Hairston v. Harward

IN THE SUPREME COURT OF NORTH CAROLINA
No. 416A17
Filed 7 December 2018
WILLIAM HAIRSTON, JR.
v.
ASHWELL BENNETT HARWARD, JR.
Appeal pursuant to N.C.G.S. § 7A-30(2) from the decision of a divided panel of
the Court of Appeals, ___ N.C. App. ___, 808 S.E.2d 286 (2017), affirming a judgment
entered on 1 December 2015 by Judge Joseph N. Crosswhite in Superior Court,
Davidson County. Heard in the Supreme Court on 30 August 2018.
Maynard & Harris, Attorneys at Law, PLLC, by C. Douglas Maynard, Jr.;
Higgins Benjamin, PLLC, by John F. Bloss; and Roane Law, by James M.
Roane, III, for plaintiff-appellant.
Davis and Hamrick, LLP, by Kent L. Hamrick and Ann C. Rowe, for defendant-
appellee Ashwell Bennett Harward, Jr.
Burton, Sue & Anderson, LLP, by Stephanie W. Anderson, for unnamed
defendant-appellee Erie Insurance Exchange.
Pinto Coates Kyre & Bowers, PLLC, by Deborah J. Bowers and Andrew G.
Pinto, for North Carolina Association of Defense Attorneys, amicus curiae.
ERVIN, Justice.
The question before us in this case is whether the trial court erred by crediting
a payment made to plaintiff William Hairston, Jr., under his own underinsured
motorist coverage against the amount of the judgment that plaintiff obtained against
defendant Ashwell Bennett Harward, Jr., arising from a motor vehicle collision. After
HAIRSTON V. HARWARD
Opinion of the Court
carefully considering the record in light of the applicable law, we hold that the trial
court erred by crediting the amount of this payment against the amount that
defendant owed to plaintiff under the judgment and remand this case to the Court of
Appeals for further remand to the Superior Court, Davidson County, for further
proceedings.
On 20 November 2009, defendant was driving an automobile that, as a result
of defendant’s negligence, collided with a motor vehicle operated by plaintiff at an
intersection in Lexington. At the time of the collision, plaintiff was insured under an
automobile liability insurance policy issued by Erie Insurance Exchange that
included, among other things, underinsured motor vehicle coverage subject to a
coverage limit of $250,000 per person,1 while defendant was insured under an
1 Plaintiff’s policy provided, among other things, that:
We will also pay compensatory damages which an insured is legally entitled to
recover from the owner or operator of an underinsured motor vehicle because of
bodily injury sustained by an insured and caused by an accident. The owner’s or
operator’s liability for these damages must arise out of the ownership, maintenance
or use of the underinsured motor vehicle. We will pay for these damages only after
the limits of liability under any applicable liability bonds or policies have been
exhausted by payments of judgments or settlements, unless we:
1. Have been given written notice in advance of settlement between an
insured and the owner or operator of the underinsured motor
vehicle; and
2. Consent to advance payment to the insured in the amount equal to
the tentative settlement.
(Bold typeface deleted.)
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Opinion of the Court
automobile liability insurance policy issued by State Farm Mutual Automobile
Insurance Company that was subject to a per person liability limit of $100,000.
On 27 July 2011, plaintiff filed a complaint against defendant alleging that the
collision in which plaintiff was injured resulted from defendant’s negligence and
seeking a judgment against defendant encompassing compensation for past and
future medical expenses, lost wages, permanent injuries, and pain and suffering. On
15 January 2013, plaintiff moved to amend his complaint to assert a medical
negligence claim against his treating physician arising from the treatment that was
provided to plaintiff following the motor vehicle accident, with this motion having
been allowed on the following day. On 17 April 2013, Erie made an appearance in
this case as an unnamed defendant. On 14 March 2014, plaintiff took a voluntary
dismissal with prejudice of his medical negligence claim against his treating
physician.
Plaintiff’s case against defendant came on for trial before the trial court and a
jury at the 11 August 2014 civil session of the Superior Court, Davidson County. On
14 August 2014, the jury returned a verdict finding defendant to be negligent and
awarding plaintiff $263,000 in compensation for his personal injuries.
On 11 September 2014, Erie issued a check to plaintiff in the amount of
$145,000, which, according to Erie, represented “the amount of [underinsured
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Opinion of the Court
motorist coverage to which plaintiff was entitled] under [plaintiff’s] Erie policy.”2 On
15 September 2014, defendant filed a motion seeking to have the trial court determine
the amount to be set off and credited against the amount that the jury had awarded
plaintiff in which defendant alleged, among other things, that plaintiff had already
received $3,000 from defendant’s liability carrier and at least $30,000 from his
treating physician arising from the settlement of plaintiff’s medical negligence claim,
with these amounts to be deducted from the jury’s damage award prior to the entry
of judgment. In addition, defendant, in light of the fact that Erie had waived its right
to be subrogated to plaintiff’s rights against defendant, sought to obtain a credit
against the amount of damages determined to be appropriate by the jury in the
amount of $145,000 arising from the payment that Erie made to plaintiff. On 3
October 2014, plaintiff executed a “settlement agreement and full and final release of
all claims against Erie only.” (All capital letters in original.) On 9 October 2014, State
Farm sent plaintiff a check for $97,000.
On 16 October 2014, the trial court entered an order finding that “the parties
agree that Defendant is entitled to setoffs or credits totaling $33,000.00,” “that the
judgment amount will be $230,000.00,” and that prejudgment interest would cease
accruing as of 1 October 2014. In addition, the trial court found that “[t]he parties
continue to disagree over whether . . . to credit the judgment ultimately entered in
2 The appropriateness of the making of this $145,000 payment and the manner in
which it was calculated are not in dispute between the parties.
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Opinion of the Court
this case by the amount of the $145,000.00 underinsured motorists coverage payment
made by [Erie] to Plaintiff” and, pursuant to an agreement between the parties,
delayed making a determination regarding whether the amount of the payment that
plaintiff received from Erie should be deducted from the judgment amount “until the
mandate from the North Carolina Supreme Court in the case of Wood v. Nunnery . . .
inasmuch as the Wood case may be dispositive of this disagreement between the
parties.” On 10 April 2015, this Court filed an opinion in Wood v. Nunnery, 368 N.C.
30, 771 S.E.2d 762 (2015) (per curiam), stating that discretionary review had been
improvidently allowed in that case.
On 17 September 2015, plaintiff filed a response to defendant’s motion for
setoffs and credits in which he requested the trial court to enter judgment against
defendant prior to considering defendant’s motion for setoffs and credits and moving
to strike an affidavit submitted by defendant’s counsel in support of defendant’s claim
that Erie had waived its subrogation rights on the grounds that “[w]hether or not
[Erie], as Plaintiff’s UIM carrier[,] has waived its subrogation right (and
reimbursement right) is not relevant to the judgment entered against a tortfeasor.”
In addition, plaintiff requested the trial court, in the event that it considered the
affidavit or “other evidence on the waiver of subrogation,” to authorize plaintiff “to
take post-verdict depositions of appropriate Erie and State Farm personnel and their
agents to determine . . . whether the doctrines of estoppel, waiver, unclean hands, or
some other legal or equitable remedy preclude [Defendant Harward] and State Farm
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Opinion of the Court
from arguing such waiver would inure to the benefit of Defendant [Harward].” On 25
September 2015, Erie filed an affidavit stating that Erie had waived its subrogation
rights against defendant. On 29 October 2015, plaintiff filed a motion seeking to have
Erie’s affidavit stricken or allowing post-verdict depositions to be taken, with this
relief being sought on the same grounds that led to the filing of plaintiff’s earlier
motion to the same effect.
On 1 December 2015, the trial court entered an order allowing defendant’s
motion for credits and setoffs in which it concluded as a matter of law that
“[Defendant] is entitled to credit for the $145,000.00 payment made by the UIM
carrier.” In reaching this result, the trial court, acting in reliance upon Baity v.
Brewer, 122 N.C. App. 645, 470 S.E.2d 836 (1996), and Seafare Corp. v. Trenor Corp.,
88 N.C. App. 404, 363 S.E.2d 643, disc. rev. denied, 322 N.C. 113, 367 S.E.2d 917(1988), focused upon “the common law principle that a plaintiff should not be
permitted a double recovery for a single injury.” The trial court distinguished the
initial decision of the Court of Appeals in Wood v. Nunnery, 222 N.C. App. 303, 730
S.E.2d 222 (2012), in which the Court of Appeals held that payments made by the
plaintiff’s underinsured motor vehicle insurance carrier should not be credited to the
defendant,3 with the trial court emphasizing that in Wood, unlike this case, the
3 In Wood, 222 N.C. App. at 308, 730 S.E.2d at 226, the Court of Appeals vacated a
portion of the trial court’s order and remanded the case to the trial court for further
proceedings. The order that the trial court entered on remand in Wood was also appealed to
and affirmed by the Court of Appeals, 232 N.C. App. 523, 757 S.E.2d 526, 2014 WL 640884(2014) (unpublished), with this Court ultimately determining that it had improvidently
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underinsured motorist carrier had not waived its subrogation rights. In view of the
fact that “no subrogation rights remain[ed]” for Erie, the trial court determined that
defendant was entitled to a credit for the amount that Erie had paid to plaintiff.
Finally, the trial court made no ruling on plaintiff’s argument that the payment that
he had received from Erie should be treated as a collateral source on the grounds that
“such issue would be more properly addressed by the Appellate Courts.”4 Based upon
these findings and conclusions, the trial court entered a judgment providing that
plaintiff have and recover $46,527.12 from defendant.5 Plaintiff noted an appeal to
the Court of Appeals from the trial court’s judgment.
In seeking relief from the trial court’s judgment before the Court of Appeals,
plaintiff contended that the trial court’s decision to reduce the judgment amount by
allowed discretionary review of the Court of Appeals’ decision concerning the validity of the
trial court’s remand order in Wood. Wood, 368 N.C. at 30, 771 S.E.2d at 762.
4 In addition, the trial court denied plaintiff’s motions to strike the affidavits that had
been filed for the purpose of informing the parties and the trial court that Erie had waived
its subrogation rights and refused to authorize the taking of post-verdict depositions. The
Court of Appeals affirmed the trial court’s decisions with respect to these issues and plaintiff
did not seek to bring them forward for consideration by this Court.
5 The trial court calculated the amount that plaintiff was entitled to recover from
defendant set out in the judgment by reducing the jury’s $263,000 award to $230,000 based
upon the parties’ agreement that the judgment amount should be reduced by the $3,000
amount that had been advanced to plaintiff by State Farm and the $30,000 amount that
plaintiff had received as a result of the medical negligence claim that plaintiff had asserted
against his treating physician. After increasing the damage award by $58,777.52 in
prejudgment interest, the trial court credited $97,000 against the judgment amount relating
to the additional payment that plaintiff received from State Farm and the $145,000 payment
that plaintiff received from Erie before ordering that plaintiff recover $46,527.12 in damages
from defendant.
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Opinion of the Court
the $145,000 payment that plaintiff had received from Erie violated the collateral
source rule, which prohibits a “plaintiff’s recovery [from] be[ing] reduced . . . by some
source collateral to the defendant,” Young v. Baltimore & Ohio Railroad Co., 266 N.C.
458, 466, 146 S.E.2d 441, 446 (1966), on the theory that the payment that plaintiff
had received from Erie “is completely independent from” and, for that reason,
collateral to, defendant. In addition, plaintiff argued that the trial court’s failure to
determine whether the monies that plaintiff had received from Erie represented
payment from a collateral source constituted an independent legal error, citing
Pierson v. Ray, 386 U.S. 547, 554, 87 S. Ct. 1213, 1218, 18 L. Ed. 2d 288, 294 (1967)
(stating that “[i]t is a judge’s duty to decide all cases within his jurisdiction that are
brought before him”). According to plaintiff, the trial court’s order conflicted with the
decision of the Court of Appeals in Wood, 222 N.C. App. at 303, 730 S.E.2d at 222,
which, in plaintiff’s view, required the trial court to reach a result diametrically
opposed to the one embodied in the order that it entered in this case given that the
Court of Appeals decided to refrain from crediting the defendant in Wood with the
amount of the payment that the plaintiff had received from his own underinsured
motorist carrier on the grounds that, “[b]y the plain language of N.C.[G.S.] § 1-239,
[a] defendant is responsible for satisfying the judgment entered against him”; that
“the amounts owed by defendant as the tortfeasor in this matter and the amount
owed by Firemen’s as an underinsured motorist carrier” had been conflated by the
trial court; and that “[w]hether Firemen’s agreed to waive its subrogation rights as
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Opinion of the Court
to defendant is a matter for resolution between Firemen’s and defendant and is of no
concern to plaintiff,” quoting id. at 305, 730 S.E.2d at 224. In addition, plaintiff
asserted that the fact that the underinsured motorist carrier in Wood retained
subrogation rights did not mean that a situation involving payment made by an
underinsured motorist carrier that did waive its subrogation rights should be treated
any differently. As a result, plaintiff urged the Court of Appeals to reverse the trial
court’s judgment.
Defendant, on the other hand, argued before the Court of Appeals that “[w]ell-
established North Carolina case law sets forth the common law principle that
plaintiffs should not be permitted a double recovery for a single injury,” with this
principle being applicable “both when payments are made by joint tortfeasors and
when payments are made by sources other than joint tortfeasors.” According to
defendant, this Court’s statement in Holland v. Southern Public Utilities Co., 208
N.C. 289, 292, 180 S.E. 592, 593-94 (1935), that “any amount paid by anybody,
whether they be joint tort-feasors or otherwise, for and on account of any injury or
damage, should be held for a credit on the total recovery in any action for the same
injury or damage” should be deemed controlling in this case, in which “the payment
by Erie . . . was made ‘on account of ’ the injury claimed by [p]laintiff in the lawsuit.”
Any failure to order that the amount paid to plaintiff by Erie be credited against the
amount owed to plaintiff by defendant would, according to defendant, permit “a
double recovery, in contravention of North Carolina law.” In defendant’s view, the
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Court of Appeals did not allow a double recovery for the plaintiff in Wood given the
absence of any evidence that the underinsured motorist carrier had waived its
subrogation rights.
Defendant argued that the underinsured motorist payment that plaintiff
received from Erie should not be deemed subject to the collateral source rule in light
of this Court’s holding in Williams v. Nationwide Mutual Insurance Co., 269 N.C. 235,
237, 152 S.E.2d 102, 105 (1967), that an insured cannot obtain a recovery from his or
her uninsured motorist carrier unless he or she is “legally entitled to recover
damages.” According to defendant, Williams requires that the defendant’s fault be
established before the underinsured motorist carrier becomes liable to the plaintiff,
rendering “the right to recover under a UIM endorsement” “derivative and
conditional,” citing Braddy v. Nationwide Mutual Liability Insurance Co., 122 N.C.
App. 402, 406, 470 S.E.2d 820, 822, appeal dismissed and disc. rev. denied, 343 N.C.
749, 473 S.E.2d 610-11 (1996). In defendant’s view, a payment source that is
“derivative and conditional” upon a defendant’s liability cannot be considered
collateral for purposes of the collateral source rule.
On 7 November 2017, the Court of Appeals filed a divided opinion holding “that
the trial court did not err in allowing defendant Harward the credit against the
judgment for . . . Erie’s payment.” Hairston v. Harward, ___ N.C. App. ___, ___, 808
S.E.2d 286, 288 (2017). As an initial matter, the Court of Appeals rejected plaintiff’s
argument “that UIM benefits are a collateral source, so defendant Harward cannot
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reduce his tort liability for those benefits,” on the grounds that the collateral source
rule does not apply when neither party attempts to introduce or exclude evidence
relating to a payment made by a collateral source at trial. Id. at ___, 808 S.E.2d at
290 (quoting Wilson v. Burch Farms, Inc., 176 N.C. App. 629, 638, 627 S.E.2d 249,
257 (2006) (brackets, citations, and internal quotation marks omitted) (stating that
“[t]he purpose of the collateral source rule is to exclude evidence of payments made
to the plaintiff by sources other than the defendant when this evidence is offered for
the purpose of diminishing the defendant tortfeasor’s liability to the injured
plaintiff.”) (emphasis omitted); id. at ___, 808 S.E.2d at 290-91 (citing and quoting
Badgett v. Davis, 104 N.C. App. 760, 764, 411 S.E.2d 200, 203 (1991) (same), disc. rev.
denied, 331 N.C. 284, 417 S.E.2d 248 (1992)).
After noting that “whether UIM coverage should be credited against payments
made on a tort judgment when subrogation and the right of reimbursement have been
waived is an issue this Court has not explicitly addressed,” id. at ___, 808 S.E.2d at
291, the Court of Appeals held that Erie’s waiver of its right to be subrogated to
plaintiff’s claims required treating Erie’s payments to plaintiff as a credit against the
amount of the judgment entered against defendant, id. at ___, 808 S.E.2d at 292.
According to the Court of Appeals, its own statement in Wood that a defendant could
not receive credit for a payment made by plaintiff’s underinsured motorist carrier
“[b]ecause of [the insurance carrier’s] statutory right of subrogation” supported a
decision to reach this result. Id. at ___, 808 S.E.2d at 291 (quoting Wood, 222 N.C.
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App. at 307, 730 S.E.2d at 225). The Court of Appeals believed that “factoring in
subrogation” at the judgment stage “helps prevent a windfall profit” for plaintiff,
citing Baity, 122 N.C. App. at 646-47, 470 S.E.2d at 837-38, which applied the rule
enunciated in Holland, 208 N.C. at 292, 180 S.E. at 593-94, that “any amount paid
by anybody, whether they be joint tort-feasors or otherwise, for and on account of any
injury or damage should be held for a credit on the total recovery in any action for the
same injury or damage” in order to prevent a plaintiff from recovering twice for the
same injury. Hairston, ___ N.C. App. at ___, 808 S.E.2d at 291-92 (quoting Holland,
208 N.C. at 292, 180 S.E. at 593-94). As a result, the majority of the Court of Appeals
affirmed the trial court’s order.
Judge Hunter dissented from the majority’s decision on the grounds that
“Defendant’s tort liability is a separate entity from . . . Erie’s contractual obligation,”
so that Erie’s “release[ ] from its contractual liability to Plaintiff . . . does not mean
Defendant is released from the $263,000.00 judgment he owes Plaintiff.” Id. at ___,
808 S.E.2d at 293 (Hunter, Jr., J., dissenting). In concluding that the trial court’s
order should be reversed, Judge Hunter placed principal reliance upon the Court of
Appeals’ decision in Wood, which he described as “essentially identical to the case at
bar,” id. at ___, 808 S.E.2d at 293, and N.C.G.S. § 20-279.21(b)(4), and which,
according to Judge Hunter, “provides no language stating that a tortfeasor is entitled
to a credit from a plaintiff’s UIM insurer” or that “a tortfeasor has a right to avoid the
enforcement of a judgment,” id. at ___, 808 S.E.2d at 294. Instead, Judge Hunter
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stated his belief that N.C.G.S. § 20-279.2(b)(4) “reveals the North Carolina public
policy of an injured party’s right to either enforce or not enforce a judgment against
a tortfeasor.” Id. at ___, 808 S.E.2d at 294. In Judge Hunter’s opinion, N.C.G.S. §
20-279.2 “balances the interests of the tortfeasor, its liability insurer, the injured
victim and the [underinsured motorist] insurer” by allowing a liability insurer to
“protect[ ] its insured” by requiring that insurer to “seek resolution of the claim within
its policy limits,” while, at the same time, “provid[ing] opportunities for the UIM
[carrier] to recoup the payments made to its insured,” effectively protecting the
interests of the underinsured motorist insurance carrier and “the victim’s contractual
rights.” Id. at ___, 808 S.E.2d at 294. Judge Hunter opined that allowing a tortfeasor
to receive credit against the judgment amount based upon underinsured motorist
payments would “upset[ ] the statutory balance among competing interests” and
render “the statutory right of subrogation . . . meaningless.” Id. at ___, 808 S.E.2d at
294. Plaintiff noted an appeal to this Court from the Court of Appeals’ decision on
the basis of Judge Hunter’s dissent.
In seeking to persuade us to reverse the Court of Appeals’ decision, plaintiff
argues that “[t]he Court of Appeals erred when it failed to recognize that the collateral
source rule is a substantive rule of law on damages in this State.” In support of this
contention, plaintiff asserts that “[t]he collateral source rule is well established in the
common law and public policy nationally as both a rule of evidence and the
substantive law on damages.” According to plaintiff, the substantive component of
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the collateral source rule is demonstrated by this Court’s statement in Young, 266
N.C. at 466, 146 S.E.2d at 446, that “the plaintiff’s recovery will not be reduced . . .
by some source collateral to defendant.” In plaintiff’s view, “[t]he collateral source
rule is a rule of evidence because it is the substantive law of the State,” citing Cates v.
Wilson, 321 N.C. 1, 5, 361 S.E.2d 734, 737 (1987) (stating that “a plaintiff’s recovery
may not be reduced because [of] a source collateral to the defendant”), and Brown v.
Griffin, 263 N.C. 61, 65-66, 138 S.E.2d 823, 826-27 (1964). Plaintiff suggests that
“this Court should clarify that the collateral source/benefit rule is a substantive law
on damages in this State in addition to a rule of evidence.”
Moreover, plaintiff urges this Court to “adopt the overwhelming majority rule
that UM/UIM coverage is a collateral source/collateral benefit and does not reduce
the amount a tortfeasor owes on a judgment.” Plaintiff argues that, like health and
life insurance, underinsured motorist coverage is independent of and collateral to
compensation provided by tortfeasors and asserts that a failure to treat payments
made by a plaintiff’s underinsured motorist carrier as a collateral benefit provides a
windfall to tortfeasors. “To the extent [that] one party may be entitled to a
‘windfall,’ ” plaintiff contends that “sound public policy dictates that it be the injured
victim . . . and not the negligent person who caused the injury.”
In plaintiff’s view, the relevant North Carolina statutory provisions, through
which an underinsured motorist carrier has subrogation and reimbursement rights
that “typically work hand in hand” with the collateral source rule to prevent a
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plaintiff from receiving a double recovery, clearly indicate that underinsured motorist
coverage should be considered a collateral source. Plaintiff argues that a contrary
result “would extinguish the [underinsured motorist] carrier’s statutory subrogation
and contractual reimbursement rights.” According to plaintiff, an underinsured
motorist “carrier may still seek recovery of any overpayment through the exercise of
its rights to subrogation or reimbursement,” with the ability of the carrier “to recoup
any overpayment” “divest[ing]” “insureds [ ] of any so-called ‘windfall,’ ” quoting
Lunsford v. Mills, 367 N.C. 618, 628-29 n.1, 766 S.E.2d 297, 304 n.1 (2014).
Defendant, on the other hand, argues that this Court should affirm the Court
of Appeals’ decision because plaintiff cannot be allowed a “double recovery for a single
injury” and because underinsured motorist coverage is not a collateral source.
Defendant asserts that there is “a crucial distinction between collateral sources
recognized by North Carolina law and underinsured motorists coverage,” with
sources of payment such as health and disability insurance, social security payments,
and unemployment benefits being categorized as collateral sources because they “are
all independent of the tortfeasor.” Defendant contends that this Court should not
categorize payments from underinsured motorist carriers as a collateral source on
the grounds that such a decision would enable plaintiffs to recover underinsured
motorist benefits without having to show that the other driver was at fault, resulting
in what amounts to “no-fault accident insurance.” In defendant’s view, this Court
should uphold the Court of Appeals’ decision on public policy grounds given that a
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holding that underinsured motorist payments constitute a collateral source would
likely result in increased automobile insurance premiums and fail to give “force and
effect” to the jury’s verdict and given that the General Assembly has not mandated
that underinsured motorist proceeds be treated as a collateral source.
A careful review of the record reveals that no factual issues are in dispute
between the parties. For that reason, the only issue before us in this case is whether
the trial court and the Court of Appeals reached the correct legal conclusion with
respect to whether defendant was entitled to have the amount that Erie paid to
plaintiff credited against the judgment in light of the undisputed facts disclosed by
the present record. “Conclusions of law drawn by the trial court from its findings of
fact are reviewable de novo on appeal.” Carolina Power & Light Co. v. City of
Asheville, 358 N.C. 512, 517, 597 S.E.2d 717, 721 (2004) (citation omitted). As a
result, the ultimate issue before us in this case is whether, following a de novo review,
the trial court correctly decided to credit defendant with the payment made to
plaintiff by Erie.
The proper resolution of this case hinges, in our opinion, upon the extent to
which the payment made to plaintiff by Erie does or does not constitute a payment
received from a collateral source.
According to [the collateral source] rule a plaintiff’s
recovery may not be reduced because a source collateral to
the defendant, such as “a beneficial society,” the plaintiff’s
family or employer, or an insurance company, paid the
plaintiff’s expenses. Id. Rather, an injured plaintiff is
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entitled to recovery “ ‘. . . for reasonable medical, hospital,
or nursing services rendered him, whether these are
rendered him gratuitously or paid for by his employer.’ ”
Cates v. Wilson, 321 N.C. at 5, 361 S.E.2d at 737 (ellipsis in original) (quoting Young,
266 N.C. at 466, 146 S.E.2d at 446); see also Restatement (Second) of Torts § 920A
cmt. b (Am. Law. Inst. 1977) (stating that “[p]ayments made or benefits conferred by
other sources are known as collateral-source benefits [and] do not have the effect of
reducing the recovery against the defendant” and that “[t]he law does not
differentiate between the nature of the benefits, so long as they did not come from the
defendant or a person acting for him”); Collateral-Source Rule, Black’s Law
Dictionary (10th ed. 2014) (defining “collateral-source rule” as “[t]he doctrine that if
an injured party receives compensation for the injuries from a source independent of
the tortfeasor, the payment should not be deducted from the damages that the
tortfeasor must pay. Insurance proceeds are the most common collateral source –
Also termed collateral- benefit rule”); 1 Dan B. Dobbs, Law of Remedies § 3.8(1) at
372-73, (2d ed. 1993) (stating that “benefits received by the plaintiff from a source
collateral to the defendant may not be used to reduce that defendant’s liability for
damages”).
As the Court of Appeals noted, “the collateral source rule excludes evidence of
payments made to the plaintiff by sources other than the defendant when this
evidence is offered for the purpose of diminishing the defendant tortfeasor’s liability
to the injured plaintiff.” Hairston, ___ N.C. App. at ___, 808 S.E.2d at 290 (majority
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opinion) (emphasis omitted) (quoting Burch Farms, 176 N.C. App. at 638, 627 S.E.2d
at 257 (brackets, citations, and internal quotation marks omitted)). Like “a reference
to the presence or absence of liability coverage for defendant,” Spivey v. Babcock &
Wilcox Co., 264 N.C. 387, 390, 141 S.E.2d 808, 811 (1965) (superseded by statute,
N.C.G.S. § 97-10.2(e) (1991), as stated in Frugard v. Pritchard, 338 N.C. 508, 511, 450
S.E.2d 744, 745-46 (1994)), evidence that a plaintiff received certain benefits “is
inadmissible because it is not only irrelevant but also incompetent,” id. at 390, 141
S.E.2d at 812, given “the probability that juries will consider the availability of
collateral sources as indicative of the lack of any real damages” and alter their
verdicts accordingly, Cates, 321 N.C. at 10, 361 S.E.2d at 740 (citation omitted). In
addition to treating the collateral source rule as one governing the admission or
exclusion of evidence, this Court has given substantive effect to the principle that a
plaintiff’s recovery should not be reduced by a payment received from a collateral
source.
In Young, this Court recognized that the collateral source rule is a substantive
rule concerning damages. 266 N.C. at 466, 146 S.E.2d at 446. In that case, the
admission of evidence tending to show that the plaintiff’s medical expenses had been
paid by his employer’s hospital insurance was not challenged before this Court on
appeal. Id. at 466, 146 S.E.2d at 446. Had a challenge been made to the admission
of such evidence, Young could be fairly read as treating the collateral source rule as
nothing more than a rule of evidence. However, the actual error that this Court
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identified in Young involved the manner in which the trial court instructed the jury
concerning the calculation of the plaintiff’s damages. More specifically, this Court
examined the correctness of the trial court’s instruction that “[i]n this case the things
you may consider in determining what amount you will award to the plaintiff, if you
award him anything, are actual monetary losses he has had from medical expenses.”
Id. at 466, 146 S.E.2d at 446 (emphasis in the original). We concluded that this
instruction was erroneous because, in light of the evidence that “the plaintiff’s
medical expenses had been paid by his employer as the result of hospital insurance
carried for the benefit of its employees . . . the foregoing charge may well have led the
jury to believe that no amount was to be included in its verdict on account of medical
expenses unless paid by the plaintiff himself.” Id. at 466, 146 S.E.2d at 446. In
essence, we concluded that the trial court erred because, in instructing the jury
concerning the substantive law governing the calculation of the plaintiff’s damages,
the trial court’s instructions could have led the jury to reduce the plaintiff’s recovery
by the amount of his medical expenses that was paid by his employer-provided
hospital insurance. In concluding that the trial court had erred in this manner, this
Court necessarily treated the collateral source rule as a substantive rule of law
concerning damages. Put another way, we would not have reached this result in the
event that the collateral source rule is, as the Court of Appeals indicated, a simple
rule of evidence. As a result, we must now determine whether payments received by
a plaintiff who has purchased underinsured motorist coverage should be deemed to
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be a payment from a collateral source that cannot be used to reduce the amount of
the judgment that plaintiff is entitled to have entered against defendant.
Although the collateral source rule is a well-established principle of North
Carolina law, this Court has not clearly enunciated the factors that should be taken
into account in determining whether a payment source is or is not collateral to a
defendant for purposes of the collateral source rule. On the one hand, we have long
held that a payment made to an injured person by one person liable for an injury
should be credited against a judgment entered against others who have been held
liable for the same injury, rendering payments made by a joint tortfeasor to the
plaintiff not subject to the collateral source rule. See McNair v. Goodwin, 262 N.C. 1,
4, 136 S.E.2d 218, 220 (1964) (stating that “[t]he remaining tort-feasors are entitled,
however, to have the amount paid for the covenant [not to sue] credited on any
judgment thereafter obtained against them by the injured party”). More generally,
this Court stated in Holland, 208 N.C. at 292, 180 S.E. at 593-94, that “any amount
paid by anybody, whether they be joint tort-feasors or otherwise, for and on account
of any injury or damage should be held for a credit on the total recovery in any action
for the same injury or damage.” Although defendant places considerable reliance
upon this language in arguing that the judgment amount in this case should be
credited with the payment that plaintiff received from Erie, the continued viability of
the collateral source rule clearly indicates that the quoted language from Holland
cannot be properly understood as meaning that “any amount paid by anybody” that
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benefits plaintiff or covers costs that plaintiff incurred as the result of a compensable
injury must be credited against the judgment amount.6 See Cates, 321 N.C. at 4, 9,
361 S.E.2d at 737, 739 (holding that Medicaid benefits, checks received pursuant to
the “Aid for Dependent Children” program, and child support payments constituted
collateral sources); Young, 266 N.C. at 466-67, 146 S.E.2d at 446-47 (holding that
medical expenses “paid by [the plaintiff’s] employer as the result of hospital insurance
carried for the benefit of its employees” should not be used to reduce the amount that
the defendant owed the plaintiff); Brown, 263 N.C. at 65-66, 138 S.E.2d at 826-27(determining that the trial court erred by reducing a jury verdict in the amount of
payments from Southeastern Fire Insurance Company to plaintiff “under the Medical
Payments coverage of [his] policy”). Thus, the extent to which a judgment amount
should or should not be reduced by the making of a particular payment hinges upon
whether that payment was made from a collateral source for purposes of the collateral
source rule.
6 The principle enunciated in Holland has been applied, for the most part, in cases
involving joint tortfeasors or persons in essentially the same position such as the parties in
Holland, 208 N.C. at 292-93, 180 S.E. at 594; Baity, 122 N.C. App. at 647, 470 S.E.2d at 838,
and Seafare Corp., 88 N.C. App. at 416, 363 S.E.2d at 652, and cases involving the receipt of
both a tort recovery and worker’s compensation benefits, such as Schenk v. HNA Holdings,
Inc., 170 N.C. App. 555, 562-63, 613 S.E.2d 503, 509, disc. rev. denied, 360 N.C. 177, 626
S.E.2d 649 (2005), and Manning v. Fletcher, 102 N.C. App. 392, 402 S.E.2d 648 (1991), aff’d
per curiam, 331 N.C. 114, 413 S.E.2d 798 (1992). Using similar logic, we believe that
gratuitous payments made against the judgment would also have to be credited against the
judgment amount.
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Although the parties appear to agree that the defining characteristic of a
collateral source is its independence from the tortfeasor, see Fisher v. Thompson, 50
N.C. App. 724, 731, 275 S.E.2d 507, 513 (1981) (stating that “[a] tort-feasor should
not be permitted to reduce his own liability for damages by the amount of
compensation the injured party receives from an independent source”), they focus
upon differing sets of facts in attempting to determine whether a particular payment
source is or is not sufficiently independent of the tortfeasor to justify treating that
payment source as truly collateral. Plaintiff, on the one hand, contends that our
analysis should focus upon the fact that, like other forms of insurance that have been
deemed to be encompassed within the collateral source rule, plaintiff paid for the
underinsured motorist coverage from which the payment at issue in this case was
made and that this fact establishes the independence necessary to make such a
payment subject to the collateral source rule. Defendant, on the other hand, focuses
upon the fact that plaintiff would not have been entitled to receive payments on the
basis of the underinsured motorist coverage that he purchased from Erie in the
absence of the tortfeasor’s negligence and argues that the payment at issue in this
case was not independent of the tortfeasor for that reason. See Williams, 269 N.C. at
237, 152 S.E.2d at 105 (stating that, before being “entitled to the benefits of the
endorsement,” the insured “must show (1) he is legally entitled to recover damages,
(2) from the owner or operator of an uninsured automobile, (3) because of bodily
injury, (4) caused by accident, and (5) arising out of the ownership, maintenance, or
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use of the uninsured automobile”). In other words, plaintiff focuses upon the fact that
he purchased the uninsured motorist coverage that led to the making of Erie’s
payment to plaintiff, while defendant focuses upon the fact that plaintiff would not
have been entitled to receive any payment from Erie had he not been injured as the
result of defendant’s negligence.
Admittedly, this Court has not previously addressed whether payments made
from underinsured motorist carriers are or are not within the scope of the collateral
source rule. For that reason, defendant can, with perfect propriety, argue that no
North Carolina decision reaches the result contended for by plaintiff while plaintiff
can, with equal propriety, assert that no North Carolina decision reaches the result
advocated for by defendant. Put another way, none of the sources of payment that
this Court has determined to be collateral appear to require proof of the defendant’s
negligence as a prerequisite for payment, while none of our decisions applying the
collateral source rule hold that the fact that the payment in question stemmed from
a source that a plaintiff had purchased, standing alone, renders that payment
collateral in nature. As a result, the question before us is a close one that is not
controlled by any of our earlier decisions. On balance, however, we are persuaded
that treating payments made as the result of a plaintiff’s decision to purchase
optional underinsured motorist coverage as subject to the collateral source rule is
more consistent with the policy justifications underlying the collateral source rule
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and the relevant statutory provisions than is the result contended for by defendant
in this case.
“[T]he primary purpose of [the Motor Vehicle Safety and Financial
Responsibility Act] is to compensate innocent victims of financially irresponsible
motorists . . . .” Bray v. N.C. Farm Bureau Mut. Ins. Co., 341 N.C. 678, 684, 462
S.E.2d 650, 653 (1995). As is the case with certain of the other sorts of payments that
have been held to be subject to the collateral source rule, the payment that Erie made
to plaintiff resulted from plaintiff’s foresight in deciding to acquire underinsured
motorist coverage. Such conduct is exactly the sort of action that the tort system
should encourage. Even though plaintiff would not have been entitled to receive the
payment in question in the absence of defendant’s negligence, the fact remains that
he would have been equally unable to receive it had he not voluntarily purchased
optional underinsured motorist coverage. A decision that a plaintiff must credit the
payment that he or she receives as a result of the decision to purchase such optional
coverage against the judgment entered against the defendant whose negligence
caused the plaintiff’s injuries strikes us as likely to discourage North Carolina
citizens from purchasing uninsured motorist coverage, a result that would have
obvious deleterious consequences.
In seeking to persuade us to reach a different result, defendant argues that
failing to require that the payment that plaintiff received from Erie be credited
against the judgment amount could cause plaintiff to receive greater compensation
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for his injuries than the jury awarded him contrary to our general principle against
double or multiple recoveries enunciated in decisions such as Baity, 122 N.C. App. at
647, 470 S.E.2d at 837-38, and Seafare Corp., 88 N.C. App. at 416, 363 S.E.2d at 652.
Aside from the fact that “[t]he law contains no rigid rule against overcompensation,”
with several well-established legal “doctrines, such as the collateral benefits rule,
[serving to] recognize that making tortfeasors pay for the damage they cause can be
more important than preventing overcompensation,” McDermott, Inc. v. AmClyde,
511 U.S. 202, 219, 114 S. Ct. 1461, 1470-71, 128 L. Ed. 2d 148, 162-63 (1994) (footnote
omitted), a narrow focus upon avoiding overcompensation in this case would create a
countervailing inequity. Although a failure to credit the amount of the payment that
Erie made to plaintiff against the judgment amount certainly creates a risk that
plaintiff will receive more money as a result of his injuries than the total amount of
the jury’s verdict, a decision in defendant’s favor with respect to the issue that is
before us in this case would also mean that a defendant whose negligence caused a
plaintiff’s injuries would not be required to pay the full amount that he or she legally
owed him for the injuries that the defendant caused the plaintiff to sustain. In other
words, there is no escaping the fact that one party to this case or the other will receive
what could be fairly characterized as a “windfall” as a result of our decision in this
case. In light of that fact, we believe that the better option is to allow plaintiff to
retain the “windfall” that results from his foresight in voluntarily electing to purchase
underinsured motorist coverage rather than allowing defendant, who failed to
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Opinion of the Court
purchase enough liability coverage to adequately compensate plaintiff for his injuries,
to be the ultimate beneficiary of plaintiff’s decision to procure additional insurance
coverage.
The approach that we believe to be appropriate in this case is also consistent
with the manner in which the General Assembly elected to address the “double
recovery” problem upon which defendant relies in seeking to obtain a decision in his
favor in this case. According to N.C.G.S. § 20-279.21(b)(4):
[I]f an underinsured motorist insurer, following the
approval of the application, pays in settlement or partial or
total satisfaction of judgment moneys to the claimant, the
insurer shall be subrogated to or entitled to an assignment
of the claimant’s rights against the owner, operator, or
maintainer of the underinsured highway vehicle.
In accordance with this statutory provision, an underinsured motorist carrier has the
right to recoup payments made by the insurer to a plaintiff who has purchased
underinsured motorist coverage from the defendant in the event that the defendant
has sufficient resources to make such a payment. As a result, in the event that Erie
had refrained from waiving its subrogation rights, it could have sought to recoup
some or all of the monies that it paid to plaintiff from defendant using its statutory
subrogation rights. In fact, the existence of this right of subrogation was one of the
factors that North Carolina appellate courts have considered in determining that
other payment sources were collateral for purposes of the collateral source rule. See
Cates, 321 N.C. at 6, 361 S.E.2d at 738 (justifying its holding that Medicaid and other
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Opinion of the Court
public benefit payments were a collateral source based, in part, upon the fact that
N.C.G.S. § 108A-57 “entitles the state to full reimbursement for any Medicaid
payments made on a plaintiff’s behalf in the event the plaintiff recovers an award for
damages” and prevents “any ‘windfall profit’ for the plaintiff”); see also Lunsford, 367
N.C. at 628, 766 S.E.2d at 304 (stating that, “given the General Assembly’s provision
of subrogation and reimbursement rights for the financial protection of insurers, we
cannot agree with Farm Bureau’s argument that the trial court’s order resulted in a
‘windfall’ for Lunsford” in that “Farm Bureau could have preserved its subrogation
rights by advancing its UIM policy limits”); Kaminsky v. Sebile, 140 N.C. App. 71, 80,
535 S.E.2d 109, 115 (2000) (noting that, “[u]nder Cates, if a plaintiff recovers for the
past Medicaid payments he or she received and the state fails to seek reimbursement,
the plaintiff would not then be required to return the money to the defendant-
tortfeasor” and that, “[s]imilarly, defendant here should not receive a windfall
because the government abandoned its right under the [Federal Medical Care
Recovery Act]”). Had Erie refrained from waiving its subrogation rights and
attempted to assert those rights against defendant, the same protection against a
windfall recovery would exist in this case. We see no reason why defendant should
be entitled to different treatment simply because Erie elected to waive its statutory
subrogation rights rather than attempting to enforce them. As a result, the approach
advocated by defendant in this case is simply inconsistent with the approach to
addressing the double recovery problem embodied in N.C.G.S. § 20-279.21(b)(4) given
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that the underinsured motorist carrier, rather than the negligent tortfeasor, is
benefitted by the statutory mechanism for addressing the double recovery problem.
Our decision that payments from underinsured motorist coverage are
collateral for purposes of the collateral source rule is consistent with the decisions
that have been made by almost every other state court that has been called upon to
examine this issue. See, e.g., Int’l Sales-Rentals Leasing Co. v. Nearhoof, 263 So. 2d
569, 570 (Fla. 1972) (“agree[ing] with and adopt[ing] the view” of the lower state court
that “uninsured motorist coverage is equivalent to a separate contract such as
hospitalization insurance so that recovery thereunder may not be set-off from a
judgment against a tortfeasor”); State Farm Mut. Auto. Ins. Co. v. Kern, 976 N.E.2d
716, 720 (Ind. Ct. App. 2012) (concluding that a judgment “entered against a third-
party tortfeasor . . . is not satisfied when the plaintiff’s insurer compensates the
plaintiff due to the third-party tortfeasor’s being underinsured” on the grounds that
the tortfeasor “is not entitled to benefit from [the plaintiff’s] carefulness and
assiduousness in obtaining underinsured motorist insurance coverage”); Schwartz v.
Hasty, 175 S.W.3d 621, 628-29 (Ky. Ct. App. 2005) (noting that “[t]he collateral source
rule has two aspects: evidentiary and substantive,” and “agree[ing] with the majority
view that [underinsured motorist] payments fall within the collateral source rule”);
Estate of Rattenni v. Grainger, 298 S.C. 276, 277-78, 379 S.E.2d 890, 890 (1989)
(finding “no persuasive reason to distinguish underinsurance proceeds from other
insurance proceeds that are subject to the collateral source rule” and agreeing with
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the trial court’s determination “that the collateral source rule applied because the
benefits received were from the injured party’s own underinsurance policy for which
she paid the premiums”); Johnson v. Gen. Motors Corp., 190 W. Va. 236, 244, 438
S.E.2d 28, 36 (1993) (stating that UIM is a collateral source on the grounds that “the
party at fault should not be able to minimize his damages by offsetting payments
received by the injured party through his own independent arrangements” (quoting
Ratlief v. Yokum, 167 W. Va. 779, 787, 280 S.E.2d 584, 590 (1981))). For this reason,
our decision that payments received as the result of the purchase of underinsured
motorist coverage should not be credited against the amount of the judgment entered
against defendant in this case, rather than being some sort of outlier, is fully
consistent with the general thrust of American jurisprudence with respect to this
issue.
Thus, for all of these reasons, we hold that the Court of Appeals erred by
affirming the trial court’s determination that the payment that plaintiff received from
Erie should be credited against the judgment that should be entered against
defendant in this case. As a result, the Court of Appeals’ decision is reversed with
respect to that issue. This case is remanded to the Court of Appeals for further
remand to the Superior Court, Davidson County, for further proceedings not
inconsistent with this opinion. The remaining issues addressed by the Court of
Appeals are not before this Court and its decisions as to these matters remain
undisturbed.
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REVERSED AND REMANDED.
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