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Lueras v. GEICO Gen. Ins. Co.

Citation: 424 P.3d 665Docket: NO. A-1-CA-34961; NO. A-1-CA-35661 (Consolidated)

Court: New Mexico Court of Appeals; June 14, 2018; New Mexico; State Appellate Court

Original Court Document: View Document

Narrative Opinion Summary

This case concerns two consolidated appeals against GEICO General Insurance Company and GEICO Indemnity Company regarding the denial of uninsured/underinsured motorist (UM/UIM) benefits. The plaintiffs argued that GEICO's rejection forms and policy documentation failed to comply with New Mexico law by not adequately informing them of stacking benefits, thus rendering their rejection invalid. The district courts granted summary judgment in favor of GEICO, and this decision was upheld on appeal. The court found that the forms met the legal requirements as interpreted in prior cases such as Ullman v. Safeway Insurance Co. and Vigil v. Rio Grande Insurance of Santa Fe. The plaintiffs also challenged GEICO's uniform coverage requirement and the lack of a new rejection form upon adding vehicles, both of which were rejected by the court based on existing New Mexico law. Additionally, claims that GEICO's documentation improperly influenced coverage decisions were dismissed due to insufficient evidence. The court conducted a de novo review, affirming the lower court's rulings and emphasizing adherence to legal precedents while noting concerns about consumer information regarding stacking benefits.

Legal Issues Addressed

Addition of Vehicles and UM/UIM Coverage Rejection

Application: The court held that a new rejection of UM/UIM coverage is not required when a new vehicle is added if a valid rejection is already on file, as per Vigil precedent.

Reasoning: Vigil v. Rio Grande Insurance of Santa Fe... a new rejection is unnecessary each time a vehicle is added if a valid rejection is already on file.

Compliance with New Mexico UM/UIM Coverage Law

Application: GEICO's rejection forms for UM/UIM coverage were challenged for not complying with New Mexico law, particularly the requirements to clarify stacking benefits.

Reasoning: The plaintiffs raised several claims on appeal: The UM/UIM rejection forms did not comply with New Mexico law as they failed to clarify that benefits would be stacked.

Interpretation of Insurance Policy Language

Application: The court conducted a de novo review and found that GEICO's policy language did not violate the requirements established in Jordan v. Allstate Insurance Co.

Reasoning: The court refers to the precedent set in Ullman, which rejected similar claims, affirming that the requirements of Jordan were not violated.

Misleading Insurance Policy Statements

Application: The plaintiffs alleged that GEICO's policy statements were misleading by incorrectly stating that UM/UIM benefits would not be stacked.

Reasoning: The insurance policies were misleading, incorrectly stating that UM/UIM benefits would not be stacked.

Misleading Rejection Forms

Application: Van Epps' claim that GEICO's form improperly dissuaded his wife from purchasing UM/UIM coverage was rejected due to lack of evidence.

Reasoning: There was no evidence that GEICO's form discouraged Mrs. Van Epps from selecting UM/UIM coverage.

Stacking Doctrine and Consumer Information

Application: The court criticized the lack of clarity in GEICO's documentation regarding stacking of coverage and the failure to disclose total available coverage at each premium level.

Reasoning: GEICO sells stacked UM/UIM coverage but fails to clarify this or disclose the total available coverage at each premium level.

Uniform Coverage Requirement under New Mexico Law

Application: GEICO's policy requiring uniform UM/UIM coverage across all vehicles was upheld as compliant with New Mexico law.

Reasoning: Claim 4 was rejected as New Mexico law allows insurers to enforce uniform coverage requirements.