Maddox v. Colonial Life & Accident Insurance

280 S.E.2d 907, 303 N.C. 648, 1981 N.C. LEXIS 1198
CourtSupreme Court of North Carolina
DecidedAugust 17, 1981
Docket18
StatusPublished
Cited by60 cases

This text of 280 S.E.2d 907 (Maddox v. Colonial Life & Accident Insurance) is published on Counsel Stack Legal Research, covering Supreme Court of North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Maddox v. Colonial Life & Accident Insurance, 280 S.E.2d 907, 303 N.C. 648, 1981 N.C. LEXIS 1198 (N.C. 1981).

Opinions

COPELAND, Justice.

The sole question presented by this appeal is whether the reduction clause of the “Master Select Risk Accident Policy” issued by defendant to insure the life of Carter Maddox applies in this case to reduce plaintiff’s recovery to one-fifth of the face amount of the policy. For the reasons stated below, we reverse the Court of Appeals’ majority opinion and find that the trial court properly held the reduction clause inapplicable and correctly granted summary judgment in favor of plaintiff for the face amount of the policy.

The provisions of the policy which we are called upon to construe state in pertinent part as follows:

Exceptions And Reductions
The insurance under this policy shall not cover: (a) suicide while sane or insane; . . .
[650]*650For death covered by the provisions of this policy, where it results from . . . shooting self-inflicted, . . . the amount payable shall be one-fifth the amount otherwise payable for accidental death. . . .

Defendant contends and the Court of Appeals held that although the shooting which resulted in Carter Maddox’s death was accidental, it was also “self-inflicted” within the meaning of the reduction clause, and therefore plaintiffs recovery was limited to one-fifth of the face amount of the policy.

In interpreting the relevant provisions of the insurance policy at issue, we are guided by the general rule that in the construction of insurance contracts, any ambiguity in the meaning of a particular provision will be resolved in favor of the insured and against the insurance company. Exclusions from and exceptions to undertakings by the company are not favored, and are to be strictly construed to provide the coverage which would otherwise be afforded by the policy. The various clauses are to be harmoniously construed, if possible, and every provision given effect. Woods v. Nationwide Mutual Insurance Co., 295 N.C. 500, 246 S.E. 2d 773 (1978); Grant v. Emmco Insurance Co., 295 N.C. 39, 243 S.E. 2d 894 (1978); Wachovia Bank & Trust Co. v. Westchester Fire Insurance Co., 276 N.C. 348, 172 S.E. 2d 518 (1970). An ambiguity exists where, in the opinion of the court, the language of the policy is fairly and reasonably susceptible to either of the constructions asserted by the parties. Wachovia Bank & Trust Co. v. Westchester Fire Insurance Co., supra.

After considering the disputed provisions of the policy at issue in light of the above rules of insurance contract construction, we hold that the reduction clause does not apply to limit plaintiff’s recovery in the case sub judice. We initially note that absent the applicability of an exclusion or reduction clause, Carter Maddox’s death was within the coverage of the policy as a death brought about by “accidental means.” The policy expressly provides “indemnity for loss of life . . . caused by bodily injuries effected through accidental means, as herein limited and provided.” The term “accidental means” has been interpreted by this Court as follows:

[651]*651“ ‘accidental means’ refers to the occurrence or happening which produces the result and not to the result. That is, ‘accidental’ is descriptive of the term ‘means.’ The motivating, operative and causal factor must be accidental in the sense that it is unusual, unforeseen and unexpected. . . . (T)he emphasis is upon the accidental character of the causation — not upon the accidental nature of the ultimate sequence of the chain of causation.” Fletcher v. Trust Co., 220 N.C. 148, 150, 16 S.E. 2d 687, 688 (1941). See also Chesson v. Pilot Life Insurance Co., 268 N.C. 98, 150 S.E. 2d 40 (1966).

The pistol discharge which caused Carter Maddox’s death occurred while the gun was still holstered. The parties agreed that the pistol could fire if it was dropped on the ground while holstered. The evidence is thus clear that the shooting was brought about by an unusual, unforeseen, and unexpected event which was an “accidental means” within the policy description.

We find that the majority in the Court of Appeals erred in interpreting the clause reducing recovery for death resulting from “shooting self-inflicted” as applying to a situation, such as the one before us, in which the shooting was brought about by accidental means. The Court of Appeals reached its conclusion by finding no ambiguity in the disputed provisions of the policy and holding that a “shooting self-inflicted” necessarily includes the situation in which an insured accidentally shoots himself. The majority reasoned that one could shoot oneself with a pistol, causing death, in one of only two ways: “(1) intentionally, that is, suicide, and (2) accidentally.” 40 N.C. App. at 253, 271 S.E. 2d at 104. Where the shooting resulted from any intentional act, the court held that the beneficiary was precluded from any recovery under the suicide exclusion. Therefore, for the reduction clause pertaining to “shooting self-inflicted” to have any effect, it must be construed to apply to the insured’s accidental shooting of himself. The court further reasoned that since Carter Maddox’s death resulted from an accidental shooting of himself, the reduction clause applied to limit plaintiff’s recovery under the policy. We agree that the reduction clause and the suicide exclusion must be construed together so that each provision has a separate application and effect. However, we believe the Court of Appeals based its decision on two erroneous premises; first, that no ambiguity exists in the disputed provisions of the policy, and second, that [652]*652one could shoot oneself in only two ways. The court interpreted the term “suicide” as it appears in the policy to include any situation in which one is killed by his own intentional actions. Since no definition of suicide appears in the policy, the court must define the term in a manner consistent with the context in which it is used and the meaning accorded it in ordinary speech. Woods v. Nationwide Insurance Co., supra. “Suicide” is defined in Webster’s Third International Dictionary 2286 (1971), as an “act or an instance of taking one’s own life voluntarily and intentionally.” Black’s Law Dictionary 1286 (5th ed. 1979) refers to “suicide” as follows: “Self-destruction: the deliberate termination of one’s existence.” From these definitions it is clear that in its ordinary use, the term suicide embodies not merely an intent to do the act which ultimately results in one’s own death, but the intent to end one’s own life. This interpretation of suicide is consistent with the context in which it is used in the insurance policy at issue and comports with the general rule that exclusions in an insurance policy are to be strictly construed against the company. Applying this definition of suicide to the rationale employed in the Court of Appeals’ majority opinion, it appears that there are three ways in which one could shoot oneself with a pistol, causing death: (1) with the intent to kill oneself, which is suicide, (2) with the intent to perform the act which ultimately resulted in one’s own death, but without the intent to kill oneself, and (3) accidentally. Considering these three methods in light of the policy provisions which we are compelled to construe in this case, we find that the clauses may be harmoniously interpreted in a manner which allows plaintiff to recover the full face amount of the policy.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Bald Head Island Ltd., LLC v. Vill. of Bald Head Island
Court of Appeals of North Carolina, 2025
Duke Energy Carolinas
Court of Appeals of North Carolina, 2021
Crowe v. Allstate Insurance Company
W.D. North Carolina, 2020
North Carolina Farm Bureau Mut. Ins. Co. v. Cox
823 S.E.2d 613 (Court of Appeals of North Carolina, 2019)
Hunter v. Town of Mocksville
237 F. Supp. 3d 349 (M.D. North Carolina, 2017)
Chesson v. Rives
2016 NCBC 90 (North Carolina Business Court, 2016)
Hartford Fire Insurance v. St. Paul Fire & Marine Insurance
606 F. Supp. 2d 602 (E.D. North Carolina, 2009)
North Carolina Counties Liability & Property Joint Risk Management Agency v. Curry
662 S.E.2d 678 (Court of Appeals of North Carolina, 2008)
Digh v. Nationwide Mutual Fire Insurance
654 S.E.2d 37 (Court of Appeals of North Carolina, 2007)
INTERLOCAL RISK FINANCING FUND OF NORTH CAROLINA v. Ryals
652 S.E.2d 72 (Court of Appeals of North Carolina, 2007)
Builders Mutual Insurance v. North Main Construction, Ltd.
637 S.E.2d 528 (Supreme Court of North Carolina, 2006)
Builders Mutual Insurance v. North Main Construction, Ltd.
625 S.E.2d 622 (Court of Appeals of North Carolina, 2006)
Nationwide Mutual Insurance v. McMahon
365 F. Supp. 2d 671 (E.D. North Carolina, 2005)

Cite This Page — Counsel Stack

Bluebook (online)
280 S.E.2d 907, 303 N.C. 648, 1981 N.C. LEXIS 1198, Counsel Stack Legal Research, https://law.counselstack.com/opinion/maddox-v-colonial-life-accident-insurance-nc-1981.