Georgia American Insurance v. Mills

369 S.E.2d 768, 187 Ga. App. 128, 1988 Ga. App. LEXIS 660
CourtCourt of Appeals of Georgia
DecidedApril 25, 1988
Docket76263; 76326
StatusPublished
Cited by1 cases

This text of 369 S.E.2d 768 (Georgia American Insurance v. Mills) 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
Georgia American Insurance v. Mills, 369 S.E.2d 768, 187 Ga. App. 128, 1988 Ga. App. LEXIS 660 (Ga. Ct. App. 1988).

Opinion

Banke, Presiding Judge.

The appellee, Frankie Mills, filed suit against the appellants, Georgia American Insurance Company and Southeastern Fidelity Insurance Company, to recover personal injury protection, or “no-fault,” benefits allegedly due her under a policy of motor vehicle accident insurance issued to Glynn Herrin. She also sought to recover a statutory bad-faith penalty, attorney fees, and punitive damages based on the appellants’ failure to pay the claim in a timely manner.

After the appellants had filed their separate answers, the appellee filed an amendment to her complaint in which she designated Georgia American as the sole defendant. Thereafter, Southeastern Fidelity was not listed as a defendant in any of the pre-trial pleadings or orders filed in the case. Likewise, during the trial of the case no evidence was introduced tending to establish that Southeastern Fidelity was a party to the policy sued upon.

The jury returned a verdict in favor of the appellee and against Georgia American. After moving unsuccessfully for judgment notwithstanding the verdict or, in the alternative, for a new trial, Georgia American filed a direct appeal to this court. However, that appeal was dismissed on the ground that the case was technically still pending in the trial court, in that no written order had ever been entered dismissing the claim against Southeastern Fidelity. See Georgia American Ins. Co. v. Mills, 183 Ga. App. 707 (359 SE2d 697) (1987). Upon the return of the case to the trial court, the judge denied a motion for summary judgment filed by Southeastern Fidelity, while directing the entry of a final, appealable judgment against Georgia American pursuant to OCGA § 9-11-54 (b). The present appeals are taken from the latter order.

The appellee sustained the injuries upon which her claim was based while riding as a passenger in a truck being driven by the named insured’s wife, Elizabeth Herrin. Although Mrs. Herrin was [129]*129listed on the declarations page of the policy as an “operator” of the vehicle, the word “excluded” was typed in close proximity to her name; and it was shown that upon applying for the policy Mr. Herrin had executed a “Named Driver Exclusion Endorsement” specifying that coverage would not be afforded “while any vehicle is being used, driven, operated by, or under the care, custody and control of Elizabeth Herrin.” Virtually all of the enumerations of error in this appeal concern the enforceability of this exclusion. Held:

1. The insurer was required by the Georgia Motor Vehicle Accident Reparations Act, OCGA § 33-34-1 et seq., to “pay basic no-fault benefits without regard to fault for economic loss resulting from: . . . (2) Accidental bodily injury sustained by any . . . person while occupying the owner’s motor vehicle. . . .” OCGA § 33-34-7 (a) (2). (Emphasis supplied.) See also OCGA § 33-34-3 (a) (1). “Thus, the policy exclusion in this case ... is unenforceable because, if allowed to be effective, it would reduce the coverage below the minimum required by the no-fault statute.” Smith v. Southeastern Fidelity Ins. Co., 258 Ga. 15 (365 SE2d 105) (1988). Accord Southeastern Fidelity Ins. Co. v. Johnson, 256 Ga. 713 (352 SE2d 760) (1987). It follows that the trial court did not err in denying Georgia American’s motions for directed verdict or for judgment notwithstanding the verdict on the coverage issue.

2. Nor did the trial court err in denying Georgia American’s motions for directed verdict or for judgment notwithstanding the verdict on the issue of its liability for a bad-faith penalty, attorney fees, and punitive damages. We reject Georgia American’s contention that its good faith in defending the claim was established as a matter of law by evidence showing that the appellee had “voluntarily acquiesced to ride in a vehicle driven by a driver known to have been convicted of DUI, to have had a couple of prior accidents, and to have been involved in drinking on the night of the incident.” To allow an insurer to defend an injured passenger’s claim for no-fault benefits on the basis of such evidence would defeat the purpose of the statute, which is to ensure that certain minimal compensation is made available to persons injured in automobile accidents “without regard to fault.” OCGA § 33-34-7. See generally Cannon v. Ga. Farm &c. Ins. Co., 240 Ga. 479, 482 (241 SE2d 238) (1978).

While certain specified exceptions to the insurer’s obligation to pay mandatory no-fault benefits are set forth at OCGA § 33-34-7 (b), knowledge on the part of a passenger that the driver of the vehicle had a poor driving record or was not in a condition to drive safely is not among them. Nor would such knowledge on the part of the passenger prevent his or her injuries from being considered “accidental” within the contemplation of the statute. Pursuant to OCGA § 33-34-2 (1), “[b]odily injury is accidental as to the claimant unless sustained [130]*130intentionally by the person injured or caused intentionally by the claimant.” None of the evidence in this case suggests that the appellee’s injuries were self-inflicted or that she intentionally caused the accident. For these reasons, we hold that the jury was authorized to award her a bad-faith penalty, attorney fees, and punitive damages pursuant to OCGA § 33-34-6. See generally Binns v. MARTA, 250 Ga. 847 (301 SE2d 877) (1983); Bituminous Cas. Corp. v. Mowery, 145 Ga. App. 45, 53-54 (244 SE2d 573) (1978).

Georgia American’s reliance on Cotton States Mut. Ins. Co. v. Neese, 254 Ga. 335 (329 SE2d 136) (1985), is misplaced. In that case, which involved liability insurance coverage rather than no-fault coverage, the Supreme Court held that a policy exclusion pertaining to injuries inflicted while a driver was “attempting to avoid apprehension or arrest” was unenforceable against an innocent victim with whom a driver of the insured vehicle had collided while attempting to elude a state patrolman. With respect to the passengers who had been riding in the insured vehicle at the time of the collision, the Court held that the exclusion might or might not be enforceable, depending on whether they were “willing participants in the attempt to elude the pursuing patrolman.” Id. at 342 (3). This holding in no way purports to modify the definition of “accidental bodily injury” set forth in the Motor Vehicle Accident Reparations Act at OCGA § 33-34-2 (1), nor does it purport to modify the statutorily mandated coverage requirements set forth in the Act at OCGA §§ 33-34-3 (a) (1) and 33-34-7, supra.

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Bluebook (online)
369 S.E.2d 768, 187 Ga. App. 128, 1988 Ga. App. LEXIS 660, Counsel Stack Legal Research, https://law.counselstack.com/opinion/georgia-american-insurance-v-mills-gactapp-1988.