The Travelers Indemnity Company v. Jennifer Garcia

CourtCourt of Appeals for the Eleventh Circuit
DecidedJuly 13, 2021
Docket20-14387
StatusUnpublished

This text of The Travelers Indemnity Company v. Jennifer Garcia (The Travelers Indemnity Company v. Jennifer Garcia) 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
The Travelers Indemnity Company v. Jennifer Garcia, (11th Cir. 2021).

Opinion

USCA11 Case: 20-14387 Date Filed: 07/13/2021 Page: 1 of 8

[DO NOT PUBLISH]

IN THE UNITED STATES COURT OF APPEALS

FOR THE ELEVENTH CIRCUIT ________________________

No. 20-14387 Non-Argument Calendar ________________________

D.C. Docket No. 8:19-cv-02911-SCB-AAS

THE TRAVELERS INDEMNITY COMPANY,

Plaintiff-Counter Defendant-Appellee,

versus

JENNIFER GARCIA, as personal representative of the estate of David R. Garcia,

Defendant-Counter Claimant-Appellant. ________________________

Appeal from the United States District Court for the Middle District of Florida ________________________

(July 13, 2021)

Before NEWSOM, BRASHER, and ANDERSON, Circuit Judges.

PER CURIAM:

This appeal is an insurance dispute arising from a fatal car crash. The Estate

of David Garcia appeals a summary judgment in favor of Garcia’s insurance USCA11 Case: 20-14387 Date Filed: 07/13/2021 Page: 2 of 8

company, The Travelers Indemnity Company, that limited the policy’s coverage to

$1 million. The Estate argues that the district court erroneously determined that only

one “accident” caused David Garcia’s death, and that the Travelers “Per Accident”

policy therefore provides only $1 million in uninsured motorist coverage. The Estate

argues instead that two discrete accidents caused Garcia’s death, thereby entitling it

to $2 million of coverage. After careful review and consideration, we reject the

Estate’s arguments and affirm the district court.

I. BACKGROUND

David Garcia was driving a cargo van on a highway in Hillsborough County,

Florida, when he was forced to a stop by congested traffic. The traffic was congested

because some cars had collided about five minutes earlier about two miles ahead on

the highway. None of the vehicles damaged in that collision made physical contact

with Garcia’s vehicle at any time. But, behind Garcia, the driver of a dump truck

failed to slow down and collided with Garcia’s van. Garcia died on the scene from

the injuries sustained in the collision.

Travelers insured Garcia’s van under an automobile policy that provided

uninsured motorist coverage in the amount of $1 million per accident. The policy

provided that Travelers “will pay all sums the ‘insured’ is legally entitled to recover

as compensatory damages from the owner or driver of an ‘uninsured motor vehicle.’

The damages must result from ‘bodily injury’ sustained by the ‘insured’ caused by

2 USCA11 Case: 20-14387 Date Filed: 07/13/2021 Page: 3 of 8

an ‘accident.’” The policy said that, “[r]egardless of the number of covered ‘autos,’

‘insureds,’ premiums paid, claims made or vehicles involved in the ‘accident,’ the

most we will pay for all damages resulting from any one ‘accident’ is [$1 million].”

Under the policy, an “insured” includes any person “occupying a covered auto.” The

dump truck that collided with Garcia’s vehicle and the vehicles that caused the traffic

congestion two miles ahead on the highway were “uninsured motor vehicles” within

the terms of the policy.

The Estate submitted a claim to Travelers and received a check for $1 million.

In a subsequent letter to Travelers, the Estate asserted that it was entitled to receive

up to another $1 million on the ground that the collision that led to the initial traffic

congestion constituted a separate “accident” that caused Garcia’s death. Travelers

sued the Estate in the United States District Court for the Middle District of Florida

for a declaratory judgment that Garcia had been injured in one “accident.” Travelers

and the Estate both moved for summary judgment. The district court granted

Travelers’ motion and denied the Estate’s motion, concluding that only one “per

accident” limit applied. The Estate timely appealed.

II. STANDARD OF REVIEW

We review a district court’s rulings on cross-motions for summary judgment

de novo and view the facts “in the light most favorable to the non-moving parties on

each motion.” Greater Birmingham Ministries v. Sec’y of State for State of Alabama,

3 USCA11 Case: 20-14387 Date Filed: 07/13/2021 Page: 4 of 8

992 F.3d 1299, 1317 (11th Cir. 2021). “Summary judgment is appropriate if the

movant shows that there is no genuine dispute as to any material fact and the movant

is entitled to judgment as a matter of law.” Id. (internal quotation marks omitted).

III. DISCUSSION

The Estate argues that the district court erred in concluding that, as a matter

of law, one “accident” caused Garcia’s death. Specifically, the Estate argues that it

is entitled to $1 million for the collision between the dump truck and Garcia’s vehicle

and another $1 million for the collision five minutes earlier that caused the traffic

congestion. This is so, the Estate argues, because both “accidents” caused Garcia’s

death: the dump-truck collision killed Garcia, but that collision would not have

occurred “but for” the collision five minutes earlier two miles down the highway.

We disagree and affirm.

“[F]ew insurance policy terms have provoked more controversy in litigation

than the word ‘accident.’” State Farm Fire & Cas. Co. v. CTC Dev. Corp., 720 So.2d

1072, 1075 (Fla. 1998) (internal quotation marks omitted). To determine the number

of accidents or occurrences for some insurance purposes, Florida courts apply the

cause theory,1 which “looks to the cause of the injuries.” Koikos v. Travelers Ins.

Co., 849 So.2d 263, 269 (Fla. 2003). In Koikos, two restaurant patrons were shot by

1 We assume without deciding that Florida courts would apply the cause theory to automobile insurance and the question of uninsured motorist coverage.

4 USCA11 Case: 20-14387 Date Filed: 07/13/2021 Page: 5 of 8

a single assailant and sued the restaurant’s owner for negligently failing to provide

security. Id. at 264–65. The restaurant owner’s insurance company took the position

that there had been only a single “occurrence” or “accident,” and the owner sued for

a declaration that the insurance company was wrong. Id. at 265. The Supreme Court

of Florida agreed with the restaurant owner. It held that the owner’s negligence was

not the relevant “occurrence” for insurance purposes; instead, it “us[ed] the number

of shots fired as the basis for the number of occurrences . . . because each individual

shooting is distinguishable in time and space.” Id. at 272. It emphasized that under

the cause theory, courts should focus on the “independent immediate acts” that gave

rise to the relevant injuries instead of the number of negligent omissions or the

number of “injuries or victims.” Id. at 273.

The Estate argues that the district court misapplied the “cause theory” to

determine the number of “accidents” at issue here. The Estate contends that, just as

two “occurrences” injured the two restaurant patrons in Koikos, two “accidents”

caused Garcia’s death. We disagree. Under the cause theory, we must focus “on the

independent immediate acts that gave rise to the injuries.” 849 So.2d. at 273. Here,

from the insured’s standpoint, he was involved in only one accident and only one

immediate act gave rise to his injuries—the collision with the dump truck. It may be

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Related

Koikos v. Travelers Ins. Co.
849 So. 2d 263 (Supreme Court of Florida, 2003)
State Auto Property & Casualty Co. v. Matty
690 S.E.2d 614 (Supreme Court of Georgia, 2010)
Mullis v. State Farm Mutual Automobile Insurance Co.
252 So. 2d 229 (Supreme Court of Florida, 1971)
State Farm Fire & Cas. v. CTC DEVELOPMENT
720 So. 2d 1072 (Supreme Court of Florida, 1998)
Young v. Progressive Southeastern Ins. Co.
753 So. 2d 80 (Supreme Court of Florida, 2000)
Flores v. Allstate Ins. Co.
819 So. 2d 740 (Supreme Court of Florida, 2002)
Salas v. Liberty Mutual Fire Insurance Company
272 So. 2d 1 (Supreme Court of Florida, 1972)
Grange Mutual Casualty Company v. Damitra Baisden
958 F.3d 1050 (Eleventh Circuit, 2020)

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The Travelers Indemnity Company v. Jennifer Garcia, Counsel Stack Legal Research, https://law.counselstack.com/opinion/the-travelers-indemnity-company-v-jennifer-garcia-ca11-2021.