Opinion Number: 2000-NMCA-022
Filing Date: February 1, 2000
Docket No. 19,568
ESTATE OF JEROME J. GRIEGO,
by and through ELEANOR GRIEGO,
Individually and as Personal Representative
of the Estate of Jerome J. Griego,
Plaintiffs-Appellants,
v.
RELIANCE STANDARD LIFE
INSURANCE COMPANY,
Defendant-Appellee.
APPEAL FROM THE DISTRICT COURT OF BERNALILLO COUNTY
W. DANIEL SCHNEIDER, District Judge
STEVE VOGEL
Albuquerque, NM
STEVEN C. HENRY
Albuquerque, NM
STEVEN L. TUCKER
TUCKER LAW FIRM, P.C.
Santa Fe, NM
for Appellants
CARL J. BUTKUS
R. GALEN REIMER
BUTKUS & REIMER, P.C.
Albuquerque, NM
for Appellee
PICKARD, Chief Judge.
{1}
Eleanor Griego, individually and as personal
representative of her deceased husband's estate, the Estate
of Jerome J. Griego (Plaintiffs), filed suit against
Reliance Standard Life Insurance Company (Reliance) for
failing to convert Mr. Griego's group life insurance policy to an individual life insurance policy after he submitted a
conversion application requesting Reliance to do so. The
trial court dismissed Plaintiffs' suit after granting
Reliance's motion for summary judgment on the grounds that
Reliance had mailed Mr. Griego a notice to pay the premium,
which he failed to pay. On appeal, Plaintiffs argue the
trial court erred because (1) Reliance had a duty to inform
Mr. Griego of the payment he had to remit in order to
convert his insurance coverage and (2) Plaintiffs raised a
factual issue as to whether Reliance breached its duty by
presenting evidence that Mr. Griego did not receive a
premium notice. Reliance argues the trial court did not err
either on the duty issue or on the breach issue, but that
even if it did, this Court cannot review its decision
because Plaintiffs failed to timely file a notice of appeal.
We take jurisdiction of this case and reverse.
BACKGROUND AND PROCEDURAL HISTORY
{2}
Mr. Griego (Decedent) was employed by the City of
Albuquerque (City) for a period of 25 years. As a City
employee, Decedent was insured under a group life insurance
policy (Policy) issued and maintained by Reliance. The City
paid the policy premiums for Decedent while he was employed
by the City.
{3}
On July 1, 1993, Decedent retired from his employment
with the City. As a covered City employee, Decedent had the
right to convert (portate) the Policy to an individual
policy upon his retirement. The Policy provided that in
order for Decedent to portate his insurance coverage, he had
to submit a written request within 31 days of his
retirement. The Policy further provided that the effective
date of conversion would be the thirty-first day following
his retirement so long as "written request has been made
[and] the premiums paid."
{4}
Reliance distributed summaries of the Policy and its
portability features to City employees like Decedent. One
such policy summary provided that a covered employee like
Decedent could portate his insurance by notifying Reliance
"in writing within 31 days from the date [he retired]
[and] . . . remit[ting] the necessary premiums when
due . . . . [Emphasis added.]" That same summary stated the
premiums would be "billed directly to [the insured] on a
quarterly, semi-annual or annual basis. [Emphasis added.]"
{5}
While Reliance distributed these summaries to inform
City employees about their conversion rights under their
group policies, it inserted a proviso into these materials
that "[i]f a conflict exists between a statement in [these
summaries] and any provision of the Policy, the Policy will govern." This proviso reflected the integrated nature of
the Policy, which stated: "The entire contract . . . is the
Policy, your application[,] . . . and any endorsements and
amendments. . . ."
{6}
Six days after he retired, Decedent filled out an
application to portate his Policy. Reliance received
Decedent's application on July 27, 1993. Reliance mailed
Decedent an uncertified letter acknowledging receipt of his
application on September 2, 1993. There is evidence that
seven days later, Reliance mailed Decedent a letter advising
him that in order to portate his Policy, he had to remit a
premium payment in the amount of $44.72 by October 11, 1993.
Plaintiffs deny that Decedent ever received that letter.
According to that same letter, if Decedent did not remit
payment by October 11, Reliance would close his file and
"there [would be] no coverage in force."
{7}
In January 1994, Decedent was hospitalized and was
seriously ill for several months afterwards. On April 2,
1994, Decedent died. A few days later, Mrs. Griego filed a
claim with Reliance for benefits as the sole beneficiary
under her husband's Policy. Reliance denied her claim on
the grounds that Decedent had failed to remit a premium
payment.
{8}
Plaintiffs filed suit, seeking damages from Reliance
based on claims of breach of contract, insurance bad faith,
violation of the New Mexico Unfair Practices Act, and
negligence. In June 1997, Reliance filed the first of two
motions for summary judgment. In September 1997, Plaintiffs
filed the first of two motions to amend their complaint.
The trial court heard Reliance's first motion for summary
judgment on October 27, 1997. At the conclusion of the
hearing, the trial court took Reliance's motion under
advisement.
{9}
On the following day, the trial court sent a letter
ruling to the parties' attorneys in which it indicated it
was going to grant Reliance's motion for summary judgment.
The trial court directed Reliance to prepare the summary
judgment order. The basis for the trial court's ruling was
that due to Decedent's failure to remit a premium payment,
"no new policy ever existed."
{10}
In November 1997, Plaintiffs filed their second motion
to amend their complaint. Plaintiffs asked the trial court
to hear their motion to amend before entering the proposed
summary judgment order Reliance had prepared. Plaintiffs
made this request "to ensure that the [c]ourt has
jurisdiction . . . regarding whether a life insurance policy
existed." On January 23, 1998, the trial court entered an
order granting Plaintiffs' motion, and, on the same day,
Plaintiffs filed their first amended complaint.
{11}
On February 26, 1998, the trial court entered its
"Order on Defendant Reliance Standard Life Insurance
Company's Motion for Summary Judgment." The next day,
Reliance filed an amended answer to Plaintiffs' first
amended complaint. In March 1998, Reliance filed its motion
for summary judgment "as to Plaintiff's [sic] First Amended
Complaint." Reliance argued, among other things, that the
trial court's February 26 summary judgment order was res
judicata on the claims raised in Plaintiffs' first amended
complaint.
{12}
In May 1998, the trial court heard Reliance's second
motion for summary judgment. At the hearing's conclusion,
the trial court announced it would grant Reliance's motion.
On May 19, 1998, the trial court entered its "Order on
Defendant Reliance Standard Life Insurance Company's Second
Motion for Summary Judgment." On June 17, 1998, Plaintiffs
filed their Notice of Appeal from the trial court's May
order.
DISCUSSION
I. JURISDICTION
{13}
Reliance claims this Court lacks jurisdiction over this
appeal because Plaintiffs failed to timely appeal the trial
court's first order of summary judgment. An order must be
final to be appealable. See Kelly Inn No. 102, Inc. v.
Kapnison, 113 N.M. 231, 238, 824 P.2d 1033, 1040 (1992). An
order is not considered final unless all issues of law and
fact have been determined and the case disposed of by the
trial court to the fullest extent possible. See Executive
Sports Club, Inc. v. First Plaza Trust, 1998-NMSC-008, ¶ 5,
125 N.M. 78, 957 P.2d 63. The trial court entered its first
summary judgment order on February 26, 1998. Reliance
asserts that Plaintiffs had thirty days within which to
appeal this order. Plaintiffs did not file a notice of
appeal, however, until June 17, 1998. Reliance thus argues
Plaintiffs' appeal is untimely.
{14}
On February 26, the trial court effectively had two
complaints before it--Plaintiffs' original complaint and
Plaintiffs' amended complaint. In its February order, the
trial court expressly granted Reliance's motion for summary
judgment that had "come before [it] for hearing on October
27, 1997." Reliance's October motion pertained solely to
Plaintiffs' original complaint as it was the only complaint
Plaintiffs had pending before the trial court at that time.
The trial court's order did not grant, nor could it have
granted, Reliance's as yet nonexistent second motion for
summary judgment on Plaintiffs' first amended complaint.
The trial court's order did not address all issues of law
and fact before it nor did it dispose of Plaintiffs' first
amended complaint to the fullest extent possible. See id.
Therefore we hold the trial court's February order was not a final order.
{15}
Our holding is not disturbed by Reliance's argument
that because Plaintiffs' amended complaint superseded its
original complaint, the trial court's February order, which
was entered after Plaintiffs filed their amended complaint,
must be deemed a final order. While we do not disagree with
Reliance's assertion that Plaintiffs' original complaint
became a legal nullity when they filed their amended
complaint, we do not see how that fact alters our
conclusion. But see Klasner v. Klasner, 23 N.M. 627, 630,
170 P. 745, 746 ("[T]he amended complaint . . . supersedes
and supplants the original complaint."). If Plaintiffs'
original complaint is a nullity, then the trial court's
order must also be a nullity because it expressly granted
Reliance's summary judgment motion only insofar as it
pertained to Plaintiffs' original complaint. The trial
court's only viable summary judgment order is its May 19,
1998, order, from which Plaintiffs timely appealed on June
17, 1998.
II. DUTY TO NOTIFY
{16}
The trial court granted Reliance's second motion for
summary judgment pertaining to the first amended complaint
on the grounds that Decedent failed to remit a premium
payment and thus failed to portate his Policy. While
Plaintiffs concede Decedent never remitted a premium
payment, they disagree with the trial court's determination
that this fact entitled Reliance to judgment as a matter of
law. Plaintiffs contend Reliance had a duty to send
Decedent a premium notice and that Reliance's alleged
failure to fulfill this duty occasioned, and therefore
excused, Decedent's nonpayment.
A. Preservation of the Issue
{17}
Reliance claims Plaintiffs cannot argue this issue on
appeal because they failed to make an "implied duty argument
. . . in the District Court." Plaintiffs predicated their
complaint on Reliance's alleged failure to fulfill its
contractual duty to send Decedent a premium notice. For
example, at the hearing held on Plaintiffs' motion to amend
their complaint, Plaintiffs' attorney stated: "[Reliance]
never takes the steps they're required [to] under this
contract, which is bill [Decedent] for the premium notice
and send it to him . . . . They breached their very own
contract." The trial court perceived the "implied duty
issue" Plaintiffs were raising and ruled: "I don't think
[Reliance] breached any sort of a duty that they owed
[Decedent] under the original group insurance contract."
Plaintiffs thus brought the issue to the trial court's
attention and prompted the trial court to rule on it. That
is all Plaintiffs had to do in order to preserve the issue
for appellate review. See Cockrell v. Cockrell, 117 N.M. 321, 323, 871 P.2d 977, 979 (1994).
B. Standard of Review
{18}
We can affirm the trial court's order awarding
Reliance's motion for summary judgment only if the record
reveals no triable issues of material fact and Reliance is
entitled to judgment as a matter of law. See Gardner-Zemke
Co. v. State, 109 N.M. 729, 732, 790 P.2d 1010, 1013 (1990).
We must view the pleadings, affidavits, and depositions
presented for and against a motion for summary judgment in a
light most favorable to the nonmoving party. See id.
Summary judgment is foreclosed when the record discloses the
existence of a genuine controversy concerning a material
issue of fact. See id. Summary judgment is also foreclosed
when the trial court granted summary judgment based upon an
error of law. See Garcia v. Sanchez, 108 N.M. 388, 395, 772
P.2d 1311, 1318 (Ct. App. 1989).
C. Three Bases for Reliance's Duty
1. Policy Terms
{19}
An insurance contract is construed by the same general
principles that govern the interpretation of all contracts.
See Rummel v. Lexington Ins. Co., 1997-NMSC-041, ¶ 18, 123
N.M. 752, 945 P.2d 970. The construction of a particular
word or phrase in a policy is for the trial court to make
where its meaning is not dependent on disputed facts. See
id. ¶ 19. When the policy language is clear and
unambiguous, we must enforce it as written. See CC Hous.
Corp. v. Ryder Truck Rental, Inc., 106 N.M. 577, 579, 581,
746 P.2d 1109, 1111, 1113 (1987). However, we are not bound
to enforce the language as written if that would lead to an
absurd result. See Sneddon v. Massachusetts Protective
Ass'n, 39 N.M. 74, 76, 39 P.2d 1023, 1024 (1935).
{20}
The section of the Policy that is at the heart of the
parties' dispute is the section pertaining to Decedent's
conversion rights. The pertinent clauses of that section
provide:
Upon the Owner's written request, an Insured may
convert to any individual life insurance policy
written by us, without proof of good health. Such
conversion may be made while insurance is in force
on his life or within thirty-one (31) days of
termination of insurance under the Master Policy.
. . . .
The effective date of the individual
conversion policy will be:
(1) the date of the request for conversion if coverage under the group policy is in
effect on that date and the premium has
been paid; or
(2) the thirty-first (31st) day following
termination of the Insured's insurance
under the group policy, provided:
(a) written request has been made; and
(b) the premiums paid.
[Emphasis added.]
{21}
The Policy does not contain an express provision
obligating Reliance to provide Decedent with a premium
notice. We believe this term may be implied, however, from
the terms present in the Policy. A contract includes not
only the promises set forth in express words, but, in
addition, all such implied provisions as are indispensable
to effectuate the intention of the parties and as arise from
the language of the contract and the circumstances under
which it was made. See Continental Potash, Inc. v.
Freeport-McMoran, Inc., 115 N.M. 690, 704, 858 P.2d 66, 80
(1993). A court may have to imply terms in a contract when
to do otherwise would render the contract absurd and
meaningless. See Gresham v. Massachusetts Mut. Life Ins.
Co., 590 A.2d 241, 245 (N.J. Super. Ct. App. Div. 1991).
{22}
In Gresham, the insured-decedent (decedent) had a group
policy that gave him the right to portate his coverage if he
made the election "'either in person or by mail'" within 31
days of termination of employment. Id. at 242 (quoting
company's notice). The decedent did, in fact, contact his
insurer and informed his insurance agent of his desire to
portate his group policy. See id. at 243. The agent spoke
with the decedent, but he failed to give the decedent a
conversion application or a conversion rate. See id. The
decedent died without ever having submitted an application
or a premium payment. See id.
{23}
The Gresham court held that, notwithstanding the
decedent's failure to submit an application or a premium
payment, his estate was "entitled to the insurance for which
[he] clearly intended to apply." Id. at 245. The court
observed that under the decedent's policy and its summary
brochure
decedent was required to convert [his policy]
within 31 days of termination of employment[,]
make an application therefor, and pay the first
year's premium. There was no requirement that he
go to an office, only that he "should contact [his
insurer] either in person or by mail." He did so.
He spoke to [his agent] and unambiguously told him
that he wanted to convert his policy.
Id. at 244. Based on its observation, the court held that
the decedent's insurance policy implicitly obligated his
insurer to supply him with both a conversion application
form and the conversion premium. See id. at 245. The court
reasoned that if these terms were not implied, the
decedent's right to convert would be rendered meaningless.
See id. "While a beneficiary possibly could create his own
form to apply for the conversion policy, without the
insurer's input, the amount of the premium would be based
upon pure speculation." Id.
{24}
In the case at bar, Decedent's Policy did not require
him to contact Reliance in order to ascertain the conversion
premium. Instead, Decedent only had to submit a written
application to Reliance within 31 days of his retirement,
which he did. Upon submitting his application, it is
indisputable that Decedent still had to remit a premium
payment before his Policy could be portated. However, it is
also indisputable that Decedent could not have made a
payment before he was first informed by Reliance of the
premium that would be owed. The Policy would cease to make
sense, and the parties' contract could not be honored, if
Decedent were required to remit a payment without knowing
just how much money to remit. We thus hold that Reliance
had a duty to provide Decedent with a premium notice after
he submitted his written application requesting portation.
{25}
Reliance argues Decedent's lack of knowledge does not
excuse his failure to remit payment. Reliance claims
Decedent had the affirmative obligation to ask how much the
conversion premium was and that his failure to do so
distinguishes this case from Gresham. Reliance claims that
the Gresham court held in the decedent's favor because he
attempted to ascertain the conversion premium and the
insurer withheld this information from him. Reliance is
right to point out what steps the decedent in Gresham
undertook to portate his insurance coverage, but Reliance
fails to appreciate the lack of significance those steps
have outside the particular context of the Gresham policy.
{26}
In Gresham, the court mentioned the decedent's verbal
communications with his insurer only because under the
language of the policy that was one of the two ways he could
elect to portate his policy. See id. at 245. Contrary to
Reliance's suggestion, the court did not find that the
decedent specifically asked the insurer to provide him with
the conversion rate; instead, the court only found that the
decedent had unambiguously told the insurer he wanted to
portate his policy. See id. More critically, the court did
not consider it important that the decedent had not
specifically requested the conversion rate. The court held
that the decedent, upon doing all he was required to do
under his policy to initiate the conversion process, became
entitled to a conversion application and the conversion rate. See id. We agree with the analysis in Gresham and
hold that Reliance had a duty implied in the policy to
notify Decedent of the premium owed.
2. Duty not to Prevent Performance
{27}
Each party to an enforceable agreement has a duty not
to prevent performance by the other party. See Donnelly v.
Washington Nat'l Ins. Co., 482 N.E.2d 424, 430 (Ill. App.
Ct. 1985). "A party to a contract, who prevents its
performance by the adverse party, cannot rely on [the
adverse party's non-performance] to defeat his liability."
National Old Line Ins. Co. v. Brown, 107 N.M. 482, 487, 760
P.2d 775, 780 (1988). The party who has been prevented from
discharging his part of the obligation is to be treated as
though he had performed it. See id.
{28}
In Donnelly, the insured-decedent had a group life
insurance policy that gave him the right to portate his
insurance coverage within 31 days of termination of
employment. See id. at 427. The decedent wanted to portate
his coverage, so he personally visited the insurer's office
and asked his agent to send him a letter stating the rates
for conversion. See id. The court held that when the
decedent asked "about converting his group insurance to
individual coverage, defendant ha[d] a duty to inform him of
the rate he [had to] pay to convert, because without that
information the insured will be unable to convert." See id.
at 430.
{29}
The Donnelly court's holding provides another basis for
our determination that Reliance had a duty to provide
Decedent with the conversion rate after he submitted his
written application requesting portation. See id. The
Donnelly court based its holding, not upon the implied terms
of the parties' insurance contract, but upon the decedent's
affirmative conduct. See id. The court recognized, as we
do, that when a party to a contract does all that he can do
to effect performance, the adverse party cannot disregard
his actions without consequence, irrespective of the terms
of the parties' contract.
{30}
Reliance claims the Donnelly court based its holding on
the fact that the decedent had asked the agent to mail him a
letter containing the conversion rate and that the agent
promised, but then failed, to do so. We disagree. The
Donnelly court, like the Gresham court, relied exclusively
on the decedents's oral requests for information because it
could not point to anything the parties had reduced to
writing. The court referred to the insurer's promises only
in the context of its discussion of the insurer's breach of
the "implied covenant of good faith cooperation." Id. at
430. What was important in Donnelly, and what is important
here, is that the insureds expressed an unequivocal interest
in exercising a contractual right to portate their policies. Upon expressing this interest, the insurers incurred a duty
to provide the insureds with the conversion rate.
3. Policy Summaries
{31}
In addressing an insurance contract dispute, we must
first attempt to resolve the dispute by resorting to the
language of the insurance contract, itself. See Rummel,
1997-NMSC-041, ¶ 20. We may look to extrinsic evidence,
however, if a party might reasonably have formed
expectations in spite of the insurance policy's provisions
due to the adverse party's affirmative conduct. See id. ¶
21; Barth v. Coleman, 118 N.M. 1, 5, 878 P.2d 319, 323
(1994). Although we have already resolved the issue of
whether the terms of Decedent's Policy gave rise to
Reliance's duty to provide him with a premium notice, we
nevertheless examine Plaintiffs' claim regarding Decedent's
reasonable expectations because we believe such an
examination reinforces the duty we have recognized today.
{32}
Reliance provided Decedent with certain policy
summaries in order to explain the steps Decedent had to take
to portate his Policy. One such policy summary stated in
relevant part:
A. notify us in writing within 31 days from
the date you cease to be eligible or the
Participating Unit terminates;
B. remit the necessary premiums when due;
and
. . .
Premiums will be billed directly to you on a
quarterly, semi-annual or annual basis.
[Emphasis added.] Another policy brochure provided in
relevant part:
PORTABILITY
If you terminate employment after your coverage has
started, you may elect, within 31 days of
termination of eligibility, to continue your group
term life insurance. Premiums will be billed directly to you on a quarterly, semi-annual or
annual basis.
. . .
OFTEN ASKED QUESTIONS . . .
. . .
Q. If I leave employment here, can my insurance be continued?
A. Yes, you can continue your insurance. The premiums will be billed directly
to you by Reliance Standard Life. The amount of coverage and the costs will
continue unchanged as if you were still employed.
[Emphasis added.]
{33}
We believe Reliance's policy summaries could create the
reasonable expectation in an insured that he would receive a
premium notice from Reliance if he submitted a conversion
application within 31 days of his retirement. If Plaintiffs
can prove Reliance provided these policy summaries to
Decedent, the doctrine of reasonable expectations could
reinforce a duty on the part of Reliance to give Decedent a
premium notice. See Barth, 118 N.M. at 5, 878 P.2d at 323.
If Reliance failed to give Decedent such a notice, it cannot
rely on Decedent's failure to remit payment as the basis for
denying Plaintiffs' claim. See National Old Line Ins. Co.,
107 N.M. at 487, 760 P.2d at 780.
4. Reliance's Arguments Against the Duty
{34}
Reliance argues that, under the plain language of the
Policy itself, Decedent had only until August 1 to both make
application to portate and pay the premium. This argument is
somewhat disingenuous inasmuch as Reliance's own documents
show that it was inviting Decedent to pay the premium as late
as September 9. Reliance similarly contends that the
September 9 letter must have been an invitation to purchase
new insurance. However, by its terms, the September 9 letter
plainly refers to "[a] continuation of coverage you
requested."
{35}
In a like vein, Reliance argues that NMSA 1978, § 59A-21-19 (1984) defeats any expectation Decedent may have developed
after reading Reliance's policy summaries. Under Section 59A-21-19, an insured is entitled to portate his insurance
"provided application for the individual policy shall be made,
and the first premium paid to the insurer, within thirty-one
(31) days after . . . termination [of employment]." Reliance
claims this language clearly requires an insured to submit
both an application and a premium payment within 31 days of
his retirement, or else he forfeits his portation rights.
{36}
Whether Section 59A-21-19 must be interpreted in the way
Reliance suggests is irrelevant to our discussion because that
section is modified by another statute, which states:
A. No policy of group life insurance shall be delivered in this state unless it contains in
substance the provisions as required by Sections
409 through 419 [59A-21-12 to 59A-21-22 NMSA 1978]
of this article or provisions which, in the
superintendent's opinion, are more favorable to the
persons insured, or at least as favorable to the
persons insured and more favorable to the
policyholder.
NMSA 1978, § 59A-21-11 (1984) (emphasis added). In light of
Section 59A-21-11, it is clear Section 59A-21-19 provides a
baseline level of insurance coverage portation rights. We may
assume without deciding, that under Section 59A-21-19 an
insurer can insist upon the insured submitting both a
conversion application form and a premium payment within 31
days of his retirement in order to portate his group policy,
but that section does not mandate an insurer to so insist.
Reliance's policy is "more favorable to the person insured"
and thus is enforceable under Section 59A-21-11. Thus, if
Reliance failed to mail Decedent a premium notice, it cannot
defeat his coverage by relying on Section 59A-21-19. See
National Old Line Ins. Co., 107 N.M. at 487, 760 P.2d at 780.
{37}
Reliance claims that even if Decedent received absolutely
no information concerning his conversion privilege, his window
of time within which to portate his Policy was circumscribed
by NMSA 1978, § 59A-21-22 (1984). Reliance argues that under
Section 59A-21-22, Decedent had at most 60 days from the
expiration date of his Policy, or until September 30, 1993, to
portate his Policy. According to Reliance, "there is a
legislative policy at work and controlling [here]--one of
finality, not perpetuity."
{38}
Reliance's dependence on Section 59A-21-22 is misplaced.
Section 59A-21-22 comes into effect only "if [an insured] is
not given notice of the existence of such right." Reliance
contends, and Plaintiffs admit, that Decedent was informed of
his conversion rights. Plaintiffs only dispute Reliance's
contention that it did not breach a duty by failing to provide
Decedent with a premium notice after he expressed his desire
to portate his Policy. Our legislature's interest in
promoting finality is not at issue here. What is at issue is
the parties' obligations under Decedent's Policy.
{39}
Reliance finally argues that Plaintiffs could not wait
indefinitely for a premium notice, delaying to see what
develops, and then retroactively say that they in fact wanted
to continue the insurance coverage at the time Decedent died.
See Bezanson v. Metropolitan Ins. & Annuity Co., 952 F.2d 1,
6 (1st Cir. 1991). While we can agree with Reliance that
people in Plaintiffs' shoes cannot wait indefinitely, even the
Bezanson case, on which it relies, states that the time limit
is one of reasonableness. We need not decide here what might
be an outer limit of reasonableness. The facts of this case
are that Decedent was hospitalized and died well within the time during which the summaries of the Policy could be
construed to say that he would be billed for the premium.
("Premiums will be billed directly to you on a quarterly,
semi-annual or annual basis.") For the reasons stated, we
conclude that the trial court could not have granted summary
judgment by concluding that Reliance did not have to provide
Decedent with a premium notice. See Garcia, 108 N.M. at 395,
772 P.2d at 1318 (holding that summary judgment may be
reversed when it is based on an error of law).
III. MAILING OF PREMIUM NOTICE
{40}
At the trial court level, Reliance proffered two
documents to make its prima facie case that it mailed a
premium notice to Decedent: (1) an unsigned letter, dated
September 9, 1993, advising Decedent of the required premium
and (2) the affidavit of one of its employees purporting to
establish a pattern of how documents are mailed and thereby
giving rise to the inference that the unsigned letter was
likely mailed as well. Plaintiffs argue several reasons why
these two documents do not give rise to an inference of proper
mailing and thus fail to make Reliance's prima facie case. We
do not need to pass judgment on them because we find that, for
purposes of opposing summary judgment, Plaintiffs rebutted any
inference of proper mailing by presenting evidence that
Decedent did not receive a premium notice.
{41}
Mrs. Griego and her daughter, Joanna L. Gallegos,
testified that the premium notice was never received at the
Griego household. They testified that the mail was always
kept on the kitchen room counter in plain view and that they
never saw the two letters Reliance allegedly sent to Decedent
in September 1993.
{42}
Reliance claims that "[w]hether the letter was received
or not is irrelevant." We disagree. The testimony Mrs.
Griego and Mrs. Gallegos provided of non-receipt was
sufficient to create a factual question as to whether Reliance
properly mailed Decedent a premium notice. See Myers v.
Kapnison, 93 N.M. 215, 217, 598 P.2d 1175, 1177 (Ct. App.
1979) (ruling that the affidavits from three addressees and
one non-addressee that they did not receive a letter allegedly
mailed to them by the adverse party raised a factual question
as to whether the letter was properly mailed). Accordingly,
the trial court committed reversible error. See Gardner-Zemke
Co., 109 N.M. at 732, 790 P.2d at 1013 (ruling that summary
judgment is foreclosed when there exists a material factual
issue).
CONCLUSION
{43}
For the reasons stated above, we reverse summary judgment
and remand for a trial on the merits.
{44}
IT IS SO ORDERED.
______________________________
LYNN PICKARD, Chief Judge
WE CONCUR:
______________________________
RICHARD C. BOSSON, Judge
______________________________
JONATHAN B. SUTIN, Judge