Federated Service Insurance v. Martinez

300 F. App'x 618
CourtCourt of Appeals for the Tenth Circuit
DecidedDecember 1, 2008
DocketNo. 07-2293
StatusPublished
Cited by5 cases

This text of 300 F. App'x 618 (Federated Service Insurance v. Martinez) is published on Counsel Stack Legal Research, covering Court of Appeals for the Tenth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Federated Service Insurance v. Martinez, 300 F. App'x 618 (10th Cir. 2008).

Opinion

CERTIFICATION OF QUESTION OF STATE LAW

TIMOTHY M. TYMKOVICH, Circuit Judge.

This declaratory judgment case is on appeal from the United States District Court for the District of New Mexico. Danny Martinez, a non-managerial employee of Capitol Motor Company, was seriously injured in an accident involving an uninsured motorist on Capitol’s premises. Federated Service Insurance Company, the issuer of Capitol’s commercial insurance policy, rejected Mr. Martinez’s claims for uninsured/underinsured motorist benefits (“UM/UIM”) claiming Capitol had validly waived such coverage for its non-managerial employees. Federated

filed a declaratory judgment action naming Martinez as the defendant. The filing asked the district court to hold a policy change endorsement, which stated that all non-managerial employees of Capitol are “NOT COVERED” for the purposes of UM/UIM insurance, qualified as a valid rejection of uninsured motorist coverage under New Mexico law. Although Capitol requested this policy change and was issued a partial refund as a result, it never signed any document memorializing its rejection of UM/UIM coverage for its non-managerial employees.

On cross-motions for summary judgment, the district court granted Federated’s motion for summary judgment concluding the endorsement was a valid rejection because (1) New Mexico law does not require a rejection of UM/UIM coverage to be in any particular form, (2) an actual written rejection signed by the insured party is only one of many possible means of rejecting UM/UIM coverage, and (3) so long as the rejection of UM/UIM coverage is clearly and unambiguously called to the attention of the insured party, the requirements of New Mexico law are satisfied. Martinez appeals that decision.

Because the disposition of this appeal turns on an important and unsettled question of New Mexico’s UM/UIM law, we grant Martinez’s motion to certify the issue to the New Mexico Supreme Court. As a result, the United States Court of Appeals for the Tenth Circuit submits this request to the Supreme Court of New Mexico to exercise its discretion to accept the following certified question of New Mexico law in accordance with 10th Circuit Rule 27.1 and New Mexico Rule 12-607:

For a valid rejection of UM/UIM coverage under New Mexico law, must that [619]*619rejection be written, signed by the insured, and attached to the policy?

I. Background

The facts of this case are undisputed. In March 2001, Federated first issued an insurance policy to Capitol, an automobile dealership in Santa Fe, New Mexico. This initial policy provided two levels of UM/ UIM motorist coverage: one level for managerial employees set at $500,000 per accident and another level for non-managerial employees set at $60,000 per accident.

The parties’ controversy stems from a subsequent adjustment to this policy made by Capitol in 2002. Capitol’s general manager testified he authorized Federated’s agent to change the insurance policy to waive UM/UIM coverage for non-managerial employees. When this change went into effect in May 2002, Federated issued a premium credit of $505 to Capitol. In subsequent years, each annual policy renewal included an attached endorsement expressly limiting UM/UIM coverage to managerial employees only and stating non-managerial employees were “NOT COVERED.” Capitol has maintained throughout the litigation that it was fully aware it had waived UM/UIM coverage for non-managerial employees from May 2002 onward.

In May 2005, Martinez, a Capitol employee, was seriously and permanently injured when he was struck by an automobile driven by an uninsured motorist on Capitol’s premises. After the accident, Martinez made a demand on Federated for UM/UIM benefits under Capitol’s insurance policy. Because Martinez was not a director, officer, partner or owner of Capitol, as provided in the policy endorsement for UM/UIM coverage, Federated rejected Martinez’s demand. Federated subsequently filed a declaratory judgment action asking the district court to hold Capitol had effectively rejected UM/UIM coverage for its non-managerial employees under New Mexico law. Martinez counterclaimed, arguing the policy endorsement was not a valid rejection of UM/UIM coverage.

After the parties filed cross-motions for summary judgment on this issue, the district court determined the attached policy endorsement, issued by Federated at Capitol’s request, was a valid rejection of UM/ UIM coverage for non-managerial employees and granted Federated’s summary judgment motion. In particular, the district court acknowledged that New Mexico law required all automobile insurance policies to provide uninsured motorist coverage unless such coverage was specifically rejected by the named insured. It noted that a rejection of UM/UIM coverage must “ ‘clearly and unambiguously call to the attention of the insured the fact that such coverage has been waived,’ and should ‘ensure that the insured has affirmative evidence of the extent of coverage.’ ” Federated Serv. Ins. v. Martinez, No. l:06-cv00638-JP-WDS, Mem. Op. & Order at 6 (D.N.M. Aug. 31, 2007) (citing and quoting Romero v. Dairy land Ins., 11 N.M. 154, 803 P.2d 243, 245 (1990)). After differentiating other New Mexico cases, the district court concluded “there does not appeal’ to be any requirement under New Mexico law that a rejection of UM/UIM coverage take[] any particular form.” Id. at 8. Consequently, the court held the endorsement was a valid rejection of UM/UIM coverage under New Mexico law because the endorsement provided affirmative evidence of the scope of Capitol’s coverage under its insurance policy and “clearly and unambiguously calls to the attention of the insured the fact that such coverage has been waived” with respect to non-managerial employees. Id. at 9 (quotation omitted).

[620]*620II. Analysis

Martinez’s appeal challenges the validity of Federated’s endorsement as a rejection of UM/UIM coverage and implicates a potentially unsettled question of New Mexico insurance law. Specifically, the question presented on appeal is whether New Mexico law requires a rejection of UM/UIM coverage to be signed or written by the insured and attached to the policy for it to be valid. See N.M. Stat. § 66-5-301 (1988); N.M.Code R. § 13.12.3.9 (Weil 2005) (“The rejection of the provisions covering damage caused by an uninsured or unknown motor vehicle as required in writing by the provisions of Section 66-5-301 NMSA 1978 must be endorsed, attached, stamped or otherwise made a part of the policy of bodily injury and property damage insurance.”).

We previously addressed this issue in an unpublished opinion. In Wilson v. Federated Service Insurance Co., No. 98-2161, 1999 WL 178629, at *1 (10th Cir. Apr.l, 1999), we stated that, although “uninsured motorist coverage must be offered to New Mexico drivers ... named insureds may reject this coverage.” (citing Moore v. State Farm Mut. Auto. Ins., 119 N.M. 122, 888 P.2d 1004, 1007 (N.M.Ct.App.1994)).

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Bluebook (online)
300 F. App'x 618, Counsel Stack Legal Research, https://law.counselstack.com/opinion/federated-service-insurance-v-martinez-ca10-2008.