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Insurance--UIM--motion to compel arbitration--timeliness
A de novo review revealed that the trial court erred by concluding that plaintiff's motion
to compel arbitration to resolve an underinsured motorist (UIM) coverage dispute under the
terms of the pertinent insurance policy was time-barred, because: (1) the general rule guiding
courts in the construction of insurance policies is that all doubt or uncertainty as to the meaning
of the contract shall be resolved in favor of the insured, and further, public policy requires that
the courts resolve any doubts concerning the scope of arbitrable issues in favor of arbitration; (2)
in light of the UIM statute and the UIM provision in the policy, a reasonable insured would likely
believe that the three-year time limit referenced in the policy begins to run when the right to
demand arbitration arises, which occurs when the applicable liability policies have been
exhausted and a dispute concerning UIM coverage has arisen; and (3) in the present case,
plaintiff's right to demand arbitration of her UIM claim could not have arisen prior to 8 August
2001 when defendant's insurance company tendered the full limits of its policy, and thus,
plaintiff's 24 September 2001 demand for arbitration fell within the three-year time limit
referenced in the policy.
On discretionary review pursuant to N.C.G.S. § 7A-31 of
a unanimous decision of the Court of Appeals, 160 N.C. App. 657,
587 S.E.2d 95 (2003), reversing an order filed by Judge Benjamin
G. Alford on 5 August 2002 in Superior Court, Craven County, and
remanding for an order compelling arbitration. Heard in the
Supreme Court 16 March 2004.
Harris, Creech, Ward and Blackerby, P.A., by Charles E.
Simpson, Jr. and Joseph E. Elder, for unnamed
defendant-appellant North Carolina Farm Bureau Mutual
Insurance Company.
Duffus & Associates, P.A., by J. David Duffus, Jr., for
plaintiff-appellee.
MARTIN, Justice.
On 30 June 1998, at approximately 6:15 p.m., plaintiff
Melissa Register was injured in an automobile accident. At the
time of the accident, plaintiff was riding as a passenger in a
vehicle driven by defendant Steve Allen White.
The automobile driven by defendant was owned by Jimmy
White (Mr. White). Mr. White held a $50,000.00 liabilityinsurance policy provided by State Farm Insurance Company (State
Farm). Plaintiff's father, Terry Register, Sr. (Mr. Register),
owned a policy of insurance issued by unnamed defendant North
Carolina Farm Bureau Mutual Insurance Company (Farm Bureau). The
Farm Bureau policy (the policy) provided underinsured motorist
(UIM) coverage in the amount of $100,000.00 per person,
$300,000.00 per accident, for bodily injury claims.
On 28 July 2000, plaintiff filed a complaint against
defendant White in Craven County Superior Court, alleging that
she suffered various spinal injuries as a result of the accident.
On 5 September 2000, Farm Bureau filed a request for monetary
relief sought, to which plaintiff responded that she was seeking
$400,000.00 in damages for her personal injuries. On or about 20
September 2000, Farm Bureau filed an answer generally denying the
liability and damage allegations in plaintiff's complaint and
reserving its right to defend the case in its name or in the name
of defendant.
On 3 November 2000, the trial court ordered a mediated
settlement conference, which resulted in an impasse on 27
February 2001. The case was subsequently calendered for trial
the week of 13 August 2001. Mr. White's liability carrier, State
Farm, tendered its liability limits of $50,000.00 on 8 August
2001.
In a letter to Farm Bureau dated 24 September 2001,
plaintiff demanded arbitration pursuant to the UIM provision in
Mr. Register's insurance policy. Farm Bureau acknowledged
receipt of plaintiff's arbitration demand in a letter dated 2
October 2001, asking plaintiff's attorney, [h]ow do you want to
do it? Approximately two weeks later, on 15 October 2001, FarmBureau stated in a letter to plaintiff that it was tak[ing] the
position that the demand for arbitration is now time barred, and
arbitration is no longer an alternative dispute resolution
mechanism available.
Plaintiff filed a complaint on 24 January 2002, seeking
a declaration obligating Farm Bureau to arbitrate the matter.
Farm Bureau filed an answer on 2 April 2002. On 24 May 2002,
with the declaratory judgment action still pending, plaintiff
filed a motion to compel arbitration. Farm Bureau filed a
response on 31 May 2002. Plaintiff voluntarily dismissed the
declaratory judgment action without prejudice on 10 June 2002.
The trial court filed an order denying plaintiff's
motion to compel on 5 August 2002. In its order, the trial court
stated that, by the terms of the policy, plaintiff could demand
arbitration only within the time limit allowed for bodily injury
or death actions in the State where the accident occurred. The
trial court found that the accident occurred on 30 June 1998 and
that plaintiff demanded arbitration on 24 September 2001. Thus,
the trial court concluded, plaintiff's motion to compel
arbitration was time-barred. Plaintiff appealed.
On appeal, the Court of Appeals reversed and remanded
with instructions to enter an order compelling arbitration.
Register v. White, 160 N.C. App. 657, 587 S.E.2d 95 (2003). On
15 December 2003, we allowed Farm Bureau's petition for
discretionary review.
The sole issue before this Court is whether, under the
terms of the policy, plaintiff's contractual right to demand
arbitration became time-barred over one month before it accrued.
Questions concerning the meaning of contractual provisions in aninsurance policy are reviewed de novo on appeal. See Humphries
v. City of Jacksonville, 300 N.C. 186, 187, 265 S.E.2d 189, 190
(1980); Parker v. State Capital Life Ins. Co., 259 N.C. 115, 117,
130 S.E.2d 36, 38 (1963).
In a section titled ARBITRATION, Part C2 of the
policy provides an insured with a contractual right to demand
arbitration under specified circumstances. The arbitration
provision states, in pertinent part:
If we and an insured do not agree:
1. Whether that insured is legally
entitled to recover compensatory
damages from the owner or driver of
an . . . underinsured motor
vehicle; or
2. As to the amount of such damages;
the insured may demand to settle the dispute
by arbitration.
The following procedures will be used:
. . . .
5. Any arbitration action against the
company must begin within the time
limit allowed for bodily injury or
death actions in the state where
the accident occurred.
According to Farm Bureau, the arbitration provision's
time limit allowed for bodily injury or death actions
incorporates by reference North Carolina's statute of limitations
for bodily injury actions, N.C.G.S. § 1-52(16). N.C.G.S. § 1-
52(16) imposes a three-year statutory limitations period on
bodily injury actions, and further provides that the cause of
action . . . shall not accrue until bodily harm to the claimant
or physical damage to his property becomes apparent or ought
reasonably to have become apparent to the claimant, whichever
event first occurs. N.C.G.S. § 1-52(16) (2003). In the instant
case, Farm Bureau contends that the bodily harm to plaintiff
became apparent on the date of the accident, 30 June 1998. Thus,Farm Bureau argues, the three-year limitations period commenced
on that date, and plaintiff's 24 September 2001 demand for
arbitration was contractually time-barred.
The Court of Appeals agreed that a three-year
limitations period applied to plaintiff's right to demand
arbitration, but concluded that the limitations period had not
expired at the time plaintiff made such a demand. Register, 160
N.C. App. at 661-62, 587 S.E.2d at 97-98. The court stated that
because plaintiff had no right to seek UIM coverage before 8
August 2001, her right to demand arbitration to resolve a UIM
dispute could not expire before that date. Id. at 662, 587
S.E.2d at 98. Thus, the Court of Appeals reasoned, the
arbitration provision was ambiguous as to when the time limit
for plaintiff's contractual right to demand arbitration began to
run. Id. The Court of Appeals concluded that the arbitration
time limit provided a three-year limitations period that began
on the date plaintiff acquired a contractual right to demand
arbitration _- in this case, 8 August 2001. Id. Accordingly,
the Court of Appeals held that plaintiff's 24 September 2001
demand for arbitration was within the contractual time limit.
Id.
Before this Court, Farm Bureau contends the arbitration
provision in the policy is plain and unambiguous as to when the
three-year time limit begins to run, and the Court of Appeals
erred in construing it other than according to its plain meaning.
We disagree.
The primary goal in interpreting an insurance policy is
to discern the intent of the parties at the time the policy was
issued. See Woods v. Nationwide Mut. Ins. Co., 295 N.C. 500,505, 246 S.E.2d 773, 777 (1978); Jamestown Mut. Ins. Co. v.
Nationwide Mut. Ins. Co., 266 N.C. 430, 438, 146 S.E.2d 410, 416
(1966). If the terms of the policy are 'plain, unambiguous, and
susceptible of only one reasonable construction, the courts will
enforce the contract according to its terms.' Klein v. Avemco
Ins. Co., 289 N.C. 63, 66, 220 S.E.2d 595, 597 (1975) (quoting
Walsh v. United Ins. Co., 265 N.C. 634, 639, 144 S.E.2d 817, 820
(1965)). '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.' C.D.
Spangler Constr. Co. v. Indus. Crankshaft & Eng'g Co., 326 N.C.
133, 142, 388 S.E.2d 557, 563 (1990) (quoting Woods, 295 N.C. at
506, 246 S.E.2d at 777).
An ambiguity exists in a contract when either the
meaning of words or the effect of provisions is uncertain or
capable of several reasonable interpretations. See Woods, 295
N.C. at 506, 246 S.E.2d at 777; see also Dawes v. Nash Cty., 357
N.C. 442, 448-49, 584 S.E.2d 760, 764 (2003); Gaston Cty. Dyeing
Mach. Co. v. Northfield Ins. Co., 351 N.C. 293, 299-300, 524
S.E.2d 558, 563 (2000); Lanning v. Allstate Ins. Co., 332 N.C.
309, 317, 420 S.E.2d 180, 185 (1992); C.D. Spangler, 326 N.C. at
142, 388 S.E.2d at 563; Silvers v. Horace Mann Ins. Co., 324 N.C.
289, 295, 378 S.E.2d 21, 25 (1989). An ambiguity can exist when,
even though the words themselves appear clear, the specific facts
of the case create more than one reasonable interpretation of the
contractual provisions. See Pleasant v. Motors Ins. Co., 280
N.C. 100, 102, 185 S.E.2d 164, 166 (1971); Miller v. Green, 183
N.C. 652, 654, 112 S.E. 417, 418 (1922). In interpreting thelanguage of an insurance policy, courts must examine the policy
from the point of view of a reasonable insured. Grant v. Emmco
Ins. Co., 295 N.C. 39, 43, 243 S.E.2d 894, 897 (1978). Where
the immediate context in which words are used is not clearly
indicative of the meaning intended, resort may be had to other
portions of the policy and all clauses of it are to be construed,
if possible, so as to bring them into harmony. Wachovia Bank &
Tr. Co. v. Westchester Fire Ins. Co., 276 N.C. 348, 355, 172
S.E.2d 518, 522 (1970).
In the instant case, we cannot conclude that a
reasonable person in plaintiff's position would understand the
contractual phrase the time limit allowed for bodily injury or
death actions in the state where the accident occurred to be
plain and unambiguous when applied to the facts at hand. The
arbitration provision lists the applicable time limit among the
procedures [to] be used when insurer and insured do not agree
as to the existence or extent of liability on the part of the
underinsured motorist. Similarly, the Uniform Arbitration Act
(UAA), which was in effect at the time the parties entered into
this contract, provides that two or more parties may include in
a written contract a provision for the settlement by arbitration
of any controversy thereafter arising between them relating to
such contract. N.C.G.S. § 1-567.2 (Supp. 1998) (repealed 2003)
(emphasis added). Although the controversy need not be
justiciable in order to be arbitrable, id., both the policy and
the UAA presuppose the existence of some disagreement or
controversy to serve as the subject of arbitration. On Farm
Bureau's interpretation, however, the three-year time limit
would run against an insured from the moment his or her injurybecame apparent, whether or not a disagree[ment] then existed
or the insured had any reason to anticipate a future
controversy with his or her UIM insurer. This construction is
difficult to square with the contractual language describing the
time limit as a procedure to be followed if [the UIM insurer]
and an insured do not agree about a third-party underinsured
motorist's liability to the insured.
Moreover, the arbitration provision's oblique reference
to the time limit for bodily injury actions in the state where
the accident occurred does not necessarily compel incorporation
of the accrual provision of N.C.G.S. § 1-52(16). We agree that
this contractual language incorporates by reference the
applicable limitations period for personal injury actions --
here, the three-year limitations period of N.C.G.S. § 1-52. It
is far from clear, however, that the parties also intended to
import the accrual scheme of N.C.G.S. § 1-52(16), which provides
that the statutory limitations period for personal injury actions
begins to run when the bodily injury becomes apparent or ought
reasonably to have become apparent to the claimant. N.C.G.S. §
1-52(16). On its face, the arbitration provision is silent as to
when the contractual time limit begins to run. Thus, the
arbitration provision is ambiguous not as to the duration of the
applicable time limit, but as to when that time limit begins
to run. An ambiguity exists because the arbitration provision is
reasonably susceptible of at least two different constructions:
(1) that the three-year time limit begins to run at the time
the bodily injury becomes or should become apparent to the
injured insured, or (2) that the three-year time limit begins
to run at the time the right to demand arbitration arises. The application of any statutory or contractual time
limit requires an initial determination of when that limitations
period begins to run. A cause of action generally accrues when
'the right to institute and maintain a suit arises.' Ocean Hill
Joint Venture v. N.C. Dep't of Env't, Health & Natural Res., 333
N.C. 318, 323, 426 S.E.2d 274, 277 (1993) (quoting Thurston Motor
Lines, Inc. v. General Motors Corp., 258 N.C. 323, 325, 128
S.E.2d 413, 415 (1962)). Thus, a statutory limitations period on
a cause of action necessarily cannot begin to run before a party
acquires a right to maintain a lawsuit. See Raftery v. Wm. C.
Vick Constr. Co., 291 N.C. 180, 186-87, 230 S.E.2d 405, 408
(1976) (until there is a legal right to maintain the underlying
action, the statute of limitations cannot run).
In the instant case, plaintiff's right of action in
tort against defendant White unquestionably arose on 30 June
1998, the date her injury bec[ame] apparent. N.C.G.S. § 1-
52(16). Thus, the statutory limitations period on plaintiff's
tort claim began to run on that date. It is well settled,
however, that a UIM claim is independent of the underlying tort
action and does not necessarily accrue at the time an injury
becomes apparent. See Liberty Mut. Ins. Co. v. Pennington, 356
N.C. 571, 576-77, 573 S.E.2d 118, 122 (2002) (UIM claim not
barred by three-year limitations period in N.C.G.S. § 1-52(16));
see also Oanes v. Allstate Ins. Co., 617 N.W.2d 401, 406 (Minn.
2000) (UIM claim accrues on date of settlement with or judgment
against the tortfeasor, not date of injury); Wille v. Geico Cas.
Co., 2 P.3d 888, 892 (Okla. 2000) (cause of action to recover UIM
benefits does not accrue on date of injury); cf. N.C. Ins. Guar.
Ass'n v. State Farm Mut. Auto. Ins. Co., 115 N.C. App. 666, 672-73, 446 S.E.2d 364, 369 (1994) (cause of action against UM
carrier accrued at time insured was at liberty to sue insurer,
not date of insured's injury). Indeed, under the terms of the
policy, plaintiff's contractual right to UIM coverage did not
arise until the liability limits of any applicable bonds or
insurance policies were exhausted by settlement or the payment of
judgments. The UIM provision of the policy provides:
We will . . . pay compensatory damages which
an insured is legally entitled to recover
from the owner or operator of an underinsured
motor vehicle because of bodily injury
sustained by an insured caused by an
accident. The owner's or operator's
liability for these damages must arise out of
the ownership, maintenance or use of the
underinsured motor vehicle. We will pay for
these damages only after the limits of
liability under any applicable liability
bonds or polices have been exhausted by
payments of judgments or settlements, unless
we:
1. Have been given written notice in
advance of settlement between an
insured and the owner or operator
of the underinsured motor vehicle;
and
2. Consent to advance payment to the
insured in the amount equal to the
tentative settlement.
N.C.G.S. § 20-279.21(b)(4), the terms of which are
incorporated into all UIM agreements, see Nationwide Mut. Ins.
Co. v. Mabe, 342 N.C. 482, 494, 467 S.E.2d 34, 41 (1996),
corrected by 342 N.C. 899 (1996), also requires the exhaustion of
liability limits before UIM coverage will apply. The statute
provides:
Underinsured motorist coverage is deemed to
apply when, by reason of payment of judgment
or settlement, all liability bonds or
insurance policies providing coverage for
bodily injury caused by the ownership,
maintenance, or use of the underinsured
highway vehicle have been exhausted.
Exhaustion of that liability coverage for thepurpose of any single liability claim
presented for underinsured motorist coverage
is deemed to occur when either (a) the limits
of liability per claim have been paid upon
the claim, or (b) by reason of multiple
claims, the aggregate per occurrence limit of
liability has been paid.
N.C.G.S. § 20-279.21(b)(4) (2001). Thus, under both the policy
and the governing statute, an insured's contractual right to UIM
coverage is expressly conditioned on the exhaustion of the
liability carrier's policy limits. Id. Exhaustion occurs when
the liability carrier has tendered the limits of its policy in a
settlement offer or in satisfaction of a judgment. Id. Once
this exhaustion requirement is satisfied, but not before, an
insured may seek UIM benefits from a UIM carrier. Cf. Johnson v.
N.C. Farm Bureau Ins. Co., 112 N.C. App. 623, 624-25, 436 S.E.2d
265, 267 (1993) (Underinsured insurance is derivative in nature
and depends [in part] upon . . . the exhaustion of the
underinsured operator's liability insurance.).
As a corollary of this principle, an insured's
contractual right to demand arbitration of a UIM claim is also
unavailable until the liability carrier's policy limits have been
exhausted. See Hackett v. Bonta, 113 N.C. App. 89, 97, 437
S.E.2d 687, 692 (1993) (right to demand arbitration of a UIM
claim does not arise until the antecedent right to UIM coverage
has arisen); see also George L. Simpson, III, North Carolina
Uninsured and Underinsured Motorist Insurance: A Handbook § 4:2,
at 266-67 (2003) ([I]t seems clear that the insured may not
demand arbitration if such demand occurs before the liability
insurer tenders its limits because there has not been an
exhaustion of the liability policy by payment of judgment or
settlement and, as a consequence, the insured [is] not yet . . .entitled to recover from the UIM insurer.). Thus, if the three-
year time limit referenced in the arbitration provision is
deemed to commence at the time of an insured's injury, the right
to demand arbitration may expire -- paradoxically -- before it
ever accrues. If, on the other hand, the applicable time limit
is understood to commence at the time the right to demand
arbitration arises, it begins to run no earlier than the time
when the liability carrier's policy limits are exhausted.
In support of the former construction, Farm Bureau
argues that the right to UIM coverage and the right to demand
arbitration to settle a UIM dispute are wholly independent and
that [o]nce the time limitation [for arbitration] has expired,
arbitration ceases to be available, regardless of whether
plaintiff had a right to seek payment of UIM benefits. We agree
that the contractual rights to seek UIM coverage and to demand
arbitration of a UIM dispute are not necessarily coextensive and
that an insurance policy may impose a more restrictive time limit
on the latter. Cf. Adams v. Nelsen, 313 N.C. 442, 447-48, 329
S.E.2d 322, 325 (1985) (enforcing contractual time limit on
insured's right to demand arbitration). The issue presented
here, however, is not whether a contractual right to demand
arbitration to resolve a UIM dispute may expire before the right
to UIM coverage itself expires. Rather, the issue is whether the
specific provisions of this particular policy should be construed
to create a right that may be time-barred before it ever accrues.
[A] contract of insurance should be given that
construction which a reasonable person in the position of the
insured would have understood it to mean and, if the language . . . is reasonably susceptible of different constructions, it
must be given the construction most favorable to the insured
. . . . Grant, 295 N.C. at 43, 243 S.E.2d at 897; see also
Henderson v. United States Fid. & Guar. Co., 346 N.C. 741, 745,
488 S.E.2d 234, 237 (1997) (Any ambiguity as to the meaning of
words used in an insurance policy must be construed in the
policyholder's favor.); Brown v. Lumbermans Mut. Cas. Co., 326
N.C. 387, 392, 390 S.E.2d 150, 153 (1990); cf. Restatement
(Second) of Contracts § 206 (1979) (In choosing among the
reasonable meanings of a promise or agreement or a term thereof,
that meaning is generally preferred which operates against the
party who supplies the words or from whom a writing otherwise
proceeds.). Indeed, we have stated that '[p]robably the most
important general rule guiding the courts in the construction of
insurance policies is that all doubt or uncertainty, as to the
meaning of the contract, shall be resolved in favor of the
insured.' Jones v. Cas. Co., 140 N.C. 262, 264, 52 S.E. 578,
579 (1905) (citations omitted); accord Walsh, 265 N.C. at 638,
144 S.E.2d at 820 ([C]ourts construe [insurance] contracts most
strongly against the insurer and most liberally in favor of the
insured.). In addition, public policy requires that the courts
resolve any doubts concerning the scope of arbitrable issues in
favor of arbitration. Johnston Cty. v. R.N. Rouse & Co., 331
N.C. 88, 91, 414 S.E.2d 30, 32 (1992).
Applying these canons of construction, we conclude that
a reasonable insured would construe the arbitration provision at
issue to impose a three-year time limit within which the
insured may exercise his or her contractual right to demand
arbitration. We further conclude that, in light of the UIMstatute and the UIM provision in the policy, a reasonable insured
would likely believe that the three-year time limit begins to
run when the right to demand arbitration arises; that is, when
the applicable liability policies have been exhausted and a
dispute concerning UIM coverage has arisen. Cf. Heil v. United
Ohio Ins. Co., 66 Ohio App. 3d 307, 309-12, 584 N.E.2d 19, 21-22
(1990) (holding that time limitation clause barring insured's
right to demand arbitration after twelve months had elapsed from
the date of the accident was ambiguous when read in conjunction
with the UIM exhaustion provision, because it would not be
unreasonable for a policyholder to conclude that he must pursue
the [liability] coverage to conclusion prior to filing his . . .
arbitration demand against [the UIM insurer]). To the extent
that there may be some doubt concerning the intended meaning of
the arbitration provision, we must resolve those doubts in favor
of the insured and in favor of arbitration. See Jones, 140 N.C.
at 264-65, 52 S.E. at 579; R.N. Rouse, 331 N.C. at 91, 414 S.E.2d
at 32. Accordingly, we hold that the three-year time limit
referenced in the arbitration provision begins to run at the time
an insured acquires a contractual right to demand arbitration.
To hold otherwise would require us to assume that a reasonable
insured would read the arbitration provision to vest insured
persons with a right that could become time-barred before it ever
accrued. We do not believe that such a paradoxical construction
can be deemed a plain meaning of the policy at issue.
In the present case, plaintiff's right to demand
arbitration of her UIM claim could not have arisen prior to 8
August 2001, when defendant White's insurance company tendered
the full limits of its policy. Thus, plaintiff's 24 September2001 demand for arbitration fell within the three-year time
limit referenced in the policy, and the trial court erred in
determining that plaintiff's demand was time-barred.
Accordingly, the decision of the Court of Appeals is affirmed.
AFFIRMED.
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