Jefferson Pilot Fire & Casualty Co. v. Prickett

338 S.E.2d 19, 176 Ga. App. 810, 1985 Ga. App. LEXIS 2434
CourtCourt of Appeals of Georgia
DecidedOctober 23, 1985
Docket70229
StatusPublished
Cited by8 cases

This text of 338 S.E.2d 19 (Jefferson Pilot Fire & Casualty Co. v. Prickett) 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
Jefferson Pilot Fire & Casualty Co. v. Prickett, 338 S.E.2d 19, 176 Ga. App. 810, 1985 Ga. App. LEXIS 2434 (Ga. Ct. App. 1985).

Opinions

Birdsong, Presiding Judge.

This is a case engendered by Jones v. State Farm Mut. Auto. Ins. Co., 156 Ga. App. 230 (274 SE2d 623) (cert. dismissed, July 7, 1981) and Flewellen v. Atlanta Cas. Co., 250 Ga. 709 (300 SE2d 673). The insurer, Jefferson Pilot Fire & Casualty Co. (“Jefferson Pilot”) produced in defense of Prickett’s suit for payment of optional insurance benefits, a “true copy” of the original optional benefits application, the original having been destroyed by Jefferson Pilot in July 1982, three years after Prickett’s insurance was cancelled in accordance with standard practices for retirement of non-active files. The insurance agency averred and produced evidence that Prickett had check-marked and signed only the original which the agent then sent to Jefferson Pilot without making a copy of it. The unsigned “true copy” indicates check marks rejecting all optional benefits. However, the agent’s sworn recollection was that Prickett signed it. Opposed to the agent’s testimony is Prickett’s sworn affidavit that he was never offered the opportunity to accept or reject additional personal injury protection benefits. The trial court rejected Jefferson Pilot’s secondary evidence and granted summary judgment to Prickett, citing OCGA § 33-34-5 as it existed prior to the 1982 amendment, and Tolison v. Ga. Farm Bureau Mut. Ins. Co., 253 Ga. 97 (317 SE2d 185). Held:

[811]*811The code section in force relevant to Prickett provides: “Each application for a policy of motor vehicle liability insurance sold in this state must contain separate spaces for the insured to indicate his acceptance or rejection of each of the optional coverages listed in subsection (a) of this Code section and no such policy shall be issued in this state unless these spaces are completed and signed by the prospective insured.” OCGA § 33-34-5 (b).

In construing this code section in 1980, Jones, supra, p. 233, we held that it “impos[es] an evidentiary burden upon no-fault insurers to demonstrate that optional coverages were expressly offered to, and knowingly accepted or rejected in writing by, each of their applicants for no-fault insurance.” (Emphasis supplied.) We held that while State Farm offered the deposition of its agent to prove that Jones orally had been informed of the optional coverages and had knowingly but orally rejected these coverages, “Code Ann. § 56-3404 (b) [OCGA § 33-34-5 (b) prior to 1982 amendment] clearly sets out the requirements that ... an applicant’s rejection of optional no-fault coverages must be in writing as evidenced by his signature. . . . State Farm has consequently failed to carry its burden of proof in rebutting Jones’ claim that he was never offered optional coverages.”

In Flewellen, supra, p. 714, the Supreme Court agreed with Jones that the statutory intent was “to ensure ‘that insurers offer optional coverages to applicants . . . and that an applicant’s waiver of [this privilege] ... be made knowingly and in writing.’ ” The Supreme Court added: “The purpose of the statute is to resolve conflicts which arise when an insured contends that he was not informed of his statutory right to optional benefits. When this claim is made, the resolution of the issue will be to look to the policy to determine if there was reduction or rejection of those benefits in conformance with the statutory scheme.” (Emphasis supplied.)

In Colwell v. Voyager Cas. Ins. Co., 251 Ga. 744, 748 (309 SE2d 617), the Supreme Court held the trial court correctly excluded evidence that the insurance agent orally explained optional benefits to the insured and the insured orally rejected optional benefits, because Flewellen held the intent of OCGA § 33-34-5 is to ensure “ ‘that insurers offer optional coverages to applicants for no-fault insurance and that an applicant’s waiver of his privilege to obtain optional coverages be made knowingly and in writing’. . . . The purpose of the statute is to resolve conflicts which arise when an insured contends that he was not informed of his statutory right to optional benefits. When the claim is made, the resolution of the issue will be to look to the policy to determine if there was reduction or rejection of those benefits in conformance with the statutory scheme.”

In Tolison v. Ga. Farm Bureau Mut. Ins. Co., 253 Ga. 97, 100-101, supra, the Supreme Court held the trial court wrongly denied [812]*812summary judgment to Tolison because the application form did not meet statutory requirements, for evidence of oral communications proving that Tolison was aware of his right to optional coverage could not be considered as sufficient. The Supreme Court said, after quoting Flewellen and Colwell, that the resolution of the issue whether the insured understood his right to optional coverage “will be to look to the policy. ... We decline to depart from [this] method of conflict resolution.” See also Montgomery v. Ga. Farm Bureau Mut. Ins. Co., 253 Ga. 169 (317 SE2d 837) and Grange Mut. Cas. Co. v. Hall, 173 Ga. App. 382, 383 (326 SE2d 497).

In all of the quoted cases, the optional benefits applications were inadequate under the provisions of OCGA § 33-34-5 (b) either because the existing signature reasonably could not be related to the apparently rejected optional coverages or evidence would not be permitted to show the insured was advised of, understood and rejected his optional benefits rights orally. In so holding, the Supreme Court has made it clear that the code section imposes an evidentiary burden upon the insurer to prove by evidence of a signed form that the insured knowingly rejected his optional benefits rights; the purpose of the statute was to resolve all conflicts that arise on the issue and those conflicts would be resolved by looking to the policy form, where such a form is available.

The ratio decidendi of Jones, Flewellen, and Tolison is that the insurer’s evidentiary burden requires it to produce proof of a signed knowing rejection, and all conflicts are resolved by looking to the executed application. The proof depends upon the application showing a written acceptance or rejection.

However, there is in this case a conflict of evidence whether there was executed in writing a signed application by Prickett showing his choice of benefits. Such a document allegedly was destroyed in accordance with reasonable business practices for retirement of non-active files. Thus, we are faced with a question of admissibility of secondary evidence to establish the prior existence of a document proving election or rejection in writing of optional benefits by Prickett. See OCGA §§ 24-5-4; 24-5-2.

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Cite This Page — Counsel Stack

Bluebook (online)
338 S.E.2d 19, 176 Ga. App. 810, 1985 Ga. App. LEXIS 2434, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jefferson-pilot-fire-casualty-co-v-prickett-gactapp-1985.