Vidal v. American General Companies

785 P.2d 231, 109 N.M. 320
CourtNew Mexico Supreme Court
DecidedJanuary 11, 1990
DocketNo. 18143
StatusPublished
Cited by8 cases

This text of 785 P.2d 231 (Vidal v. American General Companies) is published on Counsel Stack Legal Research, covering New Mexico Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Vidal v. American General Companies, 785 P.2d 231, 109 N.M. 320 (N.M. 1990).

Opinion

OPINION

BACA, Justice.

Vidal, plaintiff below, appeals the district court’s grant of American General Fire & Casualty Company’s (American General) motion for summary judgment. The trial court granted the defendants’ motion, determining that because plaintiff had violated a clause in its insurance policy with American General by settling with a third-party tort-feasor without the insurer’s consent, the company was not obligated to pay Vidal’s underinsured motorist claim. Vidal contends that the trial court should consider the factual issue of whether American General’s own settlement with the tort-feasor extinguished its right of subrogation, thereby estopping the insurer from relying on the consent clause, before finding that American General is relieved of its insurance obligation. We agree, and reverse and remand to the district court for further consideration in accordance with this opinion.

Facts

Because this is an appeal from the grant of a motion for summary judgment, we consider the facts as presented by the appellant, construing the evidence in a light most favorable to him, for the purposes of this appeal. Gomez v. Board of Educ., 85 N.M. 708, 709, 516 P.2d 679, 680 (1973).

Vidal was involved in an automobile accident, colliding with a car driven by Sally Hunt. At the time of the accident, Vidal was insured under a policy issued by American General. Vidal notified American General of the accident, and appropriate files were set up to cover medical payments. Subsequently, Vidal notified American General of a claim for underinsured motorist benefits, because Hunt reportedly was insured only for minimum liability limits. A lawsuit was then filed by Vidal against Hunt, and Hunt counterclaimed, with American General retaining counsel to defend.

American General noted the possibility that Vidal would file an underinsured motorist claim and that American General would have a possible subrogation claim against Hunt and her insurance carrier for medical payments to Vidal.

The lawsuit proceeded to settlement, with Vidal agreeing to settle for the limit of Hunt’s insurance policy. American General, meanwhile, authorized settlement of Hunt’s counterclaim for nuisance value. Pursuant to their settlement, Vidal and Hunt executed releases of their claims and subsequently filed a joint motion to dismiss their suit with prejudice. American General apparently was not aware that Vidal had settled his claim with Hunt at about the same time that the insurer had settled Hunt’s claim.

Vidal subsequently informed American General that he intended to pursue his underinsured motorist claim. American General denied the claim, maintaining that its subrogation rights had been destroyed due to Vidal’s settlement of his claim with Hunt without the insurer’s consent in violation of the insurance contract.

Vidal’s insurance policy contained an exclusionary clause, which read: “We do not provide uninsured motorist coverage for property damage or bodily injury sustained by any person: (1) if that person dr the legal representative settles the bodily injury or property damage claim without our consent.” (Hereinafter referred to as the consent clause.)

Two issues have been presented for our consideration: (1) whether the insurer, by itself settling with the tort-feasor, has extinguished its own subrogation rights and nullified its right to rely on the consent to settle clause vis-a-vis the insured; and (2) whether the insured’s settlement with the tort-feasor without the insurer’s consent automatically releases the insurer from further liability, even if the insured can demonstrate that the insurer was not prejudiced by the settlement.

We agree with appellant’s position regarding the first issue — that judgment for the insurer is conditional upon its showing that its own settlement with the tort-feasor did not extinguish its subrogation rights— and we remand accordingly. Because our resolution of the first issue is sufficient to support our determination that summary judgment was inappropriate, we will not address the question of prejudice.

Did the Insurer’s Own Settlement Nullify Its Lack of Consent to the Insurer's Settlement?

American General contends that its own settlement with Hunt does not void Vidal’s failure to adhere to the clause. It argues for a plain reading of the contract, stating that its validity has been upheld in New Mexico and that it is an unambiguous exclusionary clause.

Vidal maintains that, despite the plain language of the contract, we should focus on the purpose of the clause: to avoid interference with the insurer’s subrogation rights. He argues that, because American General abandoned its subrogation rights of its own accord, his own breach of the clause was irrelevant and the clause should be found a nullity under the circumstances.

In March v. Mountain States Mutual Casualty Co., 101 N.M. 689, 687 P.2d 1040 (1984), we addressed the validity of a consent clause with regard to an underinsured motorist claim. We found it well established that the insured’s settlement with or release of a tort-feasor in violation of an express consent clause destroys the insurer’s right of subrogation, and that the purpose of the clause “is to protect the insurer’s subrogation rights.” Id. at 692, 687 P.2d at 1043. We further held that the clause is effective in protecting the insurer’s right of subrogation and does not undermine our public policy in the underinsured motorist area. Id. at 693, 687 P.2d at 1044. However, March is not dispositive on the issue presented in this appeal.

New Mexico precedent indicates that a release given by one party pursuant to a settlement with a second party constitutes an accord and satisfaction of all claims between the two parties arising out of the incident giving rise to the liability, absent an express reservation of rights by the settling party. Harrison v. Lucero, 86 N.M. 581, 584, 525 P.2d 941, 944 (Ct.App.1974). Thus, the settling party is estopped from pursuing a claim of negligence against the other. Id.; cf. Landin v. Yates, 98 N.M. 591, 651 P.2d 1026 (Ct.App.1982). Harrison relied upon Wm. H. Heinemann Creameries, Inc. v. Milwaukee Automobile Insurance Co., 270 Wis. 443, 71 N.W.2d 395, reh’g denied, 270 Wis. 443, 72 N.W.2d 102 (1955), where the court found an accord and satisfaction and es-topped the insurance company plaintiff from pursuing indemnification subsequent to a compromise settlement with the defendant, basing its decision in principles of equity and the common-sense assumption that the settlement indicated to the defendant that the insurer had no claim against him arising out of the accident.

American General contends, however, that the cited authority is inapplicable because it was decided prior to Scott v. Rizzo, 96 N.M. 682, 634 P.2d 1234

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Bluebook (online)
785 P.2d 231, 109 N.M. 320, Counsel Stack Legal Research, https://law.counselstack.com/opinion/vidal-v-american-general-companies-nm-1990.