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ANGELA DAWES, Administratrix of the Estate of EFFIE HENDRICKS
v.
NASH COUNTY and NASH COUNTY EMERGENCY MEDICAL SERVICES, a
Division of Nash County
Appeal pursuant to N.C.G.S. § 7A-30(2) from the
decision of a divided panel of the Court of Appeals, 148 N.C.
App. 641, 559 S.E.2d 254 (2002), affirming an order signed
2 November 2000 by Judge Quentin T. Sumner in Superior Court,
Nash County. Heard in the Supreme Court 14 October 2002.
Duffus & Melvin, P.A., by R. Bailey Melvin, for
plaintiff-appellant.
Womble Carlyle Sandridge & Rice, PLLC, by Burley B.
Mitchell, Jr., and Mark A. Davis, for defendant-
appellees.
ORR, Justice.
This case arises out of a negligence claim against
emergency medical technicians (EMTs) employed by defendant Nash
County. Plaintiff contends that Nash County has waived the
defense of sovereign immunity by purchasing an insurance policy
pursuant to N.C.G.S. § 153A-435. Defendant Nash County argues
that the proper interpretation of the policy does not provide
insurance coverage for the county under the facts of this case
and that sovereign immunity mandated summary judgment for the
County. The trial court and a majority of the Court of Appeals
agreed with defendant's position. For the reasons set forthbelow, we do not agree, and we therefore reverse the Court of
Appeals.
On 5 September 1998, Nash County Emergency Medical
Services (Nash County EMS) responded to a call for assistance
concerning plaintiff's aunt, Effie Hendricks. Ms. Hendricks
collapsed while attending her brother's funeral, was helped to a
bed within the church, and was sitting up when EMTs arrived on
the scene. Shortly after the EMTs began attending to
Ms. Hendricks, she slumped over and stopped breathing. The EMTs
tried several times to intubate Ms. Hendricks in order to give
her oxygen, but they were unsuccessful. Upon arrival at the Nash
County General Hospital emergency room, the attending physician
was able to intubate Ms. Hendricks. She was diagnosed with
severe anoxic encephalopathy
(See footnote 1)
, more commonly referred to as a
lack of oxygen to the brain. Ms. Hendricks remained in a coma in
the hospital for the week following her collapse and died on
12 September 1998.
On 19 July 2000, plaintiff Angela Dawes, as
administratrix for the estate of Effie Hendricks, filed a
wrongful death action against Nash County EMS. She subsequently
filed an amended complaint naming Nash County and Nash County
EMS, a division of Nash County, as defendants. In her amended complaint plaintiff alleged that defendants were negligent in the
following respects:
(a) The paramedics who arrived on the
scene failed to supply Ms. Hendricks with
supplemental oxygen between 3:34 p.m. and
3:48 p.m.
(b) The Valium, which was given to
Ms. Hendricks, was given in too small of a
dose to have the desired effect of helping
the paramedics intubate Ms. Hendricks.
(c) The paramedics made repeated
attempts at intubation which greatly delayed
Ms. Hendricks' arrival at Nash General
Hospital.
(d) Defendant's employees who cared for
and treated Ms. Hendricks failed to exercise
reasonable and ordinary care and diligence in
the use of their skill and the application of
their knowledge to Ms. Hendricks' case.
(e) Defendant's employees who cared for
and treated Ms. Hendricks failed to exercise
their best judgment in the treatment and care
of Ms. Hendricks.
(f) Defendant's employees who cared for
and treated Ms. Hendricks failed to possess
the required degree of learning, skill and
ability necessary to the practice of their
profession which others similarly situated
normally possess.
(g) Defendant was negligent in such
other respects as may be shown at trial.
Defendant Nash County EMS subsequently filed a motion
for judgment on the pleadings pursuant to Rule 12(c) of the North
Carolina Rules of Civil Procedure. Defendants Nash County and
Nash County EMS also filed a motion for summary judgment pursuant
to Rule 56 of the North Carolina Rules of Civil Procedure.
In an order signed 2 November 2000, the trial court
granted the motion for judgment on the pleadings in favor of NashCounty EMS and the motion for summary judgment based on sovereign
immunity in favor of Nash County and Nash County EMS. Plaintiff
appealed to the Court of Appeals, which affirmed the trial
court's grant of summary judgment based on the affirmative
defense of sovereign immunity for Nash County. Plaintiff
presented no argument in its brief to the Court of Appeals as to
the trial court's grant of judgment on the pleadings and summary
judgment for Nash County EMS. Thus, the only issue before the
Court of Appeals, and now before this Court, is whether Nash
County is entitled to summary judgment based on sovereign
immunity.
Summary judgment is appropriate when the pleadings,
depositions, answers to interrogatories, and admissions on file,
together with the affidavits, if any, show that there is no
genuine issue as to any material fact and that any party is
entitled to a judgment as a matter of law. N.C. R. Civ. P.
56(c). The movant has the burden of proof. Roumillat v.
Simplistic Enters., 331 N.C. 57, 63, 414 S.E.2d 339, 342 (1992);
Pembee Mfg. Corp. v. Cape Fear Constr. Co., 313 N.C. 488, 491,
329 S.E.2d 350, 353 (1985); Caldwell v. Deese, 288 N.C. 375, 378,
218 S.E.2d 379, 381 (1975). The showing required for summary
judgment may be accomplished by proving an essential element of
the opposing party's claim does not exist, cannot be proven at
trial, or would be barred by an affirmative defense. Dobson v.
Harris, 352 N.C. 77, 83, 530 S.E.2d 829, 835 (2000). In this
case, the trial court ruled that summary judgment was appropriate
because defendant properly asserted the affirmative defense ofsovereign immunity to bar plaintiff's claim, and the Court of
Appeals affirmed that ruling.
Sovereign immunity stands for the proposition that the
the State cannot be sued except with its consent or upon its
waiver of immunity. Paul L. Whitfield, P.A. v. Gilchrist, 348
N.C. 39, 42, 497 S.E.2d 412, 414 (1998); see also Guthrie v. N.C.
State Ports Auth., 307 N.C. 522, 534, 299 S.E.2d 618, 625 (1983).
The counties are recognizable units that collectively make up
our state, and are thus entitled to sovereign immunity under
North Carolina law, Archer v. Rockingham Cty., 144 N.C. App.
550, 553, 548 S.E.2d 788, 790 (2001), disc. rev. denied, 355 N.C.
210, 559 S.E.2d 796 (2002), unless the county waives immunity or
otherwise consents to be sued.
N.C.G.S. § 153A-435 provides that such a waiver is
manifested by the purchase of liability insurance. N.C.G.S. §
153A-435 provides in pertinent part:
(a) A county may contract to insure
itself and any of its officers, agents, or
employees against liability for wrongful
death or negligent or intentional damage to
person or property or against absolute
liability for damage to person or property
caused by an act or omission of the county or
of any of its officers, agents, or employees
when acting within the scope of their
authority and the course of their employment.
The board of commissioners shall determine
what liabilities and what officers, agents,
and employees shall be covered by any
insurance purchased pursuant to this
subsection.
Purchase of insurance pursuant to this
subsection waives the county's governmental
immunity, to the extent of insurance
coverage, for any act or omission occurring
in the exercise of a governmental
function....
(b) If a county has waived its
governmental immunity pursuant to subsection
(a) of this section, any person, or if he
dies, his personal representative, sustaining
damages as a result of an act or omission of
the county or any of its officers, agents, or
employees, occurring in the exercise of a
governmental function, may sue the county for
recovery of damages. To the extent of the
coverage of insurance purchased pursuant to
subsection (a) of this section, governmental
immunity may not be a defense to the action.
N.C.G.S. § 153A-435 (2001) (emphasis added). A county may,
however, waive such immunity through the purchase of liability
insurance. Doe v. Jenkins, 144 N.C. App. 131, 134, 547 S.E.2d
124, 126 (2001), disc. rev. dismissed as moot, 355 N.C. 284, 560
S.E.2d 798, and disc. rev. denied, 355 N.C. 284, 560 S.E.2d 799
(2002). However, [i]mmunity is waived only to the extent that
the [county] is indemnified by the insurance contract from
liability for the acts alleged. Combs v. Town of Belhaven, 106
N.C. App. 71, 73, 415 S.E.2d 91, 92 (1992), quoted in Doe, 144
N.C. App. at 134, 547 S.E.2d at 126.
In this case, it is uncontested that Nash County
purchased a comprehensive insurance policy covering the time
period in which the alleged acts of negligence took place. This
policy included a separate section covering general liability
that provides specifically in part the following:
A. Coverage Agreement
The Fund agrees, subject to the
limitations, terms, and conditions
hereunder mentioned:
1. to pay on behalf of the Participant
all sums which the Participant
shall be obligated to pay by reason
of the liability imposed upon the
Participant by law or assumed by
the Participant under contract or
agreement for damages on account of
Personal Injuries, including death
at any time resulting therefrom,
suffered or alleged to have been
suffered by any person or persons
(excepting employees of the
Participant injured in the course
of their employment)[.]
Subsection H of section II defines the Covered
Persons under the policy:
1. the Participant - the covered political
subdivision named in the Contract
Declarations[;]
2. any elected or appointed official of the
Participant while acting within the
scope of his authority, or apparent
authority, expressed or implied, but
only with respect to his liability while
acting within the scope of his
authority;
3. any employees of the Participant while
acting within the scope of their duties,
as such; and
4. any person or organization while acting
as agent for the Participant, within the
scope of his duties.
Further, the policy contained certain enumerated
exclusions in subsection E of section II, titled Exclusions
Applicable to General Liability. Defendant contends that the
exclusion in paragraph 18 of subsection E, titled Hospital and
Health Clinic Professional Liability, removes the alleged
negligent acts of the EMTs in question from coverage under the
general liability section, and thus, sovereign immunity is notwaived by virtue of the county's insurance policy. That
exclusion provides as follows.
18. Hospital and Health Clinic Professional
Liability
To Personal Injury to any person arising out
of the rendering of or failure to render any
of the following professional services:
a. medical, surgical, dental, or
nursing treatment to such person or
the person inflicting the injury
including the furnishing of food or
beverages in connection therewith;
or
b. furnishing or dispensing of drugs
or medical, dental, or surgical
supplies or appliances; or
c. handling of or performing post-
mortem examinations on human
bodies; or
d. service by any person as a member
of a formal accreditation or
similar professional board or
committee participant, or as a
person charged with the duty of
executing directives of any such
board or committee.
** However, this exclusion shall not
apply to liability of county employed or
county volunteer Emergency Medical
Technicians.
Plaintiff contends that the proviso at the bottom of
subsection E, paragraph 18, removes EMTs from the exclusions and
thus subjects Nash County to liability based upon its waiver of
sovereign immunity. Defendant counters this argument by
contending that this proviso applies to EMTs working in their
individual capacity and not their official capacity and that
sovereign immunity was therefore not waived. Defendant argues that the exclusions were written
broadly and that the proviso was written narrowly. Therefore,
defendant contends the policy's intent was to insure[] emergency
medical technicians employed by Nash County for claims against
them in their individual capacities alleging negligence in the
performance of emergency ambulance services (to which sovereign
immunity does not apply) without separately insuring Nash County
for claims directly against it (since the County is protected
from such claims by sovereign immunity). Defendant further
argues that had the intent of the policy been to provide coverage
for EMTs, then the proviso would have been written as follows:
However, this exclusion shall not apply to any liability arising
out of or in connection with the acts or omissions of county
employed Emergency Medical Technicians. Defendant reasoned, and
the Court of Appeals agreed, that the single use of the word
liability in the proviso must refer only to the personal
liability of EMTs, not to official liability, because [s]uits
against governmental employees in their official capacity do not
lead to 'liability' against the individual governmental
employee. Dawes v. Nash Cty., 148 N.C. App. 641, 648 n.1, 559
S.E.2d 254, 259 n.1 (2002).
Our courts have long followed the traditional rules of
contract construction when interpreting insurance policies. See
Woods v. Nationwide Mut. Ins. Co., 295 N.C. 500, 505, 246 S.E.2d
773, 777 (1978); McDowell Motor Co. v. New York Underwriters Ins.
Co., 233 N.C. 251, 253, 63 S.E.2d 538, 540 (1951). As our Court
explained in Woods, [t]he various terms of the policy are to be
harmoniously construed, and if possible,
every word and every provision is to be given
effect. If, however, the meaning of words or
the effect of provisions is uncertain or
capable of several reasonable
interpretations, the doubts will be resolved
against the insurance company and in favor of
the policyholder. Whereas, if the meaning of
the policy is clear and only one reasonable
interpretation exists, the courts must
enforce the contract as written; they may
not, under the guise of construing an
ambiguous term, rewrite the contract or
impose liabilities on the parties not
bargained for and found therein.
295 N.C. at 506, 246 S.E.2d at 777.
The fallacy in defendant's argument, though innovative
and persuasive, is contained in the specific terms of the policy
setting forth the coverage agreement. Defendant Nash County
contracted with North Carolina Counties Liability and Property
Insurance Pool Fund (the Fund) to create the policy at issue.
Nash County is the Participant or the party insured as stated
on the declarations page. As we stated earlier, the policy
specifically provides: The Fund agrees . . . to pay on behalf
of the Participant all sums which the Participant shall be
obligated to pay by reason of the liability imposed upon the
Participant . . . under contract or agreement for damages on
account of Personal Injuries, including death at any time
resulting therefrom, suffered or alleged to have been suffered by
any person or persons . . . including but not limited to, . . .
Incidental Malpractice . . . . (Emphasis added.) In
subsection K of section II, incidental malpractice is defined
as emergency professional medical services rendered or which
should have been rendered to any person or persons . . . by . . .Technicians employed by or acting on behalf of the Participant.
(Emphasis added.) Technician is defined in the policy as a
certified first responder, certified emergency medical
technician, certified intravenous technician, certified
paramedic, or ambulance driver.
Where a policy defines a term, that definition is to
be used. Woods, 295 N.C. at 505-06, 246 S.E.2d at 777. Thus,
the above portions of the policy plainly provide that the Fund
will pay on behalf of the Participant damages incurred as the
result of actions taken by the County's EMTs whether employed or
voluntary. This coverage provision is consistent with the plain
language of the proviso.
The exclusions in paragraph 18 shall not apply to
liability of county employed or county volunteer Emergency
Medical Technicians. (Emphasis added.) Nothing in the coverage
provision of the policy provides coverage for EMTs in their
individual capacity. Coverage for liability to be paid by the
Fund is available only when it is imposed against the participant
(defendant Nash County) or selected covered persons (as defined
in subsection H of section II) acting in an official capacity.
In order for defendant's argument to prevail, the policy in
question would need to provide coverage for, and agree for the
Fund to pay for, liability incurred by EMTs in their individual
capacities. Nothing in the coverage agreement provides for any
other entity or personnel to be insured or covered other than the
participant county and those county officials and employees named
in section II, subsection H, titled Covered Persons. Theargument by defendant interpreting the proviso at the bottom of
section II, subsection E, paragraph 18 to cover EMTs in an
individual capacity simply is not supported by the plain language
of the policy. The insurer (the Fund) has in no way obligated
itself to cover and pay for acts by individuals not a party to
the insurance contract and for whose acts the participant is not
responsible except in their official capacities.
As we have concluded that the insurance policy in
question does provide coverage for defendant County for the acts
of its EMTs, the County's defense of sovereign immunity cannot
prevail. Therefore, we reverse the decision of the Court of
Appeals, which affirmed the trial court's grant of summary
judgment for the County, and we remand this case to that court
for further remand to the Superior Court, Nash County, for
proceedings not inconsistent with this opinion.
REVERSED AND REMANDED.
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