Enck v. National Union Fire Insurance Company of Pittsburgh, PA
W.D.N.C.8/2/2023
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IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF NORTH CAROLINA STATESVILLE DIVISION CIVIL ACTION NO. 5:22-CV-00073-KDB-DCK SEAN P. ENCK, Plaintiff, v. ORDER NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA, Defendant. THIS MATTER is before the Court on Plaintiffâs Motion for Partial Summary Judgment (Doc. No. 26), Defendantâs Motion for Summary Judgment (Doc. No. 32) and Defendantâs Motion to Strike an exhibit to Plaintiffâs Memorandum in Opposition to Defendantâs Motion for Summary Judgment (Doc. No. 42). The Court has carefully considered these motions and the partiesâ briefs and exhibits. For the reasons discussed below, the Court will in part GRANT and in part DENY the Partiesâ cross motions for summary judgment and will DENY Defendantâs Motion to Strike. In this action, Plaintiff, an employee of Verizon, Inc. seeks âunderinsured motoristsâ (âUIMâ) insurance coverage under Verizonâs multistate and multi-coverage motor vehicle insurance policy with Defendant (the âPolicyâ) for injuries that he suffered in a serious traffic accident in North Carolina. Whether or not the Policy provides UIM coverage turns on whether the Policy is subject to North Carolinaâs Motor Vehicle Financial Responsibility Act of 1953, N.C. Gen. Stat. Ann. § 20-279.1, et seq. (the âFRAâ or âActâ), which was enacted, in part, to require that motor vehicle insurers provide coverage for âuninsuredâ and âunderinsuredâ motorists. 1 Specifically, the issue before the Court is whether the Policy is âapplicable solely to fleet vehicles,â in which event it would not be subject to the FRA. The Court finds that the Policy does not meet this narrow exception. Rather than being âsolelyâ applicable to fleet vehicles, the Policy, through an endorsement providing âDrive Other Car Coverage,â is also applicable to vehicles that are not owned, hired or borrowed by Verizon or even used in Verizonâs business (and which are thus not âfleet vehiclesâ). Therefore, the Policy is subject to the FRA and must provide âunderinsured motoristsâ coverage. Accordingly, the Court will grant summary judgment to Plaintiff on his claims seeking such coverage pursuant to the FRA. However, the Court agrees with Defendant that its denial of coverage and the ongoing coverage dispute between the Parties does not, as a matter of law, constitute bad faith or an unfair trade practice claim under North Carolina law. Simply put, the parties have a bona fide disagreement over the coverage afforded by the Policy, which, at least prior to this ruling,1 was not a settled legal issue. Thus, Defendantâs denial of coverage, without additional wrongful conduct that Plaintiff has not shown, does not amount to bad faith or an unfair trade practice. Finally, the Court will deny Defendantâs Motion to Strike an amicus brief (from a different case) which Plaintiff attached as an exhibit to one of its memoranda. The Court has considered the already publicly available amicus brief only for the purpose for which it was properly filed (to provide the full context of the relevant Fourth Circuit opinion which cites it). Therefore, there are no grounds for striking the exhibit. 1 As noted below, with this ruling five Federal Judges (two in the District Court and three in the Court of Appeals) have now found that the âbroadeningâ endorsement at issue means that the relevant insurance policy comes within the scope of the FRA. Insurance companies basing future denials of coverage on the same arguments presented (and rejected) here do so at their own peril for claims of bad faith, etc. 2 I. LEGAL STANDARD Summary judgment is appropriate âif the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.â United States v. 8.929 Acres of Land in Arlington Cnty., Virginia, 36 F.4th 240, 252 (4th Cir. 2022) (quoting Fed. R. Civ. P. 56(a)); see United States, f/u/b Modern Mosaic, LTD v. Turner Construction Co., et al., 946 F.3d 201, 206 (4th Cir. 2019). A factual dispute is considered genuine âif the evidence is such that a reasonable jury could return a verdict for the nonmoving party.â Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986); 8.929 Acres of Land, 36 F.4th at 252. âA fact is material if it might affect the outcome of the suit under the governing law.â Id., (quoting Libertarian Party of Va. v. Judd, 718 F.3d 308, 313 (4th Cir. 2013)). The party seeking summary judgment bears the initial burden of demonstrating the absence of a genuine issue of material fact through citations to the pleadings, depositions, answers to interrogatories, admissions, or affidavits in the record. See Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986) (when the nonmoving party âhas failed to make a sufficient showing on an essential element of [his] claim with respect to which [he] has the burden of proof,â summary judgment is warranted); United States ex rel. Gugenheim v. Meridian Senior Living, LLC, 36 F.4th 173, 178 (4th Cir. 2022). If the movant satisfies his initial burden to demonstrate âan absence of evidence to support the nonmoving party's case,â the burden shifts to the nonmovant to âpresent specific facts showing that there is a genuine issue for trial.â 8.929 Acres of Land, 36 F.4th at 252, quoting Humphreys & Partners Architects, L.P. v. Lessard Design, Inc., 790 F.3d 532, 540 (4th Cir. 2015). âThe mere existence of some alleged factual dispute between the parties will not defeat an otherwise properly supported motion for summary judgment. Hixson v. Moran, 1 F.4th 297, 302 3 (4th Cir. 2021). Rather, the nonmoving party must establish that a material fact is genuinely disputed by, inter alia, âciting to particular parts of the materials of recordâ and cannot rely only on âconclusory allegations, mere speculation, the building of one inference upon another, or the mere existence of a scintilla of evidence.â Fed. R. Civ. P. 56(c)(1)(A); 8.929 Acres of Land, 36 F.4th at 252, quoting Dash v. Mayweather, 731 F.3d 303, 311 (4th Cir. 2013). Still, summary judgment is not intended to be a substitute for a trial of the facts. Anderson, 477 U.S. at 249. In determining if summary judgment is appropriate, âcourts must view the evidence in the light most favorable to the nonmoving party and refrain from weigh[ing] the evidence or mak[ing] credibility determinations.â Variety Stores, Inc. v. Wal-Mart Stores, Inc., 888 F.3d 651, 659 (4th Cir. 2018) (internal quotation marks omitted) (quoting Lee v. Town of Seaboard, 863 F.3d 323, 327 (4th Cir. 2017). âSummary judgment cannot be granted merely because the court believes that the movant will prevail if the action is tried on the merits.â Jacobs v. N.C. Admin. Office of the Courts, 780 F.3d 562, 568-69 (4th Cir. 2015) (quoting 10A Charles Alan Wright & Arthur R. Miller et al., Federal Practice & Procedure § 2728 (3d ed.1998)). In the end, the relevant inquiry on summary judgment is âwhether the evidence presents a sufficient disagreement to require submission to a jury or whether it is so one-sided that one party must prevail as a matter of law.â Anderson, 477 U.S. at 251â52. âWhen faced with cross- motions for summary judgment, the court must review each motion separately on its own merits to determine whether either of the parties deserves judgment as a matter of law.â Rossignol v. Voorhaar, 316 F.3d 516, 523 (4th Cir. 2003) (internal quotation and citation omitted). 4 II. FACTS AND PROCEDURAL HISTORY Plaintiff Sean Enck was formerly employed as a Senior Telecom Specialist for Verizon, one of the largest telecommunications companies in the United States. In April 2017, while Enck was driving to a Verizon customer for a service call (within the course and scope of his employment), he was involved in an automobile accident in which Morgan Myers, the driver of the other vehicle, was found to be at-fault (the âAccidentâ). Indeed, it is alleged that the driver at fault was under the influence of alcohol at the time of the accident. (See Doc. No. 1 at pp.1- 2). Enck suffered serious and debilitating injuries to his right shoulder and neck as a result of the Accident.2 In October 2019, Enck filed a complaint in Iredell County Superior Court seeking damages resulting from the Accident against Ms. Meyers, Mark S. Graham (the owner of the vehicle which Ms. Meyers was driving), and the bar where it was alleged that Ms. Meyers was drinking immediately prior to the accident in a case captioned Sean Enck v. Blue Parrot at the Grove, LLC; Blue Parrot Grill Inc.; Blue Parrot at Lake Norman, LLC; Peter Gjuraj; Morgan Diane Meyers; and Mark Shannon Graham, 19 CVS 3060 (the âUnderlying Actionâ). (See Doc. No. 1-3). Ultimately, Enck settled his claims resulting from the Accident for the limits of Ms. Meyersâ and Mr. Grahamâs liability insurance policies as well as his dram shop claims against the other defendants. The Underlying Action has been stayed pending resolution of this action and a determination of whether there is UIM coverage available to Plaintiff under Verizonâs 2 Because Mr. Enck was working at the time of the Accident, he was entitled to and received workers compensation benefits from Verizon pursuant to a May 2020 settlement of his workers compensation claim. 5 business auto insurance policy issued by Defendant National Union Fire Insurance Company of Pittsburgh, PAâs (âNational Unionâ or âInsurerâ), Policy Number CA 774-21-38. The Policy was issued to Verizon for the policy period of June 30, 2016, through June 30, 2017, and provided coverage to Verizonâs fleet of more than 20,000 vehicles located in forty-four states, including North Carolina. (See Doc. Nos. 1, 34) In every state where Verizon could reject UIM coverage, it did so. In every state where Verizon was unable to reject UIM coverage outright, it selected the minimum amount of coverage. (See, e.g., Doc. No. 33-1 at p. NUFIC 000220). With regard to coverage in North Carolina, Verizon purported to reject UIM coverage in a document entitled, âNorth Carolina Notice Uninsured and Underinsured Motorists Coverage.â (Doc. No. 33-2 at pp.2-3).3 On or about March 19, 2020, counsel for Enck sent a letter to a third-party claims administrator for Verizon requesting UIM coverage under the Policy. (Doc. No. 33-7). National Union initially denied Plaintiffâs UIM claim in May 2020. Counsel for Enck and the Insurer thereafter exchanged communications related to the claim, which was again denied in February 2022 and April 2022. (See Doc. Nos. 1-5, 1-7, 1-9, 33-9, 33-11). National Union denied Enckâs claim on the grounds that Verizon declined to purchase UIM coverage, which North Carolina did not require (based on N.C. Gen. Stat. § 20-279.21(b)(4), which states that: âNotwithstanding the provisions of this subsection, no policy of motor vehicle liability coverage applicable ⊠solely to fleet vehicles shall be required to provide underinsured motorist coverage.â) See Doc. No. 1- 3 The form notes that if Verizon rejects Uninsured and Underinsured coverage then it âmust complete the Certificate of Exemption and comply with the notice requirements therein.â While National Union has called the Courtâs attention to âan acknowledgement formâ (Doc. No. 33-2 at p. 4), it is unclear if the required âCertificate of Exemptionâ was completed. 6 5. In response, Enckâs counsel argued that because the Policy contained a âDrive Other Carâ endorsement,4 (the âEndorsementâ) the cited âfleetâ exception in the FRA did not apply to the Policy. In further support of Enckâs position, his counsel cited Vincent v. AMCO Ins. Co., 821 Fed. Appx. 220 (4th Cir. 2020) (unpublished). Enckâs counsel concluded that Enck was entitled to UIM coverage of $1 million, the maximum amount allowable under the FRA. (See Doc. No. 33-11). National Union in turn argued that Vincent was not binding because it was unpublished and in any event was wrongly decided. (See Doc. No. 33-12). Therefore, the Insurer maintained its denial of Enckâs claim. On June 2, 2022, Enck filed this action requesting that the Court find that he is entitled to UIM coverage under the Policy. He asserted claims for: (1) declaratory judgment; (2) breach of contract; (3) unfair claims practices; and (4) breach of the covenant of good faith. (See Doc. No. 1). Following discovery, the parties filed cross-motions for summary judgment, each asking the Court to rule as a matter of law on whether the Policy is governed by the FRA (and therefore required the purchase of UIM coverage). Enck seeks partial summary judgment as to liability on its claims and National Union seeks summary judgment on all of Enckâs claims. Also, National Union has filed a Motion to Strike an amicus brief filed in Vincent, which Enck attached as an 4 The Policyâs âDrive Other Carâ endorsement broadens coverage for âALL EXECUTIVES OF THE NAMED INSURED WHO ARE FURNISHED AUTOS BY THE NAMED INSURED AND WHO DO NOT HAVE PERSONAL AUTO INSURANCE.â (See Doc. No. 33-6). In part, it extends the liability coverage of the Policy to any âautoâ that is not owned, hired or borrowed by Verizon (or owned by a covered executive or a family member). The endorsement does not limit the extended coverage to âautosâ used in Verizonâs business (i.e. it applies to non-owned autos used for personal reasons). The only requirement is that the vehicle may not be owned, etc. as described in the endorsement. Id. 7 exhibit to his Memorandum in Opposition to Defendantâs Motion for Summary Judgment. (See Doc. No. 42). The motions are fully briefed and ripe for the Courtâs decision. III. DISCUSSION A. Construction of Insurance Contracts under North Carolina Law The parties agree that North Carolina law governs the interpretation of the Policy and the Court concurs. Plaintiffâs UIM claim involves a North Carolina accident involving a North Carolina insured driving a vehicle leased in North Carolina by Verizon. Thus, the Policy is âon properties, lives, or interestsâ in North Carolina. N.C. Gen. Stat. § 58-3-1; Collins & Aikman Corp. v. Hartford Accident & Indem. Co., 335 N.C. 91, 436 S.E.2d 243, 245 (N.C. 1993); see also Contâl Cas. Co. v. Physicians Weight Loss Ctrs. Of Am., Inc., 61 Fed. Appx. 841 (4th Cir. 2003). In their cross motions for summary judgment each side asks that the Court interpret the Policy as a matter of law to either provide or exclude UIM coverage. âAn insurance policy is a contract and its provisions govern the rights and duties of the parties thereto.â C. D. Spangler Constr. Co. v. Indus. Crankshaft & Eng'g Co., 326 N.C. 133, 142, 388 S.E.2d 557 (1990). Where the relevant facts are not disputed, construing the policy is an issue of law. See Parker v. State Cap. Life Ins. Co., 259 N.C. 115, 117, 130 S.E.2d 36, 38 (1963); Trophy Tracks, Inc. v. Mass. Bay Ins. Co., 195 N.C. App. 734, 739, 673 S.E.2d 787, 790 (2009). Courts apply general contract interpretation rules when interpreting an insurance policy. Accardi v. Hartford Underwriters Ins. Co., 373 N.C. 292, 295, 838 S.E.2d 454 (2020). For example, as in other contracts, the objective of construction of terms in an insurance policy is to arrive at the insurance coverage intended by the parties when the policy was issued. Wachovia Bank & Tr. Co. v. Westchester Fire Ins. Co., 276 N.C. 348, 354, 172 S.E.2d 518 (1970). Also, the various terms of the policy âare to be 8 harmoniously construed, and if possible, every word and every provision is to be given effect.â Woods v. Nationwide Mut. Ins. Co., 295 N.C. 500, 506, 246 S.E.2d 773 (1978); see also Harleysville Mut. Ins. Co. v. Buzz Off Insect Shield, L.L.C., 364 N.C. 1, 9, 692 S.E.2d 605 (2010) (âWe construe all clauses of an insurance policy together, if possible, so as to bring them into harmony.â (citation and internal quotation marks omitted)). If the policy contains a defined term, âthe court applies that meaning unless the context requires otherwise.â Wachovia Bank, 276 N.C. at 354, 172 S.E.2d 518. However, there are also specific rules of interpretation for insurance policies under North Carolina law. See Summit Mgmt. Servs., Inc. v. Falls Lake Fire & Cas. Co., No. 521CV00110KDBDSC, 2022 WL 738666, at *3â4 (W.D.N.C. Mar. 11, 2022). Significantly, âwherever possible, the policy will be interpreted in a manner which gives, but never takes away coverage.â Wash. Hous. Auth. v. N.C. Hous. Auths. Risk Retention Pool, 130 N.C. App. 279, 281, 502 S.E.2d 626 (1998) (citation and internal quotation marks omitted). In construing the coverage afforded by the applicable policy, âprovisions of insurance policies and compulsory insurance statutes which extend coverage must be construed liberally so as to provide coverage, whenever possible by reasonable construction.â State Capital Ins. Co. v. Nationwide Mut. Ins. Co., 318 N.C. 534, 538, 350 S.E.2d 66 (1986), (citing Moore v. Hartford Fire Ins. Co., 270 N.C. 532, 155 S.E.2d 128 (1967)). To give effect to these principles, âany ambiguity or uncertainty as to the words used in the policy should be construed against the insurance company and in favor of the policyholder or beneficiary.â Id. One of our sister district courts in North Carolina recently explained, quoting the Supreme Court of North Carolina: â[w]hen an insurance company, in drafting its policy of 9 insurance, uses a âslipperyâ word to mark out and designate those who are insured by the policy, it is not the function of the court to sprinkle sand upon the ice by strict construction of the term. All who may, by any reasonable construction of the word, be included within the coverage afforded by the policy should be given its protection. If, in the application of this principle of construction, the limits of coverage slide across the slippery area and the company falls into a coverage somewhat more extensive than it contemplated, the fault lies in its own selection of the words by which it chose to be bound.â Owners Ins. Co. v. MM Shivah LLC, et al., No. 5:20-CV-21-D, 2022 WL 668382, at *3 (E.D.N.C. Mar. 4, 2022) (quoting Grant v. Emmco Ins. Co., 295 N.C. 39, 43, 243 S.E.2d 894, 897 (1978)). However, if a court finds that no ambiguity exists, the court must construe the document according to its terms, giving undefined ânontechnical words ... their meaning in ordinary speech, unless the context clearly indicates another meaning was intended.â Woods, 295 N.C. at 506, 246 S.E.2d 773. The scope of coverage should also not be interpreted to give no effect to additional risks specifically included in the policy. See Fulford v. Jenkins, 195 N.C. App. 402, 407, 672 S.E.2d 759 (2009) (interpreting insurance contract to give effect to additional coverage purchased where interpretation of coverage would violate rules of contract interpretation by giving no effect to the additional coverage); Pulte Home Corp. v. Am. S. Ins. Co., 185 N.C. App. 162, 167â68, 647 S.E.2d 614 (2007) (resisting a âcramped readingâ of coverage that would result in coverage in only an extremely narrow set of circumstances and would provide âno genuine insuranceâ as irreconcilable with North Carolina's âpolicy of construing ambiguous insurance policies in favor of the insured and in a manner that provides coverageâ). 10 The insured bears the burden to prove coverage. See Nationwide Mut. Ins. Co. v. McAbee, 268 N.C. 326, 328, 150 S.E.2d 496 (1966); N.C. Farm Bureau Mut. Ins. Co. v. Sadler, 365 N.C. 178, 182, 711 S.E.2d 114, (2011). However, â[i]f the insurer relies on a clause of the policy which excludes coverage, the burden is on the insurer to establish the exclusion.â McAbee, 268 N.C. at 328, 150 S.E.2d at 497. Moreover, exclusions are not favored, and courts strictly construe exclusions against the insurer within the reasonable interpretation of the policy language. See Eatman Leasing, Inc. v. Empire Fire & Marine Ins. Co., 145 N.C. App. 278, 281, 550 S.E.2d 271 (2001). âWhen construing the exclusion provision of a [an insurance] policy [the court is] guided by the rule that provisions which exclude liability of insurance companies are not favored and therefore all ambiguous provisions will be construed against the insurer and in favor of the insured.â State Capital Ins. Co. v. Nationwide Mut. Ins. Co., 318 N.C. 534, 538, 350 S.E.2d 66 (1986) (citing Wachovia Bank, 276 N.C. at 354, 172 S.E.2d 518); see Owners Ins., 2022 WL 668382, at *4. Also, the Policy must be interpreted in conjunction with the FRA, which the Fourth Circuit has summarized as follows (quoting North Carolina caselaw)5: The Act's "avowed purpose . . . is to compensate the innocent victims of financially irresponsible motorists." Liberty Mut. Ins. Co. v. Pennington, 356 N.C. 571, 573 S.E.2d 118, 120 (N.C. 2002) (cleaned up). "The provisions of this statute are deemed to be a part of every automobile insurance policy written in North Carolina and control over contrary provisions contained in such policies." Wood v. Nunnery, 222 N.C. App. 303, 730 S.E.2d 222, 225 (N.C. Ct. App. 2012). Additionally, the Act "is to be liberally construed" because its purpose "is best served when every provision . . . is interpreted to provide the innocent victim with the fullest possible protection." Pennington, 573 S.E.2d at 120. 5 The Court is mindful of Defendantâs repeated arguments that Vincent is an unpublished decision, was wrongly decided and should not be followed. As discussed, infra, the Court acknowledges that Vincent is ânon-binding,â but still finds its analysis and holding to be persuasive. And, in any event, the Vincent courtâs discussion of relevant and established North Carolina law concerning the construction of insurance contracts is instructive. 11 Vincent v AMCO Ins. Co., 821 Fed. Appx. 220, 222-223 (4th Cir. 2020). B. Plaintiffâs Claims for Declaratory Judgment and Breach of Contract The dispositive issue before the Court is whether, as a matter of law, the Policy is subject to the FRA. If it is, then, as acknowledged by National Union, it must provide UIM coverage and Verizonâs declination of UIM coverage is unenforceable. See Doc. No. 41 at 9 (âIf the FRA applies to the Verizon Policy, Verizon could not reject UIM coverage in North Carolinaâ); Doc. No. 40 at 15 (âAfter the 2008 Amendments, a named insured could no longer reject UIM coverage on policies that were subject to the FRA.â). While the parties focus their arguments on whether the Court should follow Vincent, which the Court finds to be non-binding but persuasive, the Courtâs decision ultimately turns on the application of two fundamental and long established canons of statutory construction. First, the Court must give full effect to all the language of the governing statute as written by the legislature. Vincent, 821 F. App'x 220, 225 (4th Cir. 2020) (âWhen interpreting a North Carolina statute, we must âgive every word of the statute effect, presuming that the legislature carefully chose each word usedââ) (quoting N.C. Dep't of Corr. v. N.C. Med. Bd., 363 N.C. 189, 675 S.E.2d 641, 649 (2009)). Second, there is a "general rule of construction that exemptions from remedial statutes are to be construed narrowly." Olsen v. Lake County, Inc., 955 F.3d 203, 206 (4th Cir. 1991); see also Maready v. City of Winston-Salem, 342 N.C. 708,730,467 S.E.2d 615, 629 (1996) (narrowly construing exceptions to the open meetings law); Good Hope Hosp., Inc. v. NC Dep't of Health &Human Servs., 175 N.C. App. 309,313,623 S.E.2d 315, 318, aff'd, 360 N.C. 641, 636 S.E.2d 564 (2006) (North Carolina courts have established a "rule of statutory construction that exemptions must be construed narrowly"). And, as a corollary, it is well-established that insurance contracts 12 must be interpreted in favor of providing coverage and ambiguities decided against the insurer who drafted the Policy. See State Capital Ins. Co. v. Nationwide Mut. Ins. Co., 318 N.C. 534, 538, 350 S.E.2d 66 (1986) (holding as quoted above that insurance policies and compulsory insurance statutes must be construed liberally to provide coverage and any ambiguity or uncertainty as to the words used in the policy should be construed against the insurance company and in favor of the policyholder or beneficiary). Before discussing the relevant statute, the Court will address Vincent, to which the parties have devoted so much of their argument. In Vincent, a furniture business, owned by the Vincent family, purchased an insurance policy that covered seven vehicles and included the same âDrive Other Car Coverage â Broadened Coverage for Named Individualsâ endorsement at issue in this action. The endorsement identified the married owners by name and indicated that they had $1 million in UIM coverage, for which the company paid a premium. Mr. Vincent was injured in a collision while riding his motorcycle and sought UIM coverage under the endorsement, even though the motorcycle was not one of the scheduled vehicles. The insurance company denied coverage, arguing (as the Insurer does here) that that its policy fell within N.C. Gen. Stat. § 20- 279.21(b)(4)âs FRA UIM exemption for policies âapplicable solely to fleet vehicles.â First the District Court and then the Court of Appeals (unanimously) disagreed with the Insurer, finding that the FRA âmandated that the policy cover Mr. Vincentâs injuries, even though the policy's terms don't contemplate coverage.â6 Vincent, 821 F. App'x at 221; Vincent v. Vick, No. 1:17 CV 6 Even though the Vincents paid for UIM coverage, their insurance policy terms didnât provide coverage because an âowned vehicleâ exclusion removed the UIM coverage. In a second part of the Vincent opinion that is not relevant here, the court found that the âowned vehicleâ exclusion could not be enforced against the Vincents because they were named insureds under the policy. 13 762, 2018 WL 3827636 (M.D.N.C. Aug. 10, 2018). More specifically, the Court of Appeals concluded, â[b]ecause the AMCO policy covers both fleet and nonfleet vehicles, it isn't âapplicable solely to fleet vehicles,â and isn't exempt from the Act ⊠AMCO's contrary interpretation would read the word âsolelyâ out of the fleet exemption.â Id. at 224. National Union urges the Court not to follow Vincent because it is unpublished, distinguishable and âdo[es] not actually make sense.â7 See Doc. No. 35 at 22. The Court declines to do so. While unpublished decisions of the Court of Appeals are not âbindingâ on this Court, district courts should follow decisions of their appellate courts when those decisions are directly on point and persuasive. See Harris v. S. Charlotte Pre-Owned Auto Warehouse, LLC, No. 3:14- CV-00307-MOC, 2015 WL 1893839, at *2 (W.D.N.C. Apr. 27, 2015) (âThus, not only has the issue been litigated, there is case law precisely on point. While Clark is not binding on this court because it is unpublished, it is highly persuasive.â). In Vincent, the Court of Appeals addressed not only the same issue â the application of the FRAâs âfleet exemptionâ â but did so in the context of the exact same policy endorsement.8 Vincent, 821 F. App'x at 223 (âWe begin with AMCO's first argument, which requires us to examine the Act and its fleet exemption.â) Further, for the reasons discussed below, the Court believes that the analysis and holding of Vincent is correct. Therefore, 7 With this ruling, five Federal Judges have now, however, determined that Vincent was correctly decided. Nevertheless, National Union will now have an opportunity, should it choose to take it, to directly tell the Fourth Circuit Court of Appeals that Vincent â a unanimous opinion authored by its current Chief Judge â was not merely wrongly decided, but âmakes no sense.â 8 National Unionâs attempts to distinguish Vincent are unpersuasive. Although the policy in Vincent provided UIM coverage, the court squarely addressed the threshold FRA fleet exemption issue without regard to that coverage, which, as noted above, was the subject of the second part of the opinion that is unrelated to the dispute in this case. 14 the Court will follow Vincent not because it is compelled to do so, but because it is persuasive authority on the precise issue before the Court. With all that legal background in mind, now on to the statute. The FRA âis the principal North Carolina statute governing compulsory motor vehicle insurance laws.â Vincent, 821 F. App'x at 223â24 (quoting W. Am. Ins. Co. v. Terra Designs, Inc., No. 5:11-CV-80, 2014 WL 1309110, at *8 (W.D.N.C. Mar. 31, 2014)). It is a remedial statute (with an âavowed purpose ... is to compensate the innocent victims of financially irresponsible motoristsâ) that requires, among other things, that most types of motor vehicle insurance policies provide their policyholders with UIM coverage. See N.C. Gen. Stat. § 20-279.21(b)(4); Liberty Mut. Ins. Co. v. Pennington, 356 N.C. 571, 573 S.E.2d 118, 120 (2002) (cleaned up); Vincent, 821 F. App'x at 223. âEvery provisionâ must be âliberally construedâ to provide âthe fullest possible protection.â Pennington, 356 N.C. at 573-74. In 2008, the Act was amended to include, among other things, the following language: â[N]o policy of motor vehicle liability insurance ... applicable solely to fleet vehicles shall be required to provide underinsured motorist coverage.â N.C. Gen. Stat. Ann. § 20-279.21 (emphasis added). Therefore, "according to the unambiguous language of the statutory provision, a policy 'applicable solely to fleet vehicles' must only insure vehicles that are part of a 'fleet."' Vincent v. Vick, 2018 WL 3827636, at *5 (citing Hlasnickv. Federated Mut. Ins. Co., 353 N.C 240,244, 539 S.E.2d 274, 276-77 (2000) (â[W]here the language of a statute is clear and unambiguous, there is no room for judicial construction and the courts must give it its plain and definite meaning, and are without power to interpolate, or superimpose, provisions and limitations not contained therein.â)). 15 The Policy here is not "applicable solely to fleet vehicles." Contrary to National Unionâs arguments otherwise, Doc. No. 41 at 7, (âthe only vehicles afforded coverage under [the âDrive Other Carâ] endorsement are Verizon-owned vehicles provided by Verizon to its executivesâ), the Endorsement in fact is clearly âapplicableâ to vehicles that are not part of any fleet. See Doc. No. 33-6. Indeed, the very name of the Endorsement â âDrive Other Car Coverageâ signals that it applies beyond the âfleetâ vehicles already covered by the Policy. As a specific example,9 section B.1. of the Endorsement enacts âChanges in Liability Coverageâ to make âany âautoâ [that Verizon] do[esnât] own, hire or borrowâ a âcovered âautoâ for Liability Coverage.â Id. (emphasis added). In other words, the Policy purports to extend coverage to Verizonâs executives10 who are given âcompanyâ cars when they are driving any vehicle at all, so long as the vehicle is not owned by Verizon, etc. Thus, by its terms the Policy, through the Endorsement, covered various individuals while they occupied vehicles that didn't belong to them, weren't listed in the policy, and couldn't be considered âfleet vehicles.â As such, the policy doesnât apply solely to fleet vehicles and the FRA applies to the Policy. See Vincent, 821 F. App'x at 225. Again, Vincent is directly on point: When interpreting a North Carolina statute, we must âgive every word of the statute effect, presuming that the legislature carefully chose each word used.â N.C. Dep't 9 There are other examples. The Endorsement in section C provides that any individual named in the schedule and his or her âfamily membersâ are âinsuredsâ while âoccupyingâ âŠ. any âautoâ [Verizon] do[esnât] own ⊠.â Doc. No. 33-6 (emphasis added). 10 National Union argues that it is somehow relevant to analyzing whether the Policy is subject to the FRA that Enck is not a Verizon executive and that he was driving a vehicle that would be considered a âfleet vehicleâ at the time of his accident. The Court disagrees. The issue is not how or whether Enck would have UIM coverage under the Policyâs current terms, but rather does the Policy â considered without regard to any particular event â apply âsolelyâ to âfleet vehicles.â If it does then the FRA doesnât apply, but if the Policy is applicable to more than just fleet vehicles (which the Policy is) then the Policy is subject to the FRA and must include UIM coverage in accordance with the statute. 16 of Corr. v. N.C. Med. Bd., 363 N.C. 189, 675 S.E.2d 641, 649 (2009). Had the legislature wanted to exempt any policy covering more than four vehicles from the Act's requirements, the exemption would say âapplicable to fleet vehicles,â not âapplicable solely to fleet vehicles.â And to the extent that there is any ambiguity here, we must construe the Act liberally, in favor of coverage. See Pennington, 573 S.E.2d at 120. In sum, the Act's UIM-coverage requirements apply to the [Vincentsâ insurance] policy. Id. (emphasis in original). Having determined that the FRA applies to the Policy then UIM coverage is required and Verizonâs declining of UIM coverage is unenforceable against Enck. Accordingly, partial summary judgment on liability will be entered in Plaintiffâs favor on his first and second claims for relief and in turn denied on Defendantâs cross motion for summary judgment on those claims. C. Plaintiffâs Claims of Unfair Claim Practices and Bad Faith Plaintiffâs third and fourth claims allege that National Union has committed unfair and deceptive trade practices and breached the Policyâs covenant of good faith in denying UIM coverage. The North Carolina Unfair and Deceptive Trade Practices Act âmakes unlawful unfair or deceptive acts or practices in or affecting commerce that proximately injures a plaintiff.â Duke Energy Carolina, LLC v. NTE Carolinas II, LLC, 2022 WL 2293908, at *18 (W.D.N.C. June 24, 2022). For Plaintiff to prevail on its UDTPA claim, it must show that â(1) the defendant committed an unfair or deceptive act or practice; (2) the act or practice in question was in or affecting commerce; and (3) the act or practice proximately caused injury to the plaintiff.â Elsayed v. Family Fare LLC, 2020 WL 4586788 at *14 (M.D.N.C. Aug. 10, 2020). Additionally, âNorth Carolina courts have repeatedly held that âa mere breach of contract, even if intentional, is not sufficiently unfair or deceptive to sustain an action under [the UTPA,] N.C.G.S. § 75-1.1ââ Broussard v. Meineke Disc. Muffler Shops, Inc., 155 F.3d 331, 347 (4th Cir. 1998) (citations omitted). âNorth 17 Carolina law requires a showing of âsubstantial aggravating circumstancesâ to support a claim under the UTPA.ââ Id. (citing Branch Banking & Trust Co. v. Thompson, 107 N.C. App. 53, 61 418 S.E.2d 694, 700 (1992)). Here, while the Court readily concludes that Plaintiff is entitled to UIM coverage under the Policy, the record reflects that National Union consistently (albeit erroneously) argued that the Policy was not subject to the FRA so Verizonâs decision to decline UIM coverage was enforceable. In response to the denial of coverage, Plaintiff (primarily relying on Vincent, which though persuasive is unpublished) disagreed and urged the Insurer to cover his claim. These circumstances do not reflect an unfair trade practice. Rather, the parties have had an ardent dispute about insurance coverage that has ended up in court. Without more, Plaintiff has failed, as a matter of law, to establish evidence of âaggravating circumstancesâ sufficient to support a claim for unfair or deceptive trade practices. See Summit, 2022 U.S. Dist. LEXIS 43738, at *18 (W.D.N.C. 2022) (no UDTPA violation because â[t]he parties here engage in a contractual dispute about coverage under a written insurance policy, no more and no less.â); Superior Performers v. Meaike, 2014 U.S. Dist. LEXIS 158862, *23 (M.D.N.C. 2014)(âNorth Carolina courts differentiate between contract and deceptive trade practice claims, and relate claims regarding the existence of an agreement, the terms contained in an agreement, and the interpretation of an agreement to the arena of contract law.â). Thus, National Union is entitled to summary judgment on Plaintiffâs third claim for relief. Similarly, National Union is entitled to summary judgment on Enckâs claim that the Insurer acted in bad faith and thus breached the Policyâs covenant of good faith. The elements of a claim for breach of the covenant of good faith are: (1) refusal to pay benefits under a policy after 18 recognition of a valid claim; (2) bad faith; and (3) aggravating or outrageous conduct. Lovell v. Nationwide Mut. Ins. Co., 424 S.E.2d 181, 184 (N.C. App. 1993). Again, apart from âintentionallyâ and erroneously denying Enckâs claim for UIM coverage under the Policy, there is no evidence that National Union ârecognizedâ that Enck had a valid claim, acted in bad faith or engaged in aggravating or outrageous conduct. To be sure, the Court has found that National Unionâs analysis of the partiesâ coverage dispute is wrong (and perhaps stubbornly so in light of its counselâs experience as counsel in Vincent); nevertheless, that conclusion, standing alone, is insufficient for Enck to prevail on his claim for breach of the covenant of good faith. See, American Select Ins. Co. v. Natural Blend Vegetables Dehydration, LLC, 2019 U.S. Dist. LEXIS 47546, *12-13 (E.D.N.C. 2019) (dismissing bad faith claim where insured admitted that liability for coverage was in dispute); Williams v. Ohio Natâl Assur. Co., 364 F.Supp.3d 605, 613 (W.D.N.C. 2019) (no bad faith where the refusal to pay a claim was âthe result of a legitimate, honest disagreement as to policy coverageâ). Therefore, the Court will also grant National Unionâs motion for summary judgment on Enckâs fourth claim. D. Defendantâs Motion to Strike Amicus Brief Exhibit Finally, the Court will briefly address Defendantâs Motion to Strike (Doc. No. 42), which will be denied. By this motion, National Union asks the Court to strike Exhibit A to Plaintiffâs Memorandum in Response to Defendantâs Motion for Summary Judgment (Doc. No. 39-1), which is a copy of the Brief of North Carolina Advocates for Justice as Amicus Curiae in Support of Plaintiffs-Appellees that had been previously filed in the United States Court of Appeals for the Fourth Circuit in Vincent. Simply put, the Court finds no grounds to strike the exhibit, which was already a publicly available document. The amicus brief is not filed as a brief in this action, nor 19 has it been considered as such. Rather, it is offered only as an exhibit for the Courtâs convenience in the context of Plaintiffs citation of the Vincent decision, in which the brief was specifically referenced. Accordingly, the Court declines to strike the exhibit. IV. ORDER NOW THEREFORE IT IS ORDERED THAT: 1. Plaintiff's Motion for Partial Summary Judgment (Doc. No. 26) is GRANTED as to his claims for Declaratory Judgment and breach of contract (to the extent described above) and DENIED as to his claims for unfair trade practices and bad faith; 2. Defendantâs Motion for Summary Judgment (Doc. No. 32) is DENIED as to Plaintiff's claims for Declaratory Judgment and breach of contract (to the extent described above) and GRANTED as to Plaintiffs claims for unfair trade practices and bad faith; 3. Defendantâs Motion to Strike an exhibit to Plaintiff's Memorandum in Opposition to Defendantâs Motion for Summary Judgment (Doc. No. 42) is DENIED; and 4. This case shall proceed towards a final resolution on any remaining questions as to damages in the absence of a stipulation as to the proper amount of Plaintiff's insurance claim or a voluntary resolution of the overall dispute by the parties. SO ORDERED ADJUDGED AND DECREED. Signed: August 2, 2023 Kenneth D. Bell ey, United States District Judge il of
Case Information
- Court
- W.D.N.C.
- Decision Date
- August 2, 2023
- Status
- Precedential