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Facts

  • The case involves Defendant Leo Cordoba, who was injured in an accident while a passenger in a company-owned truck. His medical costs amounted to approximately $35,000, covered by workers' compensation. Cordoba sought payment under his uninsured/underinsured motorist coverage from his insurer, Financial Indemnity Company (FIC), requesting $25,000, the limit for bodily injury. Following unsuccessful settlement negotiations, FIC filed a declaratory judgment action regarding the applicability and amount of the policy coverage. Cordoba counterclaimed, alleging breach of contract, violation of New Mexico law, and bad faith by FIC, particularly in relation to settlement offers made by FIC (paras 2-4).

Procedural History

  • District Court of Doña Ana County, James T. Martin, District Judge: Dismissed Cordoba's counterclaim and denied his motion for reconsideration or, alternatively, for leave to amend the counterclaim (para 1).

Parties' Submissions

  • Plaintiff-Appellee (FIC): Argued that the policy did not cover Cordoba's claim as he could not prove his injuries were caused by an uninsured or underinsured motorist. Asserted that any payable amount should be reduced by workers' compensation payments already made to Cordoba (para 3).
  • Defendant-Appellant (Cordoba): Filed a counterclaim alleging FIC breached its contract, violated New Mexico law, and acted in bad faith. Argued that FIC's settlement offers were acknowledgments of coverage and that FIC's attempt to offset workers' compensation payments was unlawful (para 4).

Legal Issues

  • Whether the district court erred in applying Rules 11-408 and 1-012 NMRA to dismiss Cordoba's counterclaim for failure to state a claim upon which relief could be granted (para 10).
  • Whether evidence of settlement negotiations can be admitted not to prove coverage or amount, but to prove wrongful conduct such as bad faith or unfair practices during the claim investigation and upon denial of the claim (para 1).

Disposition

  • The Court of Appeals reversed the district court's dismissal under Rule 1-012(B)(6) and remanded for further proceedings consistent with the Opinion (para 23).

Reasons

  • The Court of Appeals, with Judge Jonathan B. Sutin authoring the opinion, held that the district court misconstrued and misapplied Rules 11-408 and 1-012 NMRA. The court clarified that Rule 11-408 does not preclude admission of evidence of settlement negotiations in an insurance coverage dispute when such negotiations are offered to prove wrongful conduct like bad faith or unfair practices, rather than to prove coverage or amount. The court found that Cordoba's counterclaim, particularly the references to settlement negotiations, was intended to show FIC's wrongful conduct in attempting to pay less than the policy limits, which was a separate issue from the coverage itself. The court distinguished this case from Reeder v. American Economy Insurance Co., noting that the references to settlement negotiations in Cordoba's case were for a purpose allowable under Rule 11-408. The court concluded that the district court abused its discretion by misinterpreting and misapplying the rule, leading to the improper dismissal of Cordoba's counterclaim (paras 11-22).
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