Garcia v. Republic Underwriters Insurance Company

District Court, D. New Mexico·Decided September 13, 2023·No. 1:21-cv-01023·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW MEXICO YVONNE GARCIA, Individually and on behalf of other similarly situated individuals,

Plaintiff, VS. Civ. No. 21-1023KG/JMR

REPUBLICAN UNDERWRITERS INSURANCE COMPANY, Defendant. MEMORANDUM OPINION AND ORDER THIS MATTER comes before this Court on Plaintiff's Motion to Alter or Amend the Judgment (“the Motion”), or alternatively, stay the case. (Doc. 26). It is fully and timely briefed. (Docs. 26, 27, 28). In this case, Plaintiff complains that although she received $200,000, which was the exact amount of her underinsured motorist insurance coverage (“UIM”), she is not getting as much as she thought she would get, because some of that $200,000 came from the tortfeasor and not from her insurer. She contends the statutorily allowed offset for the tortfeasor’s contribution, which was explicitly disclosed in easy-to-understand language, rendered this aspect of her policy and coverage illusory and rendered the $200,000 listed on the declaration page a misrepresentation. In making this argument, Plaintiff relies on caselaw where insureds purchased the statutory minimum amount of UIM ($25,000) and hence, upon receiving $25,000 from a tortfeasor, were not provided any recovery from their insurer for their UIM coverage. These facts not only were important and dispositive, but also distinguish this matter at bar. Plaintiff did not purchase the

statutory minimum, and she received $100,000 from her underinsured motorist coverage from her insurer after receiving $100,000 from the at-fault driver. Similarly, although Plaintiff argues the declaration page indicating that she would receive $200,000 is a misrepresentation of the $200,000 she received because she thought she would get $200,000 in addition to what she got from a driver responsible for any accident, her policy explicitly disclosed in clear language that her policy required the insurer to reduce the amount on the declaration page by the amount Plaintiff recovered from a responsible tortfeasor. As such, there is nothing for a jury to decide, as no reasonable jury could find any misrepresentation in this matter. For these reasons, as discussed further herein, Plaintiff's Motion to Amend or Alter the Judgment or alternatively stay the case is denied. L. Background A. Factual Background The following facts were assumed true and viewed in the light most favorable to Plaintiff for purposes of Defendant Republic Underwriters Insurance Company’s (Republic) Motion to Dismiss (Doc. 18). Santa Fe Alliance for Public Health and Safety v. City of Santa Fe, 993 F.3d 802, 811 (10th Cir. 2021) (citation omitted). Republic’s Motion to Dismiss was granted by this Court in the Memorandum Opinion and Order (Doc. 24, “the MOO”) subject to Plaintiff's at bar Motion to Alter or Amend the Judgment. (Doc. 26). And the following facts again are assumed true for purposes of this Motion and viewed in the light most favorable to Plaintiff. Santa Fe Alliance for Public Health and Safety, 993 F.3d at 811 (citation omitted). Republic sold Plaintiff, Yvonne Garcia, personal automobile insurance on two vehicles with liability limits of $100,000 per person and $300,000 per accident. (First

Amended Complaint, Doc. 17) at Jf 8, 10-13. Ms. Garcia also carried uninsured/underinsured motorist (UM/UIM) coverage. /d. at § 14. Because Ms. Garcia had two covered vehicles, her UM/UIM limits stacked to $200,000 per person and $600,000 per accident. Jd. On October 6, 2018, Ms. Garcia was involved in a car accident. /d. at § 30. The tortfeasor’s insurer paid Ms. Garcia $100,000.00, representing the limit of the tortfeasor’s liability insurance. Jd. at § 35. Ms. Garcia then made a claim with Republic for UM/UIM coverage. /d. at { 38. Republic paid Ms. Garcia $100,000.00 in UM/UIM benefits, for a total recovery of $200,000.00. Jd. at § 40. Republic invoked the statutory offset recognized in Schmick v. State Farm Mutual Automobile Insurance Company, 1985-NMSC-073, to subtract the payment Ms. Garcia received from the tortfeasor’s insurance company from the payment due to its own policyholder. Jd. at 941. See also Crutcher, 2022-NMSC-001, 9 9. Ms. Garcia asserts her injuries exceed $200,000.00. (First Amended Complaint, Doc. 17) at § 33. Ms. Garcia contends that Republic was negligent, engaged in false and misleading trade practices, violated the New Mexico Unfair Insurance Practices Act, breached the covenant of good faith and fair dealing, and made negligent misrepresentations by selling her illusory UM/UIM coverage and not explaining the Schmick offset. See e.g., id. at 66, 69, 79, 91, 106, 113. She seeks reformation of the insurance policy to receive the full benefit of UM/UIM limits, declaratory judgment, injunctive relief, and class certification for all persons who carried UM/UIM coverage through Republic. See e.g., id. at J 100. Ms. Garcia proposes to define the class as: All persons (and their heirs, executors, administrators, successors, and assigns) from whom Defendant collected a premium for an underinsured motorist coverage on a policy that was issued or renewed in New Mexico by Defendant and that purported to provide underinsured motorist coverage on the face of its

application and declaration pages, but which effectively provides no underinsured motorists coverage and/or misleading underinsured coverage, reflected on Defendant’s declaration page, because of the statutory offset recognized in Schmick v. State Farm Mutual Automobile Insurance Company, 704 P.2d 1092 (1985).

Id. at { 44. Ms. Garcia also asserts the following subclass:

All Class Members (and their heirs, executors, administrators, successors, and assigns) where an underinsured motorist coverage on a policy that was issued or renewed in New Mexico by Defendant and that purported to provide the underinsured motorist coverage on the face of its application and declaration pages, but which in fact provides no underinsured motorists coverage and/or misleading underinsured coverage because of the statutory offset recognized in Schmick v. State Farm Mutual Automobile Insurance Company, 704 P.2d 1092 (1985), and who sustained damages in excess of an insured tortfeasor’s policy limits, received the extent of all bodily injury liability limits available and would be or were denied those benefits by Defendant due to the Schmick offset.

Id. at § 45. Ms. Garcia attached the policy to her Amended Complaint. (Doc. 17-1). Relevantly, the policy includes an “Uninsured Motorists Coverage — New Mexico (Stacked)” endorsement. Jd. at 20-23. That endorsement includes the following passages under “Insuring Agreement”:

A. We will pay damages which an “insured” is legally entitled to recover from the owner or operator of an: 1. “Uninsured motor vehicle” or “underinsured motor vehicle" because of “bodily injury": a. Sustained by an “insured”; and b. Caused by an accident: 2. “Uninsured motor vehicle" or “underinsured motor vehicle” because of “property damage" caused by an accident. The owner's or operator's liability for these damages must arise out of the ownership, maintenance or use of the “uninsured motor vehicle" or “underinsured motor vehicle", With respect to damages an “insured” is legally entitled to recover from the owner cr operator of an “underinsured motor vehicle”, we will pay under this coverage only if Paragraph 1. or 2. below applies: 1. The limits of tiability under any liability bends or policies applicable to the “underinsured motor vehicle” have been exhausted by payment of judgments or settlements; or

D.

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