KELLY D. BOYD and
LILLIAN CALLOWAY,
Administrators of the
Estate of CAROL B. DORN
Plaintiffs,
v. Carteret County
02 CVS 458
NATIONWIDE MUTUAL INSURANCE
COMPANY and BARBARA DARDEN
d/b/a DARDEN INSURANCE AGENCY,
Defendants.
Bowen, Berry, & Powers, LLC, by Woodberry L. Bowen, for
plaintiff-appellants.
Cox and Tillery, P.A., by J. Thomas Cox, Jr., for defendant-
appellees.
BRYANT, Judge.
Administrators for the estate of Carol B. Dorn (plaintiffs)
appeal from a 9 August 2005 judgment granting summary judgment to
Nationwide Mutual Insurance Company and Barbara Darden, d/b/a,
Darden Insurance Agency (defendants).
In the summer of 1998, Nationwide Insurance Company advised
their insureds with property located within 1000 feet of the water
on the North Carolina coast that they would no longer provide
insurance for windstorm and hail damage for those properties and
would not renew existing insurance policies. On 26 August 1998,Nationwide sent a letter to Ms. Dorn giving her notice that her
policy for insurance would be cancelled on 8 October 1998. The
letter gave her notice of cancellation, told her that she did not
meet the insurability standards at Nationwide, advised her to get
coverage through another company, and gave her contact numbers and
addresses if she had any questions about the plan. Ms. Dorn denied
having received this letter. Subsequently, Nationwide sent a form
to be signed by Ms. Dorn and Barbara Darden (her Nationwide agent)
that excluded windstorm or hail coverage on her policy. The
WINDSTORM OR HAIL REJECTION FORM, states:
The undersigned policyholder or applicant
acknowledges and understands that he/she has
rejected coverage for the peril of windstorm
or hail.
This rejection of coverage for these perils
will apply to any renewal, reinstatement,
substitute, amended, altered, modified,
transfer or replacement policy with this
company or with any affiliated company.
This rejection of coverage for these perils is
valid and binding on all insureds and persons
claiming benefits under the
policy/application.
The undersigned also acknowledges that the
property is located in an area eligible for
coverage for the peril of windstorm or hail
from North Carolina Insurance Underwriting
Association. Failure by the undersigned to
apply for or obtain coverage for the peril of
windstorm or hail through the Association does
not alter the rejection of this coverage in
connection with the policy/application.
Ms. Dorn went into Darden's office, spoke to an agent, and signed
the rejection form after reading it. Ms. Dorn thereafter received
an application for wind and hail coverage from the North CarolinaJoint Underwriting Association and she went into Darden's office to
discuss the application. While in the office, she did not sign the
application for wind and hail coverage from the North Carolina
Joint Underwriting Association; however she did sign the WINDSTORM
OR HAIL REJECTION FORM, so that she could continue her homeowners'
policy with Nationwide. Ms. Dorn testified the agent stated Ms.
Dorn could get windstorm and hail coverage elsewhere, but that she
could not have such coverage through Nationwide. The agent did
inform Ms. Dorn that her policy would have a wind deletion.
Following the signing of the rejection form excluding
windstorm and hail coverage, Nationwide sent Ms. Dorn a new
Homeowners's Policy Declaration indicating the changes made to her
policy on 8 October 1998. On the first declarations page after the
change in coverage, it indicated in bold print in the section
labeled The Following Change(s) Have Been Made to Your Policy
that THIS POLICY DOES NOT PROVIDE COVERAGE FOR THE PERILS OF
WINDSTORM OR HAIL. Thereafter, Nationwide sent Ms. Dorn two other
declaration pages on 25 May 1999 and 29 June 1999 indicating the
same windstorm and hail exclusion.
In May of 1999 Ms. Dorn took out a second mortgage on her home
with Citifinancial. An agent of Citifinancial, Kay Daughtry, said
she contacted Darden Insurance Agency and was told by the
receptionist, Glendya White, that the property was fully insured
with no exclusions. This contention is denied by Darden who
asserts they never make such blanket statements and further asserts
there is no insurance policy in existence which provides coveragewithout any exclusions. As to this contact the record reflects
that Citifinancial was immediately faxed a Memorandum of Insurance
from Darden that indicates the existence of an insurance policy on
Ms. Dorn's property and which contains the disclaimer: A formal
Declarations page superseding this Memorandum will be mailed which
will provide complete updated coverages and premium details. The
only specific reference in the memorandum to wind and hail coverage
is in the wind and hail deductible portion which indicates N/A
for not applicable. The memorandum did not list any exclusion or
describe any specific types of coverage that pertained to Ms.
Dorn's policy. However, according to defendants, the full
declarations pages were sent to Citifinancial and did list the
Windstorm Exclusion. Ms. Dorn testified that she never saw the fax
that went to Citifinancial.
Ms. Dorn sent a check to Nationwide in early September 1999,
a week before Hurricane Floyd hit, in order to obtain flood
insurance. On 15 September 1999 a windstorm associated with
Hurricane Floyd destroyed Ms. Dorn's house. Nationwide received
the loss notice from Ms. Dorn, assigned an adjuster to review the
damage, confirmed that it was caused by a windstorm and advised Ms.
Dorn the loss was not covered under the insurance policy. Ms.
Dorn's loss was determined not to be covered because the
application for flood insurance was sent after the check and
coverage cannot be requested within thirty days of an insurable
event. Ms. Dorn commenced this action on 15 April 2002 for breach of
contract, negligence, negligent misrepresentation, constructive
fraud, breach of fiduciary duty and unfair and deceptive trade
practices, as a result of the denial of coverage for windstorm
damage. The complaint was later amended to include claims for bad
faith and contract reformation. On 27 July 2005, following the
death of Ms. Dorn, the personal representatives of Ms. Dorn's
estate filed an Order to Substitute Parties in the action. On 9
August 2005, defendants were granted summary judgment on the
grounds that coverage for windstorm and hail were excluded from Ms.
Dorn's policy in October 1998. From this order, plaintiffs appeal.
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