Thayer v. State Farm

New Mexico Court of Appeals·Decided September 25, 2023·Unpublished

Opinion

The slip opinion is the first version of an opinion released by the Clerk of the Court of Appeals. Once an opinion is selected for publication by the Court, it is assigned a vendor-neutral citation by the Clerk of the Court for compliance with Rule 23-112 NMRA, authenticated and formally published. The slip opinion may contain deviations from the formal authenticated opinion.

1 IN THE COURT OF APPEALS OF THE STATE OF NEW MEXICO

2 Opinion Number: _____________

3 Filing Date: September 25, 2023

4 No. A-1-CA-37133

5 WILLIAM THAYER,

6 Plaintiff-Appellant,

7 v.

8 STATE FARM MUTUAL AUTOMOBILE 9 INSURANCE COMPANY,

10 Defendant-Appellee.

11 APPEAL FROM THE DISTRICT COURT OF DOÑA ANA COUNTY 12 Marci E. Beyer, District Court Judge

13 Law Firm of Daniela Labinoti, P.C. 14 Daniela Labinoti 15 El Paso, TX

16 for Appellant

17 Miller Stratvert P.A. 18 Todd A. Schwarz 19 Luke A. Salganek 20 Albuquerque, NM

21 for Appellee 1 OPINION

2 DUFFY, Judge.

3 {1} Plaintiff William Thayer filed a complaint for breach of contract and bad faith

4 after State Farm denied his claim for underinsured motorist (UIM) benefits. State

5 Farm moved for summary judgment, arguing it was not liable for UIM benefits

6 because Thayer had breached a contract provision requiring him to obtain State

7 Farm’s written consent before settling with the tortfeasor. Thayer acknowledged that

8 he had settled without State Farm’s permission, but asserted he had notified State

9 Farm of the offer and waited more than a year before ultimately accepting the

10 settlement. The district court granted State Farm’s motion and dismissed the case

11 with prejudice.

12 {2} The factual circumstances of this case are a matter of first impression in New

13 Mexico and we must decide whether Thayer, after properly requesting consent to

14 settle from his insurer, breached the consent-to-settle provision as a matter of law by

15 settling with the tortfeasor before receiving the insurer’s decision. The answer

16 depends on whether the insurer acted reasonably to provide or withhold consent to

17 the insured’s settlement request. We hold that when an insurer has received notice

18 of a proposed settlement between its insured and a third-party tortfeasor, but fails to

19 notify its insured of the insurer’s decision to either grant or withhold consent to settle

20 within a reasonable amount of time, the insurer may have waived its right to rely on 1 a consent-to-settle clause. In such circumstances, the insured’s settlement will not

2 preclude recovery of UIM benefits. Because disputed issues of fact exist on these

3 matters, we reverse.

4 BACKGROUND

5 {3} In August 2011, Thayer, a New Mexico State Police officer, was directing

6 traffic along Interstate 10 in Doña Ana County when a semi-truck and trailer crashed

7 into the back end of a pickup truck, causing the pickup to ignite and severely injuring

8 its driver. Thayer and another officer were in the path of the crash and quickly ran

9 out of the way, but both were injured in the process.

10 {4} The driver of the pickup truck filed a complaint for personal injury against the

11 driver of the semi-truck (hereinafter referred to as the tortfeasor) and the tortfeasor’s

12 employer, Quality 1st Produce. Thayer and his fellow officer intervened with their

13 own injury claims. Quality 1st was insured by Granite State Insurance and had $1

14 million in liability coverage available for the three claims.

15 {5} In August 2012, Thayer attended a mediation with Granite State, during which

16 he was advised that Granite State was tendering $900,000 to the injured driver of the

17 pickup, and that the policy deducted costs and expenses from the amount of the limit.

18 Thayer’s fellow officer received $60,000 from the policy, and Granite State offered

19 to settle Thayer’s claim for the remainder—approximately $14,000—an amount less

20 than his total damages. Thayer alleges that during the mediation, he called his own

2 1 insurance company, State Farm, to make an underinsured motorist claim and to

2 request permission to settle.

3 {6} Thayer’s policy with State Farm contained a consent-to-settle provision that

4 required Thayer to inform State Farm of any settlement offer and State Farm to

5 respond in writing. The policy stated:

6 Consent to Settlement

7 The Insured must inform us of a settlement offer, if any, proposed by 8 or on behalf of the owner or driver of the uninsured motor vehicle, and 9 the insured must request our written consent to accept such settlement 10 offer.

11 If we:

12 1. consent in writing, then the insured may accept such settlement 13 offer.

14 2. inform the insured in writing that we do not consent, then the 15 insured may not accept such settlement offer and:

16 a. we will make payment to the insured in an amount equal 17 to such settlement offer. This payment is considered a 18 payment made by or on behalf of the owner or driver of 19 the uninsured motor vehicle; and

20 b. any recovery from or on behalf of the owner or driver of 21 the uninsured motor vehicle shall first be used to repay us.

22 Thayer alleges that during his initial phone call to State Farm during the August 2012

23 mediation, he informed State Farm of the offer he had received from Granite State,

24 but State Farm neither provided nor denied consent to settle. Thayer asserts that as

25 a result, he was unable to settle his claims against the tortfeasor at the mediation. 3 1 {7} Thayer alleged in an affidavit that he tried to contact State Farm multiple times

2 after the mediation without success. About seven months after the mediation, on

3 March 8, 2013, Thayer’s attorney sent State Farm a letter requesting consent to

4 settle. The letter described the accident, Thayer’s injuries and treatment, and stated

5 that Granite State was offering to settle Thayer’s claim for approximately $14,000,

6 which represented the amount remaining under the policy.

7 {8} State Farm sent a letter in response on April 5, stating that it had called

8 Plaintiff’s attorney on March 12 to discuss the claim and had left a voice message.

9 The letter went on to state:

10 In order to sanction Mr. Thayer[’]s settlement against Granite State 11 Insurance, we will need the following documentation to begin our 12 investigation:

13 *Total payments to parties involved in this accident. 14 *The declarations page confirming Liability coverage on the policy.

15 We look forward to your call. Thank you.

16 Notably, although the letter indicated that State Farm would need additional

17 information, the letter was unclear as to how the information would be obtained, i.e.,

18 whether State Farm would gather the documentation or whether it was asking Thayer

19 to do so. Thayer did not respond.

20 {9} The following month, on May 16, State Farm sent a reservation of rights letter

21 to Thayer. In addition to various reservation of rights statements, the letter stated,

22 “If you have any information or materials that may aid us in the analysis of your 4 1 claim for coverage, please provide it to us as soon as possible.” As with the previous

2 letter, the May 16 letter did not directly request any specific documentation from

3 Thayer or state that Thayer needed to contact State Farm regarding his claim. Again,

4 Thayer did not respond.

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