Breaux v. Government Employees Insurance

364 So. 2d 158
CourtLouisiana Court of Appeal
DecidedOctober 9, 1978
DocketNo. 12154
StatusPublished
Cited by4 cases

This text of 364 So. 2d 158 (Breaux v. Government Employees Insurance) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Breaux v. Government Employees Insurance, 364 So. 2d 158 (La. Ct. App. 1978).

Opinion

LANDRY, Judge.

Defendant Traders and General Insurance Company (Traders) appeals from judgment awarding Traders’ insured, plaintiffs herein, $37,204.65 in general and special damages pursuant to the uninsured motorist clause in Traders’ liability policy on plaintiffs’ automobile, which coverage the trial court found applicable to an accident in which plaintiffs’ minor daughter sustained fatal injuries while riding as guest passenger in another vehicle insured by Government Employees Insurance Company (GEICO). The judgment also rejected Traders’ third party demand against GEI-CO for indemnification. We reverse.

Mary Ann Breaux, minor daughter of plaintiffs Donald A. and Julia A. Breaux, died March 4, 1976, of injuries sustained the previous day in an automobile accident. The mishap occurred when a vehicle owned by Samuel Ayo, insured by GEICO, and being driven by Ayo’s daughter, Gayle, collided head-on with another vehicle. It is conceded the accident, which occurred due to Miss Ayo’s negligence, resulted in the deaths of two passengers in the Ayo vehicle, including that of plaintiffs’ daughter, and injuries to the three remaining occupants, including the driver.

GEICO’s policy provides liability coverage of the Ayo vehicle with bodily injury limits of $50,000 per person and $100,000 for each accident and also uninsured motorist protection in similar limits. Applicability of GEI-CO’s uninsured motorist coverage is the prime issue on this appeal.

On the day of the accident, Traders had in effect a policy covering a vehicle owned by plaintiffs, which vehicle was not involved in subject accident. Traders’ policy provided liability coverage in limits of $10,-000-$20,000 and uninsured motorist coverage in limits of $5,000-$10,000.

Plaintiffs initially sued GEICO seeking recovery under the liability coverage of GEICO’s policy. By amendment, Traders was joined as defendant from whom recov[160]*160ery is sought under the uninsured motorist coverage of Traders policy. Plaintiffs amicably settled their claims against GEICO for $39,700, and, on November 5, 1976, released GEICO from all liability, with prejudice. The release expressly relinquished all claims against GEICO under the liability as well as the uninsured motorist coverage of GEICO’s policy but reserved plaintiffs’ rights against GEICO’s insured, Gayle Ayo. The settlement received by plaintiffs from GEICO was a portion of the liability coverage of GEICO’s policy, the remainder of the $100,000 limits having been depleted through distribution to other parties injured in the accident. Plaintiffs then pursued their own insurer, Traders, and obtained judgment against Traders in the sum of $76,904.65 pursuant to Traders’ uninsured motorist coverage of plaintiffs’ automobile. The judgment, however, credited Traders for the amount received by plaintiffs in settlement with GEICO, thus resulting in judgment against Traders in the sum of $37,204.65. Traders’ third party demand against GEICO for indemnity, based on the contention that the uninsured motorist coverage of GEICO’s policy was available to plaintiffs, was dismissed on GEICO’s exceptions of no right and no cause of action.

Conceding its uninsured motorist coverage of plaintiffs, Traders maintains said coverage is excess insurance because it protects its insured while occupying a non-owned vehicle. On this premise Traders contends that both the liability and uninsured motorist coverage of GEICO’s policy must be exhausted as primary insurance before Traders’ excess insurance may be invoked. More precisely, Traders argues that although plaintiffs have a judgment for $37,204.65, plaintiffs may not proceed against the uninsured motorist coverage of its policy until plaintiffs have first exhausted the primary coverage afforded by the uninsured motorist coverage of the GEICO policy. Traders’ position is extended by the argument that plaintiffs, having released GEICO from liability under the uninsured motorist coverage of GEICO’s policy, must give Traders credit for the amount available to plaintiffs under such coverage, which source of recovery plaintiffs, for plaintiffs’ own reasons, saw fit not to pursue. We find Traders’ argument reasonable and persuasive, provided GEICO’s policy affords uninsured motorist protection to plaintiffs’ daughter.

The GEICO policy pertinently states:

“The company will pay all sums which the insured or his legal representative shall be legally entitled to recover as damages from the owner or operator of an uninsured automobile because of bodily injury, sickness or disease, including death resulting therefrom, hereinafter called ‘bodily injury’ sustained by the insured, caused by accident and arising out of the ownership, maintenance or use of such uninsured automobile. . . . ” (emphasis added)

Also pertinent is that portion of Part IV, Coverage J (Protection against Uninsured Motorists) of GEICO’s policy, which defines Insured as follows:

“. . ‘Insured’ means:
(1) • • •
(2) Any other person while occupying an insured automobile; and,
(3) . . . .

Based on GEICO’s definition of insured under the uninsured motorist coverage provision of its policy, plaintiffs’ daughter while an occupant of the Ayo vehicle, which was insured by GEICO, was protected by the uninsured motorist coverage stipulated by GEICO. The policy in effect provides that GEICO agrees to pay “all sums which the insured (Mary Ann Breaux) or [her] legal representatives (plaintiffs) shall be legally entitled to recover as damages from the owner or operator (Gayle Ayo) of an uninsured automobile because of bodily injury . . . including death resulting therefrom . . . .” The phrase “legally entitled to recover” has been interpreted by the Supreme Court to mean “simply that the plaintiff must be able to establish fault on the part of the uninsured motorist which gives rise to damages and prove the extent of those damages.” Booth v. Fireman’s Fund Insurance Company, 253 La. 521, 218 [161]*161So.2d 580 (1968). See also Guillot v. Travelers Indemnity Company, 338 So.2d 334 (La.App. 3d Cir. 1976); Gremillion v. State Farm Mutual Automobile Insurance Company, 302 So.2d 712 (La.App. 3d Cir. 1974). Plaintiffs and their decedent meet the requirements of establishing fault and proving damages.

The salient question, however, is whether the Ayo vehicle was “uninsured” within the definition of the term appearing in the GEICO policy. In briefs filed in this court, counsel for plaintiffs as well as GEICO show that GEICO’s policy specifically excludes an “insured automobile” from the definition of “uninsured automobile” and that an insured automobile is defined as an automobile “described in the schedule as an insured automobile to which bodily injury liability coverage of the' policy applies.” Simply put, plaintiffs and GEICO contend that, by policy definition, the Ayo vehicle cannot be deemed an uninsured automobile because it is an automobile insured under GEICO’s policy.

We reject appellees’ interpretation of the uninsured motorist clause of GEI-CO’s policy because such construction ignores and is contrary to the applicable provisions of LSA-R.S. 22:1406(D)(2)(b), as amended by Act 154 of 1974.

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Related

Coco v. Allstate Ins. Co.
391 So. 2d 50 (Louisiana Court of Appeal, 1980)
Breaux v. Government Emp. Ins. Co.
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369 So. 2d 1335 (Supreme Court of Louisiana, 1979)
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Cite This Page — Counsel Stack

Bluebook (online)
364 So. 2d 158, Counsel Stack Legal Research, https://law.counselstack.com/opinion/breaux-v-government-employees-insurance-lactapp-1978.