Komadina v. USAA Casualty Insurance Company

CourtDistrict Court, D. New Mexico
DecidedJanuary 24, 2023
Docket1:21-cv-01143
StatusUnknown

This text of Komadina v. USAA Casualty Insurance Company (Komadina v. USAA Casualty Insurance Company) is published on Counsel Stack Legal Research, covering District Court, D. New Mexico primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Komadina v. USAA Casualty Insurance Company, (D.N.M. 2023).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW MEXICO

MARK KOMADINA,

Plaintiff,

v. Civ. No. 21-1143 MIS/SCY

USAA CASUALTY INSURANCE COMPANY,

Defendant.

PROPOSED FINDINGS AND RECOMMENDED DISPOSITION Plaintiff was working as a security guard when an unknown assailant shot him in the hip inside a shopping mall. The assailant arrived at the mall in a car and stayed in the car for about twelve minutes while the woman he came to the mall with shoplifted inside. Moments before the assailant went into the mall and shot Plaintiff, the assailant parked his car near the exit doors. When Plaintiff tackled the shoplifter before she made it out the exit doors, the assailant entered the store and shot Plaintiff. Immediately after the shooting, the assailant ran outside and drove away in the car. Plaintiff made a claim for uninsured motorist (“UM”) benefits under his automobile insurance policy, under the theory that the assailant’s uninsured motor vehicle was used in the shooting. Defendant, the insurer who issued Plaintiff the UM policy, disagreed and denied the claim. Because the motor vehicle played no role in the shooting other than transportation to and from the scene of the crime, and because the shooting interrupted the causal link between the use of the vehicle for shoplifting and Plaintiff’s injury, I agree with Defendant that the policy does not cover Plaintiff’s claim. I therefore recommend the Court grant Defendant’s Motion For Summary Judgment (Doc. 23). FACTS The parties do not dispute the following facts.1 Plaintiff was working as a security guard at Dillard’s in Cottonwood Mall on November 9, 2020 when a gold sedan pulled up outside of the Dillard’s south lower-level doors. An unknown female exited the gold sedan and entered the store at about 4:14 p.m. At approximately 4:18 p.m., Dillard’s employees became suspicious of

the unknown woman’s behavior and notified security. From 4:16 p.m. to 4:25 p.m., the woman can be seen roaming the lower-level floor of Dillard’s while examining various clothing items and talking on her cell phone. At roughly 4:25 p.m., the woman got on an escalator and moved to the upper-level Dillard’s area. Plaintiff followed her to the upper level. The woman spent the next two minutes examining clothing and talking on a cell phone. At the 4:26:50 timestamp on the surveillance video (Exhibit 6) the woman grabbed several pairs of sweatpants off of a table and began heading towards the exterior upper-level doors. Seconds after the woman grabbed the sweatpants, Plaintiff started chasing the woman. While still well inside the store, Plaintiff tackled the woman and attempted to detain her.

Meanwhile—just before Plaintiff grabbed the sweatpants, at the 4:26:30 timestamp on the surveillance video (Exhibit 7)—the gold sedan pulled up outside of the upper-level doors. While Plaintiff and the woman were wrestling on the ground, at approximately 4:27 p.m., an unknown male entered the store and shot Plaintiff in the hip. The male assailant and the female shoplifter then exited Dillard’s and entered the gold sedan that the assailant had just parked outside the exterior upper-level doors. They drove northbound through the parking lot in the gold sedan.

1 These facts are taken from Defendant’s statement of Undisputed Material Facts, Doc. 23 at 2-4, all of which Plaintiff admits. Doc. 29 at 2. In addition, the facts are based on copies of surveillance video provided to the Court as Exhibits 1, 2, 4, 5, 6, and 7, the authenticity of which Plaintiff does not dispute. Over twelve minutes passed between the female shoplifter entering the store and the shooting, and all of these events were captured by surveillance video. At the time of the incident, Defendant provided a policy of automobile insurance to Plaintiff which included uninsured motorist (“UM”) coverage. On August 25, 2021, Plaintiff made a claim for UM benefits to compensate him for damages related to the shooting. Under the

terms of the policy, Defendant agreed to pay damages which a “covered person is legally entitled to recover from the owner or operator of an uninsured motor vehicle . . . .” Doc. 23-2 at 25. “The owner’s or operator’s liability for these damages must arise out of the ownership, maintenance or use of the uninsured motor vehicle.” Id. On September 9, 2021, Defendant denied the claim after determining the incident did not arise out of the use of a motor vehicle. Plaintiff filed suit in state court on November 1, 2021. Doc. 1-1 at 2. Plaintiff brings claims for bad faith, breach of the covenant of good faith and fair dealing, breach of contract, unfair claims practices, and unfair trade practices. Id. Defendant removed the case to federal court on December 1, citing diversity jurisdiction. Doc. 1 at 3. Defendant filed the instant motion

for summary judgment, arguing that under New Mexico law and the language of the policy, UM coverage does not apply to a shooting inside of a department store, and so Plaintiff cannot sustain any of his claims for breach of the insurance contract or bad faith. Doc. 23. The Honorable Margaret I. Strickland referred this matter to me pursuant to 28 U.S.C. § 636(b)(1)(A) and Federal Rule of Civil Procedure 72(a). Doc. 33. STANDARD OF REVIEW “The court shall grant summary judgment if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a). A dispute about a material fact is “genuine” if the evidence is such that a reasonable jury could return a verdict for the non-moving party. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986). In other words, a dispute is genuine “if there is sufficient evidence on each side so that a rational trier of fact could resolve the issue either way,” and it is material “if under the substantive law it is essential to the proper disposition of the claim.” Becker v. Bateman, 709 F.3d 1019, 1022 (10th Cir. 2013) (internal quotation marks omitted). In reviewing

a motion for summary judgment, the court views the evidence and all reasonable inferences therefrom in the light most favorable to the non-moving party. S.E.C. v. Thompson, 732 F.3d 1151, 1156-57 (10th Cir. 2013) (internal quotation marks omitted). Initially, the party seeking summary judgment has the burden of showing that there is no genuine dispute as to any material fact. See Shapolia v. Los Alamos Nat’l Lab., 992 F.2d 1033, 1036 (10th Cir. 1993). Once the moving party meets its burden, the non-moving party must show that genuine issues remain for trial. Id. In this diversity jurisdiction case, the court applies New Mexico substantive law to the questions raised in the motion for summary judgment. State Farm Mut. Auto. Ins. Co. v. Blystra,

86 F.3d 1007, 1010 (10th Cir. 1996). DISCUSSION A. New Mexico uses a three-factor test to determine whether uninsured motorist coverage is available in assault cases such as this. The parties, and every court applying New Mexico law since 1995, agree that the starting point for analysis in cases such as this is Britt v. Phoenix Indemnity Ins.

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Related

Anderson v. Liberty Lobby, Inc.
477 U.S. 242 (Supreme Court, 1986)
State Farm Mutual Automobile Insurance v. Blystra
86 F.3d 1007 (Tenth Circuit, 1996)
Becker v. Bateman
709 F.3d 1019 (Tenth Circuit, 2013)
Britt v. Phoenix Indemnity Insurance
907 P.2d 994 (New Mexico Supreme Court, 1995)
Hartford Insurance v. Estate of Tollardo
409 F. Supp. 2d 1301 (D. New Mexico, 2005)
Barncastle v. American National Property & Casualty Companies
11 P.3d 1234 (New Mexico Court of Appeals, 2000)
Schneider National Inc. v. State, Taxation & Revenue Department
2006 NMCA 128 (New Mexico Court of Appeals, 2006)
Securities & Exchange Commission v. Thompson
732 F.3d 1151 (Tenth Circuit, 2013)
Crespin v. Safeco Ins. Co. of Am.
429 P.3d 968 (New Mexico Court of Appeals, 2018)
McKinley v. Interinsurance Exch. of the Auto. Club
517 P.3d 937 (New Mexico Court of Appeals, 2022)

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Komadina v. USAA Casualty Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/komadina-v-usaa-casualty-insurance-company-nmd-2023.