Whelan v. State Farm Mut. Auto. Ins. Co.

2014 NMSC 21
CourtNew Mexico Supreme Court
DecidedJune 16, 2014
Docket34,280
StatusPublished
Cited by9 cases

This text of 2014 NMSC 21 (Whelan v. State Farm Mut. Auto. Ins. Co.) 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
Whelan v. State Farm Mut. Auto. Ins. Co., 2014 NMSC 21 (N.M. 2014).

Opinion

I attest to the accuracy and integrity of this document New Mexico Compilation Commission, Santa Fe, NM '00'04- 10:07:52 2014.07.28

IN THE SUPREME COURT OF THE STATE OF NEW MEXICO

Opinion Number: 2014-NMSC-021

Filing Date: June 16, 2014

Docket No. 34,280

THOMAS PATRICK WHELAN, JR., as Personal Representative of the ESTATE of THOMAS PATRICK WHELAN, SR., Deceased,

Plaintiff-Appellee,

v.

STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY,

Defendant-Appellant.

CERTIFICATION FROM THE NEW MEXICO COURT OF APPEALS Barbara J. Vigil, District Judge

Guebert Bruckner, P.C. Terry R. Guebert Albuquerque, NM

for Appellant

O’Friel & Levy, P.C. Daniel J. O’Friel Aimee S. Bevan Santa Fe, NM

for Appellee

Simone, Roberts & Weiss, P.A. Meena H. Allen Albuquerque, NM

for Amici Curiae Property Casualty Insurers Association of America and National Association of Mutual Insurance Companies

1 OPINION

DANIELS, Justice.

{1} In Montaño v. Allstate Indemnity Co., a case we acknowledged was a “new direction” in our jurisprudence, this Court modified previously approved procedures for an automobile liability insurance carrier to limit its statutory obligation to stack uninsured and underinsured motorist (UM/UIM) coverage under multiple liability policies, and we established new procedural safeguards of an insured’s rights by requiring that insurance carriers obtain explicit written rejections of stacking in order to limit their statutory obligations. 2004- NMSC-020, ¶ 1, 135 N.M. 681, 92 P.3d 1255. Following the approach established in Montaño, we held in Jordan v. Allstate Ins. Co. that effective rejection of an insured’s statutory rights to UM/UIM coverage equal to liability limits must be made in writing and must be made a part of the insurance policy that is delivered to the insured. 2010-NMSC- 051, ¶ 2, 149 N.M. 162, 245 P.3d 1214. Because our result in Jordan was foreshadowed by Montaño and other precedents, we declined to make Jordan applicable only to cases arising in the future and held that policies that failed to comply with Jordan’s rejection requirements would be judicially reformed to provide full statutory coverage. 2010-NMSC-051, ¶¶ 27, 29.

{2} In 2011, following our 2010 issuance of Jordan, Plaintiff Thomas P. Whelan, Jr., made a demand on his insurer State Farm for reformation of a policy in effect at the time of the 2002 accident that resulted in the death of Plaintiff’s father in 2004. Relying on a clause in the policy that purported to bar UM/UIM claims made more than six years after the date of the underlying accident, State Farm rejected the claim. Plaintiff then instituted a declaratory judgment action against State Farm for reformation of the policy.

{3} We hold that a limitations clause based solely on the date of the accident without consideration of the actual accrual of the right to make a UM/UIM claim is unreasonable and unenforceable as a matter of law. But addressing the merits of Plaintiff’s action, we also hold that judicial reformation under Jordan does not extend to historical insurance contracts formed before Montaño was issued in 2004. Because the policy in this case was issued before that date, it is not subject to retroactive reformation of its facial lack of UM/UIM coverage.

I. BACKGROUND

{4} Thomas P. Whelan, Sr., Plaintiff’s decedent father, was in Plaintiff’s parked truck when it was hit by a moving vehicle in July 2002. The collision allegedly resulted in severe injuries and medical costs in excess of $100,000 and ultimately in the decedent’s death in March 2004. At the time of the accident, occupants of Plaintiff’s truck were insureds under the terms of a $50,000 liability policy issued by State Farm (Insurer) facially providing no UM/UIM coverage.

{5} Having received only the $25,000 liability policy limits from the carrier for the at-

2 fault driver and following release of our opinion in Jordan, Plaintiff made a demand on Insurer in June 2011 for $25,000 in underinsured motorist coverage to equalize the UM/UIM coverage with the $50,000 liability coverage limits under Plaintiff’s State Farm policy in effect at the time of the accident. After Insurer refused to equalize the UM/UIM coverage, Plaintiff filed a declaratory judgment action against Insurer, seeking to invalidate Plaintiff’s previous rejection of the statutory UM/UIM coverage and to reform the policy to provide UM/UIM coverage equal to its liability coverage limits of $50,000.

{6} In opposition to Plaintiff’s summary judgment motion, Insurer argued that the suit was barred by a limitations provision in the policy: “Under the uninsured and unknown motorists coverage, any arbitration or suit against us will be barred unless commenced within six years after the date of the accident.” Insurer also argued that ignoring a “bargained for” contractual provision and giving an insured a benefit he never paid for would violate the New Mexico and the United States Constitutions, “[w]hether characterized as a violation of Due Process, principles of fundamental fairness, a constitutional taking, or otherwise.”

{7} The district court granted Plaintiff’s summary judgment motion. It concluded that UM/UIM coverage must be equalized with the limits of the policy’s liability coverage, pursuant to Progressive N.W. Ins. Co. v. Weed Warrior Servs., 2010-NMSC-050, ¶ 15, 149 N.M. 157, 245 P.3d 1209 (holding that New Mexico law requires an insurer to offer UM/UIM coverage equal to the liability limits and that the choice of an insured to purchase any lower amount functions as a rejection of that maximum amount of coverage statutorily available), and Jordan, 2010-NMSC-051, ¶¶ 2, 29 (addressing requirements for a valid informed selection of UM/UIM coverage and retroactively reforming policies for which rejection of UM/UIM coverage was invalid). The district court also concluded that enforcing a time limit that ran from the date of the accident for contract-based UM/UIM claims, before the UM/UIM cause of action arose, was unreasonable and unenforceable and that the UM/UIM claim on the policy accordingly was not time-barred.

{8} The Court of Appeals certified Insurer’s appeal to this Court pursuant to Rule 12-606 NMRA for us to decide (1) whether there is any temporal limit to the retroactivity ruling stated in Jordan and (2) whether the contract-based requirement in this case that a UM/UIM claim is barred if not brought within six years from the date of the accident is enforceable.

II. DISCUSSION

{9} The issues before us are questions of law that we review de novo. Jordan, 2010- NMSC-051, ¶ 14. We address first the validity of the contract clause barring UM/UIM claims made six years or more after the date of the underlying accident.

A. The Provision Barring Enforcement of UM/UIM Coverage Six Years After an Accident Is Unreasonable and Unenforceable

{10} Before we can decide the reasonableness and enforceability of a limitations clause,

3 we must consider the right that is being limited. The UM/UIM statute, NMSA 1978, Section 66-5-301 (1983), seeks “to protect individual members of the public against the hazard of culpable uninsured motorists.” Romero v. Dairyland Ins. Co., 1990-NMSC-111, ¶ 6, 111 N.M. 154, 803 P.2d 243. Subsection A of Section 66-5-301 requires that uninsured motorist coverage be included in all liability insurance policies issued in connection with automobiles. See id. (“No . . . automobile liability policy insuring against loss resulting from liability . . . shall be . . . issued . . . unless coverage is provided therein . . . up to the limits of liability . . .

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Bluebook (online)
2014 NMSC 21, Counsel Stack Legal Research, https://law.counselstack.com/opinion/whelan-v-state-farm-mut-auto-ins-co-nm-2014.