Selective Insurance Company of South Carolina v. Adam Duffy

140 F.4th 155
Court of Appeals for the Fourth Circuit·Decided June 5, 2025·No. 23-1950·Published

Opinion

PUBLISHED

UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT

No. 23-1950

SELECTIVE INSURANCE COMPANY OF SOUTH CAROLINA, an Indiana Company,

Plaintiff - Appellee,

v.

ADAM C. DUFFY; LYDIA DUFFY, Defendants – Appellants,

and

LAWN ETC., LLC, d/b/a Corrective Landscape Services, a North Carolina limited liability company,

Defendant.

Appeal from the United States District Court for the Western District of North Carolina, at Charlotte. Robert J. Conrad, Jr., District Judge. (3:20-cv-00207-RJC-DCK)

Argued: March 19, 2025 Decided: June 5, 2025

Before DIAZ, Chief Judge, GREGORY, Circuit Judge, and YOON, Jasmine H., United States District Judge for the Western District of Virginia, sitting by designation.

Affirmed by published opinion. Judge Gregory wrote the opinion, in which Chief Judge Diaz and Judge Yoon joined.

ARGUED: Michael Doran, DORAN LAW OFFICE, Salisbury, North Carolina, for Appellants. Caroline Bergen Barrineau, Daniel E. Peterson, PARKER, POE, ADAMS & BERNSTEIN, LLP, Charlotte, North Carolina, for Appellee. ON BRIEF: Bradley K. Overcash, PARKER, POE, ADAMS & BERNSTEIN LLP, Charlotte, North Carolina, for Appellee.

GREGORY, Circuit Judge:

Adam and Lydia Duffy suffered severe injuries after being struck by a motorist while riding a motorcycle. Their damages totaled nearly $2,000,000, and the at-fault motorist’s insurance coverage was insufficient to make them whole. The Duffys, through their landscaping business, had several underinsured motorist policies, one issued by Appellee Selective Insurance Company of South Carolina (“Selective”). This case concerns a dispute over how much coverage the Duffys are entitled to under that policy.

As explained herein, we find that the district court correctly held that Selective is only required to tender $300,000 to the Duffys. Contrary to the Duffys’ assertion, North Carolina law does not require the “stacking” of their several insurance policies because the vehicles covered were not “nonfleet private passenger vehicles.” The district court properly used the pleadings and the contract itself to make this conclusion, and while the Duffys did dispute these legal conclusions, they put no evidence into the record to counter the underlying facts deduced from the insurance contract that they agreed was authentic. The district court then properly applied the contract’s terms to determine that Selective correctly paid the Duffys $300,000 as a function of the $1,000,000 maximum coverage limit, less the $700,000 paid by the Duffys’ other insurers. Therefore, we affirm.

I.

In September 2016, a motorist struck Adam and Lydia Duffy while they rode their motorcycle in Union County, North Carolina. J.A. 6. The Duffys’ injuries yielded damages of nearly $2,000,000, J.A. 297, 299, but the at-fault motorist had only $200,000

in insurance coverage, J.A. 7, 281. As a result, the Duffys turned to the underinsured motorist (“UIM”) provisions of policies they held with four insurance carriers: Selective, Nationwide Property and Casualty Insurance Company (“Nationwide”), Progressive Southeastern Insurance Company (“Progressive”), and Southern Insurance Company of Virginia (“Southern”). Id. The insurers paid out based on the details of each respective policy: Nationwide paid $155,556; Progressive $388,888; Southern $155,556; and Selective $300,000, for a total of $1,000,000 in UIM payments to the Duffys. J.A. 302.

Selective’s $300,000 payment––the subject of this litigation––was based on the $1,000,000 coverage limit provided by the policy less the contributions of the other three insurance companies, which totaled $700,000. Id. Selective argued that the Duffys’ “Business Automobile” policy, J.A. 11–262, required deduction of payouts from other insurance providers. It pointed to contractual language stating that “[t]he maximum recovery under all coverage forms or policies combined may equal but not exceed the highest applicable limit for any one vehicle under any coverage form or policy providing coverage on either a primary or excess basis.” J.A. 152 (emphasis added). In this case, that would mean the Duffys can receive a total of $1,000,000 in collective payouts across policies, J.A. 149, with Selective’s $300,000 payment closing the gap to that maximum.

The Duffys disagreed, arguing that they are entitled to the full $1,000,000 cap under the Selective policy. First, they argued that North Carolina law prohibits deducting payouts from other insurance providers from coverage maximums, allowing them to “stack” the several coverage maximums across policies. J.A. 302–03. In the alternative, they argued that the contract itself did not provide a per-accident cap in coverage. Id.

Selective sued in the United States District Court for the Western District of North Carolina, seeking a declaration that it owed only $300,000 and attaching the disputed insurance policy to the complaint. See J.A. 5. Selective eventually moved for summary judgment, J.A. 288, which the district court granted on August 11, 2023, J.A. 301.

As to the Duffys’ first argument, the district court determined that North Carolina law did not require stacking of the policies because the vehicles covered were not “nonfleet private passenger vehicles.” J.A. 306–11. The district court noted that the policy was specifically purchased for the Duffys’ landscaping business––Lawn Etc.––and covered seven vehicles related to that business, including four pickup trucks and three trailers. See J.A. 149. North Carolina law considers insurance coverage to be “fleet” if—as the court found here—it covers more than five vehicles related to a business use. J.A. 307–08. The district court also determined that the vehicles were not “private passenger vehicles” under North Carolina law because they were “used for the delivery or transportation of goods for Lawn Etc. – they are trucks covered by a ‘Business Automobile Coverage’ insurance policy, and they are the types of vehicles used in such businesses.” J.A. 309. The court also explained that North Carolina law looks to the vehicles covered by the policy for this determination, not the vehicle that the insured was using at the time of the accident. J.A. 310–11.

Next, the court applied the Selective policy’s terms. As discussed, the contract states that Selective will pay no more than the “limit of Uninsured Motorists Coverage

shown in the declarations,” J.A. 152, which is defined as $1,000,000 per “accident,” 1 J.A. 149, 151. The $1,000,000 limitation applies “[r]egardless of the number of covered ‘autos’, ‘insureds’, premiums paid, claims made, or vehicles involved in the ‘accident.’” J.A. 152. And as also discussed, the policy’s “other insurance” provision limits the “maximum recovery under all coverage forms or policies combined” to the “highest applicable limit . . . under any coverage form.” J.A. 152. “[T]he highest applicable limit for any one vehicle under any coverage form or policy” providing coverage to the Duffys in connection with the accident is Selective UIM coverage limit of $1,000,000. J.A. 302.

Based on these contractual terms, the district court found that the policy provided a $1,000,000 per-accident limit. As noted, the cap in the contract applies no matter the number of “insureds” involved in the accident and plainly contemplates multiple insured individuals suffering harm. See J.A. 313–14. Thus, the district court rejected the Duffys’ argument that each of them should benefit from a separate $1,000,000 cap. J.A. 313. The district court also applied the “other insurance” provision, which limited the “maximum recovery” to $1,000,000 across all UIM coverage. J.A. 316.

As a result, the district court found that Selective’s “total combined responsibility to [the Duffys] under the Selective policy is, collectively, $300,000” and granted Selective’s motion for summary judgment. J.A. 318. 2 The Duffys timely appealed.

1

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Selective Insurance Company of South Carolina v. Adam Duffy, 140 F.4th 155 (4th Cir. 2025).

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