Schwartz v. State Farm Mutual Automobile Insurance Company

CourtDistrict Court, D. New Mexico
DecidedFebruary 4, 2022
Docket1:18-cv-00328
StatusUnknown

This text of Schwartz v. State Farm Mutual Automobile Insurance Company (Schwartz v. State Farm Mutual Automobile 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
Schwartz v. State Farm Mutual Automobile Insurance Company, (D.N.M. 2022).

Opinion

IN THE UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF NEW MEXICO __________________

DANA SCHWARTZ, on behalf of herself and all others similarly situated,

Plaintiff,

vs. 1:18-cv-00328-KWR-SCY

STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY,

Defendant.

MEMORANDUM OPINION AND ORDER

THIS MATTER comes before the Court upon Defendant’s Motion to Dismiss Plaintiff’s Second Amended Complaint, filed November 5, 2021 (Doc. 67). Having reviewed the parties’ pleadings and the applicable law, the Court finds that Defendant’s Motion to Dismiss is not well- taken and, therefore, is DENIED. BACKGROUND This class action arises out of a dispute over “underinsured motorist coverage.” NMSA § 66-5-301 (“‘underinsured motorist’ means an operator of a motor vehicle with respect to the ownership, maintenance or use of which the sum of the limits of liability under all bodily injury liability insurance applicable at the time of the accident is less than the limits of liability under the insured's uninsured motorist coverage.”). Plaintiff alleges that Defendant misrepresented or failed to adequately explain to her and similarly situated class members the extent of “underinsured motorist” coverage when purchased at the minimum level of $25,000. Plaintiff was the victim of a car crash on December 11, 2012. While Plaintiff was stopped at a red light on Academy Blvd. in Albuquerque, New Mexico, the tortfeasor attempted to slip between her and another stopped car, crashing into both. She received $25,000 in compensation from the tortfeasor’s minimum liability policy. Because she alleges her damages were in excess of $25,000, she apparently sought benefits from her own uninsured and underinsured motorist

coverage from her insurance company, Defendant State Farm. Her policy with Defendant included minimum limit uninsured and underinsured motorist coverage ($25,000). Defendant allegedly denied coverage according to the insurance policy and New Mexico law, because the amount received from tortfeasor’s minimum liability insurance was offset against Plaintiff’s $25,000 uninsured and underinsured policy. See generally Schmick v. State Farm Mut. Auto. Ins. Co., 103 N.M. 216, 704 P.2d 1092 (N.M. 1985) (explaining statutory offset in NMSA § 66-5-301). Defendant State Farm claims to have paid under the underinsured motorist provisions for property damage, but Plaintiff alleged that Defendant denied underinsured motorist coverage for bodily harm.

Plaintiff generally alleges that Defendant misrepresented the nature of underinsured motorist coverage she purchased, causing her to reasonably expect that the purchased coverage would compensate her for damages that were greater than the limits of the tortfeasor’s liability limits. Plaintiff claims that Defendant did not inform her of the limited nature of underinsured motorist coverage when purchased at the minimum level. Plaintiff’s complaint asserted the following claims: Count I: Negligence; Count II: Violations of the Unfair Trade Practices Act (N.M.S.A.1978, Section 57- 12-2); Count III: Violations of the Unfair Insurance Practices Act (N.M.S.A.1978, §§ 59A– 16–1 et seq.) (“UIPA”); Count IV: Breach of Contract and Claim for Motorist Coverage; Count V: Breach of Contract and Covenant of Good Faith and Fair Dealing; Count VI: Injunctive Relief; Count VII: Declaratory Judgment; and Count VIII: Punitive Damages.

The Court denied in part and granted in part Defendant’s first motion to dismiss. See Doc. 31. The Court concluded that “[t]he majority of Plaintiff’s claims (Counts I, II, and portions of III) state a plausible claim for relief. However, the Court will dismiss Counts IV, V, and VI, because Plaintiff only pled a bare, formulaic recitation of the elements of the claims, with leave to amend. Moreover, the Court dismisses several claims under Count III (NMSA § 59A-16-20(B)-(D)) with leave to amend, and dismisses with prejudice the claim pursuant to § 59A-16-20(E).” Doc. 31 at 22. Judge Johnson found that “Plaintiff is not objecting to the offset provision, but to [Defendant’s] misrepresentations or failure to disclose that the coverage at the minimum level was generally worthless.” Doc. 31 at 10. “The policy does not spell out that the underinsured motorist provision is effectively non-existent, under circumstances where both the tortfeasor and the insured have minimum liability limits.” Doc. 31 at 12. Although the Court dismissed portions of Count III, IV, V, and VI, it gave leave to amend to fix the deficiencies identified in the opinion. Doc. 31 at 22. Plaintiff filed a second amended complaint, repleading her claims except for NMSA § 59A- 16-20(B)-(D)) under Count III. In Crutcher v. Liberty Mut. Ins. Co., et al., Case No.: 18-cv-00412-JCH-LF (D.N.M.), United States District Judge Judith C. Herrera certified the following questions to the New Mexico Supreme Court: Under N.M. Stat. Ann. § 66-5-301, is underinsured motorist coverage on a policy that offers only minimum UM/UIM limits of $25,000 per person/$50,000 per accident illusory for an insured who sustains more than $25,000 in damages caused by a minimally insured tortfeasor because of the offset recognized in Schmick v. State Farm Mutual Automobile Insurance Company, and, if so, may insurers charge a premium for that non-accessible underinsured motorist coverage? Crutcher, 2019 WL 12661166, at *4. This matter was stayed pending the New Mexico Supreme Court’s answer. As explained below, the New Mexico Supreme Court answered this question and Defendant moved to dismiss the claims in this case again. LEGAL STANDARD To survive a motion to dismiss under Fed. R. Civ. P. 12(b)(6), the complaint “must contain sufficient factual matter, accepted as true, to ‘state a claim to relief that is plausible on its face.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555, 570 (2007). “A claim has facial plausibility when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Id. (citing Twombly, 550 U.S. at 556). Conclusory allegations of liability, without supporting factual content, are insufficient. “The allegations must be enough that, if assumed to be true, the plaintiff plausibly (not just speculatively) has a claim for relief.” Robbins v. Oklahoma, 519 F.3d 1242, 1247 (10th Cir. 2008). Because this is a diversity case based on New Mexico law, this Court must ascertain and apply New Mexico law. In doing so, the Court must either follow the decisions of the New Mexico Supreme Court, or attempt to predict what the New Mexico Supreme Court would do. Coll v. First Am. Title Ins. Co., 642 F.3d 876, 886 (10th Cir. 2011); Federated Serv. Ins. Co. v. Martinez, 529 F. App'x 954, 957 (10th Cir. 2013) (if no controlling state supreme court case, district court

must predict how such court would rule based on intermediate appellate decisions, decisions of other states, federal decisions, and general weight and trend of authority). The Court may consider the insurance policy as it is referred to in the complaint, it is central to the Plaintiff’s claims and the parties do not dispute its authenticity. Jacobsen v.

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Bluebook (online)
Schwartz v. State Farm Mutual Automobile Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/schwartz-v-state-farm-mutual-automobile-insurance-company-nmd-2022.