Martinez v. Gulf Insurance Company

358 P.2d 1003, 68 N.M. 90
CourtNew Mexico Supreme Court
DecidedJanuary 26, 1961
Docket6650
StatusPublished
Cited by5 cases

This text of 358 P.2d 1003 (Martinez v. Gulf Insurance Company) 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
Martinez v. Gulf Insurance Company, 358 P.2d 1003, 68 N.M. 90 (N.M. 1961).

Opinion

CHAVEZ, Justice

This is an appeal from a judgment awarding appellee $1,900.77 for hospital, ambulance, medical and funeral expenses incurred under an insurance policy issued by appellant on appellee’s motor vehicle. Injuries were received by Pedro Espinosa while he was riding in appellee’s motor vehicle. The case was tried by the court without a jury upon a stipulation of facts and other evidence. This is a case of first impression in New Mexico.

It was stipulated that on June 13, 1958, plaintiff’s wife, a resident of plaintiff’s household, with the permission of plaintiff, was driving the insured vehicle in the village of Springer, New Mexico. Pedro Espinosa, the stepfather of appellee, was occupying said vehicle by riding in the bed of the pickup and, while so riding, was thrown out or fell out of the pickup to the pavement; that as a direct and proximate result of said accident Pedro Espinosa sustained bodily injuries from which he died at Albuquerque, New Mexico, about 1:15 A.M. on June 15, 1958, at the hospital where he had been taken for medical and surgical treatment; that as a direct and proximate result of said accident the expenses incurred by appellee for doctors, ambulance, hospital and funeral services, totaling $1,900.77, were reasonable and necessary.

The evidence discloses that Pedro Espinosa, age 74, after falling out or being thrown out of the vehicle, was in an unconscious condition on the pavement and was immediately taken from the scene of the accident to the Springer Hospital. He died at the Presbyterian Hospital in Albuquerque, New Mexico, about 1:15 A.M. on June 15, 1958, without recovering consciousness at any time since the injury.

The trial court found that plaintiff’s wife arranged to have Espinosa taken to the Springer Hospital and subsequently Espinosa was taken to the hospital in Albuquerque for medical and surgical treatment, and that plaintiff and his wife obligated themselves for the payment of the hospital, ambulance and medical services rendered to Espinosa, which were imperative at the time of the accident as Pedro Espinosa was rendered unconscious and never regained consciousness.

The pertinent clauses of the insurance policy involved are as follows:

“Part I — Liability
j{s # í}í % ‡
“To pay on behalf of the insured all sums which the insured shall become legally obligated to pay as damages because of:
* * * * * *
“Supplementary Payments. To Pay, in addition to the applicable limits of liability:
* * * 3¡i . ‡ ‡
«(c) expenses incurred by the insured for such immediate medical and surgical relief to others as shall be imperative at the time of an accident involving an automobile insured hereunder and not due to war;
* * * * * *
“Persons Insured. The following are insureds under Part I:
******
“The insurance afforded under Part J. applies separately to each insured against whom claim is made or suit is brought. * * *.
******
“Part II — Expenses for Medical Services
“Coverage C — Medical Payments. To pay all reasonable expenses incurred within one year from the date of accident for necessary medical, surgical, X-ray and dental services, including prosthetic devices, and necessary ambulance, hospital, professional nursing and funeral services:
“Division 1. To or for the named insured and each relative who sustains bodily injury, sickness or disease, including death resulting therefrom, hereinafter called ‘bodily injury/ caused by accident, while occupying or through being struck by an automobile;
“Division 2. To or for any other person who sustains bodily injury, caused by accident, while occupying
“(a) the owned automobile, while being used by the named insured, by any resident of the same household or by any other person with the permission of the named insured, or
******
“Conditions
‡ # ;j{ ‡
“5. Assistance and Cooperation of the Insured (Parts I and III). The insured shall cooperate with the company * * *. The insured shall not, except at his own cost, voluntarily make any payment, assume any obligation or incur any expense other than for such immediate medical and surgical relief to others as shall be imperative at the time of accident. * * * ”

Appellant raises five points upon which it relies for the reversal. Points I, II and IV will be considered together as they raise questions involving the interpretation ot the clauses contained in “Part I — Supplementary Payments (c).”

Appellant contends that under the clause “Part I — Supplementary Payments (c)” it is intended to minimize the amount of liability and argues further that in the absence of general liability therefor there would be no obligation to reimburse for immediate medical expenses. The latter on the basis that no “first aid” expenses will be borne by insurer until and unless it becomes legally apparent that there is liability. Appellant also argues under Point IV that the New Mexico Guest Statute, § 64-24-1, N.M.S.A., 1953 Comp., prevents any cause of action or liability attaching to the insured as a .result of Espinosa’s falling out of the vehicle.

We cannot agree with appellant’s contentions. Under the provisions of the clause “Part I — Liability, Supplementary Payments (c),” appellant agrees to pay expenses incurred by the insured for such immediate medical and surgical relief as shall be imperative at the time of an accident.

Under “Part II — Expenses for Medical Services, Coverage C, Medical Payments,” appellant agrees, among other items, to pay to or for the named insured all reasonable medical, surgical, necessary ambulance, hospital and funeral services, to or for any relative, and to or for any other person who sustains bodily injury, including death resulting therefrom caused by an accident while occupying the insured automobile.

The applicable rule is stated in 8 Apple-man Insurance Law and Practice, p. 307, § 4895, as follows:

“Under the first aid clause, the insured’s right to provide imperative medical relief is not limited to those cases where the insured is legally liable to the person injured. Where serious injuries have been sustained as the result of an accident, it would obviously be undesirable to compel the insured to stop and decide the question of his own liability, before rendering all possible assistance to a person in dire distress.

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Bluebook (online)
358 P.2d 1003, 68 N.M. 90, Counsel Stack Legal Research, https://law.counselstack.com/opinion/martinez-v-gulf-insurance-company-nm-1961.