Montoya v. Loya Insurance Company

CourtDistrict Court, D. New Mexico
DecidedOctober 24, 2019
Docket1:18-cv-00590
StatusUnknown

This text of Montoya v. Loya Insurance Company (Montoya v. Loya 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
Montoya v. Loya Insurance Company, (D.N.M. 2019).

Opinion

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

NICOLITA MONTOYA,

Plaintiff,

v. Civ. No. 18-590 SCY/JFR

LOYA INSURANCE COMPANY, a foreign corporation doing business in New Mexico,

Defendant.

MEMORANDUM OPINION AND ORDER DENYING DEFENDANT’S MOTION FOR PARTIAL SUMMARY JUDGMENT

THIS MATTER comes before the Court on Defendant Loya Insurance Company’s Motion For Partial Summary Judgment Regarding Bad Faith And Violations Of The Unfair Claims Practices Act, filed June 3, 2019. Doc. 71. Defendant Loya argues that Plaintiff was not legally entitled to receive payment of any portion of a state jury verdict before the state court entered a final judgment in that case. Because bad faith is typically a question for the jury and because Defendant has not demonstrated that New Mexico bad-faith insurance law does not apply between the time of a jury verdict and the final judgment, the Court rejects Defendant’s argument. In the alternative, Defendant argues that, because it payed Plaintiff prejudgment interest, Plaintiff was not damaged by any delay in paying this verdict. The Court likewise rejects this argument because, assuming Defendant failed to pay the jury verdict for frivolous and unfounded reasons, prejudgment interest may not constitute the full measure of damages to Plaintiff or adequately address the bad faith conduct alleged. Therefore, the Court DENIES Defendant’s Motion For Partial Summary Judgment. I. BACKGROUND A. Procedural History Plaintiff filed this suit on May 17, 2018 in state court. Doc. 1-1 (“Compl.”). On June 25, 2018, Defendant removed the case to federal court. Doc. 1. In her Complaint, Plaintiff contends that she was in a motor vehicle accident on October 3, 2016. Compl. ¶ 8. According to the Complaint, the accident was the fault of the other driver, who fled the scene. Compl. ¶¶ 9-10.

Plaintiff made a claim for Uninsured Insurance Benefits with her auto insurance company, Defendant Loya. Compl. ¶ 11. Plaintiff filed suit against Defendant in state court in February 22, 2017. Compl. ¶ 20. On January 25, 2018, a jury rendered a verdict in favor of Plaintiff against Defendant in the amount of $23,742.82. Compl. ¶¶ 45-46. Defendant continued to delay paying the claim even after the verdict. Compl. ¶ 51. The failure to pay caused Plaintiff financial hardship. Compl. ¶ 32. The Complaint brings claims for Breach of Contract, Insurance Bad Faith, Unfair Insurance Claim Practices, and Unfair Trade Practices. Doc. 1-1 at 5-9. Prior to the commencement of discovery, Plaintiff filed a Motion for Partial Summary Judgment Regarding Bad Faith and Violations of the Unfair Claims Practices Act, Doc. 8, and on March 11, 2019 the Court issued its Memorandum Opinion and Order denying Plaintiff’s

Motion, Doc. 57. The Court found that the parties agreed that, on October 3, 2016, Plaintiff was in a motor vehicle collision involving an unknown driver who fled the scene, and Plaintiff’s property was damaged as a result. Doc. 57 at 3. Plaintiff made an Uninsured Motorist (“UM”) claim under her auto insurance and reported the claim to her insurer. Id. The Court further found that the parties disputed the facts surrounding Plaintiff’s claim and the reasons Defendant denied it. Id. at 3-4. Plaintiff asserted she filed suit in state court because Defendant denied her claim on the basis that “the damages claimed did not happen within the policy period,” even though the accident was well within the policy period. Id. at 3. On the other hand, Defendant asserted that Plaintiff opened two claims for the one accident. Id. at 3-4. Defendant denied one claim as being outside the policy limits and never denied the second claim, staying in communication with Plaintiff about the open claim throughout mediation and trial. Id. The state-court case went to trial and the jury found Plaintiff 0% at fault and awarded $23,742.82 in damages on January 25, 2018. Id. at 3. Defendant did not pay the claim until June

29, 2018. Id. at 3. The parties disputed whether Plaintiff made multiple requests for payment during that period. Id. at 3-4. Defendant asserted that it delayed payment due to advice of counsel pending the resolution of disputed issues regarding costs, pre- and post-judgment interest, and a lien from First Recovery Group. Id. at 4. The Court denied the motion for summary judgment due to this factual dispute and declined to consider the new arguments Plaintiff raised in her reply brief. Id. at 6-9. Most relevant for the present motion, the Court denied Plaintiff’s motion for summary judgment based on the delay in payment after the jury verdict. The Court found that “whether defendant committed bad faith in delaying payment is a question for the jury.” Id. at 10.

Although the Court denied Plaintiff’s motion for summary judgment, it also rejected some of Defendant’s arguments in the process. Defendant contended that it delayed payment because no contractual obligation to pay exists in the absence of a judgment. Id. Defendant also asserted that it was waiting on its counsel to instruct it “as to how, when and the amount to pay” in light of “ongoing issues regarding costs and pre- and post-judgment interest still being litigated” and the resolution of a medical services lien. Id. The Court disagreed with Defendant’s reliance on State Farm General Insurance Co. v. Clifton, 1974-NMSC-081, ¶ 8, 86 N.M. 757, 759, and Hauff v. Petterson, 755 F. Supp. 2d 1138, 1147 (D.N.M. 2010), which Defendant cited in support of an argument that the delay was not bad faith as a matter of law. Id. at 10-11. The Court explained: Defendant’s asserted reasons for delay in this case—advice of counsel and the existence of a lien—are significantly less substantial than the reasons for delay presented in Clifton. Defendant does not explain why it could not have, for example, tendered the requested amount in exchange for an indemnification agreement placing the responsibility for resolving the lien on Plaintiff. . . . . [In addition,] Defendant did not need to take five months to “investigate” and “evaluate” this claim. It had already had ample opportunity to make its investigation before the jury rendered its verdict, and by its own admission had already evaluated the claim as worth only the cost of a defense. Id. Nonetheless, the Court concluded that a five-month delay in payment did not constitute bad faith as a matter of law. Id. at 11. Although the New Mexico Court of Appeals has found that “unreasonable delay, in bad faith, in making payments pursuant to the insurance contract” states a claim for relief, Travelers Ins. Co. v. Montoya, 1977-NMCA-062, ¶ 5, 90 N.M. 556, 557, the Court found the case unhelpful for purposes of summary judgment because the court of appeals in that case indicated that a claim for bad faith “depends on the facts.” Id. at 12. The Court ultimately concluded: “Certainly, Plaintiff is correct that a delay of any amount, if it is frivolous or unfounded, can constitute a breach of the insurer’s duty to act honestly and in good faith. NMRA Civ. UJI 13-1702. But on these facts, a reasonable trial of fact could resolve the question in favor of either party.” Doc. 57 at 11. B. Defendant’s Motion for Partial Summary Judgment After the Court’s Memorandum Opinion and Order, Defendant filed the present motion for partial summary judgment, asking the Court to again consider the issue of the alleged payment delay. Defendant elaborates on its argument that, under the relevant policy, it was required to pay only “damages which an insured person is legally entitled to recover from the owner or operator of an uninsured motor vehicle.” Doc. 71 at 3. Because a jury verdict is not yet a legal entitlement, Defendant argues that Plaintiff was not “legally entitled to recover” payment before a final judgment was entered on the case.

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Montoya v. Loya Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/montoya-v-loya-insurance-company-nmd-2019.