Mendoza v. First Santa Fe Insurance Services, Inc.

CourtDistrict Court, D. New Mexico
DecidedAugust 18, 2020
Docket1:19-cv-00991
StatusUnknown

This text of Mendoza v. First Santa Fe Insurance Services, Inc. (Mendoza v. First Santa Fe Insurance Services, Inc.) 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
Mendoza v. First Santa Fe Insurance Services, Inc., (D.N.M. 2020).

Opinion

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

GLORIA MENDOZA et al.,

Plaintiffs, No. 19-CV-00991 MV/KK v.

FIRST SANTA FE INSURANCE SERVICES, INC. n/k/a HUB INTERNATIONAL INSURANCE SERVICES, INC. et al.,

Defendants.

MEMORANDUM OPINION AND ORDER

THIS MATTER is before the Court on Gloria Mendoza, Anthony Chavez, and Maria Gallegos’ (“Plaintiffs’”) Motion to Remand. Doc. 10. Defendants Hudson Insurance and Tribal First filed a response in opposition [Doc. 14] and Plaintiffs filed a reply [Doc. 17]. The Court then ordered the parties to submit supplemental briefing [Doc. 38] and they complied, with Defendant HUB International Insurance Services, Inc. joining the supplemental brief filed by Hudson Insurance and Tribal First. 1 See Docs. 39, 40, and 41. Having considered the briefs, exhibits, relevant law, and being otherwise fully informed, the Court finds that the motion is well-taken and will be GRANTED. The Court will accordingly remand this action back to the Second Judicial District Court pursuant to 28 U.S.C. § 1447.

1 In their First Amended Complaint, Plaintiffs name HUB International Insurance Services, Inc. as a defendant due to their belief that HUB International acquired another defendant they had previously named: First Santa Fe Insurance, Inc. See Doc. 1 Ex. 2 at ¶ 5. HUB International now asserts that it was incorrectly named in this action because it is “not the successor to First Santa [Fe] and First Santa Fe is not ‘now known as’ Defendant HUB.” Doc. 26 at 9. The Court finds that it need not resolve this issue prior to ruling on the instant motion because it has no bearing on whether the case must be remanded for lack of subject-matter jurisdiction under 28 U.S.C. § 1447. BACKGROUND This motion requires the Court to decide whether Article I, Section 8, Clause 17 of the United States Constitution, also known as the “Enclave Clause,” gives rise to federal jurisdiction over a civil action alleging that Defendants violated New Mexico state law when they unfairly denied Plaintiffs’ workers’ compensation claims for injuries Plaintiffs suffered while working at

the Isleta Resort & Casino on the Isleta Pueblo. Whether the Isleta Pueblo is in fact a “federal enclave” within the meaning of the Enclave Clause is not as obvious as Defendants suggest. The Court need not resolve that difficult issue here, however, because the claims Plaintiffs raise in their complaint are only incidentally related to their injuries on the Pueblo and arise primarily from Defendants’ subsequent actions off of it. The Court therefore finds that the federal enclave doctrine does not apply to this case. Nor do Plaintiffs’ claims necessarily raise a substantial question of federal law that must be decided in this Court. Because Defendants have not provided a valid basis for the Court to assert jurisdiction over Plaintiffs’ state law claims, the case must be remanded to state court.

I. Plaintiffs’ Complaint As per their First Amended Complaint filed in the Second Judicial District Court in Bernalillo County on September 17, 2019, Plaintiffs are current and former employees of the Isleta Resort & Casino who suffered injuries while at work. See Doc. 1 Ex. 2 at ¶¶ 22–24 (“Amended Complaint”). They are also “third party beneficiaries to workers’ compensation insurance policies produced, sold and/or administered by Defendants.” Id. at ¶ 12. Defendant First Santa Fe Insurances Services, Inc. is a former New Mexico corporation that acted as an insurance “producer” or broker in securing workers’ compensation coverage for the Isleta Resort & Casino. Id. at ¶¶ 4, 25. Defendant Hudson Insurance is a foreign corporation, formed in Delaware and registered to do business in New Mexico, that sold an insurance policy “which was intended to cover… claims made by Plaintiffs as the third-party beneficiaries of such policy.” Id. at ¶¶ 27. Defendant Tribal First is a California corporation serving as the third-party administrator on behalf of Hudson Insurance in each of Plaintiffs’ claims. Id. at ¶ 28. On Plaintiffs’ information and belief, none of the Defendants are tribal entities nor entities owned or operated by any Native

American tribe or pueblo. Id. at ¶¶ 6, 8, and 11. “Plaintiffs have intentionally not named their employer [the Isleta Resort & Casino] as a party herein.” Id. at ¶ 18. The instant action arises from Defendants’ allegedly unfair and misleading responses to Plaintiffs’ claims for workers’ compensation. Ms. Mendoza received a letter from Defendant Tribal First on September 11, 2015 in response to her claim. Doc. 1 Ex. 2 at 36. The letter was addressed to an address in Los Lunas, New Mexico and listed a return address in San Diego, California. Id. In the letter, Tribal First advised Ms. Mendoza that her claim was being denied because she failed to report it within the 24-hour window required by the Isleta Resort & Casino’s work injury program. Id. Tribal First then sent a second letter in relation to Ms. Mendoza’s claim

on November 23, 2015, this time to the State of New Mexico Workers Compensation Administration in Albuquerque, New Mexico. Id. at 37. In the second letter, Tribal First asserted that the state workers’ compensation appeals board lacked jurisdiction over Ms. Mendoza’s claim because the adjudication of the claim in a state forum would violate the Isleta Resort & Casino’s sovereign immunity as a Tribal entity. Id. Ms. Gallegos received a letter from Tribal First on July 31, 2017 in response to her claim. Id. at 40. The letter was addressed to an address in Albuquerque, New Mexico and listed the same return address in San Diego listed on the letters to Ms. Mendoza. Id. In the letter, Tribal First advised Ms. Gallegos that her claim had been denied because she was not “clocked into work” when her injury occurred. Id. Mr. Chavez received a letter from Tribal First on March 15, 2018 in response to his claim. Id. at 39. The letter was addressed to an address in Tijeras, New Mexico. Id. No return address is visible on the letter but it lists a “CA License No.” on the bottom of the page. Id. In the letter, Tribal First advised Mr. Chavez that his claim had been denied because there was “no evidence to

support that [his] job duties or anything having to do with [his] employment caused [his] knee to hyper-extend.” Id. In their Amended Complaint, Plaintiffs raise five claims arising from Defendants’ denial of their workers’ compensation claims and the representations in the above-described letters. First, Plaintiffs allege that Defendants violated the New Mexico Unfair Practices Act (“UPA”), NMSA 1978 § 57-12-1 et seq, by, among other things, “knowingly making false or misleading oral or written statements or other representations in connection with the policy of insurance covering Plaintiffs as third party beneficiaries, which tended to or did deceive or mislead Plaintiffs regarding the rights afforded under the policy.” See Amended Complaint at ¶ 37.

Second, Plaintiffs allege that Defendants Hudson Insurance and Tribal First committed the tort of negligent misrepresentation when they “materially misrepresented that Plaintiffs’ claims were denied based on false grounds.” Id. at ¶ 43. According to Plaintiffs, Defendants’ negligent misrepresentations include the statement to Ms. Mendoza that she was required to give notice of her work injury within 24 hours, where that is “not the law in New Mexico,” and the statements to all Plaintiffs that “sovereign immunity barred their claims” where “neither [Hudson Insurance nor Tribal First] is [a] tribal entity entitled to claim such a defense.” Id. at ¶ 44.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Louisville & Nashville Railroad v. Mottley
211 U.S. 149 (Supreme Court, 1908)
Surplus Trading Co. v. Cook
281 U.S. 647 (Supreme Court, 1930)
Caterpillar Inc. v. Williams
482 U.S. 386 (Supreme Court, 1987)
Oklahoma Tax Commission v. Graham
489 U.S. 838 (Supreme Court, 1989)
Nevada v. Hicks
533 U.S. 353 (Supreme Court, 2001)
Empire Healthchoice Assurance, Inc. v. McVeigh
547 U.S. 677 (Supreme Court, 2006)
Carcieri v. Salazar
555 U.S. 379 (Supreme Court, 2009)
Akin v. Big Three Industries
156 F.3d 1030 (Tenth Circuit, 1998)
Miller v. Lambeth
443 F.3d 757 (Tenth Circuit, 2006)
McPhail v. Deere & Co.
529 F.3d 947 (Tenth Circuit, 2008)
Carcieri v. Kempthorne
497 F.3d 15 (First Circuit, 2007)
Celli v. Shoell
40 F.3d 324 (Tenth Circuit, 1994)
Larry Laughlin v. Kmart Corporation
50 F.3d 871 (Tenth Circuit, 1995)
National Labor Relations Board v. Pueblo of San Juan
276 F.3d 1186 (Tenth Circuit, 2002)
Meridian Security Insurance Co. v. David L. Sadowski
441 F.3d 536 (Seventh Circuit, 2006)
Allison v. Boeing Laser Technical Services
689 F.3d 1234 (Tenth Circuit, 2012)
Gunn v. Minton
133 S. Ct. 1059 (Supreme Court, 2013)
Guidance Endodontics, LLC v. Dentsply International, Inc.
663 F. Supp. 2d 1138 (D. New Mexico, 2009)

Cite This Page — Counsel Stack

Bluebook (online)
Mendoza v. First Santa Fe Insurance Services, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/mendoza-v-first-santa-fe-insurance-services-inc-nmd-2020.