Pielhau v. State Farm Mutual Automobile Insurance

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New Mexico Compilation
Commission, Santa Fe, NM
'00'05- 16:24:25 2013.12.19
Certiorari Granted, November 15, 2013, No. 34,363
IN THE COURT OF APPEALS OF THE STATE OF NEW MEXICO
Opinion Number: 2013-NMCA-112Filing Date: September 23, 2013
Docket No. 31,899
ALLEN PIELHAU and DESIRI PIELHAU,
Individually and as Personal Representatives
of the Estate of JARED PIELHAU, their
deceased son,
Plaintiffs-Appellees,
v.
STATE FARM MUTUAL AUTOMOBILE
INSURANCE COMPANY,
Defendant-Appellant.
APPEAL FROM THE DISTRICT COURT OF SANTA FE COUNTY
Sarah M. Singleton, District Judge
The Law Offices of James A. Branch, Jr., L.L.C.
James A. Branch
Albuquerque, NM
for Appellees
Guebert Bruckner P.C.
Terry R. Guebert
Albuquerque, NM
for Appellant
OPINION
BUSTAMANTE, Judge.
{1} In the companion cases of Jordan v. Allstate Insurance Co., 2010-NMSC-051, 149
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N.M. 162, 245 P.3d 1214 and Progressive Northwestern Insurance Co. v. Weed Warrior
Services, 2010-NMSC-050, 149 N.M. 157, 245 P.3d 1209, our Supreme Court set detailed
and mandatory procedures to be followed in order for an insured’s rejection of uninsured
motorist (UM) coverage to be effective. In Jordan, our Supreme Court held that its
ruling—and thus the procedure described in the two cases—would be given full retroactive
effect. 2010-NMSC-051, ¶ 29. In 2011, relying on Jordan and Weed Warrior, the Plaintiffs
Pielhau sought UM coverage equal to the liability limits they carried on three vehicles they
owned when their son died in an auto accident. The district court granted the Pielhaus’
motion for summary judgment on the UM coverage issue.
{2} The dispositive issue is whether the Pielhaus’ current action is barred by concepts
of claim preclusion as a result of litigation they pursued against State Farm in 2004 arising
out of the same tragic accident. Concluding that claim preclusion does apply, we reverse.
BACKGROUND
{3} Jared Pielhau, the Pielhaus’ son, died in a single car accident in 2004. The vehicle
he was riding in was uninsured. The Pielhaus owned five vehicles, each covered with
liability insurance policies issued by State Farm that were in effect at the time of the accident
and which covered Jared.
{4} In 2004, the Pielhaus sought UM coverage under two of the State Farm policies. The
Pielhaus sued State Farm for denying their request to “stack” coverage under two of the
policies and also sued State Farm agent Mary Neal for negligent misrepresentation, claiming
she failed to properly advise them concerning uninsured/underinsured motorist coverage on
each vehicle. The 2004 case was ultimately settled through a “release of claims” between
the parties and dismissal with prejudice on motion by the Pielhaus.
{5} The Pielhaus’ other three vehicles were various Chevrolet models, each covered by
a separate State Farm policy. Plaintiffs Pielhau rejected UM coverage under each of the
three Chevrolet policies, and so far as the record reveals, the Piehlhaus did not seek to
enforce UM coverage as to them in 2004. They first sought UM coverage under the
Chevrolet policies in 2011, which request eventually led to this appeal.
{6} When State Farm failed to respond to the Pielhaus’ 2011 demand for equalized UM
coverage within the time specified, the Pielhaus filed suit seeking declaratory judgment,
damages for breach of contract, and punitive damages under several tort-based theories. The
Pielhaus moved for partial summary judgment on the declaratory judgment and breach of
contract claims, arguing that their rejection of UM coverage in the three Chevrolet policies
was invalid and the policies should be reformed under Jordan and Weed Warrior. The
district court granted the motion after briefing and a hearing, and the Pielhaus voluntarily
dismissed all other claims against State Farm. State Farm timely appealed. Additional facts
are provided as pertinent to our discussion.
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DISCUSSION
{7} State Farm makes four arguments on appeal. First, it maintains that the Pielhaus’
claims are barred by claim preclusion1 because they arise from the same transaction as those
in the 2004 litigation. Second, it argues that the claims are barred by the prior settlement and
release. Third, it contends that the claims are barred because they were filed outside of the
policies’ six-year time limit for bringing claims.2 Finally, it vaguely argues that refusal to
enforce the contract-based time limit for claims in the policies violates the United States and
New Mexico constitutions. Because we find the first argument persuasive and dispositive,
we do not reach State Farm’s other arguments.
{8} The doctrine of claim preclusion “ensures finality, advances judicial economy, and
avoids piecemeal litigation.” Bank of Santa Fe v. Marcy Plaza Assocs., 2002-NMCA-014,
¶ 14, 131 N.M. 537, 40 P.3d 442. It “applies equally to [bar] all claims arising out of the
same transaction, regardless of whether they were raised at the earlier opportunity, as long
as they could have been raised.” Chaara v. Lander, 2002-NMCA-053, ¶ 20, 132 N.M. 175,
45 P.3d 895. “Res judicata applies if three elements are met: (1) a final judgment on the
merits in an earlier action, (2) identity of parties or privies in the two suits, and (3) identity
of the cause of action in both suits.” Rosette, Inc. v. United States Dep’t of the Interior,
2007-NMCA-136, ¶ 33, 142 N.M. 717, 169 P.3d 704. Because the Pielhaus do not contest
the second element—that the parties are identical in the two suits—we focus on the first and
third elements. We review the district court’s application of claim preclusion de novo.
Moffat v. Branch, 2005-NMCA-103, ¶ 10, 138 N.M. 224, 118 P.3d 732.
{9} We determine that the first element is satisfied. During the hearing on the Pielhaus’
motion for partial summary judgment, the district court questioned the Pielhaus’ counsel on
whether claim preclusion was appropriate:
1
We recognize that the term “res judicata” encompasses both claim and issue
preclusion. See 18 Wright, Miller & Cooper, The Terminology of Res Judicata, Fed. Prac.
& Proc. § 4402 (2d ed. 2002). We also acknowledge that sometimes the terms “res judicata”
and “claim preclusion” are used interchangeably. For clarity, we use the term “claim
preclusion” as much as possible. When used in quotations, the term “res judicata” “refers
to the effect of a judgment in foreclosing litigation of a matter that never has been litigated,
because of a determination that it should have been advanced in an earlier suit.” Migra v.
Warren City Sch. Dist. Bd. of Educ., 465 U.S. 75, 77 n.1 (1984).
2
We note that State Farm also asserts that its contractual time limit bars claims in
Whelan v. State Farm Mutual Automobile Insurance Co., COA No. 32,343, which was
certified to our Supreme Court on August 8, 2013.
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District Court: On the issue of res judicata, . . . I do think [the
Pielhaus] have some issue about whether an issue
could have been raised in the prior case. But you
also—it requires a decision on the merits, and I don’t
think any of those—that prior case was decided on the
merits, was it?
Pielhaus’ Counsel: No, I don’t believe so, Your Honor.
District Court: They were settled.
Pielhaus’ Counsel: They were settled and dismissed. And I think for
those reasons—
District Court: There may be some issues with the settlement
agreement . . . but I honestly don’t see how res
judicata or collateral estoppel would apply.
At the end of the hearing, the district court stated, “I’m not deciding the other things about
. . . res judicata.” Yet the final judgment it entered states that “State Farm’s claims that the
[Pielhaus’] claims are barred by the doctrines of [r]es [j]udicata and/or [c]ollateral [e]stoppel
are denied[.]”
{10} “[A] dismissal with prejudice is an adjudication on the merits for purposes of res
judicata.” Hope Cmty. Ditch Ass’n v. N.M. State Eng’r, 2005-NMCA-002, ¶ 10, 136 N.M.
761, 105 P.3d 314. In Kirby v. Guardian Life Insurance Company of America, the Supreme
Court stated the reasoning behind this rule:
A dismissal with prejudice is an adjudication on the merits only to the extent
that when a claim has been dismissed with prejudice, the . . . element of res
judicata (a final valid judgment on the merits) will be presumed so as to bar
a subsequent suit against the same defendant by the same plaintiff based on
the same transaction. If this were otherwise, plaintiffs could simply ignore
dismissals and file the same claim as many times as they wished, so long as
the claim never progressed to a determination of the substantive issues.
2010-NMSC-014, ¶ 66, 148 N.M. 106, 231 P.3d 87.
{11} We note that this rule applies to preclude claims (claim preclusion/res judicata), but
not issues (issue preclusion/collateral estoppel). See State ex rel. Martinez v. Kerr-McGee
Corp., 1995-NMCA-041, ¶ 14, 120 N.M. 118, 898 P.2d 1256 (“[S]ettlements and consent
judgments are not normally considered fertile ground for issue preclusion.”). This
distinction is based on the fact that issue preclusion requires that the issue was “actually
litigated” and “necessarily determined” in the first suit, whereas claim preclusion does not
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so require. Compare Reeves v. Wimberly, 1988-NMCA-038, ¶ 8, 107 N.M. 231, 755 P.2d
75 (stating the elements required for issue preclusion, including that “the ultimate facts or
issues were actually litigated; and . . . the issue was necessarily determined”), with Rosette,
Inc., 2007-NMCA-136, ¶ 33 (stating the elements required for claim preclusion).
{12} Thus, a dismissal of a suit pursuant to settlement of a claim is final and preclusive
as to related claims, but not necessarily preclusive of issues that might arise in different suits,
unless those issues were actually litigated and judicially decided. See Pope v. Gap, Inc.,
1998-NMCA-103, ¶ 27, 125 N.M. 376, 961 P.2d 1283 (“[T]his Court has previously
expressed its disfavor of relying on consent judgments for collateral estoppel purposes, given
the absence of the requisite litigation and necessary judicial determination of the issues
covered by the judgment.”); In re Picacho Hills Util. Co., No. 11-13-10742 TL, 2013 WL
1788298 * 3 n.6 (Bankr. D.N.M. Apr. 26, 2013) (“Consent judgments are res judicata in
New Mexico. However, such judgments generally are not entitled to collateral estoppel
effect where the issues involved are not actually adjudicated, and [the district] judge’s role
in signing the judgment is only ministerial.” (citations omitted)).
{13} Here, the 2004 case was settled and dismissed with prejudice by agreement of the
parties and thus was an “adjudication on the merits” sufficient for claim preclusion to apply.
The first element is satisfied.
{14} We next address the remaining element of claim preclusion: whether the cause of
action in the two suits is the same. “In deciding what constitutes a cause of action for res
judicata purposes, we apply the transactional approach from the Restatement (Second) of
Judgments [Section] 24.” Rosette, Inc., 2007-NMCA-136, ¶ 33. Using this approach, we
focus on the underlying facts rather than the legal theories relied on in the first action. Three
Rivers Land Co. v. Maddoux, 1982-NMSC-111, ¶ 28, 98 N.M. 690, 652 P.2d 240 overruled
on other grounds by Universal Life Church v. Coxon, 1986-NMSC-086, ¶ 9, 105 N.M. 57,
728 P.2d 467. “In determining whether claims arise out of the same transaction, we consider
the relatedness of the facts, trial convenience, and the parties’ expectations.” Chaara, 2002-
NMCA-053, ¶ 15. We will consider each of the three factors in turn.
{15} First, the facts underlying both suits are essentially identical. This identity is not
surprising. The cases arise from the same tragic accident and the insurance policies in force
and at issue in each case are perforce the same. Indeed, many of the facts alleged in the 2004
suit are more or less repeated in the 2011 complaint. For example, both complaints refer to
the fact that in 2004 the Pielhaus owned five vehicles all insured by State Farm. And both
complaints assert aspects of the process which led them to reject UM coverage on the three
policies relevant here. The two suits address the same conduct by the same insurance agent,
and all of the relevant conduct occurred within the same time period. Although there are
facts alleged in the 2004 complaint that do not relate to the 2011 complaint, these additional
facts do not diminish the substantial overlap in operative facts between the two suits.
{16} The Pielhaus’ efforts to distinguish the two suits on the ground that they address
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different sets of policies is unavailing. They argue that “[t]he dispute in this case is not
whether State Farm failed to correctly increase the requested coverage limits in the one
policy for the Altima [as in the 2004 case]; but rather whether the three UM/UIM rejection
forms for the Chevrolet policies complied with New Mexico law.” Although the
circumstances surrounding UM coverage for the Altima and the Chevrolet policies have
distinguishing features, the differences are not material because it is the conduct of State
Farm and its representative that forms the heart of both complaints, and multiple allegations
in both complaints involve State Farm’s conduct in handling all of the policies. The
Pielhaus’ argument is not persuasive because it rests on the different legal theories asserted,
rather than the “common nucleus of operative facts.” Rosette, Inc., 2007-NMCA-136, ¶ 33
(internal quotation marks and citation omitted); Three Rivers Land Co., 1982-NMSC-111,
¶ 28 (“Different legal theories arising out of a given episode do not create multiple
transactions and hence multiple claims.” (internal quotation marks and citation omitted)).
{17} We turn to the second prong of the transactional test. The relatedness of the
underlying facts indicates that they would “form a convenient unit for trial.” “In considering
whether the facts form a convenient unit for trial, we examine overlap of the witnesses and
evidence relevant to the claims in the two lawsuits.” Anaya v. City of Albuquerque, 1996-
NMCA-092, ¶ 14, 122 N.M. 326, 924 P.2d 735. Here, the witnesses in both suits would be
the same or substantially similar because both suits involve allegations against State Farm
through its agent, Mary Neal, and how it and she handled the Pielhaus’ insurance policies.
Similarly, the evidence relevant to the allegations of negligent misrepresentation in the 2004
complaint is the same evidence relevant to the negligent misrepresentation claims in the
2011 complaint, and the allegations of noncompliance with the requirements for rejection
of UM/UIM coverage in both complaints depend on the same evidence. Cf. id. ¶ 15 (stating
that the facts would not form a convenient trial unit when the “case[s] involve[d] allegations
of conduct by different persons in dissimilar situations and at distinct times”).
{18} Under the third prong of the transactional test, we examine whether State Farm could
have a reasonable expectation that the conclusion of the first suit would preclude later
claims. See id. ¶ 17 (“Under these circumstances, we cannot say that [the d]efendants had
reason to expect that the additional claims raised in this case were precluded by the judgment
against [the p]laintiff in the prior lawsuit.”); Bank of Santa Fe, 2002-NMCA-014, ¶ 21.
Given that we have determined that the underlying facts of the two suits overlap
substantially, we conclude it would be reasonable for State Farm to expect that resolution
of the first suit would preclude any further claims arising from the 2004 accident.
{19} We disagree with the Pielhaus’ argument that their claims should not be precluded
in that they could not have brought the 2011 claims in 2004 because those claims “did not
accrue until after the Jordan and Weed Warrior decisions.” It was possible for the Pielhaus
to bring their 2011 claims before those cases were decided. As the Jordan Court noted, its
holding was foreshadowed by “twenty years of UM/UIM jurisprudence.” Jordan, 2010-
NMSC-051, ¶ 27; see Romero v. Dairyland Ins. Co., 1990-NMSC-111, ¶ 8, 111 N.M. 154,
803 P.2d 243. The Pielhaus’ 2011 complaint actually alleges conduct that was addressed as
6
early as 1990 in Romero. 1990-NMSC-111, ¶ 8.
{20} Even if we assumed without deciding that Jordan and Weed Warrior announced a
new cause of action, a change in law does not prevent application of claim preclusion to bar
claims. In Wolford v. Lasater, the plaintiff brought tort claims against a sheriff and county
commissioners in state court for conduct related to prosecution of her for forgery and
embezzlement. 1999-NMCA-024, ¶ 2, 126 N.M. 614, 973 P.2d 866. She also filed these
claims and others in federal court. Id. The state case was stayed pending completion of the
federal action. Id. ¶ 3. After resolution of the federal case, the plaintiff sought to amend her
state court complaint to include additional claims, including negligent investigation. Id. The
motion was denied and the state court dismissed the complaint on the ground that the other
claims were precluded based on the federal case. Id. On appeal, the plaintiff maintained that
“claim preclusion does not bar her negligent investigation and malicious abuse of process
causes of action because they were recognized during the time her lawsuit in the trial court
was stayed.” Id. ¶ 13. This Court disagreed and held “a change in law does not affect the
claim preclusive effect of a judgment. Consequently, the cases decided after the judgment
here and relied on by [the p]laintiff in her briefs are inapplicable.” Id.; see Chicot Cnty.
Drainage Dist. v. Baxter State Bank, 308 U.S. 371, 375 (1940) (claim preclusion applied to
bar claims even when the statute under which the first case was decided was subsequently
found to be unconstitutional); Harrington v. Vandalia-Butler Bd. of Educ., 649 F.2d 434, 437
(6th Cir. 1981) (A Section 1983 action was barred by claim preclusion even though the
plaintiff maintained it was “unavailable” to her in the first action); Town of Atrisco v.
Monohan, 1952-NMSC-011, ¶ 21, 56 N.M. 70, 240 P.2d 216 (“[I]t is . . . the general rule
that res judicata is no defense where between the time of the first judgment and the second
there has been an intervening decision or a change in the law creating an altered situation.”
(internal quotation marks and citation omitted)); 18 Wright, Miller & Cooper, Exceptions
to Claim Preclusion, Fed. Prac. & Proc. § 4415 (2d ed. 2002) (“Change in the controlling
principles of law ordinarily does not warrant denial of claim preclusion.”).
{21} The Harrington Court provided a rationale for the sometimes harsh effect of applying
claim preclusion in spite of a change in law. 649 F.2d at 437. In that case, the Court of
Appeals for the Sixth Circuit held that the plaintiff’s claims were precluded because,
although at the time of the first suit case law held that municipalities were exempt from
Section 1983, “Section 1983 was not ‘unavailable’ to [the plaintiff] when she filed her [first]
action.” Id. Rather, the plaintiff “was free to challenge the validity of [the case law] to the
extent that it exempted municipalities from the ambit of [Section] 1983.” Id. Thus, plaintiffs
bear a burden to challenge case law apparently limiting causes of action, rather than rely on
others to do so. The Harrington court also found that application of claim preclusion when
they do not do so is consistent with the interest in finality of judgments in other contexts:
[I]t is clear that if she had brought the [Section] 1983 claim initially and lost
it on the basis of [case law], she would not be entitled to reassert the
[Section] 1983 claim in the aftermath of [that case]. She would be bound by
the prior judgment on the merits. That prior judgment is no less binding
7
against her here merely because she elected not to advance a [Section] 1983
claim in her first action.
Id. at 437-38.
{22} Having determined that the dismissal of the 2004 suit was a final order subject to
claim preclusion, that the elements of claim preclusion were met, and that any change in law
found in Jordan and Weed Warrior does not limit the preclusive effect of the 2004 suit, we
conclude that the Pielhaus are precluded from pursuing the present claims.
CONCLUSION
{23} The district court’s order granting partial summary judgment in favor of the Pielhaus
is reversed. Because the Pielhaus’ claims are barred by claim preclusion, we remand to the
district court for entry of an order dismissing the complaint.
{24} IT IS SO ORDERED.
_____________________________________
MICHAEL D. BUSTAMANTE, Judge
WE CONCUR:
____________________________________
M. MONICA ZAMORA, Judge
____________________________________
J. MILES HANISEE, Judge
Topic Index for Pielhau v. State Farm Mut. Auto. Ins. Co., No. 31,899
CIVIL PROCEDURE
Res Judicata
Summary Judgment
Time Limitations
INSURANCE
Motor Vehicle Insurance
Stacking
Uninsured or Underinsured Motorist
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