Miller v. Nationwide Mutual Insurance

486 S.E.2d 246, 126 N.C. App. 683, 1997 N.C. App. LEXIS 608
CourtCourt of Appeals of North Carolina
DecidedJuly 1, 1997
DocketCOA96-1035
StatusPublished
Cited by4 cases

This text of 486 S.E.2d 246 (Miller v. Nationwide Mutual 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
Miller v. Nationwide Mutual Insurance, 486 S.E.2d 246, 126 N.C. App. 683, 1997 N.C. App. LEXIS 608 (N.C. Ct. App. 1997).

Opinion

McGEE, Judge.

This case was filed subsequent to an underlying action captioned Mike Miller, Gina Miller, Robert Evan Miller, by his Guardian ad Litem, Richard D. Ramsey, and Erica Miller, by her Guardian ad Litem, Richard D. Ramsey, v. Jeffrey Sean Rominger, Madison Paul Powell and Robert Wade Sears. The facts of the underlying action are pertinent to the issues in this case; they show plaintiffs Mike and Gina Miller were asleep in their home about midnight on 11 December 1993 when they were awakened by the sound of a gunshot and the screams of their daughter, Erica, also a plaintiff in this case. Mike and Gina Miller discovered a shot had been fired into their chil-drens’ upstairs bedroom window, shattering the overhead light fixture and raining broken glass and the spent bullet over the sleeping children.

The facts showed Madison Paul Powell and two friends were riding in a pickup truck in the plaintiffs’ neighborhood the night of the shooting and Madison Paul Powell fired a gun at a stop sign near the plaintiffs’ home. The bullet missed the stop sign and went through the window of the plaintiff children’s upstairs bedroom, breaking an overhead light fixture.

Evidence in the underlying action included a report from a doctor who had diagnosed plaintiff Erica Miller as suffering from post-traumatic stress disorder. Evidence also showed Nationwide Mutual Insurance Company made no appearance in the underlying action, even though it had received a copy of the motion for judgment by default and notice of hearing.

On 8 November 1995, Forsyth County Superior Court Judge Jerry Cash Martin entered a judgment by default against Madison Paul *685 Powell, finding the plaintiffs were entitled to recover from Madison Paul Powell and Robert Wade Sears, jointly and severally, the sum of $40,000 in compensatory damages ($5,000 each for plaintiffs Mike, Gina and Robert Miller and $25,000 for plaintiff Erica Miller) and $100,000 in punitive damages ($25,000 for each plaintiff).

Plaintiffs subsequently filed this action against Nationwide Mutual Insurance Company (Nationwide), alleging (1) Powell is the stepson of and resided in the home of Leonard J. Brower; (2) Brower is the owner of a homeowner’s policy with Nationwide; and (3) Nationwide is, therefore, liable for plaintiffs’ damages. Superior Court Judge Donald R. Huffman granted plaintiffs’ motion for summary judgment regarding the homeowner’s policy, ruling plaintiffs are entitled to recover $100,000 from Nationwide under the terms of the policy. Nationwide appeals.

The homeowner’s policy in question provides, “ [i]f a claim is made or a suit is brought against an insured for damages because of bodily injury or property damage caused by an occurrence to which this coverage applies,” Nationwide will pay up to its liability limit “for the damages for which the insured is legally liable.” The policy defines “occurrence” as “an accident . . . which results, during the policy period, in: a. bodily injury; or b. property damage.” The policy does not define “accident.”

The policy also has an exclusion provision for bodily injury and property damage “which is expected or intended by the insured.”

Defendant argues that, as a matter of law, its insured’s liability to the plaintiffs is not covered by the homeowner’s policy because (1) the underlying incident was not an “accident” under the terms of the policy and (2) injury was so substantially certain to occur that intent to cause harm should be inferred.

In N.C. Farm Bureau Mut. Ins. Co. v. Stox, 330 N.C. 697, 412 S.E.2d 318 (1992), our Supreme Court interpreted the provisions for liability coverage and exclusion in a homeowner’s policy with language much like the policy at issue here.

In Stox, the insured pushed a co-worker, causing her to fall and suffer a severe fracture of her right arm. The facts showed the insured intended to push the plaintiff, but did not intend to cause a fall or injury. The issue before the Stox court was whether liability for the plaintiff’s injury was covered by a homeowner’s liability insurance policy. Stox at 699, 412 S.E.2d at 320. The Stox court concluded *686 the policy covered the liability and, likewise, we conclude in this case defendant’s policy covers its insured’s liability.

The Stox court stated:

we are guided by established rules of construction for interpreting provisions of insurance policies. Provisions ... “which extend coverage must be construed liberally so as to provide coverage, whenever possible by reasonable construction.” It is also well settled that when an insurance policy contains no ambiguity, it shall be construed according to its terms, but when ambiguity exists the policy shall be construed in favor of coverage and against the insurer who selected its language.

Stox at 707, 412 S.E.2d at 324-25 (citations omitted).

In Stox, as here, the homeowner’s insurance policy used the term “occurrence” and defined it as “an accident. . . which results, during the policy period, in: a. bodily injury; or b. property damage.” Stox at 700, 412 S.E.2d at 320. And, as in this case, the homeowner’s policy at issue in Stox did not define the term “accident.” The Stox court concluded, “where the term ‘accident’ is not specifically defined in an insurance policy, that term does include injury resulting from an intentional act, if the injury is not intentional or substantially certain to be the result of the intentional act.” Stox at 709, 412 S.E.2d at 325. Based on that conclusion, we find no merit in defendant’s argument that the incident at plaintiffs’ home was not an accident. The record in this case, including defendant’s brief, indicates Powell intended to shoot a stop sign when he fired a shot into the plaintiff children’s bedroom window. Following the incident, Powell pleaded guilty to shooting within the city limits and received a 30-day suspended sentence. Nothing in the record suggests Powell intended to shoot at plaintiffs’ home or intended to cause damage to the home or injury to the plaintiffs. Under Stox, the incident must be viewed as an accident covered by the homeowner’s policy.

Defendant also argues the damage and injury suffered by the plaintiffs was so substantially certain to occur that intent to cause harm should be inferred. With this argument, defendant strives to avoid coverage under the exclusion terms of its policy. Again, like the Stox court, we note the rules of construction that govern insurance policy provisions: “[Exclusionary provisions are not favored and, if ambiguous, will be construed against the insurer and in favor of the insured.” Stox at 702, 412 S.E.2d at 321-22 (citations *687 omitted). Defendant has failed to show its exclusion terms apply in this case.

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Cite This Page — Counsel Stack

Bluebook (online)
486 S.E.2d 246, 126 N.C. App. 683, 1997 N.C. App. LEXIS 608, Counsel Stack Legal Research, https://law.counselstack.com/opinion/miller-v-nationwide-mutual-insurance-ncctapp-1997.