TORT & INSURANCE
WORKSHOP
North
Carolina State University
April 2002
David Drooz, Associate General Counsel
Jim Semple, Director, Insurance & Risk Management
N.C. State University
TORT & INSURANCE
WORKSHOP
I. Practical info
II. What is a tort?
III. Liability – limits and defenses
IV. Insurance coverage
I. PRACTICAL INFO
WHEN THERE IS AN ACCIDENT, INJURY ,
OR DAMAGE:
Get
help
Make record of what happened
Report to supervisor
Report to NCSU Insurance & Risk
Management
Report to Office of Legal Affairs
I. PRACTICAL INFO
Office of Insurance & Risk Management
919
- 515 - 6124
http://www2.acs.ncsu.edu/insurance/
Office of Legal Affairs
919
- 515 - 3071
http://www.fis.ncsu.edu/ncsulegal/
II. WHAT IS A TORT?
A WRONG OR INJURY TO
ANOTHER,
APART FROM BREACH OF
CONTRACT,
WHICH A COURT CAN REMEDY BY
AWARDING DAMAGES
II. WHAT IS A TORT?
1. DEFENDANT MUST OWE A
DUTY OF CARE TO THE PLAINTIFF
-- DUTY OF CARE IS IMPOSED BY LAW, NOT
PRIVATE AGREEMENT
-- DUTY OF CARE IS THE ESSENTIAL INQUIRY
IN ANY TORT CASE
II. WHAT IS A TORT?
2.
DEFENDANT MUST HAVE
BREACHED THAT DUTY
3.
THE BREACH OF DUTY MUST BE
THE PROXIMATE CAUSE OF HARM TO
PLAINTIFF
4.
PLAINTIFF MUST HAVE
SUFFERED ACTUAL DAMAGES
II. CATEGORIES OF TORTS
A.
NEGLIGENCE
B.
GROSS NEGLIGENCE
C.
INTENTIONAL
D.
STRICT LIABILITY
II. NEGLIGENCE TORTS
FAILURE TO USE REASONABLE
CARE
measured
by prudent person in similar
circumstances
MOST MISTAKES AND ACCIDENTS
ARE DUE TO “NEGLIGENCE”
II. NEGLIGENCE TORTS
Some university cases:
Slip
and fall
Drowning
Motor vehicles
Negligent hiring
Infliction of emotional distress
Defamation
II. TORTS - CHILDREN
A child under 7 years of age is legally
incapable of contributory negligence
Rebuttable presumption: child 7 to 14 years
old is incapable of contributory negligence
Bottom line: Take extra care for safety of
children
II. TORTS - PREMISES
For lawful visitors, you must make a
reasonable effort to make premises safe.
You are not an insurer of their safety.
In practical terms, you should
“INSPECT & CORRECT” unsafe
conditions where you can. If it’s not
feasible to correct a danger, then give
warning.
III. LIABILITY – LIMITS & DEFENSES
Tort Claim Act / sovereign immunity
Defense of State Employees Act
Workers’ Compensation
Contributory negligence
Assumption of risk
Liability waivers
Volunteer immunity
Public duty doctrine
III. SOVEREIGN IMMUNITY
Sovereign immunity = the State cannot be
sued in tort without its consent
Only the General Assembly can give consent
(it has done so in the Tort Claims Act)
Not a defense to federal claims (although 11th
Amendment immunity may be a defense)
III. TORT CLAIMS ACT
NC General Statute 143-291 allows tort
suits against the State - within limits:
FOR
ORDINARY NEGLIGENCE
CAUSED BY STATE EMPLOYEE (OR
AGENT)
ACTING WITHIN SCOPE OF
AUTHORIZED SERVICE
III. TORT CLAIMS ACT
VOLUNTEERS are “agents" if a State agency
exercises sufficient control over them
“AGENT” is a legal term, not the same as
Extension agents, who are employees
INDEPENDENT CONTRACTORS are not
“agents”
III. TORT CLAIMS ACT
$500,000 limit on State’s liability for all
claims of injury and damage to any one
person arising out of one occurrence
First $150,000 is paid by employing
agency. Remainder comes from a fund
in the Office of State Management &
Budget (but we contribute to that fund).
III. TORT CLAIMS ACT
Amount paid by State is reduced by any
commercial liability insurance the State
agency has
Cannot insure everything
Receipts-funded units will have to pay the
full amount up to $500,000 per injured party.
NCSU has pooled a fund for them.
III. DEFENSE OF STATE EMPLOYEES
N.C. General Statutes 143-300.3 et seq.
THE STATE MAY DEFEND
EMPLOYEES AND AGENTS IN
LAWSUITS BROUGHT AGAINST
THEM PERSONALLY
III. DEFENSE OF STATE EMPLOYEES
"AGENTS"
DEFINED THE SAME AS FOR
TORT CLAIMS ACT
COVERS
CIVIL AND CRIMINAL
LIABILITY
(NOT JUST TORTS)
FOR
ACTS/OMISSIONS IN THE SCOPE
AND COURSE OF AUTHORIZED
SERVICE
III. DEFENSE OF STATE EMPLOYEES
DOES
NOT COVER FRAUD,
CORRUPTION, MALICE
DEFENSE ONLY IF ATTORNEY
GENERAL DECIDES IT’S IN BEST
INTEREST OF THE STATE
EMPLOYING
AGENCY PAYS UP TO
$150,000 IF EMPLOYEE/AGENT IS
FOUND LIABLE; STATE PAYS NEXT
INCREMENT UP TO $500,000
III. DEFENSE – WORKERS COMP
WORKERS’ COMPENSATION IS THE
EXCLUSIVE REMEDY WHEN IT APPLIES
Exception: harm caused by intentional injury or
gross negligence may give rise to tort suit
APPLIES TO EMPLOYEES WHO HAVE
ACCIDENTAL INJURY, A TRAUMATIC
INCIDENT, OR OCCUPATIONAL DISEASE
FROM WORK-RELATED CAUSES
III. DEFENSE CONTRIBUTORY NEGLIGENCE
WHERE BOTH PARTIES WERE
NEGLIGENT, NC LAW BARS TORT
CLAIM
Remember the exception for children
III. DEFENSE - ASSUMPTION OF RISK
NO TORT LIABILITY IF THE PARTIES HAD
A CONTRACTUAL RELATIONSHIP AND
PLAINTIFF VOLUNTARILY ACCEPTED
RISKS
E.g., hit by ball in stadium
Will not apply if injured party did not
understand the risks, lacked bargaining
power, or for public policy reasons
III. DEFENSE - LIABILITY
WAIVERS / RELEASES
A CONTRACT NOT TO SUE
Uses words like “HOLD HARMLESS,”
“INDEMNIFY,” “RELEASE,” “WAIVE”
Courts often refuse to enforce liability
waivers
III. LIABILITY WAIVERS
1998 case of Fortson v. McClellan:
plaintiff
signed liability waiver for college
course on motorcycle safety
plaintiff was injured in the course due to
motorcycle malfunction
the court ruled: public interest in
motorcycle safety is enough to invalidate
the liability waiver
III. VOLUNTEER IMMUNITY
Executive Order No. 48 (1980) and NCAC
Qualified Immunity for Volunteers Act - G.S.
1-539.10 (not for motor vehicle negligence)
First Aid Immunity - G.S. 90-21.14 and 21.15
Hazardous Material Immunity - G.S. 143215.104
Car Accident Immunity - G.S. 20-166(d)
IV. Insurance and Risk
Management
IV. Risk Management Process
Identify Loss
Exposures
Select Technique to
Treat Exposures
Implement
Technique
Monitor, Evaluate,
and Modify
Techniques
IV. Risk Management
Techniques
Avoidance
Insurance
Contractual
Transfer
Separation of
Exposure Units
Loss
Control/Safety
IV. INSURANCE COVERAGE
The State pays for
Excess
liability insurance
Motor vehicle insurance
miscellaneous other policies
You must pay for other coverage
IV. Purchasing Insurance
All departmental
purchases of Property/
Casualty Insurance are
arranged through
NCSU-IRM
Any special purchase of
liability insurance must
be approved by the
North Carolina Dept of
Insurance
For general liability
exposures, State
agencies/
universities rely on
the Tort Claims Act
and its statutory
limits of $ 500K per
claimant
/occurrence
IV. Employees Excess
Liability Insurance Policy
Excess of the Defense of State Employees Act
($ 500K)
Only if Attorney General authorizes defense
Covers Employees and Volunteers in the
course and scope of duty/service to the
University
Coverage Limits of $ 11 million per
person/occurrence
IV. EXCESS LIABILITY POLICY
EXCESS LIABILITY POLICY
EXCLUSIONS INCLUDE:
Employee
claims covered by Workers
Compensation, Unemployment
compensation, or disability benefits law
Pollution,
asbestos, and other toxic,
hazardous, and explosive materials
IV. EXCESS LIABILITY POLICY
EXCLUSIONS CONTINUED
Nuclear materials and nuclear facilities
Automobiles, planes, boats over 30 feet
Medical malpractice
Criminal acts
One insured suing another (except Equal
Protection claims)
Sexual assault or battery
IV. INSURANCE COVERAGE
STATE MOTOR VEHICLE INSURANCE
Covers damages to OTHER PARTIES
for accidents that:
involve use of a state-owned vehicle
driven by a state employee
on official business
IV. INSURANCE COVERAGE
State Motor Vehicle insurance DOES
NOT COVER
agents
or volunteers
employees driving a non-state car
But, NCSU may contribute up to $150,000
as provided in Defense of State Employees
Act if personal insurance is exhausted.
IV. Motor Vehicle Liability
Insurance
Required by Statute on
self-propelled vehicles
Liability Limits of $
500K per person per
accident, $ 5 million
aggregate in state
Collision/
Comprehensive
Coverage for temporary
leased vehicles less than
30 days+ No CDW at
rental agency
Important Note- If
driving personal
vehicle on state/
University business,
your personal auto
insurance applies as
primary coverage
for liability ,
comprehensive and
collision exposures
IV. Liability of Others to NC
State
If a party damages
University property,
document facts of event
Report all accidents or
malicious acts immediately
to Police
If a result of construction
project activity, notify
Construction Management
Report such events to OLA
and IRM for assistance if
vendor-related
V. VEHICLE USE
State-owned passenger vehicles may be
driven ONLY
by
state employees
on official state business.
No side trips for personal purposes.
V. VEHICLE USE
Rules for passengers who are not state
employees:
No
hitchhikers
Driver may bring spouse, kids (no pets)
Others may ride IF
– (a) they have an interest in the purpose of the
trip, and
– (b) their presence is related to state business.
V. VEHICLE USE
DRIVER IS RESPONSIBLE FOR:
Traffic fines,
parking fines,
towing costs for improper parking,
safe-keeping of car .
V. VEHICLE USE
Federal employees:
Must first request federal vehicle.
If no federal vehicle is available, they
may use state vehicle IF they are under
contract to do state business
V. VEHICLE USE
Must report all accidents to the police
(rule for use of state-owned vehicles)
Dollar
amount of damage does not
matter.
MORE INFO ON THE WEB
The NCSU Legal Affairs web site has
NC State policies and legal topics.
http://www.fis.ncsu.edu/ncsulegal
TORT & INSURANCE WORKSHOP
THE END