Financial Indem. Co. v. Cordoba

2012 NMCA 16, 2012 NMCA 016, 1 N.M. Ct. App. 251
CourtNew Mexico Court of Appeals
DecidedDecember 20, 2011
Docket30,417
StatusPublished

This text of 2012 NMCA 16 (Financial Indem. Co. v. Cordoba) 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
Financial Indem. Co. v. Cordoba, 2012 NMCA 16, 2012 NMCA 016, 1 N.M. Ct. App. 251 (N.M. Ct. App. 2011).

Opinion

I attest to the accuracy and integrity of this document New Mexico Compilation Commission, Santa Fe, NM '00'05- 17:14:19 2012.02.09

IN THE COURT OF APPEALS OF THE STATE OF NEW MEXICO

Opinion Number: 2012-NMCA-016

Filing Date: December 20, 2011

Docket No. 30,417

FINANCIAL INDEMNITY COMPANY,

Plaintiff-Appellee,

v.

LEO CORDOBA,

Defendant-Appellant.

APPEAL FROM THE DISTRICT COURT OF DOÑA ANA COUNTY James T. Martin, District Judge

Miller Stratvert P.A. Charlotte Lamont Matthew S. Rappapport Albuquerque, NM

for Appellee

Kenneth G. Egan Las Cruces, NM

L. Helen Bennett Albuquerque, NM

for Appellant

OPINION

SUTIN, Judge.

{1} In this workers’ compensation case, Defendant Leo Cordoba appeals the district court’s dismissal of his counterclaim against Plaintiff Financial Indemnity Company (FIC) and denial of his motion for reconsideration or, in the alternative, for leave to amend the counterclaim. We hold that the district court misconstrued and misapplied Rules 11-408 and

1 1-012(B)(6) NMRA. Rule 11-408 is not designed or intended to preclude admission of evidence of settlement negotiations in an insurance coverage dispute when the settlement negotiations are offered not to prove coverage or amount, but are offered to prove wrongful conduct such as bad faith or unfair practices during the claim investigation and upon denial of the claim. Here, insofar as the averments of settlement negotiations related to claims of wrongful conduct, dismissal was inappropriate.

BACKGROUND

{2} Cordoba was injured in an accident that occurred when he was a passenger in a company-owned truck driven by his co-worker. His medical costs were approximately $35,000. Workers’ compensation, which was the exclusive remedy available to Cordoba through his employer, paid his lost wages and medical bills.

{3} Cordoba sought payment from his own insurer, FIC, under the uninsured/underinsured motorist coverage of his policy and requested payment of $25,000, the limit for bodily injury. Following a failed attempt at settlement negotiations, FIC filed a declaratory judgment action as to whether the policy covered Cordoba’s claim and, if so, in what amount. FIC’s position was that the policy did not apply because Cordoba could not establish that his injuries were caused by an uninsured or underinsured motorist and also that, in accordance with the policy, any amount payable should be reduced by any payment made by workers’ compensation.

{4} Cordoba filed a counterclaim alleging that FIC had breached its contract, violated New Mexico law, and acted in bad faith. As a factual basis for his counterclaim, Cordoba averred, in part, that FIC had acknowledged coverage of Cordoba’s claim by way of two settlement offers. Cordoba further averred that after he demanded the policy limit, FIC made two counteroffers of $8,000 and $10,000 respectively, and that FIC’s rationale for offering these amounts was that it was entitled to offset the amount Cordoba had already received from workers’ compensation. Cordoba also averred that, in attempting to offset the workers’ compensation payments, FIC did not follow New Mexico law, and that when FIC “learned of its error” in this regard, it filed the declaratory judgment action as a “tactic” to cause further delay. FIC moved under Rule 1-012(B)(6) to dismiss Cordoba’s counterclaim for failure to state a claim upon which relief could be granted. FIC broadly asserted that the counterclaim cited the alleged settlement negotiations between the parties in order to establish liability and was, therefore, attempting to do what was expressly prohibited by Rule 11-408.

{5} In a hearing on FIC’s motion to dismiss, Cordoba contended that his reference to the settlement negotiations, rather than being used to show FIC’s acknowledgment of coverage, was intended only to show that, because full coverage was otherwise indisputable, FIC acted wrongfully in attempting to pay less than the policy limits. Unpersuaded by Cordoba’s argument, the district court granted FIC’s Rule 1-012(B)(6) motion. The district court reasoned that Cordoba’s counterclaim contravened Rule 11-408 insofar as it was drafted to

2 say that, in making settlement offers, FIC admitted that Cordoba’s claim was covered. The court noted that “[t]he first step is whether . . . [FIC] even ha[d] a responsibility of coverage . . . which [was] the subject of the declaratory judgment action” and that, by using FIC’s offer of settlement to establish that FIC had a duty of coverage, Cordoba was using the settlement offer to “make step one of [his] claim.” The dismissal was without prejudice based on Cordoba’s request that he be permitted to proceed with discovery already requested, “in case new information is learned that would support [his counterclaim].”

{6} Cordoba filed a motion to reconsider or, in the alternative, for leave to amend his counterclaim. His proposed amended counterclaim restated the averments of the settlement negotiations but, in place of the averment that FIC had acknowledged coverage for Cordoba by making the settlement offers, the amended counterclaim averred that “FIC took the erroneous position at all relevant times . . . that they were entitled to [offset] workers[’] compensation benefits paid to Cordoba.” Simultaneously, he filed a motion to compel discovery of information that may have been relevant to an amended counterclaim.

{7} With Cordoba’s motion to reconsider or to allow him to amend his counterclaim still pending, the district court heard FIC’s motion for summary judgment and Cordoba’s motion to compel discovery. The court denied FIC’s motion for summary judgment, ruling that Cordoba was entitled to seek recovery under his uninsured/underinsured motorist coverage, and the court granted Cordoba’s motion to compel discovery. The district court declined to reconsider its prior Rule 1-012(B)(6) dismissal of the original counterclaim, but it agreed that if Cordoba was able to discover sufficient evidence to support his counterclaim, the court would reconsider its ruling.

{8} Several weeks later, FIC filed a motion to dismiss, with prejudice, Cordoba’s motion to amend his counterclaim. In its motion, FIC asserted that, after the court’s ruling on its motion for summary judgment, FIC paid Cordoba the policy limits and that, therefore, the only outstanding issue in the case was Cordoba’s request to amend his counterclaim. In that regard, FIC asserted that it had produced sufficient discovery for Cordoba to determine whether he had an alternative basis for his counterclaim. Thereafter, Cordoba filed a second motion to compel discovery in which he asserted that his attempts “to schedule depositions with various individuals of [FIC]” had all been refused.

{9} At a hearing on FIC’s motion to dismiss Cordoba’s motion to amend his counterclaim and on Cordoba’s second motion to compel, the court ruled that because the declaratory judgment action was resolved and the policy limits were paid, there remained “no pending claims.” The court entered a final judgment by which it granted FIC’s motion to dismiss with prejudice and denied as moot all pending motions.

{10} On appeal, Cordoba contends that the district court erred in its application of Rule 11-408 and in dismissing his counterclaim on Rule 1-012(B)(6) grounds and also erred in not permitting him to proceed on that counterclaim or on his proposed amended counterclaim.

3 DISCUSSION

{11} “A motion to dismiss for failure to state a claim tests the legal sufficiency of the complaint, not the factual allegations of the pleadings which, for purposes of ruling on the motion, the court must accept as true.” Herrera v. Quality Pontiac, 2003-NMSC-018, ¶ 2, 134 N.M.

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Cite This Page — Counsel Stack

Bluebook (online)
2012 NMCA 16, 2012 NMCA 016, 1 N.M. Ct. App. 251, Counsel Stack Legal Research, https://law.counselstack.com/opinion/financial-indem-co-v-cordoba-nmctapp-2011.