Cole v. New Hampshire Insurance

373 S.E.2d 36, 188 Ga. App. 327, 1988 Ga. App. LEXIS 1046
CourtCourt of Appeals of Georgia
DecidedSeptember 8, 1988
Docket76603
StatusPublished
Cited by18 cases

This text of 373 S.E.2d 36 (Cole v. New Hampshire Insurance) 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
Cole v. New Hampshire Insurance, 373 S.E.2d 36, 188 Ga. App. 327, 1988 Ga. App. LEXIS 1046 (Ga. Ct. App. 1988).

Opinion

Birdsong, Chief Judge.

This is an action brought by an insurer to have it declared whether its insured Barbara Cole is entitled under her “no-fault” auto insurance to recover for injuries sustained outside the car at a gasoline station.

It is agreed, and the trial court found, that Ms. Cole had pumped gas in her car, entered the station and paid the attendant, and was returning to her car, walking around the right front of the car when she slipped and fell, striking her left arm on the right front fender and her left knee on the pavement and breaking her kneecap.

The trial court rendered summary judgment for the plaintiff insurer and denied summary judgment to the defendant Cole. On appeal, Ms. Cole contends she is entitled to coverage pursuant to OCGA §§ 33-34-7 and 33-34-2 (1) (5) (8) and (9) concerning payment of no-fault benefits, and under coverage of her insurance policy, which closely tracks the language of the statutes. Held:

OCGA § 33-34-7 provides: “Payment of no-fault benefits, (a) The insurer of a motor vehicle . . . shall pay basic no-fault benefits without regard to fault for economic loss resulting from: ... (1) Accidental bodily injury sustained ... by the insured . . . while occupying any motor vehicle or while a pedestrian as the result of being struck by a motor vehicle. . . .” (Emphasis supplied.)

OCGA § 33-34-2 as pertinent to this case defines the qualifying terms as follows: “(1) ‘Accidental bodily injury’ means bodily injury . . . arising out of the operation, maintenance, or use of a motor vehicle. ... (8) ‘Occupying’ means to be in or upon a motor vehicle or engaged in the immediate act of entering into or alighting from the motor vehicle. ... (9) ‘Operation, maintenance, or use of a motor vehicle’ means operation, maintenance, or use of a motor vehicle as a vehicle. . . . (11) ‘Pedestrian’ means any person not occupying a motor vehicle. ...” (Emphasis supplied.)

The appellant Cole contends she may recover for these injuries, as they are accidental bodily injury “arising out of the operation, maintenance or use of a motor vehicle” (§ 33-34-2 (1)), “while occupying [the] motor vehicle or while a pedestrian as the result of being struck by a motor vehicle.” (Emphasis supplied.) OCGA § 33-34-7 (a) *328 (1). She argues that if she was not a “pedestrian” who was “struck” by the vehicle, then she was “occupying” the vehicle by being “upon” the motor vehicle, or, especially, by being “engaged in the immediate act of entering into or alighting” from it. OCGA- § 33-34-2 (8).

In particular, she contends the word “struck” in § 33-34-7 (a) (1) denotes merely a movement or force resulting in a physical impact (see Johnson v. Nat. Union Fire Ins. Co., 177 Ga. App. 204 (338 SE2d 687)); or, she contends, her injury arose out of the “maintenance or use of a motor vehicle as a vehicle,” (emphasis supplied) (§ 33-34-2 (9)), according to the persuasion of two Minnesota cases, Marklund v. Farm Bureau Mut. Ins. Co., 391 NW2d 65; and Barry v. Ill. Farmers Ins. Co., 386 NW2d 299. In the former case, Marklund, the insured slipped and fell while he was engaged in putting gasoline in his car (as an integral process fundamental to the maintenance of a motor vehicle), and there was not even any physical impact with the car as there was in this case.

There are a number of Georgia cases construing these code sections and the coverage of no-fault insurance in particular circumstances. See Kelley v. Integon Indem. Corp., 253 Ga. 269 (320 SE2d 526) which surveys several cases in response to a certified question by the federal court of appeals. Kelley expresses a few general principles, but the parties have cited Kelley and many of the cases cited in it as controlling this appeal. However, when the facts are so different, as they are, the cases cannot control as a matter of law. In Kelley, the claimant was electrocuted when the truck’s crane came into contact with a power line, as he stood in a pit and helped position a drilling rig attached to the truck. In Clinton v. Nat. Indem. Co., 153 Ga. App. 491 (265 SE2d 841), a fireman using a firehose attached to a firetruck was knocked down when the firehose jerked.

In Parker v. Atlanta Cas. Co., 157 Ga. App. 539 (278 SE2d 119) an auto repairman slipped on grease in the repair shop as he alighted from a car after driving it in from an outside lot. Parker involved the “actual operation of a motor vehicle as a vehicle” (former Ga. Code Ann. § 56-3402 (b) (h); cf. OCGA § 33-34-2 (9) (a)); he sustained injury arising out of the maintenance of the vehicle as a vehicle (§ 33-34-2 (1)), and he was occupying the vehicle by being in the immediate act of alighting from it. OCGA § 33-34-2 (8). Nevertheless, it was held Parker was not entitled to no-fault coverage because his fall was an “unconnected event,” that there was no “zone of connection” between his fall and “what [the car] did.” This finding goes beyond the terms of the statutes. The federal court found it “conflicting,” but Kelley distinguished it because it dealt with the “repair and service” exclusion.

In Georgia Farm &c. Ins. Co. v. Nelson, 153 Ga. App. 623 (266 SE2d 299), the deceased was found dead after he had apparently at *329 tempted to jack up a lumber truck. The tractor and trailer were disconnected; it appeared a front dollie on the trailer collapsed, and the load of lumber fell on him. That case and another, Jones v. Transamerica Ins. Co., 154 Ga. App. 408 (268 SE2d 444), involving a death by carbon monoxide of one found outside the car but in the garage where it had been parked, were disapproved by the Supreme Court in Kelley because they were decided without reference to the “occupancy” requirement of § 33-34-7 (a) (1) (2).

In Leverette v. Aetna Cas. &c. Co., 157 Ga. App. 175 (276 SE2d 859), the claimant fell while he was standing on a truck, using it as a ladder of sorts to pick plums from a tree. In Jones v. Continental Ins. Co., 169 Ga. App.

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Bluebook (online)
373 S.E.2d 36, 188 Ga. App. 327, 1988 Ga. App. LEXIS 1046, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cole-v-new-hampshire-insurance-gactapp-1988.