Nationwide Mutual Insurance v. Haight

566 S.E.2d 835, 152 N.C. App. 137, 2002 N.C. App. LEXIS 891
CourtCourt of Appeals of North Carolina
DecidedAugust 6, 2002
DocketCOA01-1056
StatusPublished
Cited by14 cases

This text of 566 S.E.2d 835 (Nationwide Mutual Insurance v. Haight) 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
Nationwide Mutual Insurance v. Haight, 566 S.E.2d 835, 152 N.C. App. 137, 2002 N.C. App. LEXIS 891 (N.C. Ct. App. 2002).

Opinion

HUDSON, Judge.

Nationwide Mutual Insurance Company (“Nationwide”) appeals from a declaratory judgment ordering it to pay defendants $300,000 in underinsured motorist (“UIM”) coverage. For the reasons given below, we reverse and remand to the superior court for entry of a new order consistent with this opinion.

On 7 July 1996, a vehicle driven by Charles Weston Holleman failed to yield the right of way to a vehicle driven by Sondra A. Haight (“defendant Haight”), resulting in a collision. The vehicle driven by defendant Haight contained three passengers: Michael David Grant Haight, James Robert Scott Haight, and Ian McPherson. All of the occupants of defendant Haight’s vehicle were injured, and James Robert Scott Haight died as a result of his injuries. Jimmie F. Mills is the Administrator of the Estate of James Robert Scott Haight (the “Estate”).

At the time of the collision, Holleman’s vehicle was insured by Aetna Casualty and Surety Company (“Aetna”), under a policy providing liability coverage with limits of $100,000 per person and $300,000 per accident. Defendant Haight’s vehicle was insured by Nationwide, under a policy providing UIM coverage with a “combined single limit” of $500,000.

All of the occupants of defendant Haight’s vehicle filed complaints seeking damages for personal injuries resulting from Holleman’s negligence. Aetna paid $100,000 each from its liability coverage to settle the claims by defendant Haight and the Estate (collectively, “defendants”), and it paid $74,476.64 to settle *139 the claim by Ian McPherson. Michael David Grant Haight’s claim has not been settled by Aetna.

After accepting $100,000 each from Aetna, defendants made claims for UIM coverage pursuant to the Nationwide policy. The parties submitted their claims to an arbitrator, who awarded damages in the amount of $225,000 to the Estate and in the amount of $525,000 to defendant Haight. A dispute then arose between the parties regarding the amount of UIM coverage available to defendants under the policy.

On 13 September 2000, Nationwide tendered $200,000 to defendants pursuant to the UIM coverage. On 19 September 2000, Nationwide filed a declaratory judgment action, asking the trial court to declare that the total amount of UIM coverage available to defendants was the $200,000 Nationwide had already tendered, and that Nationwide had fulfilled all of its obligations under the policy.

The trial court concluded the following:

1. That the total amount of Under-insured Motorist Coverage available under Nationwide’s policy to all claimants is $500,000 per accident.
2. That the total amount of under-insured coverage available to Sondra Haight under the Nationwide Policy, after giving credit for the $100,000 payment she received from Aetna’s liability policy, is $400,000.
3. That the total amount of under-insured coverage available to the Estate of James Robert Scott Haight under the Nationwide Policy, after giving a credit for the $100,000 payment it received from Aetna’s liability policy is $400,000.

The court found that Nationwide was “obligated to pay to the Defendants the unpaid balance of the $500,000 Under-Insured Motorist Coverage under its policy.” Taking into account the $200,000 Nationwide had already tendered, the court then ordered that “[t]he amount of $300,000 should be paid to Defendants and pro-rated between the Defendants based on the amount of each Defendant’s UIM claim and the total amount of UIM coverage available under Nationwide’s Policy.” Nationwide appeals.

Nationwide argues that the trial court incorrectly calculated the amount of coverage available under the UIM policy. First, Nationwide argues that the trial court should have deducted the amount consti *140 tuting the per-accident limit of the tortfeasor’s liability policy ($300,000) from the UIM limit of $500,000, contending that this amount will be paid once all the claims are settled. Thus, Nationwide asserts, it is liable only for an amount of $200,000, the amount it has already tendered to defendants. Defendants dispute the contention that the liability policy’s per-accident limit will be exhausted.

In the alternative, Nationwide argues that $274,476.64, the amount paid to all claimants so far by the tortfeasor’s liability policy, should be deducted from the $500,000 UIM limit. Thus, Nationwide asserts, it is liable for the amount of $225,523.36. Since Nationwide has already tendered $200,000 to defendants, it contends under this approach that it should be ordered to pay only $25,523.36.

And finally, Nationwide contends that the minimum amount that should be deducted from the $500,000 UIM limit is $200,000, the amount paid by the liability policy to the two defendants. Thus, Nationwide argues that under no circumstances should it be required to pay a total of more than $300,000 in UIM proceeds. Defendants, on the other hand, maintain that the trial court’s method of calculation was correct.

UIM insurance is governed by N.C. Gen. Stat. § 20-279.21(b)(4) (2001), which provides in relevant part that “the limit of underin-sured motorist coverage applicable to any claim is determined to be the difference between the amount paid to the claimant under the exhausted liability policy or policies and the limit of under-insured motorist coverage applicable to the motor vehicle involved in the accident.” We agree with defendants’ contention that use of the singular “claimant” suggests that a separate calculation should be performed for each claimant. Therefore, we reject Nationwide’s contention that the amount of UIM coverage should have been offset by either $300,000 (the per-accident limit of the tortfeasor’s liability insurance, which Nationwide speculates will be exhausted once all four claimants have settled) or $274,476.64 (the total amount paid out so far by the tortfeasor’s liability insurer to three claimants).

However, we disagree with defendants that the trial court’s calculation was correct. It appears that the trial court performed a separate calculation for each defendant, subtracting $100,000 (the amount each defendant received from the liability policy) each time from $500,000, the “combined single limit” of UIM coverage in the policy. Because the Nationwide policy sets only one “combined single *141 limit” of $500,000 on its UIM coverage, rather than a per-person limit, we do not believe this method of computing the offset is consistent with the statute as applied to this policy.

The policy defines an “uninsured motor vehicle” to include an “underinsured motor vehicle.” The policy contains the following endorsement pertaining to uninsured motorists coverage:

D. LIMIT OF INSURANCE
1. Regardless of the number of covered “autos,” “insureds,” premium paid, claims made or vehicles involved in the “accident,” the most we will pay for all damages resulting from any one “accident” is the limit of UNINSURED MOTORISTS COVERAGE shown in the declarations.

The policy provides for an “uninsured motorists coverage combined single limit” of $500,000 and an “underinsured motorists coverage combined single limit” of $500,000.

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Bluebook (online)
566 S.E.2d 835, 152 N.C. App. 137, 2002 N.C. App. LEXIS 891, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nationwide-mutual-insurance-v-haight-ncctapp-2002.