Hugh Duane Reece v. Georgia Insurers Insolvency

CourtCourt of Appeals of Georgia
DecidedOctober 31, 2013
DocketA13A1409
StatusPublished

This text of Hugh Duane Reece v. Georgia Insurers Insolvency (Hugh Duane Reece v. Georgia Insurers Insolvency) 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
Hugh Duane Reece v. Georgia Insurers Insolvency, (Ga. Ct. App. 2013).

Opinion

FOURTH DIVISION DOYLE, P. J., MCFADDEN and BOGGS, 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. http://www.gaappeals.us/rules/

October 31, 2013

In the Court of Appeals of Georgia A13A1409. REECE v. GEORGIA INSURERS INSOLVENCY POOL.

BOGGS, Judge.

Hugh Reece appeals from a judgment declaring that he was not an “emergency

claimant” entitled to worker’s compensation benefits from the Georgia Insurers

Insolvency Pool (“Insolvency Pool”) under OCGA § 33-36-20 (b) (3). He contends:

(1) that the trial court improperly resolved questions of fact in allegedly ruling on a

motion for summary judgment; and (2) that the undisputed evidence showed that his

former employer was “insolvent pursuant to OCGA § 33-36-20 (b) (3).” For the

reasons explained below, we affirm.

In 2010, the General Assembly amended the “Georgia Insurers Insolvency Pool

Act,” OCGA § 33-36-1 et seq., with the following stated intent: It is the policy of this state to protect insureds and their claimants from liability as a result of the insolvency of insurers. In furtherance of this policy, it is the intent of the legislature, notwithstanding any provision of law to the contrary, that the Georgia Insurers Insolvency Pool shall be liable to claimants and electing insureds in emergency circumstances.

OCGA § 33-36-20 (a). The amendment includes the following relevant definitions:

“Emergency circumstance” means a circumstance in which an association or industrial insured captive insurance company, including such a captive company that subsequently was authorized to transact business pursuant to Chapter 3 of this title, that is issuing, or which has issued, workers’ compensation insurance contracts and has been declared insolvent.

“Emergency claimant” means any third-party claimant, under a workers’ compensation insurance policy, who is impacted by an emergency circumstance and whose employer has, by a court of competent jurisdiction, been declared bankrupt or insolvent.

OCGA § 33-36-20 (b) (2) and (3).

Reece, the claimant here, was employed by Tri-County Ambulance LLC (“Tri-

County”) when he was injured on March 20, 2006. Southeastern U. S. Insurance

Company (“Southeastern”) provided worker’s compensation benefits to Reece for his

injury, but Southeastern was liquidated on October 27, 2009.

2 Following the 2010 amendment of the Act, Reece sought benefits from the

Insolvency Pool as an “emergency claimant” under OCGA § 33-36-20 (b) (3).1 The

Insolvency Pool subsequently filed a declaratory judgment action in the Superior

Court of DeKalb County2 against Reece and Tri-County based upon its “uncertainty

as to the circumstances under which a Georgia Court can declare an entity bankrupt

or insolvent within the meaning of OCGA § 33-36-20 (b) (3) and uncertainty as to

what showing must be made by a claimant to qualify as an ‘emergency claimant’

under this provision.” It is undisputed that, at the time the Insolvency Pool filed its

action, no court had declared Tri-County bankrupt or insolvent. Tri-County did not

file an answer to the complaint.

1 As the Georgia Supreme Court recently summarized: “Southeastern . . . became a member of [the Insolvency Pool] on June 23, 2006, when it was converted from a captive insurer to a standard insurer. Claims against [Southeastern] made on or after June 23, 2006, were covered by [the Insolvency Pool]. However, [Southeastern] insureds whose claims predated June 23, 2006, were not covered by [the Insolvency Pool], and those insureds faced exposure when [Southeastern] was liquidated . . . The effect of the 2010 amendment was to retroactively cover the previously excluded claims of [Southeastern] insureds.” Georgia Insurers Insolvency Pool v. Hulsey Environmental Svcs., Ga. (September 9, 2013). 2 OCGA § 33-36-6 (g) provides: “Exclusive venue in any action by or against the pool is in the Superior Court of DeKalb County. The pool may, at the option of the pool, waive such venue as to specific actions.”

3 In his answer, Reece admitted all of the allegations in the Insolvency Pool’s

complaint, asserted a cross-claim against Tri-County, and prayed for the “[c]ourt to

determine the insolvency of Respondent Tri-County Ambulance.” Reece alleged that

“Tri-County Ambulance is subject to the jurisdiction of this Court by virtue of the

allegations contained in the Complaint for Declaratory Judgment filed by the Georgia

Insurers Insolvency Pool.”3 Pursuant to OCGA § 9-11-12 (a), the allegations against

Tri-County in the cross-claim “automatically stand denied.”

Reece subsequently moved for summary judgment in his favor and asked the

superior court to declare Tri-County insolvent within the meaning of OCGA § 33-36-

20 (b) (3). The Insolvency Pool filed a cross-motion for summary judgment

requesting the court to find “that until a court of competent jurisdiction declares Tri-

County insolvent or bankrupt, Respondent Reese may not be considered an

emergency claimant, and therefore, the Pool would have no obligation with respect

to his outstanding workers’ compensation claim.” The record includes an affidavit

from the owner of Tri-County, Jackie Ellington, in which he averred that he sold Tri-

County to Southland Health Services of Georgia on March 23, 2007, that Tri-County

3 Reece mailed a copy of the cross-claim to the principal of Tri-County, and the principal of Tri-County was served with a copy of the Insolvency Pool’s complaint and summons.

4 was administratively dissolved, and that Southland Health Services “defaulted on its

loans because it did not have the means or property sufficient to pay its debts.”

Following a hearing that has not been transcribed for our review, the trial court

denied both pending motions for summary judgment. It concluded “that an

evidentiary hearing regarding whether Tri-County Ambulance is insolvent is required.

Therefore there are genuine issues of material fact that exist for a jury to determine

in this case.” Two months later, it issued an order scheduling “an evidentiary

hearing.”

At the beginning of the evidentiary hearing, Reece’s counsel stated, “We’re

here today to ask the court, based on Mr. Ellington’s testimony, to find that Tri-

County Ambulance is insolvent and to declare Tri-County Ambulance insolvent for

the purpose of Code Section 33 . . . and name Mr. Reece an emergency claimant.”

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