STATE FARM MUT. AUTO. INS. CO. V. PROGRESSIVE SPECIALTY INS.
CO., 2001-NMCA-101, 131 N.M.
304, 35 P.3d 309
STATE FARM MUTUAL AUTOMOBILE INSURANCE
COMPANY,
Petitioner-Appellee,
vs.
PROGRESSIVE SPECIALTY INSURANCE COMPANY,
Respondent-Appellant, and KIMBERLY A. WARD,
Defendant, and STARLA WHITAKER JOHNSON, Real
Party In Interest.
COURT OF APPEALS OF NEW MEXICO
2001-NMCA-101, 131 N.M. 304, 35 P.3d 309
APPEAL FROM THE DISTRICT COURT OF SAN
JUAN COUNTY. Paul R. Onuska, District Judge.
Certiorari withdrawn, No. 27,203,
November 20, 2001. Released for Publication November 21, 2001.
Terry R. Guebert, Don Bruckner, Guebert,
Bruckner & Bootes, P.C., Albuquerque, NM, for Appellee.
Daniel J. O'Brien, Lawrence M. Glenn,
Daniel J. O'Brien & Associates, P.C., Albuquerque, NM, for Appellant.
Michael R. Huffaker, Booth &
Huffaker, Farmington, NM, for Real Party In Interest.
RICHARD C. BOSSON, Chief Judge. WE CONCUR:
A. JOSEPH ALARID, Judge, JONATHAN B. SUTIN, Judge.
AUTHOR: RICHARD C. BOSSON
{1} This appeal
addresses a question left unanswered by prior appellate decisions as to whether
New Mexico's mandatory liability insurance law requires coverage for punitive
damages. We hold that New Mexico law does not require such coverage and that an
insurer may contractually exclude punitive damages from its liability policy.
The district court having ruled to the contrary, we reverse.
{2} Starla Johnson and
Kimberly Ward were involved in an automobile accident. Johnson made a demand
upon Ward and her liability insurer, Progressive Insurance Company
(Progressive), to settle for policy limits ($ 25,000), which included her claim
for punitive damages. Progressive advised Johnson that Ward's liability policy
had an exclusion for punitive damages, and therefore, Progressive would not
include punitive damages in its settlement evaluation. Ultimately, the parties
agreed to settle the compensatory damage portion of Johnson's claim for $
18,500, and Progressive continued to refuse any payment for punitive damages.
Johnson then advised her own uninsured/underinsured motorist (UM) carrier,
State Farm Mutual Automobile Insurance Company (State Farm), of her intent to
file a UM claim for the punitive damages that had been omitted from her
settlement with Progressive. State Farm agreed to settle Johnson's UM claim and
paid Johnson $ 18,500 in compensatory damages and $ 7,500 in punitive damages for
a total of $ 26,000.
{3} Following payment
to Johnson, State Farm filed a declaratory judgment action against Progressive,
in which State Farm asked the district court to (1) void Progressive's punitive
damage exclusion in Ward's liability policy because it was contrary to state
statute, and (2) order Progressive to pay its policy limits to State Farm. The
district court agreed with State Farm that Progressive's punitive damage
exclusion violated
{*305} state law and
entered summary judgment against Progressive for $ 25,000. In this appeal,
Progressive contends that it is only liable for the compensatory damage portion
of the settlement, $ 18,500, and that its punitive damage exclusion should be
enforced under New Mexico law.
{4} In its effort to
void Progressive's punitive damage exclusion, State Farm relies primarily on
the case of
Stinbrink v. Farmers Ins. Co.,
111 N.M. 179,
803 P.2d 664
(1990). In that opinion, our Supreme Court held that the Uninsured Motorists'
Insurance Act (UM Act), NMSA 1978, §
66-5-301 (1983), required New Mexico UM
insurers to include coverage for punitive damages within their UM policies.
Stinbrink,
111 N.M. at 180-81, 803 P.2d at 665-66. The Court's holding invalidated
punitive damage exclusions in UM coverage.
See 111 N.M. at 181, 803 P.2d
at 666;
cf. Stewart v. State Farm Mut. Auto. Ins. Co.,
104 N.M. 744,
747,
726 P.2d 1374, 1377 (1986) (dicta suggesting that UM coverage for punitive
damages could be excluded by express language in UM policy; subsequently
"disavowed" in
Stinbrink, 111 N.M. at 180, 803 P.2d at 665).
The rationale for the
Stinbrink decision was that specific words in the
UM Act, requiring coverage "for the protection of persons insured
thereunder who are legally entitled to recover damages," were meant to
include punitive damages to the extent a victim is legally entitled to recover
them.
Id. at 180, 803 P.2d at 665. This rationale fit within the purpose
of the UM Act to empower potential victims to protect against serious or
catastrophic financial hardship.
Stinbrink did not address punitive
damage exclusions in liability policies.
{5} The holding in
Stinbrink
requires State Farm in this instance to include punitive damages in Johnson's
UM coverage. Because Ward's liability policy with Progressive excluded punitive
damages, Ward became "uninsured" or "underinsured" to that
extent, causing State Farm to indemnify Johnson for her punitive damage claim.
State Farm can recoup its UM payment for punitive damages if it can void Progressive's
exclusion.
{6} The parties do not
claim that Progressive's punitive damage exclusion was somehow ambiguous or
unclear. Thus, this appeal presents a clear question of law: whether the
rationale of
Stinbrink should be extended as a matter of statutory law
to require punitive damage coverage in liability policies, regardless of
whether the parties have contractually agreed to exclude liability for those
very damages.
{7} While
acknowledging the holding in
Stinbrink, Progressive points to
differences between UM insurance and liability insurance. Progressive places
particular emphasis on the separate statutes that control these two kinds of
insurance. Whereas UM insurance is governed by the UM Act, which the Court
construed in
Stinbrink, liability insurance is controlled by the New
Mexico Mandatory Financial Responsibility Act (MFRA), NMSA 1978, §§
66-5-201 to
-239 (as amended through 1999), which was not at issue or even discussed in
Stinbrink.
Progressive emphasizes that no New Mexico appellate court has ever construed
the MFRA to require punitive damage coverage in liability insurance policies.
We explore the differences between the two statutes to determine whether the
rationale of
Stinbrink should be extended to liability insurance.
{8} The MFRA attempts
to protect the motoring public by requiring drivers to demonstrate a minimal
amount of financial responsibility as a condition for driving an automobile in
this state.
Allstate Ins. Co. v. Perea, 2000-NMCA-70, PP6-16,
129 N.M.
364,
8 P.3d 166. A driver demonstrates financial responsibility under the MFRA
by one of three methods: a liability insurance policy, a surety bond, or a cash
deposit with the State Treasurer. Section 66-5-208. The liability insurance
policy must provide at least $ 25,000 coverage for bodily injury of one person
in any one accident, at least $ 50,000 for two or more persons in any one
accident, and at least $ 10,000 for property damage in any one accident.
Id.
As an alternative to liability insurance, a driver may elect to post a surety
bond or a cash deposit in the amount of $ 60,000 to cover these same
contingencies. Sections 66-5-218, -225, -226. All three alternatives are
designed to
{*306} ameliorate the
"catastrophic financial hardship," § 66-5-201.1, that can befall the
"innocent victims of automobile accidents,"
Perea,
2000-NMCA-070, P 10.
{9} On the surface,
the UM Act shares much of the same general purpose. Recognizing the plethora of
uninsured drivers in New Mexico, the UM Act requires insurers to offer UM
coverage to all New Mexico drivers.
See § 66-5-301;
Perea,
2000-NMCA-070. By empowering the potential victim to purchase UM insurance, the
UM Act offers protection to the motoring public from the same financial
consequences of automobile accidents. In one sense, then, these statutes are like
two sides of the same coin: one focuses on the tortfeasor, the other on the
victim.
{10} Beyond similar
goals, however, the statutes appear to differ markedly in their approaches. The
UM Act aims high but does not mandate prudence. A prudent driver who wants UM
coverage, and can afford it, need not suffer serious financial consequences
from a culpable, uninsured motorist. The more liability insurance a driver
purchases, the more the UM Act requires insurers to make available in UM
coverage. Section 66-5-301. The only limiting factor would appear to be how
much the driver wants to pay.
See Britt v. Phoenix Indem. Ins. Co.,
120
N.M. 813, 816,
907 P.2d 994, 997 (1995) (UM insurance includes coverage for
damages caused by intentional acts of an uninsured motorist). The UM Act places
the responsibility for obtaining adequate UM insurance upon the citizen seeking
protection.
{11} In contrast with
the UM Act, the MFRA is a mandatory, but minimal act, modest in its aim and
reach. It applies to all drivers without exception or waiver but requires only
a minimal amount of coverage, in an attempt to avoid "catastrophic
financial hardship." Section 66-5-201.1.
{12} Cost appears to
be a factor. The legislature makes no pretense of mandating comprehensive
liability coverage; the cost to both citizen and insurer would likely be
prohibitive. Instead, the legislature appears to have settled upon a
compromise. In the interest of achieving the broadest possible coverage, the
statute limits mandatory insurance to an amount and scope likely to be
affordable.
{13} Even the stated
aim of the MFRA, avoiding "catastrophic financial hardship,"
demonstrates a minimalist approach.
See § 66-5-201.1. Contrary to the UM
Act, the aim of the MFRA is not to offer the opportunity to insure fully
against a victim's loss by putting the victim in the same position as if the
culpable motorist had adequate liability insurance. The MFRA only mitigates the
financial hardship by not leaving the victim penniless. It is self-evident that
"financial hardship" occurs when compensatory damages, such as
medical bills and lost wages, are left unsatisfied. "Financial
hardship," whether catastrophic or otherwise, is far less evident from
unrequited punitive damages.
See Weidler v. Big J Enters., Inc., 1998-NMCA-21,
P53,
124 N.M. 591,
953 P.2d 1089 (describing punitive damages as "a
windfall conferred upon an otherwise fully compensated plaintiff").
{14} The difference
between the two statutes is also reflected in certain language of the UM Act,
relied upon by our Supreme Court in
Stinbrink, but not found in the
MFRA. The UM Act requires that an insurance policy contain UM coverage
"for the protection of persons insured thereunder who are legally entitled
to recover damages from owners or operators of uninsured motor vehicles because
of bodily injury." Section 66-5-301(A). As interpreted by our Supreme
Court, "those damages that a victim of an uninsured tort-feasor might be
legally entitled to recover undoubtedly include punitives."
Stinbrink,
111 N.M. at 180, 803 P.2d at 665. In a state like New Mexico, where a driver
may contract for liability insurance to include punitive damages, the theory
behind the UM Act puts the victim in the same position as if the culpable
motorist had actually purchased coverage for "punitives."
Baker v.
Armstrong,
106 N.M. 395, 398-99,
744 P.2d 170, 173-74 (1987) (holding that
New Mexico's public policy does not preclude insuring against punitive
damages). However, the MFRA contains no such language requiring liability
coverage to the extent the victim may be "legally entitled to
recover."
{15} {*307} {*312} In
light of the differences between these two statutes and the compromise
seemingly struck by our legislature in requiring a minimum amount of financial
responsibility of all drivers, we are reluctant to expand the reach of the MFRA
beyond its apparent scope. Almost fourteen years ago, our Supreme Court debated
whether public policy would even
permit liability insurance to cover
punitive damages.
Id. at 397, 744 P.2d at 172. It was assumed at the
time that liability insurers could not be
obligated to insure against
punitive damages, and that a liability policy could exclude punitive damages if
done so in a clear and unambiguous manner.
See 106 N.M. at 396, 744 P.2d
at 171 (noting in dictum that "while [the liability insurer] could have
contracted to exclude punitive damages, it did not do so by the language it
chose to use");
Rummel v. St. Paul Surplus Lines Ins. Co.,
1997-NMSC-42, P16, 1997-NMSC-42,
123 N.M. 767,
945 P.2d 985 (analyzing whether
under
Baker the liability insurer "unambiguously adopts a punitive
damages exclusion" in a non-automobile liability policy).
{16} Justice
Montgomery's dissent in
Stinbrink reemphasized the point that New Mexico
law has never compelled liability insurers to include punitive damages. 111
N.M. at 183 n.1, 803 P.2d at 668 n.1 (Montgomery, J., concurring in part,
dissenting in part) ("No decision of which I am aware holds that an
insurer cannot exclude liability for punitive damages under a liability
insurance policy."). That understanding about New Mexico law is consistent
with appellate decisions in comparable jurisdictions.
See, e.g.,
Ross
Neely Sys., Inc. v. Occidental Fire & Cas. Co., 196 F.3d 1347, 1351
(11th Cir. 1999) (punitive damage exclusion in automobile liability policy did
not violate Alabama law or public policy);
Cassel v. Schacht, 140 Ariz.
495, 683 P.2d 294, 295 (Ariz. 1984) (en banc) (holding that an Arizona statute
similar to the MFRA did not compel liability coverage for punitive damages in
the face of a contractual exclusion);
Taylor v. Lumar, 612 So. 2d 798,
800 (La. Ct. App. 1992) (holding that Louisiana compulsory liability insurance
law did not compel coverage for punitive damages if excluded in policy). State
Farm has not referred us to any contrary appellate decision that would support
its interpretation of the MFRA, and we have no reason to believe that any such
decision exists.
{17} The MFRA has
remained largely intact since
Baker and
Stinbrink, as has the UM
Act.
See generally 1998 N.M. Laws, ch. 34 (changing provisions of the
MFRA not relevant to this issue). In the intervening years, the legislature has
not amended the MFRA to require punitive damages coverage, despite being on
notice since
Baker that we would not likely interpret the existing MFRA
to require punitive damages coverage by liability insurers. Although we
acknowledge that "legislative silence is at best a tenuous guide to
determining legislative intent,"
Swink v. Fingado,
115 N.M. 275,
283,
850 P.2d 978, 986 (1993), we are confident that our interpretation of the
MFRA is not inconsistent with legislative goals in this area.
{18} Since
Stinbrink
was authored ten years ago, the way has been clear for insureds to obtain a
more adequate, if not full, protection that includes punitive damages by
purchasing adequate UM coverage. Responsibility has been placed upon each
driver to act pro-actively instead of upon the liability carrier to expand
coverage. A kind of equilibrium has been reached between the scope of the UM
Act, as expanded in
Stinbrink, and the scope of the MFRA, which we have
no reason to disrupt.
{19} We reverse the
declaratory judgment entered in favor of State Farm, and remand this case to
the district court for further proceedings consistent with this opinion.
RICHARD C. BOSSON, Chief Judge