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Yumukoglu v. Provident Life Accident Insurance Company

United States District Court, D. New Mexico
May 30, 2001
No. CIV 99-1245 BB/WWD (D.N.M. May. 30, 2001)

Opinion

No. CIV 99-1245 BB/WWD

May 30, 2001

For Plaintiff: Keith F. Franchini, Albuquerque, NM, L. Edward Glass, Albuquerque, NM.

For Defendant: Thomas L. Johnson, Albuquerque, NM.


MEMORANDUM OPINION


THIS MATTER comes before the Court on Defendants Motion for Summary Judgment on All Remaining Claims (Doc. 97), filed February 23, 2001. Having fully considered the parties submissions and the relevant authorities, the Court finds that the motion is well-taken and should be GRANTED in full.

I. BACKGROUND

The present diversity action arises from the suspension of benefits under a disability insurance policy issued by Defendant Provident Life Accident Insurance Company (Provident) to Plaintiff, Dr. Mina Yumukoglu. Dr. Yumukoglus initial claims against Provident included an action for breach of contract as well as several state law tort claims, including breach of the duty of good faith and fair dealing, violation of the New Mexico Unfair Insurance Practices Act, and intentional infliction of emotional distress. Plaintiff also sought emotional damages for breach of contract and attorneys fees. In a Memorandum Opinion and Order issued February 2, 2001 (Doc. 93), this Court granted summary judgment to Defendant on each of Plaintiffs tort claims on the grounds that Dr. Yumukoglu failed to demonstrate that Provident terminated his benefits in bad faith. As a result, only Dr. Yumukoglus breach of contract claim remains.

During the pendency of this litigation, Provident reinstated Dr. Yumukoglus disability benefits. Provident has also paid Dr. Yumukoglu past benefits and interest. Thus, the only question before the Court is whether Dr. Yumukoglu is entitled to emotional damages and attorneys fees based on Providents acknowledged breach of contract. In great part, this question is grounded in choice of law. While it is clear that in Louisiana, the state in which the contract was issued, damages for emotional distress and attorneys fees are not recoverable for a breach of contract, the issue is not so crystalline in New Mexico, the state in which this action was filed and in which Dr. Yumukoglu now resides.

In their Pretrial Order (Doc. 60), the parties stipulated to the following: Louisiana law controls issues concerning the interpretation of the [disability insurance] policy, and New Mexico law controls all other substantive law questions. The question of what constitutes interpretation of the policy is now in dispute. Provident contends that a contracts interpretation includes the question of what remedies are available for its breach, an inquiry properly resolved according to the law of the state in which the contract was issued. Assuming, arguendo, Providents choice of law theory is correct, Louisiana law applies and Dr. Yumukoglu is not entitled to either emotional damages or attorneys fees. Dr. Yumukoglus arguments are twofold. First, he contends that the word interpretation as used in the Pretrial Order narrows the application of Louisiana law to the present dispute to encompass only the meaning of the language used in the contract.

For example, the parties agreed that the rights generated by the policys Incontestability Clause were a matter of contract interpretation properly governed by Louisiana law. See February 2, 2001 Memorandum Opinion and Order (Doc. 93).

Pursuant to this argument, the Pretrial Order dictates that the Court apply New Mexico law. Second, Dr. Yumukoglu argues that, the terms of the Pretrial Order aside, New Mexico choice of law rules compel the application of New Mexico law to the question of whether Dr. Yumukoglu is entitled to emotional damages and attorneys fees.

For the reasons set forth below, the Court agrees with Defendant that, under New Mexico choice of law jurisprudence, Louisiana law governs the question of remedies available for breach of contract. In the alternative, the Court finds that should New Mexico law apply, Plaintiff would be entitled neither to emotional damages nor attorneys fees on his breach of contract claim.

II. DISCUSSION

A. Plaintiffs Available Remedies for Breach of Contract Are Controlled by Louisiana Law

In making a choice of law determination, a federal court sitting in diversity must apply the substantive law, including the choice of law provisions, of the forum state. Elec. Distrib., Inc., v. SFR, Inc., 166 F.3d 1074, 1083 (10th Cir. 1999) (citing Klaxan Co. v. Stentor Elec. Mfg. Co., 313 U.S. 487, 496 (1941)). It is therefore beyond dispute that New Mexico choice of law principles apply to the present case.

1. Impact of the Pretrial Order

Initially, the Court must address the threshold question of whether the parties Pretrial Order alters the natural result under New Mexico choice of law rules. As stated above, the parties have agreed in the Pretrial Order that Louisiana law controls issues concerning the interpretation of the policy, and New Mexico law controls all other substantive law questions.

The issue is what, precisely, the parties intended by interpretation of the contract.

Technically, a contracts interpretation is narrower than its construction: Although these two words are most often used synonymously, a distinction between them does exist. Through interpretation of a contract, a court determines what meaning the parties, when contracting, gave to the language used.

Through construction of a contract, a court determines the legal operation of the contract — its effect upon the rights and duties of the parties. In accordance with this distinction, the construction of a contract begins with the interpretation of its language but does not end with it, while the process of interpretation stops wholly short of a determination of the legal relations of the parties. 5 Margaret N. Kniffin, Corbin on Contracts § 24.3 (Rev. ed. 1998). Similarly, Blacks Law Dictionary distinguishes the term interpretation from the term construction: In the strict usage of this term, construction is a term of wider scope than interpretation; for, while the latter is concerned only with ascertaining the sense and meaning of the subject-matter, the former may also be directed to explaining the legal effects and consequences of the instrument in question. Hence interpretation precedes construction, but stops at the written text. See Blacks Law Dictionary 566 (6th ed. 1990).

While legal scholars have recognized a technical distinction, it is well accepted that the two terms are commonly used interchangeably. Blacks Law Dictionary at 566. As stated in Corbin § 24.3, supra: Rarely do courts articulate this distinction. Iowa, New Jersey, and Washington are among the few jurisdictions in which it is recognized. Much more widespread is the interchangeable use of the terms. Because Corbin characterizes the synonymous use of the terms as the overwhelmingly common practice of courts authoring opinions today, the treatise itself does not employ the distinction. Id.

While New Mexico has not specifically addressed the scope of interpretation as opposed to construction, New Mexico courts appear to use the words interchangeably. See, e.g., Shope v. State Farm Ins. Co., 122 N.M. 398, 400, 925 P.2d 515, 517 (N.M. 1996) (courts interpretation of insurance contract included an analysis of states public policy with respect to stacking of uninsured motorist benefits); Crow v. Capitol Bankers Life Ins. Co., 119 N.M. 452, 456, 891 P.2d 1206, 1210 (N.M. 1995); Rodriguez v. Windsor Ins. Co., 118 N.M. 127, 133, 879 P.2d 759, 765 (N.M. 1994). The Tenth Circuit has also employed the terms synonymously. See, e.g., Local No. 7 United Food and Commercial Workers Intern. Union v. King Soopers, 222 F.3d 1223, 1226 (10th Cir. 2000); Brown v. Royal Maccabees Life Ins. Co., 137 F.3d 1236, 1242 (10th Cir. 1998); SBKC Service Corp. v. 1111 Prospect Partners, L. P., 105 F.3d 578, 581 (10th Cir. 1997). At best, the use of the word interpretation in the parties Pretrial Order is ambiguous.

From the Plaintiffs standpoint, it is credible that the term interpretation, as opposed to construction, was consciously chosen by Plaintiff to limit the application of Louisiana law to the explicit language of the contract. Conversely, given that interpretation and construction are commonly used interchangeably, Defendant may rationally have understood interpretation to include the determination of Plaintiffs legal rights. Faced with this ambiguity, the Court must attempt to determine the intent of the parties. Medina v. Sunstate Realty, Inc., 119 N.M. 136, 138, 889 P.2d 171, 173 (N.M. 1995) (When interpreting a contract, [New Mexico courts] give force and effect to the intent of the parties). See also Corbin, supra, § 24.20. The most logical reading of the Pretrial Order is that the parties, in briefly stating the law applicable to their dispute, intended only to summarize New Mexicos conflict of law rules: i.e., while New Mexico law controls a plaintiffs tort claims, a plaintiffs contractual rights are determined by the law of the state where his insurance contract was executed. See Shope, 122 N.M. at 400, 925 P.2d at 517. It is unlikely that, without more detailed explanation, the parties intended to alter their legal rights as prescribed by New Mexico law. The Court thus finds that the answer to the question of whether New Mexico or Louisiana law governs Dr. Yumukoglus available remedies for breach of contract is properly grounded in New Mexico choice of law jurisprudence and not in the language of the Pretrial Order.

2. New Mexico Choice of Law Principles

The policy of New Mexico is to interpret insurance contracts under the law of the state in which the contract was executed. Sheppard v. Allstate Ins. Co., 21 F.3d 1010, 1012 (10th Cir. 1994); Grisham v. Allstate Ins. Co., 128 N.M. 340, 341, 992 P.2d 891, 892 (N.M.App. 1999); Shope v. State Farm Ins. Co., 122 N.M. 398, 400, 925 P.2d 515, 517 (N.M. 1996); State Farm Mut. Ins. Co. v. Conyers, 109 N.M. 243, 247, 784 P.2d 986, 990 (N.M. 1989). See also Choice of Law in the American Courts in 1998: Twelfth Annual Survey, 47 Am. J. Comp. L. 327, 340 41 (Spring 1999) (In contract conflicts, the New Mexico Supreme Court did at one point ponder whether to abandon the lex loci contractus rule but has recently applied it without discussion).

Citing Conyers, 109 N.M. at 247, 784 P.2d at 990.

Courts have found an exception to this conflict of laws rule when the law of a foreign state violates a fundamental principle of New Mexico public policy. Reagan v. McGee Drilling Corp., 123 N.M. 68, 70, 933 P.2d 867, 869 (N.M.Ct.App. 1997); Shope, 122 N.M. at 400, 925 P.2d at 517; Conyers, 109 N.M. at 248, 784 P.2d at 991. See also Estate of Gilmore, 124 N.M. 119, 124, 946 P.2d 1130, 1135 (N.M.Ct.App. 1997); Torres v. State, 119 N.M. 609, 613, 894 P.2d 386, 390 (N.M. 1995) (in a tort action, court will not follow the standard doctrine of lex loci delicti if such application would violate New Mexico public policy). The New Mexico Court of Appeals has summarized New Mexico choice of law jurisprudence as follows: We perceive New Mexico conflict-of-law doctrine as reflecting a desire for the greater certainty presumably provided by more traditional approaches to conflict-of-law problems, tempered by recognition that important policy considerations cannot be ignored. Gilmore, 124 N.M. at 125, 946 P.2d at 1136.

The parties do not contend that the application of Louisiana law to the present controversy would offend New Mexico public policy. Therefore, the question before the Court is whether the doctrine of lex loci contractus, as applied by New Mexico, includes the determination of what remedies are available for a contracts breach. New Mexico courts have not specifically spoken to this issue.

Although New Mexico has not definitively embraced the Restatement (Second) of Conflict of Laws (Restatement) with respect to choice of law issues in either contract or tort, see Gilmore, 124 N.M. at 125, 946 P.2d at 1136, New Mexico courts have often relied on the rationale of the Restatement and have, with very little exception, reached an identical result. See id.; Reagan, 123 N.M. at 70, 933 P.2d at 869; Conyers, 109 N.M. at 246-47, 784 P.2d at 989-990; but see Torres, 119 N.M. at 613, 894 P.2d 390 (applying approach consistent with

Restatement but reaching a different result on grounds of public policy). It is therefore appropriate that this Court look to the Restatement for guidance. Like New Mexico, the default rule of the Restatement is to determine the rights created under an insurance contract pursuant to the law of the state in which the contract was issued:

The validity of a life [or disability] insurance contract issued to the insured upon his application and the rights created thereby are determined, in the absence of an effective choice of law by the insured in his application, by the local law of the state where the insured was domiciled at the time the policy was applied for, unless with respect to the particular issue, some other state has a more significant relationship under the principles stated in § 6 to the transaction and the parties, in which event the local law of the other state will be applied.

Restatement (Second) of Conflict of Laws § 192 and cmt. l.

Dr. Yumukoglu argues that, under the Restatement (Second) approach, the Court should apply New Mexico law pursuant to the Restatements significant relationship test. The Court finds that the significant relationship approach does not alter the natural choice of Louisiana law.
Under § 6 of the Restatement (Second), which defines the significant relationship test, the following factors are relevant to the determination of the applicable law:
(a) the needs of the interstate and international systems,
(b) the relevant policies of the forum,

(c) the relevant policies of other interested states and the relative interests of those states in the determination of the particular issue,

(d) the protection of justified expectations,
(e) the basic policies underlying the particular field of law,
(f) certainty, predictability, and uniformity of result, and
(g) ease in the determination and application of the law to be applied.

Restatement (Second) of Conflict of Laws § 6. Because New Mexico has yet to squarely address the question of whether emotional damages and attorneys fees are recoverable for breach of an insurance contract, it cannot be said at this point that the state has expressed a relevant policy on this issue. This is only strengthened by the Courts conclusion, as discussed below, that New Mexico would not permit such recovery. As to the protection of justified expectations, predictability of result, and ease of application, all of these factors weigh in favor of the default choice of law rule: applying the law of the state in which the contract was executed.

The Restatement (Second) further provides in § 207 that the measure of recovery for a breach of contract is determined by the local law of the state selected by the application of the rules of [the relevant Restatement section]. Thus, both the rights created under a contract and the measure of recovery for the contracts breach are governed by the same law. Although the large majority of cases citing § 207 address the issue of whether a plaintiff may recover prejudgment interest, courts that have applied the Restatement to less traditional measures of recovery for breach of contract have determined that both punitive damages and attorneys fees fall within the sections scope. See Power Motive Corp. v. Mannesmann Demag Corp., 617 F. Supp. 1048, 1049-1050 (D.Colo. 1985) (application of Restatement (Second) § 207 included determination that, under Ohio law, punitive damages were not recoverable for breach of contract); Aries v. Palmer Johnson, Inc., 153 Ariz. 250, 258, 735 P.2d 1373, 1381 (Ariz.App. Div. 2 1987) (recovery of attorneys fees is a form of damages to be determined by principles set forth in Restatement (Second)). The Court finds that emotional damages, like punitive damages, is an award that falls within the measures of recovery available for breach of contract.

See, e.g., Valley Juice Ltd. v. Evian Waters of France, Inc., 87 F.3d 604, 614 (2d Cir. 1996); Amoco Rocmount Co. v. Anschutz Corp., 7 F.3d 909, 920 (10th Cir. 1993); Emerson Elec. Co. v. Crawford Co., 963 S.W.2d 268, 272 (Mo.App.E.D. 1997).

To the extent that New Mexico courts have addressed the scope of the lex loci contractus rule, it appears likely that New Mexicos application of that rule would achieve the same result as that reached under the Restatement. Not surprisingly, the majority of New Mexico cases involving the determination of rights under an insurance contract concern the interpretation, as that word is technically and narrowly defined, of specific language of the contract. See, e.g. Grisham, 128 N.M. at 342, 992 P.2d at 893; State Farm Auto. Ins. Co. v. Ovitz, 117 N.M. 547, 549, 873 P.2d 979, 999 (N.M. 1994). However, Shope v. State Farm Ins. Co. demonstrates that the lex loci contractus rule includes the determination of the parties legal rights and duties under the contract: i.e., interpretation as used by the New Mexico Supreme Court applies to the full construction of the parties contractual rights and not merely the analysis of explicit contract terms. 122 N.M. at 399-401, 925 P.2d at 516-518. Shope involved a family residing in New Mexico whose son was struck and killed in New Mexico by an uninsured motorist. The Shopes sued the insurance carrier under an insurance policy purchased and issued in Virginia. The primary question before the Supreme Court was whether the contract permitted the stacking of uninsured motorist coverage.

Stacking of insurance coverage is generally proper under New Mexico law but is disfavored under Virginia law. See Shope, 122 N.M. at 400-401, 925 P.2d at 517-518.

Applying the rule of lex loci contractus, the Supreme Court found that whether stacking is proper is . . . a question of contract interpretation, not one of fundamental interests, and therefore governed by Virginia law. 122 N.M. at 401, 925 P.2d at 518 (emphasis added). The Supreme Courts interpretation of the insurance contract included the application of Virginia public policy with respect to stacking of uninsured motorist coverage, an analysis which extends beyond the interpretation of specific contractual language. Shope therefore indicates, in accordance with the Restatement Second, that the application of foreign contract law includes the determination of parties legal rights under a contract. See also Sheppard v. Allstate Ins. Co., 21 F.3d 1010, 1015 (10th Cir. 1994) (in an insurance dispute brought in New Mexico under a North Carolina contract, North Carolina law of estoppel governed question of whether insurance company was estopped from denying plaintiffs coverage).

For these reasons, the Court finds the question of whether Dr. Yumukoglu is entitled to emotional damages and attorneys fees under his breach of contract claim is governed by Louisiana law. The parties do not contest that, in the absence of bad faith by the insurer, Louisiana law precludes the recovery of both emotional damages and attorneys fees in an action for breach of contract. See Casey v. Panalpina, Inc., 1999 WL 39520, *1 (E.D.La. January 29, 1999); Perry v. State Farm Fire Cas. Co., 700 F. Supp. 306, 307 (M.D.La. 1988); Nickels v. Guarantee Trust Life Ins. Co., 563 So.2d 924, 927, 928 (La.Ct.App. 1990); Bye v. American Income Life Ins. Co., 316 So.2d 164, 166-167 (La.Ct.App. 1975). Accordingly, Defendant is entitled to summary judgment.

B. New Mexico Law Precludes Recovery for Emotional Damages and Attorneys Fees

In the alternative, the Court finds that should New Mexico law apply to the determination of Dr. Yumukoglus available remedies for breach of contract, neither emotional damages nor attorneys fees are recoverable. New Mexico law regarding the availability of emotional damages for breach of an insurance contract is not so well-settled as in Louisiana. However, the Tenth Circuit has concluded that emotional damages are not a proper remedy in New Mexico for breach of contract, absent exigent circumstances: [E]motional distress is not recoverable under a contract claim, unless the breach causes bodily harm, or unless the contract or the breach is of such a kind that serious emotional disturbance is a particularly likely result. Woodmen Life Accident Insurance Co. v. Bryant, 784 F.2d 1052, 1056-57 (10th Cir. 1986) (citing Restatement (Second) of Contracts § 353). While there is no New Mexico precedent on this issue, the majority of jurisdictions agree with this provision. Id. (citations omitted). The New Mexico Supreme Court has found emotional damages for breach of contract appropriate in one specific circumstance: contracts for the provision of funeral and burial services. Flores v. Baca, 117 N.M. 306, 311, 314, 871 P.2d 962, 967, 970 (N.M. 1994). Flores, which cites Woodmen with approval, recognizes that burial contracts are specifically the type of exceptional circumstance for which emotional damages may be recoverable:

Contracts for funeral and burial services are imbued by the very nature of their subject with certain expectations to be implied in fact unless specifically disclaimed. It is to be expected that damages for cognizable harm to the ordinary emotional sensibilities of any family member, in general, and known emotional sensibilities, in particular, will be recoverable for a breach of the funeral providers obligation to exercise reasonable skill and care. Consolation being the aim of a contract for funeral services, what else would result from a breach of the agreement but mental anguish? 117 N.M. at 311, 871 P.2d at 967 (citations omitted). This position is identical to that taken in the Restatement (Second) of Contracts. See § 353, cmt. a (among the exceptional circumstances where damages for emotional disturbance are recoverable are contracts for the carriage or proper disposition of dead bodies). By contrast, insurance contracts are designed to protect pecuniary, as opposed to mental, well-being. They do not present the exceptional circumstance contemplated by Flores and the Restatement (Second). See, e.g., Nickels v. Guarantee Trust Life Ins. Co., 563 So.2d 924, 927 (La.Ct.App. 1990) (emotional damages are not recoverable under an insurance contract because the object of a contract of insurance is the payment of money).

The Court agrees with Provident that Dr. Yumukoglu has not cited (as apparently none exist) any New Mexico cases supporting his proposition that emotional damages can be recovered for breach of an insurance contract in the absence of bad faith. Nor has Dr. Yumukoglu pointed the Court to any New Mexico statute or case law suggesting he is entitled to attorneys fees.

Statutory attorneys fees are authorized in favor of the insured upon a finding that the insurance company has acted in bad faith. NMSA § 39-2-1 (Michie 1978, Repl. Pamp. 1991). However, as this Court held in its February 2, 2001 Memorandum Opinion and Order, this is not a case of bad faith. The Court therefore finds that, under New Mexico law, Dr. Yumukoglu would be entitled neither to emotional damages nor attorneys fees for his breach of contract claim.

III. CONCLUSION

For the reasons set forth above, the Court finds that Louisiana law controls the question of whether Plaintiff is entitled to recover emotional damages and attorneys fees in his breach of contract action. Louisiana law prohibits such recovery. In the alternative, the Court finds that emotional damages and attorneys fees would not be recoverable under New Mexico law for breach of an insurance contract absent bad faith by the insurer. Defendants Motion for Summary Judgment on All Remaining Claims is thereby GRANTED in full. An order in conjunction with this memorandum will issue.

Dated at Albuquerque this 30th day of May, 2001.


Summaries of

Yumukoglu v. Provident Life Accident Insurance Company

United States District Court, D. New Mexico
May 30, 2001
No. CIV 99-1245 BB/WWD (D.N.M. May. 30, 2001)
Case details for

Yumukoglu v. Provident Life Accident Insurance Company

Case Details

Full title:DR. MINA YUMUKOGLU, Plaintiff, v. PROVIDENT LIFE ACCIDENT INSURANCE…

Court:United States District Court, D. New Mexico

Date published: May 30, 2001

Citations

No. CIV 99-1245 BB/WWD (D.N.M. May. 30, 2001)