Uninsured/Underinsured Motorist Complaint - Colorado
UNINSURED / UNDERINSURED MOTORIST COMPLAINT
Before filing (remove this note from the pleading): File the completed District Court Civil (CV) Case Cover Sheet (JDF 601) with this district civil complaint, and serve the cover sheet with the initial pleading. If demanding a jury, pay the jury demand fee when filing the demand under C.R.S. § 13-71-144(1)(a); confirm the current fee with the clerk.
Table of Contents
- Caption
- Parties
- Jurisdiction and Venue
- General Allegations
- Policy Identification and Coverage
- UM vs. UIM Status
- First Claim for Relief — Breach of Contract (UM/UIM Benefits)
- Second Claim for Relief — Statutory Bad Faith (C.R.S. §§ 10-3-1115/1116)
- Third Claim for Relief — Common-Law Bad Faith
- Damages
- Jury Demand
- Prayer for Relief
Caption
| Court, parties, and filing attorney | Court use and case information |
|---|---|
| DISTRICT COURT, [COUNTY NAME] COUNTY, COLORADO | ▲ COURT USE ONLY ▲ |
| Court Address: [COURT ADDRESS] | [Reserve at least 2½ × 1¾ inches] |
| [PLAINTIFF FULL NAME], Plaintiff, | |
| v. [INSURANCE COMPANY NAME], Defendant. | |
| Attorney for Plaintiff: [NAME], Atty. Reg. No. [____] | Case No.: [________________________________] |
| [STREET ADDRESS], [CITY], [STATE] [ZIP] | Division: [____] |
| Telephone: [____] · Email: [____] | Courtroom: [____] |
COMPLAINT (UNINSURED/UNDERINSURED MOTORIST)
Parties
-
Plaintiff, [PLAINTIFF FULL NAME] ("Plaintiff"), is an individual residing at [PLAINTIFF ADDRESS], [CITY], [COUNTY] County, Colorado [ZIP CODE], and is an insured under the automobile insurance policy described herein.
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Defendant, [INSURANCE COMPANY NAME] ("Defendant Insurer"), is an insurance company authorized to transact business in the State of Colorado, with its principal place of business at [INSURER ADDRESS].
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[JOHN/JANE DOE] ("Uninsured/Underinsured Motorist") is an individual who, at all relevant times, operated a motor vehicle [☐ without liability insurance / ☐ with liability insurance inadequate to compensate Plaintiff's damages].
Jurisdiction and Venue
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This Court has jurisdiction over this matter pursuant to C.R.S. § 13-1-124 and the Colorado Constitution, Art. VI, § 9.
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Plaintiff seeks benefits under the UM/UIM policy identified below and any other relief supported by the pleaded facts and applicable law.
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Venue is proper in [COUNTY] County under C.R.C.P. 98(c) because [☐ Defendant Insurer resides or has its principal office in this county: [FACTS] / ☐ Plaintiff resides in this county and Defendant Insurer was served here: [SERVICE FACTS] / ☐ the policy obligation was to be performed in this county: [FACTS]]. Select and support an applicable venue ground before filing.
General Allegations
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On or about [DATE OF ACCIDENT], at approximately [TIME], Plaintiff was [☐ operating / ☐ a passenger in] a motor vehicle on [STREET/HIGHWAY/ROUTE], in or near [CITY], [COUNTY] County, Colorado.
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At said time and place, the Uninsured/Underinsured Motorist negligently operated a motor vehicle, proximately causing a collision with Plaintiff's vehicle.
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The Uninsured/Underinsured Motorist was negligent in one or more of the following respects:
☐ Operating a vehicle at an excessive or unreasonable speed (C.R.S. § 42-4-1101)
☐ Failure to yield the right of way (C.R.S. § 42-4-702)
☐ Following too closely (C.R.S. § 42-4-1008)
☐ Driving under the influence (C.R.S. § 42-4-1301)
☐ Failure to obey an official traffic control device (C.R.S. § 42-4-603; if a colored traffic signal was involved, also § 42-4-604)
☐ Improper lane change (C.R.S. § 42-4-1007)
☐ Texting while driving (C.R.S. § 42-4-239)
☐ Careless driving (C.R.S. § 42-4-1402)
☐ Other: [________________________________]
- As a direct and proximate result of the above-described negligence, Plaintiff sustained serious bodily injuries and damages.
Policy Identification and Coverage
-
At the time of the accident, Plaintiff was insured under an automobile insurance policy issued by Defendant Insurer, Policy No. [POLICY NUMBER], effective from [POLICY START DATE] to [POLICY END DATE] (the "Policy").
-
The Policy includes uninsured motorist ("UM") bodily injury coverage with limits of $[UM LIMIT PER PERSON] per person / $[UM LIMIT PER ACCIDENT] per accident.
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The Policy includes underinsured motorist ("UIM") bodily injury coverage with limits of $[UIM LIMIT PER PERSON] per person / $[UIM LIMIT PER ACCIDENT] per accident.
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Plaintiff has paid all premiums due under the Policy and has complied with all conditions precedent.
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Plaintiff [☐ accepted UM/UIM coverage / ☐ did not execute a valid written declination of UM/UIM coverage].
No-Setoff Provision
- Pursuant to C.R.S. § 10-4-609(1)(c), the UM/UIM coverage available to Plaintiff shall NOT be reduced by a setoff from any other coverage, including but not limited to:
☐ Legal liability insurance
☐ Medical payments coverage
☐ Health insurance
☐ Other uninsured or underinsured motor vehicle insurance
Stacking Provisions
- ☐ Plaintiff claims stacking of UM/UIM coverages.
☐ Plaintiff is covered under a policy issued to a resident relative, [POLICYHOLDER NAME]; explain why its limits are independently available: [________________________________]
☐ Anti-stacking provision in the Policy does not apply because [________________________________]
☐ Stacking is not at issue in this claim
UM vs. UIM Status
Select one:
☐ Uninsured Motorist (UM) Claim:
- The at-fault motorist was uninsured at the time of the accident in that [☐ no bodily injury liability policy was in effect / ☐ the at-fault motorist is unknown (hit-and-run) / ☐ the at-fault motorist's insurer denied coverage or is insolvent].
☐ Underinsured Motorist (UIM) Claim:
-
The at-fault motorist maintained bodily injury liability coverage with limits of $[TORTFEASOR POLICY LIMIT]. Plaintiff's covered damages exceed the available liability coverage by $[UNCOMPENSATED DAMAGES], within the applicable UIM coverage limit.
-
Plaintiff has exhausted the at-fault motorist's bodily injury liability limits and received $[AMOUNT RECOVERED FROM TORTFEASOR] in [☐ settlement / ☐ judgment].
-
Defendant Insurer was provided with timely written notice and the opportunity to consent to the settlement with the tortfeasor's insurer.
First Claim for Relief
Breach of Contract (UM/UIM Benefits)
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Plaintiff re-alleges and incorporates by reference paragraphs 1 through 21.
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The Policy constitutes a valid and enforceable contract between Plaintiff and Defendant Insurer.
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Plaintiff has performed all obligations and satisfied all conditions precedent required under the Policy.
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Defendant Insurer has breached the Policy by failing and refusing to pay UM/UIM benefits owed to Plaintiff despite proper and timely demand.
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As a direct and proximate result of Defendant Insurer's breach, Plaintiff has been damaged in an amount to be proven at trial.
Second Claim for Relief
Statutory Bad Faith (C.R.S. §§ 10-3-1115 and 10-3-1116)
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Plaintiff re-alleges and incorporates by reference paragraphs 1 through 26.
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Pursuant to C.R.S. § 10-3-1115, an insurer shall not unreasonably delay or deny payment of a claim for benefits owed to or on behalf of a first-party claimant.
-
Defendant Insurer unreasonably delayed or denied payment of Plaintiff's UM/UIM claim in violation of C.R.S. § 10-3-1115 by:
☐ Unreasonably delaying investigation and/or processing of the claim
☐ Denying benefits without a reasonable basis
☐ Failing to make prompt payment of the undisputed portion of the claim
☐ Imposing unreasonable conditions on payment
☐ Other: [________________________________]
- Pursuant to C.R.S. § 10-3-1116, Plaintiff is entitled to recover two times the covered benefit plus attorney's fees and costs, upon a showing that the delay or denial was unreasonable.
Third Claim for Relief
Common-Law Bad Faith
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Plaintiff re-alleges and incorporates by reference paragraphs 1 through 30.
-
Under Colorado common law, an insurer has an implied duty of good faith and fair dealing in handling its insured's claims. Travelers Ins. Co. v. Savio, 706 P.2d 1258 (Colo. 1985).
-
Defendant Insurer acted unreasonably in handling Plaintiff's claim by [DESCRIBE CONDUCT]. Defendant knew, or recklessly disregarded, that its conduct was unreasonable because [FACTS SHOWING KNOWLEDGE OR RECKLESS DISREGARD]. This conduct caused Plaintiff [DESCRIBE INJURY OR LOSS].
Damages
- As a result of the accident and Defendant Insurer's breaches, Plaintiff has suffered the following damages:
☐ Past medical expenses: $[AMOUNT]
☐ Future medical expenses: $[AMOUNT]
☐ Past lost wages/earnings: $[AMOUNT]
☐ Future lost wages/earning capacity: $[AMOUNT]
☐ Pain and suffering (past and future): $[AMOUNT]
☐ Mental anguish and emotional distress: $[AMOUNT]
☐ Physical disability and disfigurement: $[AMOUNT]
☐ Loss of enjoyment of life: $[AMOUNT]
☐ Loss of consortium (if applicable): $[AMOUNT]
☐ Two times covered benefit (C.R.S. § 10-3-1116)
☐ Prejudgment interest (C.R.S. § 5-12-102)
☐ Attorney's fees (C.R.S. § 10-3-1116)
☐ Costs of suit
Jury Demand
Plaintiff hereby demands a trial by jury on all issues so triable.
Prayer for Relief
WHEREFORE, Plaintiff demands judgment against Defendant Insurer as follows:
- Compensatory damages in an amount to be determined at trial;
- UM/UIM benefits in the full amount owed under the Policy;
- Two times the covered benefit pursuant to C.R.S. § 10-3-1116;
- Attorney's fees and costs pursuant to C.R.S. § 10-3-1116;
- Prejudgment interest pursuant to C.R.S. § 5-12-102;
- Costs of this action; and
- Such other and further relief as this Court deems just and equitable.
Respectfully submitted,
[ATTORNEY NAME], Colorado Attorney Reg. No. [REG NUMBER]
[FIRM NAME]
[FIRM ADDRESS]
[CITY], Colorado [ZIP CODE]
Telephone: [________________________________]
Email: [________________________________]
Attorney for Plaintiff
State-Specific Notes — Colorado
| Topic | Detail |
|---|---|
| UM Mandatory? | Policy must provide UM/UIM coverage at the bodily-injury limits set by C.R.S. § 42-7-103(2), unless the named insured rejects it in writing; the insurer must separately offer coverage equal to the policy's bodily-injury liability limits (C.R.S. § 10-4-609(1)(a), (2)) |
| UIM Mandatory? | Mandatory offer; UIM defined and included within "uninsured motorist coverage" (C.R.S. § 10-4-609(4)) |
| Default if Not Declined | Statutory minimum limits under § 10-4-609(1)(a)(I); a higher limit depends on the coverage selected or other facts supporting it |
| No-Setoff Rule | UM/UIM cannot be reduced by setoff from any other coverage — medical payments, health insurance, liability, or other UM/UIM (§ 10-4-609(1)(c)) |
| Stacking | Section 10-4-609(1)(c) permits a single-premium policy covering multiple vehicles to apply once per accident; evaluate each applicable policy and the statutory no-setoff rule before combining limits |
| Arbitration | Per policy terms; not statutorily mandated |
| Statutory Bad Faith | C.R.S. §§ 10-3-1115/1116 — two times covered benefit + attorney's fees for unreasonable delay/denial |
| Common-Law Bad Faith | Recognized — Savio, 706 P.2d 1258 (Colo. 1985) |
| SOL — UM/UIM insurance action or arbitration | Apply C.R.S. § 13-80-107.5's separate uninsured- and underinsured-motorist branches, including their preservation and later-event alternatives; do not substitute the general contract category |
| SOL — UM/UIM Claims (specific) | Three years from accrual. For UM, if a timely action preserved the underlying bodily-injury claim, the later deadline is two years after the insured learns that the particular motorist lacks applicable insurance. For UIM, if a timely action or payment preserved the underlying bodily-injury claim, the later deadline is two years after the insured receives settlement or judgment payment. Neither branch gives less than three years from accrual (C.R.S. § 13-80-107.5). |
| SOL — Motor Vehicle Tort (general) | 3 years (C.R.S. § 13-80-101(1)(n)) — NOT the 2-year general tort period of § 13-80-102, which is expressly inapplicable to motor-vehicle bodily injury/property damage actions |
| Hit-and-Run | Physical contact requirement varies; check policy terms |
| Exhaustion (UIM) | Must exhaust tortfeasor's limits; insurer consent to settlement advisable |
Sources and References
About this template
- Last updated
- November 7, 2026
- Jurisdiction
- Colorado
- Category
- Personal Injury
Legal authority
- C.R.S. § 13-6-104(1) (county court concurrent civil jurisdiction up to $25,000; no district-court minimum created by this section)
- C.R.C.P. 98(c)(1)-(2) (county venue for defendant residence, plaintiff residence with service there, or contract performance)
- C.R.S. § 42-4-603 (obedience to official traffic control devices)
- C.R.S. § 42-4-604 (colored traffic-control signal legends)
- C.R.S. § 10-4-609 (Insurance Protection Against Uninsured Motorists; UIM defined at subsection (4))
- C.R.S. § 10-4-610 (Property Damage Protection Against Uninsured Motorists)
- C.R.S. § 10-3-1115 (Unreasonable Delay or Denial of Benefits)
- C.R.S. § 10-3-1116 (First-Party Claimant — Bad Faith Damages)
- C.R.S. § 13-80-101(1)(n) (three-year category for underlying motor-vehicle bodily-injury/property-damage torts, subject to stated exclusions)
- C.R.S. § 13-80-107.5 (Specific Limitation Period for UM/UIM Actions and Arbitrations)
Personal injury cases are brought by people who were hurt because of someone else's carelessness: car crashes, slip and falls, defective products, and more. Demand letters, settlement agreements, and court filings in these cases have to document the injuries, the medical treatment, the lost income, and the exact legal basis for holding the other side responsible. Well-prepared paperwork is what drives higher settlements and forces insurers to take the claim seriously.
Not legal advice
This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Checked against the law it cites
The statutes this template relies on are listed under Legal authority.
C.R.S. § 13-80-107.5(1)(a)-(b) (checked November 7, 2026): "In no event shall the insured have less than three years after the cause of action accrues within which to commence such action or demand arbitration."
Colorado Jury Instructions, Civil 25:2 (checked November 7, 2026): "The defendant knew that its (conduct) (position) was unreasonable or the defendant recklessly disregarded the fact"
C.R.S. § 10-4-609(1)(c) (checked November 6, 2026): "A single policy or endorsement for uninsured or underinsured motor vehicle coverage issued for a single premium covering multiple vehicles may be limited to applying once per accident."
C.R.S. § 13-71-144(1)(a) (2026) (checked October 30, 2026): "shall pay to the clerk of the court a fee of two hundred thirty-one dollars"
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