This is an action to collect underinsurance benefits and damages arising out of an automobile accident. Plaintiff appeals from the entry of summary judgment against her.
The plaintiff, Nancy Silvers (hereinafter “Silvers”), brought this suit individually and in her capacity as administratrix of the estate of her deceased son against defendants James Richard Bell, Robert Earl Bell (hereinafter the “Bells”), Horace Mann Insurance Company (hereinafter “Horace Mann”) and its agent, Roger Matthews (hereinafter “Matthews”). Plaintiff seeks payment pursuant to an insurance policy issued by Horace Mann for underinsured motorist (hereinafter “UIM”) benefits as well as damages for breach of contract, negligence, fraud, bad faith and unfair and deceptive trade practices. This appeal concerns plaintiffs right to underinsurance benefits from Horace Mann.
i On 14 March 1984, plaintiffs son was involved in a one-car automobile accident in which James Richard Bell was driving a *3 car owned by his father, Robert Earl Bell. On 20 March 1984, plaintiffs son died from the injuries he received in the accident. Plaintiff, as the administratrix of her son’s estate, then sued the Bells for the wrongful death of her son on 4 May 1984. On 14 May 1984, plaintiff, the Bells, and the liability insurance carrier for the Bells, Indiana Lumbermans Mutual Insurance Company, entered into a consent judgment granting plaintiff recovery of $25,000 against the Bells and Indiana Lumbermans. The consent judgment provided:
This cause, coming on to be heard and being heard before the undersigned Judge upon statement of counsel for Plaintiff and Defendants that this cause has been settled and adjusted between the parties by agreement under the terms of which the Plaintiff shall have and recover judgment in the amount of Twenty-Five Thousand Dollars ($25,000.00); AND IT FURTHER APPEARING TO THE COURT from the face of the Complaint that this is an action for recovery for wrongful death of Plaintiffs intestate for which damages far exceed the liability coverage of the Defendants’ insurance carrier, Indiana Lumbermans Mutual Insurance Co; And IT FURTHER APPEARING TO THE COURT, upon statement of counsel, that the liability of Indiana Lumbermans Mutual Insurance Company, which is the insurance carrier for the Defendant, is limited to Twenty-Five Thousand Dollars ($25,000.00) per person for bodily injury; And IT FURTHER APPEARING TO THE COURT that the primary carrier, Indiana Lumbermans Mutual Insurance Co., wishes to pay the policy limits in order to avoid unnecessary litigation costs as liability on the part of the Defendants is clear and the damages of the Plaintiffs intestate far exceed the policy limits covered by the primary liability carrier, Indiana Lumbermans Mutual;
And it further appearing to the court that the Plaintiff’s intestate was covered by underinsured motorist coverage through The Horace Ma>pn Company and that this consent judgment is not to be construed in any way to adversely affect the rights of Plaintiff or her intestate concerning any such underinsured coverage;
NOW, THEREFORE, IT IS BY CONSENT ORDERED AND ADJUDGED that the Plaintiff’s intestate have and recover of and *4 from the Defendants, by and through their primary liability insurance carrier, Indiana Lumbermans Mutual Insurance Company, the sum of Twenty-Five Thousand Dollars ($25,000.00) and that the same shall he a full and final release of Indiana Lumbermans Mutual Insurance Company and the Defendants. It is hereby further ordered that this consent judgment shall not release nor relinquish any rights that the Plaintiff’s intestate has or might have against Horace Mann Company under any underinsured liability coverage.
(Emphasis supplied.)
On 27 March 1985, plaintiff instituted this action against the Bells and Horace Mann for recovery of UIM benefits under the automobile insurance policy issued by Horace Mann to plaintiff. In addition, plaintiff sued Horace Mann and Matthews for breach of contract, negligence, fraud, bad faith and unfair and deceptive trade practices. Defendants Horace Mann and Matthews moved to dismiss the action under N.C.G.S. Sec. 1A-1, Rule 12(b)(6) (1983), asserting various violations of the policy as a bar to plaintiffs recovery.
Defendants Bell moved to dismiss based on the previous consent judgment. The court considered matters outside the pleadings and treated the motion as one for summary judgment under N.C.G.S. Sec. 1A-1, Rule 56. The trial judge granted defendants’ motions for summary judgment. Plaintiff appeals the grant of these motions.
This appeal presents the following issues: (I) Whether plaintiff is barred from recovery from Horace Mann because she is not legally entitled to recover additional damages from the tort-feasors; and (II) whether plaintiffs failure to obtain Horace Mann’s consent before settling with the tortfeasors bars her recovery from Horace Mann.
Summary judgment is proper where pleadings, depositions, interrogatories, and admissions on file, together with any affidavits, show that there is no genuine issue as to any material fact and that a party is entitled to judgment as a matter of law.
Cutchin v. Pledger,
*5 At the outset, we note the statute in effect at the time the policy was issued and at the time of the accident, N.C.G.S. Sec. 20-279.21 (1983), was the version of the statute amended in 1983. Effective 1 October 1985, the statute was again significantly amended to provide for different procedures in claims for under-insurance benefits. Therefore, our discussion of the applicable statutory provisions concerns only the 1983 version.
I — I
Under the terms of N.C.G.S. Sec. 20-279.21(b)(4) and the policy in question, an underinsured motor vehicle is included within the definition of an uninsured motor vehicle (hereinafter “UM”). The statutory definition of an underinsured motor vehicle, which is similar to the definition given in the policy, provides:
An “uninsured motor vehicle,” as described in subdivision (3) of this subsection, includes an “underinsured highway vehicle,” which means a highway vehicle with respect to the ownership, maintenance, or use of which, the sum of the limits of liability under all bodily injury liability bonds and insurance policies applicable at the time of the accident is less than the applicable limits of liability under the owner’s policy.
N.C.G.S. Sec. 20-279.21(b)(4). This definition evinces a public policy to place the insured in the position that would have existed if the tortfeasor had carried liability insurance limits equal to the liability coverage carried by the insured.
See
2 A. Widiss,
Uninsured and Underinsured Motorist Insurance
Secs. 32.2 at 13 and 35.2 at 44 (2d ed. 1987) (provision requiring insurers to make available UIM coverage limits in an amount equal to amounts selected by insured for his liability coverage clearly manifests public policy of assuring indemnification to insured). UIM coverage is required unless a named insured in the policy rejects the coverage.
See
N.C.G.S. Sec. 20-279.21(b)(4). The statute is remedial in nature and is to be liberally construed to effectuate its purpose of providing coverage for damages to injured parties caused by insured motorists with liability coverage not sufficient to provide complete compensation for the damages.
See American Tours, Inc. v. Liberty Mut. Ins. Co.,
Subdivision (4) also states that “[t]he [UM coverage] provisions of subdivision (3) shall apply to the coverage required by this subdivision.” N.C.G.S. Sec. 20-279.21(b)(4);
see also Crowder v. North Carolina Farm Bureau Mut. Ins. Co.,
The policy also includes underinsured motorists within the definition of uninsured motorists and provides:
We will pay damages which a covered person is legally entitled to recover from the owner or operator of an uninsured motor vehicle because of:
1. Bodily injury sustained by a covered person and caused by an accident; and
2. Property damage caused by an accident.
Horace Mann argues that because plaintiff entered into the consent judgment, she is no longer “legally entitled to recover damages” from the Bells so that she may not recover UIM benefits from Horace Mann.
The clear language of the consent judgment was that it was to be a “full and final release” of the Bells and their liability insurer. Therefore, plaintiff is barred from recovering further damages from the Bells. However, plaintiff reserved her right of action against Horace Mann for UIM benefits. Accordingly, we do not decide whether plaintiff could proceed with this action had she given a general release to the Bells without reserving her action against Horace Mann. Instead, we must determine the effect of the consent judgment on plaintiffs right to recover from Horace Mann under the terms of the policy.
The policy contains an exhaustion clause which appears only in the section of the policy applicable to UIM coverage. This pro *7 vision states: “We will pay under this coverage only after the limits of liability under any applicable liability bonds or policies have been exhausted by payment of judgments or settlements.” A similar statutory provision provides:
The insurer shall not be obligated to make any payment because of bodily injury to which underinsured motorist insurance coverage applies and that arises out of the ownership, maintenance, or use of an underinsured highway vehicle until after the limits of liability under all bodily injury liability bonds or insurance polices applicable at the time of the accident have been exhausted by payment of judgments or settlements. . . .
N.C.G.S. Sec. 20-279.21(b)(4).
Plaintiff argues that in an effort to exhaust the applicable liability policy held by the Bells, she entered into the consent judgment with the Bells and Indiana Lumbermans. The judgment states the liability of Indiana Lumbermans is $25,000 and in order to avoid unnecessary litigation costs, it paid its policy limits since the damages exceeded that amount. Plaintiff argues that by entering into the consent judgment with the Bells, she was seeking to exhaust the applicable liability insurance coverage limits in compliance with the statutory and policy provisions and therefore her recovery against Horace Mann is not barred.
Our Supreme Court has stated: “The terms of an insurance contract are not bargained for in the traditional sense. Insurance policies are offered on a take-it-or-leave-it basis and, frequently, the only term over which the insured has any say is the amount of coverage.”
Great American Ins. Co. v. Tate Const. Co.,
The various terms of the policy are to be harmoniously construed, and if possible, every word and every provision is to be given effect. If, however, the meaning of words or the effect of provisions is uncertain or capable of several reasonable interpretations, the doubts will be resolved against the insurance company and in favor of the policyholder.
*8
Woods v. Nationwide Mutual Ins. Co.,
The exhaustion clause of the policy and the similar wording of Section 20-279.21(b)(4) obligate the insurer to pay only after the applicable liability bonds or policies have been exhausted by payment of a judgment or settlement. In entering the consent judgment with the Bells and their insurer, plaintiff established her legal entitlement to damages as to those parties. However, once the applicable liability policy was exhausted in compliance with the provision, plaintiff was no longer legally entitled to recover additional damages from the tortfeasors. To read the “legally entitled to recover damages” provision as Horace Mann argues creates a conflict with the exhaustion provision in Section 20-279.21(b)(4) which urges settlement or judgment before obligating the insurer to pay UIM benefits. Given the remedial purposes of underinsurance coverage, we do not believe the General Assembly in creating UIM coverage intended this reading of the statute.
A remedial statute should be construed liberally in the light of the evils sought to be remedied and the objectives to be obtained.
Wade v. Wade,
Defendant cites
Brown v. Lumbermens Mut. Casualty Co.,
However, UIM coverage was not available until 1 October 1979, some four years after the
Brown
decision. 1979 N.C. Sess. Laws ch. 675. Furthermore,
Brown
dealt only with ««insured motorist benefits, while the exhaustion clause here applies only to ««derinsured motorist benefits by the terms of the policy and because in the uninsured motorist context, there are no applicable insurance policies which must be first exhausted. The existence of other insurance policies in the underinsured motorist context creates distinctive problems which do not arise in uninsured motorist coverage.
See Widiss,
Sec. 31.6 at 9; Note,
Underinsured Motorist Coverage: Legislative Solutions to Settlement Difficulties,
64 N.C. L. Rev. 1408, 1410-11 (1986) (tortfeasor’s insurer seeks to fulfill its duty to defend and indemnify by paying policy limits and obtaining release for its insured while UIM carrier
*10
desires to protect its subrogation rights which would be destroyed by a release).
Cf. Haas v. Freeman,
Neither
Brown
nor
Buchanan
addressed the exact issue now before this court. Neither addressed the effect of an exhaustion clause which requires settlement or judgment against the tort-feasor’s insurer before obligating the underinsurance carrier to pay. Where an insurance policy contains contradictory language, doubts as to the effect of the various provisions will be resolved against the insurer and in favor of the policyholder.
See Woods,
II
Horace Mann also argues plaintiff violated the consent to settle provision of the policy and therefore may not recover against it. This provision states:
A. We do not provide Uninsured Motorist Coverage for property damage or bodily injury sustained by any person:
2. If that person or the legal representative settles the bodily injury or property damage claim without our written consent.
This provision is not included in Section 20-279.21(b)(3) or (b)(4) and appears only in the policy.
Consent to settle clauses are exclusionary provisions which limit the liability of insurers and therefore are not favored.
See Holcomb v. U.S. Fire Ins. Co.,
Cases upholding consent to settle clauses do so based on protecting an insurer’s right to subrogation.
See, e.g., March v. Mountain States Mut. Casualty Co.,
Horace Mann argues that because plaintiff violated the consent to settle provision she destroyed its right to be subrogated once it made payment to plaintiff for her loss.
See Milwaukee Ins. Co. v. McLean Trucking Co.,
In the event of payment to any person under the coverage required by this section and subject to the terms *12 and conditions of such coverage, the insurer making such payment shall, to the extent thereof, be entitled to the proceeds of any settlement [or] judgment resulting from the exercise of any limits of recovery of such person against any person or organization legally responsible for the bodily injury for which such payment is made, including the proceeds recoverable from the assets of the insolvent insurer.
(Emphasis supplied.) Other jurisdictions interpreting similarly worded statutes are split on whether this provision gives an insurer a right to subrogation in the UM and UIM context.
Compare Niemann v. Travelers Ins. Co.,
Horace Mann also argues that under the policy and equitable principles, it had a right to subrogation upon payment of the loss to plaintiff. We note the above-quoted section of the statute specifically states that its provisions are subject to the “terms and conditions of [the uninsured motorist] coverage.” The policy provides:
A. If we make a payment under this policy and the person to or for whom payment was made has a right to recover damages from another we shall be subrogated to that right. That person shall do:
1. Whatever is necessary to enable us to exercise our rights; and
2. Nothing after loss to prejudice them.
However, our rights in this paragraph do not apply under:
1) Parts B and C ... .
(Emphasis supplied.)
Part C of the policy is the section providing for UM and UIM coverage. From this language, it is clear that Horace Mann does *13 not have a right to subrogation under the terms of its policy. Furthermore, assuming Horace Mann had a right of subrogation in equity or by statute, we hold it waived the right under this section of the policy. See 16 M. Rhodes, Couch on Insurance 2d Sec. 61.15 at 89 (1983) (since right of subrogation arises for benefit of insurer, it may waive right by contract); 44 Am. Jur. 2d Insurance Sec. 1799 at 791 (1982) (insurance company may waive any right it has to subrogation by contract).
Therefore, since Horace Mann has waived its right to subrogation, the clause serves no valid purpose. See Hentemann, Underinsured Motorist Coverage; A New Coverage with New Problems, 1983 Ins. Couns. J. 365, 368-69 (existence of exhaustion clause and consent to settle clause gives insurer power to frustrate application of UIM coverage by forcing injured party into a full trial). We hold that plaintiffs failure to obtain Horace Mann’s consent before entering into the consent judgment does not bar its recovery against Horace Mann as a matter of law. See Branch v. Travelers Indemnity Co., No. 8726SC861 (filed 3 May 1988) (insurer not prejudiced by violation of consent to settle clause where insurer has no right to subrogation).
Ill
Horace Mann also argues that plaintiff violated certain provisions of Section 20-279.21(b)(3)(a) and that this precludes plaintiffs recovery of UIM benefits. Specifically, it argues plaintiffs failure to serve copies of the summons or complaint in its action against the Bells bars plaintiffs recovery. Horace Mann apparently relies on the following provisions as a defense:
[T]he insurer shall be bound by a final judgment taken by the insured against an uninsured motorist if the insurer has been served with copy of summons, complaint or other process in the action against the uninsured motorist .... The insurer, upon being served as herein provided, shall be a party to the action between the insured and the uninsured motorist though not named in the caption of the pleadings and may defend the suit in the name of the uninsured motorist or in its own name.
N.C.G.S. Sec. 20-279.21(b)(3)(a). Likewise, the policy provides that “[a]ny judgment for damages arising out of a suit is not binding *14 on us unless we have been served with a copy of the summons, complaint or other process against the uninsured motorist.”
However, Horace Mann pled neither the statute nor any other provision relating to notice of the accident as a defense to coverage in its answer and nothing in the record indicates this was a basis of summary judgment below. However, subdivision (b)(3)(a) does provide a guide for the posture of this case on remand. Assuming the General Assembly meant to include a consent judgment within a “final judgment” as it is used above, these provisions do not provide that the insured loses his action against the insurer where he fails to serve suit papers on the insurer, but rather state that the insurer is not “bound” by the judgment.
See Hendricks v. U.S. Fidelity and Guaranty Co.,
In any event, plaintiff does not seek to use the previous judgment against the Bells as
res judicata
on the issue of liability or damages in its action against Horace Mann and therefore does not contend that Horace Mann is “bound” by the previous judgment. Therefore, in its action against Horace Mann on remand, plaintiff must prove the liability of the tortfeasor as well as the amount of damages.
Cf. Brown,
*15 IV
For the reasons above, the trial court’s entry of summary judgment is reversed as to defendants Horace Mann and Matthews and this case is remanded for proceedings on plaintiffs claims for underinsurance benefits, negligence, bad faith, fraud, and unfair and deceptive trade practices. The summary judgment for the Bells is affirmed.
Affirmed in part, reversed in part and remanded.
