the burden shifts to the nonmoving party to demonstrate a genuine issue for trial on a material matter." Concrete Works of Colo., Inc. v. City & Cty. of Denver, 36 F.3d 1513, 1518 (10th Cir. 1994) (citing Celotex Corp. v. Catrett, 477 U.S. 317, 325 (1986)). The nonmoving party may not rest solely on the allegations in the pleadings, but instead must designate "specific facts showing that there is a genuine issue for trial." Celotex, 477 U.S. at 324; see Fed. R. Civ. P. 56(e). "To avoid summary judgment, the nonmovant must establish, at a minimum, an inference of the presence of each element essential to the case." Bausman, 252 F.3d at 1115 (citation omitted). When reviewing a motion for summary judgment, a court must view the evidence in the light most favorable to the non-moving party. Id.; see McBeth v. Himes, 598 F.3d 708, 715 (10th Cir. 2010).
Under Colorado law,
When construing the terms of an insurance policy, Colorado courts apply traditional principles of contract interpretation. Cotter Corp. v. Am. Empire Surplus Lines Ins. Co., 90 P.3d 814, 819 (Colo. 2004); Essex Ins. Co. v. Vincent, 52 F.3d 894, 896 (10th Cir. 1995). In interpreting insurance policies, courts are to give effect to the intent and reasonable expectations of the parties and to enforce the policy's plain language unless it is ambiguous. Hoang v. Assurance Co. of Am., 149 P.3d 798, 801 (Colo. 2007).
Whether the contract is ambiguous is a question of law. Id. Contract terms are ambiguous when they can be read to have more than one reasonable interpretation. Hecla Min. Co. v. New Hampshire Ins. Co., 811 P.2d 1083, 1090 (Colo. 1991). In making the ambiguity determination, courts are to view the policy as a whole, using the generally accepted meaning of the words employed. USAA Cas. Ins. Co. v. Anglum, 119 P.3d 1058, 1060 (Colo. 2005).
In Colorado, auto insurers are generally required to offer a minimum of $5,000 of Med Pay coverage. See Colo. Rev. Stat. § 10-4-635. Med Pay coverage provides "medical payments . . . for bodily injury, sickness, or disease resulting from the ownership, maintenance, or use of the motor vehicle" and includes "all medically necessary and accident-related health care and rehabilitation services provided by a licensed health care provider to a person injured in an automobile accident for which benefits under the terms of the medical payments coverage in the policy are payable." Id., § 10-4-635(1)(a), (5)(e). The requirement that an insurer provide Med Pay coverage does not apply to a motorcycle insurance policy. See id. § 10-4-635(4)(a).
Defendant argues that the plain language of the policy, specifically, the declarations page, establishes that plaintiff did not have Med Pay coverage. Docket No. 26 at 9-11. Defendant asserts that the declarations page does not mention Med Pay coverage and thus reflects that plaintiff had no such coverage. Id. at 11. Plaintiff responds that the policy itself contains Med Pay coverage as provided in Part II, Coverage C and that the absence of an express reference to Med Pay coverage in the declarations page is insufficient to negate the language in Part II, Coverage C. Docket No. 31 at 9-11; Docket No. 31-13 at 3. In the alternative, plaintiff argues that the policy is either ambiguous as to the existence of Med Pay coverage based on the conflict between the declarations page and Part II, Coverage C, or that Med Pay coverage is established based on Ms. Morgan's reasonable expectations. Docket No. 31 at 11.
Defendant admits that it offered Med Pay coverage to plaintiff in 2013.
The Court finds that there is a genuine dispute of material fact regarding whether Ms. Morgan declined Med Pay coverage. GEICO asserts that Ms. Morgan declined the coverage on August 6, 2013, as indicated in GEICO's Policy Log. Docket No. 32 at 5; Docket No. 26-3 at 1. However, plaintiff disputes this and GEICO admits that there is a dispute regarding whether Med Pay coverage was discussed with plaintiff during the August 6, 2013 phone call. See Docket No. 31 at 6, ¶¶ 15, 17-18; Docket No. 32 at 2, ¶¶ 15, 17-18. Accordingly, the Court finds that defendant is not entitled to summary judgment on plaintiff's breach of contract claim.
Defendant argues that plaintiff's declaratory judgment and statutory and common law bad faith denial of insurance benefits claims fail because plaintiff was not entitled to Med Pay coverage. Docket No. 26 at 16-17. Because the Court has denied def endant summary judgment on that issue, defendant is not entitled to summary judgment on plaintiff's declaratory judgment and statutory and common law bad faith denial of insurance benefits claims.
For the foregoing reasons, it is