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Simon v. the State Compensation Ins

Supreme Court of Colorado. EN BANC CHIEF JUSTICE VOLLACK and JUSTICE KOURLIS would grant the Petition. JUSTICE SCOTT does not participate. CHIEF JUSTICE VOLLACK dissents, and JUSTICE KOURLIS joins in the dissent
Nov 20, 1997
946 P.2d 1298 (Colo. 1997)

Summary

finding entity not to be an arm of the state despite participation in the risk management fund

Summary of this case from Ross v. Colo. Dep't of Transp.

Opinion

No. 95SC304

October 20, 1997 Opinion modified, and as modified, Petition for Rehearing DENIED November 20, 1997

Certiorari to the Colorado Court of Appeals

JUDGMENT REVERSED AND CASE REMANDED WITH DIRECTIONS

Andrew T. Brake, P.C., Lee T. Judd, Anthony J. Kohler, Denver, Colorado, Attorneys for Petitioners.

Gale A. Norton, Attorney General, Martha Phillips Allbright, Chief Deputy Attorney General, Richard A. Westfall, Solicitor General, Garth C. Lucero, Deputy Attorney General, Timothy R. Arnold, Deputy Attorney General, Gregg E. Kay, First Assistant Attorney General, Beverly Fulton, Assistant Attorney General, Civil Litigation Section, Tort Litigation, Denver, Colorado, Vaughan, Reeves DeMuro, David R. DeMuro, Special Assistant Attorney General, Denver, Colorado, Attorneys for Respondents.


The petitioners, Mark Simon (Simon), his wife, Cheryl Simon, and their son, Malachai Simon (collectively the Simons), challenge Simon v. State Compensation Insurance Authority, 903 P.2d 1139 (Colo.App. 1994), where the court of appeals affirmed a judgment entered by the trial court dismissing state and federal claims asserted against respondents, the Colorado Compensation Insurance Authority (the CCIA), and its predecessors, the State Compensation Insurance Authority (the SCIA) and the State Compensation Insurance Fund (SCIF). We granted certiorari to review the court of appeals' determination that the Simons could not pursue a claim based on alleged violations of 42 U.S.C. § 1983 (1988) because the CCIA is not a person for purposes of that statute. We reverse.

Although the court of appeals affirmed the district court's dismissal of numerous state and federal claims, our review in this case is limited solely to the propriety of the court of appeals' determination of 1983 liability. The issue for which we granted certiorari was:

Whether the court of appeals erred in holding that the Colorado Compensation Insurance Authority (CCIA), is "an arm of the state" and thus not a "person" within the meaning of 42 U.S.C. § 1983 (1988), thereby precluding the petitioners' claim on that basis.

I.

This action stems from Mark Simon's attempts to obtain workers' compensation benefits from the CCIA. In addition to other federal and state claims, the Simons alleged that the CCIA violated 42 U.S.C. § 1983 (1988) by wrongfully withholding benefits. For the purposes of our review, because the district court dismissed the action for failure to state a claim pursuant to C.R.C.P. 12(b), we take the allegations as stated in the Simons' complaint as true. See Shapiro Meinhold v. Zartman, 823 P.2d 120, 122-23 (Colo. 1992); Destefano v. Grabrian, 763 P.2d 275, 278 (Colo. 1988).

According to the Simons' complaint, Mark Simon and his business partners obtained a workers' compensation insurance policy with the SCIF in 1982. In 1984, Simon became a sole proprietor. At that time, Simon notified the SCIF that he was the insured and continued to pay his insurance premiums from that date through January 1985.

On or about January 15, 1985, Simon sustained a pelvic injury during the course of his employment and filed a claim with the SCIF. At that time, the SCIF denied Simon's claim on the grounds that, as a sole proprietor, he was not covered under the terms of the policy. Simon successfully challenged the SCIF's decision before an administrative law judge (ALJ) and the Industrial Claims Appeals Panel (the Panel) affirmed. Both the ALJ and the Panel found that Simon's injuries were covered by the terms of the policy that was issued to Simon.

On July 1, 1987, the SCIF's responsibility for payments of claims pursuant to Simon's policy was assumed by the newly created SCIA. See §§ 8-54-102, -102.5, 3B C.R.S. (1986). Although it had been determined that Simon's injury was covered by the policy, the SCIA disputed Simon's entitlement to temporary disability benefits or medical benefits. Simon sought administrative relief from the SCIA's determination, and an ALJ concluded that Simon was entitled to benefits. On appeal, the ALJ's ruling was affirmed by the Panel.

The SCIA subsequently filed a general admission of liability regarding Simon's temporary and total disability and obtained an offset because Simon had settled his third party tort claim.

On July 1, 1989, the SCIA's responsibilities were assumed by the newly created CCIA. See § 8-45-101, 3B C.R.S. (1990). The CCIA failed to make any disability payments to Simon until September of 1992. In addition, during this period of time Simon became involved in the legislative process relating to workers' compensation laws in Colorado. According to Simon, as a result of his involvement in the legislative process, the CCIA released confidential and/or false information about him in an effort to discredit him.

The Simons filed the present action on April 13, 1993. The Simons' complaint contained state law claims of bad faith and breach of fiduciary duty, outrageous conduct, loss of consortium, interference with familial relations, and invasion of privacy. The complaint also alleged that the CCIA had violated state and federal law with respect to the publication of "false, confidential and/or private statements." Finally, the complaint alleged that the CCIA was liable for violations of 42 U.S.C. § 1983 (1988). According to the Simons, the CCIA's conduct violated their equal protection and due process rights guaranteed by the Fourteenth Amendment to the United States Constitution.

The CCIA filed a motion to dismiss the Simons' complaint on the grounds that the state law claims were barred by the Colorado Governmental Immunity Act (Immunity Act), sections 24-10-101 to -120, 10A C.R.S. (1988), and that the 1983 claim was inapplicable because the CCIA was not a person for the purposes of that statute. The district court agreed with the CCIA and dismissed the action.

As discussed in this opinion, in order for a defendant to be liable for a violation of 42 U.S.C. § 1983 (1988), the plaintiff must first establish that the defendant is a "person." See Gomez v. Toledo, 446 U.S. 635, 640 (1980).

On appeal, the court of appeals affirmed the district court's judgment. First, the court of appeals held that the state law claims were properly dismissed pursuant to the Immunity Act. The court of appeals also held, relying on Austin v. State Industrial Insurance System, 939 F.2d 676 (9th Cir. 1991), and Wigger v. McKee, 809 P.2d 999 (Colo.App. 1990), that the CCIA was an arm of the state and not a person for the purposes of 1983 liability. According to the court of appeals, whether a government entity is an "arm of the state" is determined "by balancing the entity's independent powers with those entirely dependent on the state." Simon, 903 P.2d at 1145. As previously noted, we granted certiorari solely to review the court of appeals' conclusion as to the CCIA's status under 42 U.S.C. § 1983 (1988).

II.

The State Compensation Insurance Fund (SCIF) was established by the General Assembly in 1915. The SCIF was developed to allow employers to secure compensation for injured employees or the dependents of injured employees by paying a premium into the SCIF. See ch. 179, sec. 20, 1915 Colo. Sess. Laws 515, 529. At the time of Simon's injury, the SCIF was a division of the State Department of Labor and Employment. See § 8-54-101(1), 3 C.R.S. (1973). The SCIF administered itself under the direction of a manager who was appointed by the director of the State Department of Labor and Employment. See §§ 8-54-102, -104(1), 3 C.R.S. (1973). The General Assembly also created an advisory council to assist the manager which consisted of the commissioner of insurance and twelve other members who were appointed by the governor. See § 8-54-103(1), 3 C.R.S. (1973). Of the twelve appointees, two were members of the General Assembly, eight were employers insured with the SCIF, and two were employees whose employers were insured with the SCIF. See id.

On July 1, 1987, the monies from the SCIF were transferred to the newly created SCIA Fund. See § 8-54-102(1), 3B C.R.S. (1986). The duties for administering SCIA Fund were transferred to the SCIA on January 1, 1987. See § 8-54-102.5(1), 3B C.R.S. (1986). Unlike the SCIF, the powers of the SCIA were vested in a board of five directors appointed by the governor with the consent of the senate. See § 8-54-102.5(2), 3B C.R.S. (1986). The board consisted of the executive director of the Department of Labor and Employment, three employers insured with the SCIA, and one other member who was either an employee whose employer was insured with the SCIA or a concerned citizen. See id. The board had the power to appoint a manager of the SCIF Fund, develop and approve an annual budget, establish general policies and procedures for the administration of the SCIF Fund, promulgate regulations, review and recommend legislation pertaining to workers' compensation, and fix the rates to be charged for compensation insurance. See §§ 8-54-102.5(5), -105, 3B C.R.S. (1986).

In 1990, the legislature created the Colorado Compensation Insurance Authority (CCIA) and Fund. Similar to the SCIA, the CCIA is administered by a board of directors appointed by the governor. See § 8-45-101(2)(a), 3B C.R.S. (1996 Supp.). However, the CCIA board consists of seven members, and the statute does not require the executive director of the Department of Labor and Employment to be a member. See id. Instead, that board position now must be filled by a person "experienced in the management and operation of insurance companies." Id.

The monies in the respective Funds of the CCIA and its predecessors have been used to pay "losses sustained or liabilities incurred under the contracts or policies of insurance" issued to employers. See ch. 179, sec. 22, 1915 Colo. Sess. Laws 515, 529-30; § 8-54-102(4), 3B C.R.S. (1986); § 8-45-102(4), 3B C.R.S. (1996 Supp.). Each entity has been required to fix the lowest possible rate consistent with a solvent fund and the creation and maintenance of a reasonable surplus. See ch. 179, sec. 28, 1915 Colo. Sess. Laws 515, 533; § 8-54-109, 3B C.R.S. (1986); § 8-45-106, 3B C.R.S. (1996 Supp.). In addition, the state treasurer has been the custodian of each Fund. See ch. 179, sec. 66, 1915 Colo. Sess. laws 515, 552; § 8-54-221, 3B C.R.S. (1986); § 8-45-118, 3B C.R.S. (1996 Supp.). However, with respect to the SCIA Fund and the CCIA Fund, the General Assembly included a provision that monies of the Fund were not to be transferred or revert to the state general fund at the end of the fiscal year. See § 8-54-102(5), 3B C.R.S. (1986); § 8-45-102(5), 3B C.R.S. (1996 Supp.). The General Assembly also has consistently provided that the state shall not be liable for payments chargeable to the Funds beyond the amount in the Funds. See ch. 179, sec. 20, 1915 Colo. Sess. Laws 515, 529; § 8-54-102(1), 3B C.R.S. (1986); § 8-45-102(1), 3B C.R.S. (1996 Supp.)

The SCIA and CCIA differ from the original SCIF in two important respects. First, unlike the SCIF employees, the CCIA and SCIA employees are exempted from the state personnel system. See § 8-54-102.5(9), 3B C.R.S. (1986); § 8-45-101(9), (10), 3B C.R.S. (1996 Supp.). Second, the enabling statutes for both the SCIA and CCIA categorized those entities as corporate bodies and political subdivisions of the state and expressly provided that the entities were not state agencies. See § 8-54-102.5(1), 3B C.R.S. (1986); § 8-45-101(1), 3B C.R.S. (1996 Supp.).

Having reviewed the history of the CCIA and the Fund that it administers, we now turn to the question whether the CCIA is a "person" under § 1983.

III.

Section 1 of the Civil Rights Act of 1871, now codified as 42 U.S.C. § 1983 (1988), provides in relevant part:

Every person who, under color of state statute, ordinance, regulation, custom, or usage, of any state or Territory or the District of Columbia, subjects, or causes to be subjected, any citizen of the United States or other person within the jurisdiction thereof to the deprivation of any rights, privileges, or immunities secured by the Constitution and laws, shall be liable to the party injured in an action at law, suit in equity, or other proper proceeding for redress . . . .

(Emphasis added.) As noted above, the court of appeals in this case affirmed the district court's dismissal of the Simons' 1983 claims because it concluded that the CCIA was an "arm of the state" and not a "person" under 42 U.S.C. § 1983 (1988). Before addressing the merits of the court of appeals' conclusion, we will first identify the proper framework for 1983 analysis.

The leading United States Supreme Court case examining the delicate question of whether a state-created entity is a "person" under § 1983 is Will v. Michigan Department of State Police, 491 U.S. 58 (1989). Prior to Will, the bulk of the Supreme Court's discussion of this issue was limited to the status of local government boards and/or municipalities. For example, in Monell v. Department of Social Services of City of New York, 436 U.S. 658 (1978), the Supreme Court overruled long-standing precedent and held that local governing bodies such as municipalities were persons under § 1983. See Monell, 436 U.S. at 701. Subsequently, in Quern v. Jordon, 440 U.S. 332 (1979), the Supreme Court briefly touched on the broader issue of the status of state-created entities in 1983 cases when it stated that Congress did not intend to abrogate state Eleventh Amendment immunity in 1983 suits. See Quern, 440 U.S. at 341-45. However, because the action in Quern was filed in federal court, the Supreme Court's discussion was limited to the applicability of Eleventh Amendment immunity and did not specifically address whether a state was a "person" under § 1983.

In Uberoi v. University of Colorado, 713 P.2d 894 (Colo. 1986), a pre-Will decision, we held that the University of Colorado was a "person" under § 1983. In its Will decision, the Supreme Court stated that it granted certiorari to resolve a conflict among the courts on the question of whether a state is a person under § 1983 and cited Uberoi as one of the cases holding that the state is a person. See Will, 491 U.S. at 61 n. 3. Will mischaracterized the holding in Uberoi because Uberoi addressed only the 1983 status of the university, not the 1983 status of the state. We leave it for another day to decide whether Will overruled Uberoi's holding that the University of Colorado was a person for the purposes of § 1983. We also held in Uberoi that the Eleventh Amendment was inapplicable to 1983 claims in state court. While this is technically correct, see Maine v. Thiboutot, 448 U.S. 1, 9 n. 7 (1980), subsequent Supreme Court opinions discussed infra at 13-14 have established that an Eleventh Amendment arm-of-the-state analysis must be employed in a state court case when determining whether a state-created entity is a "person" under § 1983.

Unlike Quern, the plaintiff in Will filed his 1983 action in state court. Because Eleventh Amendment immunity does not apply in state courts, the question of whether a state was a person under § 1983 was squarely before the Supreme Court for the first time. See Will, 491 U.S. at 63-64. Based in large part on the fact that the Eleventh Amendment provides states with immunity in federal court, the Court held that a state is not a "person" under 42 U.S.C. § 1983. See id. at 66. The Court also concluded that, as "arms of the State," the Michigan Department of State Police and its director likewise could not be sued in state court under § 1983. See id. at 70-71.

The Eleventh Amendment provides in relevant part that:

The Judicial Power of the United States shall not be construed to extend to any suit in law or equity, commenced or prosecuted against one of the United States by citizens of another state, or by Citizens or Subjects of any Foreign State.

While the terms of the Eleventh Amendment only establish a limitation on the jurisdiction of federal courts, the Supreme Court reasoned that it would be inconsistent to treat a state-created entity as an "arm of the State" for the purposes of Eleventh Amendment immunity in federal court proceedings while treating the same entity as a "person" for the purposes of 1983 claims in state court proceedings. Thus, under Will, an Eleventh Amendment arm-of-the-state analysis must be applied to determine whether a state-created entity is a "person" under § 1983. Therefore, in order to determine whether the CCIA and its predecessors are "persons" that can be sued under 42 U.S.C. § 1983 (1988), we must decide whether the CCIA is an arm of the state under Eleventh Amendment analysis.

One year after Will was decided, in Howlett v. Rose, 496 U.S. 356 (1990), the Supreme Court reasserted the appropriateness of Eleventh Amendment analysis when determining whether an entity is a "person" under section 1983. The court stated:

As we held last term in Will v. Michigan Dept. of State Police, 491 U.S. 58 (1989), an entity with Eleventh Amendment immunity is not a "person" within the meaning of 1983. . . . Will establishes that the State and arms of the State, which have traditionally enjoyed Eleventh Amendment immunity, are not subject to suit under § 1983 in either federal court or state court.

Howlett, 496 U.S. at 365.

Many other state courts have reached the same conclusion that an Eleventh Amendment arm-of-the-state analysis must be utilized when determining whether a state-created entity is a person under § 1983. See, e.g., Town of Lake Clarke Shores v. Page, 569 So.2d 1256, 1257 (Fla. 1990); Board of Trustees v. Landry, 638 N.E.2d 1261, 1264 (Ind.Ct.App. 1994); Livingood v. Meece, 477 N.W.2d 183, 190-91 n. 5 (N.D. 1991); Williams v. State, 589 A.2d 840, 844 (Vt. 1990). But see Daddow v. Carlsbad Mun. Sch. Dist., 898 P.2d 1235, 1239 (N.M. 1995) (suggesting that 1983 analysis is different from Eleventh Amendment arm-of-the-state analysis), cert. denied, 116 S. Ct. 753 (1996).

Because the Will decision did not fully explain the proper scope of the arm-of-the-state analysis, lower federal and state courts have relied on numerous factors articulated in two earlier Supreme Court decisions to determine whether a particular state-created entity is an arm of the state. The first of these two cases, Mt. Healthy City School District Board of Education v. Doyle, 429 U.S. 274 (1977), concerned the status of a local school board. In concluding that a local school board was not an arm of the state under the Eleventh Amendment, the Supreme Court considered: (1) how local school districts were characterized under state law; (2) whether the school board was subject to the guidance of the state; (3) whether the school board received significant funding from the state; and (4) whether the school board had the power to raise its own funds. See id. at 280. Without placing particular emphasis on any one of these factors, the Supreme Court held that "[o]n balance," the local school board was "more like a county or city than it [was] like an arm of the State." Id.

The second major Supreme Court case addressing the factors to be considered in the arm-of-the-state analysis was Lake Country Estates, Inc. v. Tahoe Regional Planning Agency, 440 U.S. 391 (1979). In Lake Country Estates the Supreme Court considered the Eleventh Amendment immunity status of the Tahoe Regional Planning Agency (Tahoe Agency). The Tahoe Agency was created by an interstate compact between California and Nevada to coordinate and regulate land development in the Lake Tahoe area. See 440 U.S. at 394. In reaching its conclusion that the Tahoe Agency was not an arm of the state, the Court relied on the following factors: (1) that the Tahoe agency was designated in the interstate compact as a "separate legal entity" and a political subdivision; (2) that the majority of the Tahoe Agency governing members were appointed by counties and not by the states; (3) that the agency was exclusively funded by the counties; (4) that the compact expressly stated that the Tahoe Agency's obligations were not binding on the states; (5) that the regulation of land use was of local, rather than state-wide, concern; and (6) that the states did not have veto power over rules and regulations promulgated by the agency. See id. at 401-02. As in Mt. Healthy, the Supreme Court did not identify any one factor as dispositive.

These two Supreme Court decisions clearly indicate that the question of whether a particular entity is an arm of the state is to be determined by balancing various factors. However, because the Court referred to different factors in Mt. Healthy and in Lake Country Estates, and because the Court did not specify the relative importance of any particular factor, lower federal courts have developed a diverse array of balancing tests. For example, the Fifth Circuit Court of Appeals has identified six factors:

For a survey of the tests adopted by various lower federal courts, see Alex E. Rogers, Note, Clothing State Governmental Entities with Sovereign Immunity: Disarray in the Eleventh Amendment Arm-of-the-State Doctrine, 92 Colum. L. Rev. 1243, 1269-71 (1992).

(1) whether the state statutes and case law characterize the agency as an arm of the state; (2) the source of the funds for the agency; (3) the degree of local autonomy the entity enjoys; (4) whether the entity is concerned primarily with local, as opposed to statewide, problems; (5) whether the entity has the authority to sue and be sued in its own name; (6) whether the entity has the right to hold and use property.

Delahoussaye v. New Iberia, 937 F.2d 144, 147 (5th Cir. 1991). In contrast, the Third Circuit Court of Appeals has articulated a three-prong test with numerous sub-factors:

(1) whether, in the event the plaintiff prevails, the payment of the judgment would come from the state (this includes three considerations: whether payment will come from the state treasury, whether the agency has the money to satisfy the judgment, and whether the sovereign has immunized itself from responsibility for the agency's debts);

(2) the status of the agency under state law (this includes four factors: how state law treats the agency generally, whether the entity is separately incorporated, whether the agency can sue and be sued in its own right, and whether it is immune from state taxation); and

(3) what degree of autonomy the agency has.

Peters v. Delaware River Port Auth., 16 F.3d 1346, 1350 (3d Cir. 1994).

The Tenth Circuit Court of Appeals has applied different factors in different cases. Recently, in Watson v. University of Utah Medical Center, 75 F.3d 569, 574-75 (10th Cir. 1996), the Tenth Circuit examined the University of Utah Medical Center's degree of autonomy, the extent of financing it received independent of the state treasury, and its ability to provide for its own financing before concluding that it was an arm of the state under the Eleventh Amendment. However, in two earlier cases, Mascheroni v. Board of Regents of the University of California, 28 F.3d 1554 (10th Cir. 1994) and Ambus v. Granite Board of Education, 995 F.2d 992 (10th Cir. 1993), the Tenth Circuit specifically relied on all four Mt. Healthy factors. See Mascheroni, 28 F.3d at 1559; Ambus, 995 F.2d at 994.

Our court of appeals addressed the post-Will arm-of-the-state analysis in Wigger v. McKee, 809 P.2d 999 (Colo.App. 1991). In Wigger, the plaintiff brought a 1983 action against a county, a county board of commissioners, a county sheriff's department, a county department of social services, and experts in their official and individual capacities, based on an alleged wrongful prosecution of the plaintiff for sexually assaulting young girls. See Wigger, 809 P.2d at 1001. The Wigger court concluded that the county, the board of commissioners, and the sheriff's department were all "persons" under § 1983 while the state and county departments of social services were arms of the state. See id. at 1003-04. In reaching its conclusion, the court of appeals balanced each entity's independent powers with those entirely dependent on the state. See id. at 1003. According to the court of appeals, "[i]f the entity is the state's alter ego, dependent entirely on the state for the funds and resources to respond to a suit for damages, it is equivalent to the state." Id.

Wigger is one of a number of court of appeals' decisions which have considered whether a state-created entity is a "person" under § 1983. See Bannister v. Colorado Supreme Court Disciplinary Counsel, 856 P.2d 79, 81 (Colo.App. 1993) (Disciplinary counsel is not a "person" under § 1983); National Camera, Inc. v. Sanchez, 832 P.2d 960, 963-64 (Colo.App. 1991) (State Board for Community Colleges and Occupational Education is not a "person" under § 1983); Stjernholm v. Colorado State Bd. of Chiropractic Exam'rs, 820 P.2d 1166, 1167 (Colo.App. 1991) (Board of Chiropractic Examiners is not a "person" under § 1983); Weaver v. Colorado Dep't of Soc. Servs., 791 P.2d 1230, 1235 (Colo.App. 1990) (Department of Social Services is not a "person" under § 1983).

In the present case, the court of appeals heavily relied on the reasoning of Wigger in concluding that the CCIA is an arm of the state. However, as we noted in City of Lakewood v. Brace, 919 P.2d 231 (Colo. 1996), the defenses to 1983 actions are defined by federal law and we need not consider here whether Wigger was properly decided. See Brace, 919 P.2d at 238; see also Howlett v. Rose, 496 U.S. 356, 375-76 (1990) (stating that "[t]he elements of, and defenses to, a federal cause of action are defined by federal law."). Therefore, we draw our analysis primarily from federal caselaw.

IV.

Our review of federal caselaw shows three dominant factors upon which federal courts consistently rely to determine whether a state-created entity is an arm of the state for the purposes of Eleventh Amendment immunity in federal courts. These factors are: (1) how state law characterizes the entity, (2) whether the entity is autonomous and free from the control of the state, and (3) whether the judgment against the entity would ultimately be paid by the state. Guided by the federal caselaw and the Supreme Court's reasoning in Will, we now find that these same factors are appropriate when determining whether a state-created entity is a "person" that can be sued under 42 U.S.C. § 1983 (1988). Moreover, consistent with Mt. Healthy and Lake Country Estates, we hold that these factors are part of a balancing test and that it is therefore necessary to consider all three factors before reaching a conclusion as to the entity's immunity status. We address each of these factors in turn.

A.

While the ultimate determination of whether an entity is an arm of the state under the Eleventh Amendment is a question of federal law, see Howlett, 496 U.S. at 375-76; Brace, 919 P.2d at 238, the first factor to be considered in making that determination is how the entity is characterized by state law. Although some lower federal courts have concluded that this factor is often decisive or controlling, the Supreme Court has simply indicated that it is one of the factors that should be considered as part of an arm-of-the-state analysis. See Hess v. Port Authority Trans-Hudson Corp., 513 U.S. at 44-45; Lake Country Estates, 440 U.S. at 401-02; Mt. Healthy, 429 U.S. at 280. Legislative declarations of purpose and judicial decisions regarding the entity's characteristics and powers are relevant to this inquiry.

See Huber, Hunt Nichols, Inc. v. Architectural Stone Co., Inc., 625 F.2d 22, 25 (5th Cir. 1980) (state law "subsumes" all other factors); Korgich v. Regents of the New Mexico Sch. of Mines, 582 F.2d 549, 551 (10th Cir. 1978) (state law is "decisive").

When assessing the nature of an entity under state law, courts often look first to the statutory language creating the entity. For example, in Mt. Healthy the Supreme Court relied on the fact that Ohio state law designated local school boards as political subdivisions in reaching its conclusion that the Mt. Healthy school board was not an arm of the state. See Mt. Healthy, 429 U.S. at 280. Similarly, in Lake Country Estates the Court was persuaded by the fact that the interstate compact creating the Tahoe Agency designated the agency as a "separate legal entity" and a political subdivision. See Lake Country Estates, 440 U.S. at 401. In both cases, the Supreme Court essentially concluded that the entities were not arms of the state because the enabling statutes failed to articulate a clear intention to cloak the entities with Eleventh Amendment immunity.

B.

The second factor to be considered when determining whether an entity is an arm of the state is the level of autonomy and independence the entity enjoys from the control of the state. The greater the state administrative and financial influence on the entity, the more likely it is that the entity will be treated as an arm of the state. For example, in Lake Country Estates the Supreme Court noted that the majority of the Tahoe Agency's board members were appointed by local counties and cities collectively and not by the two states. See Lake Country Estates, 440 U.S. at 402. Some lower federal courts have also considered other indications of state administrative control such as: (1) the authority of the state to veto regulations promulgated by the entity, see Barket, Levy Fine, Inc. v. St. Louis Thermal Energy Corp., 948 F.2d 1084, 1087-88 (8th Cir. 1991); (2) whether the entity must seek state approval with respect to entity policies or activities, see Ambus, 995 F.2d at 995-96; and (3) whether the entity must file reports to the state or submit to audits, see Christy v. Pennsylvania Turnpike Comm'n, 54 F.3d 1140, 1149 (3d Cir. 1995).

Another important measure of entity autonomy is whether the state exerts any financial influence over the entity. The degree to which an entity receives all or most of its funding from the state was listed as a factor in both Mt. Healthy and Lake Country Estates. In Mt. Healthy, the fact that local school boards had the ability to generate their own funds through the issuance of bonds or levying taxes was significant to the Court's conclusion that the boards were more like a county or city than an arm of the state. See Mt. Healthy, 429 U.S. at 280. Similarly, in Lake Country Estates the Supreme Court was partly persuaded by the fact that the Tahoe Agency was funded exclusively by counties in reaching its conclusion that the agency was not an arm of the state. See Lake Country Estates, 440 U.S. at 401-02.

C.

The third factor to be considered as part of an arm-of-the-state analysis is whether the judgment will ultimately be paid by the state. Support for consideration of this factor originated in two cases that did not involve arm-of-the-state inquiries. In Edelman v. Jordan, 415 U.S. 651 (1974), and Ford Motor Co. v. Department of Treasury, 323 U.S. 459 (1945), the Supreme Court determined that in actions for retrospective relief against state officials the state is the real party in interest and may invoke its Eleventh Amendment immunity because the state will ultimately pay any judgment entered against the official. See Edelman, 415 U.S. at 663; Ford Motor Co., 323 U.S. at 464.

In Mt. Healthy, the Supreme Court applied a similar rationale when it considered whether the entity received significant funding from the state or had the power to raise its own revenue as a factor in determining whether the entity was an arm of the state. See Mt. Healthy, 429 U.S. at 280. In Lake Country Estates, the Court took this factor one step further when it considered whether the obligations of the entity at issue were binding on the states involved. See Lake Country Estates, 440 U.S. at 402.

While lower federal courts have consistently applied this factor when making arm-of-the-state determinations, the opinions do not agree as to the level of impact that must be shown for this factor to attain significance. See Watson v. University of Utah Med. Ctr., 75 F.3d 569, 575-76 (10th Cir. 1996) (judgment "might be satisfied, at least indirectly" from state treasury); Austin v. State Indus. Ins. Sys., 939 F.2d 676, 679 (9th Cir. 1991) (judgment "could" impact state treasury); Travelers Indem. Co. v. School Bd., 666 F.2d 505, 509 (11th Cir. 1982) (judgment "must under all circumstances" be satisfied out of state treasury). Nevertheless, these cases support our conclusion that whether a judgment will impact the state treasury is an important consideration in an arm-of-the-state analysis.

The CCIA argues that the state treasury criterion is the most important factor and should be held dispositive in this case. We disagree.

The CCIA correctly points out that some federal courts have suggested that the state treasury criterion is the most important factor. See Watson v. University of Utah Med. Ctr., 75 F.3d 569 (10th Cir. 1996) (holding that "the governmental entity is immune from suit if the money judgment sought is to be satisfied out of the state treasury."); Hutsell v. Sayre, 5 F.3d 996, 999 (6th Cir. 1993) ("The most important factor . . . is whether any monetary judgment would be paid out of the state treasury."), cert. denied, 510 U.S. 1119 (1994); Bolden v. Southeastern Pa. Transp. Auth., 953 F.2d 807, 818 (3d Cir. 1991) ("[T]he `most important' factor is `whether any judgment would be paid from the state treasury.'") (quoting Fitchik v. New Jersey Transit Rail Operations, Inc., 873 F.2d 655, 659 (3rd Cir. 1989)). However, as discussed earlier, other lower federal courts have suggested that different factors are equally, if not more, important. See Huber, 625 F.2d at 25 (state law "subsumes" all other factors); Korgich, 582 F.2d at 551 (state law is "decisive").

Supreme Court precedent leads us to conclude that the judgment liability factor alone does not resolve whether an entity is entitled to Eleventh Amendment immunity. While the Supreme Court has acknowledged that the state treasury criterion is an important factor that should be considered, it has not indicated that, standing alone, it outweighs all other factors. For example, in Hess v. Port Authority Trans-Hudson Corp., 513 U.S. 30, 48 (1994), the Supreme Court considered factors other than state funding before concluding that the Port Authority Trans-Hudson Corporation was not an arm of the state. Hess, 513 U.S. at 45-49. Contrary to the CCIA's argument here, the Court's pronouncement in Hess, regarding the importance of the state treasury criterion, was limited to an acknowledgment that some lower federal appellate courts have "recognized the vulnerability of the State's purse as the most salient factor." Id. In a subsequent case, Seminole Tribe of Florida v. Florida, 116 S. Ct. 1114 (1996), the Supreme Court expressly stated, "The Eleventh Amendment does not exist solely in order to `preven[t] federal court judgments that must be paid out of a State's treasury' . . . ." Seminole, 116 S. Ct. at 1124 (quoting Hess, 513 U.S. at 48).

Even more recently, in Regents of the University of California v. Doe, 117 S. Ct. 900 (1997), the Supreme Court referred to a multifactor analysis when it addressed the Eleventh Amendment status of a state university in a contract action. In its general discussion of the arm-of-the-state analysis, the Doe Court stated that it sometimes considered "the essential nature and effect of the proceeding" and "the nature of the entity created by state law" when determining whether an entity should be granted Eleventh Amendment immunity. Id. The Doe Court also stated that "the question whether a money judgment against a state instrumentality or official would be enforceable against the state is of considerable importance to any evaluation of the relationship between the State and the entity . . . being sued." Id. at 904. However, the only issue in dispute in Doe was whether the state university was divested of Eleventh Amendment immunity for a breach of contract action when the federal government had agreed to indemnify it against litigation costs. See Doe, 117 S. Ct. at 901. As to this narrow issue, the Doe Court held that "it is the entity's legal liability, rather than its ability or inability to require a third party to reimburse it, . . . that is relevant." Id. at 904. Thus, the Doe Court did not address whether the state treasury criterion was the dispositive or most important factor in an arm-of-the-state analysis.

In both Hess and Doe, the Supreme Court had an opportunity to reject the balancing tests articulated in Lake Country Estates and Mt. Healthy and instruct us that the funding factor alone was dispositive. Because the Supreme Court did not take that step, the balancing test remains in effect. We therefore reject the CCIA's argument and hold that the mere fact that the judgment would or could be paid by the state does not require the conclusion that the CCIA is an arm of the state. All three factors must be considered and weighed before reaching a conclusion as to the status of the CCIA.

V.

As an alternative argument, the CCIA contends that the application of the balancing test requires us to reach the same conclusion that was reached in Austin v. State Industrial Insurance System, 939 F.2d 676 (9th Cir. 1991), and Lipofsky v. Steingut, 86 F.3d 15 (2d Cir. 1996). Both cases involved workers' compensation insurance and in both cases the courts found the entity in question to be an arm of the state. In Austin, the Ninth Circuit Court of Appeals held that the Nevada State Industrial Insurance System (Nevada SIIS) was entitled to Eleventh Amendment immunity. More recently, the Second Circuit Court of Appeals held in Lipofsky that the New York State Insurance Fund (New York SIF) was an arm of the state under the Eleventh Amendment.

Like the CCIA, both the Nevada SIIS and the New York SIF are state-created entities that provide workers' compensation insurance. Also, in reaching their respective conclusions that these entities were arms of the state, both the Austin court and the Lipofsky court applied multifactor balancing tests similar to the one we apply here. However, important differences exist between the CCIA and those entities, both in how the entities are structured and how they are treated under state law. For example, in Austin the court emphasized the fact that a decision of the Nevada Supreme Court had found the Nevada SIIS to be a state agency. See Austin, 939 F.2d at 678. In addition, the Nevada Revised Statutes consistently treat the Nevada SIIS as an arm of the state or a state agency. See id. No comparable declaration of state law exists here. In fact, the enabling statute creating the CCIA expressly provides that the CCIA is not a state agency.

The entity in Lipofsky is also different from the CCIA. First, unlike the CCIA Fund, the New York Finance Commissioner is authorized to transfer excess New York SIF monies to other accounts within the state treasury. In reaching its conclusion that the New York SIF was an arm of the state, the Lipofsky court was partly persuaded by the fact that SIF funds were both controlled by the state and often commingled with other state funds. In addition, under New York law the state has an ultimate responsibility to satisfy any liability against the New York SIF. See Lipofsky, 86 F.3d at 17. "SIF is `a State agency for all of whose liabilities the state is responsible.'" Id. (quoting Methodist Hosp. of Brooklyn v. State Ins. Fund, 476 N.E.2d 304, 308 (N.Y. 1985)). In contrast, Colorado law specifically provides that liability against the CCIA is limited to the amount of the Fund. See § 8-45-102(1), 3B C.R.S. (1996 Supp.).

Because the entities at issue in Lipofsky and Austin are distinguishable from the CCIA, we decline to follow those cases and instead turn to an application of our balancing test to the facts before us. As to the first factor, we agree with the Simons that Colorado law does not treat the CCIA as an arm of the state. The statute creating the CCIA states in relevant part:

There is hereby created the Colorado compensation insurance authority which shall be a body corporate and a political subdivision of the state. The authority shall not be an agency of the state government, nor shall it be subject to administrative direction by any state agency except as provided in this article, and except for the purposes of the "Colorado Governmental Immunity Act", article 10 of title 24, C.R.S., and except for inclusion in the risk management fund and by the division of risk management as provided in part 15 of article 30 of title 24, C.R.S.

§ 8-45-101(1), 3B C.R.S. (1990 Supp.) (emphasis added). On its face, then, the express language of the statute establishes that the Authority is not a state agency. In fact, the statute characterizes the CCIA as a "body corporate" and a "political subdivision of the state." These are well established terms that denote entities such as counties and municipalities that are not arms of the state. See City of Durango v. Durango Transp., Inc., 807 P.2d 1152, 1156 (Colo. 1991). As the Supreme Court concluded in Mt. Healthy and Lake Country Estates, we find that the enabling statute in this case suggests the CCIA should not be treated as an arm of the state.

Our recent decision in Denver Area Labor Federation, AFL-CIO v. Buckley, 924 P.2d 524 (Colo. 1996), does not require a contrary result. In Buckley, we found that CCIA funds constituted "public monies" under section 1-45-116(1)(a), 1B C.R.S. (1980 1994 Supp.) of the Campaign Reform Act. The Campaign Reform Act precludes any "agency, department, board, division, bureau, commission, or council of the state or any political subdivision thereof" from expending "public monies from any source . . . to urge electors to vote in favor of or against any issue before the electorate." § 1-45-116(1)(a), 3B C.R.S. (1994 Supp.). Because the CCIA enabling statute quoted above designates the CCIA as a political subdivision of the state and the term "public monies" was so broadly inclusive, we held in Buckley that the CCIA was prohibited from contributing money from the fund to promote or oppose an amendment to the Colorado Constitution. We did not expressly or by necessary implication hold in Buckley that the CCIA was an arm of the state.

As to the second factor, we find that the CCIA is sufficiently autonomous from the state, both administratively and financially, to be considered a "person" under § 1983. Both in form and in substance, the legislature has declared that the CCIA is not a state agency. As noted above, the CCIA is defined in its enabling statute as a "body corporate and political subdivision of the state." § 8-45-101(1), 3B C.R.S. (1990 Supp.). The CCIA has the power to sue and be sued and to enter into contracts. See § 8-45-103(2), 3B C.R.S. (1990 Supp.). The revenue collected by the CCIA is derived from premiums and not from state-imposed sales, use, property or income taxes. Also, the amount of liability that the CCIA can incur is statutorily limited to the extent of assets of the Fund derived from premium payments. See § 8-45-102(1), (4), 3B C.R.S. (1990 Supp.). The CCIA's autonomy from the state is emphasized by the fact that its employees are exempted from the state personnel system. See § 8-45-101(9), (10), 3B C.R.S. (1996 Supp.); cf. Colo. Const. art. XII, 13(2) (providing that, with certain exceptions not including the CCIA, "[t]he personnel system of the state shall comprise all appointive public officers and employees of the state."). These factors indicate that the legislature intended the CCIA to be self-sufficient and independent of the state itself.

Section 8-45-103(2) states:

[T]he manager shall manage and conduct all business and affairs . . . in the name of the [CCIA], and in that name, . . . the manager may:

(a)(I) Sue and be sued in all the courts of this state . . . in actions arising out of any act, deed, matter, or thing made, omitted, entered into, done, or suffered in connection with the [CCIA] fund and the administration, management, or conduct of the business or affairs relating thereto . . . .

(II) Nothing in this paragraph (a) shall be construed to waive any provisions of the "Colorado Governmental Immunity Act" . . . nor shall it be construed to waive immunity of the state of Colorado from suit in federal court, guaranteed by the eleventh amendment to the constitution of the United States.

§ 8-45-103(2), 3 C.R.S. (1997). On its face, subsection 103(2)(a)(II) is limited to subsection 103(2)(a) and does nothing more than declare that the state of Colorado does not waive its own immunity from suit by authorizing the CCIA to sue and to be sued. It does not equate the CCIA with the state itself. See id. Further, we note that when the legislature expressly included the CCIA in the Governmental Immunity Act, it made no reference to the state's Eleventh Amendment immunity. See § 8-45-101(1), 3 C.R.S. (1997).

To the extent that there is any ambiguity in the enabling act, its legislative history supports our conclusion that the legislature intended to create the equivalent of a private insurance company. The major structural change occurred when the state fund, the SCIF, was abolished and the state authority, the SCIA, was created in 1987. The legislature cut the financial ties that bound the fund to the legislature by exempting the authority from the legislative budget process so that the authority could operate with more flexibility as a private entity. Senator Steven J. Durham, the Senate sponsor of the bill to create the authority, stated, "[I]n terms of management, we are going to treat this like an insurance company . . . . The new entity is not under the legislative budget process . . . . [T]he managers of this operation have the flexibility that any board of directors would have . . . ." Debate on S.B. 22 Before the Senate, 55th General Assembly, 2d Reg. Sess. (Hearing Tape 86-14, Feb. 27, 1986, at 10:15 a.m.). Additionally, John Berry, representative of the SCIA, testified in 1990 that the SCIA wanted to change its name in order to gain even further autonomy from the state. He stated, "[W]e're looking to further separate ourselves from the state agency and that's why we ask to have the term `State' stricken from our name and just [change it to] `Colorado Compensation Insurance Authority' . . . ." Hearing on H.B. 1160 Before the House Committee on Agriculture, Livestock, and Natural Resources, 57th General Assembly, 2d Reg. Sess. (Hearing Tape 90-3, Jan. 17, 1990, at 2:17 p.m.).

In interpreting a statute, courts must give effect to intent giving rise to the legislation. See Resolution Trust Corp. v. Heiserman, 898 P.2d 1049 (Colo. 1995). In determining that intent, we look first to the plain meaning of the statutory language. If that language is ambiguous, we may consider, among other aids: (a) the circumstances under which the statute was enacted; (b) the legislative history; and (c) the consequences of a particular construction. See People v. McNeese, 892 P.2d 304 (Colo. 1995); § 2-4-203, 1 C.R.S. (1997).

Further, the applicability of the Immunity Act to the CCIA cannot be dispositive with respect to whether the CCIA is an arm of the state or a person for 1983 actions because the protections of the Immunity Act are not limited to arms of the state. For example, the Immunity Act protects cities and municipalities, as well as state agencies. For 1983 purposes cities and municipalities are persons, not arms of the state. See Monell, 436 U.S. at 690; County of Adams v. Hibbard, 918 P.2d 212, 216 (Colo. 1996). By including the CCIA in the Immunity Act, the legislature did no more than treat the CCIA like a city, which under Monell is a person subject to suit under § 1983.

The Colorado Governmental Immunity Act extends its protections to the state and its political subdivisions including "public entities." The statutory definition of public entity includes "the state, county, city and county, incorporated city or town, school district, special improvement district, and every other kind of district, agency, instrumentality or political subdivision of the state organized pursuant to law." § 24-10-103(5), 10A C.R.S. (1988).

Based on its enabling act, we conclude that the legislature intended the CCIA to operate as much like a private insurance company as possible. Employers pay premiums to the Fund, the CCIA receives and processes claims, and then makes disbursements to claimants out of the Fund. See §§ 8-45-115 to -118, 3B C.R.S. (1990 Supp.). The CCIA clearly was structured so that it would be more responsive and efficient than a state agency which is subject to all of the constitutional and statutory constraints placed on the state. We therefore find that the legislature's expressed intent to grant the CCIA autonomy and to insulate the state from fiscal responsibility for the CCIA's conduct strongly supports the conclusion that, under the second factor, the CCIA should be treated as a "person" for 1983 purposes.

CCIA's best argument is based on the third factor. As noted above, the enabling statute creating the CCIA states that it is not a state agency and is not subject to the control of any other state agency, "except for the purposes of the `Colorado Governmental Immunity Act' . . . and except for inclusion in the risk management fund and by the division of risk management . . . ." § 8-45-101(1), 3B C.R.S. (1990 Supp.). The monies in the risk management fund are appropriated by the General Assembly to pay judgments entered against state agencies, see § 24-30-1510(3)(a), 10A C.R.S. (1988), and are held by the state treasurer. See § 24-30-1511, 10A C.R.S. (1996 Supp). Although the CCIA's enabling act states that it is not a state agency, section 24-30-1502(5), 10A C.R.S. (1996 Supp.) expressly defines CCIA as a "state agency" under the statute governing the Division of Risk Management. Therefore, we agree with the CCIA that a judgment in a 1983 case might be paid out of the state treasury.

We are unable, however, to draw a definite conclusion that the state treasury automatically would pay a 1983 liability award against the CCIA because it appears that the risk management fund is not the sole source for payment of a judgment against CCIA. The CCIA collects its own revenue from premiums paid by insureds and not from state-imposed sales, use, property or income taxes. See § 8-45-102, 3B C.R.S. (1996 Supp.). The monies in the CCIA Fund are meant to pay "losses sustained or liabilities incurred under the contracts or policies of insurance." See § 8-45-102(4), 3B C.R.S. (1996 Supp.). Any potential money judgment in this case may be considered a liability incurred under Simon's contract of insurance with CCIA. Moreover, the CCIA's enabling statute provides that the state shall not be liable for payments chargeable to the CCIA beyond the amount in the Fund. See § 8-45-102(1), 3B C.R.S. (1996 Supp.). Thus, the legislature apparently intended to shield the state from the liabilities of the CCIA. This tension or ambiguity between the CCIA's enabling statute and the provisions of the risk management fund statute leads us to conclude that the third factor lends only limited support to the CCIA's position because the state treasury is not clearly put at risk to pay a 1983 judgment against the CCIA.

Determination of which fund would pay an actual 1983 judgment against the CCIA must await a real case and would be decided in the first instance by the responsible administrators.

VI.

Weighing the three applicable factors to determine whether the CCIA is a person or an arm of the state for 1983 purposes, we conclude that the balance tips in favor of finding that the CCIA is not an arm of the state. Contrary to the CCIA's argument here, we find that the state treasury criterion alone is not dispositive. Further, our review of the enabling statute and the CCIA's history and structure persuades us that the CCIA was specifically designed to be autonomous from the state. The legislature easily could have defined the CCIA as part of the state if it so wished. Instead, it has chosen to model the CCIA after a private insurance company to the greatest extent possible. Certainly, the legislature gave no fair notice of intent to insulate the CCIA from all 1983 suits in state court. Rather, the legislature distanced the state from the Authority.

Finding that the CCIA may be sued under § 1983 is consistent with our caselaw specifically protecting the ability of litigants to sue political subdivisions of the state when the law is unclear. For example, in Bertrand v. Board of County Commissioners of Park County, 872 P.2d 223 (Colo. 1994), we held that because the Governmental Immunity Act was in derogation of common law, it must be strictly construed and unless immunity is clearly established, an entity is liable to suit. Similarly, under the facts of this case, sound public policy requires that any doubt be resolved in favor of allowing the 1983 suit to proceed.

VII.

In conclusion, we hold that the CCIA is not an arm of the state and is therefore a "person" that can be sued under 42 U.S.C. § 1983. To hold otherwise would allow the CCIA to enjoy the benefits of acting as a private enterprise without the associated costs and responsibilities. Accordingly, we reverse the judgment of the court of appeals and direct that court to return the case to the district court for further proceedings consistent with this opinion.

CHIEF JUSTICE VOLLACK dissents, and JUSTICE KOURLIS joins in the dissent.


Summaries of

Simon v. the State Compensation Ins

Supreme Court of Colorado. EN BANC CHIEF JUSTICE VOLLACK and JUSTICE KOURLIS would grant the Petition. JUSTICE SCOTT does not participate. CHIEF JUSTICE VOLLACK dissents, and JUSTICE KOURLIS joins in the dissent
Nov 20, 1997
946 P.2d 1298 (Colo. 1997)

finding entity not to be an arm of the state despite participation in the risk management fund

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recognizing that the Supreme Court in Mount Healthy and Lake Tahoe concluded that the entities were not arms of the State because the enabling statutes failed to articulate a clear intention to cloak the entities with Eleventh Amendment immunity

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identifying those factors as “ how state law characterizes the entity, whether the entity is autonomous and free from the control of the state, and whether the judgment against the entity would ultimately be paid by the state”

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In Simon v. State Compensation Insurance Authority, 946 P.2d 1298 (Colo. 1997), we decided to leave for another day the determination of whether Will overruled Uberoi's holding that the University of Colorado was a person for purposes of 1983.

Summary of this case from Graham v. State

In Simon v. State Compensation Insurance Authority, 946 P.2d 1298 (Colo. 1997), the supreme court determined that the Colorado Compensation Insurance Authority, Pinnacol's predecessor, was a "person" subject to suit under 42 U.S.C. § 1983 (2002) rather than an arm of the state.

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Case details for

Simon v. the State Compensation Ins

Case Details

Full title:Mark Simon, Cheryl Simon, and Malachai Simon, Petitioners, v. The State…

Court:Supreme Court of Colorado. EN BANC CHIEF JUSTICE VOLLACK and JUSTICE KOURLIS would grant the Petition. JUSTICE SCOTT does not participate. CHIEF JUSTICE VOLLACK dissents, and JUSTICE KOURLIS joins in the dissent

Date published: Nov 20, 1997

Citations

946 P.2d 1298 (Colo. 1997)

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