Nellis v. Farmers Ins. Co. of Ariz.

2012 NMCA 20
CourtNew Mexico Court of Appeals
DecidedSeptember 20, 2011
Docket29,295
StatusPublished
Cited by8 cases

This text of 2012 NMCA 20 (Nellis v. Farmers Ins. Co. of Ariz.) 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
Nellis v. Farmers Ins. Co. of Ariz., 2012 NMCA 20 (N.M. Ct. App. 2011).

Opinion

I attest to the accuracy and integrity of this document New Mexico Compilation Commission, Santa Fe, NM '00'05- 14:09:10 2012.03.05

Certiorari Denied, November 23, 2011, No. 33,271

IN THE COURT OF APPEALS OF THE STATE OF NEW MEXICO

Opinion Number: 2012-NMCA-020

Filing Date: September 20, 2011

Docket No. 29,295

LYDIA and PATRICK NELLIS, for themselves and all others similarly situated,

Plaintiffs-Appellees,

v.

FARMERS INSURANCE COMPANY OF ARIZONA,

Defendant-Appellant.

APPEAL FROM THE DISTRICT COURT OF BERNALILLO COUNTY Linda M. Vanzi, District Judge

Myers, Oliver & Price, P.C. Floyd D. Wilson Albuquerque, NM

Freedman, Boyd, Hollander, Goldberg, Ives & Duncan, P.A. David Freedman Joseph Goldberg Albuquerque, NM

Eaves & Mendenhall, P.A. John M. Eaves Karen Mendenhall Albuquerque, NM

Law Office of Alan Konrad Alan Konrad Albuquerque, NM

Peifer, Hanson & Mullins, P.A.

1 Charles R. Peifer Robert E. Hanson Albuquerque, NM

Dennis M. McCary Albuquerque, NM

for Appellees

Rodey, Dickason, Sloan, Akin & Robb, P.A. Andrew G. Schultz Albuquerque, NM

Gibson, Dunn & Crutcher LLP Theodore J. Boutrous, Jr. Christopher Chorba Los Angeles, CA

Skadden, Arps, Slate, Meagher & Flom LLP Douglas B. Adler Darrel J. Hieber Los Angeles, CA

Raoul D. Kennedy San Francisco, CA

for Appellant

OPINION

BUSTAMANTE, Judge.

{1} We are presented with yet another factual and legal “twist” in a series of class action cases challenging the manner in which insurance companies document and collect charges imposed when insureds opt to pay their premiums in installments rather than in a lump sum. After certifying the case as a class action, the district court entered summary judgment in favor of the Class on the merits of its breach of contract claim. Farmers Insurance Company of Arizona (Farmers) asked the district court to reconsider its decision, relying on Nakashima v. State Farm Mutual Auto. Ins. Co., 2007-NMCA-027, 141 N.M. 239, 153 P.3d 664, an opinion issued by this Court after the district court entered its summary judgment in this case. The district court denied Farmers’ motion. Concluding that Nakashima controls, we reverse.

I. THE FACTUAL SETTING

2 {2} The factual underpinnings of the case are deceptively simple. Farmers provides automobile insurance coverage to its customers. The parties agree that Farmers’ standard practice is to offer policies with a six-month term and to require payment of the premium in a lump sum for the entire term. Customers who prefer—for whatever reason—to pay in smaller increments must make arrangements to pay their premium through Prematic Service Corporation (Prematic). It is “not possible for a Farmers’ insured to pay” premiums on a monthly basis without going through Prematic. The parties also agree that insureds who choose to pay through Prematic must pay a monthly service charge or fee. The issues in the case revolve around the nature of this service charge or fee—whether it is itself a premium—and whether imposing the fee, whatever its nature, is allowable under the terms of the insurance policy Farmers issues.

{3} The Class is composed of persons who chose to pay their premiums on a monthly basis during the class period, which commenced in April 1997. The mechanics of how insureds enter into a Prematic agreement have changed over the years. The most dramatic change occurred in February 2001. Prior to that date insureds signed a written payment plan agreement with Prematic. Signature of the written agreement and payment of two months of premiums led to assignment of a Prematic account number which was in turn noted on the Declarations sheet of the insured’s policy.

{4} Starting in February 2001, a written agreement was no longer required and thereafter rarely used. Instead, insureds were enrolled “in the Prematic monthly premium payment plan program by entering the insured’s information utilizing the Farmers policy processing computer system.” In both scenarios, the entire process was handled by Farmers agents. Once the insured’s information was entered into the computer, the system assigned a Prematic account number which, as before, appeared on the insured’s Declarations sheet labeled as such. But the first time the insured would see a Prematic Monthly Plan Agreement under the new procedure was with the first monthly bill. The monthly bills reflected the service charge as an amount separate from, and in addition to, the policy premium. The policy premium reflected on the initial bills was an amount equal to one-sixth of the six-month premium shown on the Declarations sheet. The Declarations sheet only included the six-month premium and a reference to “Prematic” next to the spot where “Total” premium would otherwise appear. The spot next to the line for “Fees” was blank. A representative example of the Declarations sheet is attached to this opinion.

{5} Whether the Prematic arrangement was embodied in a written document or simply noted in a computer program, the parties agree that the agreement was—in fact, had to be—in place before a Farmers agent would issue a policy of insurance.

{6} Once an insured made arrangements to pay monthly, Farmers issued a policy that included endorsement E0022, somewhat oddly titled the “Monthly Payment Agreement,” a copy of which is attached to this Opinion. On its face, endorsement E0022 purports to amend the policy period to “one [c]alendar month”continuing for “successive monthly

3 periods if the premium is paid when due.” Monthly premiums are subject to future adjustment to match the “then current rate on the semi-annual or annual anniversary of the policy.” Endorsement E0022 also includes an integration clause: “This endorsement is part of your policy. It supersedes and controls anything to the contrary. It is otherwise subject to all other terms of the policy.” The parties spend much time and effort disputing the meaning and effect of this language.

II. THE PROCEDURAL POSTURE

A. The Complaint

{7} The “Class Action Complaint for Breach of Contract” was filed in April 2003. The complaint alleged that Farmers’ insureds who “buy insurance on a monthly basis must pay service charges” to Prematic as agent for Farmers. The complaint also alleged that the service charges “are designed to cover the additional administrative expense generated” by buying insurance on a monthly basis. As such, the “service charges are a portion of the total cost of the insurance purchased” by Class members. There is no assertion in the complaint that Class members were not informed about the service charges before or at the time they agreed to buy insurance coverage from Farmers.

{8} The complaint asserted that imposition of the service charges is a breach of contract because the “[p]olicies do not specify any service charge to be paid by a policyholder who buys insurance on a monthly basis.” The only mention of “fees” in the policy is on the Declarations sheet and, according to the complaint, it provides “that there are no ‘Fees’ payable with respect to the Policies.” Thus, the Class members “have been charged premium (i.e., service charges) in addition to the premium specified in the Policies.”

{9} In addition, the complaint asserts that the service charges constituted premium under New Mexico and Arizona statutory provisions which require that “premiums” be specified in the policy itself. See NMSA 1978, § 59A-18-3 (1984) (defining premium as “the consideration for insurance . . .

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Cite This Page — Counsel Stack

Bluebook (online)
2012 NMCA 20, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nellis-v-farmers-ins-co-of-ariz-nmctapp-2011.