Piazza v. Little

497 S.E.2d 429, 129 N.C. App. 77, 1998 N.C. App. LEXIS 362

• Court: Court of Appeals of North Carolina
• Decided: March 17, 1998
• Docket: COA97-743
• Status: Published

Opinion

HORTON, Judge.

The issue presented by this appeal is whether an umbrella policy which provides automobile bodily injury liability coverage up to $1,000,000, but which by its terms excludes uninsured and underin-sured motorist coverage, is subject to the provisions of N.C. Gen. Stat. § 20-279.21(b)(4) (1993 and Cum. Supp. 1997) and thus is required to offer UIM coverage.

I.

At all times relevant to this case, N.C. Gen. Stat. § 20-279.21(b)(4) provided as follows:

(b) [An] owner’s policy of liability insurance:

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(4) Shall . . . provide underinsured motorist coverage, to be used only with a policy that is written at limits that exceed those prescribed by subdivision (2) of this section [that is, minimum statutory limits of $25,000/$50,000] and that afford uninsured motorist coverage as provided by subdivision (3) of this subsection, in an amount not to be less than the financial responsibility amounts for bodily injury liability as set forth in G.S. 20-279.5 nor greater than one million dollars ($1,000,000) as selected by the policy owner.. ..

* * H= *

The coverage required under this subdivision shall not be applicable where any insured named in the policy rejects the coverage. An insured named in the policy may select different coverage limits as provided in this subdivision. If the named insured does not reject underinsured motorist coverage and does not select different coverage limits, the amount of underinsured motorist coverage shall be equal to the highest limit of bodily injury liability coverage for any one. vehicle in the policy. . . .

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Rejection of or selection of different coverage limits for underinsured motorist coverage for policies under the jurisdiction of the North Carolina Rate Bureau shall be made in writing by the named insured on a form promulgated by the Bureau and approved by the Commissioner of Insurance.

N.C. Gen. Stat. § 20-279.21(b)(4) is a part of the North Carolina Financial Responsibility Act (“the Act”), a remedial statute designed to protect “innocent victims who may be injured by financially irre sponsible motorists.” Proctor v. N.C. Farm Bureau Mutual Ins. Co., 324 N.C. 221, 224, 376 S.E.2d 761, 763 (1989). The purpose of the Act is “best served when the statute is interpreted to provide the innocent victim with the fullest possible protection.” Id. The provisions of the Act are deemed to be written into every automobile liability policy “as a matter of law, and, when the terms of [a] policy conflict with the statute, the provisions of the statute will prevail.” Nationwide Mut. Ins. Co. v. Chantos, 293 N.C. 431, 441, 238 S.E.2d 597, 604 (1977).

As interpreted by our appellate decisions, the Act provides a three-part test to determine whether UIM must be provided in an automobile bodily injury liability policy, including:

(1) policy limits must exceed the statutory minimum limits set out in N.C. Gen. Stat. § 20-279.21(b)(2); Hollar v. Hawkins, 119 N.C. App. 795, 797, 460 S.E.2d 337, 338 (1995);

(2) the policy must provide uninsured motorist coverage; N.C. Gen. Stat. § 20-279.21(b)(3); Krstich v. United Services Auto. Ass’n, 776 F. Supp. 1225, 1234 (N.D. Ohio 1991) (applying North Carolina law); and

(3) the policyholder must not have rejected UIM coverage on a form promulgated by the North Carolina Rate Bureau and approved by the Commissioner of Insurance; N.C. Gen. Stat. § 20-279.21(b)(4); 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).

When all three conditions are met, an automobile bodily injury liability policy must provide UIM coverage. Sutton v. Aetna Casualty & Surety Co., 325 N.C. 259, 263-64, 382 S.E.2d 759, 762, reh’g denied, 325 N.C. 437, 384 S.E.2d 546 (1989). The same reasoning applies to policies which provide excess, or umbrella, liability coverage. Isenhour v. Universal Underwriters Ins. Co., 341 N.C. 597, 461 S.E.2d 317, reh’g denied, 342 N.C. 197, 463 S.E.2d 237 (1995). An umbrella policy provides protection, at a relatively low premium, against the possibility of a catastrophic verdict. Umbrella coverage begins where that of underlying liability policies end. Isenhour, 341 N.C. at 603, 461 S.E.2d at 321.

Our Supreme Court framed the issue in Isenhour as follows: “[WJhether a multiple-coverage fleet insurance policy which includes umbrella coverage must offer UIM coverage equal to the liability limits under its umbrella coverage section.” Id. at 603, 461 S.E.2d at 320. After discussing the nature and purpose of umbrella coverage, the manifest purpose of the Financial Responsibility Act, and the provisions of N.C. Gen. Stat. § 20-279.21(b)(4), the Supreme Court concluded that, since the umbrella portion of the fleet policy issued by defendant insurer provided automobile bodily injury liability coverage in the amount of $2,000,000, and since the insured had not rejected UIM coverage in writing or selected a different limit, the insurer was required to offer its insured $2,000,000 in UIM coverage. Isenhour, 341 N.C. at 606, 461 S.E.2d at 322. See, in accord, the decision of this Court in Martin v. Continental Ins. Co., 123 N.C. App. 650, 474 S.E.2d 146 (1996).

Further, many of our sister states have statutes which require that automobile bodily injury liability policies include UM/UIM coverage limits equal to the limits of the liability policy. The courts of those states have held that those statutory requirements also apply to excess, or umbrella, policies. See the cases cited in Isenhour, 341 N.C. at 604, 461 S.E.2d at 321.

Hartford contends we should distinguish the present situation from that in Isenhour, since the umbrella coverage in Isenhour was provided under one section of a multiple coverage fleet policy which provided automobile, fire, and umbrella liability coverage. Hartford agrees that the decision of the Supreme Court in Isenhour was logical “since the umbrella policy in that case was merely a part of a large motor vehicle policy which was required to comply with the terms of G.S. § 20-279.21.” The Preamble to the fleet policy in question in Isenhour, however, contained the following language: “This entire document constitutes a multiple coverage insurance policy. . . . Each Coverage Part so constituted becomes a separate contract of insurance. ” (Emphasis added). We find no rationale for distinguishing the Isenhour situation in which separate contracts of insurance were included in one document, from the situation in this case, in which the contracts of insurance were separate documents. The reasoning and rationale of Isenhour thus apply to the present case.

II.

The Hartford umbrella policy in question provides coverage to John Piazza, as the “named insured,” for, among other things, liability from injury or death arising from an automobile accident to a maximum of $1,000,000 per occurrence. The umbrella policy is thus a policy of “bodily injury liability insurance,” and must provide uninsured motorist coverage pursuant to the provisions of N.C. Gen. Stat. § 20-279.21(b)(3). Krstich, 776 F. Supp. at 1234. Since the limits of the umbrella policy exceed the minimum statutory limits required by the Financial Responsibility Act, and since the umbrella policy must provide uninsured motorist coverage, Hartford was obligated to offer plaintiff underinsured motorist coverage in an amount not to exceed $1,000,000. N.C. Gen. Stat. § 20-279.21(b)(4).

Hartford contends, however, that UIM coverage was not available under its umbrella policy, because the express terms of the policy excluded such coverage and plaintiff had already selected UIM coverage in less than the maximum amount on the underlying policy issued by Hartford. We disagree.

In situations where underinsured motorist coverage must be offered, N.C. Gen. Stat. § 20-279.21(b)(4) provides in pertinent part that

[r]ejection of or selection of different coverage limits for underinsured motorist coverage for policies under the jurisdiction of the North Carolina Rate Bureau shall be made in writing by the named insured on a form promulgated by the Bureau and approved by the Commissioner of Insurance.

Id. (emphasis added).

We have previously held that the word “shall” as used in Chapter 20 of our General Statutes is mandatory and not merely directory. Hendrickson v. Lee, 119 N.C. App. 444, 454, 459 S.E.2d 275, 281 (1995). Thus, at all times pertinent to this case, only one form fulfilled the statutory directive set out above, and the parties stipulated that plaintiff-insured did not ever execute a selection/rejection form with regard to the umbrella policy. "

Nor is the attempted unilateral deletion by Hartford of UM/UIM coverage in the umbrella policy of any effect. Martin, 123 N.C. App. 650, 474 S.E.2d 146. The terms of UIM coverage are not controlled either by the parties or their insurance contract, as the provisions of the Financial Responsibility Act are mandatory and must be followed. Hendrickson, 119 N.C. App. at 454, 459 S.E.2d at 281.

Finally, defendant contends with respect to this question that the umbrella policy issued to plaintiff is not within the jurisdiction of the North Carolina Rate Bureau, and that it is not necessary to use a form issued by that Bureau to reject UIM coverage. N.C. Gen. Stat. § 58-36-1 (Cum. Supp. 1997), which creates the North Carolina Rate Bureau, provides in part that:

(3) The Bureau shall have the duty and responsibility of promulgating and proposing rates for . . . insurance against theft of or physical damage to private passenger (nonfleet) motor vehicles; for liability insurance for such motor vehicles . . . uninsured motorists coverage and other insurance coverages written in connection with the sale of such liability insurance ....

In this case, it is not disputed that plaintiff’s umbrella policy provided liability coverage for his private passenger motor vehicles, and was thus clearly within the jurisdiction of the Rate Bureau. We also note that other decisions of this Court have extended the requirement to fleet policies that selection/rejection of UIM coverage be only on a form issued by the Rate Bureau. See, for example, Martin, 123 N.C. App. at 652, 474 S.E.2d at 147.

It is stipulated that plaintiff never rejected or limited UM/UIM coverage in the umbrella policy on a form issued by the Rate Bureau. Hartford contends, however, that plaintiff executed a selection/rejection form with regard to the underlying liability policy issued to him by Hartford and selected UIM coverage in less than the maximum UIM coverage offered to him. Execution of the selection/rejection form on the underlying policy would be effective as to the umbrella policy. In Isenhour, the Supreme Court held that the umbrella portion of the insurance policy in question provided UIM coverage because “there is no evidence in the record that [plaintiff] either rejected in writing . . . UIM coverage for the umbrella section of the policy or selected a different limit.” Isenhour, 341 N.C. at 606, 461 S.E.2d at 322 (emphasis added) (footnote omitted). We hold that plaintiffs execution of a selection/rejection form in connection with the underlying policy neither rejected nor waived UIM coverage in the umbrella policy.

Hartford was required to offer plaintiff UIM coverage under his umbrella policy in the amount of $1,000,000, the highest limit of automobile bodily injury liability coverage for any one vehicle in the policy. The judgment of the trial court granting summary judgment to plaintiff is

Affirmed.

Chief Judge ARNOLD and Judge EAGLES concur.