Soseeah v. Sentry Insurance

808 F.3d 800, 93 Fed. R. Serv. 3d 771, 2015 U.S. App. LEXIS 22136, 2015 WL 9244890
Court of Appeals for the Tenth Circuit·Decided December 18, 2015·No. 14-2199·Published·Cited by 9 cases

Opinion

BRISCOE, Circuit Judge.

Plaintiffs Delbert Soseeah, Maxine Sose-eah and John Borrego filed this action against defendants Sentry Insurance, Dairyland Insurance Company, Peak Property and Casualty Insurance Company, and Viking Insurance Company of Wisconsin (collectively Sentry) claiming, in part, that Sentry failed to timely and properly notify them and other Sentry automobile insurance policyholders of the impact of two New Mexico Supreme Court decisions regarding the availability of uninsured and underinsured motorist coverage under their respective policies. The district court granted plaintiffs’ ■ motion for class certification. Sentry subsequently sought and was granted permission to appeal the district court’s class certification ruling. Exercising jurisdiction pursuant to 28 U.S.C. § 1292(e) and Fed.R.Civ.P. 23(f), we reverse and remand for further consideration of plaintiffs’ motion for class certification.

I

The Weed Warrior and Jordan decisions

On October 18, 2010, the Supreme Court of New Mexico issued two related decisions addressing the provision of uninsured/underinsured motorist (UM/UIM) coverage by insurers to New Mexico residents. In the first decision, Progressive Northwestern Insurance Co. v. Weed Warrior Services, 149 N.M. 157, 245 P.3d 1209 (2010), the New Mexico Supreme Court “consider[ed] the duty imposed on insurers to offer uninsured/underinsured motorist (UM/UIM) coverage under NMSA 1978, Section 66-5-301 (1983).” 245 P.3d at 1210. More specifically, the New Mexico Supreme Court addressed the question, certified to it by this court, “of whether the election by an insured to purchase UM/ UIM coverage in an amount less than the policy liability limits constitutes a rejection of the maximum amount of UM/UIM coverage permitted under Section 66-5-301.” Id. After reviewing the language of the statute and surveying its own case law interpreting that statute, the New Mexico Supreme Court

conclude[d] that Section 66-5-301 requires an insurer to offer UM/UIM coverage in an amount equal to the liability limits of the policy and that the choice of the insured to purchase any lower amount functions as a rejection of that maximum-amount of coverage statutorily possible.

Id. at 1214. Consequently, the New Mexico Supreme Court held that “the insurer may not exclude the maximum possible level of UM/UIM coverage in an auto liability policy unless it has offered it to the insured and the insured has exercised the right to reject the coverage through some positive act.” Id. at 1213 (internal quotation marks omitted).

The second case, Jordan v. Allstate Insurance Co., 149 N.M. 162, 245 P.3d 1214 (2010), was intended by the New Mexico Supreme Court as a companion to Weed Warrior in order “to provide guidance on the technical requirements for val *804 id offers and rejections of UWUIM coverage.” 245 P.3d at 1219. The court held

that a rejection of UWUIM coverage equal to the liability limits in an automobile insurance policy must be made in writing and must be made a part of the insurance policy that is delivered to the insured. In order to honor these requirements effectively, insurers must provide the insured with the premium charges corresponding to each available option for UWUIM coverage so that the insured can make a knowing and intelligent decision to receive or reject the full amount of coverage to which the insured is statutorily entitled. If an insurer fails to obtain a valid rejection [for any reason], the policy will be reformed to provide UM/UIM coverage equal to the limits of liability.

Id. at 1217. The court also held that its decision applied retroactively and was not limited to prospective application. Id. at 1222-23. And the court emphasized that the cost of reforming existing policies would be borne solely by insurers. Id. at 1223 (“On balance, we deem it more equitable to let the financial detriments be borne by insurers, who were in a better position to ensure meaningful compliance with the law, than to let the burdens fall on non-expert insureds, who are the Legislature’s intended beneficiaries.”).

The filing of this action

On September 18, 2012, plaintiffs Delbert and Maxine Soseeah filed a purported class action complaint against Sentry in New Mexico state district court. The complaint alleged that Delbert Soseeah, after being injured in a motor vehicle accident, made a claim for UWUIM benefits under two policies of automobile insurance issued by Sentry to Mrs. Soseeah. According to the complaint, Mrs. Soseeah “never executed a valid waiver of UWUIM coverage under the” two policies and, consequently, Mr. Soseeah “demanded that ... Sentry reform” the two policies “to provide stacked uninsured/underinsured motorist coverage limits equal to the limits of the liability coverage on each of the vehicles covered by the” policies “in accordance with the decisions in Jordan and Weed Warrior.” Dist. Ct. Docket No. 1, Exh. A at 4. Sentry purportedly refused to reform the policies and rejected Mr. Sose-eah’s claim for UWUIM benefits. Id. The complaint alleged that Sentry, by doing so, violated New Mexico’s Unfair Practices Act (UPA), N.M. Stat. Ann. § 57-12-1 et seq., violated a portion of New Mexico’s Insurance Code known as the Trade Practices and Frauds Act (TPFA), N.M. Stat. Ann. § 59A-16-1 et seq., breached the implied covenant of good faith and fair dealing, and breached the terms of the two policies.

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

Soseeah v. Sentry Insurance, 808 F.3d 800, 93 Fed. R. Serv. 3d 771, 2015 U.S. App. LEXIS 22136, 2015 WL 9244890 (10th Cir. 2015).

808 F.3d 800 (Soseeah v. Sentry Insurance) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related