Opinion Number: 2002-NMCA-073
Filing Date: April 15, 2002
Docket No. 21,819
TED WIARD,
Plaintiff-Appellee,
v.
STATE FARM MUTUAL AUTOMOBILE
INSURANCE COMPANY,
Defendant-Appellant.
APPEAL FROM THE DISTRICT COURT OF TAOS COUNTY
Peggy J. Nelson, District Judge
Anthony G. López
Taos, NM
for Appellee
Rudolph A. Lucero
Miller, Stratvert & Torgerson, P.A.
Albuquerque, NM
Thomas A. Simons, IV
Charles Henry
Simons Law Firm
Santa Fe, NM
for Appellant
ROBINSON, Judge.
{1} This case addresses coverage for a separate loss of
consortium claim under the claimant's uninsured/underinsured
automobile policies, pursuant to NMSA 1978, § 66-5-301(B)
(1983). Defendant State Farm Mutual Automobile Insurance
Company (State Farm) appeals from a summary judgment order in
favor of Plaintiff Ted Wiard (Wiard) on Wiard's complaint for
declaratory relief. The trial court determined State Farm was
liable for uninsured/underinsured motorist (UIM) coverage for
Wiard's loss of consortium claims based upon the deaths of his
two daughters in an automobile accident. Because the
tortfeasor was not underinsured for these claims, we reverse
the trial court's judgment.
BACKGROUND
{2} The underlying facts in this case are not in dispute.
This case arises from a tragic automobile accident on July 29,
1996, that resulted in the deaths of Wiard's two minor
daughters, Amy and Keri. The girls were passengers in a car
driven by their grandmother, Rachel Devlin (Devlin). Because
of Devlin's negligence, the automobile collided with a
sanitation truck. Devlin also died in the accident.
{3} On the date of the accident, Devlin carried two
automobile insurance policies with State Farm. The policies
provided liability coverage with limits of $100,000 per person
and $300,000 per accident (Devlin policies). In addition,
Wiard owned two State Farm automobile policies in force on his
two automobiles. These policies each provided for stacked
uninsured/underinsured motorist coverage of $100,000 per
person and $200,000 per accident.
{4} Wiard was appointed personal representative of the
estates of Amy and Keri, pursuant to NMSA 1978, § 41-2-3
(2001). As personal representative, Wiard settled the
wrongful death claims of Amy and Keri with State Farm under
the Devlin policies for the policies' limits of $200,000,
combining the $100,000 "each person" limits of the policies
for each of the two children. In the settlement agreements,
Wiard explicitly reserved any separate and individual claims
he might have based upon the deaths of Keri and Amy , who were
insured under his own State Farm policies.
{5} After settling the wrongful death claims, Wiard asserted
a separate and individual claim for parental loss of
consortium under each of his UIM policies. After State Farm
denied that claim, Wiard filed an action for declaratory
relief against State Farm. The parties filed cross-motions
for summary judgment and stipulated to the relevant facts.
The trial court granted summary judgment in favor of Wiard and
this appeal followed.
STANDARD OF REVIEW
{6} This Court reviews de novo whether the trial court erred
in determining there are no genuine issues of material fact,
ruling that coverage exists for Wiard's separate loss of
consortium claims under his UIM coverage, and granting summary
judgment in Wiard's favor. See Mitchell-Carr v. McLendon,
1999-NMSC-025, ¶ 30, 127 N.M. 282, 980 P.2d 65. Because no
issue of material fact exists as to the underlying facts of
this case, we review whether the trial court properly applied
the law to the uncontradicted facts. See Strata Prod. Co. v.
Mercury Exploration Co., 121 N.M. 622, 627, 916 P.2d 822, 827
(1996).
ANALYSIS
The UIM Policies' Language
{7} We look to the language of Wiard's UIM policies to
determine the nature and extent of Wiard's UIM coverage. See
Gonzales v. Allstate Ins. Co., 122 N.M. 137, 140, 921 P.2d
944, 947 (1996) (stating that an insurance claim arises from
the policy language). Under the terms of Wiard's State Farm
UIM policies, "'Bodily injury to one person' includes all
injury and damages to others resulting from this bodily
injury." This language is comparable to that of the insured
in Gonzales, in which case our Supreme Court held that a claim
for loss of consortium was subsumed by liability payments for
the bodily injury that gave rise to the loss. See id. at 138,
921 P.2d at 945. The same question presents itself in this
case: is any claim against Wiard's policies subsumed by the
settlement against the Devlin policies? In light of Gonzales,
in order for Wiard to state a viable claim for loss of
consortium against his own UIM insurance, this case must be
distinguished from Gonzales. We evaluate this case within the
Gonzales framework below.
2. Separate Cause of Action for Loss of Parental
Consortium
{8} Wiard argues that he has a separate cause of action for
loss of consortium which was not affected by his settlement,
as personal representative, of his daughters' wrongful death
claims. Indeed, our Supreme Court has recognized claims for
loss of consortium when made by the "family caretaker and
provider of parental affection to the deceased." Fernandez v.
Walgreen Hastings Co., 1998-NMSC-039, ¶ 33, 126 N.M. 263, 968
P.2d 774. The fact that Wiard has a separate cause of action,
however, does not address the viability of such a claim
against his own UIM coverage. That question was addressed by
our Supreme Court's decision in Gonzales.
{9} Gonzales similarly sought separate compensation for loss
of consortium from her own UIM policy, above and beyond the
liability policy limits paid for her husband's bodily injury.
Id. at 138-39, 921 P.2d at 945-46. She argued that the loss
of consortium was not only a separate cause of action, but a
separate bodily injury that implicated "each accident" policy
limits. Id. Our Supreme Court held that under the language
of the policy, loss of consortium was not a bodily injury.
There, as here, the policy covered bodily injury, including
damages sustained by others as a result of that bodily injury.
Id. at 140, 921 P.2d at 947. Without specific policy language
to the contrary, bodily injury does not include emotional
injuries such as loss of consortium, and instead emotional
injuries are covered under the language of "damages to others
resulting from this bodily injury." See id. at 140-42, 921
P.2d at 947-49. Wiard's argument that his consortium claim is one for "bodily injury" within the meaning of his UIM stacked
policies, therefore, is contrary to the law as set out in
Gonzales.
{10} Wiard further argues that the loss of consortium must be
treated as a separate injury because the compensation for
bodily injury that State Farm paid under the Devlin policies
only addressed the daughters' injuries, and was paid to the
estate. He charges that his own policy addresses his own
emotional injury that resulted from their deaths, and that his
emotional injury was not contemplated in the settlement of the
daughters' claims. These facts do not alter our analysis.
Because, under Gonzales, Wiard's emotional injury resulted
from bodily injury to his daughters, his claims are derivative
of, and subsumed by, the policy limits settlement of his
daughters' claims. See id. at 142-43, 921 P.2d at 949-50.
{11} The fact that Wiard initiated a release that purportedly
reserved his personal claims is also of no legal import. The
release read: "This release does not bar any claims that
Theodore J. Wiard, individually, may have in the above
described matter." With respect to claims against his own UIM
policies, this release bears no legal significance. As
discussed more fully below, the law as expounded in Gonzales,
as well as in the statutes and regulations governing UIM
coverage, prevents such a claim. Wiard's release, stating
merely that it "does not bar any claims," cannot create
contractual rights that do not otherwise exist. Because
Section 66-5-301(B) and the Department of Insurance
regulations preclude his claims from being brought, the
language of the release does not establish State Farm's
liability.
The Offset
{12} Wiard's loss of consortium claims are, under the
policies, factually and ultimately derivative of the wrongful
death claims: his emotional suffering is the result of the
tragic loss of his daughters. Having determined that Wiard's
claims under his own policy for his loss of parental
consortium are not separate from the compensation for the
wrongful death claim that Wiard settled in his capacity as
personal representative, the loss of consortium is subsumed
under the settlement for the bodily injuries suffered by
Wiard's daughters.
{13} Under Schmick v. State Farm Mutual Automobile Insurance
Co., 103 N.M. 216, 704 P.2d 1092 (1985), a UIM insurer in New
Mexico is entitled to an offset for proceeds the primary
insurer paid to an insured. In this case, State Farm argues
that Schmick requires an offset against Wiard's UIM coverage
of $200,000 for the $200,000 the Devlin policies paid to settle the wrongful death claims of the children's estates.
Wiard, on the other hand, argues that since he is an insured
and recovered nothing under the Devlin policies for his loss
of consortium claim, he is entitled to recover from State Farm
under his UIM policies.
{14} Relying on Gonzales, State Farm claims it has paid all it
is required to pay under the "each person" provision of the
Devlin policies. State Farm further argues it is entitled to
an offset under Schmick for the $200,000 already paid to Wiard
as personal representative of the children's estates.
Gonzales is instructive in that it makes clear that under New
Mexico law, UIM benefits for loss of consortium arising out of
bodily injury to another shall not exceed those recovered for
the bodily injury. Id. at 142, 921 N.M. at 949. Moreover,
the language of the policies in issue notwithstanding, the
Gonzales Court noted that the Department of Insurance had
promulgated a regulation applicable to all uninsured motorist
policies that limited the insurance company liability. Id. at
142, 921 P.2d at 949. That regulation now reads:
The company's limit of bodily injury liability for
all damages, including damages for care and loss or
services, arising out of bodily injury sustained by
one person in any one accident shall not exceed the
amount specified for unknown motorist/uninsured
motorist coverage as stated on the declarations page
for bodily injury to one person in any one accident.
13.2.1. NMAC 17.6.1 (1997). Applying the plain meaning of
this regulation, any claim Wiard may have for loss of
consortium under his UIM policy cannot be paid in excess of
that paid under the bodily injury provisions of Devlin's
policies.
{15} Wiard argues that State Farm Mutual Automobile Insurance
Co. v. Valencia, 120 N.M. 662, 905 P.2d 202 (Ct. App. 1995)
renders his loss of consortium claims viable. We read
Valencia to be distinguishable from this case on its facts.
In Valencia, the UIM coverage was invoked to address unpaid
damages for multiple claimants who suffered bodily injuries.
Id. at 663, 905 P.2d at 203. Here, it is Wiard, who received
no legally cognizable bodily injury of his own as a result of
the accident, who seeks to collect on his UIM policy. As a
result, we hold Valencia to be inapplicable to this case.
{16} Wiard urges this Court to rely on Valencia to determine
that Devlin was underinsured. However, underinsured motorists
are defined by statute only with reference to the limits of
bodily injury liability.
"[U]nderinsured motorist" means an operator of a
motor vehicle with respect to the 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 than the limits of liability under the
insured's uninsured motorist coverage.
Section 66-5-301(B). Because the bodily injury claims for
Wiard's daughters were fully settled, Devlin was not
underinsured by virtue of the lack of coverage for loss of
consortium.
{17} Following the reasoning of Gonzales, Wiard's UIM claims
for loss of consortium are not viable, because State Farm paid
out all it was required to when it paid the $100,000 policy
limits for each of Wiard's daughters' claims. To the extent
that loss of consortium is covered by the UIM policies, it is
only "as consequential damages arising from injury to
another," id. at 143, 921 P.2d at 950, and the coverage for
those injuries has offset Wiard's UIM coverage.
CONCLUSION
{18} We hold the trial court erred by granting summary
judgment in favor of Wiard in his declaratory judgment action.
Accordingly, we reverse.
{19} IT IS SO ORDERED.
______________________________
IRA ROBINSON, Judge
WE CONCUR:
___________________________________
LYNN PICKARD, Judge
_________________________________
JAMES J. WECHSLER, Judge