MORRO V. FARMERS INS. GROUP, 1988-NMSC-006,
106 N.M. 669, 748 P.2d 512 (S. Ct. 1988)
Caroline Morro, Plaintiff-Appellee,
vs.
Farmers Insurance Group, d/b/a Farmers Insurance of
Arizona, Defendant, and Foundation Reserve Insurance
Company, Defendant-Appellant
SUPREME COURT OF NEW MEXICO
1988-NMSC-006, 106 N.M. 669, 748 P.2d 512
APPEAL FROM THE DISTRICT COURT OF
CHAVES COUNTY, Alvin F. Jones, District Judge.
HINKLE, COX, EATON, COFFIELD & HENSLEY,
RICHARD E. OLSON, AND REBECCA NICHOLS JOHNSON, for Appellant.
WILSON and MARTIN, KENNETH B. WILSON, for
Appellee.
{1} On January 16, 1987, as
plaintiff Caroline Morro was loading groceries into the trunk
{*670} of her daughter's automobile, a third
party struck her and caused serious injuries. The third party had liability
insurance coverage with Farmer's Insurance of Arizona. Morro's daughter had
insurance coverage with the defendant Foundation Reserve. In addition, Morro
had two policies with Farmer's Insurance on cars not involved in the accident.
All policies had a $25,000 limit.
{2} Farmer's Insurance and
Morro settled, and she sought recovery from Foundation Reserve under the
underinsured provision of the policy covering her daughter's vehicle. Both
parties agreed that Morro was a class two insured under the Foundation policy.
Morro's status as an occupant of her daughter's vehicle is not an issue on
appeal. The trial court granted summary judgment in Morro's favor, holding that
she was entitled to stack the underinsured motorist benefits of the Foundation
policy with the two Farmer's Insurance underinsured motorist benefits she
carried when determining her entitlement to uninsured coverage. This appeal
followed.
{3} New Mexico has mandated
statutorily that insurance companies shall include underinsured motorist
coverage with uninsured motorist coverage in all automobile liability policies
sold in the state.
See NMSA 1978, §
66-5-301B (Repl. Pamp.1984). The
statute defines "underinsured motorist" as an "operator of a
motor vehicle with respect to ownership, maintenance or use of which the sum of
the limits of liability under all bodily injury liability insurance applicable
at the time of the accident is less that the limits of liability under the
insured's uninsured motorist coverage."
Id. Morro claims that the
sum of the limits of all of her available uninsured motorist coverage is
$75,000 (her two policies with Farmer's and her daughter's policy with Foundation).
She argues, therefore, that the third party is an underinsured motorist
pursuant to the statutory definition and that she is entitled to recover from
Foundation. Foundation contends that Morro may not aggregate or
"stack" her two underinsured policies, under which she was a class
one insured, with Foundation's underinsurance policy, under which she was a
class two insured, to determine her underinsured status. Foundation claims that
it is not liable for underinsurance coverage because the limits of the
tortfeasor's liability insurance is not less than but equals the maximum limits
of its uninsured motorist coverage ($25,000). Asserting that the trial court
incorrectly determined that third party's status as an underinsured motorist
with respect to its policy, Foundation claims that the trial court erred in
allowing Morro to recover under its policy.
{4} We have never had
occasion to decide whether an insured may stack his class one coverage with
coverage under which he is a class two insured. We have stated, however, that
in expanding uninsured motorist protection to include underinsured coverage,
the legislature intended to compensate victims of inadequately insured drivers.
Konnick v. Farmers Ins. Co. of Ariz., 103 N.M. 112, 114,
703 P.2d 889,
891 (1985). Similarly, in considering underinsured motorist coverage, we held
that the "intent of the Legislature was to put an injured insured in the
same position he would have been in had the tortfeasor had liability coverage
in an amount equal to the uninsured/underinsured motorist protection
purchased
for the insured's benefit." Schmick v. State Farm Mut. Auto. Ins. Co.,
103 N.M. 216, 219,
704 P.2d 1092, 1095 (1985). (Emphasis added.)
{5} For the purpose of
"stacking," the
Konnick court equated underinsured motorist
coverage with uninsured motorist coverage,
Konnick, 103 N.M. at 114 n.
1,703 P.2d at 891 n. 1, and observed that similar policy considerations apply
for both types of coverage.
Id. at 114, 703 P.2d at 891. The term
"stacking" refers to an insured's attempt to recover damages in
aggregate under more than one policy or one policy covering more than one
vehicle until all damages either are satisfied or the total policy limits are
exhausted.
Gamboa v. Allstate Ins. Co.,
104 N.M. 756, 757,
726 P.2d
1386, 1387 (1986);
Lopez v. Foundation Reserve Ins. Co., Inc.,
98 N.M.
166, 168,
646 P.2d 1230, 1232 (1982). In addition, the term "class one
insured" generally
{*671} encompasses
those persons who are named insureds under a policy,
i.e., the owner,
the spouse, and any relatives living in the household; and the term "class
two insured" pertains to any person occupying the insured motor vehicle at
the time of the accident.
Konnick, 103 N.M. at 115, 703 P.2d at 892.
First class insureds generally "are covered by policies no matter where
they are or in what circumstances they may be; coverage is not limited to a
particular vehicle."
Gamboa, 104 N.M. at 758, 726 P.2d at 1388.
"[S]econd class insureds are covered only because they occupy an insured
vehicle."
Id. Class one insureds "may stack all
uninsured/underinsured motorist policies purchased by the named insured since
the policies were obtained specifically to benefit the named insured and
members of his family."
Schmick, 103 N.M at 220, 704 P.2d at 1096.
Class two insureds, however, "are restricted to recovering under the
policy on the car in which they rode because the purchaser of the policy only
intended occupants to benefit from that particular policy."
Id.
{6} We have upheld the practice
of stacking coverages under various insurance policies. For example, in
Sloan
v. Dairyland Insurance Co.,
86 N.M. 65,
519 P.2d 301 (1974), we declared
that interpolicy stacking was valid to allow recovery on more than one
uninsured motorist policy. In
Sloan, the court disapproved of an
insurance company's attempt to avoid coverage for which it had received
premiums, and permitted the decedent's estate to recover damages from a policy
covering the vehicle involved in the accident and from a separate policy
covering another of the decedent's automobiles not involved in the accident.
Id.
at 66, 519 P.2d at 303. In short, the
Sloan court allowed the stacking
of two policies covering a class one insured.
{7} In
Lopez, we
approved of intrapolicy stacking, allowing a class one insured to aggregate
coverages for two or more vehicles insured under one uninsured motorist policy.
In permitting the insured to combine the coverage for which he had paid
separate premiums, the
Lopez court reasoned that intrapolicy stacking
fulfilled the reasonable expectations of the insured.
Lopez, 98 N.M. at
170-71, 646 P.2d at 1234. The court refused, however, to allow recovery by a
class two insured passenger from a policy covering a class one insured driver's
second car that had not been involved in the accident.
Id. at 172, 646
P.2d at 1236. Similarly, in
Gamboa, we held that the estate of the
occupant of an insured vehicle owned by the occupant's father was not entitled
to recover from a policy covering the automobile owned by the driver's father
that was not involved in the accident. The court permitted the estate of the
class two insured -- the occupant -- to recover under the policy covering the
vehicle in which he was an occupant in the accident, but reasoned that the
deceased passenger-occupant was neither a first nor second class insured under
the insurance contract covering the other automobile.
Gamboa, 104 N.M.
at 760, 726 P.2d at 1390.
{8} In
Konnick, we
gave effect to the reasonable expectations of the purchaser of two insurance
policies providing uninsured/underinsured motorist coverage for two vehicles
and allowed a class one insured to recover from both policies. The
Konnick
court stated that "[a]s with uninsured motorist coverage, an insured is
entitled to stack the underinsured motorist policies for which separate
premiums have been paid,"
Konnick, 103 N.M. at 114, 703 P.2d at
891, reasoning that the purchaser of a policy expects that benefits will be
paid to an occupant if an underinsured motorist injures the occupant of the
insured vehicle.
Id. at 115, 703 P.2d at 892. In
Konnick, the
injured person was a named insured, and the court classified has as a class one
insured entitled to recover from each of the insured's policies.
Id. at
116, 703 P.2d at 893.
{9} In
Schmick, noting
that the "only limitations to be placed on uninsured/underinsured motorist
coverage are that the insured legally be entitled to recover damages and that
the negligent driver be either uninsured or underinsured," we permitted a
class one insured to stack the proceeds from an underinsured motorist policy
covering her vehicle that was not involved in the accident with her
underinsured policy
{*672} covering the
vehicle involved in the accident to determine the tortfeasor's underinsured
status. The
Schmick court reiterated the policy of "compensating
persons injured through no fault of their own," and invalidated an
exclusionary clause in the insurance contract that limited the insured's right
to recover.
Schmick, 103 N.M. at 221, 704 P.2d at 1097.
{10} Furthermore, the court
in
Schmick addressed the issue of offsetting the insured's recovery by
the amount of the tortfeasor's liability coverage. The
Schmick court
concluded that the "Legislature intended that the amount of underinsured
benefits due would differ depending on the relative amounts of coverage
purchased by the tortfeasor and the insured."
Id. at 222, 704 P.2d
at 1098. Concluding that underinsured status is created when the aggregate of
the insured's uninsured motorist coverage is greater than the tortfeasor's
liability coverage, the court held that an offset was required.
Id. at
223, 704 P.2d at 1099. Although noting that NMSA 1978, Section
66-5-301 (Repl.
Pamp.1984) did not provide specifically for an offset,
Schmick declared
that an offset was inherent in the statutory definition of "uninsured
motorist."
Schmick, 103 N.M. at 223, 704 P.2d at 1099. In ruling
that the statute limited the insured's recovery to the aggregate amount of
uninsured motorist coverage purchased for his benefit, the court held that
"an insured collects from his underinsured motorist carrier the difference
between his uninsured motorist coverage and the tortfeasor's liability coverage
or the difference between his damages and the tortfeasor's liability coverage,
whichever is less."
Id. at 222, 704 P.2d 1098.
{11} Foundation's policy
contained a provision defining an underinsured vehicle as one in which the
tortfeasor's bodily injury liability coverage is less than the amount of
underinsurance provided by the Foundation policy. Upon that provision
Foundation asserts it has no underinsured liability at all because its
underinsurance coverage was not greater than the tortfeasor's liability
coverage. Adhering to the well-established policy that "'other insurance'
clauses may not be construed to prohibit recovery from more than one policy, at
least to the extent of the insured's loss and the second policy's limits,"
we affirm the trial court insofar as it permitted Morro to stack all
underinsured motorist policies under which she is a beneficiary to determine
the tortfeasor's status as an underinsured motorist.
Branchal v. Safeco Ins.
Co. of Am.,
106 N.M. 70, 70,
738 P.2d 1315, 1315 (1987).
{12} Although we never have
considered whether a class two insured may aggregate that coverage with her
class one insured coverage, our case law overwhelmingly supports such a
proposition. Morro was an occupant of the Foundation insured vehicle at the
time of the accident and may recover under that policy because the policy
intended that an occupant of the insured vehicle benefit from that policy for
which premiums were paid on her behalf. Simply because Morro legally is
entitled to recover as a class two insured, there is no satisfactory reason
that she should not be able to combine that recovery with the benefits provided
under other coverage as a class one insured. Allowing "stacking" in
this instance furthers the policy of compensating persons injured through no
fault of their own and placing them in the same position as if the tortfeasor
had liability coverage equaling the amount of underinsured motorist coverage
purchased for the insured's benefit.
{13} The offset issue in
Schmick
was uncomplicated because one insurance carrier provided both underinsured
motorist policies to the same person. In the instant case, however, there are
three underinsurance policies issued by two insurance carriers. There appears
to be no dispute that if stacking is permitted, Morro should recover a minimum
of $75,000, no argument being presented that her damages were less than that
amount. Foundation argues that its liability should be offset bye $25,000 (the
amount of the tortfeasor's liability coverage) or, alternatively, by 50% of
that coverage because only one other insurer, Farmer's, provided coverage. Foundation
thus focuses on the number of underinsurance insurers rather than on the number
of policies for which premiums were paid. The trial court found that plaintiff
was a class
{*673} two insured entitled
to a limit of $25,000 coverage under the Foundation policy, and a class one
insured entitled to a limit of $25,000 coverage under each of her Farmer's
policies. But because the tortfeasor's policy had already become liable for
$25,000 of Morro's damages, the court awarded Foundation a one-third credit of
the tortfeasor's liability insurance proceeds, thus prorating Morro's excess
$50,000 entitlement equally among the three remaining policies.
{14} The result of such
proration gave Farmer's a two-thirds credit of the tortfeasor's $25,000
liability against Farmer's underinsured liability, which recognized plaintiff's
right to recover under her two Farmer's policies and Farmer's obligation to pay
under both policies. We cannot agree with Foundation that there was anything
unfair in such an allocation of credit toward the liability of both insurers to
plaintiff under all three underinsurance policies.
{15} The judgment is
AFFIRMED.
SCARBOROUGH, C.J., and RANSOM, J., concur.