Dairyland Insurance v. Herman

1998 NMSC 005, 954 P.2d 56, 124 N.M. 624
CourtNew Mexico Supreme Court
DecidedDecember 18, 1997
Docket23718
StatusPublished
Cited by42 cases

This text of 1998 NMSC 005 (Dairyland Insurance v. Herman) is published on Counsel Stack Legal Research, covering New Mexico Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dairyland Insurance v. Herman, 1998 NMSC 005, 954 P.2d 56, 124 N.M. 624 (N.M. 1997).

Opinion

OPINION

FRANCHINI, Chief Justice.

{1} This case comes to us from the United States Court of Appeals for the Tenth Circuit, in accordance with its rule providing “for certification by a federal court of questions arising under the laws of that state which may control the outcome of a [federal] case” (10th Cir. R. 27.1), and our own certification statute, NMSA 1978, § 34-2-8 (repealed 1997) (relating to questions certified to the New Mexico Supreme Court). The following question regarding New Mexico law was submitted for our determination:

Does an insurer satisfy its duty to treat its interests and the interests of its insured equally, as a matter of law, when it requires a release of all claims, including subrogation claims, against its insured as a condition precedent to a policy limits settlement when there is a substantial likelihood of recovery in excess of policy limits?

The answer to this question is “No.”

I. FACTS AND PROCEEDINGS

{2} On August 3,1989, Ivan Fragua, debilitated by a blood alcohol level of .21 as he drove a car owned by his passenger, Paula Suazo, abruptly swerved into the opposite lane head-on into another ear and killed himself, Suazo, and Susie Herman, the driver of the other car, and severely injured Susie Herman’s nine-year-old son Andrew who suffered two broken legs and a concussion and was trapped in the car beside his dead mother for two hours, and who thereafter was hospitalized for thirty-three days while his father, Ronald Herman, contended with the injuries to his son and the death of his wife. Fragua was unquestionably at fault.

{3} Fragua, as a permissive driver of Suazo’s vehicle, was insured by Dairyland Insurance Co., a Wisconsin corporation. The liability limits of the policy were $25,000 per person and $50,000 per occurrence. Fragua’s estate was insolvent. There is no question that the Dairyland policy limits were inadequate to satisfy the claims of those harmed by Fragua’s tortious conduct. Dairyland eventually settled with Suazo’s estate for $16,667, one-third of the $50,000 policy limit.

{4} Andrew incurred $33,580.22 in medical expenses. These were paid by Health-Plus of New Mexico, Inc., his father’s health insurer. Ronald Herman, shortly after Andrew’s release from the hospital, notified Health-Plus that it would receive no reimbursement for its payment of Andrew’s medical expenses from the proceeds of any settlement with the estate of Fragua. However, Herman’s refusal to pay did not foreclose all the potential sources of reimbursement available to Health-Plus. Under the equitable remedy of subrogation, Health-Plus, having paid Andrew’s medical expenses, did have the right to seek compensation for the medical payments directly from Fragua, the person who caused the harm in the first place.

{5} Herman, on behalf of himself, and as personal representative of his wife’s estate, and as guardian of his son Andrew, sought compensation from Fragua’s estate and from Dairyland as Fragua’s insurer. Both Herman and Dairyland profess to have made the first overture to settle these claims and each blames the other for obstructing any settlement. Each party points to its own numerous offers to settle. The record is discrepant as to the exact sequence of events. It appears that both parties initially agreed that Herman would accept a settlement of $33,-333.33. This amount was the remainder, after the Suazo settlement, of the total $50,000 policy limit.

{6} Dairyland, however, consistently demanded that Herman release all claims against Fragua as well as his agents, insurers, heirs, and assigns, including any liens, indemnity agreements, or subrogated interests. Dairyland wanted its payment to be considered full compensation for all claims Herman would or could have against Fragua. It attempted to require Herman to destroy Health-Plus’s subrogation rights by releasing them. Health-Plus, thus prevented from collecting the medical costs from Fragua’s estate, would have had recourse only in collecting from Herman.

{7} Herman, on the other hand, insisted that the settlement would resolve no other claims than those he brought on his own behalf and as personal representative of Susie and Andrew. He expressly excluded from the settlement “any possible subrogation claims for any medicals paid by other persons” on his behalf. Letter from Thomas L. Grisham, Herman’s attorney, to Roger A. Page, Dairyland’s attorney (Oct. 27, 1989). Herman was concerned that the $38,333.38 Dairyland initially agreed to pay was virtually equal to the amount paid by Health-Plus for Andrew’s medical bills. Should Health-Plus seek full reimbursement, Herman would end up with nothing. A settlement was never reached.

{8} Fragua’s automobile accident predicated several lawsuits, two of which are relevant to this proceeding. During this litigation, Peter Johnstone was named the personal representative of Fragua’s estate. In one of the relevant lawsuits, Herman, in his individual capacity, and as administrator of Susie’s estate, and as guardian of Andrew, filed a claim in New Mexico district court against Fragua’s estate. On December 4, 1991, Herman was awarded a judgment of $2,725,000 on Susie’s estate’s claims and $275,000 on Andrew’s and Herman’s claims, jointly. See Herman v. Johnstone, No. CV-90-01295, slip op., Conclusions of Law. ¶¶ 5-7 (N.M.Dist.Ct. Dec. 4, 1991). Judgment was entered on January 21, 1992, and bears interest at an annual rate of fifteen percent. See Herman v. Johnstone, No. CV-90-01295, slip op. at 1 (N.M.Dist. Ct. Jan. 21, 1992). Following entry of judgment, Dairyland paid the remaining policy limits of $33,333.33 in exchange for partial satisfaction of the judgment.

{9} More than a year thereafter, the other lawsuit relevant to this case was initiated. On February 23, 1993, Dairyland sued Herman in federal district court, seeking a declaratory judgment that it was not responsible for the remaining judgment in excess of policy limits against Fragua’s estate. During this trial, Johnstone assigned to Herman all of Fragua’s first-party claims against Dairy-land. In his answer, Herman filed a counterclaim, in which he asserted Fragua’s first-party claim for bad-faith failure to settle, and demanded Dairyland pay the full judgment, including the amount in excess of its policy limits. Dairyland in turn responded with its own counterclaim in which it alleged Herman acted in bad faith during the settlement negotiations. Each party moved for summary judgment on both the declaratory-judgment action and their respective bad-faith counterclaims.

{10} On July 1, 1993, the district court decided the declaratory-judgment action by denying Herman’s and granting Dairyland’s motion for summary judgment. The court also granted summary judgment in favor of Dairyland on Herman’s bad-faith counterclaim. Thereafter, Dairyland moved to dismiss its own counterclaim against Herman. This dismissal was granted with prejudice on July 11,1995.

{11} Herman appealed these decisions to the Tenth Circuit Court of Appeals. That court has certified to us the question, quoted above, regarding an insurer’s duties to itself and its insured, when, knowing that a claimant is likely to recover in excess of policy limits, the insurer refuses to settle unless it obtains a release of all claims including subrogation claims.

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Cite This Page — Counsel Stack

Bluebook (online)
1998 NMSC 005, 954 P.2d 56, 124 N.M. 624, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dairyland-insurance-v-herman-nm-1997.