Feb 26, 2012 | Car Accidents, Personal Injury, Uncategorized, Wrongful Death
This recent SC Court of Appeals case demonstrates the interplay between serious accident cases and criminal charges. In many accidents, there are accompanying criminal matters which can directly influence the outcome of the civil case. Here, there are significant facts in the criminal case that will be material in any resulting civil lawsuit. We believe it is critically important that your attorney understand and participate in both arenas. First, criminal lawyers typically go to Court more often, and consequently, keep their trial skills current and effective. Secondly, there are many times where the outcome in the criminal court can play a major, if not determinative, role in the civil case later. Better make sure your attorney is skilled in both criminal and civil actions.
At Reeves, Aiken & Hightower, LLP, all of our attorneys are seasoned trial lawyers with over 70 years combined experience. Whether it is criminal or civil, our litigators are regularly in Court fighting for our clients. Two of our firm’s partners, Art Aiken and Robert Reeves, are inducted lifetime members of the Million Dollar Advocates Forum. Mr. Reeves has also been named one of the Top 100 lawyers for South Carolina in 2012 by the National Trial Lawyers Organization. Our attorneys include a former SC prosecutor, a former public defender, a former NC District Attorney intern, a former Registered Nurse (RN), and former insurance defense attorneys. As a result of their varied backgrounds, they understand the potential criminal, insurance, and medical aspects of complex injury cases. We would welcome an opportunity to sit down and personally review your case. Compare our attorneys’ credentials to any other law firm. Then call us today for a private consultation. www.rjrlaw.com
THE STATE OF SOUTH CAROLINA
In The Court of Appeals
The State, Respondent,
v.
Ricky Lynn Parris, Appellant.
Appeal From Spartanburg County
Roger L. Couch, Circuit Court Judge
Opinion No. 4660
Heard December 10, 2009 – Filed March 17, 2010
AFFIRMED
Deputy Chief Appellate Defender Wanda H. Carter, of Columbia, for Appellant.
Attorney General Henry Dargan McMaster, Chief Deputy Attorney General John W. McIntosh, Assistant Deputy Attorney General Salley W. Elliott, and Senior Assistant Attorney General Harold M. Coombs, Jr., all of Columbia; Solicitor Harold W. Gowdy, III, of Spartanburg, for Respondent.
SHORT, J.: In this criminal case, Ricky Lynn Parris appeals his conviction of reckless homicide. Parris argues the trial court erred by (1) failing to exclude a police officer’s testimony about Parris’s right to remain silent; (2) allowing testimony regarding prior crimes and prior bad acts; and (3) failing to exclude a police officer’s testimony that Parris lacked remorse for the accident. We affirm.
FACTS
On August 19, 2006, Michael Holt received a phone call from his brother that his van had broken down. Holt and his wife arrived at the scene in order to assist his brother and found the van was off the road. Holt backed his truck in front of the van to tow the van. Parris’s vehicle struck the driver side door of the truck and then sideswiped the van. As a result of the collision, Holt suffered life-ending injuries.
At the scene of the accident, South Carolina Highway Patrol Officer Ron Manley observed Parris was oblivious to his surroundings, spoke slowly, and was “thick-tongued.”[1] Officer Manley concluded Parris was under the influence of prescribed or illicit drugs. These suspicions were later confirmed when Parris tested positive for numerous drugs, including painkillers and antidepressants. These drugs depress the central nervous system by producing drowsiness and sedation.
As a result of the collision and Parris’s impairment at the time of the collision, Parris was indicted for causing death by operating a vehicle while under the influence of drugs or alcohol and reckless homicide. The jury convicted Parris of reckless homicide only. Parris also pled guilty to being a habitual traffic offender and driving under suspension. The trial court sentenced Parris to ten years’ imprisonment for reckless homicide to run consecutive to the sentence of five years’ imprisonment on the habitual traffic offender offense. Parris was also sentenced to six months’ imprisonment for driving under suspension, to run concurrent with reckless homicide and habitual traffic offender sentences. This appeal followed.
STANDARD OF REVIEW
In criminal cases, the appellate court sits to review errors of law only. State v. Wilson, 345 S.C. 1, 5-6, 545 S.E.2d 827, 829 (2001). The court is bound by the trial court’s factual findings unless they are clearly erroneous. Id. This court does not re-evaluate the facts based on its own view of the preponderance of the evidence but simply determines whether the trial court’s ruling is supported by any evidence. Id.
LAW/ANALYSIS
I. Right to Remain Silent
Parris initially argues the trial court erred in failing to exclude Officer Manley’s testimony about Parris’s right to remain silent. We disagree.
According to Parris, the collision occurred because he swerved to avoid a man getting a ladder from a truck and was blinded by the truck’s headlights. During Officer Manley’s cross-examination, Parris asked “in all likelihood [was Parris] blinded by the headlights of [Holt’s] truck?” Officer Manley replied, “that’s for you to . . . have your client up here to testify to.”
Parris objected on the grounds that this testimony was “a direct comment and an implication by the State’s witness that the defendant has some burden of taking the stand and testifying or proving something.” Parris moved for a mistrial on the grounds that his rights to remain silent and have the State to prove the case against him had been violated.
The trial court denied the motion for a mistrial but did give curative instructions. The trial court instructed the jurors they were to only consider matters properly placed into the record. The trial court explained to the jurors that any testimony stricken from the record was to be disregarded in its entirety and could not be discussed or mentioned in any fashion during their deliberations. The trial court then struck from the record Officer Manley’s statement. The trial court also stated the State bore the burden of proving the case against Parris and this burden remained with the State throughout the trial. The trial court explained that Parris was presumed innocent and did not have the burden to prove his innocence. Parris failed to object to the sufficiency of the trial court’s curative instruction.
On appeal, Parris argues the curative instruction was insufficient. However, this argument is not preserved for our review because Parris accepted the trial court’s ruling and did not contemporaneously object to the sufficiency of the curative charge. See State v. Jones, 325 S.C. 310, 316, 479 S.E.2d 517, 520 (Ct. App. 1996) (holding a curative instruction is usually deemed to cure an alleged error; no issue is preserved for appellate review if the complaining party accepts the trial court’s ruling and does not contemporaneously object to the sufficiency of the curative charge).
II. Prior Bad Acts
Parris next claims the trial court erred by allowing testimony regarding prior crimes and prior bad acts. We disagree.
Prior to trial, the State sought to present evidence Parris had been indicted on seventeen counts of drug fraud. According to the State, Parris had been to three different doctors and just as many pharmacies in a successful effort to obtain controlled substances often used to treat pain and depression. Additionally, the State sought to introduce evidence of Parris’s prior convictions of being a habitual traffic offender and driving under suspension. Parris made a motion in limine to exclude this evidence. The trial court ruled in favor of Parris and concluded evidence relating to how Parris obtained the drugs and Parris’s prior convictions was inadmissible.
Officer Manley testified that after Parris left the hospital, he was transported to jail “based on driving violations.” Parris objected on the grounds that the trial court had ruled Parris’s prior convictions inadmissible. Also, Dr. David Wren, who conducted an autopsy on Holt, testified it was not uncommon to have the combination of drugs that were found in Parris’s system because “some people shop around for drugs.” Again, Parris objected based on the trial court’s evidentiary ruling during the motion in limine.
With respect to Officer Manley’s testimony, the trial court stated, “we’re not gonna put any evidence of the case about the habitual traffic offender violation and [driving under suspension]. . . . At this point I’m gonna ask the solicitor not to pursue that line of questioning any further.” As to Dr. Wren’s testimony, the trial court “sustained the objection by the defense . . . and . . . [struck] from the record the . . . statement made by this witness.” The trial court also reminded the jurors how they should view evidence stricken from the record.
When the defendant receives the relief requested from the trial court, there is no issue for the appellate court to decide. State v. Sinclair, 275 S.C. 608, 610, 274 S.E.2d 411, 412 (1981). Furthermore, when a witness gives objectionable testimony and an objection is subsequently sustained, the issue is not preserved for appeal unless the objecting party moves to strike the testimony. State v. Saltz, 346 S.C. 114, 129, 551 S.E.2d 240, 248 (2001) (holding where trial court does not sustain objection, no additional action required to preserve issue for review). On both occasions, Parris got the relief he requested in that the trial court sustained his objections. Thus, there is no issue for this court to decide.[2]
III. Lack of Remorse
In his final argument, Parris contends the trial court erred by failing to exclude Officer Manley’s testimony that Parris lacked remorse for the accident. We disagree.
The following colloquy took place between the solicitor and Officer Manley.
Q: And in talking to [Parris] . . . did you notice anything about him?
A: When I first spoke with Mr. Parris, I was having a hard time understanding him because of what we call thick tongued. Basically it, it just kind of means more like their tongue is so thick that they’re unable to pronounciate [sic] their words, and that’s usually somebody that’s either under the influence or had some type [of] medical condition like as a far as blood sugar or something of that nature.
Q: Did . . . you smell any alcohol on him?
A: No, sir, I did not smell any alcohol.
Q: Did you believe him to be under the influence of a substance?
A: Based on my observations . . . based on the way he spoke, which was slow and . . . precise, his actions were real slow, based upon the fact of him being thick tongued, and basically oblivious to his surroundings as far as what had happened there at, not only at the scene, but also at the hospital, which was real[ly] more evident at the hospital that yes, it was my conclusion that he was under the influence of some type of prescribed drugs or illicit drugs.
Q: Did he ever show any care for Michael Holt in any way?
A: No sir, he never asked about Mr. Holt whatsoever. You know, me and Trooper Nancy both thought that that was kind of odd that, you know—
Before Officer Manley could finish answering, Parris objected on the grounds that the State was attempting to establish Parris lacked remorse. The trial court sustained the objection in part and overruled it in part. The trial court ruled it was improper for Officer Manley to testify regarding how he felt and whether Parris had a duty to express remorse. The trial court overruled the objection with respect to whether Officer Manley could testify as to the factors he considered in concluding that Parris was under the influence. One of these factors was Parris was oblivious to what was occurring around him. The trial court granted the relief requested because it ruled Officer Manley could not testify about whether Parris expressed any remorse. Because Parris received the relief requested from the trial court, there is no issue for this court to decide. See Sinclair, 275 S.C. at 610, 274 S.E.2d at 412;Saltz, 346 S.C. at 129, 551 S.E.2d at 248.
Additionally, Officer Manley’s testimony was not a comment on Parris’s lack of remorse. Rather, Officer Manley was testifying as to his factual observations to support his conclusion that Parris was under the influence of an illegal or illicit drug. The testimony was presented for the purpose of illustrating Parris’s actions and attitudes after the accident and how Parris’s unemotional response was one factor that led Officer Manley to believe Parris was under the influence. We find no reversible error in the trial court’s ruling. See State v. Horton, 359 S.C. 555, 571-72, 598 S.E.2d 279, 288 (Ct. App. 2004) (holding that during a prosecution for reckless homicide that a police officer’s testimony that the defendant sat in the officer’s car and was unemotional after his vehicle struck and killed victim was admissible and did not constitute a comment on the defendant’s lack of remorse because the testimony illustrated the defendant’s actions after the accident and showed how the defendant’s unemotional responses led the officer to believe the defendant was under the influence).
CONCLUSION
Accordingly, the trial court’s decision is
AFFIRMED.
THOMAS and KONDUROS, JJ., concur.
[1] According to Officer Manley, thick-tongued means an individual is unable to pronounce words and this condition usually results from a medical condition or the influence of drugs.
[2] Parris also complains Officer Manley testified he was driving without a driver’s license on the night of the collision. Parris did not raise this issue to the trial court, and therefore, it is not preserved for review. See State v. Dunbar, 356 S.C. 138, 142, 587 S.E.2d 691, 693-94 (2003) (holding that for an issue to be preserved for review it must have been raised to and ruled upon by the trial court).
Feb 26, 2012 | Brain Injury/Head Trauma, Car Accidents, Personal Injury, Uncategorized, Wrongful Death
In this recent SC Court of Appeals case, the issue of what constitutes being “upon” a vehicle was discussed in order to determine if a seriously injured pedestrian could recover benefits under his own underinsured motorist insurance policy. This decision shows how aggressively insurance carriers will fight and defend denial of coverage in serious accident cases. Given the difficult, prolonged economic downturn, it is becoming more common to have to look to underinsured and even uninsured motorist policies to try and find sufficient insurance coverage. First, you need to make sure your attorney understands these complicated insurance policy language questions. Then, your attorney has to be willing to go to Court and fight your insurance company on your behalf. The difference can literally mean resolving your case for less than you are owed or legally due.
At Reeves, Aiken & Hightower, LLP, all of our attorneys are seasoned trial lawyers with over 70 years combined experience. Whether it is criminal or civil, our litigators are regularly in Court fighting for our clients. Two of our firm’s partners, Art Aiken and Robert Reeves, are inducted lifetime members of the Million Dollar Advocates Forum. Mr. Reeves has also been named one of the Top 100 lawyers for South Carolina in 2012 by the National Trial Lawyers Organization. Our attorneys include a former SC prosecutor, a former public defender, a former NC District Attorney intern, a former Registered Nurse (RN), and former insurance defense attorneys. As a result of their varied backgrounds, they understand the potential criminal, insurance, and medical aspects of complex injury cases. We would welcome an opportunity to sit down and personally review your case. Compare our attorneys’ credentials to any other law firm. Then call us today for a private consultation. www.rjrlaw.com
THE STATE OF SOUTH CAROLINA In The Court of Appeals
South Carolina Farm Bureau Mutual Insurance Company, Appellant,
v.
Henry Kennedy, Respondent.
Appeal From Laurens County J. Mark Hayes, II, Circuit Court Judge
Opinion No. 4738 Heard May 18, 2010 – Filed September 15, 2010
REVERSED
Karl S. Brehmer and L. Darby Plexico, III, of Columbia, for Appellant.
Eric H. Philpot, of Greenville, for Respondent.
SHORT, J.: South Carolina Farm Bureau Mutual Insurance Company (Farm Bureau) appeals from the trial court’s order finding Henry Kennedy was entitled to underinsured motorist (UIM) coverage, arguing the court erred in finding Kennedy was occupying the manure truck when he was hit by the pickup truck because he was not “upon” the insured vehicle at the time of the accident. We reverse.
FACTS
On October 23, 2002, Kennedy was hurt in a pedestrian-vehicle accident.[1] Kennedy was employed by Irons Poultry Farms, Inc. (Irons Poultry), and at his employer’s direction, Kennedy drove the company’s manure truck to a restaurant to tell the owner he could pick up some chicken feed at his employer’s farm. After delivering the message, Kennedy paused in the restaurant parking lot to talk to his half-brother, Teddy Robinson, who worked at the restaurant. While Kennedy was talking to Robinson, an accident occurred on the highway adjacent to the parking lot, and one of the vehicles careened into the parking lot, striking Kennedy and Robinson who were standing behind the manure truck. The vehicle that struck Kennedy was a pickup truck driven by George Counts. Kennedy sustained injuries with medical costs and lost wages totaling more than $64,000; however, he settled with Counts’ insurance company for $50,000 in exchange for a covenant not to execute. Kennedy then made a demand for the full amount of UIM coverage available under Irons Poultry’s policy with Farm Bureau. The policy provided UIM coverage in the amount of $50,000 per individual, and $100,000 per occurrence. Farm Bureau denied Kennedy coverage, claiming Kennedy was not entitled to UIM coverage under the policy because he was not occupying Irons Poultry’s manure truck at the time of the accident as required by the policy to qualify for UIM coverage. Farm Bureau’s policy defined “occupying” as “having actual physical contact with an auto while in, upon, entering, or alighting from it.” On April 21, 2004, Farm Bureau filed a declaratory judgment action to determine if Kennedy was entitled to UIM coverage under Farm Bureau’s commercial auto policy issued to Irons Poultry. Kennedy filed a motion for summary judgment, asserting he was entitled to coverage under the policy because the evidence conclusively proved he was pinned between the manure truck and Counts’ truck, thus establishing he was “upon” the truck. The case was set for a non-jury trial on May 11, 2005. Before trial, Kennedy requested Judge Saunders hear his motion for summary judgment. Judge Saunders granted the motion in an order dated June 16, 2005.[2] Farm Bureau filed a motion for reconsideration, which was denied. Farm Bureau then filed an appeal with this court. After oral arguments on the case, this court found a genuine issue of material fact existed as to whether Kennedy was pinned or knocked against the manure truck. Therefore, in an unpublished opinion, this court reversed the circuit court’s decision granting summary judgment to Kennedy, and remanded the case to the circuit court for a hearing on the merits.[3] Kennedy filed a Petition for Rehearing with this court, which was denied. Upon remand from this court, the non-jury trial was conducted on July 15 and 17, 2008.[4] Several months later, Judge Hayes filed his order finding Kennedy was entitled to UIM coverage because he was momentarily pinned against the manure truck during the accident; therefore, he was “upon” the insured vehicle and “occupying” it according to the policy.[5] This appeal followed.
STANDARD OF REVIEW
Declaratory judgment actions are neither legal nor equitable; therefore, the standard of review is determined by the nature of the underlying issue. Hardy v. Aiken, 369 S.C. 160, 164, 631 S.E.2d 539, 541 (2006). “When the purpose of the underlying dispute is to determine whether coverage exists under an insurance policy, the action is one at law.” Auto-Owners Ins. Co. v. Hamin, 368 S.C. 536, 540, 629 S.E.2d 683, 685 (Ct. App. 2006). “In an action at law tried without a jury, the appellate court will not disturb the trial court’s findings of fact unless they are found to be without evidence that reasonably supports those findings.” Id.
LAW/ANALYSIS
Farm Bureau argues the trial court erred in finding Kennedy was occupying the manure truck when he was hit by the pickup truck because he was not upon the manure truck at the time of the accident. We agree. The general rules of contract construction apply to insurance policies. MGC Mgmt. of Charleston, Inc. v. Kinghorn Ins. Agency, 336 S.C. 542, 548, 520 S.E.2d 820, 823 (Ct. App. 1999). “[T]he law is clear that, in construing an insurance contract, all of its provisions must be considered together.” Id. “Therefore, the court must consider the entire contract between the parties to determine the meaning of its provisions, and that construction will be adopted which will give effect to the whole instrument and each of its various parts, so long as it is reasonable to do so.” Id. “This court must enforce, not write, contracts of insurance and we must give policy language its plain, ordinary, and popular meaning.” Id. at 548-49, 520 S.E.2d at 823. “An insurer’s obligation under a policy of insurance is defined by the terms of the policy itself, and cannot be enlarged by judicial construction.” Id. “[A]mbiguous or conflicting terms in an insurance policy must be construed liberally in favor of the insured and strictly against the insurer.” Id. “However, if the intention of the parties is clear, courts have no authority to torture the meaning of policy language to extend or defeat coverage that was never intended by the parties.” Id. Farm Bureau’s policy defined “occupying” as “having actual physical contact with an auto while in, upon, entering, or alighting from it.” In this case, Kennedy was not getting in or out of the manure truck at the time of the accident. He was standing near the truck when he was hit. Kennedy argues the pickup truck hit him and briefly pinned him against the manure truck. The issue now before us is whether the impact of the pickup truck pushing Kennedy into the manure truck was enough for Kennedy to have been “upon” the manure truck so as to fall under the policy. Two South Carolina cases have dealt with similar issues, but neither is the exact issue presented in this case. In McAbee v. Nationwide Mutual Insurance Co., 249 S.C. 96, 98-99, 152 S.E.2d 731, 732 (1967), our supreme court was presented with the sole question of whether the insured, while standing on the ground with his back against a parked truck in an effort to keep a tractor from rolling against him, was “upon” the truck within the meaning of the policy.[6] The court stated it did not think the meaning of the word “upon” is restricted to “on top of,” such as a person resting the weight of his or her body upon the vehicle or being supported by the vehicle. Id. at 100, 152 S.E.2d at 732. The court noted that according to Webster’s Third New International Dictionary, “[o]ne of the common and ordinary meanings of the word ‘upon’ is that of ‘contact with’.” Id.; see S.C. Prop. & Cas. Guar. Ass’n v. Yensen, 345 S.C. 512, 518 n.2, 548 S.E.2d 880, 883 n.2 (Ct. App. 2001) (stating that McAbee discussed that the term “upon” was synonymous with “contact with”). The court stated that because the policy contained no restrictions as to how or in what manner the insured was to be upon the vehicle, the court thought “it reasonable to conclude that the parties contemplated a construction of the word that would include actual physical contact with the vehicle the insured was using.” Id. at 100, 152 S.E.2d at 732-33. Therefore, the court held the insured was in actual physical contact with the vehicle and was “upon” it within the meaning of the policy provision when he placed his back against the vehicle in an attempt to protect himself from the rolling tractor. Id. at 100, 152 S.E.2d at 733. This case is distinguishable from McAbee because in McAbee, the insured had his back to the truck and was pushing against it when he was crushed to death. Therefore, the insured was physically touching the truck when he was killed. Here, Kennedy was near the manure truck when he was hit by the other vehicle and asserts he was pushed into the manure truck by the pickup truck. Therefore, Kennedy was not physically touching the truck when he was first hit by the pickup truck. In South Carolina Property and Casualty Guaranty Ass’n v. Yensen, 345 S.C. 512, 518, 548 S.E.2d 880, 883 (Ct. App. 2001), this court held the owner of a disabled car, Yensen, was not “occupying” a tow truck when a car struck him as he stood alongside his disabled car. The court found Yensen was not an “insured” entitled to UIM benefits under the tow truck owner’s policy, even though he intended to occupy the tow truck for a ride, because at the time of the accident he was not in, upon, getting in, on, out or off the truck, and no causal connection existed between the truck and the injuries. Id. at 518-20, 548 S.E.2d at 883-84. The tow truck’s policy defined “insured” as “anyone else ‘occupying’ a covered auto.” Id. at 517, 548 S.E.2d at 883. According to the policy, “occupying” was defined as “in, upon, getting in, on, out or off.” Id. Therefore, this court determined Yensen was not occupying the tow truck as the policy defined that term. Id. at 518, 548 S.E.2d at 883. The court found that under the plain meaning of the words, Yensen was not “in, upon, getting in, on, out or off” the tow truck at the time of the accident. Id. at 518-19, 548 S.E.2d at 883. While the court noted there was some testimony Yensen intended to leave the scene in the tow truck, he was not “in or on” or in the process of getting into the truck at the time of the accident. Id. Yensen is also distinguishable from this case because in Yensen the court noted Yensen may or may not have intended to get into the tow truck, which was the insured vehicle from which he was seeking coverage. In this case, Kennedy had driven the manure truck to the restaurant and was intending to leave the restaurant in the manure truck; therefore, there was no question of his intent to depart in the insured vehicle. However, like Yensen, Kennedy was not “in, upon, getting in, on, out or off” the manure truck at the time of the accident. Kennedy had departed the truck, gone inside the restaurant, and then returned to the parking lot to talk to Robinson near the vehicle. Although there was testimony Kennedy was headed back to the manure truck when he was hit, he was not “getting in” the truck when he was struck by Counts’ pickup truck. In Yensen, this court noted that in Whitmire v. Nationwide Mutual Insurance Co., 254 S.C. 184, 191-92, 174 S.E.2d 391, 394-95 (1970),[7] our supreme court “held that where a passenger was struck while within two or three feet of the car he had immediately ‘alighted from,’ that passenger may collect uninsured motorist coverage from the insurer of the car he had been riding in.” Yensen, 345 S.C. at 519, 548 S.E.2d at 883-84. Yensen argued Whitmire was controlling because Yensen intended to occupy the tow truck and, thus, he should have been able to collect insurance from the tow truck’s insurance provider. Id. This court found Whitmire was distinguishable because there, the plaintiff had unquestionably been occupying the car, whereas in Yensen, at most, Yensen’s intent to occupy the tow truck was expressed after the accident and during litigation. Id. at 519, 548 S.E.2d at 884. This court stated it was reluctant to extend Whitmire to the facts in Yensen because Yensen was not “still engaged in the completion of those acts reasonably to be expected from one getting out of an automobile under similar conditions.” Id. (quoting Whitmire, 254 S.C. at 191, 174 S.E.2d at 394). In Whitmire, the court noted “[t]he words ‘in’ and ‘upon’ encompass situations where a person has some physical contact with the vehicle at the time of injury.” 254 S.C. at 191, 174 S.E.2d at 394. Here, if Kennedy had been hit soon after he had alighted from the manure truck, under Whitmire, he would have been deemed to have been “occupying” the truck; however, Kennedy had gone inside the restaurant, returned to the parking lot, and was standing near the truck talking when the accident occurred. Therefore, he was not “occupying” the truck as a result of having recently alighted from the truck because of the intervening act of going into the restaurant. While McAbee and Yensen are helpful, they are not dispositive of the issue in this case. Therefore, we look to other jurisdictions for guidance on this issue. Many states have been faced with a similar issue and some have adopted tests to determine whether a person is “occupying” a vehicle as to have coverage under an insurance policy. In Utica Mutual Insurance Co. v. Contrisciane, 473 A.2d 1005, 1009 (Pa. 1984), the Pennsylvania Supreme Court established a four-part test to determine whether a person engaged in the lawful use of an insured vehicle will be considered to be “occupying”[8] that vehicle within the meaning of the policy: (1) there is a causal relation or connection between the injury and the use of the insured vehicle; (2) the person asserting coverage must be in a reasonably close geographic proximity to the insured vehicle, although the person need not be actually touching it; (3) the person must be vehicle oriented rather than highway or sidewalk oriented at the time; and (4) the person must also be engaged in a transaction essential to the use of the vehicle at the time. See also Loyd v. State Auto. Prop. & Cas. Co., 265 S.W.3d 901, 905 (Mo. Ct. App. W.D. 2008) (stating the four-part test “does express reasonable and sensible considerations to determine whether a person is occupying a vehicle,” but declining to adopt the test); Cuevas v. State Farm Mut. Auto. Ins. Co., 130 N.M. 539, 541 (N.M. Ct. App. 2001) (citing the Utica test, and noting it has been adopted in the majority of jurisdictions and “is broader and is concerned with whether ‘the person claiming benefits was performing an act (or acts) which is (are) normally associated with the immediate ‘use’ of the [vehicle]'” (quoting Utica, 473 A.2d at 1009));Downing v. Harleysville Ins. Co., 602 A.2d 871, 874 (Pa. 1992) (applying the Utica test); General Accident Ins. Co. of Am. v. Olivier, 574 A.2d 1240, 1241 (R.I. 1990) (finding the Utica test persuasive); Roden v. Gen. Cas. Co. of Wisc., 671 N.W.2d 622, 627-28 (S.D. 2003) (noting a majority of the jurisdictions have adopted the four-part test established in Utica and finding “the four-part test set forth above should be utilized in this jurisdiction when determining whether or not an individual is ‘occupying’ the insured vehicle under the policy definitions”). In Moherek v. Tucker, 230 N.W.2d 148, 151-52 (Wis. 1975), the Supreme Court of Wisconsin adopted a different test to determine whether an injured party was “occupying” the vehicle.[9] The test considered whether the party was vehicle-oriented or highway-oriented at the time of the injury. Id.; Kreuser by Kreuser v. Heritage Mut. Ins. Co., 461 N.W.2d 806, 808 (Wis. Ct. App. 1990) (“InMoherek, the supreme court established a test to determine whether or not an injured party was ‘occupying’ the vehicle. The test considers whether the party was vehicle-oriented or highway-oriented at the time of the injury.”). “[A] person has not ceased ‘occupying’ a vehicle until he has severed his connection with it – i.e., when he is on his own without any reference to it. If he is still vehicle-oriented, as opposed to highway-oriented, he continues to ‘occupy’ the vehicle.” Moherek, 230 N.W.2d at 151 (quotingAllstate Ins. Co. v. Flaumenbaum, 308 N.Y.S.2d 447, 462 (N.Y. Sup. Ct. 1970)). In Kreuser, the court of appeals noted the “vehicle-orientation” test considers the nature of the act engaged in at the time of the injury and the intent of the person injured, and added a third consideration: whether the injured person was within the reasonable geographical perimeter of the vehicle. 461 N.W.2d at 808. In Wickham v. Equity Fire and Casualty Co., 889 P.2d 1258, 1261 (Okl. Ct. App. 1994), the Oklahoma Court of Appeals discussed the Kreuser and Utica tests and declined to adopt a bright-line test. Instead, the court held that “the determination of whether the policy definition of ‘occupying’ is satisfied should be left to a case-by-case analysis, depending on the circumstances of the accident, the use of the vehicle, the relevant terms of the coverage at issue, and any underlying public policy considerations.” Id. Therefore, the court found a man who was struck by another car while fixing the tire on a car was “occupying” the vehicle.[10] Id. Similarly, in United Farm Bureau Mutual Insurance Co. v. Pierce, 283 N.E.2d 788, 791 (Ind. Ct. App. 1972), the Indiana Court of Appeals determined that Pierce was “upon” his vehicle when he cut his hand on the fender of his car because he was pushing on the front fender in an attempt to push it out of the snow.[11] The court noted “[t]he majority of ‘in or upon’ cases appear to rely primarily upon physical support.” Id. at 790. Almost ten years later, in Michigan Mutual Insurance Co. v. Combs, 446 N.E.2d 1001, 1007 (Ind. Ct. App. 1983), the court of appeals held the claimant, who was working on the insured vehicle’s engine and resting his knees on the bumper, was “upon” the insured vehicle when he was hit by another vehicle.[12] The court noted the application of the “physical contact” rule relied upon in Pierce could unduly restrict coverage in some factual settings and serve to expand coverage beyond the contemplation of the contracting parties in other settings. Id. at 1005. The court also noted that in Robson v. Lightning Rod Mutual Insurance Co., 393 N.E.2d 1053, 1055 (Ohio Ct. App. 1978), the Ohio Court of Appeals held in cases in which a gray area existed concerning whether a person was “in or upon, entering into or alighting from” an insured vehicle, the determination of whether the vehicle was “occupied” should be based on an analysis of the relationship between the vehicle and the claimant within a reasonable geographic perimeter. The Robson court also rejected the physical contact rule. Id. However, inCombs, the court found that both the physical contact rule and the Robson claimant-vehicle relationship analysis supported coverage for the claimant because he was in physical contact with the car and his actions evidenced a relationship with the vehicle and its operation. Combs, 446 N.E.2d at 1007. Other courts have declined to find coverage when, as in this case, the injured person was not touching the insured vehicle at the time of the accident. In Rednour v. Hastings Mutual Insurance Co., 661 N.W.2d 562, 567 (Mich. 2003), Rednour argued he was “upon” a car when he was pinned against it after being struck by another car. Rednour admitted he was not touching his friend’s car and was approximately six inches from the car when the other vehicle struck him. Id. at 563. The Michigan court noted that “physical contact by itself does not, however, establish that a person is ‘upon’ a vehicle such that the person is ‘occupying’ the vehicle.” Id. at 567. The court held that under the policy’s definition of “occupying,” Rednour was not occupying the insured automobile when he was injured.[13] Id. at 568. In State Farm Mutual Automobile Insurance Co. v. Farmers Insurance Co., 569 S.W.2d 384, 384-85 (Mo. Ct. App. 1978), the insured was beside his friend’s car, walking towards the car door when another car rear-ended the car. At the time of the impact, the insured was completely outside the car and was not touching any part of the car; however, the force of the impact moved the car and caused it to collide with the insured. Id. The court stated it found no cases in which the claimant’s reason for being outside the automobile was unrelated to the operation of the vehicle itself that held the “upon” requirement was met when the claimant was not in contact with the vehicle immediately prior to the accident. Id. at 385-86. Therefore, the court determined the insured was not “occupying” the vehicle at the time of the accident and was not covered by the insurance policy. Id. In Kelleher v. American Mutual Insurance Co. of Boston, 590 N.E.2d 1178, 1180 (Mass. App. Ct. 1992), Kelleher argued he was “occupying” the insured vehicle when he was struck by another car because he was “upon” the vehicle he had just exited. The court noted: [I]n determining whether a claimant is “upon” an insured vehicle, courts have invariably required some physical contact with the vehicle, or at a minimum, the performance of an act directly related to the vehicle, such as the changing of a tire. Such a requirement is consistent with the commonly understood definition of “upon”, that of “on.” Id. The court then determined: [N]o facts indicate[d] that Kelleher was either “in,” “upon,” “entering into” or “alighting from” the insured motor vehicle at the time he was struck; instead, the uncontroverted facts demonstrate that the operation of the Larson vehicle had come to an end, Kelleher had completed the act of leaving the vehicle, and he was approximately four feet away from it when the accident occurred. Id. at 1181. Therefore, the court found “Kelleher had completely severed his relationship with the vehicle” and did not qualify as an insured under the policy. Id. at 1180-81. In Miller v. Mabe, 947 S.W.2d 151, 154 (Tenn. Ct. App. 1997), the Tennessee court found that, at the time of the accident, Miller was neither getting into the van nor getting out of it, and although he was utilizing the lights from the van, he was not using the van itself at the time of the accident. Therefore, the court determined there was no “causal relation” between Miller’s use of the van and his being struck by Mabe’s vehicle. Id. Miller was standing in the middle of the road three or four feet from his van, closer than the decedent in another case, but far enough away that he could not be considered “upon” the vehicle. Id. Miller’s attention was focused on using the limb to work the cable wire through the tree branches and was not focused on his van; therefore, the activity was not “essential” to the use of the van. Id. Consequently, under the criteria established in Utica, Miller was not “occupying” his work van at the time of his accident, and therefore, was not covered under the uninsured motorist provision of his employer’s policy. Id. In reaching our decision in this case, we need not adopt a bright-line test, as adopted by some foreign jurisdictions, because we can rely on the South Carolina cases of Yensen and McAbee. Therefore, based on Yensen and McAbee, we conclude the trial court in this case erred in finding Kennedy was “upon” the manure truck when he was hit by the pickup truck and momentarily pinned to the manure truck because he was not “in, upon, getting in, on, out or off” the manure truck at the time of the accident. He had departed the truck, gone inside the restaurant, and returned to the parking lot to talk to his half-brother near the vehicle when he was hit by the pickup truck. As a result, there was no causal connection between Kennedy’s use of the manure truck and his being struck by Counts’ pickup truck. Hence, Kennedy was not occupying his employer’s truck at the time of the accident, and is not entitled to UIM coverage from his employer’s policy.
CONCLUSION
Accordingly, the trial court’s order is REVERSED. WILLIAMS and LOCKEMY, JJ., concur. [1] Most of the facts of this case were stipulated in an agreement entered into by the parties in May 2005. [2] In his order, Judge Saunders stated, “There was irrefutable testimony by eyewitnesses, [Kennedy], and medical documentation that indicated [Kennedy] was momentarily pinned between the rear of the manure truck and the rear of [Counts’] truck. [Farm Bureau] presented no evidence to dispute the fact that [Kennedy] was pinned against the manure truck and therefore did not meet the scintilla of the evidence burden to make this a genuine issue of material fact.” [3] S.C. Farm Bureau Mut. Ins. Co. v. Kennedy, Op. No. 2006-UP-423 (S.C. Ct. App. filed Dec. 19, 2006). [4] During the trial, Kennedy’s counsel stated, “We have never alleged that there was any collision from the Counts truck with the manure truck. . . . [T]here was a collision in the Counts truck to [Kennedy’s] leg and momentarily pinned him against the manure truck.” [5] Judge Hayes made the following findings of fact in his order: (1) “The engine to the insured vehicle [Kennedy] was driving was running and a dog was inside”; (2) “[Kennedy], prior to the collision, rested his hand on the insured vehicle”; and (3) “The vehicle driven by George Counts pushed and momentarily pinned [Kennedy] against the insured vehicle causing injury.” Kennedy testified the keys were still in the ignition and his dog was in the truck. Kennedy also testified that he was leaning on the truck when he saw the pickup truck coming at him. Then, he said he took his hand off the truck and ran from the pickup truck before he was pinned to the manure truck by the pickup truck. Robinson stated in his deposition that he and Kennedy “took out running” when they saw Counts’ truck headed in their direction. Robinson said he was hit first by Counts’ truck, so he did not see Kennedy get hit, but he did hear Kennedy hollering in pain and saw him lying next to him on the ground. Ronald Long, who witnessed the accident, testified that for a second it appeared Kennedy was pinned between the pickup truck and the manure truck. [6] The Nationwide policy insured against injury “while in or upon, entering or alighting from” the motor vehicle. McAbee, 249 S.C. at 98, 152 S.E.2d at 732. [7] The policy in Whitmire defined “occupying” as “in or upon or entering into or alighting from” the insured vehicle. Whitmire, 254 S.C. at 188, 174 S.E.2d at 393. [8] The Utica policy provided, “‘occupying’ means in or upon or entering into or alighting from.” Utica, 473 A.2d at 1008. [9] The policy in Moherek defined “occupying” as “in or upon, entering into or alighting from” the insured vehicle. Moherek, 230 N.W.2d at 149. [10] The Equity policy defined “occupying” as “in, on, getting in or on, or getting off or out of” the insured vehicle. Wickham, 889 P.2d at 1260. [11] The policy defined “occupying” as being “in or upon, entering into or alighting from” the vehicle. Pierce, 283 N.E.2d at 789. [12] According to the policy, “occupying” means “in or upon or entering into or alighting from” the insured vehicle. Combs, 446 N.E.2d at 1007. [13] The policy defined “occupying” as “in, upon, getting in, on, out or off.” Rednour, 661 N.W.2d at 564.
Feb 26, 2012 | Brain Injury/Head Trauma, Car Accidents, Personal Injury, Uncategorized, Wrongful Death
This recent SC Court of Appeals case demonstrates the lengths required to fight your own insurance company to honor a contract and properly pay a submitted claim. In serious accident cases, the injuries sustained can easily exhaust a negligent driver’s liability insurance coverage. In these situations, the personal injury attorney must then look to his client’s own underinsured motorist protection policy (UIM) in order to secure as much insurance coverage as possible to fully compensate the damages sustained. As this case shows, you may very well have to sue your own carrier to force them to do the right thing. Next time you see a commercial claimaing “you’re in good hands,” you should remember this case. Better make sure your attorney knows what to do when your own carrier is denying you benefits and will to go to Court to win your case.
At Reeves, Aiken & Hightower, LLP, all of our attorneys are seasoned trial lawyers with over 70 years combined experience. Whether it is criminal or civil, our litigators are regularly in Court fighting for our clients. Two of our firm’s partners, Art Aiken and Robert Reeves, are inducted lifetime members of the Million Dollar Advocates Forum. Mr. Reeves has also been named one of the Top 100 lawyers for South Carolina in 2012 by the National Trial Lawyers Organization. Our attorneys include a former SC prosecutor, a former public defender, a former NC District Attorney intern, a former Registered Nurse (RN), and former insurance defense attorneys. As a result of their varied backgrounds, they understand the potential criminal, insurance, and medical aspects of complex injury cases. We would welcome an opportunity to sit down and personally review your case. Compare our attorneys’ credentials to any other law firm. Then call us today for a private consultation. www.rjrlaw.com
THE STATE OF SOUTH CAROLINA
In The Court of Appeals
Meagan Y. Nakatsu, Appellant,
v.
Encompass Indemnity Company, Respondent.
Appeal From Greenville County
Larry R. Patterson, Circuit Court Judge
Opinion No. 4748
Heard May 19, 2010 – Filed September 29, 2010
REVERSED
John Robert Peace, of Greenville, for Appellant.
Robert D. Moseley, Jr. and C. Fredric Marcinak, of Greenville, for Respondent.
KONDUROS, J.: Meagan Nakatsu had an automobile accident while she resided with her sister, Kellie Buckner. Nakatsu brought a declaratory judgment action against Encompass Indemnity Company seeking to stack underinsured (UIM) coverage from her sister’s Encompass insurance policy with her own UIM coverage from a different insurer. The trial court granted summary judgment to Encompass finding the policy excluded UIM coverage for resident relatives not operating covered vehicles. Nakatsu appeals. We reverse.
FACTS/PROCEDURAL HISTORY
On December 16, 2007, Zunita Mattison ran a stop sign while driving and struck Nakatsu’s vehicle. Mattison fled the scene in another vehicle and was apprehended at the emergency room. As a result of the collision, Nakatsu’s car was totaled, and she required surgery to repair a broken wrist and ankle.
Mattison’s insurance company paid Nakatsu $25,000, the limit on Mattison’s policy. Nakatsu also collected $25,000 in UIM coverage from the insurance policy she maintained on her vehicle, which she was driving during the accident. At the time of the accident, Nakatsu resided with Kellie and Kellie’s husband, Adam Buckner (collectively the Buckners). The Buckners insured three vehicles under a policy with Encompass; each vehicle had UIM limits of $50,000 per person and $100,000 per accident. Their policy provided:
In consideration of an additional premium, if the Coverage Summary shows an amount of “Underinsured Motorists” coverage, we will provide the coverage described by the provisions of this endorsement.
DEFINITIONS
The following words and phrases are defined for this “UNDERINSURED MOTORISTS COVERAGE” endorsement. Only in regard to the coverage provided by this endorsement, the following definitions replace any corresponding definitions in the “MOTOR VEHICLE” Segment.
1. Covered Person means:
a. You for the ownership, maintenance or use of any vehicle, except while occupying, or when struck by, a vehicle owned by you which is not insured for by this coverage under this policy;
b. Any family member:
(1) Who does not own an automobile, for the maintenance or use of any vehicle;
(2) Who owns an automobile, but only for the use of an insured motor vehicle;
Except while occupying, or when struck by, a vehicle owned by you or that person which is not insured for this coverage under this policy;
c. Any other person occupying an insured motor vehicle with your consent, except when struck by a vehicle owned by you or that person which is not insured for this coverage under this policy;
2. Insured Motor Vehicle means:
a. An automobile, motorcycle or motorhome shown in the Coverage Summary if the Coverage Summary indicates “Underinsured Motorists” coverage for that vehicle. This includes an automobile, motorcycle or motorhome that replaces one shown in the Coverage Summary, if you ask us to insure the automobile,motorcycle or motorhome, and we agree.
b. Additional automobiles, motorcycles or motorhomes for 30 days after you become the owner, provided all the other automobiles, motorcycles and motorhomes owned by you are either covered by us or excluded by endorsement.
For coverage beyond the 30 days, you must ask us to insure the automobile, motorcycle or motorhome, and we must agree.
c. An automobile, motorcycle, motorhome or trailer not owned by you or a family member if being temporarily used while an automobile, motorcycle or motorhome shown in the Coverage Summary is out of its normal use because of its breakdown, repair, servicing, loss or destruction. It must not be available or furnished for the regular use of you or any family member.
d. An automobile, motorcycle, motorhome or trailer not owned by you or any family member if being operated by you. This vehicle must not be furnished for the regular use of you or any family member.
Nakatsu brought a declaratory judgment action against Encompass seeking to stack up to $74,999.99 in UIM coverage from the Buckners’ policy, $25,000 for each of their three cars, to the $25,000 in UIM coverage from her own policy.[1] Nakatsu stipulated the policy does not allow her UIM coverage because she was operating a vehicle not insured under the policy but argued that provision was invalid. Encompass moved for summary judgment, asserting the policy did not allow UIM coverage for resident relatives not driving covered vehicles and South Carolina case law allowed such a provision. Nakatsu also moved for summary judgment, arguing because she is a Class I insured, she was entitled to stack UIM coverage and the policy’s language to the contrary violates South Carolina statutory law. The trial court granted Encompass’s motion, relying on Burgess v. Nationwide Mutual Insurance Co., 373 S.C. 37, 644 S.E.2d 40 (2007). This appeal followed.
STANDARD OF REVIEW
The purpose of summary judgment is to expedite the disposition of cases not requiring the services of a fact finder. George v. Fabri, 345 S.C. 440, 452, 548 S.E.2d 868, 874 (2001). When reviewing the grant of a summary judgment motion, this court applies the same standard that governs the trial court under Rule 56(c), SCRCP; summary judgment is proper when there is no genuine issue as to any material fact and the moving party is entitled to judgment as a matter of law. Fleming v. Rose, 350 S.C. 488, 493, 567 S.E.2d 857, 860 (2002). In determining whether a genuine issue of fact exists, the evidence and all reasonable inferences drawn from it must be viewed in the light most favorable to the nonmoving party. Sauner v. Pub. Serv. Auth. of S.C., 354 S.C. 397, 404, 581 S.E.2d 161, 165 (2003).
LAW/ANALYSIS
Nakatsu argues the trial court erred in granting Encompass summary judgment because the policy excluded stacking of UIM coverage for resident relatives not driving covered vehicles. She contends that exclusion is invalid because it is inconsistent with statutory provisions and Burgess v. Nationwide Mutual Insurance Co., 373 S.C. 37, 644 S.E.2d 40 (2007), is inapplicable to this case. We agree.
“Stacking refers to an insured’s recovery of damages under more than one insurance policy in succession until all of his damages are satisfied or until the total limits of all policies have been exhausted.” State Farm Mut. Auto. Ins. Co. v. Moorer, 330 S.C. 46, 60, 496 S.E.2d 875, 883 (Ct. App. 1998). “The critical question in determining whether an insured has the right to stack is whether he is a Class I or Class II insured.” Ohio Cas. Ins. Co. v. Hill, 323 S.C. 208, 211, 473 S.E.2d 843, 845 (Ct. App. 1996). “The two classes of insureds are: (1) the named insured, his spouse and relatives residing in his household; and (2) any person using, with the consent of the named insured, the motor vehicle to which the policy applies and a guest in the motor vehicle.” Concrete Servs., Inc. v. U.S. Fid. & Guar. Co., 331 S.C. 506, 509, 498 S.E.2d 865, 866 (1998); see also Hill, 323 S.C. at 211, 473 S.E.2d at 845 (citation omitted) (“A Class I insured is an insured or named insured who has a vehicle involved in the accident. An insured is a Class II insured if none of his vehicles are involved in the accident.”). Only a Class I insured may stack. Hill, 323 S.C. at 211, 473 S.E.2d at 845.
“Statutory provisions relating to an insurance contract are part of the contract as a matter of law. To the extent a policy provision conflicts with an applicable statutory provision, the statute prevails.” State Farm Mut. Auto. Ins. Co. v. Calcutt, 340 S.C. 231, 234, 530 S.E.2d 896, 897 (Ct. App. 2000) (citation omitted). “Generally, stacking of additional coverage for which the insured has contracted is permitted unless limited by statute or a valid policy provision.” Ruppe v. Auto-Owners Ins. Co., 329 S.C. 402, 404, 496 S.E.2d 631, 631-32 (1998). “[S]tacking may be prohibited by contract if such a prohibition is consistent with statutory insurance requirements.” Id. at 406, 496 S.E.2d at 633. “[UIM] coverage is controlled by and subject to our [UIM] act, and any insurance policy provisions inconsistent therewith are void, and the relevant statutory provisions prevail as if embodied in the policy.” Kay v. State Farm Mut. Auto. Ins. Co., 349 S.C. 446, 450, 562 S.E.2d 676, 678 (Ct. App. 2002).
“Statutorily required coverage is that which is required to be offered or provided.” Ruppe, 329 S.C. at 404-05, 496 S.E.2d at 632. “[A]n insurer must offer UIM coverage pursuant to [section] 38-77-160 when the insurer extends statutorily required liability coverage.” Howell v. U.S. Fid. & Guar. Ins. Co., 370 S.C. 505, 510, 636 S.E.2d 626, 629 (2006). Stacking of UIM coverage, which is a statutorily required coverage, is governed specifically by statute. Ruppe, 329 S.C. at 405, 496 S.E.2d at 632 (citing S.C. Code Ann. § 38-77-160 (2002)). “Construing specific statutory language [found in section 38-77-160], we have held an insured is entitled to stack [UIM] . . . coverage in an amount no greater than the amount of coverage on the vehicle involved in the accident.” Id.(footnote omitted). “To this extent, stacking cannot be contractually prohibited.” Id.
“South Carolina courts have interpreted [section 38-77-160] to allow Class I insureds to stack UIM coverage from multiple automobile insurance policies.” Kay, 349 S.C. at 449, 562 S.E.2d at 678. Section 38-77-160 (emphasis added) provides:
Automobile insurance carriers . . . shall . . . offer, at the option of the insured, [UIM] coverage up to the limits of the insured liability coverage to provide coverage in the event that damages are sustained in excess of the liability limits carried by an at-fault insured or underinsured motorist or in excess of any damages cap or limitation imposed by statute. If, however, an insured or named insured is protected by . . . [UIM] coverage in excess of the basic limits, the policy shall provide that the insured or named insured is protected only to the extent of the coverage he has on the vehicle involved in the accident. If none of the insured’s or named insured’s vehicles is involved in the accident, coverage is available only to the extent of coverage on any one of the vehicles with the excess or underinsured coverage.
In Kay, 349 S.C. at 449-50, 562 S.E.2d at 678, this court determined a provision in a policy that only allowed stacking equal to the amount of the minimum limits, regardless of the amount of UIM coverage on the vehicle in the accident, violated section 38-77-160. The court found a “provision limiting stacking of UIM coverage to the minimum limits is invalid because it purports to limit the amount of coverage to an amount less than that available on the involved vehicle’s policy.” Kay, 349 S.C. at 449, 562 S.E.2d at 678.
In Jackson v. State Farm Mutual Automobile Insurance Co., 288 S.C. 335, 337, 342 S.E.2d 603, 604 (1986), the court held, “A policy provision which purports to limit stacking of statutorily-required coverage is invalid.” But see Ruppe, 329 S.C. at 405, 496 S.E.2d at 632 (finding the rule that stacking of statutorily required coverage cannot be contractually prohibited is an oversimplification of our stacking law and declining to apply it to the stacking of liability coverage).
Both the trial court and Encompass relied on Burgess in support of finding the policy does not violate statutory law. In Burgess, 373 S.C. at 39, 644 S.E.2d at 41, the insured did not have UIM coverage on the vehicle in the accident but had it on another vehicle he owned. The insurance policy for the vehicle in the accident did not allow UIM coverage when the insurance was driving another vehicle he owned but that did not have UIM coverage. Id. The Burgess court noted the “‘[i]f, however’ sentence in [section] 38-77-160, relied upon by Nationwide here, does not literally apply to these facts since Burgess is not attempting to stack excess UIM coverage from his Nationwide policy.” Burgess, 373 S.C. at 41, 644 S.E.2d at 42. The court further observed because “Burgess seeks recovery under only one policy, technically he is not seeking to stack coverage.” Id. at 41 n.1, 64 S.E.2d at 42 n.1. The supreme court posited:
[T]his statutory language does provide support for Nationwide’s contention that its policy provision does not violate public policy. The “[i]f, however” sentence in [section] 38-77-160 evinces the legislature’s intent, in a stacking situation, to bind the insured to the amount of UIM coverage he chose to purchase in the policy covering the vehicle involved in the accident. Thus, the statute itself contains a limit on the “portability” of UIM coverage.
Burgess, 373 S.C. at 41, 64 S.E.2d at 42-43. The court held public policy is not offended by an automobile insurance policy provision that limits the portability of basic UIM coverage when the insured has a vehicle involved in the accident. Id. at 42, 644 S.E.2d at 43.
Because Nakatsu was living with her sister at the time of the accident, she is a resident relative. Therefore, Nakatsu is a Class I insured under her sister’s policy. The issue in this case is whether Nakatsu can stack the Buckners’ UIM coverage. Burgess, as the opinion notes, did not involve stacking; it involved portability. These are two distinct concepts. Stacking is only allowed if the insured has the specific type of coverage on the vehicle involved in the accident. On the other hand, portability refers to a person’s ability to use his coverage on a vehicle not involved in an accident as a basis for recovery of damages sustained in the accident.
The Burgess court found disallowing Burgess UIM coverage did not offend public policy because he had declined UIM coverage. That is not the case here. Nakatsu has UIM coverage on the car in the accident through a policy she obtained on that car. She is simply seeking to stack coverage from the Buckners’ policy, under which she is a Class I insured. The policy provision conflicts with section 38-77-160 because it does not allow a Class I insured to stack UIM coverage up to the limits of the vehicle in the accident in certain situations, such as the one here. Accordingly, that provision of the policy is void, and the trial court erred in granting Encompass summary judgment.[2] Therefore, the trial court’s grant of summary judgment to Encompass is
REVERSED.
GEATHERS and LOCKEMY, JJ., concur.
[1] Although the Buckners’ UIM limits were $50,000 per car, Nakatsu acknowledged she would only be permitted to stack $25,000 per car because that is the amount she carried on her vehicle. See S.C. Farm Bureau Mut. Ins. Co. v. Mooneyham, 304 S.C. 442, 446, 405 S.E.2d 396, 398 (1991) (“[T]he amount of coverage which may be stacked from policies on vehicles not involved in an accident is limited to an amount no greater than the coverage on the vehicle involved in the accident.”).
[2] Nakatsu argues Encompass should be estopped from denying she is an insured under the policy because Encompass cited her driving record including this accident as a reason for non-renewal. Because our determination of the prior issue is dispositive, we need not address this issue. Futch v. McAllister Towing of Georgetown, Inc., 335 S.C. 598, 613, 518 S.E.2d 591, 598 (1999) (holding an appellate court need not review remaining issues when its determination of a prior issue is dispositive of the appeal).
Feb 26, 2012 | Brain Injury/Head Trauma, Car Accidents, Personal Injury, Uncategorized, Wrongful Death
Underinsured motorist insurance coverage is often crucial in serious injury cases. It applies when the insurance policy of the at-fault driver is insufficient to cover the damages suffered in a serious accident. Minimum limits policies rarely offer enough money unless the accident is truly minor. And ironically, insurance agents do not fully explain the importance of having enough UIM coverage. However, in cases where UIM has not been properly presented or rejected, Courts have gone back and “reformed” policies to include UIM benefits. This recent SC Court of Appeals cases demonstrates the circumstances and procedure to effectively add underinsured coverage retroactively. In serious accident cases, we routinely encounter damages (medical bills, lost wages, future medical expenses, permanent injury) that greatly exceed the available at-fault limits. It may be necessary to file a lawsuit to seek to go back and reform the injured party’s own insurance in order to get coverage that will compensate the harm caused. Better make sure your attorney understands this area of the law and knows what to do to fully protect you and your family. We do.
At Reeves, Aiken & Hightower, LLP, all of our attorneys are seasoned trial lawyers with over 70 years combined experience. Whether it is criminal or civil, our litigators are regularly in Court fighting for our clients. Two of our firm’s partners, Art Aiken and Robert Reeves, are inducted lifetime members of the Million Dollar Advocates Forum. Mr. Reeves has also been named one of the Top 100 lawyers for South Carolina in 2012 by the National Trial Lawyers Organization. Our attorneys include a former SC prosecutor, a former public defender, a former NC District Attorney intern, a former Registered Nurse (RN), and former insurance defense attorneys. As a result of their varied backgrounds, they understand the potential criminal, insurance, and medical aspects of complex injury cases. We would welcome an opportunity to sit down and personally review your case. Compare our attorneys’ credentials to any other law firm. Then call us today for a private consultation. www.rjrlaw.com
THE STATE OF SOUTH CAROLINA
In The Court of Appeals
Government Employees Insurance Company, Respondent,
v.
Eugene John Draine, Appellant.
Appeal from Charleston County
Thomas L. Hughston, Jr., Circuit Court Judge
Opinion No. 4726
Heard May 19, 2010 – Filed August 11, 2010
AFFIRMED
Robert B. Ransom, of Columbia, for Appellant.
Bonum S. Wilson, III, of Charleston, for Respondent.
GEATHERS, J.: In this appeal, Eugene Draine argues that the circuit court erred by refusing to reform his automobile insurance policy with the Government Employees Insurance Company (GEICO) to provide for underinsured motorist (UIM) coverage in an amount equal to his liability coverage. Specifically, Draine contends that section 38-77-350(E) of the South Carolina Code (2002) required GEICO to add UIM coverage to his policy when, in renewing his policy, he failed to return an executed UIM offer form within thirty days after receiving it from GEICO. We affirm.
FACTS/PROCEDURAL HISTORY
The facts in this case are undisputed. Sometime in early 2003, Draine decided to switch his automobile insurance coverage from Farm Bureau Insurance to GEICO. In March 2003, GEICO sent Draine the documentation necessary to add him as a policyholder. Included therein was a form offering UIM coverage. On March 20, 2003, Draine completed the UIM offer form, rejecting all UIM coverage. The parties have stipulated that this March 2003 offer and rejection of UIM coverage complied with all aspects of South Carolina law.
Upon receipt of the completed UIM offer form and the required premium, GEICO issued an automobile insurance policy to Draine that did not include UIM coverage. In 2004, Draine’s policy was renewed and, as before, it did not include UIM coverage.[1]
On January 26, 2005, GEICO sent Draine materials so that his policy could again be renewed. Included in the documents that GEICO provided to Draine was a UIM offer form. Like the 2003 offer form, the 2005 offer form contained the following two provisions:
IF YOU ARE A NEW APPLICANT AND DO NOT SIGN AND RETURN THIS FORM, we will include Uninsured Motorist and Underinsured Motorist limits equal to your Bodily Injury and Property Damage Liability limits. This may result in a change to your premium. |
IF YOU ARE A CURRENT SOUTH CAROLINA POLICYHOLDER, you must complete, sign and return this form only if you want to make changes to your policy. |
Draine did not complete the offer form or return it to GEICO. Instead, Draine delivered to GEICO a check for the premium necessary to renew his existing policy, which included $25,000 in liability coverage but no UIM coverage.
GEICO subsequently renewed Draine’s policy. The dates of coverage provided by the renewed policy were March 11, 2005 through September 11, 2005.
On March 13, 2005, Draine was involved in an automobile accident caused by another driver. As a result of the accident, Draine incurred damages in excess of the other driver’s liability insurance coverage. After settling his claim against the driver, in exchange for a covenant not to execute, Draine submitted a claim to GEICO for UIM benefits. GEICO declined to pay the claim on the ground that Draine’s policy did not include UIM coverage.
Thereafter, GEICO filed a declaratory judgment action seeking a judicial determination that Draine was not entitled to UIM benefits. Draine answered and counterclaimed, arguing that his policy should be reformed to include $25,000 in UIM coverage. Draine contended that such relief was appropriate under section 38-77-350(E) of the South Carolina Code (2002) because GEICO’s 2005 renewal materials included a UIM offer form, which he had not returned.
The case proceeded to a non-jury trial before the circuit court, where it was tried on stipulated facts, exhibits, and the arguments of counsel. In an order filed July 2, 2008, the circuit court granted judgment in favor of GEICO, concluding that reformation of Draine’s policy was not warranted. Specifically, the circuit court found that “a common sense reading” of section 38-77-350 demonstrated that the legislature intended to restrict subsection (E) of that statute to “new applicants.” Additionally, the circuit court found that reformation of Draine’s policy was not warranted under contract law because (1) Draine never intended to change his policy to add UIM coverage and (2) Draine was sophisticated with regard to such matters and thus could not have been confused by the 2005 UIM offer form. This appeal followed.
ISSUE ON APPEAL
Did the circuit court err by holding that section 38-77-350(E) of the South Carolina Code (2002) did not mandate the reformation of Draine’s automobile insurance policy to include $25,000 in UIM coverage?
STANDARD OF REVIEW
“When an appeal involves stipulated or undisputed facts, an appellate court is free to review whether the trial court properly applied the law to those facts.” J.K. Constr., Inc. v. W. Carolina Reg’l Sewer Auth., 336 S.C. 162, 166, 519 S.E.2d 561, 563 (1999). “In such cases, the appellate court owes no particular deference to the trial court’s legal conclusions.” Id.
LAW/ANALYSIS
Automobile insurance carriers like GEICO are required to offer “at the option of the insured” UIM coverage up to the limits of the insured’s liability coverage. S.C. Code Ann. § 38-77-160 (2002). Section 38-77-350 of the South Carolina Code (2002 & Supp. 2009) sets forth specific requirements regarding the offering of optional coverages, such as UIM coverage.
In the present case, Draine contends that, under section 38-77-350(E), GEICO was required to add UIM coverage to his policy when he failed to return the UIM offer form that he received as part of GEICO’s 2005 renewal materials. We disagree.
“The cardinal rule of statutory construction is to ascertain and effectuate the intent of the legislature.” Blackburn v. Daufuskie Island Fire Dist., 382 S.C. 626, 629, 677 S.E.2d 606, 607 (2009). In ascertaining legislative intent, “a court should not focus on any single section or provision but should consider the language of the statute as a whole.” Mid-State Auto Auction of Lexington, Inc. v. Altman, 324 S.C. 65, 69, 476 S.E.2d 690, 692 (1996). “A statute as a whole must receive a practical, reasonable, and fair interpretation consonant with the purpose, design, and policy of the lawmakers.” State v. Sweat, 386 S.C. 339, 350, 688 S.E.2d 569, 575 (2010) (quoting Browning v. Hartvigsen, 307 S.C. 122, 125, 414 S.E.2d 115, 117 (1992)).
The statute in question here, section 38-77-350, reads as follows:
(A) The director or his designee shall approve a form that automobile insurers shall use in offering optional coverages required to be offered pursuant to law to applicants for automobile insurance policies. This form must be used by insurers for all new applicants. The form, at a minimum, must provide for each optional coverage required to be offered: [the required contents of the form are omitted for brevity].
(B) If this form is signed by the named insured, after it has been completed by an insurance producer or a representative of the insurer, it is conclusively presumed that there was an informed, knowing selection of coverage and neither the insurance company nor an insurance agent is liable to the named insured or another insured under the policy for the insured’s failure to purchase optional coverage or higher limits.
(C) An automobile insurer is not required to make a new offer of coverage on any automobile insurance policy which renews, extends, changes, supersedes, or replaces an existing policy.
(D) Compliance with this section satisfies the insurer and agent’s duty to explain and offer optional coverages and higher limits and no person, including, but not limited to, an insurer and insurance agent is liable in an action for damages on account of the selection or rejection made by the named insured.
(E) If the insured fails or refuses to return an executed offer form within thirty days to the insurer, the insurer shall add on uninsured motorist and underinsured motorist coverages with the same policy limits as the insured’s liability limits.
S.C. Code Ann. § 38-77-350 (2002 & Supp. 2009) (emphases added).
Under section 38-77-350(E), an insurer is required to add UIM coverage to an insured’s policy when “the insured fails or refuses to return an executed offer form within thirty days to the insurer.” S.C. Code Ann. § 38-77-350(E) (2002). Here, it is undisputed that Draine timely returned an executed offer form rejecting UIM coverage when he initially became insured with GEICO in 2003. Although Draine did not return the 2005 UIM offer form he received when renewing his policy, section 38-77-350(E) does not expressly require an insured to return an executed offer form every time one is provided in order to avoid the addition of UIM coverage. Rather, it merely provides that “an executed offer form” must be returned “within thirty days.”[2]
Draine nonetheless contends that if an insurer provides an existing insured with a UIM offer form when the insured renews his coverage, the insurer must add optional UIM coverage if the insured does not timely return the form, even if the insured had previously rejected UIM coverage. We disagree. In our view, reading section 38-77-350 as a whole leads to the conclusion that GEICO was not required to add UIM coverage to Draine’s policy when Draine failed to return the UIM offer form he received when he renewed his policy in 2005. Moreover, we find that such an interpretation is consistent with the purpose and design of section 38-77-350.
A. Subsections (A) and (C) of Section 38-77-350
The underlying premise of Draine’s argument in this case is that the term “form” in subsection (E) of section 38-77-350 includes UIM offer forms that are provided to insureds who are renewing their existing policies. However, when that subsection is read in conjunction with subsections (A) and (C) of section 38-77-350, it becomes apparent that Draine’s premise is flawed.
Section 38-77-350(A), which sets forth the basic requirements for the UIM offer form, provides guidance as to what the legislature meant when it used the word “form” in section 38-77-350(E). See IBP, Inc. v. Alvarez, 546 U.S. 21, 34 (2005) (“[I]dentical words used in different parts of the same statute are generally presumed to have the same meaning.”); Busby v. State Farm Mut. Auto. Ins. Co., 280 S.C. 330, 333, 312 S.E.2d 716, 718 (Ct. App. 1984) (“Where the same word is used more than once in a statute it is presumed to have the same meaning throughout unless a different meaning is necessary to avoid an absurd result.”). Importantly, section 38-77-350(A) states that the offer form must be used for “new applicants.” S.C. Code Ann. § 38-77-350(A) (Supp. 2009). Additionally, it provides that the form must be used “in offering optional coverages required to be offered pursuant to law.” Id.(emphasis added).
In the present case, Draine was not a “new applicant” when GEICO sent him a UIM offer form in 2005. In the context of UIM cases, this court has construed the term “new applicant” as meaning “those who . . . never had an opportunity to reject UIM coverage.” See McDonald v. S.C. Farm Bureau Ins. Co., 336 S.C. 120, 124, 518 S.E.2d 624, 626 (Ct. App. 1999). Here, at the time that Draine initially became a GEICO policyholder in 2003, he was properly offered UIM coverage, which he rejected. Therefore, when Draine sought to renew his existing policy in 2005, he did not constitute a “new applicant” as contemplated by section 38-77-350(A).
Moreover, as Draine concedes, UIM coverage was not “required to be offered pursuant to law” when he renewed his policy in 2005. Section 38-77-350(C) expressly provides that “[a]n automobile insurer is not required to make a new offer of coverage on any automobile insurance policy which renews, extends, changes, supersedes, or replaces an existing policy.” S.C. Code Ann. § 38-77-350(C) (2002) (emphases added). Although this court has held that section 38-77-350(C) is inapplicable when the insurer has not made a previous effective offer of optional coverage,[3] in this case, it is undisputed that GEICO’s 2003 offer of UIM coverage was effective. Accordingly, GEICO was not required to offer UIM coverage to Draine when he renewed his policy in 2005. SeeBurnet R. Maybank, III et al., The Law of Automobile Insurance in South Carolina IV-37 (4th ed. 2000) (“The insurer is not required to make another offer of optional coverages pursuant to [section 38-77-350] at renewal time provided a properly completed and executed form has been previously obtained from the insured being renewed.”).
Because section 38-77-350(A) does not require an insurer to provide a UIM offer form to an insured who is renewing an existing policy, it is questionable whether the legislature intended for section 38-77-350(E) to apply in such a situation. Cf. Howell v. U.S. Fid. & Guar. Ins. Co., 370 S.C. 505, 509-10, 636 S.E.2d 626, 628-29 (2006) (concluding that because liability coverage for hired and non-owned vehicles is not statutorily required, an insurer providing only that type of voluntary coverage need not comply with section 38-77-160’s requirement to offer UIM coverage). While section 38-77-350(E) uses the general term “form,” a basic rule of statutory construction is that “general words—and it makes no difference how general—will be confined to the subject treated of.” Henderson v. McMaster, 104 S.C. 268, 272, 88 S.E. 645, 646 (1916); see also Beattie v. Aiken County Dep’t of Soc. Servs., 319 S.C. 449, 452, 462 S.E.2d 276, 278 (1995) (“An entire code section should be read as a whole so that phraseology of an isolated section is not controlling.”). Absent legislative intent to the contrary, a statutory term should not be given a more expansive construction in one subsection of the statute than in another subsection. See Gustafson v. Alloyd Co., 513 U.S. 561, 572-73 (1995) (rejecting the argument that the word “prospectus” had a broader meaning in one section of the Securities Act of 1933 than in another section). Thus, because section 38-77-350(A)’s use of the term “form” does not encompass non-required UIM offer forms given during the renewal process, it is unlikely that section 38-77-350(E)’s use of that term should include such forms.
B. Subsections (B) and (D) of Section 38-77-350
Section 38-77-350(B) provides further support for the conclusion that Draine’s policy should not be reformed to add UIM coverage. Pursuant to section 38-77-350(B), if an insured executes a properly completed offer form that complies with section 38-77-350(A), the insurer cannot be held liable under the policy for the insured’s failure to purchase UIM coverage. S.C. Code Ann. § 38-77-350(B) (Supp. 2009).
Here, the parties have stipulated that, in 2003, Draine properly rejected UIM coverage by executing an offer form that complied with all aspects of South Carolina law. While Draine did not execute the UIM offer form that he received when he renewed his coverage in 2005, section 38-77-350(B) expressly references the “form” described in section 38-77-350(A).[4] As noted above, section 38-77-350(A)’s use of the term “form” does not include non-required UIM offer forms given during the renewal process. Therefore, because GEICO properly offered, and Draine properly rejected, UIM coverage in 2003 when Draine was a “new applicant,” section 38-77-350(B) appears to preclude us from holding GEICO liable under Draine’s policy for Draine’s failure to purchase UIM coverage.
Like section 38-77-350(B), section 38-77-350(D) also provides support for the conclusion that the legislature did not intend for an insurer to be held liable in a case like the one presented here. Under section 38-77-350(D), an insurer satisfies his duty to offer UIM coverage by complying with the relevant provisions of section 38-77-350, and the insurer cannot subsequently be held liable in an action for damages on account of the insured’s rejection of UIM coverage. See S.C. Code Ann. § 38-77-350(D) (2002). Here, it is undisputed that GEICO properly complied with section 38-77-350 when it initially offered UIM coverage to Draine in 2003 and that he expressly rejected UIM coverage at that time. Although it is true that GEICO offered Draine optional coverage again when he renewed his policy in 2005, Draine made no indication that he wanted to purchase UIM coverage. Accordingly, based upon sections 38-77-350(B) and (D), we conclude that GEICO should not be held liable in any way for Draine’s failure to purchase UIM coverage.
C. Purpose and Design of Section 38-77-350
We believe that our interpretation of section 38-77-350 is consistent with the purpose and design of the statute. The South Carolina Supreme Court has explained that “[t]he purpose of requiring automobile insurers to make a meaningful offer of additional UM or UIM coverage ‘is for insureds to know their options and to make an informed decision as to which amount of coverage will best suit their needs.'” Floyd v. Nationwide Mut. Ins. Co., 367 S.C. 253, 262-263, 626 S.E.2d 6, 12 (2005) (quoting Progressive Cas. Ins. Co. v. Leachman, 362 S.C. 344, 352, 608 S.E.2d 569, 573 (2005)) (emphasis added). When an insured does not return a UIM offer form, the insurer cannot be certain that the insured actually made a decision regarding UIM coverage. Accordingly, the legislature has chosen to create a statutory presumption that the insured desires coverage in such cases. Here, however, Draine unquestionably made an informed decision rejecting UIM coverage in 2003. See § 38-77-350(B) (providing that if UIM coverage is offered and rejected in accordance with section 38-77-350, then it is “conclusively presumed” that an “informed” choice was made). In view of that fact, it does not make sense to presume that Draine desired UIM coverage in 2005 merely because he failed to return the UIM offer form he received when he renewed his policy that year.
A somewhat similar conclusion was reached by this court in United Services Automobile Ass’n v. Litchfield, 356 S.C. 582, 590 S.E.2d 47 (Ct. App. 2003). In that case, the court addressed whether it was appropriate to reform an insured’s automobile insurance policy to include UIM coverage when the insured previously informed her insurer that she wanted to drop her UIM coverage. The insured contended the policy should be reformed because the insurer did not make a valid offer of UIM coverage when she purchased her policy. Id. at 584, 590 S.E.2d at 48. On appeal, this court, without addressing the validity of the insurer’s offer, concluded the policy should not be reformed to include UIM coverage. The court explained that finding in favor of the insured “would make no sense” given that the insured had previously contacted the insurer “for the specific purpose of dropping [UIM] coverage.” Id. at 584, 590 S.E.2d at 49.
Here, like in Litchfield, it would not make sense to hold that Draine’s failure to return the 2005 UIM offer form dictated the addition of UIM coverage to Draine’s policy given that (1) Draine had expressly rejected GEICO’s legally compliant offer of UIM coverage just two years earlier and (2) the 2005 UIM offer form specifically advised current South Carolina policyholders like Draine that they were required to return the form “only if you want to make changes to your policy.” (emphasis added). Taken together, these two facts lead to the inescapable conclusion that Draine made an informed decision to reject UIM coverage. Therefore, finding that Draine is not entitled to reformation of his policy does not offend section 38-77-350’s purpose of protecting insureds from uninformed decisions regarding optional coverages.
CONCLUSION
For the foregoing reasons, we hold that section 38-77-350(E) did not require GEICO to add UIM coverage to Draine’s policy when Draine failed to return the UIM offer form he received as part of GEICO’s 2005 renewal materials.[5] Accordingly, the circuit court’s decision is
AFFIRMED.
KONDUROS and LOCKEMY, JJ., concur.
[1] The record is unclear as to whether Draine was offered UIM coverage when he renewed his policy in 2004.
[2] While section 38-77-350(E) does not specify the event that triggers the commencement of the thirty-day time period, it is reasonable to presume that the legislature intended for the triggering event to be an event mentioned in the statute. See S. Mut. Church Ins. Co. v. S.C. Windstorm & Hail Underwriting Ass’n, 306 S.C. 339, 342, 412 S.E.2d 377, 379 (1991) (“[W]ords in a statute must be construed in context.”). For reasons discussed herein, we conclude that section 38-77-350(E)’s thirty-day time period is triggered by the provision of offer forms to “new applicants” as set forth in section 38-77-350(A), rather than by the provision of offer forms to existing policyholders—an event not contemplated by the statute.
[3] See Antley v. Noble Ins. Co., 350 S.C. 621, 635-36, 567 S.E.2d 872, 879-80 (Ct. App. 2002) (holding an insurer could not rely upon section 38-77-350(C) to avoid the reformation of its insured’s policy to include uninsured motorist coverage when the insurer failed to present any evidence that it previously made a meaningful offer of such coverage to the insured).
[4] Section 38-77-350(B) begins by referring to “this form.” See § 38-77-350(B) (emphasis added). By doing so, section 38-77-350(B) specifically references the use of the word “form” in section 38-77-350(A). Cf. Alvarez, 546 U.S. at 34 (explaining that the phrase “said principal activity or activities” in one subsection of a statute was an explicit reference to the use of the term “principal activity or activities” in the immediately preceding subsection of the statute).
[5] Because Draine’s remaining arguments are all premised upon a contrary construction of section 38-77-350(E), we decline to discuss those arguments. See Futch v. McAllister Towing of Georgetown, Inc., 335 S.C. 598, 613, 518 S.E.2d 591, 598 (1999) (stating that an appellate court need not review remaining issues when its determination of a prior issue is dispositive of the appeal).
Feb 14, 2012 | Car Accidents, Nursing Home Abuse, Personal Injury, Uncategorized, Wrongful Death
The article below was found in Lawyers and Settlements.com. It is very informative regarding types of elder abuse, signs of neglect, and what laws are available to protect your loved ones if the unthinkable happens. As our parents and grandparents grow older, we may face the decision to place them into assisted living or even skilled nursing care facilities. It is an extremely stressful and guilt producing time for everyone involved. They do not go there to die. Rather, the elderly should be cared for and allowed to live out the rest of their lives fully. Sadly, with low Medicare rates and a bad economy, there are often too few staff to give proper care, and elderly residents fall, break hips, become dehydrated or malnourished, develop bed sores, and even die prematurely. If you suspect your loved one is being neglected or worse, secure their safety first. Move them to a different facility if you can. Then, call an experienced nursing home abuse attorney and let’s look at what can be done to protect your family. Compare our attorneys’ credentials and experience to any other law firm.
At Reeves, Aiken & Hightower, LLP, all of our attorneys are seasoned trial lawyers with over 70 years combined experience. Whether it is criminal or civil, our litigators are regularly in Court fighting for our clients. Two of our firm’s partners, Art Aiken and Robert Reeves, are lifetime members of the Million Dollar Advocates Forum. Mr. Reeves has also been named one of the Top 100 lawyers for South Carolina in 2012 by the National Trial Lawyers Organization. Our attorneys include a former SC prosecutor, a former public defender, a former NC District Attorney intern, a former Registered Nurse (RN), and former insurance defense attorneys. As a result of their varied backgrounds, they understand the criminal, insurance defense, and medical aspects of complex cases. We welcome an opportunity to sit down and personally review your case. Call us today for a private consultation. www.rjrlaw.com
Elder Care and Nursing Home Abuse
You may have gone to great lengths and expense to find the right elder care facility or nursing home for a member of your family or someone you know. It is a traumatic and difficult decision to place someone in a nursing home and you can only hope that they will receive the best possible care. Unfortunately, nursing home abuse is more prevalent than you might think. Often, due to a shortage of staff or staff that has not been adequately trained, the best nursing home care is not always readily available, and nursing home residents become victims of the “hidden crime.”
Nursing Home Abuse and Neglect
Nursing home residents often require constant attention, and may not be able to communicate nursing home abuse or neglect from their caregivers. And they are unaware of elder care law. Nursing home neglect is often unreported because it isn’t always physical abuse. Emotional, psychological, and financial abuse or exploitation is all too frequent.Institutional entities include skilled nursing facility (SNF) or homes, foster homes, group homes, and board and care facilities. Abusers may be staff members, other patients and even visitors.If a staff member refuses to allow family or friends to see the resident or insists on being present during the visit, it is possible that abuse is taking place. Other examples of abuse are:
- Withholding food or not providing food according to prescribed schedule
- No access to water / dehydration
- Medication errors
- Poor toileting facilities
- Inadequate daily care and grooming, or abandonment
- Failure to diagnose or recognize heart attack or stroke
- Failure to treat or provide emergency care for stroke or heart attack
- Elopement or wandering, where the patient leaves the nursing home without authorization
- Intimidation or use of threats
Some Signs of abuse are:
Emotional: behavior and/or personality changes; withdrawn and uncommunicative; dementia; depression; anxiety and agitation.
Physical: Unexplained accident or injury; Decubitus Ulcers (Bedsores); Frozen joints; Contractures; Brittle bones or Fracture; Muscle atrophy; Burns; Fearfulness; Broken eyeglasses; Rapid, unexplained weight loss; Unwarranted use of physical restraints
Sexual: Unexplained venereal disease;Genital infections;Vaginal or anal bleeding;Torn or stained underclothing;Bruising around breasts, upper abdomen, or inner thighs
Nursing Home and Elder Law
By law, nursing homes must provide care to maintain the highest practicable physical, mental and psycho-social well-being of each resident. Federal and state laws were designed to protect nursing home residents and the abuse or neglect that occurs there and in other assisted living facilities. Many states also require that nursing homes meet individual state standards relating to the type and quality of care required.
Failure to comply with elder law has resulted in abuse that in turn caused illness, discomfort and death. This abuse is often referred to as “institutional abuse”.
State Elder Law
Most states have addressed the institutional abuse issue with laws that require doctors, nurses and other health care professionals to report suspected neglect to a designated state office. Laws further require nursing homes to investigate and report any abuse incidents that occur within their facility. Physicians, hospitals, nurses, therapists, aides, orderlies and administrators must provide adequate care, medical treatment and protection to the residents and patients in their facility.
State laws typically require a nursing home to be licensed in order to operate, provides for annual inspections, sets up a procedure for handling complaints, prohibits discrimination, and imposes sanctions for violation, such as licensure suspension and revocation. The state regulatory agency investigates any reports of alleged abuse or violations.
Federal Elder Law
In 1987, the federal government passed the Nursing Home Reform Act (NRA), and nursing homes that receive federal funds must comply with the act. The NRA sets standards for care, establishes a list of rights for residents, such as the right to be treated with dignity and to exercise self-determination, sets up a monitoring system for nursing homes, and specifies sanctions for non-compliance. The Act covers resident care and rights, staffing, the quality of care, restraints, privacy, and record keeping. The law applies to all the various types of nursing homes who receive funds under Medicaid or Medicare programs.
Under the Nursing Home Reform Act, nursing homes must also do the following in order to meet the basic tenet of the Act:
- Employ sufficient nursing and other staff in order to provide nursing and related services
- Be administered in a way that enables the nursing home to use resources effectively and efficiently
- Within 14 days of admission, perform an initial comprehensive, accurate, standardized, reproducible assessment of each resident’s functional capacity. After significant changes in the resident’s physical or mental status and/or at least once every 12 months, perform such an assessment.
- Develop comprehensive individualized care plans for residents. Care plans must include measurable objectives and schedules to meet each resident’s medical, nursing, mental and psychosocial needs as identified in the comprehensive assessment discussed above. The care plan must be developed within 7 days after completion of the comprehensive assessment. It must detail the services that are to be provided. The care plan must also be periodically reviewed and revised by a team of qualified persons after each assessment.
- Provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs) to meet the needs of each resident.
- Provide supervised medical care by a physician. The nursing home must provide or arrange for the services of a physician on a 24 hour per day basis in case of an emergency.
- Prevent the deterioration of a resident’s ability to bathe, dress, groom, transfer and ambulate, toilet, eat, speak or otherwise communicate.
- Provide necessary services and assistance in order to maintain good nutrition, grooming, and personal and oral hygiene if the resident suffers from any impairment daily living activities.
- Ensure that residents do not develop pressure sores. If a resident has pressure sores, the nursing home must provide the necessary treatment to promote healing and prevent infection and development of new sores.
- Provide treatment and services to incontinent residents to restore as much normal bladder functioning as possible and to prevent urinary tract infections.
- Ensure that residents receive proper treatment and any devices to maintain hearing and visual abilities.
- Ensure that residents receive adequate supervision and assistive devices to prevent falls.
- Ensure that residents maintain acceptable parameters of nutritional status, such as body weight and protein levels.
- Provide residents with enough fluid to maintain hydration and health.
- Prevent medication errors.
- Care for residents in a way that promotes maintenance or enhancement of their quality of life.
- Promote resident care in a way and in an environment that enhances each resident’s dignity and respect in full recognition of individuality.
- Ensure that residents can choose activities, schedules, and health care consistent with individual interests, assessments, and plans of care.
- Maintain clinical records on each resident in accordance with accepted professional standards and practices that are complete, accurate, accessible, and systematically organized.
In 2008, The U.S. Department of Health and Human Services’ Office of the Inspector General released a report detailing the “Trends in Nursing Home Deficiencies and Complaints” that showed over 90 percent of that nation’s nursing homes were cited for federal violations from 2005-2007. The most common deficiency categories cited in each of the past 3 years were quality of care, resident assessment, and quality of life.
The report also showed a greater percentage of For-Profit nursing homes were cited for deficiencies than non-for-profit and government nursing homes from 2005-2007.
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Feb 5, 2012 | Brain Injury/Head Trauma, Car Accidents, DUI & DWI, Personal Injury, Uncategorized, Wrongful Death
The following pending case below is a sad example of what can happen if you drink and drive. Serious injury can happen in an instant. In this case, she is left paralyzed from the waist down. This case is rather unique as it is the impaired driver herself who is suing. Certainly, there are several key defenses which will most probably end her case before it ever reaches a jury. Nevertheless, the facts highlight the need for bar owners and homeowners who serve alcolhol to be certain any customers or guests are of legal age and that they are safe to drive before leaving to get on the road. If these basis safety steps are not followed, then perhaps they should be held accountable. Tonight while enjoying the Super Bowl, please be aware of what can happen. Be Safe. Get Home.
At Reeves, Aiken & Hightower, LLP, all of our attorneys are seasoned trial lawyers with over 70 years combined experience. Whether it is criminal or civil, our litigators are regularly in Court fighting for our clients. Two of our firm’s partners, Art Aiken and Robert Reeves, are lifetime members of the Million Dollar Advocates Forum. Mr. Reeves has also been named one of the Top 100 lawyers for South Carolina in 2012 by the National Trial Lawyers Organization. Our attorneys include a former SC prosecutor, a former public defender, a former NC District Attorney intern, a former Registered Nurse (RN), and former insurance defense attorneys. As a result of their varied backgrounds, they understand the criminal, insurance defense, and medical aspects of complex cases. We welcome an opportunity to sit down and personally review your case. Call us today for a private consultation. www.rjrlaw.com
A South Carolina woman is suing the bar that served her alcohol as a minor the night she had a car accident that left her paralyzed.
Hess was 20 years old on Aug. 8, 2009 when she went to Jock’s Sports Grill in Beaumont, S.C. for a game of billiards, according to her lawsuit.
She alleged that she ordered an alcoholic drink at the bar and was served without being asked for identification. The legal drinking age in South Carolina is 21.
Hess accused the bar of several forms of negligence, including failure to “request and examine proof of identification,” serving alcohol to minors, and “failing to ascertain whether Plaintiff was impaired by the consumption of alcoholic beverages at the time Plaintiff purchased the alcoholic beverage.”
At about 1:05 a.m., Hess left the bar driving her own car and had a serious accident.
“The wheels of the motor vehicle Plaintiff was operating suddenly dropped off into a large unmaintained area on the shoulder of Alljoy Road, which caused Plaintiff to loose [sic] control of her vehicle and causing her to roll the vehicle over off the side of the road,” the lawsuit said.
As a result, Hess “suffered serious, permanently debilitating injuries causing the plaintiff to be paraplegic.” She blames the accident on the bar.
“The accident that resulted in Plaintiff being a paraplegic was due to and proximately caused by the negligence, recklessness, and willfulness and gross negligence of Defendant Jock’s Sports Grill,” the lawsuit said.
Attorneys representing the defendants deny “each and every allegation,” they each said in responses to the Hess’ lawsuit.
Their response lists eight possible ways Hess may have been negligent including driving while intoxicated, failing to keep her car under proper control, driving too fast for the conditions, and “failing to act in a reasonable and prudent manner.”