Allstate Insurance v. Grayes

454 S.E.2d 616, 216 Ga. App. 419, 95 Fulton County D. Rep. 780, 1995 Ga. App. LEXIS 162
CourtCourt of Appeals of Georgia
DecidedFebruary 27, 1995
DocketA94A2623
StatusPublished
Cited by36 cases

This text of 454 S.E.2d 616 (Allstate Insurance v. Grayes) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Allstate Insurance v. Grayes, 454 S.E.2d 616, 216 Ga. App. 419, 95 Fulton County D. Rep. 780, 1995 Ga. App. LEXIS 162 (Ga. Ct. App. 1995).

Opinion

Birdsong, Presiding Judge.

This interlocutory appeal was granted to review the trial court’s denial of Allstate Insurance Company’s motion for summary judgment in Allstate’s action seeking a judicial declaration of its obligations under a homeowner’s insurance policy it issued to Ulysses Middleton and Valencia Middleton. This litigation arises from a continuing dispute between the Middletons and their neighbors, Willie Grayes and Dolores Grayes, that ended when Ulysses Middleton shot both Willie and Dolores Grayes with a shotgun. Mrs. Middleton was not present at the time of the shooting. The Grayeses filed suit against the Middletons alleging that Mr. Middleton was liable because he intentionally and without provocation shot the Grayeses and that Mrs. Middleton was liable because she provoked the series of incidents that ultimately led to the shootings.

After the Grayeses sued the Middletons and the Middletons claimed coverage under their Allstate homeowner’s policy, Allstate filed a petition seeking a declaratory judgment. Subsequently, Allstate moved for summary judgment contending there was no coverage because the policy covered only damages for bodily injury arising from accidents and because the policy’s exclusions for intentional acts and criminal conduct precluded coverage under the policy. Allstate asserted that there was no coverage for Mr. Middleton because the Grayeses’ injuries were caused by Mr. Middleton’s intentional, criminal conduct and there was no coverage for Mrs. Middleton because her actions did not cause bodily injury to the Grayeses.

The Grayeses’ response to the motion asserted that a policy endorsement modified the policy’s criminal acts exclusion so that the exclusion did not apply if the bodily injury resulted from wilful acts or omissions committed by an insured or with the knowledge or consent of an insured, which were crimes under the Georgia Criminal Code, but the acts or omissions were for the preservation of life or property. Consequently, the Grayeses amended their complaint to allege that Mr. Middleton negligently shot the Grayeses in self-defense because he shot them without ascertaining whether he was really in danger. The Grayeses also submitted Mr. Middleton’s affidavit stating that he shot the Grayeses in self-defense.

Because of the amendment to the endorsement, Allstate withdrew its reliance on both policy exclusions. As to Mr. Middleton, All *420 state based its motion for summary judgment solely on its contention that there was no coverage because the shootings were not accidental and the policy covered only damages arising from accidents.

The trial court denied Allstate’s motion because it found that “the question is whether [Mr. Middleton] acted accidentally, negligently, recklessly, intentionally, etc. in an effort to preserve life or property. Because coverage depends on a factual finding that Mr. Middleton’s conduct fit within the endorsement providing coverage for protection of life or property, the issue cannot be determined as a matter of law.” Thus, the trial court found jury issues existed on whether Mr. Middleton’s conduct satisfied the preservation of life or property exception to the criminal acts exclusion. As to Mrs. Middleton, the trial court found there were issues of fact concerning coverage for her because she was intimately involved in the incidents that ultimately resulted in the Grayeses’ injuries.

Allstate contends the trial court erred because the criminal acts or omissions exception applied only if there was bodily injury caused by Mr. Middleton that arose from an accident, and here the evidence showed there was no accident. Allstate also contends that the trial court erred by denying its motion regarding coverage for Mrs. Middleton because there was no evidence that her actions resulted in bodily injury to the Grayeses. Held:

1. Although the questions the lower court found significant might ultimately become relevant in certain cases, a court’s first obligation in cases such as this is to construe the insurance policy to determine the scope of the policy and any exclusion at issue. OCGA § 13-2-1. If any question of fact is then relevant, the jury must decide those issues. Id.

Further, before addressing whether the terms of some exclusion might be applicable, the initial consideration is whether the policy covered the incident in which the Grayeses suffered their injuries. Penn. Millers Mut. Ins. Co. v. Heule, 140 Ga. App. 851, 852 (232 SE2d 267); Showers v. Allstate Ins. Co., 136 Ga. App. 792 (222 SE2d 198); Ga. Farm Bureau Mut. Ins. Co. u. Alloway, 134 Ga. App. 660, 661 (215 SE2d 506). To establish a prima facie case on a claim under a policy of insurance the insured must show the occurrence was within the risk insured against. See Donaldson v. Pilot Life Ins. Co., 177 Ga. App. 748, 749 (341 SE2d 279); Fidelity &c. Co. of Md. v. Sun Life Ins. Co., 174 Ga. App. 258, 260 (329 SE2d 517).

The provision establishing the coverage of this policy states: “Losses we cover: Subject to the terms, limitations and conditions of this policy, Allstate will pay damages which an insured person becomes legally obligated to pay because of bodily injury or property damage arising from an accident and covered by this part of the policy.” The policy defines “bodily injury” as “physical harm to the *421 body, including sickness and disease, and resulting death.” Although the policy does not define the term “accident,” in Georgia an accident is defined as “an event which takes place without one’s foresight or expectation or design.” OCGA § 1-3-3 (2). “An accident refers to an unexpected happening rather than one occurring through intention or design. Acts could not be unexpected unless they were accidental.” (Citation and punctuation omitted.) Southern Guaranty Ins. Co. v. Saxon, 190 Ga. App. 652, 653 (379 SE2d 577). The policy’s exclusion of coverage for bodily injury resulting from an act or omission intended or expected to cause bodily injury (Section II, Losses we do not cover: No. 1 (a)) is consistent with these definitions. Consequently, the first consideration must be whether the bodily injuries the Grayeses sustained were the result of an accident.

The evidence concerning the incident from which the Grayeses’ injuries arose is not in dispute. After a series of increasingly hostile incidents between the Middletons and Grayeses, Mr. Middleton shot Mr. Grayes. Then, when Mr. Middleton saw Mrs. Grayes standing on her porch with a shotgun, he also shot her. Although Mr. Middleton states that he only shot the Grayeses in self-defense because he thought they were going to shoot him, there is no dispute but that he shot both Grayeses intentionally; Middleton intended to shoot the gun and hit those whom he intended to shoot. See Stein v. Mass. Bay Ins. Co., 172 Ga. App. 811, 812 (324 SE2d 510). Under the circumstances, the shootings were not events which took place without Mr. Middleton’s foresight or expectation or design. See OCGA § 1-3-3 (2).

Free access — add to your briefcase to read the full text and ask questions with AI

Related

ZURICH AMERICAN INSURANCE COMPANY v. MARK EUBANKS
Court of Appeals of Georgia, 2026
State Farm Mutual Automobile Insurance v. Marshall
175 F. Supp. 3d 1377 (S.D. Georgia, 2016)
Metro Brokers, Inc. v. Transportation Insurance Company
603 F. App'x 833 (Eleventh Circuit, 2015)
Castellanos v. Travelers Home & Marine Insurance Company
760 S.E.2d 226 (Court of Appeals of Georgia, 2014)
Lesley Goodwin v. Allstate Insurance Company
Court of Appeals of Georgia, 2014
Goodwin v. Allstate Insurance
756 S.E.2d 674 (Court of Appeals of Georgia, 2014)
Meritplan Insurance Company v. Coy Leverette, III
552 F. App'x 900 (Eleventh Circuit, 2014)
Allan Ranta v. Catholic Mutual Relief Society
492 F. App'x 373 (Fourth Circuit, 2012)
Forster v. State Farm Fire & Casualty Co.
704 S.E.2d 204 (Court of Appeals of Georgia, 2010)
Allstate Insurance Co. v. Neal
696 S.E.2d 103 (Court of Appeals of Georgia, 2010)
Perry v. State Farm Fire & Casualty Co.
676 S.E.2d 376 (Court of Appeals of Georgia, 2008)
Essex Insurance v. H & H Land Development Corp.
525 F. Supp. 2d 1344 (M.D. Georgia, 2007)
Certain Underwriters at Lloyd's of London v. Rucker Construction Inc.
648 S.E.2d 170 (Court of Appeals of Georgia, 2007)
Federated Mutual Insurance v. Ownbey Enterprises, Inc.
627 S.E.2d 917 (Court of Appeals of Georgia, 2006)
Padgett v. Georgia Farm Bureau Mutual Insurance
625 S.E.2d 76 (Court of Appeals of Georgia, 2005)

Cite This Page — Counsel Stack

Bluebook (online)
454 S.E.2d 616, 216 Ga. App. 419, 95 Fulton County D. Rep. 780, 1995 Ga. App. LEXIS 162, Counsel Stack Legal Research, https://law.counselstack.com/opinion/allstate-insurance-v-grayes-gactapp-1995.