Wake County Hospital System, Inc. v. Safety National Casualty Corp.

487 S.E.2d 789, 127 N.C. App. 33, 1997 N.C. App. LEXIS 775
CourtCourt of Appeals of North Carolina
DecidedAugust 5, 1997
DocketCOA96-1038
StatusPublished
Cited by20 cases

This text of 487 S.E.2d 789 (Wake County Hospital System, Inc. v. Safety National Casualty Corp.) 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
Wake County Hospital System, Inc. v. Safety National Casualty Corp., 487 S.E.2d 789, 127 N.C. App. 33, 1997 N.C. App. LEXIS 775 (N.C. Ct. App. 1997).

Opinion

MARTIN, John C., Judge.

Wake County Hospital System, Inc., (“the Hospital”) brought this action to recover under an insurance policy issued by defendant Safety National Casualty Corporation (“Safety”). Defendant answered, denying that its policy provided coverage for the claim asserted by the Hospital. Defendant’s motion to join St. Paul Fire and Marine Insurance Company (“St. Paul”) as a party plaintiff was granted. After discovery, all parties moved for summary judgment.

The materials before the trial court established the following:

Defendant Safety issued its “Specific Excess and Aggregate Excess Workers’ Compensation Insurance Agreement” to the Hospital, providing coverage for “Loss sustained . . . because of liability imposed ... by the Workers’ Compensation or Employers’ Liability Laws of: [North Carolina] ... on account of bodily injury or occupational disease due to Occurrences taking place ... to Employees....” The policy was excess coverage to the Hospital’s self-insured retention of $225,000 and provided coverage of $500,000. The policy was in force at all times pertinent to this action.

In addition, at all times pertinent to this action, the Hospital was covered by two policies issued by St. Paul. One policy was a general liability policy providing coverage of $1,000,000 for a “covered bodily injury” “caused by an event” and excluding from coverage bodily injury which was “expected or intended by a protected person,” “bodily injury to any employee arising out of and in the course of . . . employment,” and any obligation under the workers’ compensation *37 laws. The other St. Paul policy was an Umbrella Excess policy with a coverage limit of $10,000,000 providing excess coverage for claims covered by listed underlying policies, including both the Safety policy and the St. Paul general liability policy.

On 8 August 1990, Kimberly Crews was employed as a social worker by the Hospital. As she was leaving work on that date, she was abducted in the Hospital’s parking lot by Michael Sexton, a Hospital employee who worked in the laundry. Sexton forced Mrs. Crews to drive him to a location away from the Hospital, where he raped and murdered her. Sexton was subsequently convicted of kid-naping, rape, and murder. On 10 July 1992, Mrs. Crews’ husband, who was the administrator of her estate, and her minor child brought an action (“the Crews lawsuit”) against the Hospital seeking compensatory and punitive damages for her wrongful death and for infliction of emotional distress. The complaint in the Crews lawsuit alleged that the Hospital negligently hired, supervised, and retained Michael Sexton without regard to his violent propensities and that the Hospital’s gross negligence subjected Mrs. Crews and other employees to an unreasonable risk and a substantial certainty of serious injury.

The Hospital placed both St. Paul and Safety on notice when the Crews lawsuit was filed. St. Paul issued a reservation of rights letter and agreed to provide the Hospital with a defense. Safety also issued a reservation of rights letter, but under the terms of its policy, Safety had no obligation to provide a defense.

At a settlement conference conducted in connection with the Crews lawsuit, the Hospital and St. Paul indicated their willingness, in principle, to contribute to a settlement in the amount of $1,000,000, even if Safety declined to participate. When Safety announced that it would not participate in the settlement, the Hospital and St. Paul entered into a Loan Receipt and Non-Waiver Agreement, pursuant to which the Hospital contributed its self-insured retention of $225,000 and St. Paul contributed $275,000, the amount for which it would be liable if Safety contributed its limits of $500,000. Of the remaining $500,000, the Hospital paid $250,000 and St. Paul “loaned” the Hospital the remaining $250,000 to be repaid from any amounts recovered in this action. Safety agreed that if the Hospital elected to proceed with a settlement of the underlying action, Safety would not raise as a defense in any later litigation the absence of consent under the Safety policy.

*38 After completing settlement of the Crews lawsuit, the Hospital filed the present action alleging that Safety owes $500,000 under its policy, and that its denial of coverage constitutes an unfair and deceptive practice. The trial court granted Safety’s motion for summary judgment. Plaintiffs appeal.

A party moving for summary judgment must establish that there is no genuine issue of material fact and that the party is entitled to judgment as a matter of law. N.C. Gen. Stat. § 1A-1, Rule 56; Glover v. First Union National Bank, 109 N.C. App. 451, 428 S.E.2d 206 (1993). There are no disputed issues of fact in this case; resolution of the issue of Safety’s coverage involves questions of law, properly resolved by summary judgment. Waste Management v. Peerless Insurance Co., 315 N.C. 688, 340 S.E.2d 374, reh’g denied, 316 N.C. 386, 346 S.E.2d 134 (1986); Duke University v. St. Paul Fire and Marine Insurance Co., 96 N.C. App. 635, 386 S.E.2d 762, disc. review denied, 326 N.C. 595, 393 S.E.2d 876 (1990).

I.

In their first argument, plaintiffs contend the Safety policy provides coverage for the Hospital’s liability in this case. They argue that the policy provides coverage for liability imposed under “Employers’ Liability Laws,” language which is sufficiently broad to include liability for negligent hiring, supervision and retention, and liability imposed pursuant to Woodson v. Rowland, 329 N.C. 330, 407 S.E.2d 222 (1991) (holding that misconduct by an employer which is substantially certain to cause injury to an employee is actionable at common law, notwithstanding the exclusivity provisions of the Workers’ Compensation Act). Defendant contends that, no matter which analysis we choose to apply to determine the basis for the Hospital’s liability to the Crews plaintiffs, the end result is that the Safety policy does not provide coverage to the Hospital. We agree with defendant.

A.

Because the policy was a “Specific Excess and Aggregate Excess Workers’ Compensation Insurance Agreement,” we must first determine whether the Hospital had liability under the Workers’ Compensation Act for the injuries to Mrs. Crews. In order for an injury to be compensable under the Workers’ Compensation Act, a claimant must prove: “(1) [t]hat the injury was caused by an accident; (2) that the injury arose out of the employment; and (3) that the injury *39 was sustained in the course of employment.” See Gallimore v. Marilyn’s Shoes, 292 N.C. 399, 402, 233 S.E.2d 529, 531 (1977).

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Bluebook (online)
487 S.E.2d 789, 127 N.C. App. 33, 1997 N.C. App. LEXIS 775, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wake-county-hospital-system-inc-v-safety-national-casualty-corp-ncctapp-1997.