HANKINS v. UNITED STATES FIRE INSURANCE COMPANY

CourtDistrict Court, M.D. Georgia
DecidedAugust 5, 2022
Docket5:22-cv-00072
StatusUnknown

This text of HANKINS v. UNITED STATES FIRE INSURANCE COMPANY (HANKINS v. UNITED STATES FIRE INSURANCE COMPANY) is published on Counsel Stack Legal Research, covering District Court, M.D. Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
HANKINS v. UNITED STATES FIRE INSURANCE COMPANY, (M.D. Ga. 2022).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF GEORGIA MACON DIVISION

RICKO HANKINS, ) ) ) Plaintiff, ) ) v. ) CIVIL ACTION NO. 5:22-cv-72 (MTT) ) UNITED STATES FIRE INSURANCE ) COMPANY, ) ) Defendant. ) __________________ )

ORDER Plaintiff Ricko Hankins has moved for default judgment against Defendant United States Fire Insurance Company (“U.S. Fire”). For the following reasons, that motion (Doc. 6), as amended (Doc. 7), is GRANTED in part and DENIED in part. I. BACKGROUND The allegations of the complaint, deemed admitted because of U.S. Fire’s default, establish these facts. U.S. Fire issued a policy of occupational accident insurance to Hankins, which was in effect on May 29, 2019. Doc. 1 ¶ 4.1. On that day, Hankins was injured in an auto collision while working, which is considered an “occupational accident” as defined in the issued policy. Id. ¶ 4.2. Hankins incurred injuries as a result of the accident that rendered him totally disabled. Id. ¶ 4.3. Under the agreement between U.S. Fire and Hankins, U.S. Fire owed Hankins 104 weeks of temporary disability payments. Id. ¶ 4.4. Hankins complied with all conditions precedent for receiving disability payments under the contract with U.S. Fire and provided all necessary documentation necessary for U.S. Fire to properly evaluate Hankins’s claims under the policy. Id. ¶¶ 4.5-4.6. On June 5, 2020, U.S. Fire began paying Hankins $996.18 every two weeks in temporary disability benefits. Id. ¶ 4.7. However, those payments stopped on

September 22, 2020, after Hankins was only paid sixteen weeks of temporary disability benefits out of the 104 weeks he was owed under the policy. Id. ¶¶ 4.8-4.10. Hankins remains totally disabled as defined by the policy, and thus U.S. Fire owes Hankins the remaining eighty-eight weeks of temporary total disability payments. Id. ¶¶ 4.11-4.12. Hankins is permanently and totally disabled as that term is defined for Social Security benefits under SSI. Id. ¶¶ 4.13-4.14. As of Hankins’s forty-eighth birthday on June 5, 2022, he is entitled to permanent total disability payments until he turns seventy. Id. ¶¶ 4.15-4.17. Finally, the agreement between U.S. Fire provided for payment of Hankins’s medical expenses incurred as result of the occupational accident within 104 weeks of the accident. Id. ¶ 4.18. Because U.S. Fire has only paid a fraction

of these bills, Hankins claims he is entitled to the remainder. Id. Hankins filed suit against U.S. Fire on February 15, 2022, alleging “breach of contract” and “bad faith” failure to pay an insurance claim under O.C.G.A. § 33-4-6. Doc. 1. U.S. Fire was served on March 3, 2022. Docs. 6-3 ¶ 3; 6-4. U.S. Fire failed to answer or otherwise defend and is now in default. Docs. 4; 5. The Clerk of Court, however, did not enter default judgment because the damages, as alleged in Hankins’s complaint, were not a “sum certain.” Doc. 5. Hankins then moved for default judgment. Doc. 6. After a preliminary review of that motion, the Court advised Hankins that additional briefing was required to determine whether the Court could award Hankins the unaccrued future payments due under the disability policy in one lump sum, and if so, whether the Court must reduce such an award to present cash value. Doc. 7 at 1. Hankins complied and amended his motion accordingly. Docs. 7; 7-1; 7-2; 7-3. The matter is now ripe for adjudication.

II. STANDARD Pursuant to Federal Rule of Civil Procedure 55(a), the Clerk of Court must enter a party’s default if that party’s failure to plead or otherwise defend an action against it “is shown by affidavit or otherwise.” After default has been entered, the Clerk may enter a default judgment on the plaintiff’s request if the claim “is for a sum certain or a sum that can be made certain by computation,” as long as the party is not a minor or incompetent and has not made an appearance. Fed. R. Civ. P. 55(b)(1). In all other cases, the plaintiff must apply to the Court for a default judgment. Fed. R. Civ. P. 55(b)(2). The Court must hold an evidentiary hearing to determine damages unless all the essential evidence is already in the record. See S.E.C. v. Smyth, 420 F.3d 1225, 1232 n.13 (11th

Cir. 2005) (“We have held that no such hearing is required where all essential evidence is already of record.”); see also Fed. R. Civ. P. 55(b)(2) (“The court may conduct hearings[.]”). After the Clerk’s entry of default, a defendant is deemed to have admitted all well-pleaded factual allegations in the complaint. Nishimatsu Const. Co., Ltd. v. Houston Nat’l Bank, 515 F.2d 1200, 1206 (5th Cir. 1975).1 However, an entry of default against the defendant does not establish that the plaintiff is entitled to a default judgment. The defendant is not deemed to admit facts that are not well-pleaded or

1 The Eleventh Circuit has adopted as binding precedent the decisions of the former Fifth Circuit rendered prior to October 1, 1981. Bonner v. City of Prichard, 661 F.2d 1206, 1209 (11th Cir. 1981). conclusions of law. Id. “The Court must consider whether the unchallenged facts constitute a legitimate cause of action, since the party in default does not admit a mere conclusion of law. In considering any default judgment, the Court must consider (1) jurisdiction, (2) liability, and (3) damages.” Johnson v. Rammage, 2007 WL 2276847, at

*1 (M.D. Ga. Aug. 7, 2007) (citing Pitts v. Seneca Sports, Inc., 321 F. Supp. 2d 1353, 1356 (S.D. Ga. 2004)). The defendant is also not deemed to admit the plaintiff’s allegations relating to the amount of damages. Patray v. Nw. Publ’g, Inc., 931 F. Supp. 865, 869 (S.D. Ga. 1996); see also Anheuser Busch, Inc. v. Philpot, 317 F.3d 1264, 1266 (11th Cir. 2003) (“A court has an obligation to assure that there is a legitimate basis for any damage award it enters.”). III. JURISDICTION To enter a valid default judgment, the Court must, of course, have both personal and subject matter jurisdiction. Rash v. Rash, 173 F.3d 1376, 1381 (11th Cir. 1999); see also Sys. Pipe & Supply, Inc. v. M/V Viktor Kurnatovskiy, 242 F.3d 322, 324 (5th

Cir. 2001) (“When entry of default is sought against a party who has failed to plead or otherwise defend, the district court has an affirmative duty to look into its jurisdiction both over the subject matter and the parties.”). Here, the Court has subject matter jurisdiction over Hankins’s claims based on diversity jurisdiction. Hankins alleged he is a citizen of Georgia and the amount in controversy exceeds $75,000, while U.S. Fire is a foreign corporation with its principal place of business in New Jersey and incorporated under the laws of Delaware. 28 U.S.C. § 1332

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HANKINS v. UNITED STATES FIRE INSURANCE COMPANY, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hankins-v-united-states-fire-insurance-company-gamd-2022.