Georgia Insurers Insolvency Pool v. Logisticare Solutions, LLC

CourtCourt of Appeals of Georgia
DecidedJanuary 30, 2025
DocketA24A1826
StatusPublished

This text of Georgia Insurers Insolvency Pool v. Logisticare Solutions, LLC (Georgia Insurers Insolvency Pool v. Logisticare Solutions, LLC) 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 Insurers Insolvency Pool v. Logisticare Solutions, LLC, (Ga. Ct. App. 2025).

Opinion

SECOND DIVISION MARKLE, J., LAND and DAVIS, JJ.

NOTICE: Motions for reconsideration must be physically received in our clerk’s office within ten days of the date of decision to be deemed timely filed. https://www.gaappeals.us/rules

January 30, 2025

In the Court of Appeals of Georgia A24A1826. GEORGIA INSURERS INSOLVENCY POOL v. LOGISTICARE SOLUTIONS, LLC. A25A0012. JONES v. LOGISTICARE SOLUTIONS, LLC.

DAVIS, Judge.

The plaintiff and the intervenor in this negligence action appeal from the trial

court’s order granting summary judgment to defendant LogistiCare Solutions, LLC

(“LogistiCare”), on the basis that there was no evidence that the defendants who

allegedly caused the plaintiff’s injuries were LogistiCare’s agents. Because we

conclude that there is a genuine issue of material fact as to whether an agency

relationship existed, we reverse the court’s order.

Summary judgment is proper when there is no genuine issue of material fact and the movant is entitled to judgment as a matter of law. OCGA § 9-11-56 (c). A de novo standard of review applies to an appeal from a grant of summary judgment, and we view the evidence, and all reasonable conclusions and inferences drawn from it, in the light most favorable to the nonmovant.

(Citation omitted.) Wade v. Allstate Fire & Cas. Co., 324 Ga. App. 491 (751 SE2d 153)

(2013).

So viewed, the evidence here shows that the Georgia Department of

Community Health (“DCH”) administers Georgia’s Medicaid program, and

LogistiCare contracted with DCH to serve as a broker for the provision of non-

emergency medical transportation to certain qualified Medicaid members in Georgia.1

Under its contract with DCH, LogistiCare was “responsible for the management,

supervision and monitoring of all transportation provided.” As part of the

negotiations to secure the contract, LogistiCare told DCH that it would provide

“careful management” of its transportation providers and that it would use “a

comprehensive suite of programs to monitor, train and mentor” such providers.

LogistiCare contrasted itself with other transportation brokers “who hire providers,

give them cursory instructions, and leave them to their own devices.”

1 LogistiCare is now known as ModivCare Solutions, LLC. Because the name change occurred after the timeframe at issue in this case, we will refer to the company as “LogistiCare.” 2 LogistiCare subsequently entered into a contract with Bethlehem

Transportation, Inc. (“Bethlehem”), for Bethlehem to serve as its transportation

provider. The contract stated that Bethlehem was an independent contractor and was

responsible for the payment, taxes, and insurance of its own employees. The contract

stated that LogistiCare would refer transportation requests from Medicaid members

to Bethlehem. Bethlehem was required to keep an office location open Monday

through Friday until 6:00 p.m. that was equipped with a telephone line and a fax line

for LogistiCare to contact it. Bethlehem was generally required to accept the

transportation requests2 and to pick-up and drop-off riders at the times specified by

LogistiCare, which were based on the time of the riders’ medical appointments.

Bethlehem was also required to use trip log and invoice sheet forms provided by

LogistiCare.

LogistiCare specified what type of vehicle Bethlehem needed to use for a

particular trip based on the needs of the rider. Although Bethlehem used its own

vehicles, it was required to have its vehicles inspected and approved by LogistiCare

2 Bethlehem was allowed to reject up to 15 percent of requested trips each month. Additionally, upon consultation with LogistiCare, Bethlehem could refuse to transport a person who posed a safety threat. 3 before being put into service, and its vehicles were subject to ongoing inspection and

approval by LogistiCare. Although Bethlehem hired its own drivers and decided which

drivers to assign to trips, its drivers needed to be approved by LogistiCare before they

could begin transporting riders, and LogistiCare could stop using the services of

Bethlehem or any of its drivers at any time for any reason. LogistiCare required drivers

to undergo a “stringent” training program that included topics such as safe driving

and wheelchair placement and securement. LogistiCare’s contract with Bethlehem

contained detailed requirements for driver conduct, including specifications as to what

drivers must wear, where they were must park, how they must make their presence

known to riders, and how they must load, secure, and unload riders, including riders

in wheelchairs.

LogistiCare received a trip request from Debra Jones for transportation to a

medical appointment on July 20, 2018. Bethlehem driver Calvin Simmons picked up

Jones, who was in a wheelchair, from her home and loaded her in the vehicle.

According to Jones, Simmons did not properly secure her wheelchair, and as a result

she was thrown to the floor and sustained injuries when he slammed the brakes during

the trip.

4 Jones filed this negligence action against Bethlehem, LogistiCare, and

Simmons.3 Jones alleged that Simmons failed to exercise ordinary care in driving her

and securing her wheelchair, that Bethlehem negligently hired, trained, supervised,

and retained Simmons, and that LogistiCare was vicariously liable for the negligence

of Bethlehem and Simmons because it had the right to control the time and manner

of executing their work.

The trial court entered default judgment against Bethlehem as to liability.

Bethlehem’s motor vehicle liability insurer became insolvent and was placed into

liquidation by an Illinois court. All Georgia claims of Bethlehem’s insurer were

transferred to the Georgia Insurers’ Insolvency Pool (“the Pool”), which filed a

complaint-in-intervention in this case.4 The Pool argued that because Bethlehem was

3 Jones also named as defendants John Does I, II, and III. 4 The . . . Pool is a non-profit legal entity created by the Georgia General Assembly and governed by the [Georgia Insurer’s Insolvency] Pool Act, OCGA § 33-36-1 et seq. OCGA § 33-36-6. The Pool provides a limited safety net for insurers that experience liquidation pursuant to the “Insurers Rehabilitation and Liquidation Act,” OCGA § 33-37-1 et seq. When an insurance company is placed into liquidation, all existing claims of the insolvent carrier are 5 the agent of LogistiCare and because LogistiCare was thus liable for any negligence

by Bethlehem, LogistiCare’s solvent insurance carrier should be deemed primary in

this case and Jones needed to exhaust all coverage under that carrier’s policy before

the Pool would be obligated to provide secondary coverage.

LogistiCare filed a motion for summary judgment as to the claims of Jones and

the Pool, arguing that because Bethlehem was merely an independent contractor and

transferred to the Pool by the liquidator and the Pool undertakes responsibility for the handling and administration of those claims in keeping with the Pool Act.

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Georgia Insurers Insolvency Pool v. Logisticare Solutions, LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/georgia-insurers-insolvency-pool-v-logisticare-solutions-llc-gactapp-2025.