Lane v. Aetna Casualty & Surety Co.

269 S.E.2d 711, 48 N.C. App. 634, 1980 N.C. App. LEXIS 3315
CourtCourt of Appeals of North Carolina
DecidedSeptember 16, 1980
Docket7928DC1146
StatusPublished
Cited by19 cases

This text of 269 S.E.2d 711 (Lane v. Aetna Casualty & Surety Co.) 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
Lane v. Aetna Casualty & Surety Co., 269 S.E.2d 711, 48 N.C. App. 634, 1980 N.C. App. LEXIS 3315 (N.C. Ct. App. 1980).

Opinion

MARTIN (Harry C.), Judge.

Plaintiff contends that the trial court erred in determining that the cause of action is barred by the statute of limitations. His assertion would be correct if the action reposed in the plaintiff rather than his mother. The statute of limitations begins to run against an infant, who has no guardian at the time the cause of action accrues, upon appointment of a guardian or the removal of the age disability as provided by N.C.G.S. 1-17, whichever occurs first. Trust Co. v. Willis, 257 N.C. 59, 125 S.E. 2d 359 (1962). As Maxine Sims Swain was appointed guardian ad litem on 10 February 1978, the action brought by plaintiff on that same date would not be barred if in fact he were the real party in interest. We agree, however, with the trial judge’s conclusion that the exclusive right to recover on the insurance policy is in Maxine Sims Swain and that the three-year statute of limitations is a bar to her claim.

Plaintiff argues that he is a direct beneficiary of the insurance contract and as such the defendant is obligated to pay $2,000 toward plaintiff’s medical expenses. We must look to the terms of the insurance policy to determine whether plaintiff has a right against defendant under these circumstances.

Policies of liability insurance, like all other written contracts, are to be construed and enforced according to their terms. If plain and unambiguous, the meaning thus expressed must be ascribed to them. But if they are reasonably susceptible of two interpretations, the one imposing liability, the other excluding it, the former is to be adopted and the latter rejected, because the policies having been *638 prepared by the insurers, or by persons skilled in insurance law and acting in the exclusive interest of the insurance company, it is but meet that such policies should be construed liberally in respect of the persons injured, and strictly against the insurance company.

Electric Co. v. Insurance Co., 229 N.C. 518, 520, 50 S.E. 2d 295, 297 (1948).

Plaintiff would have us apply this principle to the language of the insurance policy providing that the defendant shall pay medical expenses incurred “[t]o or for the named insured and each relative” upon the event of the named contingencies. The issue hinges, however, upon the use of the term “incurred” in determining to whom the company’s obligation is owed. If plaintiff himself incurred the medical expenses in question, there would be no doubt that he had a right of recovery from defendant, as he falls within the policy’s definition of the term “relative.”

While it is true that the original contract of insurance was made between plaintiff’s mother and defendant, if the contracting parties intended that the policy benefit plaintiff, he could have an actionable right as a direct third party beneficiary. The North Carolina Supreme Court has stated: “ ‘The rule is well established in this jurisdiction that a third person may sue to enforce a binding contract or promise made for his benefit even though he is a stranger both to the contract and to the consideration.’ ” Trust Co. v. Processing Co., 242 N.C. 370, 379, 88 S.E. 2d 233, 239 (1955) (quoting Justice Ervin in Canestrino v. Powell, 231 N.C. 190, 56 S.E. 2d 566 (1949)). But “[n]ot every such contract made by one with another, the performance of which would be of benefit to a third person, gives a right of action to such third person. Whether such person can enforce the contract depends on the facts and circumstances of the particular case.” 242 N.C. at 379, 88 S.E. 2d at 239. When a third person seeks enforcement of a contract made between other parties, the contract must be construed strictly against the party seeking enforcement. 17 Am. Jur. 2d Contracts § 302 (1964). The test is whether the parties intended the benefit of the contract to run to the maker of the contract or to the third person. This *639 intent must be determined by construction of the “terms of the contract as a whole, construed in the light of the circumstances under which it was made and the apparent purpose that the parties are trying to accomplish.” Id. § 304. Inasmuch as the insurance policy provision in question promises “[t]o pay all reasonable expenses incurred ... [t]o or for the named Insured and each relative who sustains bodily injury” it is apparent that the intent of the parties was to protect and reimburse the person who incurred the expenses, who is not necessarily the same party who sustained the injuries. As coverage for relatives is confined to those residing in the same household, we must infer that plaintiff’s mother contracted for this protection primarily to assure herself that she would be reimbursed for medical expenses for treatment of her relatives, including her son, for which she otherwise would be liable. The parties stipulated that plaintiff’s mother had “the responsibility for the necessary medical treatment of said child.” Thus plaintiff would be a direct beneficiary of the policy only if he himself, rather than his mother, incurred such medical expenses.

Although it is undisputed that medical expenses due to plaintiff’s injury were incurred within one year of the accident, it appears that the expenses were incurred by the mother, who was legally obligated for plaintiff’s support. In interpreting an insurance contract with a similar provision, the North Carolina Supreme Court held in Czarnecki v. Indemnity Co., 259 N.C. 718, 720, 131 S.E. 2d 347, 349 (1963), that:

The very language which the parties selected to state the facts is the language chosen to measure defendant’s obligation. “Incur” is defined by Webster as: “1: to meet or fall in with (as an inconvenience); become liable or subject to: bring down upon oneself (incurred large debts to educate his children).” Courts have accepted Webster’s definition as the correct meaning of the word.

In construing the term “incur” in a medical payments policy, this Court has held “that expenses are incurred within the medical payments coverage . . . when one has paid, or become legally obligated to pay such expenses within one year of the date of accident.” Atkins v. Insurance Co., 15 N.C. App. 79, 83, *640 189 S.E. 2d 501, 504 (1972). In the instant case there are no allegations or evidence that plaintiff ever had paid or become legally obligated to pay for any of the medical expenses which accrued as a result of his accident. Only one bill for $14.50 was addressed to him. The record indicates that all the other bills were submitted to his mother and stepfather, and that some of these bills were paid by his mother and another insurance company. The record is silent as to whether the remaining expenses were paid.

The parties concur that Maxine Sims Swain was responsible for the necessary medical treatment of her son. Even in the absence of such an admission, the law imposes a duty of support. See N.C. Gen. Stat. 50-13.4(b); Wells v. Wells, 227 N.C. 614, 44 S.E.2d 31, 1 A.L.R. 2d 905 (1947). Parental duty includes a liability for medical expenses incurred in treatment of a minor child for injuries sustained in an automobile accident. Price v. Railroad,

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Cite This Page — Counsel Stack

Bluebook (online)
269 S.E.2d 711, 48 N.C. App. 634, 1980 N.C. App. LEXIS 3315, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lane-v-aetna-casualty-surety-co-ncctapp-1980.