Title: Recent North Carolina Decisions
1Recent North CarolinaDecisions
- J. Donald Cowan, Jr.
- Smith Moore LLP
- 17 June 2004
1
2LIABILITY
2
3Motor Vehicles
3
4Pintacuda v. Zuckeberg (N.C. 2004) (1)
Issue Whether independent conduct of
plaintiff relieved defendants negligence of
stopping suddenly on interstate?
4
5FACTS
- Plaintiff, on motorcycle, following defendant on
I-240 - Plaintiff traveling under speed limit and several
car lengths behind defendant - As plaintiff crested hill, saw defendant stopped
instantaneously in the plaintiffs travel lane - Plaintiff applied brakes, swerved into adjoining
lane to avoid defendants vehicle
5
6FACTS (Contd.)
- Plaintiff testified that he skidded on something
or hit reflector marker - Trial court grants defendants motion for summary
judgment - Court of Appeals reverses because jury question
as to whether plaintiffs skidding was
foreseeable when defendant stopped
6
7HELD Summary judgment for defendant affirmed.
- When plaintiff becomes aware of potential danger
created by negligence of another, then by
plaintiffs independent act of negligence, causes
the accident, the defendant is relieved of
liability - Responsibility for the accident was the
plaintiffs skidding on something or hitting the
reflector marker - Plaintiff was aware of the defendant stopping and
had sufficient time to brake, see that the
adjoining lane was clear and began to move to
adjoining lane
7
8Overton v. Purvis (N.C. 2003) (2)
Issue When plaintiff stood in the
defendants lane of travel attempting to get the
defendant to slow down because of conditions on
the road, whether the defendant had the last
clear chance to avoid striking the plaintiff?
8
9FACTS
- As dogs involved in fox hunt crossed highway,
plaintiff stood in the road to get traffic to
slow down - Defendant approached the hunt crossing
- When the defendant did not slow down, the
plaintiff ran to opposite lane of travel where he
was struck by the defendant who swerved to avoid
hitting the plaintiff - Jury found negligence and contributory
negligence, but concluded that the defendant had
the last clear chance to avoid the accident - Court of Appeals held it was error to instruct on
last clear chance
9
10HELD Trial court correctly instructed on last
clear chance.
- Since lighting and visibility good, plaintiff
acted reasonably in remaining in the defendants
travel lane and attempting to get the defendants
attention - Because defendant was not keeping a proper
lookout, he did not notice the plaintiff until it
was too late - If defendant had stayed in his lane of travel, he
could have avoided the accident - By keeping a proper lookout, the defendant would
have seen the plaintiff sooner and had the times
and means to avoid hitting the plaintiff
10
11Overton v. Purvis (N.C. App. 2004) (4)
Issue Whether the trial court properly
refused to instruct on sudden emergency?
11
12HELD Sudden emergency instruction properly
refused.
- Defendant testified that he saw the hunters
vehicles parked along the side of the road and
also saw the plaintiff in the road waving his
arms - Defendant could have stopped, but did not
- Defendant failed to establish element of sudden
emergency that emergency was not created by his
own negligence
12
13Headley v. Williams, review denied (N.C.App.
2004) (6)
- Issue
- Whether trial court correctly granted defendants
motion for directed verdict when decedent
collided with defendants vehicle and physical
evidence showed that accident occurred in
decedents lane of travel? - Whether findings of fact and conclusions of law
should be made when trial court bifurcates
liability and damages?
13
14FACTS
- Decedent, operating motorcycle, rounds curve in
road and collides with defendants vehicle - No witnesses to accident other than defendant
- Witness had been following decedents motorcycle
and testified that decedent was operating within
speed limit and in normal manner - Investigating highway patrolman testified that
gouge marks in decedents lane of travel - Defendants drivers license restricted operation
of vehicle to wearing corrective lenses no
contacts or glasses worn by defendant when
patrolman arrived on scene - Trial court grants defendants motion for a
directed verdict
14
15HELD Directed verdict reversed.
- Taking evidence in light most favorable to
plaintiff - collision occurred in decedents lane of travel
and - no evidence that defendant wearing corrective
lenses - Although decision to bifurcate liability and
damages is in discretion of trial court, trial
court should consider making findings of fact and
conclusions of law which clearly establish that
severance is appropriate
15
16Dunn v. Custer (N.C.App. 2004) (7)
- Issue
- When plaintiff had just begun a second, part-time
employment, whether plaintiffs economists
opinions were too speculative and improperly
utilized opportunity cost? - Whether passenger in vehicle in which plaintiff
was injured was improperly permitted to testify
as to effect of impact on passengers injuries?
16
17FACTS
- Plaintiff, a licensed dentist, had just begun
working part-time for Dr. Teague at the time of
the accident and had received his first pay check
of 1,200 the day before the accident - The plaintiffs economic expert, Dr. Shirley
Browning, testified that the plaintiff would not
have left his employment with the County Health
Department for a lesser-paying job, thus using
the Health Department salary and opportunity
cost to reach his opinion. - The defendant admitted liability
- Dr. Teague was a passenger in the plaintiffs car
and was permitted over objection to testify about
the force of impact and injuries he received in
the accident. The jury awarded the plaintiff
310,000.
17
18HELD
- Testimony of economic expert properly admitted.
Defendant did not challenge Dr. Brownings
methodology. Dr. Browning properly assumed that
the plaintiff would not leave the Health
Department for a lesser-paying job. - The admission of evidence of injuries by an
occupant in the vehicle is in the discretion of
the trial court. Although opposite result of
excluding evidence of occupants injuries was
affirmed in Griffis v. Lazaronich (N.C.App.2003),
the defendant in the present case did not show
abuse of discretion by the trial judge.
18
19Sharp v. CSX Transportation(N.C.App. 2003) (10)
Issue Whether decedents driving around
railroad crossing gates in violation of statute
was grounds for contributory negligence as a
matter of law and grant of defendants 12 (b) (6)
motion?
19
20HELD
- G.S. 20-142.1 prohibits a person from driving
around a crossing gate, but also provides that
violation of statute shall not constitute
negligence per se - Since violation of statute would not establish
contributory negligence per se, error to grant
defendants 12 (b) (6) motion
20
21Williams v. Davis (N.C.App. 2003) (11)
ISSUE Whether defendants motion for
directed verdict properly granted when
plaintiffs evidence showed that defendants
headlights were not on at time of collision at
night?
21
22FACTS
- Plaintiff was entering University Parkway from
Holiday Inn in Winston-Salem at 930 p.m. when
struck by defendants vehicle. - Plaintiff testified that she looked right and
left before entering road. - Plaintiffs evidence showed that defendants
headlights were not on at time of collision. - Plaintiffs evidence also showed that defendant
traveling in excess of posted speed of 45 mph.
22
23FACTS (Contd.)
- Defendants vehicle entering University Parkway
from exit ramp. - Area in which collision occurred was heavily
commercialized with large car dealerships lit up
like a Christmas tree. - Trial Court grants defendants motion for
directed verdict based on plaintiffs
contributory negligence.
23
24HELD Affirmed.
- Even though plaintiff testified that she looked
left and right before entering the Parkway, she
failed to look at the exit ramp. - Although defendants headlights may not have been
on, there was sufficient light for the plaintiff
to see the defendants vehicle approaching. - Plaintiff pulled into the Parkway when a
reasonable person should have seen it was unsafe
to enter the intersection.
24
25Horne v. Vassey (N.C.App. 2003) (12)
ISSUE Whether trial judge properly denied
plaintiffs motion for a new trial when
plaintiffs evidence showed that defendant struck
plaintiffs vehicle from the rear and plaintiff
incurred 9,005 in medical bills as a result of
injuries received from the accident and jury
awarded no damages?
25
26FACTS
- Defendant struck plaintiffs vehicle from the
rear. - Plaintiffs treating neurologist, Dr. Maier,
testified that plaintiff had a 10 permanent
disability to her entire body as a result of the
accident. - Plaintiff introduced evidence of 9,005 in
medical bills incurred as a result of the
accident. - Plaintiff had numerous medical problems before
the accident, including chronic pain syndrome.
26
27FACTS
- During defendants cross-examination of
plaintiff, plaintiff identified four photographs
of her vehicle that were taken the day after the
accident. - Plaintiff disputed the photographs, contending
there was more damage to the rear of her vehicle
than shown on the photographs. She admitted that
the photographs were taken before her car was
repaired. - The jury awarded no damages. The trial judge
denied the plaintiffs motion for a new trial.
27
28HELD Affirmed.
- Photographs properly admitted by the trial court
- Testimony that the exhibit is a fair and
accurate portrayal of the scene at the time of
the accident is ordinarily sufficient to
authenticate the exhibit. - Although plaintiff disputed the accuracy of the
photographs as showing all of the damage to her
vehicle, this was an issue of the weight of the
photographs for the jury and did not relate to
the admissibility of the photographs.
28
29HELD Affirmed. (Contd.)
- Motion for new trial properly denied.
- Even though the defendant did not present expert
medical testimony, the defendants
cross-examination of the plaintiffs medical
expert, Dr. Maier, produced Dr. Maiers opinion
that it would be very hard to sustain a
significant injury from an impact by the
defendants vehicle traveling at a speed of five
miles per hour. - The defendant testified that his vehicle was
traveling at no more than one to two miles per
hour when he rolled into the plaintiffs
vehicle. - Additional cross-examination indicated that the
plaintiff had a multitude of pre-existing
medical problems. - Credibility of the evidence is for the jury.
- It was well within the jurys power to minimize
or wholly disregard the testimony given by Dr.
Maier.
29
30Premises
30
31Barringer v. Mid Pines Development Group (N.C.
2003) (14-15)
- ISSUES
- 1. Whether trial court properly denied
plaintiffs requested jury instruction that
plaintiff is not contributorily negligent when
plaintiffs attention is diverted from seeing an
existing dangerous condition? - 2. Whether the trial court properly admitted
testimony about the interpretation of the
plaintiffs MMPI when the doctor interpreting the
MMPI did not testify?
31
32FACTS
- Plaintiff is attending employment-related
workshop at Mid Pines. - Buffet lunch provided at the Inn.
- Plaintiff had been to the buffet table to make a
sandwich and salad. - Plaintiff returns to the buffet table, and, as
returning to his table, he trips over electrical
cord connecting warming pot to electrical outlet. - Trial court denies plaintiffs request for jury
instruction that plaintiff is not contributorily
negligent when his attention is diverted from
discovering or seeing an existing dangerous
condition.
32
33FACTS
- Jury finds plaintiff contributorily negligent and
does not award damages. - Court of Appeals reverses on basis that requested
jury instruction should have been given.
33
34HELD Trial court affirmed.
- Requested jury instruction by plaintiff properly
denied. - Doctrine of diverted attention has not been
adopted in North Carolina. - Pattern jury instruction on negligence includes
the duty of ordinary care in varying
circumstances. Thus, when jury instructed that a
party must act as an ordinary prudent person
under the circumstances, this is sufficient
statement of duties. - The jury may not ignore or fail to apply
contributory negligence as requested by the
plaintiff.
34
35HELD Trial court affirmed. (Contd.)
- MMPI properly admitted.
- Dr. Edmundson, the plaintiffs primary treating
physician, was cross-examined by the defense
about the plaintiffs MMPI and the
interpretation of the MMPI by Dr. Crovitz, a
non-testifying witness. - The Court of Appeals held that it was error to
admit the testimony because there was no
evidence that the test was properly
administered and the MMPI was admitted for the
truth of the matters in the test.
35
36HELD Trial court affirmed. (Contd.)
- MMPI properly admitted. (Contd.)
- The Supreme Court held that the test was
properly admissible under Rule 803(6). - There was evidence at trial that the record was
made at or near the time of evaluation that the
results were created by a person with knowledge
and that the record was kept in the ordinary
course of business. - The plaintiff was given the opportunity to
depose Dr. Crovitz, but declined.
36
37Nelson v. Novant Health Triad Region (N.C.App.
2003) (17)
ISSUE Whether trial court properly denied
defendants motion for directed verdict when
plaintiff testified that she was looking ahead of
her and did not see that the floor where she was
walking was slippery from water?
37
38FACTS
- Plaintiff was at Forsyth Memorial Hospital as
part of her employment. - She was walking down a hall past the hospitals
dishwashing area. - Food trays and carts were across the hall as she
walked through the area. - She testified that the floor was shiny and
buffed and had a glassy appearance. - She slipped and fell and injured her right knee.
- The trial court denied the defendants motion for
directed verdict. The jury awarded the plaintiff
14,500.
38
39HELD Affirmed.
- Plaintiff testified that she was not aware of the
slippery condition of the floor and that the film
of water on the floor would have been impossible
to see because of the shiny linoleum floor. - Therefore, the dangerous condition was not open
and obvious as a matter of law. - The decision of the plaintiff to look ahead and
avoid the food trays and carts rather than look
down at the floor was a question of fact for the
jury.
39
40Clontz v. St. Marks Evangelical Lutheran
(N.C.App. 2003) review denied (19)
ISSUE Whether operation of equipment on land
is sufficient basis for premises liability?
40
41FACTS
- The plaintiff was participating in the churchs
annual Halloween festival held on Allen Sloops
farm. - As guests at the festival were being pulled
through the woods by a tractor-trailer, the
plaintiff came out of the woods to make scary
noises. - The plaintiff noticed that one of the children on
the trailer appeared to be falling off. When the
plaintiff attempted to assist the child, the
plaintiff was pulled under the trailer and was
injured. - The trial court granted the 12(b)(6) motions of
the Church and Allen Sloop, but denied similar
motions by Harry Sloop, the operator of the
tractor-trailer.
41
42HELD Affirmed.
- Even though appeals of the church and Allen
Sloop were interlocutory, because the claim
against Harry Sloop was still in the trial
court, it affected a substantial right. - A substantial right is affected because of the
right of the parties to try all issues before
the same jury as well as the right to avoid
inconsistent verdicts in separate trials. -
42
43HELD Affirmed. (Contd.)
- The premises liability claims against the church
and Allen Sloop were properly dismissed. - The claims related only to the operation of the
tractor-trailer. - Hazards relating only to an activity . . .
apart from the condition or maintenance of the
property do not give rise to a claim for premises
liability. - Allegations involving the applicability of the
motor vehicle laws in the operation of the
tractor-trailer did not apply because the
operation was on the Sloop farm, therefore, they
were not governed by the motor vehicle statutes.
43
44INSURANCE
44
45Motor Vehicles
45
46State Farm Fire and Casualty Co. v. Darsie,
review denied (N.C.App. 2003) (21)
- Issues
- Whether allegation of fraud in amended
counterclaim related back to time original
counterclaim filed? - Whether the insured was on notice of the alleged
fraud more than three years before the
counterclaim was filed?
46
47FACTS
- Mr. and Mrs. Leinfelders had been insured by
State Farm since 1984 - At suggestion of agent, Mr. High, for check-up
of coverage, automobile limits were reduced from
500,000/person to 100,000/300,000 and separate
1 million umbrella policy was purchased.
Umbrella policy had intra-family exclusion of
claim against insured by spouse or named insured. - Leinfelders involved in accident on 29 October
1996 in which Mr. Leinfelder was killed and Mrs.
Leinfelder received serious injuries and medical
bills over 500,000 - The accident was caused by the negligence of Mr.
Leinfelder - Mrs. Leinfelders sued her husbands estate on 5
October 1999
47
48FACTS (Contd.)
- State Farm filed declaratory judgment action on 4
March 2000 contending that no coverage under
umbrella policy and limits of 100,000 under
automobile policy - On 8 March 2000, Mrs. Leinfelder counterclaimed
in the declaratory judgment action - (1) denying that coverage under automobile
policy was limited and - (2) alleging intra-family exclusion void as
against public policy - Mrs. Leinfelder allowed to amend counterclaim on
10 May2001 to allege fraud and equitable estoppel - Trial court sitting without jury
- (1) intra-family exclusion applied
- (2) statue of limitations on claims alleging
fraud had not run - (3) Mrs. Leinfelder entitled to reformation of
umbrella policy
48
49HELD Reversed.
- Statute of limitations on fraud had run at the
time Mrs. Leinfelder was allowed to amend her
counterclaim on 10 May 2001. Amended
counterclaim allegations of fraud did not relate
back to original filing of counterclaim on 8
March 2000. The original counterclaim did not
contain sufficient factual allegations about the
transactions to put State Farm on notice of the
later-alleged fraud. Fraud is required to be
alleged specifically. - Statute of limitations on fraud was not tolled
during three years before complaint was filed no
equitable estoppel. Since statute of limitations
was raised as a defense, the burden was on Mrs.
Leinfelder to excuse the statutory bar. We
hold as a matter of law that an otherwise
reasonable time to discover fraud or
misrepresentation in the PLUP policy was when the
policy itself required certain claims, such as an
accident, be brought to the attention of the
insurer for the purposes of determining coverage.
49
50HELD Reversed. (Contd.)
- (Contd.) Mrs. Leinfelder was charged was
discovery of the fraud at least sometime within
a year of the accident. She should have
discovered the fraud by 29 October 1997-one year
after the accident and more than three years
before the amended counterclaim on 10 May 2001.
50
51UM/UIM
51
52Purcell v. Downey (N.C.App. 2004) (25)
Issue Whether plaintiff/insured was entitled
to stack or aggregate two UIM policies?
52
53FACTS
- Accident on 29 June 1997 when plaintiffs injured
as a result of their motorcycle being struck by
vehicle operated by Downey - Downeys liability carrier pays limits of
100,000 to each plaintiff - Plaintiffs have two automobile insurance policies
with State Farm with UIM limits of - (1) 100,000/300,000 and
- (2) 25,000/50,000
- Trial court ruled that stacking available thus,
plaintiffs entitled to coverage of 125,000/
350,000 and additional payment of 25,000 each
53
54HELD Reversed. No stacking.
- Policy 2 had the minimum limits, thus no UIM
coverage available and no stacking
54
55Polk v. Andrews,review denied (N.C. App. 2003)
(26)
Issue Whether insured required to serve
uninsured carrier within statute of limitations
for underlying accident?
55
56FACTS
- Decedent was a passenger in Polks vehicle when
it was struck by truck operated by Andrews on 12
April 2000 - Polk and his vehicle uninsured
- The decedent died as a result of injuries
received in the accident - Suit filed on 8 December 2000 against Andrews and
Polk
56
57FACTS (Contd.)
- On 12 June 2002, plaintiff sent notice to
Atlantic Insurance Company, the uninsured carrier
for the decedent, giving notice of the suit and
seeking UM benefits - On 28 June 2002, Atlantic Insurance filed motion
to dismiss for lack of jurisdiction,
insufficiency of process and expiration of the
statute of limitations - Atlantic was served with a copy of the summons
and complaint on 3 July 2002 - The trial court dismissed the action as to
Atlantic
57
58HELD Affirmed.
- G.S. 20-279.21 (b) (3) a requires that UM
carriers be served with a copy of the summons and
complaint within the statute of limitations for
the underlying tort
58
59Register v. White,review granted (N.C.App. 2003)
(28)
Issue Whether the time to demand arbitration
pursuant to underinsurance policy ran from the
time of the underlying tort or from the time the
torfeasors liability carrier paid its limit?
59
60FACTS
- Plaintiff was injured in accident on 30 June 1998
while riding as a passenger in vehicle operated
by White. Suit filed against White. - On 8 August 2001, Whites liability carrier
tendered its full limit of 50,000 - On 24 September 2001, the plaintiff demanded
arbitration with her underinsured motorist
carrier, Farm Bureau - Trial court denied motion by plaintiff to compel
arbitration on grounds that motion untimely and
had been waived by plaintiffs conduct during the
litigation
60
61HELD Reversed. Right to demand arbitration did
not arise until liability carrier paid its limits.
- Although Farm Bureau policy stated that demand
for arbitration must be made within limitation
period for underlying tort, G.S. 20-279.21 (b)
(4) states that insured may seek UIM coverage
only after liability carrier has paid it limits. - Similarly, plaintiffs conduct in the litigation
did not waive the right to arbitration. It was
necessary for the plaintiff to litigate against
the liability carrier to pursue her rights to
payment. Once the liability carrier paid its
limits, the plaintiff ceased litigation and
demanded arbitration.
61
62Austin v. Midgett (N.C.App. 2003) (29)
ISSUE Whether UIM carriers were entitled to
credit for payment of workers compensation
benefits which are not subject to an employers
lien?
62
63FACTS
- Automobile accident on 25 October 2000 in which
Austin was killed when his vehicle struck by
vehicle operated by Midgett. - At the time of the accident, Austin was in the
course and scope of his employment with NC DOT. - Midgett insured by Farm Bureau with limits of
50,000. - Austin covered by two UIM policies, one by
Integon and the other by State Farm. Both UIM
policies had limits of 100,000 per person. - Workers compensation benefits of 100,278.98
were paid to Austins estate.
63
64FACTS (Contd.)
- Austins estate and NC DOT compromised
compensation lien with DOT agreeing to accept
33,426 in satisfaction of lien. - Midgetts liability carrier paid limits of
50,000. - The parties stipulated that Midgetts negligence
was the sole cause of Austins death and that
damages sustained by Austin estate were in excess
of 200,000.
64
65HELD Reversed and Remanded.
- UIM policies did not exclude payment of
prejudgment interest from compensatory damages.
But, since limit of liability of UIM carriers was
75,000, UIM carriers could not be required to
pay prejudgment interest in excess of 75,000. - UIM policies stated that any amounts payable
would be reduced by sums payable under workers
compensation law. - G.S. 20-279.21(e) required UIM carrier to pay
both amount of workers compensation lien and any
loss not compensated by workers compensation.
65
66HELD Reversed and Remanded. (Contd.)
- UIM carriers were, therefore, responsible for
33,426 (the amount of the compromised
compensation lien) plus the loss not compensated
by workers compensation. - The Court of Appeals held that
- --the amount of the uncompensated loss was
200,000 - --LESS the amount of workers compensation
benefits paid of 100,278.98 - --EQUALING 99,721.01
- --PLUS the compensation lien of 33,426
- --TOTALING 133,147.02
66
67HELD Reversed and Remanded. (Contd.)
- Since the Integon policy had an other insurance
clause and Integons limit of liability of
100,000 was one-half of the 200,000 aggregate
liability, Integon was responsible for one-half
of the loss. - One half of the total of 133,147.02 is
66,573.51 for each UIM carrier. - Since both UIM carriers are entitled to credit of
25,000, one-half of the payment by Midgetts
liability carrier, both UIM carriers are required
to pay - --66,573.52
- --PLUS prejudgment interest up to the 75,000
limit
67
68Erie Insurance Exchange v. Miller(N.C.App. 2003)
(33)
HELD
Even though the Erie application for insurance
form contained the exact language required by
G.S. 20-279.21 for rejection of UM/UIM
coverage, the insured did not effectively reject
UM/UIM coverage on the Erie application because
the Erie application form was not one that had
been promulgated by the Bureau and approved by
the Commissioner of Insurance.
68
69Farm Bureau Insurance Company of N.C., Inc. v.
Blong (N.C.App. 2003)review denied (34)
ISSUE Whether UIM carrier making payments
under policy is subrogated to other amounts
payable to the UIM insured?
69
70FACTS
- Automobile accident on 6 April 1999 in which
vehicle operated by Ms. Marvin strikes vehicle in
which Ms. Blong and others are passengers. - Ms. Marvin had been drinking at two bars before
accident. Immediately after the accident, her
blood alcohol level is .21. - Ms. Marvins liability carrier pays its limits of
50,000 to all occupants of the Blong vehicle. - One of passengers in Blong vehicle, Ms. Lawler,
had UIM insurance with Farm Bureau with limits of
100,000/300,000.
70
71FACTS (Contd.)
- Farm Bureau paid its limits of 250,00 to the
occupants of the Blong vehicle. - The occupants of the Blong vehicle filed two
separate dram shop suits against the bars
providing alcohol to Ms. Marvin. These suits
were settled through court-ordered mediation. - Farm Bureau filed the present action to be
subrogated to the amounts paid as a result of the
suits against the bars.
71
72FACTS (Contd.)
- Trial Court entered judgment for Farm Bureau
- 1. Subrogating it to dram shop recoveries and
- 2. Requiring Farm Bureau to pay percentage of
recovery to attorneys for occupants of Blong
vehicle.
72
73HELD Affirmed.
- UIM provisions of G.S. 20-279.21(b)(4) make
uninsured section of G.S. 20-279.21(b)(3)
applicable to UIM claims. - (b)(3) provides that insurer making payments is
entitled to proceeds of any settlement relating
to injury for which payment was made. - The UIM policy and the Financial Responsibility
Act allow subrogation of the dram shop
recoveries. - Trial court properly required Farm Bureau to pay
percentage of recovery to attorneys for occupants
of Blong vehicle.
73
74Espino v. Allstate Indemnity Co.(N.C.App. 2003)
(36)
ISSUE Whether UIM carrier entitled to credit
for payments made under medical payments coverage?
74
75FACTS
- Automobile accident on 19 October 1999 in which
Allstate insured, Espino, injured by vehicle
driven by uninsured motorist. - The UIM provisions of Allstate policy stated that
Allstate would pay reasonable medical expenses,
but that this coverage was excess over and shall
not duplicate any amount payable under the
medical payments coverage. - Allstate paid 1,000 pursuant to medical payments
coverage. - UIM dispute was decided by arbitrator who awarded
9,000 in medical expenses. - Allstate paid 8,000, taking credit for 1,000
paid under medical payments coverage. - Trial court ordered Allstate to pay full 9,000
awarded by arbitrator on basis that Allstate
policy violated collateral source rule.
75
76HELD Reversed.
- Medical payments coverage is not required by
statute and is not contained in Financial
Responsibility Act. - Relationship between the parties is, therefore,
governed by the policy. Policy allows credit for
medical payments on amount owed under UIM
provisions.
76
77Monin v. Peerless Insurance Co.(N.C.App.
2003)review denied (38)
HELD
Where issue for jury in claim for uninsured
benefits was whether plaintiff was a resident of
his fathers household at the time of the
accident, error for trial court to set aside jury
verdict in favor of Peerless when there was more
than a scintilla of evidence that plaintiff did
not reside at fathers residence.
77
78 Unfair and Deceptive Practices
78
79Cullen v. Valley Forge Life Ins. Co.,review
denied (N.C.App. 2003) (39)
Issue When insurance company accepts premium
with knowledge of pre-existing health condition,
then sends letter to insured revoking policy
based on insureds concealment of pre-existing
health condition, whether such conduct
constitutes unfair and deceptive insurance
practices?
79
80FACTS
- Cullen applied for 1 million policy and
identified on the application that he had skin
disorders and Crohns disease - The application was approved
- The insurance agent solicited Cullen for
additional coverage and presented a plan for an
additional 500,000 policy - The application was completed on 2 April 1999
- Because a premium was not required with the
application, the policy stated that the policy
would not become effective until the first
premium was paid - On 14 April 1999, Cullen completed a required
medical exam for the policy
80
81FACTS (Contd.)
- The policy was approved on 19 May 1999
- On 26 May 1999, Cullen was seen by his regular
physician who told Cullen that he had a form of
skin cancer on his back - On 11 June 1999, the insurance company received
the first premium payment - Cullen submitted a second application for
insurance, and, as part of the application, he
received a medical examination and submitted a
medical history supplement on 14 June 1999 that
identified the melanoma
81
82FACTS (Contd.)
- The insurance company deposited the first premium
check on 17 June 1999 - On 8 July 1999, the insurance company complied
with Cullens request for a change of beneficiary - On 21 September 1999, the insurance company wrote
Cullen and told him that his second application
for insurance had been denied because of
violation of the good health provision of the
policy, that the initial policy never went into
effect and refunded the premium payment - The trial court granted Cullens motion for
summary judgment and awarded 2.2 million for
breach of contract and unfair and deceptive
practices
82
83HELD Affirmed.
- Valley Force had waived the right to enforce the
good health provisions of its policy. - Although Cullen did not disclose the melanoma
when applying for additional insurance, the
medical history supplement on 14 June 1999 fully
disclosed the condition and treatment. - With knowledge of the information on the 14 June
1999 medical history supplement, Valley Forge
deposited the premium check and processed the
change of beneficiary request
83
84HELD Affirmed. (Contd.)
- The internal memoranda of Valley Forge
established that it knew that coverage existed at
the time it wrote Cullen on 21 September 1999
telling him there was no coverage - Purpose may be adjudicated by summary judgment
when the essential facts are made clear of
record - The purpose of the letter revoking coverage and
returning the premium was to induce plaintiff to
accept the returned premium check under the false
impression that Valley Force was correct in
claiming coverage never existed.
84
85 Indemnity
85
86Pennsylvania National Mutual Casualty v.
Associated Scaffolders and Equipment(N.C.App.
2003) (43)
HELD
Trial court correctly ruled that plaintiff did
not have duty to defend insured for liability
assumed by insured under contract that was
determined to be void as against public policy
under G.S. 22-B1.
86
87TRIAL PRACTICE AND PROCEDURE
87
88Statutes and Periods of Limitation and Repose
88
89Bass v. Durham County Hospital Corp. (N.C. 2004)
(44)
Issue When plaintiff obtains 120-day
extension to file medical malpractice suit, then
files within extension but does not include Rule
9 (j) certification, whether amended complaint
with Rule 9 (j) certification relates back so as
to be filed within the statute of limitations?
89
90FACTS
- Alleged malpractice occurred on 3 August 1996
- Suit filed on 2 December 1999, the last day of a
120-day extension - The complaint did not contain the Rule 9 (j)
certification - On 13 December 1999, and before responsive
pleadings filed, the plaintiff filed an amended
complaint pursuant to Rule 15 (a) with the Rule
9 (j) certification
90
91FACTS (Contd.)
- The plaintiff took a voluntary dismissal without
prejudice on 29 May 2001 and refiled on 12 June
2001 with the Rule 9 (j) certification - The trial court granted the defendants motion to
dismiss - The Court Appeals reversed on the basis that Rule
41 allowed the plaintiff to refile within one
year and the refiled complaint contained the Rule
9 (j) certification
91
92HELD Trial court affirmed.
- Once the 120-day period expires without the Rule
9 (j) certification, the complaint cannot be
amended. - Relation back is not available since the action
terminated at the end of the 120-day period
without the certification - The plaintiff was not entitled to the one year to
refile under Rule 41 because the initial
complaint was timely filed
92
93Hatcher v. Flockhart Foods, Inc.,review denied
(N.C.App. 2003) (46)
Issue When defendants insurer responds to
demand letter by plaintiff without identifying
proper insured and party and plaintiff files
timely suit against improper party, whether
defendant and insurer may be equitably estopped
from pleading statute of limitations?
93
94FACTS
- Plaintiff slipped and fell at Piggly Wiggly store
in Wallace on 10 July 1997 - Plaintiffs attorney wrote Piggly Wiggly and
notified them of claim - Great American as insurer of Piggly Wiggly
contacted plaintiffs attorney and communicated
with him over the following 16 months - As the three-year statute of limitations
approached, the plaintiffs attorney did a
corporate search at the Secretary of States
office and determined that the store was known as
Wallace Farm Mart, Inc.
94
95FACTS (Contd.)
- Suit was filed on 30 June 2000 against Wallace
Farm Mart, Inc., formerly know as Piggly Wiggly
of Wallace, Inc - Wallace Farm Mart, Inc., filed motion to dismiss
based on the statute of limitations on the
grounds that the store was leased to Flockhart
Foods - The plaintiff filed a response pleading equitable
estoppel - The trial court dismissed the action
95
96HELD Reversed.
- Flockhart Foods permitted Great American to act
on its behalf, therefore, the actions of Great
American were imputed to Flockhart Foods - The plaintiffs attorney sought to deal directly
with the party responsible for the store. Great
American responded on behalf of Piggly Wiggly and
not on behalf of Flockhart, the party actually
responsible. - . . . since plaintiff justifiably relied on the
insurers conduct to his detriment, these facts
are sufficient to create an agency by estoppel.
96
97Rule 41 Dismissal
97
98Estate of Barber v. Guilford County(N.C.App.
2003) (48)
Issue When case is settled by mediation and
case then dismissed, and one party fails to
comply with mediated settlement terms, whether
trial court may enter sanctions for failure to
comply with mediated settlement agreement?
98
99FACTS
- Complaint filed alleging wrongful death
- Counterclaim for defamation and emotional
distress - All claims resolved at mediation and parties
sign settlement agreement - As part of the settlement agreement, plaintiffs
estate agrees not to use murderer thereafter
in connection with actions of deputy sheriff or
to accuse the deputy sheriff of a crime - In compliance with the mediated settlement
agreement, the deputy sheriff dismisses his
counterclaims with prejudice
99
100FACTS (Contd)
- On the day that the dismissal was filed, the
plaintiff calls a news conference, calls the
deputy a murderer and acknowledges that she
does not intend to comply with settlement terms - The deputy files a motion for sanctions for
violation of the mediated settlement, and, in the
alternative to set aside the dismissal of his
counterclaim - The trial court grants the motion for sanctions
and orders enforcement for the settlement
agreement
100
101HELD Reversed.
- Since the mediated settlement agreement was not
incorporated into a consent judgment, the deputy
sheriff was required to initiate a separate
action or file a motion in the original action.
Since the deputy had dismissed the claims in the
original action, he could not move for sanctions
in that action. - On remand, the trial court should first consider
the deputys motion to set aside the dismissal of
his counterclaims. Depending on the trial
courts ruling, the deputy would then determine
where to file a motion for sanctions.
101
102HELD Reversed. (Contd.)
- G.S. 7A-38.1 (g) provides only for appropriate
monetary sanction if a party fails to attend a
mediated settlement conference without good
cause. No other sanctions are provided by
statute. The mediation rules do not provide for
sanctions if the settlement is not incorporated
into a consent judgment.
102
103Centura Bank v. Winters (N.C.App. 2003) (50)
ISSUE When plaintiff had taken two voluntary
dismissals without prejudice for defendants
breach of contract, whether third suit for breach
of contract was barred by Rule 41?
103
104FACTS
- Parties entered into contract by which defendant
leased 1995 Lexus. - Based on defendants default in payments, suit
filed in March 1997 to recover payments.
Settlement discussions resulted in plaintiffs
dismissal without prejudice of suit. - Defendant did not comply with payments required
by settlement. Second suit for default in
payments filed in November 1997. This suit was
dismissed without prejudice. - Present suit brought for balance in payments due
under lease agreement. Trial court rejected
defendants motion that action was barred by Rule
41 and granted plaintiffs motion for summary
judgment.
104
105HELD Affirmed.
- Since different amounts were due each time
plaintiff filed suit, the third suit was not
based on or including the same claim as the
first two suits. - More than one claim may arise from single
contract.
105
106Governmental Immunity
106
107Batts v. North CarolinaDepartment of
Transportation, review denied (N.C.App. 2003)
(52)
Issue When State is joined as third-party
defendant, whether plaintiff may then amend to
allege claim directly against the State in the
pending civil action?
107
108FACTS
- The plaintiff , Stacy Batts, was a passenger in a
car operated by Shawan Batts - The complaint alleged that the stop sign
controlling traffic for Shawan Batts was
obstructed by tree limbs. - Suit was filed against Mr. Batts and the Town of
Elm City - Mr. Batts filed a cross-claim against Elm City
and a third-party complaint against NCDOT
108
109FACTS (Contd.)
- The plaintiff then moved to amend her complaint
to allege a claim directly against NCDOT and to
dismiss her claims against Elm City - The trial court denied the States motion to
dismiss based on sovereign immunity asserting
lack of jurisdiction since the claim by the
plaintiff should have been filed in the
Industrial Commission
109
110HELD Affirmed.
- Rule 14 (c) provides that the State may be joined
as a third-party defendant - Rule 14 (a) provides that the plaintiff may
alleged a claim against a third-party defendant
arising out of the same transaction or occurrence
that is the subject matter of the plaintiffs
complaint - Since the Tort Claims Act waived sovereign
immunity and the legislature allowed the State to
be joined in a civil action as a third-party
defendant, Rule 14 (a) allows the plaintiff to
amend to allege a civil action against the State
110
111Sanctions
111
112Board of Drainage Commissioners of Pitt County v.
Dixon (N.C. 2004) (55)
Issue Whether a deponent who appears at his
properly noticed deposition may be sanctioned
under Rule 37 (c) for invoking the Fifth
Amendment in response to questions?
112
113FACTS
- The complaint alleged that Dove and other
defendants embezzled money from the plaintiff - The plaintiffs noticed the deposition of Dove
- Dove answered questions about his name and
address - Thereafter, Doves attorney asserted a blanket
Fifth Amendment privilege - Dove refused to answer any other questions
- The trial court granted the plaintiffs motion
for sanctions pursuant to Rule 37 (c), imposed
sanctions of 2,800 and ordered that Dove be
deposed and assert any privilege on a
question-by-question basis
113
114HELD Sanctions reversed.
- Since Dove appeared at his deposition, he could
not be sanctioned under Rule 37 for failure to
appear - The better course would have been for Dove to
move for a protective order under Rule 26 (c)
114
115Summey v. Barker (N.C. 2003) (56)
Issue Whether plaintiffs failure to
identify expert witnesses as required by a
scheduling order in a medical malpractice case
subjected the plaintiff to dismissal?
115
116FACTS
- Prisoner in Forsyth County Jail alleged medical
malpractice as a result of improper medical
treatment while in the jail - The trial court entered a scheduling order
requiring the plaintiff to identify expert
witnesses within 30 days after final decision on
the appeal involving sovereign immunity - The plaintiff did not identify the experts within
the time required by the scheduling order - The trial court granted the defendants motion
for summary judgment
116
117HELD Affirmed.
- Rule 26 (f1) requires a scheduling order in cases
alleging medical malpractice and allows dismissal
if a party fails to identify expert witnesses - Review of the trial judges order is limited to
whether the plaintiff demonstrated excusable
neglect. Since the plaintiff did not allege that
failure to identify experts was a result of
excusable neglect, the motion was properly
allowed.
117
118Essex Group v. Express Wire Services(N.C.App.
2003) (57)
ISSUE When party responds to discovery after
expiration of the period required to respond,
whether that party may be sanctioned under Rule
37?
118
119FACTS
- Plaintiff files suit alleging violations by
defendants of plaintiffs trade secrets. - Plaintiff obtains order for expedited discovery.
- Evidence indicates that after expedited discovery
order entered one defendant deleted emails from
his computer and the other defendant removed
documents from office. At deposition, defendant
admitted deleting emails. Other defendant denied
removal of documents. - All documents were eventually produced to the
plaintiff.
119
120FACTS (Contd.)
- On plaintiffs motion for sanctions, trial court
- Granted sanctions pursuant to Rule 37
- Struck defendants answers and entered default
judgment and. - Awarded costs and attorney fees of 7,000.
120
121HELD Affirmed.
- Appeal of sanctions was properly before the Court
of Appeals because striking answer and entering
default judgment affected a substantial right. - This Court has held that failure to answer
interrogatories or turn over requested documents
in a timely manner constitutes proper grounds for
sanctions. - Our Court has held that a litigants answering
of interrogatories after the trial court ordered
the litigant to answer did not prevent the trial
court from imposing sanctions upon the dilatory
party.
121
122Evidence
122
123Experts
123
124Holley v. ACTS, Inc. (N.C. 2003) (59)
Issue Whether expert testimony as to the
possible cause of a medical condition is
sufficient to prove causation?
124
125FACTS
- Workers compensation injury on 13 July 1996 when
plaintiff, nurses assistant, twisted leg and
felt sudden pain in her left calf. - Emergency room physician, Dr. Ratterree, suspects
deep vein thrombosis (DVT). - At hearing, Dr. Ratterree testifies
- a. Low possibility that injury caused DVT
- b. 90 percent or greater of DVT patients have
suffered no injury - c. Cannot say to a reasonable degree of medical
certainty that injury was a significant
contributing factor in causing DVT
125
126HELD
- No competent evidence presented to establish a
causal connection between the original injury by
accident to plaintiffs leg on 13 July 1996 and
her diagnosis of DVT on 3 September 1996. - Although expert testimony as to the possible
cause of a medical condition is admissible if
helpful to the jury, Cherry v. Harrell, it is
insufficient to prove causation, particularly
when there is additional evidence or testimony
showing the experts opinion to be a guess or
mere speculation. - The entirety of the expert testimony in the
instant case suggests that a causal connection
between plaintiffs accident and her DVT, was
possible, but unlikely.
126
127State v. Lassiter, review denied (N.C.App. 2003)
(61)
Issue Whether trial court properly allowed
fire expert to testify about experiment he ran to
disprove defendants contention of how fire
started?
127
128FACTS
- Defendant charged with involuntary manslaughter
and fraudulently setting fire to and burning a
dwelling house - The defendant contended that the fire started in
a pan of grease - The States fire and arson expert, Campbell,
testified that it was impossible for the fire to
start the way the defendant contended it started - Campbell ran an experiment in which he attempted
to ignite vegetable oil. The fire started only
after Campbell used a plumbers torch
128
129HELD Affirmed.
- Campbell was properly allowed to testify as an
expert. He had 40 years of experience with
firefighting, training from recognized
institutions and years of teaching fire
investigation - Once qualified as an expert, it was proper for
him to testify that it was impossible for
ignited vegetable oil to have been the source of
the fire
129
130Red Hill Hosiery Mill v. Magnetek (N.C.App. 2003)
(62)
ISSUE
- Whether trial court properly admitted opinions
of Dr. McKnight on origin and cause of fire.
130
131HELD Affirmed.
- Dr. McKnight had Bachelors and Masters Degrees
in Electrical Engineering and Doctorate of
Physics from Duke. - He had over 23 years experience in origin and
causes of fire and had been recognized as expert
in several courts. - He had examined the product at issue in other
cases. - Based on his educational background and
expertise, the trial court did not abuse its
discretion in admitting his testimony. Trial
court properly performed gatekeeping function.
131
132Attorney-Client Privilege
132
133Hulse v. Arrow Trucking Co.(N.C.App. 2003) (63)
Issue Whether testimony by defendant at his
deposition about answers to interrogatories he
wrote and submitted to his attorney waived the
attorney-client privilege?
133
134FACTS
- The plaintiff alleged that the defendants
negligence caused an automobile accident
resulting in injuries to the plaintiff - The plaintiff submitted interrogatories to the
defendant requesting the defendant to describe
how the accident occurred and to give the speed
and distances of the vehicles involved in the
accident - The defendants interrogatory answers referred to
the speeds and distances on the accident report
and gave the plaintiffs speed as 55 miles per
hour - The defendant was questioned about these answers
at his deposition
134
135FACTS (Contd.)
- The defendant testified that he received the
plaintiffs interrogatories by mail from his
lawyer, wrote the responses on the
interrogatories, returned the answers and his
notarized signature to his lawyer - The defendant testified at his deposition that he
had not seen the typed answers until the night
before his deposition - The defendant also testified that several of the
typed answers were not his answer - It was also discovered during the deposition that
some of the interrogatory answers had been
incorrectly typed - After the deposition, the plaintiff moved for
production of the defendants handwritten
responses - Finding that the attorney-client privilege had
been waived, the trial court ordered production
of the responses
135
136HELD Affirmed.
- Testimony by the defendant at his deposition
about the answers he wrote and submitted to his
attorney alone waived the privilege - This deposition testimony put the contents of the
answers into evidence - Although issues involving the attorney-client
privilege are immediately appealable, waiver of
the privilege results in the appeal being
interlocutory. Appeal dismissed.
136
137Hearsay Relied Upon by Experts
137
138State v. Thornton (N.C.App. 2003) (66)
ISSUE Whether social worker may testify
about out-of-court statements made to her by
victim?
HELD Affirmed. Statements admissible. Stateme
nts are admissible under Rule 803(4) since made
for purposes of diagnosis and treatment.
138
139Demonstrations
139
140State v. Fowler (N.C.App. 2003)review denied
(67)
ISSUE Whether non-expert may use
demonstration before jury to disprove defense
theory of case?
140
141FACTS
- Defendant charged with first-degree murder.
Defense was that killing was result of sudden
impulse and anger. - States witness demonstrated manner in which
State contended murder occurred. The
demonstration showed facts supporting
premeditation and planning.
141
142HELD Affirmed. Demonstration admissible.
- Demonstrator need not be expert, but proper
foundation must be laid as to the demonstrators
familiarity with the facts. - When evidence is conflicting, demonstration may
be used to illustrate flaws in the prosecution
or defense theory or to rebut a witnesss
testimony. - A demonstration is not inadmissible because it
goes to the heart of the . . . issue.
142
143Costs
143
144Department of Transportation v. Charlotte Area
Manufactured Housing, Inc. (N.C.App. 2003) (68)
Following the explicitly delineated approach
and holding that only those costs specified in
G.S. 6-1, 6-20 and 7A-320 may be taxed.
144
145Cosentino v. Weeks (N.C.App. 2003) (69)
Affirming trial courts denial in its discretion
of defendants motion in voluntarily dismissed
medical medical malpractice case to tax as costs
expert witness fees, deposition transcripts,
court reporter fees and deposition-related
attorney travel expenses.
145
146G.S. 97-10.2
146
147Ales v. T.A. Loving Co.(N.C.App. 2004) (70)
Issue Whether superior court had
jurisdiction under G.S. 97-10.2 to approve
third-party settlement contingent upon waiver of
the workers compensation lien?
147
148FACTS
- Plaintiff injured in course and scope of
employment with Columbus Hospital - Present suit was against Loving, general
contractor for Hospital, and Shields, flooring
subcontractor - Plaintiffs workers compensation claim against
the hospital settled by clincher agreement for
lump sum payment of 120,000 - Plaintiff reached a mediated settlement with
Loving and Shield for 145,000 contingent upon
waiver of compensation lien - On plaintiffs motion, the trial court ordered
that the lien be waived
148
149HELD Reversed. Trial court did not have
jurisdiction.
- G.S. 97-10.2 allows superior court to adjust
the workers compensation lien if the agreement
between the parties has been finalized so that
only performance of the agreement is necessary to
bind the parties. - An agreement with a condition precedent