D C Custom Freight, LLC v. Tammy A. Ross & Assocs. ( 2020 )


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  •               IN THE COURT OF APPEALS OF NORTH CAROLINA
    No. COA 19-1059
    Filed: 1 September 2020
    Union County, No. 19CVS466
    D C CUSTOM FREIGHT, LLC, Plaintiff,
    v.
    TAMMY A. ROSS & ASSOCIATES, INC., Defendant.
    Appeal by Plaintiff from Order and Judgment entered 26 September 2019 by
    Judge Kevin Bridges in Union County Superior Court. Heard in the Court of Appeals
    28 April 2020.
    The Duggan Law Firm, PC, by Christopher Duggan, and The Fitzgerald Dwyer
    Law Firm, PC, by Peter Dwyer, for Plaintiff-Appellant.
    Parker Poe Adams & Bernstein LLP, by Jason R. Benton and Jessica C. Dixon,
    for Defendant-Appellee.
    INMAN, Judge.
    The primary question in this case is whether a claim for unfair and deceptive
    trade practices against an insurance agent, based on the agent’s misrepresentation
    to a third party of the terms of a policy, can be maintained absent evidence that the
    plaintiff relied on the misrepresentation. We hold that North Carolina Supreme
    Court precedent precludes such a claim absent evidence that the plaintiff’s actual and
    reasonable reliance on a misrepresentation caused the claimed damages.
    D C CUSTOM FREIGHT, LLC V. TAMMY A. ROSS & ASSOCS., INC.
    Opinion of the Court
    Plaintiff D C Custom Freight, LLC, filed suit against its insurance agent,
    Defendant Tammy A. Ross & Associates, Inc., after Defendant sent documents to a
    third party implying that Plaintiff’s coverage was broader than what was contained
    in the policy. Plaintiff was left without coverage when a truck it rented from the third
    party was involved in an accident. Plaintiff appeals from: (1) the trial court’s grant
    of summary judgment for Defendant on Plaintiff’s claims for negligence, breach of
    contract, and unfair and deceptive trade practices (“UDTP”); and (2) the trial court’s
    denial of Plaintiff’s motion to amend its complaint asserting those claims.
    We affirm the trial court’s decision. This case is controlled by our Supreme
    Court’s decision in Bumpers v. Community Bank of Northern Virginia, 
    367 N.C. 81
    ,
    
    747 S.E.2d 220
    (2013), which holds that UDTP claims based on misrepresentation
    require a showing of both actual and reasonable reliance to prove that the
    misrepresentation caused damages. We hold that this requirement extends to claims
    made within the insurance industry context, in which certain practices are defined
    as unfair or deceptive under N.C. Gen. Stat. §58-63-15. We also hold that Plaintiff
    has failed to produce evidence sufficient to support a claim for negligence or breach
    of contract. The trial court’s grant of summary judgment was therefore proper as to
    each of Plaintiff’s claims. For the same reasons, we affirm the trial court’s denial of
    Plaintiff’s motion to amend those claims as futile.
    I. FACTUAL AND PROCEDURAL HISTORY
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    D C CUSTOM FREIGHT, LLC V. TAMMY A. ROSS & ASSOCS., INC.
    Opinion of the Court
    Plaintiff is a freight shipping and trucking company operating in North and
    South Carolina. Defendant is an insurance agent and broker. In 2016 Plaintiff
    engaged Defendant to procure commercial automobile insurance coverage, providing
    Defendant with a list of Plaintiff’s equipment and a copy of its former insurance policy
    to use as a “go-by.” Through Defendant, Plaintiff purchased a policy from Wesco
    Insurance Company (“Wesco”) covering the period from 11 March 2017 to 11 March
    2018 (the “2017-2018 policy”). Plaintiff used rented vehicles in its business, including
    trucks rented from Rush Enterprises, Inc. (“Rush”), some via long-term leases and
    some via short-term rentals. The long-term leased trucks were individually listed in
    the 2017-2018 policy and covered for physical damage. Trucks rented on a short-term
    basis were not individually enumerated and were not covered by the policy.
    On 6 December 2017, Rush’s insurance company requested that Defendant
    send a Certificate of Insurance (“COI”) that showed Plaintiff’s liability insurance
    limits and physical damage deductibles for leased or rented vehicles. Defendant
    prepared and sent a COI to the insurer and to Plaintiff.          This certificate (the
    “December COI”) indicated only that the policy provided liability coverage. The
    certificate did not mention collision coverage. The insurer requested an amended
    certificate that listed coverage limits and deductibles for comprehensive and collision
    coverage. Defendant sent a second COI (the “revised December COI”) to the insurer,
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    D C CUSTOM FREIGHT, LLC V. TAMMY A. ROSS & ASSOCS., INC.
    Opinion of the Court
    revised to add the entry “Specified Perils/Collision Deductibles: $2500.” The revised
    December COI was not sent to Plaintiff.
    The next year, Plaintiff renewed the insurance policy it had purchased through
    Defendant, covering the term of 11 March 2018 through 11 March 2019. Defendant
    sent a third COI to Rush’s insurer (the “March COI”), which was identical to the
    revised December COI except that it listed a $3000 deductible for “Specified
    Perils/Collision.” The March COI, like the revised December COI, was sent only to
    Rush’s insurer and not to Plaintiff.
    In June 2018, Plaintiff rented a truck from Rush on a short-term basis. The
    short-term rental agreement with Rush required Plaintiffs to provide collision
    insurance for the truck. In July the rented truck was damaged in a collision. Plaintiff
    submitted a claim to Wesco. The claim was denied because short-term rentals were
    not covered by Plaintiff’s policy.
    Plaintiff filed suit against Defendant, asserting claims for fraudulent
    misrepresentation, negligence, breach of contract, fraudulent concealment, and
    unfair and deceptive trade practices. Defendant moved for summary judgment as to
    all of Plaintiff’s claims. Plaintiff then moved to amend its complaint and for summary
    judgment on its breach of contract and UDTP claims. Plaintiff’s proposed amended
    complaint removed its claim for fraudulent concealment, replaced its claim for
    fraudulent misrepresentation with a claim for negligent misrepresentation, and
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    D C CUSTOM FREIGHT, LLC V. TAMMY A. ROSS & ASSOCS., INC.
    Opinion of the Court
    added factual allegations regarding the certificates of insurance.        Plaintiff later
    supplemented its motion to amend with a revised amended complaint, which modified
    its negligent misrepresentation claim into one based in simple negligence. Plaintiff
    also withdrew its motion for summary judgment on breach of contract.
    Following a hearing, the trial court denied Plaintiff’s motion to amend the
    complaint, denied Plaintiff’s motion for summary judgment on its UDTP claim, and
    granted Defendant’s motion for summary judgment on all of Plaintiff’s claims.
    Plaintiff appeals.
    II. ANALYSIS
    Although Plaintiff asserted additional claims in its complaint, its notice of
    appeal only contests the trial court’s grant of summary judgment and denial of its
    motion to amend as to its claims for negligence, breach of contract, and unfair and
    deceptive trade practices. Plaintiff also contests the trial court’s denial of its motion
    for summary judgment as to unfair and deceptive trade practices. We address each
    cause of action in turn.
    A. Standard of Review
    Summary judgment is properly granted “if the pleadings, depositions, answers
    to interrogatories, and admissions on file, together with the affidavits, if any, show
    that there is no genuine issue as to any material fact and that any party is entitled
    to judgment as a matter of law.” N.C. Gen. Stat. § 1A-1, Rule 56 (2019). The court
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    D C CUSTOM FREIGHT, LLC V. TAMMY A. ROSS & ASSOCS., INC.
    Opinion of the Court
    must examine the evidence in the light most favorable to the non-moving party and
    give that party the benefit of all reasonable inferences. Jenkins v. Lake Montonia
    Club, Inc., 
    125 N.C. App. 102
    , 104, 
    479 S.E.2d 259
    , 261 (1997). We review trial court
    rulings on motions for summary judgment de novo. Horne v. Town of Blowing Rock,
    
    223 N.C. App. 26
    , 32, 
    732 S.E.2d 614
    , 618 (2012). Under de novo review, we consider
    the matter anew and freely substitute our own judgment for that of the trial court.
    Id. We review a
    trial court’s denial of a motion to amend for abuse of discretion.
    Delta Envtl. Consultants of N. Carolina, Inc. v. Wysong & Miles Co., 
    132 N.C. App. 160
    , 165-66, 
    510 S.E.2d 690
    , 694 (1999). Denying a motion to amend without any
    apparent justification is an abuse of discretion, but when the trial court states no
    reason for the denial we may examine any apparent reasons for the ruling.
    Id. Proper reasons for
    denial include futility of the amendment.
    Id. “When an amendment
    would be futile in light of the propriety of summary judgment on a plaintiff’s claim,
    it is not an abuse of discretion for the trial court to deny the amendment.” N. Carolina
    Council of Churches v. State, 
    120 N.C. App. 84
    , 93, 
    461 S.E.2d 354
    , 360 (1995).
    B. Negligence
    Plaintiff contends in its negligence claim that Defendant, because it failed to
    procure insurance coverage for short-term rental trucks, violated its duty to “use
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    D C CUSTOM FREIGHT, LLC V. TAMMY A. ROSS & ASSOCS., INC.
    Opinion of the Court
    reasonable skill, care and diligence” in procuring insurance for Plaintiff. Holmes v.
    Sheppard, 
    255 N.C. App. 739
    , 744, 
    805 S.E.2d 371
    , 375 (2017). We disagree.
    An insurance agent’s duty in procuring insurance is limited to securing the
    coverage that the policyholder has requested. Baggett v. Summerlin Ins. and Realty,
    Inc., 
    143 N.C. App. 43
    , 50-51, 
    545 S.E.2d 462
    , 467 (Tyson, J., dissenting), rev’d for
    reasons stated in the dissent, 
    354 N.C. 347
    , 
    554 S.E.2d 336
    (2001).         Failure to
    recommend additional insurance to cover a risk faced by the policyholder does not
    constitute negligence. See Baldwin v. Lititz Mut. Ins. Co., 
    99 N.C. App. 559
    , 562, 
    393 S.E.2d 306
    , 308 (1990) (no reasonable expectation that defendant insurance agent
    recommend or procure coverage for home after builder’s policy lapsed at completion
    of construction); Phillips by Phillips v. State Farm Mut. Auto. Ins. Co., 
    129 N.C. App. 111
    , 113, 
    497 S.E.2d 325
    , 327 (1998) (insurance agent had no duty to inform client
    that increasing liability coverage limits would make him eligible for uninsured
    motorist coverage).
    In this case, Plaintiff has not presented evidence raising a genuine issue of
    material fact regarding whether Plaintiff requested that Defendant obtain coverage
    for the short-term rental trucks. When seeking insurance coverage, Plaintiff provided
    Defendant a copy of its previous insurance policy, which did not cover short-term
    rentals. Plaintiff argues that its representative told Defendant that Plaintiff engaged
    in short-term rentals, and that this constituted a request for coverage. Considering
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    D C CUSTOM FREIGHT, LLC V. TAMMY A. ROSS & ASSOCS., INC.
    Opinion of the Court
    the testimony in the light most favorable to Plaintiff, it does not show a request for
    coverage of short-term truck rentals, and it does not show that Defendant promised
    to obtain such coverage. Defendant had no duty to procure coverage beyond what
    Plaintiff actually requested.
    Plaintiff compares this case to Holmes v. Sheppard, 
    255 N.C. App. 739
    , 
    805 S.E.2d 371
    (2017).    In Holmes, after the plaintiff’s insurance claim was denied
    because the policy did not provide coverage for vacant property, the plaintiff sued his
    insurance agent for failing to obtain that coverage. 255 N.C. App at 
    742, 805 S.E.2d at 373
    . The plaintiff testified that he requested the coverage while his property was
    vacant and told the insurance agent that he “did not want to have another issue
    because of vacancy,” as a previous claim he had filed was denied due to a vacancy
    exclusion.
    Id. at 744, 805
    S.E.2d at 375. We held that this testimony was sufficient
    to raise a genuine issue of material fact as to whether the plaintiff had requested the
    coverage and we reversed the trial court’s grant of summary judgment for the
    defendant. Id. at 745, 
    748-49, 805 S.E.2d at 375
    , 377-78.
    This case is distinguishable from Holmes. There is no evidence that Plaintiff
    communicated to Defendant a request to insure short-term rentals. The previous
    insurance policy Plaintiff provided to Defendant as an example of the coverage
    needed did not include coverage for short-term rentals.        Plaintiff presented no
    evidence that it requested greater or different coverage from that provided in the
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    D C CUSTOM FREIGHT, LLC V. TAMMY A. ROSS & ASSOCS., INC.
    Opinion of the Court
    previous policy. And, unlike in Holmes, Plaintiff did not make a statement expressly
    indicating a desire to rectify a gap in coverage. On these facts, and considering the
    evidence in the light most favorable to Plaintiff, we hold that Plaintiff has failed to
    demonstrate a genuine issue of material fact as to whether it requested the insurance
    coverage at issue, and in turn as to whether Defendant owed a duty of care to obtain
    such coverage. We conclude that the trial court properly granted summary judgment
    on Plaintiff’s negligence claim.
    Plaintiff’s   initial   complaint    also   asserted   a   claim   for   fraudulent
    misrepresentation based on Defendant’s issuance of the COI to Rush Enterprises
    misrepresenting Plaintiff’s coverage. The trial court granted Defendant’s motion for
    summary judgment on that claim. Plaintiff’s proposed amended complaint added a
    claim for negligence based on Defendant’s representation to Rush. Because Plaintiff
    has not argued on appeal that either the fraudulent misrepresentation claim or a
    negligence claim based on that misrepresentation should have survived summary
    judgment, those issues are abandoned and we do not consider them. N.C. R. App. P.
    28(b)(6).
    C. Breach of Contract
    Plaintiff argues that, by failing to procure insurance covering short-term
    rentals, Defendant breached its contract to act as Plaintiff’s insurance agent and
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    D C CUSTOM FREIGHT, LLC V. TAMMY A. ROSS & ASSOCS., INC.
    Opinion of the Court
    broker. We disagree because, as explained above, the evidence does not establish that
    Plaintiff requested that Defendant procure this coverage.
    When an insurance agent has breached its duty to procure insurance requested
    by the insured, the insured may seek remedy in tort or in contract. Elam v. Smithdeal
    Realty & Ins. Co., 
    182 N.C. 599
    , 604, 
    109 S.E.2d 632
    , 634 (1921). To establish a claim
    for breach of contract, the party asserting the claim has the burden of showing the
    existence of a valid contract and a breach of the terms of that contract. Samost v.
    Duke Univ., 
    226 N.C. App. 514
    , 518, 
    742 S.E.2d 257
    , 260 (2013).
    As explained above, Plaintiff has not introduced evidence showing that it
    requested coverage for short-term rentals.        Nor has it shown that the contract
    between Plaintiff and Defendant extended Defendant’s duties beyond the standard
    requirement that an insurance agent procure the coverage actually requested by the
    insured.
    Plaintiff argues that the issuance of the revised December and March COIs,
    which implied collision and comprehensive coverage for all vehicles, created a duty
    that Defendant procure that coverage. However, a COI is distinct from a contract in
    both law and industry practice:
    A certificate of insurance is not a policy of insurance and
    does not amend, extend, or alter the coverage afforded by
    the policy to which the certificate of insurance makes
    reference. A certificate of insurance shall not confer to a
    certificate of insurance holder new or additional rights
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    D C CUSTOM FREIGHT, LLC V. TAMMY A. ROSS & ASSOCS., INC.
    Opinion of the Court
    beyond what the referenced policy of insurance expressly
    provides.
    N.C. Gen. Stat. § 58-3-150(e) (2019). The COIs at issue in this case provided that
    they “do[] not constitute a contract between the issuing insurer(s), authorized
    representative or producer, and the certificate holder.” The second and third COIs,
    which included references to collision or comprehensive coverage, were never sent to
    Plaintiff before the collision giving rise to this case. Considering the evidence in the
    light most favorable to Plaintiff, we cannot hold that these COIs created an additional
    duty in contract.
    Plaintiff argues that denying it relief serves as a “shocking notice” to the
    insurance community that insurers can issue certificates listing anything they like
    without repercussion. We disagree. Our legislature has prohibited the issuance of
    COIs that “contain[] any false or misleading information concerning the policy of
    insurance to which the certificate of insurance makes reference.” N.C. Gen. Stat. §
    58-3-150(f)(2) (2019). We simply hold that a COI, sent to a third party and never
    communicated to the insured, without any additional consideration, does not create
    additional contractual duties owed to the insured.
    D. Unfair and Deceptive Trade Practices
    Plaintiff last argues that the trial court erred in granting summary judgment
    on its claim for unfair and deceptive trade practices.       This claim rests on the
    intersection of two statutes: N.C. Gen. Stat. § 75-1.1, which creates a private cause of
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    D C CUSTOM FREIGHT, LLC V. TAMMY A. ROSS & ASSOCS., INC.
    Opinion of the Court
    action for UDTP, and N.C. Gen. Stat. § 58-63-15(1), which our courts have held
    recognizes certain acts within the insurance context as per se unfair or deceptive
    practices.   Section 75-1.1 UDTP claims based on a misrepresentation by the
    defendant generally require a showing that the plaintiff relied on the
    misrepresentation, leading to its injury. We now consider whether stating a claim in
    the insurance context, within the scope of Section 58-63-15(1), relieves Plaintiff of the
    requirement to show reliance. As discussed below, we hold that Plaintiff must show
    reliance and, because Plaintiff has failed to do so, the trial court properly granted
    summary judgment on this claim.
    Section 75-1.1 of our General Statutes prohibits unfair and deceptive acts
    between parties engaged in a business transaction. N.C. Gen. Stat. § 75-1.1; First
    Atl. Mgmt. Corp. v. Dunlea Realty Co., 
    131 N.C. App. 242
    , 252, 
    507 S.E.2d 56
    , 63
    (1998). To prevail on a UDTP claim under Section 75-1.1, a plaintiff must show that
    (1) the defendant committed an unfair or deceptive act or practice (2) in or affecting
    commerce which (3) proximately caused injury to the plaintiff.
    Id. Determining whether an
    act is an unfair or deceptive practice that violates
    Section 75-1.1 is a question of law. Gray v. North Carolina Ins. Underwriting Ass’n,
    
    352 N.C. 61
    , 68, 
    529 S.E.2d 676
    , 681 (2000). Ordinarily, the trial court will determine,
    based upon the jury’s findings, whether the acts engaged in by the defendant were
    unfair or deceptive practices in or affecting commerce.
    Id. A practice is
    deceptive if
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    D C CUSTOM FREIGHT, LLC V. TAMMY A. ROSS & ASSOCS., INC.
    Opinion of the Court
    it has the tendency to deceive, and unfair when it “offends established public policy
    as well as when the practice is immoral, unethical, oppressive, unscrupulous, or
    substantially injurious to consumers.”
    Id. (quotations and citations
    omitted). In this
    case that analysis is unnecessary because misrepresenting the terms of an insurance
    policy is a per se deceptive act satisfying the first element of a UDTP claim.
    Our legislature has enumerated a number of “unfair and deceptive acts or
    practices in the business of insurance.”                N.C. Gen. Stat. § 58-63-15 (2019).1
    Misrepresenting the terms of an insurance policy is one of the proscribed behaviors:
    The following are hereby defined as unfair methods of
    competition and unfair and deceptive acts or practices in
    the business of insurance:
    (1) Misrepresentations and False Advertising of Policy
    Contracts.--Making, issuing, circulating, or causing to
    be made, issued or circulated, any estimate,
    illustration, circular or statement misrepresenting the
    terms of any policy issued or to be issued or the benefits
    or advantages promised thereby or the dividends or
    share of the surplus to be received thereon, or making
    any false or misleading statement as to the dividends or
    share or surplus previously paid on similar policies, or
    making any misleading representation or any
    misrepresentation as to the financial condition of any
    insurer, or as to the legal reserve system upon which
    any life insurer operates, or using any name or title of
    any policy or class of policies misrepresenting the true
    nature thereof, or making any misrepresentation to any
    policyholder insured in any company for the purpose of
    inducing or tending to induce such policyholder to lapse,
    forfeit, or surrender his insurance.
    1 Plaintiff’s original complaint does not refer to Section 58-63-15, but the amended complaint
    characterizes the claim as under the section and pleads facts specific to it.
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    D C CUSTOM FREIGHT, LLC V. TAMMY A. ROSS & ASSOCS., INC.
    Opinion of the Court
    N.C. Gen. Stat. § 58-63-15 (2019).
    Section 58-63-15 is a regulatory statute, enforced by the Commissioner of
    Insurance, and does not create a private cause of action. However, our Supreme
    Court has held that a violation of Section 58-63-15(1) is, as a matter of law, an unfair
    or deceptive act or practice. Pearce v. American Defender Life Ins. Co., 
    316 N.C. 461
    ,
    470, 
    343 S.E.2d 174
    , 179 (1986). In Pearce, the plaintiff purchased a life insurance
    policy including an additional payment if he died in an accident.
    Id. at 463, 343
    S.E.2d at 176. He later sent a letter to his insurance company informing it that he
    had joined the Air Force and asking if he was “fully covered.”
    Id. The insurance company
    confirmed that the accidental death rider would be payable “should his
    death occur while in the Armed Forces but not as the result of an act of war.”
    Id. at 464, 343
    S.E.2d at 176. The plaintiff died in a training flight, and the insurance
    company refused to pay benefits under the accidental death rider, citing an exception
    in the policy. Id. at 
    465, 343 S.E.2d at 177
    . Our Supreme Court held that the
    insurance company violated the misrepresentation provision of N.C. Gen. Stat. § 58-
    54.4 (now codified at N.C. Gen. Stat. § 58-63-15(1)), and that such a violation is a per
    se unfair or deceptive trade practice under Section 75-1.1.
    Id. at 470, 343
    S.E.2d at
    179.2
    2 Section 58-63-15 enumerates thirteen different categories of unfair and deceptive acts or
    practices in the business of insurance. Not all of these categories have been incorporated as per se
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    D C CUSTOM FREIGHT, LLC V. TAMMY A. ROSS & ASSOCS., INC.
    Opinion of the Court
    In this case, Plaintiff’s claim is likewise based on a misrepresentation by
    Defendant regarding what was covered under its policy: the policy did not provide
    comprehensive or collision coverage to short-term rentals, but the revised December
    COI and the March COI imply that this coverage exists. Defendant argues that this
    misrepresentation cannot constitute a deceptive trade practice because it did not gain
    any advantage in the marketplace from this misrepresentation. However, while
    examining whether a defendant benefitted from an act may be a factor in determining
    whether that act is an unfair or deceptive practice, that determination does not need
    to be made in this case. Misrepresenting the terms of an insurance policy is, as a
    matter of law, a deceptive act. We need not weigh factors to determine whether this
    first element of a UDTP claim is satisfied, and therefore whether Defendant gained
    an advantage by its misrepresentation is not relevant to our analysis.3
    Defendant argues that, because Plaintiff’s UDTP claim is based on
    misrepresentation, Plaintiff must also show that it relied upon the misrepresentation
    in order to show causation—the third element of a UDTP claim under Section 75-1.1.
    unfair or deceptive acts satisfying the first element of a UDTP claim. See, e.g., N.C. Steel, Inc. v. Nat’l
    Council on Compensation Ins., 
    347 N.C. 627
    , 632-33, 
    496 S.E.2d 369
    , 372 (1998).
    3 Defendant cites Erler v. Aon Risks Services, Inc. of the Carolinas, in which we held that a
    misrepresentation by an insurance agent as to the coverage the purchaser would receive did not
    amount to an unfair or deceptive trade practice because “no unfair advantage was to be gained from
    defendants’ actions.” 
    141 N.C. App. 312
    , 321, 
    540 S.E.2d 65
    , 71 (2000). However, this decision is
    directly at odds with our Supreme Court’s decision in Pearce. We are compelled to follow Pearce. See,
    e.g., Respess v. Respess, 
    232 N.C. App. 611
    , 625, 
    754 S.E.2d 691
    , 701 (2014) (acknowledging that where
    a conflict exists between Supreme Court precedent and a decision of this Court, we are bound to follow
    the former).
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    D C CUSTOM FREIGHT, LLC V. TAMMY A. ROSS & ASSOCS., INC.
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    Defendant contends that Plaintiff cannot show reliance because the revised
    December and March COIs were never seen by Defendant prior to the accident giving
    rise to this case. We agree.
    We previously addressed this question in Cullen v. Valley Forge Life Insurance
    Company, and held that reliance is not a requirement to show causation in a UDTP
    claim stemming from Section 58-63-15(1). 
    161 N.C. App. 570
    , 
    589 S.E.2d 423
    (2003).
    In Cullen, the plaintiff applied for a life insurance policy from the defendant and
    submitted to a medical examination and released his medical 
    records. 161 N.C. App. at 572-73
    , 589 S.E.2d at 426-27. Later, the plaintiff applied for additional coverage
    and underwent a second medical examination, which revealed a blood blister.
    Id. The insurance company
    denied the additional coverage and sent the plaintiff a letter
    stating that “no coverage or contract was ever in effect” and “no coverage ever
    existed.”
    Id. at 573, 589
    S.E.2d at 427. This statement was a misrepresentation, as
    the company’s internal memos showed that the plaintiff was covered, violating
    Section 58-63-15(1) and constituting an unfair or deceptive practice as a matter of
    law.
    Id. at 579, 589
    S.E.2d at 430-431. The defendant argued that the plaintiff could
    not show an injury in the absence of evidence that he relied on the misrepresentation,
    but we held that a showing of reliance was not required to prove causation.
    Id. at 580, 589
    S.E.2d at 431.
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    D C CUSTOM FREIGHT, LLC V. TAMMY A. ROSS & ASSOCS., INC.
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    However, this holding is called into question by our Supreme Court’s decision
    in Bumpers v. Community Bank of Northern Virginia, 
    367 N.C. 81
    , 88, 
    747 S.E.2d 220
    , 226 (2013). While Bumpers concerns a UDTP claim occurring outside of the
    context of the insurance industry and Section 58-63-15(1), it holds that “a claim under
    section 75-1.1 stemming from an alleged misrepresentation does indeed require a
    plaintiff to demonstrate reliance on this misrepresentation in order to show the
    necessary proximate cause.”
    Id. at 88-89, 747
    S.E.2d at 226-27. In Bumpers, the
    plaintiffs paid loan discount fees to a lender but were not provided discounted loans.
    Id. at 
    84, 747 S.E.2d at 223
    . The Supreme Court held that the plaintiffs’ claim was
    based on a misrepresentation, and they could not show proximate cause without
    presenting sufficient evidence that they actually relied upon the misrepresentation.
    Id. at 
    89, 747 S.E.2d at 227
    . Stated directly, “actual reliance requires that the
    plaintiff have affirmatively incorporated the alleged misrepresentation into [their]
    decision-making process.”
    Id. at 90, 747
    S.E.2d at 227 (emphasis added).
    We are not convinced by Plaintiff’s argument—that Cullen controls over
    Bumpers because Bumpers does not involve the insurance industry. In Cullen, we
    based our holding that no showing of reliance was necessary on two factors. First,
    neither statute at issue included language requiring 
    reliance. 161 N.C. App. at 580
    ,
    589 S.E.2d at 431. Second, we observed that “actual deception is not an element
    necessary under N.C. Gen. Stat. § 75-1.1 to support an unfair or deceptive practices
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    D C CUSTOM FREIGHT, LLC V. TAMMY A. ROSS & ASSOCS., INC.
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    claim.”
    Id. (citing Johnson v.
    Insurance Co., 
    300 N.C. 247
    , 265, 
    266 S.E.2d 610
    , 622
    (1980), overruled in part on other grounds, Myers & Chapman, Inc. v. Thomas G.
    Evans, Inc., 
    323 N.C. 559
    , 
    374 S.E.2d 385
    (1988); Poor v. Hill, 
    138 N.C. App. 19
    , 29,
    
    530 S.E.2d 838
    , 845 (2000)). Neither of these reasons is specific to insurance-based
    claims made under Section 58-63-15(1), and they apply equally to any claim made
    pursuant to Section 75-1.1. In short, Cullen itself declined to draw the distinction
    Plaintiff now asks us to adopt.
    Nor does Pearce, which recognized misrepresentations in the insurance
    industry as per se deceptive trade practices supporting a UDTP claim, imply that
    such a claim can be sustained without showing reliance.           The Supreme Court
    compared the causation analysis for such claims to the “detrimental reliance
    requirement under a fraud claim” and concluded that the insured in that case had
    presented evidence showing that he relied on assurances from the insurance company
    that he was covered. 
    Pearce, 316 N.C. at 471-72
    , 343 S.E.2d at 180-81. Plaintiff has
    not submitted, nor can we identify, any authority or analysis concluding that the
    element of proximate cause in the insurance context should be treated differently
    than causation outside of it. For all of these reasons, we hold that, in order to succeed
    on a UDTP claim arising under Section 58-63-15(1), a plaintiff must show reliance on
    the misrepresentation.
    - 18 -
    D C CUSTOM FREIGHT, LLC V. TAMMY A. ROSS & ASSOCS., INC.
    Opinion of the Court
    We also note that the precedents cited in Cullen held that evidence of actual
    deception was not required to establish the first element of a UDTP claim—the
    presence of an unfair or deceptive trade practice. See, e.g., 
    Poor, 138 N.C. App. at 28
    -
    
    29, 530 S.E.2d at 845
    (“A practice is deceptive if it ‘possesse[s] the tendency or
    capacity to mislead, or create[s] the likelihood of deception.’ ” (quoting Overstreet v.
    Brookland, Inc., 
    52 N.C. App. 444
    , 453, 
    279 S.E.2d 1
    , 7 (1981)). Cullen applied the
    holding   in     these    cases    to   the     third     element—proximate      cause—without
    acknowledging this distinction or explaining why the same analysis should apply to
    two different elements of a tort.
    Prior to Cullen, we consistently held that UDTP claims based on an alleged
    misrepresentation        require    the     plaintiff     to   show   actual   reliance   on   the
    misrepresentation in order to establish that element. Tucker v. Boulevard at Piper
    Glen LLC, 
    150 N.C. App. 150
    , 154, 
    564 S.E.2d 248
    , 251 (2002); Pleasant Valley
    Promenade v. Lechmere, Inc., 
    120 N.C. App. 650
    , 664, 
    464 S.E.2d 47
    , 58 (1995).
    Rather than being distinguishable from Bumpers’ general rule that a showing of
    reliance on the part of the plaintiff is required, Cullen is in direct conflict with that
    rule. See Bumpers at 100, S.E.2d at 234, n. 10 (Beasley, J., dissenting) (citing Cullen
    as authority providing that evidence of reliance is not necessary to support a UDTP
    claim).   Accordingly, we interpret the Supreme Court’s decision in Bumpers as
    - 19 -
    D C CUSTOM FREIGHT, LLC V. TAMMY A. ROSS & ASSOCS., INC.
    Opinion of the Court
    overruling Cullen in this respect and hold that Plaintiff in this case must show
    reliance to succeed on its UDTP claim.
    In this case, Defendant did not send Plaintiff the documents containing the
    alleged misrepresentations.      When Rush’s insurer first requested a COI on 6
    December 2017, Defendant sent a certificate to both the insurer and to Plaintiff. This
    initial COI did not suggest that short-term rentals had comprehensive and collision
    coverage. In fact, the initial COI included no representation that Plaintiff had any
    insurance coverage other than for liability. One week later, on 14 December 2017,
    Defendant sent the Revised December COI, which listed a “specified perils/collision
    deductible,” only to the insurer, and not to Plaintiff. Likewise, the March COI, which
    related to the policy in force when the accident occurred, was sent only to Rush and
    not to Plaintiff.
    The evidence, considered in the light most favorable to Plaintiff, is insufficient
    to create a disputed issue of fact regarding whether Plaintiff relied on Defendant’s
    alleged misrepresentations. The only document Plaintiff received from Defendant
    provided no representation regarding the insurance coverage in dispute. Plaintiff
    argues that its rental of trucks from Rush shows reliance on the alleged
    misrepresentations, because Rush agreed to the short-term rentals on the condition
    that Plaintiff have collision coverage for those vehicles. This attenuated connection
    is insufficient to establish a factual dispute regarding Plaintiff’s reliance.
    - 20 -
    D C CUSTOM FREIGHT, LLC V. TAMMY A. ROSS & ASSOCS., INC.
    Opinion of the Court
    Section 75-1.1 requires a showing of (1) actual reliance—that “the plaintiff . . .
    affirmatively incorporated the alleged misrepresentation into his or her decision-
    making process” and (2) that the reliance was reasonable. 
    Bumpers, 367 N.C. at 90
    ,
    747 S.E.2d at 227. In this case, the evidence does not indicate such affirmative
    incorporation. At best, Plaintiff passively continued to engage in the deal it had made
    with Rush when the lack of collision coverage did not create a barrier. While Plaintiff
    argues that it relied on Defendant “to send Rush whatever they were requesting,”
    and Plaintiff’s representative testified that the fact that Rush “let the truck go”
    indicated it had received the COI, this is not enough to show that Plaintiff relied upon
    the information in the COI. At most, Plaintiff knew that Rush requested information
    regarding the collision deductibles, and then later rented the trucks to Plaintiff. See,
    e.g., Hospira Inc. v. Alphagary Corp., 
    194 N.C. App. 695
    , 701, 
    671 S.E.2d 7
    , 12 (2009)
    (“Under a theory of negligent misrepresentation, liability cannot be imposed when
    the plaintiff does not directly rely on information prepared by the defendant, but
    instead relies on altered information provided by a third party.”)
    Given that Plaintiff’s representatives could have, at any time, examined the
    insurance policy and discovered that collision coverage was not provided for short-
    term rentals, any reliance on such attenuated information was unreasonable.
    “Reliance is not reasonable where the plaintiff could have discovered the truth of the
    matter through reasonable diligence, but failed to investigate.” Bumpers, 
    367 N.C. -
    21 -
    D C CUSTOM FREIGHT, LLC V. TAMMY A. ROSS & ASSOCS., INC.
    Opinion of the Court
    at 
    90, 747 S.E.2d at 227
    . An insured’s access to its policy does not always render
    reliance on an agent’s misrepresentation of the terms of that policy unreasonable.
    See, e.g., Pearce, 
    316 N.C. 461
    , 
    343 S.E.2d 174
    .          But in cases of negligent
    misrepresentation we have held that, when terms are unambiguously expressed in
    the policy, reliance on misrepresentations as to those terms is unjustified. Cobb v.
    Pennsylvania Life Ins. Co., 
    215 N.C. App. 268
    , 276, 
    715 S.E.2d 541
    , 549 (2011).
    While UDTP and negligent misrepresentation claims are not identical, the
    facts of this case lead us to conclude that it was unreasonable for Plaintiff to rely on
    Rush’s rental of trucks to conclude that those trucks were covered by the insurance
    policy procured by Defendant. Plaintiff is a sophisticated business, engaged in the
    business of trucking, and Plaintiff’s representatives testified that no representative
    at any point read the policy it purchased through Defendant. Plaintiff’s previous
    policy, provided to Defendant as a go-by, did not cover short-term rentals. A third
    party (Rush) requested confirmation of a policy term, and any misrepresentation of
    the term was communicated only to the third party. These facts are distinguishable
    from cases like Pearce, in which the insured requested clarification of a policy and
    received a misrepresentation as to that term in response. In this case, Plaintiff’s
    reliance on Rush’s actions to determine the terms of its insurance contract was
    unreasonable.
    - 22 -
    D C CUSTOM FREIGHT, LLC V. TAMMY A. ROSS & ASSOCS., INC.
    Opinion of the Court
    In its reply brief, Plaintiff contends that, even if it did not directly rely on
    Defendant’s misrepresentation, the reliance of a third party can show causation for a
    UDTP claim. In Ellis v. Smith-Broadhurst, Inc., decided by this court before our
    Supreme Court’s decision in Bumpers, an insurance agent sued a competitor for
    submitting a policy comparison to a potential client that misrepresented the
    plaintiff’s policy. 
    48 N.C. App. 180
    , 
    268 S.E.2d 271
    (1980). We held that, because
    there was some evidence that the client “continued to rely on the comparison made
    by defendants” in making its decision, there was a genuine issue of material fact as
    to proximate cause. 48 N.C. App. at 
    184, 268 S.E.2d at 274
    . Ellis is either directly
    in conflict with Bumpers, and therefore not binding, or distinguishable from this case.
    The majority opinion in Bumpers is unequivocal in its language: “actual
    reliance requires that the plaintiff have affirmatively incorporated the alleged
    misrepresentation into his or her decision-making process.” 367 N.C. at 
    90, 747 S.E.2d at 227
    (emphasis added). “A plaintiff must prove that he or she detrimentally
    relied on the defendant’s misrepresentation.”
    Id. (citing Hageman v.
    Twin City
    Chrysler-Plymouth Inc., 
    681 F. Supp. 303
    , 308 (M.D.N.C. 1988) (emphasis added)). It
    is clear from this case that only the direct reliance of the plaintiff is sufficient to
    support a UDTP claim based on misrepresentation.            The holding in Bumpers
    precludes a UDTP claim such as that in Ellis, in which a third party’s reliance caused
    - 23 -
    D C CUSTOM FREIGHT, LLC V. TAMMY A. ROSS & ASSOCS., INC.
    Opinion of the Court
    damage to the plaintiff. Accordingly, Plaintiff cannot base a theory of causation on
    the reliance of another party.
    This case is also factually distinguishable from Ellis. In Ellis, the defendant
    made a misrepresentation to a potential client that caused them to purchase its
    product over the 
    plaintiff’s. 48 N.C. App. at 181
    , 268 S.E.2d at 272. The unfair and
    deceptive practice at issue in Ellis was a misrepresentation that directly interfered
    with the plaintiff’s business opportunity and caused the plaintiff harm. In this case,
    taking the evidence in the light most favorable to Plaintiff, Rush relied on the COI in
    deciding to rent trucks to Plaintiff on a short-term basis. However, simply renting
    the trucks to Plaintiff did not cause any harm. The harm arose only when an accident
    occurred, incurring losses that Plaintiff assumed were covered under its policy.
    Because the evidence, considered in the light most favorable to Plaintiff, is
    insufficient to show that (1) Defendant made a misrepresentation to Plaintiff
    concerning insurance coverage; (2) Plaintiff relied on the representation; or (3)
    Plaintiff’s attenuated reliance on a third party’s reliance would be reasonable, the
    trial court did not err in allowing Defendant’s motion for summary judgment as to
    UDTP. For these same reasons, Plaintiff’s amended complaint cannot raise a genuine
    issue of material fact and is therefore futile. The trial court did not err in denying
    Plaintiff’s motion to amend.
    III. CONCLUSION
    - 24 -
    D C CUSTOM FREIGHT, LLC V. TAMMY A. ROSS & ASSOCS., INC.
    Opinion of the Court
    For the above reasons, we hold that the trial court did not err in allowing
    Defendant’s motion for summary judgment and denying Plaintiff’s motion to amend
    and motion for summary judgment.
    AFFIRMED.
    Judges STROUD and COLLINS concur.
    - 25 -
    

Document Info

Docket Number: 19-1059

Filed Date: 9/1/2020

Precedential Status: Precedential

Modified Date: 9/1/2020

Authorities (21)

Pearce v. American Defender Life Ins. Co. , 316 N.C. 461 ( 1986 )

Johnson v. Phoenix Mutual Life Insurance , 300 N.C. 247 ( 1980 )

Myers & Chapman v. Thomas G. Evans , 323 N.C. 559 ( 1988 )

North Carolina Council of Churches v. State , 120 N.C. App. 84 ( 1995 )

N.C. Steel, Inc. v. National Council on Compensation ... , 347 N.C. 627 ( 1998 )

Baldwin v. Lititz Mutual Insurance , 99 N.C. App. 559 ( 1990 )

First Atlantic Management, Corp. v. Dunlea Realty, Co. , 131 N.C. App. 242 ( 1998 )

Poor v. Hill , 138 N.C. App. 19 ( 2000 )

Tucker v. Boulevard at Piper Glen LLC , 150 N.C. App. 150 ( 2002 )

Cullen v. Valley Forge Life Insurance , 161 N.C. App. 570 ( 2003 )

Phillips Ex Rel. Phillips v. State Farm Mutual Automobile ... , 129 N.C. App. 111 ( 1998 )

Erler v. Aon Risks Services, Inc. of Carolinas , 141 N.C. App. 312 ( 2000 )

Overstreet v. Brookland, Inc. , 52 N.C. App. 444 ( 1981 )

Cobb v. Pennsylvania Life Insurance , 215 N.C. App. 268 ( 2011 )

Hageman v. Twin City Chrysler-Plymouth Inc. , 681 F. Supp. 303 ( 1988 )

Pleasant Valley Promenade v. Lechmere, Inc. , 120 N.C. App. 650 ( 1995 )

Ellis v. Smith-Broadhurst, Inc. , 48 N.C. App. 180 ( 1980 )

Gray v. North Carolina Insurance Underwriting , 352 N.C. 61 ( 2000 )

Hospira Inc. v. Alphagary Corp. , 194 N.C. App. 695 ( 2009 )

Jenkins v. Lake Montonia Club, Inc. , 125 N.C. App. 102 ( 1997 )

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