Certiorari Granted, April 1, 2010, No. 32,243
IN THE COURT OF APPEALS OF THE STATE OF NEW MEXICO
Opinion Number: 2010-NMCA-031
Filing Date: January 26, 2010
Docket No. 28,859
FARMERS INSURANCE COMPANY
OF ARIZONA,
Plaintiff/Counter-Defendant-Appellants,
v.
XIAN CHEN,
Defendant/Counter-Plaintiff-Appellee.
APPEAL FROM THE DISTRICT COURT OF LOS ALAMOS COUNTY
James A. Hall, District Judge
O’Brien & Ulibarri, P.C.
Daniel J. O’Brien
Albuquerque, NM
for Appellant
Law Office of James A. Branch, Jr.
James A. Branch, Jr.
Albuquerque, NM
Law Office of Brian K. Branch
Brian K. Branch
Albuquerque, NM
for Appellee
OPINION
VANZI, Judge.
1
{1} Farmers Insurance Company of Arizona (Farmers) appeals the district court’s grant
of summary judgment in favor of Appellee, Xian Chen (Mr. Chen). Farmers contends that
the district court erred when it held that the automobile insurance policies issued by Farmers
to Mr. Chen and his wife (the Chens) did not comply with New Mexico regulations
regarding uninsured motorist (UM) and/or underinsured motorist (UIM) coverage, and
therefore, Mr. Chen was entitled to UM/UIM coverage equal to the liability limits on those
policies.
{2} The district court held that New Mexico law requires insurers to offer UM/UIM
coverage up to the liability limits in an automobile insurance policy; that the Chens’
selection of a lesser amount of UM/UIM coverage constituted a rejection of UM/UIM
coverage equal to the difference between the two types of coverage (UM/UIM and liability);
and, because Farmers failed to obtain a valid written rejection of that coverage, UM/UIM
coverage equal to the liability limits of the Chens’ policies will be read into those policies.
We affirm.
BACKGROUND
{3} The facts in this case are not in dispute. Farmers issued two insurance policies to the
Chens. Each policy provided liability coverage of $100,000 for each person, $300,000 for
each occurrence and UM/UIM limits of $30,000 for each person, $60,000 for each
occurrence. During the application process, Mr. Chen’s wife signed two “Uninsured
Motorist Election” agreements (election agreements), one for each policy. The election
agreements define UM/UIM coverage and state that the opportunity to purchase UM/UIM
coverage in an amount up to the automobile limits was previously provided. The election
agreements allow the insured to reject UM/UIM coverage entirely or select an amount of
coverage less than the liability limits of the policy. The agreements signed by Mr. Chen’s
wife indicate a selection of UM/UIM coverage in the amount of $30,000 per person, and
$60,000 per occurrence. The signed UM/UIM election agreements were not attached to the
automobile insurance policies that Farmers issued to the Chens.
{4} An endorsement titled “Endorsement Reducing Uninsured Motorist Coverage” and
labeled “s1655” was attached to each policy. The declarations page of the policy referenced
the s1655 form. The s1655 form is a generic form that states that “the named insured has
selected Uninsured Motorist Coverage limits of Liability that are lower than the Bodily
Injury Limit of Liability of this policy.” The s1655 form refers insureds to the declarations
page of their policy for the liability limits.
{5} Mr. Chen’s wife was killed and his son was injured by the negligence of an
underinsured motorist. Mr. Chen made a demand against his Farmers insurance policies for
UM/UIM coverage at the liability limits of his policies, alleging that Farmers had failed to
obtain a valid written rejection of UM/UIM coverage. Farmers denied Mr. Chen’s claim and
2
asserted it was only responsible for the payment of UM/UIM limits of $30,000 per person
on each policy.
{6} Farmers argues on appeal that the statute and regulation pertaining to the rejection
of UM/UIM coverage do not apply to policies containing UM/UIM limits of at least
$25,000, and even if the statute and regulation do apply, the policies Farmers issued to the
Chens meet the New Mexico statutory and regulatory requirements for rejection of
UM/UIM.
DISCUSSION
Standard of Review
{7} “Summary judgment is appropriate where there are no genuine issues of material fact
and the movant is entitled to judgment as a matter of law.” Self v. United Parcel Serv., Inc.,
1998-NMSC-046, ¶ 6, 126 N.M. 396, 970 P.2d 582. “An appeal from the grant of a motion
for summary judgment presents a question of law and is reviewed de novo.” Montgomery
v. Lomos Altos, Inc., 2007-NMSC-002, ¶ 16, 141 N.M. 21, 150 P.3d 971 (filed 2006). “All
reasonable inferences are construed in favor of the non-moving party.” Id. (internal
quotation marks and citation omitted).
New Mexico Law Requires Rejection of UM/UIM Coverage
{8} Farmers argues that the Chens’ purchase of UM/UIM coverage in an amount less
than the liability limits of their policy was not a rejection of UM/UIM coverage because New
Mexico law only requires minimum UM/UIM coverage of $25,000 and optionally permits
insureds to request additional UM/UIM coverage up to the liability limits of their policies.
Farmers argues that, because the Chens purchased UM/UIM coverage in excess of the
minimum required, they did not reject any amount of UM/UIM coverage. We disagree.
{9} UM/UIM insurance coverage in New Mexico is regulated by the uninsured motorist
statute contained in NMSA 1978, Section 66-5-301 (1983). This statute states, in part, that
insurers must provide UM coverage in “minimum limits . . . as set forth in 66-5-215 NMSA
1978 and such higher limits as may be desired by the insured, but up to the limits of . . .
liability provisions of the insured’s policy[.]” Section 66-5-301(A) (emphasis added).
{10} In Romero v. Progressive Northwestern Insurance Co., (Romero I) 2010-NMCA-
024, ¶ 16, ___ N.M. ___, ___P.3d ___, (No. 28,720, Oct. 26, 2009), this Court recently
interpreted this section of the statute “to place two equally weighted requirements on
insurers. First, insurers are required to provide UM/UIM coverage of not less than the
minimum statutory requirement. Second, insurers are required to provide UM/UIM
coverage up to the limits of the liability coverage contained within a given policy.” Id. We
further stated that, based on this interpretation, insurers have an affirmative duty to “offer
UM/UIM coverage up to the level of the liability limits of an automobile insurance policy.”
3
Id. ¶ 22. We held that, because insurers are statutorily required to offer UM/UIM coverage
up to the liability limits of the policy, a purchase of an amount less than the liability limit by
the insured is a rejection of the UM/UIM coverage that is statutorily available to the insured.
Id. ¶ 24.
{11} In the present case, the Chens purchased UM/UIM coverage of $30,000 per person,
while purchasing liability coverage of $100,000 per person. Therefore, the Chens rejected
$70,000 of the UM/UIM coverage that they were entitled to purchase under the statute.
Requirements for a Valid Rejection of UM/UIM Coverage
{12} Farmers next contends that even if it was required to offer the Chens UM/UIM
coverage at the liability limits of the policy and was, therefore, required to obtain a valid
rejection of such coverage, when the Chens selected a lesser amount, Farmers has met the
UM/UIM regulatory requirements for rejection by informing the Chens of their UM/UIM
elections in three separate documents: the declarations pages of the policies, the s1655
forms, and the election agreements.
{13} Section 66-5-301(C) of the UM/UIM statute permits a policyholder to reject the
UM/UIM coverage defined in subsections A and B of that statute. The specific requirements
for such a rejection are defined in regulations promulgated by the superintendent of
insurance. Regulation 13.12.3.9 NMAC (11/30/01), states that “[t]he rejection of the
provisions covering damage caused by an uninsured or unknown motor vehicle as required
in writing by the provisions of Section 66-5-301 . . . must be endorsed, attached, stamped or
otherwise made a part of the policy of bodily injury and property damage insurance.”
{14} In Romero v. Dairyland Insurance Co. (Romero II), our Supreme Court stated that
a valid rejection must clearly and unambiguously call to the attention of the insured the fact
that UM/UIM coverage has been rejected and ensure that the insured has affirmative
evidence of the rejection sufficient to permit the individual to reconsider the rejection at a
later date. 111 N.M. 154, 156, 803 P.2d 243, 245 (1990).
{15} Most recently, in Marckstadt v. Lockheed Martin Corp., 2010-NMSC-001, ___ N.M.
___, ____ P.3d ___ (No. 31,258, Nov. 19, 2009), our Supreme Court reviewed and
interpreted the regulation and prior court rulings. In Marckstadt, the Court held that an
insurer must meet two requirements in order to comply with statutory and regulatory
requirements when excluding UM/UIM coverage in an automobile liability policy. Id. ¶ 26.
{16} First, the Court held that the insurer must obtain a written rejection of UM/UIM
coverage from the insured. Id. The Court stated that, for a rejection to be valid, the insurer
must make a meaningful offer of UM/UIM coverage, the insured must knowingly and
intelligently act to reject such coverage, and the insured’s rejection must be made in writing.
Id. ¶¶ 16-17. The Court noted, however, that the written rejection need not be signed or
attached to the policy. Id. ¶ 26.
4
{17} Second, the Court held that evidence of the rejection must be attached to the
insured’s policy and that such evidence must be sufficient to “clearly and unambiguously
call to the attention of the insured the fact that such coverage has been waived.” Id. ¶ 25
(internal quotation marks and citation omitted). The Court noted that, while attaching the
written rejection itself to the policy would obviously meet the second requirement, “other
forms of notification could function equally well” as long as the notification is “made part
of the policy by endorsement, attachment, or some other means.” Id. ¶¶ 25-26.
{18} For the purposes of our discussion, we refer to the two requirements defined by the
Court as the “written rejection requirement” and the “attached notification requirement,”
respectively.
{19} Before we begin our analysis, we note that in his dissent, the author has attached
three pages as exhibits. Exhibits 2 and 3 were part of the multi-paged policies received by
the Chens. Exhibit 1 was not a part of those policies. We believe that these pages, taken out
of context, present an inaccurate representation of the policies for the purpose of determining
whether they meet the requirements defined by the Court in Markstadt.
Written Rejection Requirement
{20} We first address whether the declarations pages, the s1655 forms, and the election
agreements, together or individually, meet the written rejection requirement defined in
Markstadt.
{21} In Markstadt, the Court stated that for a rejection of UM/UIM to be valid, the insured
must knowingly and intelligently reject the coverage. Id. ¶ 16. New Mexico courts have not
prescribed the specific information an insurer must provide to its insureds to permit the
insureds to make a knowing and intelligent rejection; however, we hold that, at a minimum,
insureds must be clearly informed as to: the amount of coverage they are entitled to
purchase; the amount of coverage they have in fact purchased; and the fact that they have
rejected some amount of coverage.
{22} Of the three documents in question, no single document contains all the information
the Chens would have needed in order to understand what, if any, UM/UIM coverage they
had rejected. The election agreements list the amount of UM/UIM coverage purchased by
the Chens but do not list the amount of UM/UIM coverage the Chens were permitted to
purchase or the amount they had rejected by choosing to purchase less coverage. The
declarations pages list both the amount of liability coverage and the amount of UM/UIM
coverage purchased by the Chens but do not list the amount of UM/UIM coverage rejected
or the amount of UM/UIM coverage available for purchase. The s1655 forms are generic
forms that do not state the amount of UM/UIM coverage selected, the amount of UM/UIM
coverage rejected, or the amount of UM/UIM coverage available for purchase. Finally, none
of the three documents clearly state that the Chens rejected some amount of UM/UIM
coverage. Based on these facts, we find that the documents do not meet the written rejection
5
requirement because they do not provide sufficient information regarding the Chens’
UM/UIM coverage to ensure that the Chens knowingly and intelligently rejected that
coverage.
Attached Notification Requirement
{23} We next address whether the documents meet the attached notification requirement
defined in Marckstadt. We first note that, to meet this requirement, the notification must be
attached to the insured’s policy. Marckstadt, 2010-NMSC-001, ¶ 25. The election
agreements were not attached to the copies of the policies received by the Chens;
accordingly, we consider only the declarations pages and the s1655 forms for the purposes
of determining whether the Chens’ policies met the attached notification requirement.
{24} In order to meet the requirement, the attached notification must clearly and
unambiguously call to the attention of the insured the fact that some amount of UM/UIM
coverage has been rejected and provide affirmative evidence of the amount rejected,
sufficient to permit the insured to reconsider the rejection at a later date. Id. ¶¶ 19, 25;
Romero II, 111 N.M. at 156, 803 P.2d at 245. As we noted above, neither the declarations
pages nor the s1655 forms contain all the information necessary to fully inform the Chens
regarding their UM/UIM coverage decisions. Neither document specifically states the
amount of UM/UIM coverage rejected by the Chens nor the amount of coverage the Chens
were permitted to purchase under New Mexico law. Without this specific information, the
Chens were not equipped to understand their selections or to reconsider those selections at
a later date. We find, therefore, that these documents do not provide sufficient information
regarding the rejection of UM/UIM coverage to meet the attached notification requirement.
{25} In Romero II, our Supreme Court observed that unless rejection is done in a manner
consistent with the requirements imposed by the statute and regulations, UM/UIM coverage
will be read into the policy “regardless of the intent of the parties.” 111 N.M. at 155, 803
P.2d at 244. The Court further stated that the UM/UIM statute embodies a public policy to
make uninsured motorist coverage a part of every automobile liability insurance policy
issued in New Mexico, and the statute was intended to expand insurance coverage and to
protect individual members of the public against the hazard of culpable uninsured motorists.
Id. at 156, 803 P.2d at 245. Finally, the Court stated that the statute should be liberally
interpreted in order to implement its remedial purpose and that language in the statute that
provides for an exception to UM/UIM coverage should be construed strictly to protect the
insured. Id.
{26} In light of this guidance and our analysis as discussed above, we find that the Chens’
automobile liability policies do not meet the New Mexico statutory and regulatory
requirements for rejection of UM/UIM coverage. Farmers, therefore, did not obtain a valid
rejection of UM/UIM coverage from the Chens.
6
{27} Where a valid rejection of UM/UIM coverage has not been obtained by the insurer,
New Mexico law requires UM/UIM coverage to be read into the policy at the liability limits,
regardless of the intent of the parties or the fact that a premium has not been paid. Romero
II, 111 N.M. at 155, 803 P.2d at 244. Because Farmers did not obtain a valid rejection of
UM/UIM coverage from the Chens, the district court was correct in reading UM coverage
at the liability limits into the Chens’ policies.
CONCLUSION
{28} For the reasons set forth above, we affirm the district court’s order granting summary
judgment in favor of Mr. Chen.
{29} IT IS SO ORDERED.
____________________________________
LINDA M. VANZI, Judge
I CONCUR:
____________________________________
MICHAEL D. BUSTAMANTE, Judge
MICHAEL E. VIGIL, Judge (dissenting)
VIGIL, Judge (dissenting).
{30} Mr. Chen and his wife (the Insureds) purchased two policies. One was for a 1990
Honda Civic, and one was for a 1996 Mercury Villager. The forms and coverages for both
policies are identical. The Insureds purchased bodily injury limits of liability in the amount
of $100,000 per person and $300,000 per occurrence, and UM/UIM coverage in the amount
of $30,000 per person and $60,000 per occurrence for each automobile. The majority
concludes that the Insured’s rejection of UM/UIM coverage for the full amounts of the
bodily injury coverage was invalid. I disagree and therefore dissent.
{31} In Marckstadt, our Supreme Court summarizes its holding that pursuant to the statute
and regulation,
the insurer must obtain a written rejection from the insured, but that the
written rejection need not be signed or attached to the policy. . . . However,
we reiterate our holding in Romero [II] that 13.12.3.9 NMAC requires that
some evidence of the insured’s written rejection of UM/UIM coverage must
be made part of the policy by endorsement, attachment, or some other means
that calls the insured’s attention to the fact that such coverage has been
waived.
7
Marckstadt, 2010-NMSC-001, ¶ 26. In my view, Farmers complied with both of these
requirements.
{32} First, Farmers obtained valid written rejections of UM/UIM coverage for less than
the limits of the liability coverages. When Mr. Chen’s wife applied for the insurance, she
signed a form entitled, “UNINSURED MOTORIST ELECTION” for each policy. The
form is clear and unambiguous in its form and content, and a copy is attached hereto as
Exhibit 1. The “UNINSURED MOTORIST ELECTION” signed for each policy
specifically states, “I have had the coverage of Uninsured Motorist protection explained to
me. The opportunity to purchase this coverage in an amount up to my automobile limits has
been provided.” There is a box to reject uninsured motorist coverage in its entirety and there
is a second box whereby the insured selects reduced uninsured motorist coverage. The
second box was checked, indicating “reduced Uninsured Motorist Coverage limits of 30 per
person and 60 per occurrence.” No argument has been made that this does not indicate
UM/UIM coverage limits of $30,000 per person and $60,00 per occurrence. The form then
provides, “In consideration of the reduction of the premium, the Company and I agree that
Uninsured Motorist Coverage shall apply according to the terms selected.” This form
satisfies the requirement that the insurer offered UM/UIM coverage up to the level of the
liability limits of the policy, and it clearly reflects a rejection of the full amount for a lower
amount.
{33} Secondly, the policies that were delivered to the Insureds satisfy the requirement of
Marckstadt “that some evidence of the insured’s written rejection of UM/UIM coverage
must be made part of the policy by endorsement, attachment, or some other means that calls
the insured’s attention to the fact that such coverage has been waived.” Id. ¶ 26. The
policies themselves set forth on their respective declarations sheets bodily injury limits of
liability of $100,000/$300,000 and uninsured motorist coverage of $30,000/$60,000. (The
declarations sheet clearly states that the coverages entries are in thousands of dollars, and
the bodily injury limits of liability are “100 Each Person” and “300 Each Occurrence,” and
that the uninsured motorist bodily injury limits are “30 Each Person” and “60 Each
Occurrence.”). The declarations sheet also clearly states that various endorsements apply,
one of which is identified as the s1655 endorsement. A declarations sheet is attached hereto
as Exhibit 2 to show where and how this information was conveyed to the Insureds.
Endorsement s1655 is attached to each policy that was delivered to the Insureds and it too
is clear and unambiguous in its content and form. A copy is attached hereto as Exhibit 3.
The s1655 endorsement is entitled, “ENDORSEMENT REDUCING UNINSURED
MOTORIST COVERAGE” and states,
In consideration of the reduced premium, the named insured has selected
Uninsured Motorist Coverage Limits of Liability that are lower than the
Bodily Injury Limit of Liability of this policy. The limit of liability chosen
for Uninsured Motorist is shown on the Declarations Page.
8
Thus, the endorsement clearly calls attention to the fact that the Insureds selected UM/UIM
coverage in an amount lower than the bodily injury limit of liability of the policy and that
the amount chosen is shown on the declarations page.
{34} Finally, I disagree with the majority that the insurance documents must list the actual
amount of UM/UIM coverage the Insureds were permitted to purchase or the actual amount
they had rejected by choosing to purchase less coverage. Majority opinion, ¶ 21.
Compliance with the statute and regulation has not heretofore required that specific dollar
amounts be set forth in the documents. Moreover, the same panel of this Court in Romero
I said,
In the present case, the Policy contained liability limits of $100,000 but
UM/UIM limits of only $50,000. Therefore, the [Insureds] rejected $50,000
of the UM/UIM coverage, which they were entitled to purchase under the
statute. The amount rejected is the difference between the liability limits of
the Policy and the [Insureds’] selected UM/UIM coverage.
Romero I, 2010-NMCA-024, ¶ 26.
{35} Farmers obtained a valid written rejection for full coverage of UM/UIM coverage,
and the policy itself adequately calls attention to this fact as required by Marckstadt. Since
the majority disagrees, I dissent. I would reverse and remand with instructions to enter
judgment in favor of Farmers.
____________________________________
MICHAEL E. VIGIL, Judge
9