Blue Bird Cab Co. v. American Fidelity & Casualty Co., 219 N.C. 788 (1941)

June 14, 1941 · Supreme Court of North Carolina
219 N.C. 788

BLUE BIRD CAB COMPANY, INC., v. AMERICAN FIDELITY AND CASUALTY COMPANY, INC.

(Filed 14 June, 1941.)

1. Insurance § 13a—

A policy of insurance will be construed most strongly against insurer and all doubt and ambiguity will be resolved in favor of insured.

2. Insurance § 46—

A provision in a liability or indemnity contract tbat insured should not, without the written consent of insurer, admit or voluntarily assume any liability nor incur any expense except for such immediate surgical relief as is imperative, will be construed as a limitation upon the liability of the insurer for medical and surgical attention to injured third parties and not as a provision for forfeiture, since insured, being liable for all recoveries over the face amount of the policy, is entitled to mitigate its own liability by furnishing such medical attention, and since such aid could in no way contribute to loss or liability on the part of insurer.

3. Principal and Agent § 8a—

A principal is bound by the acts of his agent which are within the authority actually conferred and also those which are within the authority which may be implied as usual and necessary to the proper performance of the work entrusted to the agent, and third persons dealing with the agent are not bound by secret limitations upon the agent’s authority.

4. Insurance § 47—

An adjuster for a liability and indemnity insurance company has at least implied authority to authorize or ratify the acts of insured in agreeing to pay for emergency medical and surgical attention, including necessary nursing, for injured third persons, the matter being one of adjustment.

5. Insui'ance § 44—

The policy of liability and indemnity insurance in suit provided that insured, without the consent of insurer, might assume liability for such immediate surgical relief to injured third persons as might be imperative. The evidence disclosed that a passenger in insured’s taxicab was injured in an accident and was in an unconscious and critical condition. Held: The acts of insured in talcing her to a hospital and assuming liability for her doctor’s bills and necessary nursing were within the terms of the policy.

*7896. Insurance § 50—

Evidence that some four or five months after notice to insurer that insured had assumed liability for medical and nursing attention to one of the passengers injured in an accident to one of insured’s taxicabs, insurer compromised and settled a claim of another passenger injured in the accident, is competent against insurer to show that insurer recognized its continuing obligation under the policy and had waived or ratified the acts of insured in assuming such medical expenses for the first passenger as against insurer’s subsequent contention that the assumption of such medical expenses forfeited the policy.

7. Insurance § 45—

Notice to the adjuster of a liability and indemnity insurance company or notice to the attorney employed by it to defend the suit against insured is notice to the insurer.

8. Insurance § 49—

After notice to insured in a liability or indemnity contract that insurer contended that the policy had been forfeited and that insurer would no longer continue to defend the suit against insured, insured may continue to defend the suit and make a reasonable compromise or settlement of the claim against it, and insurer is liable for the amount reasonably required to effect the settlement notwithstanding that the policy provides for recovery against insurer only when payment is in satisfaction of a judgment.

9. Trial § 49—

A motion by defendant to set aside the verdict as to certain issues is addressed to the sound discretion of the trial court.

10. Trial § 36—

A charge will be construed contextually as a whole, and appellant’s exceptions thereto will not be sustained when the charge so construed is without prejudicial error.

Stagy, O. J., Babnhill and Winbokne, JJ., concur in result.

Appeal by defendant from Rousseau, J., and a jury, at 20 January, 1941, Term, of Eoesyth.

No error.

Tbe issues and verdict indicate tbe controversy:

“1. Did tbe plaintiff assume liability and incur expense in connection witb tbe claim of Dorotby Eumley contrary to tbe terms of tbe policy, as alleged in tbe answer? Ans.: ‘No.’

“2. Did tbe plaintiff incur expense for tbe imperative surgical relief of Dorotby Eumley, as alleged in tbe complaint? Ans.: ‘Yes.’

“3. Did tbe defendant authorize, or ratify, tbe incurring of such medical expense, as alleged in tbe complaint? Ans.: ‘Yes.’

“4. Vas tbe settlement of tbe claim of Dorotby Eumley and Gladys Eumley Hoffman made by tbe plaintiff in good faith, upon reasonable terms and witb reasonable prudence and care, as alleged in tbe complaint? Ans.: ‘Yes.’

*790“5. What amount, if any, is the plaintiff entitled to recover of the defendant by reason of the defense of the actions brought by the guardian of Dorothy Burnley and Mrs. Gladys Burnley Hoffman and by reason of the settlement of said claims? Ans.: ‘$3,591.50, with interest from January 29, 1940, on the sum of $2,981.50.’

“6. What amount, if any, is the plaintiff entitled to recover of the defendant by reason of expense incurred by the plaintiff for the imperative surgical relief of Dorothy Burnley? Ans.: ‘$485.00, with interest from April 29, 1940.’ ”

The court below rendered judgment on the verdict.

The pertinent portions of the policy relied on either by the plaintiff or the defendant, are as follows:

“Stock Company Automobile Policy — No. PT 29210.

“American Fidelity and Casualty Co., Incorporated, Bichmond, Virginia. (Herein called the Company). In consideration of the Premium Herein Provided, DOES HEBEBY AGBEE:

“To Indemnify the Assured named in Statement (I) of the Schedule of Statements and herein called the Assured:

“Against Loss from the Liability Imposed Upon the Assured arising or resulting from- claims upon the assured for actual damages to persons accidentally receiving bodily injuries, and damage to property by reason of the ownership, maintenance or use of any of the automobiles or motor vehicles as enumerated and described in Statement VI of the schedule of statements only while being operated for the purposes stated and subject to the limitations in Statement VIII of said schedule, to an amount not exceeding the limits hereinafter stated in Statement IV of said schedule, if such claims are made on account of BODILY INJUBY TO PEBSONS.

“(1) Bodily Injury or Death suffered by any person or persons, other than the Assured or his employees, as the result of an accident occurring while this Policy is in force; including such first medical aid as shall he imperative at the time of any such accident.

“DEFEND AND PAY COSTS AND EXPENSE—

“(3) To Defend in .the name and on behalf of the Assured any suit brought against the Assured to enforce, a claim, whether groundless or not, provided notices are given to it as hereinafter required, for damages suffered or alleged to have been suffered on account of bodily injuries or death, or the damage to or the destruction of property, as the result of an accident covered by this Policy and caused in the manner and under the circumstances as herein provided, and while this Policy is in force and to pay all costs taxed against the Assured in any legal procedure against the Assured, which is defended by the Company in accordance with the foregoing agreement; and to pay interest accruing upon *791any judgment rendered in connection therewith, on that portion of the judgment not in excess of the Policy limit, until the Company has paid, tendered, or deposited in court, such part of such judgment as does not exceed the limits of the Company’s liability under this Policy, provided, however, that the Company shall not be obligated to make or furnish any appeal bond in connection with any suit or suits defended hereunder.

“This Policy is issued by the Company subject to the following conditions, limitations and agreements which are a part of the Policy and to which the Assured, by the acceptance of this Policy, agrees :

“CO-OPERATION OF ASSURED ; EXPENSE.

“(B) The assured shall cooperate with the Company in securing information and evidence and the attendance of witnesses and in the settlement or defense of any suit or prosecution of any appeal. In case of trial the Assured, if requested, shall present himself in due time for the preparation of his defense at the office of the attorneys designated by the Company and shall attend such trial of such suit. The Assured shall not admit or voluntarily assume any liability nor offer to settle any claim, nor incur any expense, except for such immediate surgical relief as is imperative, without the written consent of the Company. The Assured shall at all times render to the Company all co-operation and assistance within his power. Failure to co-operate in any of the foregoing respects shall render this Policy null and void.

“ASSURED’S RIGHT OF RECOYERY, ETC.

“(E) This insurance is intended solely as an indemnification to the Assured against loss from the causes named and for certain expenses enumerated herein, and is not intended to be for the benefit of third parties, except as herein specifically set out. Provided, however, that should any law regulating the vehicles insured hereunder require the Company to alter the terms of this Policy by endorsement or otherwise so as to make the Company liable for any loss which it would not otherwise be required to pay under the terms of this Policy, then the Assured shall reimburse the Company for any and all such loss, cost or expense, paid or incurred by the Company as the result of any such statute or statutory endorsement. The Company shall not be liable to pay any loss nor shall any action be brought against the Company, to recover under this Policy until a final judgment shall have been recovered against the Assured in the Court of last resort after trial of the issue, and in which suit the Company is not joined as a party, provided, however, that the Company shall have the right to deduct from the payment of any loss hereunder, any sums due the Company by the Assured. Bankruptcy or insolvency of the Assured shall not release the Company from the payment of damages for injuries sustained or loss occasioned during the life of this Policy and in case execution against the Assured is returned *792unsatisfied in an action brought by the injured person, or by bis or her personal representative in case death results from the accident, because of such bankruptcy or insolvency, an action may be maintained by such injured person, or his or her personal representative, against the Company on this Policy and subject to its terms and limitations for the amount of the judgment in said action, not exceeding the limits provided in this Policy. In no event shall any action be maintained against the Company under this Policy unless brought within one year after right of action accrues, provided, however, that the minimum time set by the statutes of the State in which the Assured resides shall govern. The inclusion herein of more than one Assured shall not operate to increase the limits of the Company’s liability.

“ALTERATIONS IN POLICY; NOTICE

“(L) No erasure or change appearing on this Policy as originally printed nor change or waiver of any of its terms or conditions or statements, whether made before or after the date of this Policy, shall be valid unless set forth in an endorsement added hereto and signed by either the President, Vice-President, Secretary or one of the Assistant Secretaries of the Company. Neither notice given to nor the knowledge of any agent or any person, whether received or acquired before or after the date of this Policy, shall be held to waive any of the terms or conditions, or statements of this Policy, or to preclude the Company from asserting any defense under said terms, conditions, and statements, unless set forth in an endorsement added hereto and signed by one of the said officers.

“AUTHORIZED AGENTS

• “(M) No person shall be deemed an agent of the Company unless such person is authorized in writing as such agent by either the President, one of the Vice-Presidents, Secretary or one of the Assistant Secretaries of the Company.”

It is stipulated and agreed that the Policy above mentioned covered thirty-five taxicabs owned and operated by the plaintiff. The court below rendered judgment for plaintiff on the verdict.

The defendant made numerous exceptions and assignments of error and appealed to the Supreme Court. The material ones and necessary facts will be set forth in the opinion.

Roy L. Deal for plaintiff.

Ratcliff, Hudson & Ferrell for defendant.

Claekson, J.

This was an action brought by the plaintiff against the defendant to recover on a policy of indemnity or liability insurance issued by the defendant, insuring the plaintiff as a taxicab company *793against liability from tbe operation of its taxicabs. Tbe policy was in fnll force and effect and tbe premium was paid wben tbe accident occurred. Tbe plaintiff brings tbis action to recover against defendant certain sums of money paid out by it and as shown by judgment recovered against it, and contends tbat tbis was done under tbe terms of tbe policy above set forth; tbat tbe action was brought against it by passengers for injuries alleged to have been caused by tbe negligence of plaintiff. It is tbe plaintiff's contention tbat tbe language of tbe policy authorizes tbe assured to render such immediate surgical relief as is imperative, without tbe consent of tbe company; tbat it appoints tbe assured tbe agent of tbe insurance company to employ such immediate surgical relief at tbe expense of tbe company, and is advance authorization to do so. Such a purpose is both humanitarian and serves tbe best interest of tbe company and tbe assured by mitigating damages. Tbat tbe provision is not one of forfeiture, but only a limitation on expense to be incurred for tbe company. "We think tbe contention correct. •

Tbe defendant in its brief states some of its contentions thus: “Tbe Court erred in refusing, upon motion of tbe defendant, to strike from plaintiff’s pleadings all references by tbe plaintiff to a compromise settlement with claimants other than Dorothy Rumley and in admitting evidence relative thereto over tbe objection of tbe defendant. In view of tbe specific provisions of tbe indemnity contract of insurance, entered into between tbe plaintiff and tbe defendant, relating to tbe matter of tbe extent to which tbe plaintiff could employ surgical relief, tbe condition precedent to tbe right of tbe plaintiff to bring action against tbe defendant to recover under tbe policy contract, change or waiver of tbe terms or conditions, notice or knowledge of any agent or person, and tbe limitation on who should be deemed an agent of tbe defendant, tbe Court erred as to tbe admission of evidence over tbe objection of tbe defendant, particularly on tbe questions of estoppel or waiver.” We think not.

In Smith v. Fire Ins. Co., 175 N. C., 314 (317-18), we find: “ ‘The rule of construction prevails almost universally tbat contracts of insurance are construed against tbe insurer and in favor of tbe insured, and tbis has not been changed by tbe adoption of standard form of insurance. Wood v. Ins. Co., 149 N. Y., 385; Gazzam v. Ins. Co., 155 N. C., 338; Cottingham v. Ins. Co., 168 N. C., 265.’ Johnson v. Ins. Co., 172 N. C., 146. Doubts as to tbe meaning of ambiguous terms and phrases are resolved against tbe insurer, and Mr. Yance says in bis work on Insurance, quoted in Jones v. Gasualty Co., 140 N. C., 264: ‘Probably tbe most important general rule guiding tbe courts in tbe construction of insurance policies is tbat all doubt or uncertainty, as to tbe meaning of tbe contract shall be resolved in favor of tbe insured.’ ... Johnson v. Ins. Co., supra: ‘The courts look with disfavor upon forfeitures.’ *794 Skinner v. Thomas, 171 N. C., 98, and tbe trend of modern authority is that a stipulation in a policy which might avoid it does not have this effect if it in no way contributes to the loss. Cottingham v. Ins. Co., 168 N. C., 264.”

In Baum v. Ins. Co., 201 N. C., 445 (449), it is written: “Law and equity abhors a forfeiture. To make void a policy like the present, the language of the provision in the policy and the rider in controversy, must be free from ambiguity.”

In the present action there was liability over and above the policy limits, and the cab company paid more than the policy limits. To say that it would forfeit its insurance by undertaking to mitigate its own liability by furnishing medical and nursing aid without the insurance company’s consent, would be unreasonable and hard measure. Furnishing medical, hospital or nursing aid could in no way contribute to loss or liability on the part of the insured or the insurance company.

In Barber v. R. R., 193 N. C., 691 (696), the Court said: “The defendant, not knowing whether it was liable or not, had the humanity to take plaintiff, who was struck by its engine, to a hospital in Danville and employed Dr. Miller to attend him. It was an act of mercy which no court should hold in any respect was an implied admission or circumstance tending to admit liability. If a court should so hold, it would tend to stop, instead of encourage, one injuring another from giving aid to the sufferer. It would be a brutal holding, contrary to all sense of justice and humanity.”

The following is in the record:

“State of North Carolina — Insurance Department.

“No. 88284 — Date 4/1/38.

“The American Fidelity & Casualty Insurance Company, of Eichmond, Ya., has been licensed for the year ending March 31, 1939, and James E. Gay, Jr., of Winston-Salem, N. C., is the duly authorized and licensed Adjuster agent for said Company. This license expires March 31, 1939, unless sooner revoked. Dan C. Boney, Insurance Commissioner. Fee Paid $2.00.”

Much evidence was introduced on the part of plaintiff that Gay authorized and ratified the payment of the doctors and nurses. The evidence disclosed that Dorothy Eumley was severely injured, sustaining fractures of the pelvis and scapula, severe cuts, injury to her knee, a severe brain concussion and was in a semi-conscious condition for 8 or 9 days. The nurse, Mrs. McGee, testified that in her opinion the girl was in “imperative need for nursing, immediate nursing attention” at the time the nurse *795first saw ber, and that this condition continued until she left the hospital. The nurse, Mrs. Grace Shore, testified to the same effect.

In Bobbitt Co. v. Land Co., 191 N. C., 323 (328), is the following: "Hoke, J., in Powell v. Lumber Co., 168 N. C., p. 635, speaking to the subject says: ‘A general agent is said to be one who is authorized to act for his principal in all matters concerning a particular business or employment of a particular nature. Tiffany on Agency, p. 191. And it is the recognized rule that such an agent may usually bind his principal as to all acts within the scope of his agency, including not only the authority actually conferred, but such as is usually “confided to an agent employed to transact the business which is given him to do,” and it is held that, as to third persons, this real and apparent authority is one and the same, and may not be restricted by special or private instructions of the principal unless the limitations sought to be placed upon it are known to such persons or the act or power in question is of such an unusual character as to put a man of reasonable business prudence upon inquiry as to the existence of the particular authority claimed. Latham v. Field, 163 N. C., 356; Stephens v. Lumber Co., 160 N. C., 107; Gooding v. Moore, 150 N. C., pp. 195-198; Tiffany on Agency, pp. 180, 184, 191 et seq. The power of an agent, then, to bind his principal may include not only the authority actually conferred, but the authority implied as usual and necessary to the proper performance of the work entrusted to him, and it may be further extended by reason of acts indicating authority which the principal has approved or knowingly or, at times, even negligently permitted the agent to do in the course of his employment. Law Reporting Co. v. Grain Co., 135 Mo. App. Rep., pp. 10-15; 31 Cyc., pp. 1326-1331,’” citing many authorities. Warehouse Co. v. Bank, 216 N. C., 246 (253).

The license reads: “Jas. E. Gay, Jr., is the duly licensed adjuster agent for said Company.” Black’s Law Dictionary, p. 57, defines “Adjuster”: “One who makes any adjustment or settlement. Popa v. Northern Ins. Co., 192 Mich., 237, 158 N. W., 945, 946, or who determines the amount of a claim, as a claim against an insurance company. Samchuck v. Ins. Co. of North America, 99 Or., 565, 194 P., 1095.” The question here was one of adjustment. ¥e think, under the evidence, Gay had authority to make and ratify the employment of doctors and nurses. We think the terms of the policy permits this “such immediate surgical relief as is imperative without the written consent of the Co.” Surgical relief would include nurses.

The insurance company, after notice to its adjuster Gay that the cab company had employed doctor and nurses and had agreed to pay the nurses, after similar notice to the attorney employed by it to defend the suits and by inference notice to the insurance company’s agent and *796branch office manager, C. B. Trent, continued the defense of the suits. Its attorneys filed answer in the Rumley suits and some four or five months after such notice to Gay, Hutchins and Trent, the company compromised and settled the claim of another passenger in the same taxicab, who was injured in the same accident. Defendant contends that allegations and proof of such settlement was incompetent. Ordinarily an offer of compromise is incompetent, as is the fact that a defendant has settled the claim of one claimant when sought to be introduced by another claimant whose claim is based on the same or similar facts. Dorothy Rumley, for instance, probably could not have introduced in evidence against the cab company the fact that it or its insurance carrier had settled with another passenger. It would not be doubted, however, that if the insurance company had defended a suit brought against the cab company by the other passenger that fact would be admissible as tending to show that the insurance company was doing so under the terms of the policy, and would be evidence of a waiver on its part of the alleged breach of condition of the policy or a ratification of the employment of medical aid. The material fact was not that the claim of the other passenger had been settled, but that the insurance company recognized its continuing obligation under the policy to defend or settle, as it deemed best, the claim of the other passenger.

In Lowe v. Casualty Co., 170 N. C., 445 (447), we find: “The failure of the defendant to defend the suit, after repudiating its liability to the assured, constituted a distinct breach of contract and justified the plaintiff in defending it at his own expense. Beef Co. v. Casualty Co., 201 U. S., 173.”

In 7 Couch Cyc. of Insurance Law, sec. 1875 (e), at page 6255, it is said: “If the insurer refuses to defend a suit against the insured under the policy stipulations and insured is compelled to undertake the defense and does so, insurer is liable for the amount of the judgment and expenses incurred in conducting said defense.” In Insurance Co. v. Harrison-Wright Co., 207 N. C., 661, matters involved in this case are decided in that case in line with the contentions of plaintiff.

In Anderson v. Ins. Co., 211 N. C., 23 (27), it is written: “It goes without saying that the compromise amount sued for by plaintiff, which was paid by plaintiff to those injured, must be reasonable and made in good faith.”

The general rule is stated in Huddy, Encyclopedia of Automobile Law (9th Ed.), Yol. 13-14, sec. 294, as follows: “By denying liability or refusing to settle claims against insured, which are covered by the automobile indemnity policy, the insurance company commits a breach of the policy contract and thereby waives the provisions defining the duties and obligations of the insured. Thereafter, the insured may properly assume *797responsibility for tbe conduct of bis own defense of tbe case, and may either continue tbe litigation and go to trial witb tbe case, or, if bis judgment so dictates, be may make a reasonable settlement of tbe claim. Under sucb circumstances, be may recover from tbe company tbe amount wbicb is reasonably required to effect tbe settlement as damages ordinarily and naturally resulting from tbe insurer’s failure to defend tbe action, even tbougb tbe contract provided for recovery only when the payment is in satisfaction of a judgment.”

Tbe defendant contends: “In view of tbe specific provisions of tbe indemnity contract and tbe complete lack of evidence on tbe part of tbe plaintiff tending to establish specific authority in either tbe witness James E. Gay or Fred S. Hutchins to bind tbe defendant by contract or to waive any of tbe provisions of said contract, tbe Court erred in overruling tbe various motions of tbe defendant for judgment as of nonsuit.” We think not.

We think tbe language of tbe contract gave authority and tbe evidence on tbe record is plenary that Jas. E. Gay, Jr., and Fred S. Hutchins, tbe attorney, bad implied, if not express, authority to bind defendant in tbe aspects claimed by plaintiff.

In Horton v. Ins. Co., 122 N. C., 498 (503-4), this Court said: “It is well settled in this State that tbe knowledge of tbe local agent of an insurance company is, in law, tbe knowledge of tbe principal; that tbe conditions in a policy working a forfeiture are matters of contract and not of limitation, and may be waived by tbe insurer, and that sucb waiver may be presumed from tbe acts of tbe agent. . . . One further citation will suffice: Wood on Insurance, 496, cited and approved in Collins v. Ins. Co., 79 N. C., 279, at page 284, says: When tbe insurer, knowing tbe facts, does that wbicb is inconsistent witb its intention to insist upon a strict compliance witb tbe conditions precedent of tbe contract, it is treated as having waived their performance, and tbe assured may recover without proving performance; and that, too, even tbougb tbe policy provides that none of its conditions shall be waived except by written agreement. . . . And sucb waiver may be implied from what is said or done by tbe insurer. So, tbe breach of any condition in tbe policy, as against an increase of risk or by keeping of certain hazardous goods . . . or, indeed, tbe violation of any of tbe conditions of tbe policy, may be waived by tbe insurer, and a waiver may be implied from tbe acts and conduct of tbe insurer after knowledge that sucb conditions have been broken.’ ” Conigland v. Ins. Co., 62 N. C., 341; Ins. Co. v. Powell, 71 N. C., 389; Grubbs v. Ins. Co., 108 N. C., 472; Dibbrell v. Ins. Co., 110 N. C., 193; Strause v. Ins. Co., 128 N. C., 64; Colson v. Assurance Co., 207 N. C., 581. These cases likewise establish tbe proposition that knowledge of an agent or adjuster of tbe insur-*798anee company acting within the scope of his employment will be imputed to the insurance company.

In Colson v. Assurance Co., supra, at pp. 583-4, it is said: “In Laughinghouse v. Ins. Co., 200 N. C., 434 (436), speaking to the subject, we find: ‘It is held that in the absence of fraud or collusion between the injured and the agent, the knowledge of the agent, when acting within the scope of the powers entrusted to him, will be imputed to the company, although the policy contains a stipulation to the contrary. Short v. LaFayette Ins. Co., 194 N. C., 649; Ins. Co. v. Grady, 185 N. C., 348.’ ”

It is well settled that the motion made by defendant to set aside the verdict as to certain issues was in the sound discretion of the court below.

The defendant contends that there was error in the charge of the court below by stating the law erroneously; by failing to apply the law to the facts; by stating law to which no facts were applicable; by failing to define the provisions of the policy contract in controversy, and by failing to charge the jury on the law applicable to this case.

None of the contentions can be sustained. We think the charge of the court below, taken as a whole, fully complied with all the matters complained of by defendant. After a careful review of the charge, we can detect no prejudicial or reversible error. Certain matters complained of by defendant cannot be sustained — they were subordinate features and no prayer was requested. We think the issues submitted by the court determinative of the controversy. The record is a long one, the able briefs cover every aspect of the case. On. the whole record, we find

No error.

Stacy, C. J., BaeNhill and WiNboene, JJ., concur in result.