Shields v. Nationwide Mutual Fire Insurance

273 S.E.2d 756, 50 N.C. App. 355, 1981 N.C. App. LEXIS 2126
CourtCourt of Appeals of North Carolina
DecidedJanuary 20, 1981
Docket8017SC402
StatusPublished
Cited by1 cases

This text of 273 S.E.2d 756 (Shields v. Nationwide Mutual Fire 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
Shields v. Nationwide Mutual Fire Insurance, 273 S.E.2d 756, 50 N.C. App. 355, 1981 N.C. App. LEXIS 2126 (N.C. Ct. App. 1981).

Opinion

MORRIS, Chief Judge.

In substance, plaintiff’s allegations supporting his claim for punitive damages were these: the loss by fire occurred on 6 July 1976, within the 60-day period for which the policy provided and on 25 August 1976, plaintiff, through his attorney, mailed defendant a proof of loss on a form furnished by defendant. On 13 September 1976, after the expiration of the 60-day period, a fact well known to defendant, defendant advised plaintiff that it could not accept “this paper as a sworn statement in proof of loss.” Prior to receipt of the proof of loss, and on 3 August 1976, defendant cancelled plaintiff’s insurance coverage, including coverage on other properties. Prior to the issuance of the policy upon which suit is brought, defendant’s agent appraised the property to be insured at $140,000 and offered to insure it for $126,000. By implication, defendant has claimed that plaintiff grossly overinsured the property, and has also implied that plaintiff had a motive for destroying the property. Although defendant, at the beginning, formed an intent to deny plaintiff’s claim, it, nevertheless, required plaintiff to follow all requirements of the policy including forcing him to undergo a deposition and to undergo an $11,000 expense for an appraiser. These things were done to harass and intimidate plaintiff to accept less than the full benefits due under the policy. Finally, defendant denied the claim and in the letter of denial “alleged, among other things, that plaintiff was involved in causing the fire and that he misrepresented facts to defendant concerning the loss. Neither of these allegations were (sic) true and they were made by defendant in careless and wanton disregard of the truth and in full knowledge that defendant did not have sufficient facts on which to base these allegations.” Defendant knew, or should have known, that plaintiff was over 65 years of age and in poor health. “Throughout its handling of *357 this claim, defendant has failed and refused to act expeditiously and in accordance with its obligation of good faith and fair dealing. It has, on information and belief, acted in a manner designed to deprive plaintiff of some, if not all, of his policy benefits and he is therefore entitled to an award of punitive damages for defendant’s bad faith.”

In Newton v. Insurance Co., 291 N.C. 105, 229 S.E.2d 297 (1976), a case upon which both parties rely, and a case in which the Court reviewed the judicial history of attempts to obtain punitive damages in breach of contract cases, the plaintiff sought punitive damages in an action alleging breach of an insurance contract in that plaintiff had demanded payment of defendant insurer, and defendant had refused to pay. The allegations constituting the basis for plaintiff’s claim for punitive damages were:

7. That from time to time the plaintiff has made known to defendant and its agents, servants and employees that he was in desperate need of the proceeds of said insurance policy to which he was entitled to satisfy pressing financial matters caused by the loss above mentioned, and by reason of a loss by fire with which defendant was familiar. Notwithstanding the knowledge of defendant of said conditions, the defendant has neither made nor offered to make payment to plaintiff or to negotiate a settlement of plaintiff’s claim under said policy of insurance.
8. Defendant at said times knew that plaintiff had floor plan and financing arrangements with creditors in the regular course of business and that each day great and high costs of financing were being incurred by plaintiff. Defendant further knew that plaintiff had payments to make upon liens and deeds of trust which constituted an expense of his said business and that said obligations involved the payment of interest each day. Defendant further knew that by reason of the losses sustained by plaintiff and the failure and refusal of defendant to properly settle and pay plaintiff the sums to which he was entitled under the said policy of insurance for the two losses sustained by plaintiff, that plaintiff would not be able to effectively carry on his business and that it was essential that he receive from the defendant the sums to which plaintiff was entitled under *358 said policy of insurance in a prompt and expeditious manner.
9. Defendant, notwithstanding the foregoing, in heedless disregard of the consequences which it knew plaintiff would experience by defendant’s failure to comply with the terms of its policy of insurance and in an oppressive manner failed and refused to comply with the express terms of its policy of insurance issued to plaintiff.
10. That by reason of its heedless, wanton and oppressive conduct as aforesaid, defendant has subjected itself to the penalty of punitive damages, and the plaintiff is entitled to recover of defendant punitive damages in the sum of at least $50,000.00.

291 N.C. at 110, 229 S.E. 2d at 300.

The Court held that the trial court, upon defendant’s motion under Rule 12(b)(6), properly dismissed the punitive damages claim, because

The breach of contract represented by defendant’s failure to pay is not alleged to be accompanied by either fraudulent misrepresentation or any other recognizable tortious behavior. As in King v. Insurance Co., supra, and Ledford v. Travelers Indemnity Co., 318 F. Supp. 1333 (W.D. Okla. 1970), the allegations in the complaint of oppressive behavior by defendant in breaching the contract are insufficient to plead any recognizable tort. They are, moreover, unaccompanied by any allegation of intentional wrongdoing other than the breach itself even were a tort alleged^. Punitive damages could not therefore be allowed even'if the allegations here considered were proved. The trial court properly allowed defendant’s motion to dismiss this claim.

291 N.C. at 114, 229 S.E. 2d at 302.

Plaintiff derives comfort and bases its position upon the following excerpt from Newton:

We need not now decide whether a bad faith refusal to pay a justifiable claim by an insurer might give rise to punitive damages. No bad faith is claimed here, nor are any facts *359 alleged from which a finding of bad faith could be made. Insurer’s kowledge that plaintiff was in a precarious financial position in view of his loss does not in itself show bad faith on the part of the insurer in refusing to pay the claim, or for that matter, that the refusal was unjustified. Had plaintiff claimed that after due investigation by defendant it was determined that the claim was valid and defendant nevertheless refused to pay or that defendant refused to make any investigation at all, and that defendant’s refusals were in bad faith with an intent to cause further damage to plaintiff, a different question would be presented.
We are slow to impose upon an insurer liabilities beyond those called for in the insurance contract. To create exposure to such risks except for the most extreme circumstances would, we are certain, be detrimental to the consuming public whose insurance premiums would surely be increased to cover them.

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Cite This Page — Counsel Stack

Bluebook (online)
273 S.E.2d 756, 50 N.C. App. 355, 1981 N.C. App. LEXIS 2126, Counsel Stack Legal Research, https://law.counselstack.com/opinion/shields-v-nationwide-mutual-fire-insurance-ncctapp-1981.