Lamb v. Fulton-Dekalb Hospital Authority

677 S.E.2d 328, 297 Ga. App. 529, 2009 Fulton County D. Rep. 889, 2009 Ga. App. LEXIS 257
CourtCourt of Appeals of Georgia
DecidedMarch 11, 2009
DocketA09A0390
StatusPublished
Cited by20 cases

This text of 677 S.E.2d 328 (Lamb v. Fulton-Dekalb Hospital Authority) 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
Lamb v. Fulton-Dekalb Hospital Authority, 677 S.E.2d 328, 297 Ga. App. 529, 2009 Fulton County D. Rep. 889, 2009 Ga. App. LEXIS 257 (Ga. Ct. App. 2009).

Opinion

BLACKBURN, Presiding Judge.

The Salvation Army filed a complaint for interpleader against its employee (Janella Lamb), her counsel, and the Fulton-DeKalb Hospital Authority, d/b/a Grady Health System (“Grady”), requesting that Lamb, her counsel, and Grady be ordered to determine their respective rights to medical benefits, due under the Salvation Army’s employee health insurance plan, to pay for medical expenses incurred as a result of Lamb’s treatment at Grady. Lamb appeals the grant of Grady’s motion for judgment on the pleadings and the denial of her motion to enforce a purported settlement agreement, arguing that the trial court committed multiple reversible errors. For the reasons set forth below, we affirm.

On appeal from a trial court’s order on a motion to enforce a settlement agreement, we apply a de novo standard of review. Carey v. Houston Oral Surgeons. 1

Because the issues raised are analogous to those in a motion for summary judgment, in order to succeed on a motion to enforce a settlement agreement, a party must show the court that the documents, affidavits, depositions and other evidence in the record reveal that there is no evidence sufficient to create a jury issue on at least one essential element of the [nonmovant’s] case.

(Punctuation omitted.) DeRossett Enterprises v. Gen. Elec. Capital Corp. 2 Thus, we view the evidence in a light most favorable to the nonmoving party. Id.

So viewed, the record shows that on October 5, 2006, Lamb, an employee of the Salvation Army, sustained serious injuries in an automobile accident and was taken to Grady for treatment. At the time of her accident, Lamb was insured by the Salvation Army’s employee health plan, and, shortly after her admission to Grady, she executed an assignment of benefits form, which allowed her health insurance benefits to be paid directly to Grady. Lamb remained at Grady from the date of her accident through December 4, 2006, and incurred approximately $540,209.05 in medical expenses.

Pursuant to the terms of the Salvation Army’s health insurance plan, the plan administrator sent correspondence to Lamb on February 16, April 26, and June 26, 2007, requesting that Lamb *530 complete an “Accident Statement” form, in order to identify any insurers that may have to provide coverage for her medical expenses, and a “Right of Subrogation and Grant of Lien” form in order to acknowledge the Salvation Army’s subrogation right. Lamb refused to complete these forms, and as a result, the Salvation Army withheld processing her medical expenses for payment under the health plan. Consequently, on December 11, 2007, the Salvation Army filed a complaint for declaratory relief in Douglas County (where Lamb resided), requesting that Lamb be ordered to execute the “Accident Statement” and the “Right of Subrogation” forms prior to the payment of her medical expenses. Thereafter, Lamb filed a counterclaim, requesting payment of her health plan benefits.

On January 11, 2008, Lamb’s counsel met with counsel for the Salvation Army, at which time the Salvation Army’s counsel explained that Lamb’s medical bills would be paid under the health plan as soon as she completed the “Accident Statement” form. On January 16, 2008, the Salvation Army’s counsel telephoned Lamb’s counsel to reiterate the Salvation Army’s position as discussed during the earlier meeting. Following these discussions with the Salvation Army’s counsel, Lamb’s counsel sent a letter to Grady, dated January 17, 2008, in which he indicated that Lamb wanted the medical expenses owed to be paid but that payment was being hampered by the fact that her insurer was unlawfully attempting to coerce her into signing a lien. The letter further stated:

As I’m sure you are aware litigation can go on for years and years and always has an uncertain outcome. Consequently, to try to obtain a quick resolution to this matter Ms. Lamb agreed, if a settlement can be reached right away, to pay the full amount collected for the $540,209.05 claim of Grady Memorial Hospital less attorney’s fees of $216,083.62 (40% of [$]540,209.05[)] which equal[s] $324,124.43 to Grady Memorial Hospital.
Otherwise, she is willing to go the long road and seek to collect attorney’s fees from the insurer, which is an unsure proposition. It seems that it is in everybody’s interest to bring this matter to a close.

Associate general counsel for Grady accepted this offer the next day by signing and returning the letter. However, shortly thereafter, Grady learned that the Salvation Army was willing to pay Grady the full amount of Lamb’s medical expenses. Consequently, on February 5, 2008, Grady sent a letter to Lamb’s counsel, rescinding the previous agreement. The next day, Grady received from the Salvation Army a courtesy copy of a check for Lamb’s medical expenses *531 made out jointly to Grady and Lamb’s counsel. On February 8, 2008, Grady sent a letter to the Salvation Army’s counsel, informing him that Lamb’s counsel did not have Grady’s permission to endorse the check for medical expenses on Grady’s behalf and requesting that the Salvation Army stop payment on the check. In subsequent correspondence to both Grady and the Salvation Army, Lamb’s counsel maintained his position that the payment of Lamb’s medical expenses should be made to his law firm.

Fearing that it might be sued on the conflicting claims concerning the payment of Lamb’s medical expenses, the Salvation Army filed a complaint for interpleader in Fulton County Superior Court, pursuant to OCGA § 9-11-22 (a). In its complaint, the Salvation Army named Lamb, her counsel, and Grady as defendants and requested that the court determine their respective rights to medical benefits due under the health plan for payment of Lamb’s medical expenses. Thereafter, Lamb filed a motion to enforce the purported settlement. On the same day, Grady filed a motion for judgment on the pleadings, pursuant to OCGA § 9-11-12 (c), which argued that there was no dispute that Lamb owed Grady $540,209.05 for medical treatment and that there was no enforceable settlement agreement between the parties. Because it reviewed evidence outside the pleadings, the trial court treated Grady’s motion for judgment on the pleadings as a motion for summary judgment and issued an order granting that motion. In a separate order issued that same day, the trial court denied Lamb’s motion to enforce the settlement. This appeal followed.

1. Lamb contends generally that the trial court erred in granting Grady’s motion for judgment on the pleadings. In two enumerations of error, she specifically argues that the trial court erred in treating Grady’s motion for judgment on the pleadings as a motion for summary judgment without providing prior notice and in failing to hold a hearing on the motion. We disagree.

OCGA § 9-11-12 (c) provides:

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Schell v. Amendia, Inc.
N.D. Georgia, 2019
Buchanan v. Buchanan.
821 S.E.2d 100 (Court of Appeals of Georgia, 2018)
H & E Innovation, LLC v. Shinhan Bank America (Inc.)
808 S.E.2d 258 (Court of Appeals of Georgia, 2017)
Strategic Law, LLC v. Pain Management & Wellness Centers of Georgia, LLC
806 S.E.2d 880 (Court of Appeals of Georgia, 2017)
BENTON v. GAILEY Et Al.
779 S.E.2d 749 (Court of Appeals of Georgia, 2015)
Girish Patel v. Suryakant Patel
Court of Appeals of Georgia, 2014
Patel v. Patel
761 S.E.2d 129 (Court of Appeals of Georgia, 2014)
Graham v. HHC St. Simons, Inc.
746 S.E.2d 157 (Court of Appeals of Georgia, 2013)
Dexter Sims v. First Acceptance Insurance Company
Court of Appeals of Georgia, 2013
Sims v. First Acceptance Insurance Co. of Georgia, Inc.
745 S.E.2d 306 (Court of Appeals of Georgia, 2013)
Lnv Corporation v. Charles M. Studle
Court of Appeals of Georgia, 2013
LNV Corp. v. Studle
743 S.E.2d 578 (Court of Appeals of Georgia, 2013)
Helton v. JASPER BANKING CO.
715 S.E.2d 765 (Court of Appeals of Georgia, 2011)
Johnson v. RLI Insurance Co.
704 S.E.2d 173 (Supreme Court of Georgia, 2010)
Stefano Arts v. Sui
690 S.E.2d 197 (Court of Appeals of Georgia, 2010)
Lamb v. Salvation Army
687 S.E.2d 615 (Court of Appeals of Georgia, 2009)

Cite This Page — Counsel Stack

Bluebook (online)
677 S.E.2d 328, 297 Ga. App. 529, 2009 Fulton County D. Rep. 889, 2009 Ga. App. LEXIS 257, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lamb-v-fulton-dekalb-hospital-authority-gactapp-2009.