Amica Mutual Insurance Company, Plaintiff-Counter-Defendant v. Leo P. Bourgault, Cheryl Bourgault, Defendants-Counter-Claimants

979 F.2d 187, 1992 U.S. App. LEXIS 32265, 1992 WL 340758
CourtCourt of Appeals for the Eleventh Circuit
DecidedDecember 10, 1992
Docket92-8068
StatusPublished
Cited by4 cases

This text of 979 F.2d 187 (Amica Mutual Insurance Company, Plaintiff-Counter-Defendant v. Leo P. Bourgault, Cheryl Bourgault, Defendants-Counter-Claimants) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eleventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Amica Mutual Insurance Company, Plaintiff-Counter-Defendant v. Leo P. Bourgault, Cheryl Bourgault, Defendants-Counter-Claimants, 979 F.2d 187, 1992 U.S. App. LEXIS 32265, 1992 WL 340758 (11th Cir. 1992).

Opinion

BIRCH, Circuit Judge:

CERTIFICATION FROM THE UNITED STATES COURT OF APPEALS FOR THE ELEVENTH CIRCUIT TO THE SUPREME COURT OF GEORGIA PURSUANT TO ARTICLE VI, SECTION VI, PARAGRAPH IV OF THE GEORGIA CONSTITUTION. TO THE SUPREME COURT OF GEORGIA AND THE HONORABLE JUSTICES OF THAT COURT:

I. STYLE OF THE CASE

The style of the case in which this certification is made is as follows: Arnica Mutual Insurance Company, plaintiff-appellee, versus Leo P. Bourgault and Cheryl A. Bour-gault, defendants-appellants, case number 92-8068, filed in the United States Court of Appeals for the Eleventh Circuit, on appeal from the United States Court for the Northern District of Georgia.

II. FACTS

On March 16, 1990, the appellant, Cheryl A. Bourgault, was involved in a collision with a vehicle driven by Pamela O’Neal. Bourgault sustained injuries and incurred medical expenses of over $300,000. O’Neal had liability coverage in the amount of $15,000 per person/$30,000 per accident, and Bourgault recovered the $15,000 limit from O’Neal’s insurance company. Bour-gault then turned to her own insurance company to recover payment through the uninsured/underinsured provisions of her own insurance policies.

At the time of the collision, Bourgault and her husband, Leo, had purchased two insurance policies from the appellee, Arnica Mutual Insurance Company (“Arnica”). The first policy, numbered 910210-2039 (the “Georgia policy”), covered two vehicles principally garaged and operated in Georgia, including the vehicle Bourgault was driving when she collided with O’Neal. This policy provided uninsured/underin-sured coverage of $100,000 per accident. Under this policy, Arnica has paid the Bour-gaults $85,000, representing the $100,000 coverage less the $15,000 payment from O’Neal. The Bourgaults raise no issues with respect to the coverage of the Georgia policy.

The second policy, numbered 910231-2093 (the “New York policy”), covered three vehicles registered and principally garaged and operated in New York and was in effect from February 1, 1990 to February 1, 1991. This policy was written by a New York branch office of Arnica, using New York forms, and based on New York rates. However, the Bourgaults purchased the policy as residents of Georgia, and the policy was delivered to them in Georgia. The New York policy provided uninsured/underinsured coverage of $50,000 per “accident”. This policy also contained an exclusion limiting uninsured/underin-sured coverage which read as follows:

INSURING AGREEMENT
A. We will pay damages which an insured is legally entitled to recover from the owner or operator of an uninsured motor vehicle because of bodily injury:
1. Sustained by an insured; and
2. Caused by an accident_
B. ‘Insured’: as used in this Part means:
1. You or any family member.
*189 2. Any other person occupying your covered auto..
3. Any person for damages that person is entitled to recover because of bodily injury to which this coverage applies sustained by a person described in 1. or 2. above.
EXCLUSIONS
A. We do not provide Uninsured Motorists Coverage for bodily injury sustained by any person:
1. While occupying, or when struck by, any motor vehicle owned by you or any family member which is not insured for this coverage under this policy.

Rl-7-Attachment 2-5-6. See also, Rl-7-Attachment 2-Underinsured Motorist Coverage-1 (containing same language for un-derinsured coverage).

Following the collision, the Bourgaults sought to recover $50,000 under the New York policy. Arnica contested the claim and brought a declaratory judgment action against the Bourgaults denying liability based upon the uninsured/underinsured exclusion provisions of the New York policy. Arnica argued that the exclusion contained in the New York policy prevented Bour-gault from recovering because Bourgault was occupying a vehicle which was not insured under the New York policy when she was hit. The Bourgaults defended by arguing that O.C.G.A. § 33-7-ll(a)(l) prevented the application of the exclusion provision. 1 Therefore, the Bourgaults argued, they should be able to “stack” the New York policy on top of the Georgia policy and recover the additional $50,000 under the New York policy.

The district court held that O.C.G.A. § 33-7-ll(a)(l) did not apply to the facts of this case and granted summary judgment for Arnica.

III. REASONS FOR CERTIFICATION

This ease focuses on O.C.G.A. § 33-7-11(a)(1) and its application to insurance policies covering vehicles not principally garaged or used in Georgia. In interpreting this section, the Georgia Supreme Court has stated:

The focus of this requirement for coverage is on the owner or operator of a vehicle causing damages to the insured. The coverage attaches to the insured regardless of his location. He need not be in the insured automobile. The only requirement is that he be an insured who. is legally entitled to recover damages from the owner or operator of an uninsured motor vehicle. An exclusion which would avoid coverage if the insured is occupying a noncovered motor vehicle furnished for his regular use conflicts with this requirement. .

Doe v. Rampley, 256 Ga. 575, 351 S.E.2d 205, 206 (1987). The Georgia courts have relied on § 33-7-ll(a)(l) to invalidate exclusions which have attempted to prevent uninsured/underinsured recovery when the insured was injured in a. vehicle that was not covered by the insurance policy which contained the uninsured/underinsured coverage. See State Farm Mut. Auto. Ins. Co. v. Murphy, 226 Ga. 710, 177 S.E.2d 257, 260 (1970); Bass v. State Farm Mut. Auto. Ins. Co., 128 Ga.App. 285, 196 S.E.2d 485, 490 (1973).

These decisions have allowed insureds to “stack” uninsured/underinsured coverage by recovering first from the policy covering the vehicle in which .the insured was injured and then from the policy in the insured’s name but not covering the vehicle in which the insured was injured.

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979 F.2d 187, 1992 U.S. App. LEXIS 32265, 1992 WL 340758, Counsel Stack Legal Research, https://law.counselstack.com/opinion/amica-mutual-insurance-company-plaintiff-counter-defendant-v-leo-p-ca11-1992.