Greco v. Penn National Security Insurance

721 S.E.2d 280, 218 N.C. App. 394, 2012 N.C. App. LEXIS 212
CourtCourt of Appeals of North Carolina
DecidedFebruary 7, 2012
DocketCOA11-483
StatusPublished
Cited by3 cases

This text of 721 S.E.2d 280 (Greco v. Penn National Security Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals of North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Greco v. Penn National Security Insurance, 721 S.E.2d 280, 218 N.C. App. 394, 2012 N.C. App. LEXIS 212 (N.C. Ct. App. 2012).

Opinions

ELMORE, Judge.

Victoria Klotz Greco (plaintiff) appeals from an order of summary judgment entered in favor of Penn National Security Insurance Company, Penn National Holding Corporation, and Pennsylvania National Mutual Casualty Insurance Company (collectively, Penn National). Because Penn National has not shown that the insured in this case, defendant Donald Joseph McKinnon and Sharon Hanson (Hanson), failed to cooperate with defendant Penn National, we reverse the order of the trial court.

The parties have stipulated to the following facts for purposes of Penn National’s summary judgment motion: On 1 May 2006, McKinnon and Hanson were driving in a Ford truck owned by Hanson and pulling a utility trailer owned by Carolina Home Exteriors, L.L.C. (CHE), on Highway 17 in Craven County. The trailer detached from the truck and collided with plaintiff’s vehicle. Plaintiff was seriously injured. McKinnon worked for Rusty Hanson, who had subcontracted with CHE to replace vinyl siding at a house in Richlands. McKinnon had permission to use the utility trailer, which was insured by Penn National. The Ford truck was insured by Nationwide.

[395]*395Plaintiff sued, though the complaint and other materials of the underlying tort claim are not part of the record on appeal. In September 2009, plaintiff filed a declaratory judgment action seeking a declaration of the rights of the parties as to the Penn National insurance policy. In her complaint, plaintiff alleged that the Penn National insurance policy, which had a $1 million limit, was in full force and effect at the time of the collision and, under that policy, Penn National must indemnify plaintiff for her damages arising out of the accident. She asked the trial court for a declaration of the rights and obligations of the parties as. to the Penn National policy, specifically asking the court to rule that the policy provides full liability coverage for plaintiff’s benefit.

Penn National moved for summary judgment, which the trial court granted following a hearing and its review of an affidavit by Janet Fusaiotti, a senior claim representative for Penn National, and its supporting exhibits. Plaintiff now appeals.

Plaintiff argues that the trial court erred by granting defendant Penn National’s motion for summary judgment because Penn National failed to demonstrate that McKinnon and Hanson had breached their duty to cooperate under the insurance policy. The insurance policy includes several duties in the event of accident, claim, suit or loss. It states, in relevant part, that Penn National has “no duty to provide coverage under this policy unless there has been full compliance with the following dut[y]: . . . [Y]ou and any other involved ‘insured’ must. .. [c]ooperate with us in the investigation or settlement of the claim or defense against the suit[.]” The essence of the parties’ disagreement on appeal is whether Penn National proved that McKinnon and Hanson did not cooperate with the investigation. We hold that it did not.

We review an order of summary judgment de novo. Builders Mut. Ins. Co. v. North Main Constr., Ltd., 361 N.C. 85, 88, 637 S.E.2d 528, 530 (2006). “Summary judgment is appropriate when there is no genuine issue as to any material fact and any party is entitled to a judgment as a matter of law.” Id. (quotations and citations omitted).

Our courts do not follow “the strict contractual approach when construing cooperation clauses in insurance contracts and have held that, in order to relieve an insurer of its obligations, the failure to cooperate must be both material and prejudicial.” Great Am. Ins. Co. v. C. G. Tate Constr. Co., 303 N.C. 387, 393 n.2, 279 S.E.2d 769, 773 n.2 (1981) (citing Henderson v. Rochester American Insurance Co., 254 N.C. 329, [396]*396332, 118 S.E.2d 885, 889 (1961)). Our Supreme Court has explained the purpose of both cooperation clauses and the requirement that a failure to cooperate must be material and prejudicial as follows:

The provisions are to be given a reasonable interpretation to accomplish the purpose intended, that is, to put insurer on notice and afford it an opportunity to make such investigation as it may deem necessary to properly defend or settle claims which may be asserted, and to cooperate fairly and honestly with insurer in the defense of any action which may be brought against insured, and upon compliance with these provisions to protect and indemnify within the policy limits the insured from the result of his negligent acts. An insurer will not be relieved of its obligation because of an immaterial or mere technical failure to comply with the policy provisions. The failure must be material and prejudicial. . . . “While there is some contrary authority, the better reasoned cases hold that the failure to co-operate in any instance alleged must be attended by prejudice to the insurer in conducting the defense. Blashfield, Automobile Law, Vol. 6, sec. 4059, p. 78.”

Henderson, 254 N.C. at 332, 118 S.E.2d at 887 (additional citations omitted). “[F]ailure to cooperate under an insurance policy is an affirmative defense upon which [the insurer] has the burden of proof[.]” Lockwood v. Porter, 98 N.C. App. 410, 411, 390 S.E.2d 742, 743 (1990) (citing MacClure v. Accident & Casualty Insurance Co. of Winterthur, Switzerland, 229 N.C. 305, 49 S.E.2d 742 (1948)). “What constitutes co-operation or lack thereof is usually a question of fact for the jury[.]” MacClure, 229 N.C. at 311, 49 S.E.2d at 747 (quotations and citation omitted).

Our appellate courts have reviewed few cases in which failure to cooperate under an insurance policy was at issue, and none of those cases directly addressed whether the complete unavailability of the insured constitutes a failure to cooperate. However, read together, the decisions show that some kind of affirmative action by the insured is required before a court can conclude, as a matter of law, that the insured failed to cooperate. For example, in Lockwood v. Porter, the insured contacted the insurer and cooperated with the insurer for a period of time before refusing to submit to the medical evaluations that the insurer required. 98 N.C. App. 410, 411, 743, 390 S.E.2d 742, 743 (1990). The action was dismissed by motion of summary judgment, and we affirmed on appeal, explaining that the [397]*397insured’s “unjustified refusal to be so examined violated the cooperation clause of the policy and bar [red] his action as a matter of law.” Id., 390 S.E.2d at 743-44.

In MacGlure, the Supreme Court reversed a judgment of nonsuit in favor of the defendant insurer based on a failure to cooperate when the insured was unreachable and thus unavailable. MacClure, 229 N.C. at 306, 313, 49 S.E.2d at 744, 748.

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Related

Guessford v. Pennsylvania National Mutual Casualty Insurance
918 F. Supp. 2d 453 (M.D. North Carolina, 2013)
Greco v. Penn National Security Insurance
721 S.E.2d 280 (Court of Appeals of North Carolina, 2012)

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Bluebook (online)
721 S.E.2d 280, 218 N.C. App. 394, 2012 N.C. App. LEXIS 212, Counsel Stack Legal Research, https://law.counselstack.com/opinion/greco-v-penn-national-security-insurance-ncctapp-2012.