Terry Gilmour v. American Nat'l Red Cross

385 F.3d 1318, 2004 U.S. App. LEXIS 19897, 2004 WL 2110026
CourtCourt of Appeals for the Eleventh Circuit
DecidedSeptember 23, 2004
Docket04-12025
StatusPublished
Cited by21 cases

This text of 385 F.3d 1318 (Terry Gilmour v. American Nat'l Red Cross) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eleventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Terry Gilmour v. American Nat'l Red Cross, 385 F.3d 1318, 2004 U.S. App. LEXIS 19897, 2004 WL 2110026 (11th Cir. 2004).

Opinion

PER CURIAM:

This case overlaps factually with Gilmour v. Gates, McDonald & Co., 382 F.3d 1312, 2004 WL 1949427 (11th Cir.2004), which was dismissed on a summary judgment order for Gates and affirmed by this court. The central issue in this case is the reasonableness of Terry Gilmour’s actions in response to- oral and written assertions by the American National Red Cross to pay her medical expenses. The district court determined her actions were unreasonable as a matter of law. We agree.

Following the tragic events of September 11, 2001 in New York City, Gilmour traveled from Georgia to New York City to volunteer for Red Cross and assist with the disaster relief effort. Shortly after her arrival, Gilmour contracted Legionnaire’s Disease and as a result endured a series of medical complications that ultimately ended her tenure with Red Cross. At the time of her illness Gilmour had served as a volunteer for well over a year, working for nearly three months as a paid employee.

To protect its staff against such unforeseen events Red Cross made available $10,000 worth of supplemental insurance coverage as well as a procedure to apply to the national headquarters for additional insurance coverage. Red Cross manuals provide that this additional coverage is available at the discretion of the director of the relief operation for workers with insufficient resources for immediate care. Longer term care requires approval through national headquarters. These manuals require volunteers to maintain and utilize their own health insurance.

Gilmour’s health insurance coverage was set to expire on the day óf her admission to the hospital in New Jersey. She announced this fact to her supervisor, Rita Brookshire, and offered to forgo having a phone in her room. Brookshire told Gilm-our, “Red Cross will end up paying anything. your insurance doesn’t pay.” After her admission Red Cross arranged for Gilmour’s father, Jim Wynn, to travel to New Jersey to comfort his daughter. Wynn was also concerned about the medical expenses and was told by-Red Cross *1321 representatives that Red Cross “would take care of all her expenses, that they had a $10,000 policy, but would take care of all her expenses.” Red Cross also assisted Gilmour in extending her health insurance through a post-employment insurance plan mandated by federal law after her regular insurance coverage lapsed. As a result all of Gilmour’s covered medical expenses were paid under her own insurance policy through February 2002.

Gilmour eventually was transferred to a hospital in Georgia where she underwent rehabilitation and therapy. After her release she continued to volunteer for Red Cross near her home. Meanwhile Brook-shire continued to seek assistance from Red Cross on Gilmour’s behalf. With Brookshire’s support, in January 2002 Gilmour drafted a letter to Red Cross requesting additional aid and notifying Red Cross of her escalating medical costs as well as her desire to cancel her own insurance policy. Gilmour also overheard Brookshire explain to a Red Cross representative that she “did not need further assistance with medical bills because Red Cross had already agreed to pay for these.” Shortly after submitting this letter, Brookshire advised Gilmour that the “board” had met and determined that she was eligible for additional assistance, “but they did not know the amount.”

In March 2002 Gilmour’s post-employment federally mandated insurance policy lapsed because she could not afford the monthly premium and understood that Red Cross would pay her medical expenses. In July after Red Cross failed to cover her medical costs she filed suit alleging (1) breach of contract, (2) negligent misrepresentation, (3) promissory estop-pel, and (4) attorney’s fees. Afterwards Red Cross tendered $10,000 pursuant to its supplemental insurance policy.

After discovery commenced, Red Cross moved for summary judgment which was granted on all counts. The contract claim failed for lack of consideration. The claim of negligent misrepresentation failed because speakers who made the statements lacked a pecuniary interest in whether Gilmour’s insurance was supplemented by Red Cross and because Gilmour’s reliance on statements made to her was unreasonable. The promissory estoppel claim failed because Gilmour’s reliance on the written Red Cross manuals and the oral statements was unreasonable as a matter of law and the written statements lacked mutuality. Gilmour was not entitled to attorney’s fees because she had no underlying claim. Gilmour appealed the ruling on the negligent misrepresentation, promissory estop-pel, and attorney’s fees issues. We affirm.

We review de novo a district court’s order granting motion for summary judgment and construe “all reasonable doubts about the facts in favor of the nonmovant.” Browning v. Peyton, 918 F.2d 1516, 1520 (11th Cir.1990).

Under Georgia law the doctrine of promissory estoppel allows a party who has reasonably relied on the promise of another to bring an action to enforce the promise so long as the reliance was reasonably expected. See O.C.G.A. § 13-3-44(a). The question of whether a party reasonably relied on the promise of another is ordinarily a factual inquiry for a jury to resolve. See Ambrose v. Sheppard, 241 Ga.App. 835, 837, 528 S.E.2d 282 (2000). However a determination of reasonableness can be made as a matter of law if a prior disclaimer or disclosure prevents justifiable reliance on the representation. See W.R. Grace & Co.Conn. v. Taco Tico Acquisition Corp., 216 Ga.App. 423, 426, 454 S.E.2d 789 (1995).

Taken together the oral and written statements preclude a finding of reasonable reliance as a matter of law. The *1322 written statements in the Red Cross manuals never promised to do anything more than Red Cross did. The manuals state that funds were available to compensate volunteers who were injured in connection with their volunteer work. These funds were available and , $10,000 was paid to Gilmour to aid in paying her medical expenses. The fact that additional funding for long term care was available through national headquarters with approval of Red Cross is inconsequential. Before her trip to New Jersey Red Cross never promised to provide Gilmour with any additional funding. After she became ill Red Cross followed the procedure set forth in the manuals and Gilmour was denied additional insurance coverage. Because these statements did not promise to do anything over and above what was done we need not decide whether these statements lacked mutuality.

Against this background, Gilmour’s reliance on any additional medical coverage based on the oral statements is unreasonable as a matter of law. When the oral statements were made to Gilmour she knew through her tenure with Red Cross that the only coverage provided was set forth in clear written terms in the Red Cross manuals she received and reviewed.

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Bluebook (online)
385 F.3d 1318, 2004 U.S. App. LEXIS 19897, 2004 WL 2110026, Counsel Stack Legal Research, https://law.counselstack.com/opinion/terry-gilmour-v-american-natl-red-cross-ca11-2004.