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Decision Information

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This summary was computer-generated without any editorial revision. It is not official, has not been checked for accuracy, and is NOT citable.

Facts

The Plaintiff was involved in a motorcycle accident with an uninsured motorist and sought uninsured/underinsured motorist (UM/UIM) coverage from his insurer, the Defendant. The Defendant denied coverage, asserting that the Plaintiff had signed a rejection of UM/UIM coverage during the application process. However, the rejection notice was not made part of the insurance policy as required by New Mexico insurance regulations (paras 1-5).

Procedural History

  • District Court of Bernalillo County: Granted summary judgment in favor of the Defendant, holding that the Plaintiff had validly rejected UM/UIM coverage (para 1).

Parties' Submissions

  • Plaintiff-Appellant: Argued that the rejection of UM/UIM coverage was invalid because it was not made part of the insurance policy as required by New Mexico insurance regulations. The Plaintiff also contended that the Defendant acted in bad faith by failing to provide coverage (paras 1, 5).
  • Defendant-Appellee: Asserted that the Plaintiff knowingly and voluntarily rejected UM/UIM coverage by signing the rejection notice and that mailing the amended policy with the rejection notice satisfied the regulatory requirements. The Defendant also argued that the Plaintiff's failure to provide a complete address caused the rejection notice to be undeliverable (paras 6, 11-13).

Legal Issues

  • Whether the Plaintiff's signing of a rejection notice was sufficient to reject UM/UIM coverage when the rejection was not made part of the insurance policy as required by New Mexico insurance regulations.
  • Whether the Defendant's attempt to mail the rejection notice satisfied the regulatory requirement that the rejection be made part of the policy (para 1).

Disposition

  • The Supreme Court of New Mexico reversed the District Court's decision, holding that the rejection of UM/UIM coverage was invalid and that such coverage must be read into the Plaintiff's policy (paras 17-18).

Reasons

Majority Opinion (Per Baca CJ, Ransom, Minzner, and McKinnon JJ. concurring):

The Court held that the rejection of UM/UIM coverage was invalid because it was not made part of the insurance policy as required by New Mexico insurance regulations. The regulations mandate that a rejection must be "endorsed, attached, stamped or otherwise made a part of the policy" to ensure the insured has affirmative evidence of the rejection (paras 6-9).

The Court rejected the Defendant's argument that mailing the rejection notice satisfied the regulatory requirements. It emphasized that the returned mail demonstrated the Defendant's failure to ensure compliance with the regulations. The Defendant had alternative means to contact the Plaintiff, such as using the provided telephone number or other addresses, but failed to do so (paras 11-16).

The Court concluded that the strong public policy underlying UM/UIM coverage required strict compliance with the regulations, and the Defendant's failure to meet these requirements necessitated reading UM/UIM coverage into the Plaintiff's policy (paras 17-18).

Dissenting Opinion (Per Franchini J.):

Justice Franchini dissented, arguing that the Plaintiff knowingly and voluntarily rejected UM/UIM coverage and that the Defendant substantially complied with the regulatory requirements. He emphasized that the Plaintiff's failure to provide a complete address caused the rejection notice to be undeliverable and that the Defendant should not be penalized for the Plaintiff's error (paras 19-25). Justice Franchini also contended that the majority's decision granted the Plaintiff an undeserved windfall and undermined the public policy of encouraging the purchase of UM/UIM coverage (paras 24-25).

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