376 N.C. 280
N.C.2020Background
- Jan. 6, 2014 auto collision in Virginia Beach injured Jean Martin and her daughter Marina; the tortfeasor’s insurer paid $25,000 each (policy limits).
- Farm Bureau had paid medical-payments and underinsured-motorist (UIM) benefits under a policy issued to Jean and David, but defendants also sought coverage under a separate Farm Bureau policy issued to Mary Martin (their mother/grandmother).
- Mary’s policy defined “family member” as a person related to the named insured who is a “resident of your household”; the policy did not define “resident” or “household.”
- Mary owned a 76-acre farm with two separate, standalone houses ~100 feet apart (different addresses and PO boxes); Mary lived in the main house; Jean and Marina lived in the guest house, kept separate belongings, and primarily lived separately though they visited daily and shared chores/expenses.
- Farm Bureau sought a declaratory judgment denying coverage under Mary’s policy; trial court granted summary judgment to Farm Bureau; the Court of Appeals affirmed in a divided opinion; defendants appealed to the North Carolina Supreme Court.
- The Supreme Court held that Jean and Marina were not “residents” of Mary’s “household” as a matter of law and affirmed summary judgment for Farm Bureau.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether Jean and Marina were "residents of Mary’s household" under Mary’s policy | Farm Bureau: No — they lived in a separate dwelling, with separate address/PO box and never lived under the same roof; thus not "residents." | Jean/Marina: Yes — close daily interaction, shared meals/chores, Mary paid many household/farm expenses and provided housing; intent to form a common household. | Held: No — a family member seeking coverage must have actually lived in the same dwelling for a meaningful period and shown intent to form a common household; here they never lived under the same roof, so no coverage. |
| Whether a special "family-farm" rule or broader Paschal test allows separate on-farm dwellings to be one household | Farm Bureau: No special exception; ordinary meaning requires dwelling shared. | Jean/Marina: Paschal supports treating relatives on contiguous farm properties as one household despite separate dwellings. | Held: No family-farm exception; Paschal (Court of Appeals) is not binding and cannot eliminate the threshold that parties must have actually lived together. |
| Whether summary judgment was appropriate | Farm Bureau: Yes — undisputed facts and plain policy language resolve coverage as a matter of law. | Jean/Marina: The inquiry is fact-intensive and context-dependent, so summary judgment is improper. | Held: Summary judgment appropriate; no genuine issue of material fact and de novo review. |
Key Cases Cited
- Jamestown Mut. Ins. Co. v. Nationwide Mut. Ins. Co., 266 N.C. 430 (1966) (favored use of ordinary-dictionary meanings in defining “resident” for insurance policies)
- Barker v. Iowa Mut. Ins. Co., 241 N.C. 397 (1955) (college son still a resident of father’s household where supported and living arrangements showed continued residence)
- Newcomb v. Great Am. Ins. Co., 260 N.C. 402 (1963) (plaintiffs were residents of same household where they lived and stayed with insured at time of loss)
- Jamestown Mut. Ins. Co. v. Nationwide Mut. Ins. Co., 266 N.C. 430 (1966) (factors showing actual residence and intent to form common household)
- N.C. Farm Bureau Mut. Ins. Co. v. Paschal, 231 N.C. App. 558 (2014) (Court of Appeals decision taking a broader, fact-specific approach that did not require prior cohabitation)
- Lunsford v. Mills, 367 N.C. 618 (2014) (plain language of policy controls interpretation)
- Woods v. Nationwide Mut. Ins. Co., 295 N.C. 500 (1978) (policy terms must be harmoniously construed and given ordinary meaning)
