Higgins v. Advanced Tower Servs.

CourtNew Mexico Court of Appeals
DecidedAugust 28, 2024
DocketA-1-CA-40732
StatusUnpublished

This text of Higgins v. Advanced Tower Servs. (Higgins v. Advanced Tower Servs.) 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
Higgins v. Advanced Tower Servs., (N.M. Ct. App. 2024).

Opinion

This decision of the New Mexico Court of Appeals was not selected for publication in the New Mexico Appellate Reports. Refer to Rule 12-405 NMRA for restrictions on the citation of unpublished decisions. Electronic decisions may contain computer- generated errors or other deviations from the official version filed by the Court of Appeals.

IN THE COURT OF APPEALS OF THE STATE OF NEW MEXICO

No. A-1-CA-40732

JOHNNY HIGGINS,

Worker-Appellant,

v.

ADVANCED TOWER SERVICES, INC. and ZURICH,

Employer/Insurer-Appellees.

APPEAL FROM THE WORKERS’ COMPENSATION ADMINISTRATION Shanon S. Riley, Administrative Hearing Officer

Dorato & Weems, LLC Derek Weems Albuquerque, NM

for Appellant

O’Brien & Padilla, P.C. Daniel J. O’Brien Penelope M. Quintero Albuquerque, NM

for Appellees

MEMORANDUM OPINION

IVES, Judge.

{1} Worker Johnny Higgins appeals from two orders of the Workers’ Compensation Judge (the WCJ): an order denying Worker’s application for bad faith and/or unfair claims processing and an order denying Worker’s motion for reconsideration. Worker raises four claims of error: (1) the WCJ may not have had subject matter jurisdiction to rule on claims involving the Insurance Code; (2) the WCJ erred by failing to find that Employer, Advanced Tower Services, Inc. and its Insurer, Zurich, (collectively, Employer-Insurer) engaged in unfair claim processing and/or bad faith because Employer-Insurer was late in distributing payment and violated a provision of the Insurance Code; (3) the WCJ erred by allowing Employer-Insurer to untimely file their response and admit exhibits late in violation of the Rules of Civil Procedure; and (4) the WCJ miscalculated the interest rate and the number of days of post-judgment interest recoverable against Employer-Insurer. We agree with Worker that the WCJ miscalculated the number of days that post-judgment interest had accrued on the settlement amount, but we are unpersuaded that any other error occurred. We therefore reverse and remand for the WCJ to calculate the correct amount of post-judgment interest, but otherwise affirm.

DISCUSSION

I. Subject Matter Jurisdiction

{2} Worker argues that the WCJ may not have subject matter jurisdiction to rule on Employer-Insurer’s alleged violation of the Insurance Code, NMSA 1978, Section 59A- 13-11 (1989), because “[t]he Workers’ Compensation Administration is an administrative body with limited jurisdiction, limited function, and limited expertise” that is confined to “issues originating within the plain language of the” Workers’ Compensation Act (WCA), NMSA 1978, §§ 52-1-1 to -70 (1929, as amended through 2017), and “the Insurance Code is a specialized area of law beyond the confines of the [WCA].” However, as Employer-Insurer notes, Worker is ultimately arguing that by violating the Insurance Code, Employer-Insurer engaged in unfair claim processing and bad faith in violation of Section 52-1-28.1 of the WCA. The WCA is the exclusive remedy for those claims. See § 52-1-6(E) (“The Workers’ Compensation Act provides exclusive remedies.”). Although the alleged violations were of the Insurance Code, because Worker argues that Employer-Insurer’s actions violated the WCA, the WCJ had jurisdiction over Worker’s claims and did not err in ruling on those claims.

II. Unfair Claim Processing and Bad Faith

{3} As we understand Worker’s briefs, Worker argues that Employer-Insurer engaged in unfair claim processing and/or bad faith by failing to distribute the settlement amount to Worker within the fifteen-day deadline in the WCJ’s order and by allegedly issuing settlement payment checks from a financial institution outside of New Mexico in violation of the Insurance Code. See § 59A-13-11. Worker contends that the WCJ therefore erred and abused its discretion by failing to penalize Employer-Insurer for these alleged violations. Worker argues that Employer-Insurer’s alleged violation of the Insurance Code and failure to pay within the fifteen-day deadline in the WCJ’s order may have “rise[n] to the level of bad faith,” but “at a minimum” resulted in unfair claim processing because of a failure by Employer-Insurer “‘to adopt and implement reasonable standards for the prompt investigation and processing of claims.’” (quoting 11.4.1.7(W)(3) NMAC). In his brief in chief, Worker’s argument consists of a summary of the law and conclusory assertions that the law requires reversal here; Worker fails to explain how the law applies to the facts in this case. Although the applicable regulation imposes liability for “unreasonabl[e] delay[],” 11.4.1.7(W) NMAC, rather than any delay whatsoever, Worker has failed to explain how the delay that occurred in this case was unreasonable and has not explained how the delay, even if unreasonable, was caused by Employer-Insurer’s use of an out-of-state bank in violation of the Insurance Code. Also unsupported by developed argument is Worker’s assertion that Employer-Insurer failed to adopt standards in violation of 11.4.1.7(W)(3) NMAC. We will not develop Worker’s arguments for him, and we therefore decline to address the substance of this claim of error. See Elane Photography, LLC v. Willock, 2013-NMSC-040, ¶ 70, 309 P.3d 53.

III. Timeliness of Response and Admission of Evidence

{4} Worker argues that the WCJ erred by not sanctioning Employer’s failure to comply with the Rules of Civil Procedure because (1) Employer-Insurer did not file a timely response to Worker’s application; and (2) the WCJ improperly admitted exhibits from Employer-Insurer at the hearing on Worker’s application. Neither argument has merit.

A. The WCJ Did Not Abuse Its Discretion by Allowing Employer-Insurer to File Its Response Late

{5} Worker contends that Employer-Insurer’s failure to file a timely response to Worker’s application “should have resulted in a ruling that all of [Worker’s] averments were admitted.” We review questions of the application and interpretation of rules of civil procedure de novo. Becenti v. Becenti, 2004-NMCA-091, ¶ 6, 136 N.M. 124, 94 P.3d 867. However, “we generally apply an abuse of discretion standard where the application of an evidentiary rule involves an exercise of discretion or judgment.” Dewitt v. Rent-A-Ctr., Inc., 2009-NMSC-032, ¶ 13, 146 N.M. 453, 212 P.3d 341. Worker argues that Employer-Insurer violated two Rules of Civil Procedure: Rule 1-007.1(D) NMRA and Rule 1-008(D) NMRA. See 11.4.4.9(A)(2) NMAC (applying the Rules of Civil Procedure to workers’ compensation proceedings “[u]nless otherwise stated or necessarily implied” in the regulations). We are not persuaded by either of Worker’s arguments, which we address in turn.

{6} Importantly, the plain language throughout Rule 1-007.1 indicates that it pertains to responses to motions, and Worker has not cited any authority or developed any argument to support the notion that—notwithstanding the plain language—the rule also applies to responses to applications in workers’ compensation proceedings. Absent any such authority or argument, we believe that the circumstances here are governed by the workers’ compensation regulations. The regulations require responses to applications to be filed within fifteen days of service, see 11.4.4.13(B)(5) NMAC, but leave the question of whether to sanction a noncompliant party to the discretion of the WCJ. See 11.4.4.16(A) NMAC (“The judge may sanction any party, attorney, or personal representative for conduct that interferes with the orderly administration of the court or a hearing.”).

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Related

Dewitt v. Rent-A-Center, Inc.
2009 NMSC 032 (New Mexico Supreme Court, 2009)
Elane Photography, LLC v. Willock
2013 NMSC 040 (New Mexico Supreme Court, 2013)
Hambaugh v. Peoples
401 P.2d 777 (New Mexico Supreme Court, 1965)
Public Service Co. v. Diamond D Construction Co.
2001 NMCA 082 (New Mexico Court of Appeals, 2001)
Becenti v. Becenti
2004 NMCA 091 (New Mexico Court of Appeals, 2004)
Khalsa v. Levinson
1998 NMCA 110 (New Mexico Court of Appeals, 1998)
Massengill v. Fisher Sand & Gravel Co.
2013 NMCA 103 (New Mexico Court of Appeals, 2013)

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Bluebook (online)
Higgins v. Advanced Tower Servs., Counsel Stack Legal Research, https://law.counselstack.com/opinion/higgins-v-advanced-tower-servs-nmctapp-2024.