FORTUNE INSURANCE COMPANY
v.
GARY EDGAR OWENS, JOHNA R. HART, LOUIS L. GILMORE
On discretionary review pursuant to N.C.G.S. § 7A-31 of a
unanimous decision of the Court of Appeals, 132 N.C. App. 489,
512 S.E.2d 487 (1999), affirming a judgment entered 6 October
1997, as amended 13 October 1997, by Sitton, J., in Superior
Court, Mecklenburg County. Heard in the Supreme Court 12 October
1999.
Kurdys & Lovejoy, P.A., by Jeffrey S. Bolster, for
plaintiff-appellee.
Price, Smith, Hargett, Petho & Anderson, P.A., by
Wm. Benjamin Smith, for defendant-appellants Johna Hart and
Louis Gilmore.
PARKER, Justice.
This action arose out of a motor vehicle accident that
occurred in Mecklenburg County, North Carolina, on 29 January
1990 when a vehicle, owned and operated by Gary Edgar Owens
(Owens) struck a motor vehicle driven by Louis L. Gilmore and
occupied by Johna R. Hart (defendants). That vehicle was owned
by a third party and was not insured. At the time of the
accident, Owens was insured under a policy of insurance issued by
Fortune Insurance Company (Fortune), a Florida corporation. The
policy provided, in pertinent part: CONFORMITY WITH LAW
If any provision of this policy is contrary to any law
to which it is subject, such provision is hereby
amended to conform thereto.
COVERAGE: PERSONAL INJURY PROTECTION
[Fortune] will pay, in accordance with the Florida
Motor Vehicle No Fault Law, as amended, to or for the
benefit of the insured person [enumerated damages]
incurred as a result of bodily injury, caused by an
accident arising out of the ownership, maintenance, or
use of a motor vehicle and sustained by:
1. the named insured or any relative while
occupying a motor vehicle or, while a
pedestrian, through being struck by a motor
vehicle; or
2. any other person while occupying the insured
motor vehicle or, while a pedestrian, through
being struck by the insured motor vehicle.
Both defendants instituted actions against Owens in January
1993, each claiming damages for personal injury. Fortune hired
attorney Rex C. Morgan in Charlotte, North Carolina, to defend
Owens in both actions. Mr. Morgan filed answers on Owens' behalf
despite the fact that he was never able to locate Owens. On
17 July 1995 Mr. Morgan filed a motion to withdraw as counsel of
record wherein he stated that Fortune advised that it had sent a
reservation of rights letter to Mr. Owens and advised that it
took the position that it had no coverage and that Fortune had
instructed that he close his files.
On 21 July 1995 Fortune instituted this declaratory judgment
action requesting the court to declare that Fortune had no
obligation to defend Owens or to pay any judgment entered against
Owens in the actions by defendants. Fortune thereafter amended
its petition for declaratory judgment asserting that Fortune is a
corporation existing under the laws of the State of Florida. In
their answer filed 20 September 1995, defendants asserted thatFortune should be estopped to deny coverage. On 31 July 1997
Fortune moved for summary judgment.
On 20 January 1997 defendants' actions against Owens were
consolidated and tried at a nonjury Civil Session of Superior
Court, Mecklenburg County. In its judgment the trial court
concluded that Owens was liable to both defendants for personal
injuries and ordered Owens to pay each defendant $18,500.
Defendants subsequently filed a motion to amend their answer in
this action to add a counterclaim incorporating the judgment in
the underlying action and asking for costs, treble damages, and
punitive damages. The trial court denied the motion to amend on
24 July 1997.
In October 1997 after a hearing on Fortune's petition for
declaratory judgment, the trial court entered judgment finding
that the Fortune policy was issued to Owens in Florida; that the
address listed for Owens on 27 December 1989 was Destin, Okaloosa
County, Florida; that the only vehicle described in the
application was a 1966 Chevrolet pickup truck with a Florida
identification number; that at the time of the accident, Owens
had a Florida driver's license; and that Owens was operating the
1966 Chevrolet pickup truck with a Florida license plate and a
Florida identification number. The trial court also found that
no evidence was adduced to suggest that Fortune was authorized to
transact business and issue policies in North Carolina. Based on
these and other findings of fact, the trial court concluded that
Florida law does not require the extension of bodily injury
liability coverage to defendants and that the Fortune policy
does not provide bodily injury coverage to defendants since they
are not protected persons under the Personal Injury Protectionsection of the policy. The trial court further concluded that
the North Carolina Motor Vehicle Safety and Financial
Responsibility Act does not apply to the Fortune policy given
the insignificant connection between the Fortune Insurance Policy
and the State of North Carolina. Accordingly, the trial court
determined that Fortune was not obligated to pay the judgments
obtained by defendants against Owens arising out of the motor
vehicle accident.
Defendants appealed to the Court of Appeals, arguing
that the Fortune policy is subject to North Carolina law and,
alternatively, that Fortune was estopped from denying coverage.
On 2 March 1999 the Court of Appeals affirmed the trial court,
holding that the connection between North Carolina and the
interests insured is too slight to allow us to interpret the
Owens Policy in accordance with North Carolina law. Fortune
Ins. Co. v. Owens, 132 N.C. App. 489, 493, 512 S.E.2d 487, 189
(1999). Enforcing the terms of the Fortune policy, the Court of
Appeals held that bodily injury liability coverage did not extend
to defendants. Id. The Court of Appeals also held that Fortune
was not estopped from denying coverage. Id. at 494, 512 S.E.2dat 494. On 24 June 1999 this Court allowed defendants' petition
for discretionary review.
The two issues before this Court are whether the Court
of Appeals correctly concluded (i) that the Fortune insurance
policy was not subject to North Carolina law and did not provide
coverage to defendants and (ii) that Fortune was not estopped
from denying coverage. With respect to the coverage issue,
defendants make three arguments.
Defendants first argue that the Court of Appeals erred
in holding that a significant connection did not exist between
the insured interests and North Carolina to make the policy
subject to North Carolina law. We disagree. As the Court of
Appeals properly noted, the general rule is that an automobile
insurance contract should be interpreted and the rights and
liabilities of the parties thereto determined in accordance with
the laws of the state where the contract was entered even if the
liability of the insured arose out of an accident in North
Carolina. See Roomy v. Allstate Ins. Co., 256 N.C. 318, 322, 123
S.E.2d 817, 820 (1962). With insurance contracts the principle
of lex loci contractus mandates that the substantive law of the
state where the last act to make a binding contract occurred,
usually delivery of the policy, controls the interpretation of
the contract. Id. Construing N.C.G.S. § 58-3-1, this Court
recognized an exception to this general rule where a close
connection exists between this State and the interests insured by
an insurance policy. See Collins & Aikman Corp. v. Hartford
Accident & Indem. Co., 335 N.C. 91, 95, 436 S.E.2d 243, 245-46(1993). However, the mere presence of the insured interests in
this State at the time of an accident does not constitute a
sufficient connection to warrant application of North Carolina
law.
When an action is tried before the trial court without
a jury, the trial court is the fact finder; and on appeal, the
appellate courts are bound by the trial court's findings if
competent evidence in the record supports these findings. See
Williams v. Pilot Life Ins. Co., 288 N.C. 338, 342, 218 S.E.2d
368, 371 (1975). In this case the trial court found, based on
competent evidence, that the policy was issued by Fortune to
Owens in Florida; that the insured vehicle which Owens was
driving at the time of the accident had a Florida identification
number and a Florida license plate; that from 5 March 1976 until
the date of the accident, Owens had a Florida driver's license
issued to him; that according to the record at the North Carolina
Division of Motor Vehicles, Owens never had a North Carolina
driver's license issued to him; and that the only contact between
the Fortune policy and North Carolina is that the automobile
accident on January 29, 1990, occurred in North Carolina and
following the accident Gary Edgar Owens provided the officer with
a temporary North Carolina address. Based on these findings, we
hold that the Court of Appeals did not err in upholding the trial
court's conclusion that no significant connections existed
between the Fortune policy and this State. All of the
significant connections occurred in Florida. The insurance
contract was entered into in Florida, and the parties to thecontract were Florida residents. Thus, the Fortune policy must
be construed in accordance with Florida law.
Defendants next contend that the conformity clause
triggers the application of the North Carolina Motor Vehicle
Safety and Financial Responsibility Act. Again we disagree. The
Act applies only to a motor vehicle liability policy that is
issued, except as otherwise provided in G.S. 20-279.20, by an
insurance carrier duly authorized to transact business in this
State. N.C.G.S. § 20-279.21(a) (1999). The trial court found,
and we agree, that the evidence does not suggest that Fortune was
ever authorized to transact business and issue insurance policies
in North Carolina. The mere fact that the accident happened in
North Carolina does not make the policy subject to North Carolina
law. As the United States Supreme Court has noted,
[a] legislative policy which attempts to draw
to the state of the forum control over the
obligations of contracts elsewhere validly
consummated and to convert them for all
purposes into contracts of the forum
regardless of the relative importance of the
interests of the forum as contrasted with
those created at the place of the contract,
conflicts with the guaranties of the
Fourteenth Amendment.
Hartford Accident & Indem. Co. v. Delta & Pine Land Co., 292 U.S.
143, 150, 78 L. Ed. 1178, 1181-82 (1934).
Defendants' reliance on Cartner v. Nationwide Mut. Fire
Ins. Co., 123 N.C. App. 251, 472 S.E.2d 389 (1996), is misplaced.
In Cartner the Court of Appeals held that a Florida insurance
policy with a family-members exclusion and a conformity clause
provided coverage to the estate of the plaintiff's decedent for
an accident occurring in this state. Cartner is distinguishablein that the conformity clause in that case provided for the
adjustment of coverage limits to comply with the financial
responsibility law of any state or province which requires higher
limits. Id. at 252, 472 S.E.2d at 390. In contrast, the
conformity clause in the policy at issue in the instant case
provided that [i]f any provision of this policy is contrary to
any law to which it is subject, such provision is hereby amended
to conform thereto. Moreover, the defendant insurance company
in Cartner was authorized to and did transact business in North
Carolina. Under the North Carolina Motor Vehicle Safety and
Financial Responsibility Act, the provisions for
uninsured/underinsured motorists coverage are designed to protect
North Carolina drivers from the perils of a collision with an
uninsured motor vehicle. We hold that the conformity provision
does not alter our conclusion that the Fortune policy is not
subject to North Carolina law.
Defendants finally argue that the policy provides
coverage to them and that plaintiff failed to establish a valid
policy exclusion showing no coverage. This argument is not
persuasive. A party seeking benefits under an insurance contract
has the burden of showing coverage. See Hedgecock v. Jefferson
Standard Life Ins. Co., 212 N.C. 638, 639-40, 194 S.E. 86, 86-87
(1937). Until a prima facie case of coverage is shown, the
insurer has no burden to prove a policy exclusion. See id.; see
also Nationwide Mut. Ins. Co. v. McAbee, 268 N.C. 326, 328, 150
S.E.2d 496, 497-98 (1966); U.S. Liab. Ins. Co. v. Bove, 347 So.
2d 678, 680 (Fla. Dist. Ct. App. 1977). In this case the clearand unambiguous language of Fortune's insurance policy affords no
bodily injury coverage to defendants. The Fortune policy
provides bodily injury coverage only for the named insured,
any relative while occupying a motor vehicle, any other person
while occupying the insured motor vehicle, or a pedestrian
. . . struck by the insured motor vehicle. This provision is
consistent with Florida's statutory requirements for a no-fault
insurance policy. See Fla. Stat. Ann. §§ 627.730-627.7405 (West
1996 & Supp. 1999). Defendants were not named insureds, were not
relatives, were not occupying the insured vehicle, and were not
pedestrians. Accordingly, defendants do not fit into any of the
categories of protected individuals; therefore, they are not
covered under the terms of the policy.
Defendants also contend that Fortune was estopped to
deny coverage since Fortune had its counsel withdraw from the
case approximately two years after it instituted action against
Owens. We disagree. Generally, an insurer is not barred from
later denying coverage when it defends its insured with a
reservation of its rights to deny coverage. See Jamestown Mut.
Ins. Co. v. Nationwide Mut. Ins. Co., 266 N.C. 430, 435, 146
S.E.2d 410, 414 (1966). We have applied the equitable estoppel
doctrine to bar an insurer from later denying coverage where the
insurer assumed the defense of the action without a reservation
of rights to deny coverage and later disclaimed coverage after an
adverse judgment was entered. Early v. Farm Bureau Mut. Auto.
Ins. Co., 224 N.C. 172, 174, 29 S.E.2d 558, 559-60 (1944). On appeal to this Court, no reservation of rights
letter is contained in the record. However, Mr. Morgan, in his
motion to withdraw as attorney of record in the underlying
actions on 17 July 1995, stated that Fortune advised that it had
sent a reservation of rights letter to Mr. Owens and advised that
it took the position that it had no coverage. Consistent with
this position, Fortune also filed a declaratory judgment action
on 21 July 1995 seeking a declaration that the policy did not
provide coverage to defendants. Therefore, defendants were fully
aware of Fortune's position regarding coverage eighteen months
before trial of the underlying tort action commenced on
20 January 1997. On these facts we conclude that defendants were
not misled and were not prejudiced at trial by Fortune's
withdrawal of counsel from Owens' defense.
For the foregoing reasons, we affirm the decision of
the Court of Appeals.
AFFIRMED.
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