{ "id": 4177865, "name": "NATIONWIDE MUTUAL INSURANCE COMPANY, Plaintiff v. DONALD BURGDOFF, Individually and CYNTHIA BURGDOFF, Individually and DONALD BURGDOFF and CYNTHIA BURGDOFF, as Co-Executors of the Estate of PATRICIA ELEANOR BURGDOFF, Deceased, Defendants", "name_abbreviation": "Nationwide Mutual Insurance v. Burgdoff", "decision_date": "2010-09-07", "docket_number": "No. COA09-1117", "first_page": "740", "last_page": "746", "citations": [ { "type": "official", "cite": "206 N.C. App. 740" } ], "court": { "name_abbreviation": "N.C. Ct. App.", "id": 14983, "name": "North Carolina Court of Appeals" }, "jurisdiction": { "id": 5, "name_long": "North Carolina", "name": "N.C." }, "cites_to": [ { "cite": "621 S.E.2d 644", "category": "reporters:state_regional", "reporter": "S.E.2d", "case_ids": [ 12634399 ], "weight": 7, "year": 2005, "pin_cites": [ { "page": "645-46" }, { "page": "647" }, { "page": "647" }, { "page": "646-47" }, { "page": "647" }, { "page": "647", "parenthetical": "emphasis added" } ], "opinion_index": 0, "case_paths": [ "/se2d/621/0644-01" ] }, { "cite": "174 N.C. App. 601", "category": "reporters:state", "reporter": "N.C. App.", "case_ids": [ 8352775 ], "year": 2005, "opinion_index": 0, "case_paths": [ "/nc-app/174/0601-01" ] }, { "cite": "513 S.E.2d 782", "category": "reporters:state_regional", "reporter": "S.E.2d", "weight": 4, "year": 1999, "pin_cites": [ { "page": "785" }, { "page": "785" }, { "page": "786" } ], "opinion_index": 0 }, { "cite": "350 N.C. 264", "category": "reporters:state", "reporter": "N.C.", "case_ids": [ 131929 ], "year": 1999, "opinion_index": 0, "case_paths": [ "/nc/350/0264-01" ] }, { "cite": "N.C. Gen. Stat. \u00a7 20-279.21", "category": "laws:leg_statute", "reporter": "N.C. Gen. Stat.", "weight": 13, "pin_cites": [ { "page": "(b)(4)" }, { "page": "(b)(4)", "parenthetical": "emphasis added" }, { "page": "(b)(4)" }, { "page": "270-71" }, { "page": "(b)(4)" }, { "page": "271" }, { "page": "(b)(4)" }, { "page": "605-06" }, { "page": "(b)(4)" }, { "page": "604-06" }, { "page": "(b)(4)" }, { "page": "605" }, { "parenthetical": "b" } ], "opinion_index": 0 }, { "cite": "682 S.E.2d 769", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 2009, "pin_cites": [ { "page": "771" } ], "opinion_index": 0 }, { "cite": "685 S.E.2d 146", "category": "reporters:state_regional", "reporter": "S.E.2d", "year": 2009, "pin_cites": [ { "page": "148", "parenthetical": "citation omitted" } ], "opinion_index": 0 } ], "analysis": { "cardinality": 572, "char_count": 14537, "ocr_confidence": 0.724, "pagerank": { "raw": 4.03580807328026e-08, "percentile": 0.1371120478452605 }, "sha256": "94c1df8ec61e4a723ad7d9bc8116debbcecee0ecc2c55deab910b1c1f3c03bae", "simhash": "1:8c2bc71626bf0051", "word_count": 2284 }, "last_updated": "2023-07-14T18:24:03.194595+00:00", "provenance": { "date_added": "2019-08-29", "source": "Harvard", "batch": "2018" }, "casebody": { "judges": [ "Judges GEER and STEPHENS concur." ], "parties": [ "NATIONWIDE MUTUAL INSURANCE COMPANY, Plaintiff v. DONALD BURGDOFF, Individually and CYNTHIA BURGDOFF, Individually and DONALD BURGDOFF and CYNTHIA BURGDOFF, as Co-Executors of the Estate of PATRICIA ELEANOR BURGDOFF, Deceased, Defendants" ], "opinions": [ { "text": "CALABRIA, Judge.\nDonald (\u201cMr. Burgdoff\u2019) and Cynthia (\u201cMrs. Burgdoff\u2019) Burgdoff, both individually and as co-executors of the Estate of Patricia Eleanor Burgdoff (collectively \u201cdefendants\u201d), appeal an order granting summary judgment to Nationwide Mutual Insurance Company (\u201cplaintiff\u2019). We reverse and remand.\n/ In 1995, defendants moved to North Carolina from the state of New York. In October 1995, Mrs. Burgdoff met with plaintiff\u2019s licensed insurance agent Susan Bare (\u201cMs. Bare\u201d), in order to obtain automobile insurance. Mrs. Burgdoff and Ms. Bare discussed the types of coverages available. On the basis of these discussions, Mrs. Burgdoff completed an \u201cAutomobile Insurance Application,\u201d which requested, inter alia, bodily injury insurance coverage for uninsured and under-insured motorists (\u201cUM/UIM\u201d), in the maximum amount of $100,000 per person and $300,000 per accident (\u201c100/300\u201d). On 4 October 1995, Mrs. Burgdoff signed a \u201cPersonal Auto Closing Statement\u201d (\u201cthe closing statement\u201d). However, Mrs. Burgdoff did not execute a North Carolina Rate Bureau UM/UIM Selection/Rejection Form (\u201cselection/rejection form\u201d) when she signed the closing statement. Defendants were then issued an automobile insurance policy by plaintiff, effective 4 October 1995 (\u201cthe Burgdoff policy\u201d). The Burgdoff policy, with its corresponding coverage limits, has been repeatedly renewed by defendants and was still in effect at the time of the filing of this action.\nOn 8 December 2006, defendants.\u2019 eight-year-old daughter, Patricia Eleanor Burgdoff (\u201cPatricia\u201d), was killed in an automobile accident. As a result of the accident, defendants filed a wrongful death action against Ross Edward Neese (\u201cNeese\u201d) in Rowan County Superior Court. At the time of the accident, Neese had a liability insurance policy in effect with North Carolina Farm Bureau Insurance Group (\u201cthe Neese policy\u201d). The Neese policy contained a personal liability limit of $100,000 per person.\nBecause defendants sought damages from Neese in excess of the $100,000 personal liability limit contained in the Neese policy, they notified plaintiff of their intention to seek recovery under the UIM provision of the Burgdoff policy. Defendants then served copies of their wrongful death action on plaintiff as an unnamed defendant.\nOn 24 September 2009, plaintiff filed a \u201cComplaint for Declaratory Judgment\u201d under Rule 57 of the North Carolina Rules of Civil Procedure in Rowan County Superior Court. Plaintiff sought a determination of the amount of UIM coverage available to defendants under the Burgdoff policy. Plaintiff and defendants each filed motions for summary judgment. After a hearing on 14 May 2009, the trial court granted summary judgment to plaintiff and issued a Declaration of Judgment that defendants were entitled to UM/UIM coverage in the amount of 100/300. Defendants appeal.\nSummary judgment is proper \u201cif 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.\u201d N.C. Gen. Stat. \u00a7 1A:1, Rule 56(c) (2009).\nThe party moving for summary judgment ultimately has the burden of establishing the lack of any triable issue of fact.\nOnce the party seeking summary judgment makes the required showing, the burden shifts to the nonmoving party to produce a forecast of evidence demonstrating specific facts, as opposed to allegations, showing that he can at least establish a prima facie case at trial.\nEdwards v. GE Lighting Sys., Inc., \u2014 N.C. App. \u2014, \u2014, 685 S.E.2d 146, 148 (2009) (citation omitted). \u201cOn appeal, an order granting summary judgment is reviewed de novo.\u201d Stutts v. Travelers Indem. Co., \u2014 N.C. App. \u2014, \u2014, 682 S.E.2d 769, 771 (2009).\nIn North Carolina, UIM coverage is governed by N.C. Gen. Stat. \u00a7 20-279.21(b)(4). When defendants first purchased the Burgdoff policy in October 1995, this statute read, in relevant part:\nThe coverage required under this subdivision shall not be applicable where any insured named in the policy rejects the coverage. An insured named in the policy may select different coverage limits as provided in this subdivision. If the named insured does not reject underinsured motorist coverage and does not select different coverage limits, the amount of underinsured motorist coverage shall be equal to the highest limit of bodily injury liability coverage for any one vehicle in the policy. Once the option to reject underinsured motorist coverage or to select different coverage limits is offered by the insurer, the insurer is not required to offer the option in any renewal, reinstatement, substitute, amended, altered, modified, transfer, or replacement policy unless a named insured makes a written request to exercise a different option. The selection or rejection of underinsured motorist coverage by a named insured or the failure to select or reject is valid and binding on all insureds and vehicles under the policy.\nRejection of or selection of different coverage limits for underinsured motorist coverage for policies under the jurisdiction of the North Carolina Rate Bureau shall be made in writing by the named insured on a form promulgated by the Bureau and approved by the Commissioner of Insurance.\nN.C. Gen. Stat. \u00a7 20-279.21(b)(4) (1995) (emphasis added). The disposition of the instant case is entirely dependent upon a determination of the effect of a failure to provide an insured with a valid North Carolina Rate Bureau UM/UIM selection/rejection form, as required by this statute. The parties agree that no form had been either presented to defendants or executed at the time of Patricia\u2019s death and, as a result, plaintiff was in violation of the statute when it failed to provide defendants with the form.\nThe parties each present a single case that they respectively believe should control the analysis of this issue. Plaintiff argues that the instant case is controlled by the holding of our Supreme Court in State Farm Mut. Auto. Ins. Co. v. Fortin, 350 N.C. 264, 513 S.E.2d 782 (1999). In Fortin, the insured initially rejected UIM coverage. N.C. Gen. Stat. \u00a7 20-279.21(b)(4) was subsequently amended to require an insurance company to offer its insured, on a selection/rejection form promulgated by the North Carolina Rate Bureau, a fresh choice to reject UIM coverage or select different coverage limits the first time a policy was renewed after the amendment. Id. at 270-71, 513 S.E.2d at 785. However, the renewal forms the insurance company provided to the insured simply incorporated the previous rejection and did not offer the insured a fresh choice of UIM coverage. As a result, our Supreme Court held that there was an invalid rejection of UIM coverage. Id. at 271, 513 S.E.2d at 785. \u201c[B]ecause there was neither a valid rejection of UIM coverage nor a selection of different UIM coverage limits,\u201d the amount of the insured\u2019s UIM coverage was determined to be \u201cequal to the highest limits of bodily injury liability coverage for any one vehicle\u201d insured under their policy, as required by N.C. Gen. Stat. \u00a7 20-279.21(b)(4). Id. at 271, 513 S.E.2d at 786. Plaintiff contends that the facts in the instant case also support a finding of an invalid rejection of UIM limits.\nDefendants, in contrast, argue that the instant case case should be controlled by this Court\u2019s holding in Williams v. Nationwide Mut. Ins. Co., 174 N.C. App. 601, 621 S.E.2d 644 (2005). In Williams, the parties stipulated that the insurance company had never offered the insured the opportunity to either reject UIM coverage or select different UIM coverage limits. Id. at 603, 621 S.E.2d at 645-46. This Court held that when an insurance company totally failed to allow their insured to choose their policy benefits as required by N.C. Gen. Stat. \u00a7 20-279.21(b)(4), the UIM coverage limits established in that statute did not apply. Id. at 605-06, 621 S.E.2d at 647. Instead, taking into account the remedial nature of the automobile insurance statutes, this Court determined that the policy provided UIM coverage with limits of $1,000,000 per person and $1,000,000 per accident, the maximum amount permitted by our statutes. Id. at 606, 621 S.E.2d at 647. Defendants argue that plaintiff\u2019s failure to provide defendants with the selection/rejection form constitutes a per se total failure to provide an opportunity to reject UIM coverage or select different UIM policy limits, bringing this case under the Williams holding.\nThe Williams Court specifically and repeatedly referred to the insurance company\u2019s \u201ctotal failure\u201d to provide \u201cthe opportunity to select or reject the UIM policy limits,\u201d in order to justify its determination that the insurance policy at issue was not governed by the statutory limits of N.C. Gen. Stat. \u00a7 20-279.21(b)(4). Id. at 604-06, 621 S.E.2d at 646-47. This was because \u201c[t]he statute clearly establishes that the insured must be given the initial opportunity to reject or select different policy limits.\u201d Id. at 605, 621 S.E.2d at 647. There is nothing in Williams that would support expanding its holding beyond situations where an insured was never given the opportunity to reject or select different coverage limits.\nThe per se rule suggested by defendants, that the Williams analysis must apply whenever an insurer does not produce a valid selection/rejection form, cannot be reconciled with our Supreme Court\u2019s holding in Fortin. The facts in Fortin clearly indicate that the insured, upon renewal, was not provided with the proper North Carolina Rate Bureau selection/rejection form, but this failure of the insurance company to provide the form did not result in an increase in UIM coverage beyond the statutory limits of N.C. Gen. Stat. \u00a7 20-279.21(b)(4). Along these same lines, the deciding factor for the Williams Court was not that the insured was not provided with the proper selection/rejection form; instead, the Court emphasized that the insured was not provided with any opportunity at all to even consider UIM coverage. As explained by the Williams Court:\nThe statutory limitations for UIM coverage established in N.C.G.S. \u00a7 20-279.21(b)(4) take effect if the named insured does not reject UIM coverage or does not select UIM coverage limits different than the bodily injury liability coverage contained in the policy. N.C.G.S. \u00a7 20-279.21(b)(4) (2001). Here, however, the insured was not given the opportunity to reject or select different coverage limits.\nId. at 605, 621 S.E.2d at 647 (emphasis added). Therefore, the relevant inquiry in determining whether Williams applies is whether defendants were given the opportunity to reject or select different UIM coverage limits.\nWhether or not defendants were provided the opportunity to reject or select different UIM coverage limits is a factual determination that is generally best resolved by a jury. The record in the instant case reveals a genuine issue of material fact as to whether plaintiff provided defendants with the opportunity to reject or select different UIM coverage limits and, therefore, summary judgment was inappropriate.\nPlaintiff provided an affidavit by Ms. Bare, in which she stated she had verbally provided Mrs. Burgdoff the opportunity to reject or select different UIM coverage limits: \u201cI specifically explained to Ms. Burgdoff that she had the opportunity to buy liability coverage and UM/UIM insurance in an amount up to $1,000,000. Ms. Burgdoff selected coverage in the amount of 100/300 for both liability and combined UM/UIM.\u201d Mrs. Burgdoff testified about this meeting at her deposition, as follows:\nQ: Do you recall whether, during the course of your conversation whether there were any changes made or whether you made any changes based on any options or whether you wanted to increase any particular coverages or decrease any coverages?\nA: No. I haven\u2019t talked to them about anything like that.\nQ: You didn\u2019t go into that much detail, as you recall?\nA: No.\n(Emphasis added). In addition, defendants each indicated in their answers to plaintiff\u2019s interrogatories that they were not informed that they could select an amount of UIM coverage that was different from the amount of liability coverage.\nThis conflicting evidence creates a genuine issue of material fact as to whether defendants were given the opportunity to reject or select different UIM coverage limits when they purchased their insurance policy from plaintiff. As a result, the trial court\u2019s order granting summary judgment to plaintiff must be reversed and this case must be remanded for a jury trial on this issue.\nIf the jury determines that plaintiff provided defendants with an opportunity to reject or select different UIM coverage limits, then the trial court shall issue a judgment that defendants\u2019 UIM coverage limits under the Burgdoff policy were 100/300, pursuant to N.C. Gen. Stat. \u00a7 20-279.21 (b)(4). If, however, the jury determines that there was a total failure on the part of plaintiff to provide defendants the opportunity to reject or select different UIM coverage limits, the trial court shall issue a judgment, pursuant to Williams, that defendants\u2019 UIM coverage limits under the Burgdoff policy were $1,000,000.\nReversed and remanded.\nJudges GEER and STEPHENS concur.", "type": "majority", "author": "CALABRIA, Judge." } ], "attorneys": [ "Robinson Elliott & Smith, by William C. Robinson and Katherine A. Tenfelde, for plaintiff-appellee.", "Brooke & Brooke, by Thomas M. Brooke, for defendant-appellants.", "Twiggs, Beskind, Strickland & Rabenau, P.A., by Jerome P. Trehy, Jr., on behalf of North Carolina Advocates for Justice, amicus curiae." ], "corrections": "", "head_matter": "NATIONWIDE MUTUAL INSURANCE COMPANY, Plaintiff v. DONALD BURGDOFF, Individually and CYNTHIA BURGDOFF, Individually and DONALD BURGDOFF and CYNTHIA BURGDOFF, as Co-Executors of the Estate of PATRICIA ELEANOR BURGDOFF, Deceased, Defendants\nNo. COA09-1117\n(Filed 7 September 2010)\nInsurance\u2014 automobile \u2014 underinsured motorists coverage\u2014 opportunity to select or reject coverage \u2014 question of fact\nWhether defendants were given the opportunity to reject or select different underinsured motorists coverage limits was a factual determination for the jury, and the trial court erred by granting summary judgment for plaintiff Nationwide in a declaratory judgment action to determine the amount of underinsured motorists coverage coverage available to defendants.\nAppeal by defendants from order entered 14 May 2009 by Judge John L. Holshouser, Jr., in Rowan County Superior Court. Heard in the Court of Appeals 11 February 2010.\nRobinson Elliott & Smith, by William C. Robinson and Katherine A. Tenfelde, for plaintiff-appellee.\nBrooke & Brooke, by Thomas M. Brooke, for defendant-appellants.\nTwiggs, Beskind, Strickland & Rabenau, P.A., by Jerome P. Trehy, Jr., on behalf of North Carolina Advocates for Justice, amicus curiae." }, "file_name": "0740-01", "first_page_order": 764, "last_page_order": 770 }