Contreras v. Fred Loya Insurance

CourtNew Mexico Court of Appeals
DecidedDecember 6, 2022
DocketA-1-CA-39014, A-1-CA-39799
StatusPublished

This text of Contreras v. Fred Loya Insurance (Contreras v. Fred Loya Insurance) is published on Counsel Stack Legal Research, covering New Mexico Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Contreras v. Fred Loya Insurance, (N.M. Ct. App. 2022).

Opinion

Office of the Director New Mexico Compilation 2023.04.13 Commission

'00'06- 08:15:29 IN THE COURT OF APPEALS OF THE STATE OF NEW MEXICO

Opinion Number: 2023-NMCA-019

Filing Date: December 6, 2022

No. A-1-CA-39014 and No. A-1-CA-39799 (consolidated for purpose of opinion)

GRACIELA CONTRERAS,

Plaintiff-Appellant,

v.

FRED LOYA INSURANCE COMPANY d/b/a YOUNG AMERICA INSURANCE COMPANY,

Defendant-Appellee.

APPEAL FROM THE DISTRICT COURT OF BERNALILLO COUNTY Joshua A. Allison, District Judge

and

MARIA VARELA-BURCIAGA,

STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY,

APPEAL FROM THE DISTRICT COURT OF BERNALILLO COUNTY Erin B. O’Connell, District Judge

Ferrance Law, P.C. David A. Ferrance Albuquerque, NM

for Appellant Graciela Contreras O’Brien & Padilla, P.C. Alicia M. Santos Albuquerque, NM

for Appellee Fred Loya Insurance Company

Jarmie & Rogers, P.C. Mark D. Standridge Las Cruces, NM

for Amicus Curiae NM Defense Lawyers Association (No. A-1-CA-39014)

Law Office of Robert J. Andreotti Robert J. Andreotti Santa Fe, NM

for Appellant Maria Varela-Burciaga

Stiff, Garcia & Associates, LLC John S. Stiff Edward F. Snow Albuquerque, NM

for Appellee State Farm Mutual Automobile Insurance Company

OPINION

BOGARDUS, Judge.

{1} In these consolidated cases, 1 Plaintiff Graciela Contreras and Plaintiff Maria Varela-Burciaga (collectively, Plaintiffs) each appeal from a district court order granting summary judgment in favor of, in Contreras’s case, Defendant Fred Loya Insurance Company and, in Varela-Burciaga’s case, Defendant State Farm Mutual Automobile Insurance Company (collectively, Defendants) on Plaintiffs’ claims arising from Defendants’ denial of uninsured and underinsured motorist (UM/UIM) benefits. Plaintiffs each argue that the district court erred by granting summary judgment based on the erroneous conclusion that the respective insurance company obtained from each of them a valid rejection of UM/UIM coverage. In addition, Plaintiff Contreras argues that the district court erred in dismissing her claims, alleging violations of the Unfair Practices Act (the UPA), NMSA 1978, §§ 57-12-1 to -26 (1967, as amended through 2019). We reverse in Contreras v. Fred Loya Insurance Co., No. A-1-CA-39014, and affirm in Varela-Burciaga v. State Farm Mutual Automobile Insurance Company, No. A- 1-CA-39799.

1Because these appeals raise substantially similar issues, we exercise our discretion to consolidate them for decision. See Rule 12-317(B) NMRA. BACKGROUND

{2} These cases arise out of car accidents involving underinsured drivers. At issue in both cases is whether each insurance company obtained a valid rejection of UM/UIM coverage from the respective Plaintiff. We view the facts of each case in the light most favorable to Plaintiffs, against whom summary judgment was granted. See Haygood v. United Servs. Auto. Ass’n, 2019-NMCA-074, ¶ 7, 453 P.3d 1235.

A. Contreras v. Fred Loya Insurance Co.

{3} Contreras, whose primary language is Spanish and whose understanding of English is limited to common greetings or phrases, purchased an automobile insurance policy from Fred Loya Insurance Company (Loya) through a Spanish-speaking representative. The representative provided Contreras an English-language form for the selection or rejection of UM/UIM coverage. The selection/rejection form stated that the insured had the right to purchase or reject UM/UIM coverage, offered UM/UIM coverage up to the insured’s liability limits, and provided the premium costs for UM/UIM coverage up to the insured’s liability limits. Contreras signed the selection/rejection form under a heading stating, “REJECTION OF UNINSURED/UNDERINSURED MOTORISTS COVERAGE.” The policy’s declarations page stated that UM/UIM coverage had been “OFFERED AND REJECTED.” Contreras attested that the “agency’s representative had to fill out [her] application for insurance for [her], because it was in English,” and that the representative told her where to sign and initial the forms. Contreras also attested that no one discussed UIM insurance with her, or offered her this coverage or discussed her rejection of this coverage. Loya disputed this point, attesting that, when assisting Spanish-speaking customers, its procedures call for explaining UM/UIM coverage to the customer and verbally offering UM/UIM coverage up to the customer’s liability limits.

{4} Contreras was later involved in a car accident with an underinsured driver and filed a claim for UM/UIM benefits, which Loya denied. Contreras sued Loya, seeking a declaratory judgment that she was entitled to UM/UIM benefits and alleging various claims based on Loya’s denial of these benefits, including breach of contract, insurance bad faith, and unfair and unconscionable trade practices under the UPA. The district court denied Contreras’s claim for a declaratory judgment that she was entitled to UM/UIM benefits, relying on the four requirements that insurers must satisfy to obtain a valid rejection of UM/UIM coverage under Jordan v. Allstate Insurance Co., 2010- NMSC-051, ¶ 22, 149 N.M. 162, 245 P.3d 1214. The district court reasoned, “If [Jordan’s four requirements] are met, as they were here, the [c]ourt must conclude that the rejection of UM/UIM coverage was valid.” Concluding that Loya had obtained a valid rejection, the district court granted summary judgment in favor of Loya on all claims.

B. Varela-Burciaga v. State Farm Mutual Automobile Insurance Co.

{5} Varela-Burciaga, whose primary language is Spanish and who does not speak English, purchased an automobile insurance policy from State Farm Mutual Automobile Insurance Company (State Farm) through a Spanish-speaking representative. Varela- Burciaga was provided an English-language form for the rejection of UM/UIM coverage, which included a list of premium costs for different levels of UM/UIM coverage. The rejection form stated, “I acknowledge and agree that I have been offered [UM/UIM c]overage with limits equal to my [l]iability [c]overage limits,” and then provided check- mark boxes where the insured could indicate whether he or she wished to reject UM/UIM coverage equal to his or her liability limits or in its entirety. Varela-Burciaga checked the box for “reject [UM/UIM c]overage in its entirety” and signed the rejection form. The policy’s declaration page stated, in relevant part, “YOU HAVE REJECTED THE OFFER OF [UM/UIM] COVERAGE.” Varela-Burciaga does not dispute that an agent “explained the coverages in Spanish,” and “explained to her in Spanish that by signing the UM rejection form, that ‘means you will not have coverage under the [UM/UIM c]overage under your policy.’”

{6} Varela-Burciaga was later involved in a car accident with an underinsured driver and filed a claim for UM/UIM benefits, which State Farm denied. Varela-Burciaga sued State Farm, seeking a declaratory judgment that her policy be reformed to include UM/UIM coverage and asserting a claim for breach of contract. The district court granted summary judgment in favor of State Farm, reasoning that State Farm “was not required by law to provide a rejection of [UM/UIM] coverage to [Varela-Burciaga] in Spanish.”

DISCUSSION

I. Standard of Review

{7} Our resolution of these cases requires us to interpret NMSA 1978, Section 66-5- 301 (1983) and 13.12.3.9 NMAC to determine whether each insurance company obtained a valid rejection of UM/UIM coverage. See Jordan, 2010-NMSC-051, ¶ 14. Accordingly, these cases present questions of law, which we review de novo. See Marckstadt v. Lockheed Martin Corp., 2010-NMSC-001, ¶ 13, 147 N.M. 678, 228 P.3d 462.

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Contreras v. Fred Loya Insurance, Counsel Stack Legal Research, https://law.counselstack.com/opinion/contreras-v-fred-loya-insurance-nmctapp-2022.