March v. Mountain States Mutual Casualty Co.

687 P.2d 1040, 101 N.M. 689
CourtNew Mexico Supreme Court
DecidedSeptember 24, 1984
Docket15222
StatusPublished
Cited by27 cases

This text of 687 P.2d 1040 (March v. Mountain States Mutual Casualty Co.) is published on Counsel Stack Legal Research, covering New Mexico Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
March v. Mountain States Mutual Casualty Co., 687 P.2d 1040, 101 N.M. 689 (N.M. 1984).

Opinion

OPINION

RIORDAN, Justice.

Plaintiff Anthony Gene March (March) brought a declaratory judgment action against defendant Mountain States Mutual Casualty Company (Mountain States) to determine the existence and extent of coverage of an underinsured motorist policy benefit with respect to a particular automobile accident. Mountain States raised several defenses in its answer, including claims that March had violated express policy provisions and had prejudiced the insurer’s subrogation rights. After a bench trial, the district court entered judgment in favor of Mountain States. March appeals. We affirm.

The issue we address is whether the district court erred in concluding that March’s release and settlement with the alleged tortfeasor’s insurance company without the consent or knowledge of Mountain States relieved Mountain States of its obligations to March.

Several years prior to the declaratory judgment action, March purchased an automobile insurance policy from Mountain States. The policy was in effect at the time of the accident. It included a benefit which provided for payments to a maximum of $50,000 for damages caused by an uninsured or underm&xxmd motorist. Upon payment of such benefit, the policy required that Mountain States be subrogated to the rights of March against any parties who possibly would be liable. The policy required the following obligations of March as an insured: to give Mountain States prompt notice of an accident, to make no settlement with third parties without the consent of Mountain States, and to do nothing to prejudice or defeat the subrogation rights of Mountain States.

On October 24, 1979, March was involved in a collision with a vehicle driven by Wanda Brazell (Brazell). March claims that the negligent driving of Brazell was the sole proximate cause of the collision and of his damages, which he claims exceed $75,000. On October 26, 1981, March presented a damage claim to the Travelers Insurance Company (Travelers), the liability insurance carrier for Brazell. On January 27, 1982, March settled this claim without notice to or the consent of Mountain States by accepting Travelers’ payment of $25,000, Brazed’s policy limit. In return, March executed an instrument releasing Brazell and Travelers from any further liability for personal injury or property damages arising from the October 24, 1979 automobile accident. The settlement was contingent upon his execution of this general release. Prior to April 16, 1982, Mountain States had neither notice nor knowledge of the accident, settlement negotiations, or settlement between March and Travelers. Mountain States was not a party to the settlement negotiations.

On April 16, 1982, nearly three months after settling with Travelers, March submitted to Mountain States a claim for $50,-000 in damages (his policy limit) under the undeñxisxxreá policy provisions. The claim notified Mountain States of the accident, the damages, the fact that Brazell was underinsured, and the settlement with Travelers. Mountain States subsequently denied coverage and all liability under the policy.

The parties agreed to submit the dispute to arbitration under the policy guidelines, but could not agree as to whether the arbitration should include legal (policy coverage) questions as well as factual issues. March filed a declaratory judgment action on October 15, 1982, seeking a determination of policy coverage, benefit amounts, and the scope of arbitration. On October 17, 1983, the district court entered judgment in favor of Mountain States dismissing the case, finding that, as a matter of law, March’s settlement and resulting destruction of Mountain States’ subrogation rights breached several express policy provisions and terminated the obligations of the insurer.

The essential facts are not in dispute. We therefore restrict our review to the correctness of the trial court’s legal conclusions. Martinez v. Martinez, 93 N.M. 673, 604 P.2d 366 (1979); Bowlin’s, Inc. v. Ramsey Oil Co., 99 N.M. 660, 662 P.2d 661 (Ct.App.), cert. denied, 99 N.M. 644, 662 P.2d 645 (1983). March contends that neither March’s destruction of Mountain States’ possible subrogation rights nor his failure to obtain Mountain States’ consent to the Travelers’ settlement terminated the policy obligation of Mountain States with respect to the October 24, 1979 accident. We disagree.

In New Mexico, the principles of contract law as applied to the particular terms of an insurance policy determine the obligations of a liability insurer. Farmers Alliance Mutual Insurance Co., v. Bakke, 619 F.2d 885 (10th Cir.1980); Safeco Insurance Co. of America v. McKenna, 90 N.M. 516, 565 P.2d 1033 (1977); Atlas Assurance Co. v. General Builders, Inc., 93 N.M. 398, 600 P.2d 850 (Ct.App.1979). Exclusionary policy provisions will be enforced so long as their meaning is clear and they do not conflict with public policy as embodied by express statutory language or by legislative intent. Chavez v. State Farm Mutual Automobile Insurance Co., 87 N.M. 327, 533 P.2d 100 (1975).

In the present case, the Mountain States policy expressly provides for both a right of subrogation in Mountain States and also an exclusion where the insured settles a claim without the insurer’s consent. The Mountain States policy provides in pertinent part:

WE WILL NOT COVER—EXCLUSIONS
This insurance does not apply to:
1. Any claim settled without our consent.

In addition to this specific exclusion, the overall policy clearly delineates the obligations of the insured as to notice of an accident or lawsuit, settlement, and subrogation rights in the following provisions:

DUTIES AFTER ACCIDENT OR LOSS
We must be notified promptly of how, when and where the accident or loss happened. Notice should also include the names and addresses of any injured persons and of any witnesses.
A person seeking any coverage must:
1. Cooperate with us in the investigation, settlement or defense of any claim or suit.
2. Promptly send us copies of any notices or legal papers received in connection with the accident or loss.
Jjc sfc * * >H
OUR RIGHT TO RECOVER PAYMENT
A. If we make a payment under this policy and the person to or for whom payment was made has a right to recover damages from another we shall be subrogated to that right.

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Cite This Page — Counsel Stack

Bluebook (online)
687 P.2d 1040, 101 N.M. 689, Counsel Stack Legal Research, https://law.counselstack.com/opinion/march-v-mountain-states-mutual-casualty-co-nm-1984.