Mitchell v. Nationwide Insurance

429 S.E.2d 351, 110 N.C. App. 16, 1993 N.C. App. LEXIS 406
CourtCourt of Appeals of North Carolina
DecidedMay 4, 1993
DocketNo. 9210SC96
StatusPublished
Cited by12 cases

This text of 429 S.E.2d 351 (Mitchell v. Nationwide 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
Mitchell v. Nationwide Insurance, 429 S.E.2d 351, 110 N.C. App. 16, 1993 N.C. App. LEXIS 406 (N.C. Ct. App. 1993).

Opinions

WYNN, Judge.

This appeal was brought pursuant to N.C.G.S. § 1-253 for a declaration of the rights of plaintiff, Bobby Thomas Mitchell, under a policy of insurance issued to Mitchell’s mother, Peggy Wiggs Baker, by the defendant, Nationwide Mutual Insurance Company (Nationwide). A non-jury trial was held and tried on the stipulated facts. The trial court took the matter under advisement and entered judgment in favor of plaintiff for $50,000 plus costs.

In this case we are presented with yet another first impression insurance stacking issue — namely, whether the underinsured motorist (UIM) coverage for a non-owner Class I insured under one policy may be stacked with the UIM coverage under another policy in which the party is also a non-owner insured? We hold that it can.

■This action arises out of an automobile accident which occurred in Johnston County, North Carolina on 31 August 1986. Plaintiff was riding as a passenger in a vehicle owned and operated by Ronnie Stewart. The Stewart vehicle was insured by defendant Nationwide under a policy providing $50,000 per person of unin[19]*19sured/underinsured motorist (UM/UIM) coverage (Stewart policy). The Stewart vehicle was struck by an automobile driven by James Lopez, the tortfeasor. Lopez’s vehicle was insured by North Carolina Farm Bureau under a policy providing bodily injury liability limits of $25,000 per person (Lopez policy).

Plaintiff sustained injuries resulting in medical expenses alone in excess of $90,000. N.C. Farm Bureau paid plaintiff the $25,000 policy limit under the Lopez policy. Defendant paid plaintiff $25,000 representing the $50,000 UIM coverage under the Stewart policy less the $25,000 already paid to plaintiff under the Lopez policy.

Plaintiff is the twenty-five year old son of Peggy Wiggs Baker and at the time of the accident was a member of her household. Ms. Baker owns a vehicle insured under a policy issued by defendant which provides $50,000 of UIM coverage (Baker policy). Plaintiff, in this action sought recovery of the $50,000 of UIM coverage under the Baker policy. The trial court made findings of fact and concluded that plaintiff was a “covered” person under the Baker policy. The trial court further concluded that there was a total of $100,000 in UIM coverage available to plaintiff at the time of the accident, representing $50,000 from the Stewart policy stacked with the $50,000 from the Baker policy. The trial judge deducted from the $100,000 total, the $50,000 that had already been paid to plaintiff under the Lopez and Stewart policies and held that the plaintiff should recover from defendant the excess $50,000. Defendant appeals.

I.

Defendant contends by its first assignment of error that plaintiff is not entitled to interpolicy stack the $50,000 of UIM coverage under the Baker policy with the $50,000 in UIM coverage provided in the Stewart policy because language in the Baker policy prohibits such stacking by a non-owner and N.C.G.S. § 20-279.21(b)(4) does not require interpolicy stacking for the benefit of one who is not the owner of the Baker policy.

In determining “whether insurance coverage is provided by a particular automobile liability insurance policy, careful attention must be given to the type of coverage, the relevant statutory provisions, and the terms of the policy.” Smith v. Nationwide Mutual Ins. Co., 328 N.C. 139, 142, 400 S.E.2d 44, 47, reh’g denied, 328 N.C. 577, 403 S.E.2d 514 (1991). In the present case, the type of [20]*20coverage at issue is UIM coverage. The relevant statute is N.C.G.S. § 20-279.21(b)(4) and supplements in effect in 1986. Both the Stewart policy and the Baker policy provide for UIM coverage and the parties stipulated to the fact that plaintiff is a “covered” person under both the Baker and the Stewart policies. Defendant contends however, that whereas the plaintiff is neither the “owner” of the policy, nor of the vehicles insured, he is not entitled to stack the UIM coverage provided under the two policies. We disagree.

Policy Provisions

The Baker policy contains definitions of certain terms used throughout the policy, including:

“you” and “your” refer to:
1. The “named insured” shown in the Declaration; and
2. The spouse if a resident of the same household.
“Family member” means a person related to you by blood, marriage or adoption who is a resident of your household.

Part D, the UM and UIM coverage section of the Baker policy provides:

We will pay damages which a covered person is legally entitled to recover from the owner or operator of an [underinsured] motor vehicle because of:
1. Bodily injury sustained by a covered person and caused by an accident.
“Covered person” as used in this Part means:
1. You or any family member.
2. Any other person occupying:
a. your covered auto; or
b. any other auto operated by you.

Plaintiff is “covered” under the Baker policy because he is a family member living in the same household as his mother, Ms. Baker. He is “covered” under the Stewart policy because he was “occupying” Stewart’s “covered auto” at the time of the accident.

[21]*21The “Uninsured/Underinsured Motorist Coverage Endorsement” 1676B, found in both policies, provides for interpolicy stacking as follows:

If this policy and any other policy issued to you apply to the same accident, the maximum limit of liability for your or a family member’s injuries shall be the sum of the limits of liability for this coverage under all such policies.

(Emphasis added).

Defendant argues that where the plaintiff is neither the “named insured” nor the named insured’s “spouse,” he is not “you” as defined by the Baker policy and therefore may not stack the coverages because he does not fall within the meaning of the phrase “issued to you” in the above policy clause. Plaintiff argues in response that as a “family member” and therefore, a “covered” person, he may stack the policies despite the fact that he is neither the named insured nor the insured’s spouse.

The North Carolina Supreme Court addressed this exact issue in Smith v. Nationwide and held that the above quoted endorsement language “clearly allows the stacking of UM/UIM coverages for a family member, when the family member is covered by more than one policy issued to the named insured." 328 N.C. at 146, 400 S.E.2d at 49 (emphasis added). Smith involved two separate policies of insurance, one issued to the plaintiff-father individually and the other issued to both the father and his deceased daughter for whom he sought recovery. Where the plaintiff’s decedent was “covered” under both policies; one as a “named insured” and the other as a family member living in the household, stacking was permissible. However, a crucial factor distinguishes Smith from the subject case. In Smith, both policies were “issued” to the individual plaintiff-father.

The policy language permits stacking of “this policy and any other policy issued to you.”

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Bluebook (online)
429 S.E.2d 351, 110 N.C. App. 16, 1993 N.C. App. LEXIS 406, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mitchell-v-nationwide-insurance-ncctapp-1993.