Molina v. Allstate Indemnity Co.

2011 NMCA 005, 246 P.3d 449, 149 N.M. 180
CourtNew Mexico Court of Appeals
DecidedAugust 16, 2010
Docket28,536
StatusPublished
Cited by1 cases

This text of 2011 NMCA 005 (Molina v. Allstate Indemnity Co.) 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
Molina v. Allstate Indemnity Co., 2011 NMCA 005, 246 P.3d 449, 149 N.M. 180 (N.M. Ct. App. 2010).

Opinion

OPINION

GARCIA, Judge.

{1} The issue in this case is whether there was a lapse in policy coverage. Concluding that there was a lapse, we affirm the district court.

BACKGROUND

{2} Jesus and Maria Anita Molina (the Molinas) appeal from the district court’s order and judgment dismissing their complaint against Allstate Indemnity Company (Allstate). The Molinas had been Allstate customers for twelve years at the time the dispute arose. In 2002 the Molinas insured two homes and four vehicles with Allstate, including a 1999 Ford F-250 pickup, which is the vehicle at issue in this case. Around August 13, 2002, the Molinas received a renewal statement for their automobile insurance policy. One option for renewing their insurance was to pay the premium in installments, provided that the initial minimum payment of $853.77 was paid before 12:02 a.m. on September 2, 2002. The statement stated that the Molinas’ coverage would not continue if Allstate did not receive the minimum payment amount by the due date.

{3} On August 29, 2002, the Molinas made a payment of $500. Allstate sent the Molinas a special notice dated September 3, 2002, informing the Molinas that their coverage would terminate if full payment was not received before 12:01 a.m. on September 2, 2002. There was a grace period that allowed for payment until September 9, 2002. On September 10, 2002, the Molinas’ daughter delivered a check for the remainder of the premium, $353.77. When their daughter delivered the payment, the Allstate secretary gave their daughter a conditional receipt that stated that acceptance of the payment did not reinstate the policy. Allstate deposited the second payment on September 11, 2002.

{4} On September 13, 2002, Allstate generated a refund check for the total amount of $853.77. Allstate records indicate the refund check was mailed to the Molinas on September 16, 2002. Also on September 16, the Molinas called Allstate to report that their vehicle was stolen sometime during the previous night. The Molinas later filed a claim for their stolen vehicle. Allstate denied the theft claim.

{5} In response to the coverage denial, the Molinas sued Allstate. After a bench trial, the district court dismissed the case. The court determined that the Molinas’ policy lapsed because of their failure to make the minimum required payment within the time limits required for renewal of the policy. This appeal followed.

DISCUSSION

{6} We begin by reminding the parties to follow the Rules of Appellate Procedure when filing briefs. See Rule 12 — 305(C), (D) NMRA (specifying the font size and spacing requirements).

{7} The ultimate question in this case is whether the Molinas’ insurance policy lapsed or was cancelled. The Molinas argue that the district court’s determination that there was a lapse in the policy is a mixed question of law and fact. Without deciding the issue, we apply the Molinas’ requested standard of review. As such, we apply a substantial evidence standard to the facts and review de novo the district court’s application of the law to the facts. See Ponder v. State Farm Mut. Auto. Ins. Co., 2000-NMSC-033, ¶ 7, 129 N.M. 698, 12 P.3d 960.

{8} Generally, “the failure of an insured to pay a renewal premium by the due date results in a lapse of coverage as of the last day of the policy period.” Guar. Nat'l Ins. Co. v. C de Baca, 120 N.M. 806, 811, 907 P.2d 210, 215 (Ct.App.1995). In contrast, a policy is cancelled by “a unilateral act of the insurer terminating coverage during the policy term.” Id. (internal quotation marks and citation omitted). This Court in Guaranty National addressed the question of whether the plaintiffs policy had lapsed or had been cancelled. Id. In that ease, the plaintiff failed to pay the renewal premium payment by the due date. Id. at 808, 907 P.2d at 212. The plaintiff was involved in a serious accident that occurred after the due date for the renewal premium and prior to the insurer’s receipt of her renewal payment. Id. The insurer filed a declaratory judgment action to determine whether the policy had lapsed. Id. at 807-08, 907 P.2d at 211-12. The district court found there was a lapse in coverage, and this Court agreed. Id. at 811-12, 907 P.2d at 215-16.

{9} Under the holding in Guaranty National, an insured must pay the renewal premium amount prior to the due date in order to avoid a lapse in insurance coverage. Guaranty National presented a slightly different factual situation than the one before us now. In this case, the insured made an on-time, short payment toward the premium and then fulfilled the premium amount with a subsequent late payment. However, we see no reason to depart from our holding in Guaranty National. Insurance policies are contracts and are governed by basic contract principles. See Ponder, 2000-NMSC-033, ¶ 11, 129 N.M. 698, 12 P.3d 960 (“We resolve questions regarding insurance policies by interpreting their terms and provisions in accordance with the same principles which govern the interpretations of all contracts.” (internal quotations marks and citation omitted)); Atlas Assurance Co. v. Gen. Builders, Inc., 93 N.M. 398, 400, 600 P.2d 850, 852 (Ct.App.1979). One basic principle is that “when the policy language is clear and unambiguous, we must give effect to the contract and enforce it as written.” Ponder, 2000-NMSC-033, ¶ 11, 129 N.M. 698, 12 P.3d 960.

{10} The renewal letter in this case was clear and unambiguous, and the Molinas do not argue that it was ambiguous. The facts are undisputed. Mrs. Molina knew she had to pay $853.77 by September 2, 2002. While the Molinas made a $500 on-time, short payment, they did not pay the full premium amount prior to September 2, 2002. When the Molinas failed to pay the premium renewal amount of $853.77 prior to the due date, they did not comply with the terms of their contact with Allstate. As a result, their insurance coverage lapsed. The Molinas have not directed us to a contract principle that would allow for us to interpret the contract such that partial payment would suffice to continue their coverage. We assume that no authority for their proposition exists. See In re Adoption of Doe, 100 N.M. 764, 765, 676 P.2d 1329, 1330 (1984).

{11} In an effort to convince this Court that their policy did not lapse, the Molinas attempt to analogize their case to several out-of-state cases. Based on these eases, the Molinas contend that by accepting the Molinas’ short payment, “retaining it and using it, Allstate waived any conditions of payments it might have had regarding premium payment terms.” These cases are distinguishable from the case before us and do not persuade us that the Molinas’ policy did not lapse.

{¶ 12} The Molinas cite Mitchell v.

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Bluebook (online)
2011 NMCA 005, 246 P.3d 449, 149 N.M. 180, Counsel Stack Legal Research, https://law.counselstack.com/opinion/molina-v-allstate-indemnity-co-nmctapp-2010.