July 1, 2009

GEORGIA SUPREME COURT RULES INSURER CANNOT MAINTAIN AN ACTION AGAINST ITS INSURED FOR BAD FAITH FAILURE TO SETTLE A CLAIM IN ABSENCE OF A JURY VERDICT IN EXCESS OF POLICY LIMITS

Posted by Susan J. Levy

Anthony and Joshua Fowler were killed when a billboard manufactured by Phoenix Outdoor, LLC and owned by Trinity Outdoor, LLC fell while it was being installed on Trinity’s property. Lawsuits were filed and, eventually, the following legal question was posed to the Georgia Supreme Court: Whether a judgment entered against an insured in excess of policy limits is a prerequisite for bringing an action against the insurer for the negligent or bad faith failure to settle. In Trinity Outdoor, LLC v. Central Mutual Insurance Company, 2009 Ga. LEXIS 280 (Jun. 1, 2009), the Georgia Supreme Court answered in the affirmative.

The somewhat confusing facts of Trinity v. Central are as follows: the Fowler family sued Phoenix and Trinity, causing Trinity to file a cross claim against Phoenix for contribution and indemnification. Phoenix admitted liability. The Fowlers then made a limited time demand on Central Mutual Insurance Company with whom Trinity had a $2 million general liability policy. Fearing that a trial could expose Trinity to an excess verdict, Trinity’s counsel demanded that Central accept the $2 million settlement offer. Instead, Central filed a motion for summary judgment on Trinity’s behalf, arguing that Trinity was not responsible for the accident.

After the motion was filed, the Court ordered all parties to mediation. The Fowlers made a global demand of $14 million. Phoenix’s insurer offered $10 million on Phoenix's behalf and Central offered $200,000 on Trinity’s behalf, although the Fowlers had also demanded $1.37 million from Trinity. Ultimately, the litigation settled for $12 million. Trinity, without Central’s approval, agreed to contribute $954,530 to the settlement (comprised of the $200,000 offered by Central and $754,530 it had received in an earlier judgment against Phoenix for defective billboards).

Trinity then filed suit against Central for the bad faith breach of the insurance contract by refusing to settle with the Fowlers and the negligent failure to settle.

In analyzing the case, the Georgia Supreme Court examined the insurance policy itself. The policy contained a “no settlement” clause which prohibits an insured from settling claims without the insurer’s approval. The Court, citing an insurer’s legitimate interest in preventing fraud, collusion, and bad faith on the part of insureds, found that “no settlement” clauses in and of themselves do not violate Georgia law or public policy. Next, the Court noted that in this case, Central provided Trinity with a defense and did not wholly abandon its insured in an attempt to shield itself with a “no settlement” clause. Finally, the Court noted that “[t]he insurance contract also made it clear that Trinity could sue Central only about agreed upon settlements and judgment following a jury trial. This is the bargain that Trinity struck with Central. . . .” Id.

In sum, based on the facts of this case and the terms of this insurance policy, the Supreme Court found that Trinity could not maintain an action against Central for the bad faith failure to settle the Fowlers’ claim in the absence of a jury verdict in excess of policy limits. The Court’s willingness to examine the language of the policy and uphold the maxim that a “deal is a deal” is the victory for the insurance industry.

June 3, 2009

UNINSURED MOTORIST RATES PREDICTED TO INCREASE IN TOUGH ECONOMIC TIMES

Posted by Jonathan A. Barash

In a recent study, the Insurance Research Council (“IRC”) predicted that the recent economic downtown will trigger a sharp rise in the number of uninsured motorists nationwide. In its Uninsured Motorist, 2008 Edition report, IRC predicted a rise from an estimated 13.8% uninsured drivers in 2007 to 16.1% in 2010.

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May 18, 2009

GEORGIA COURT OF APPEALS RENDERS A SENSIBLE RULING ON EMPLOYER LIABILITY AND NEGLIGENT ENTRUSTMENT

Posted by H. Lee Pruett

Jessica Heard, the daughter of an officer and owner of Mark Heard Fuel Company, rear-ended Bonnie Hicks while driving a company car. Ms. Heard was employed by the Company as a clerical worker on a part-time, as-needed basis. At the time of the accident, she was driving home from school. Ms. Hicks, the plaintiff, claimed she was injured and filed suit against Ms. Heard and the Company. Plaintiff alleged the Company was liable through vicarious liability and negligent entrustment. Following discovery, the Company filed a motion for summary judgment. Judge David L. Dickinson of the Forsyth County Superior Court granted the motion.

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May 6, 2009

EXPERTS PREDICT INCREASED NUMBER OF CLAIMS IN TOUGH ECONOMY

Posted by Jonathan A. Barash

Insurers, lawyers, and industry groups have reported a rise in claims since the U.S. economy took a downturn.

Last month, the Atlanta Business Chronicle reported an increase in the number of medical malpractice cases filed in Georgia. The report was based, at least in part, on an increase in claims seen by MAG Mutual Insurance Co., Georgia’s largest medical malpractice insurer. However, MAG Mutual’s president and COO, Daryl Grimes, was not ready to conclusively link the increase to current economic conditions until they had seen several years worth of numbers. Nonetheless, the Chronicle’s article also quoted Dr. Richard E. Anderson, chairman and CEO of The Doctor’s Co. (the country’s largest medical malpractice insurer), who said that as a general rule, malpractice claims increase in bad economic times and that there has been a recent uptick in the number of claims against healthcare providers. (As others interviewed for the Chronicle’s article predicted, the number of medical malpractice claims in the future will also depend on whether the Georgia Supreme Court upholds a recent trial court ruling striking down the 2005 tort reform law that capped non-economic damages at $350,000. See February 23, 2009 Georgia Insurance Defense Lawyer Blog post, “Georgia Judge Strikes Down Damage Caps in Medical Malpractice Actions”.)

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April 27, 2009

GEORGIA COURT OF APPEALS RECONSIDERS UNINSURED MOTORIST CASE AND RULES THAT PAYMENT OF A HOSPITAL LIEN REDUCES THE AMOUNT OF AVAILABLE LIABILITY COVERAGE

Posted by H. Lee Pruett

On reconsideration, the Georgia Court of Appeals reversed itself in Adams v. State Farm, Case. No. A08A2315 (Ga. Ct. App., April 14, 2009), and ruled that an automobile liability carrier’s payment to satisfy a hospital lien reduces the amount of available coverage so as to increase the amount of uninsured motorist coverage. In its initial decision of February 17, 2009, the Court held that such a payment did not reduce the amount of available liability coverage. (See Levy & Pruett Blog Post dated March 2, 2009.) That initial decision, however, became the minority position of the dissent following the Court’s reconsideration of the case.

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April 21, 2009

GEORGIA COURT OF APPEALS FINDS PLAINTIFF FAILED TO SATISFY BURDEN TO PRODUCE EVIDENCE OF CAUSATION IN MEDICAL MALPRACTICE CASE

Posted by Susan J. Levy

In Roberts v. Nessim, 2009 Ga. App. LEXIS 428 (March 10, 2009), Plaintiff’s husband died a few days after Defendant physician ordered a nasogastric feeding tube to be placed in his stomach. Plaintiff filed suit against Dr. Nessim and the hospital, asserting professional negligence and fraud. In support of her claims of medical malpractice and in opposition to Dr. Nessim’s motion for summary judgment, Plaintiff submitted the affidavit of her expert, Dr. Tidswell. Dr. Tidswell averred that Dr. Nessim breached the applicable standard of care when he:

1. failed to suspect that the decedent aspirated after he choked;
2. ordered the continued use of the feeding tube;
3. failed to ensure that Plaintiff’s decedent received a pulmonary consult he had ordered;
4. failed to diagnose and treat the aspiration;
5. failed to treat the decedent’s pneumonia; and
6. “as a result of the lack of treatment, Mr. Roberts died.”
Id. at *5.

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April 14, 2009

PREMISES LIABILITY AND GEORGIA’S RECREATIONAL PROPERTY ACT – Part 2 of a 2-Part Series

Posted by Jonathan A. Barash

Georgia courts have developed a four-part test to determine whether an owner of recreational property has acted “willfully or maliciously” in causing injuries to people using the property: First, the owner must have had knowledge that the property was being used for recreational purposes. Second, the owner must have had knowledge that a condition existed on the property involving unreasonable risk of death or serious bodily harm. Third, the condition must not have been apparent to those using the property. Finally, the owner must have chosen not to guard or warn, in disregard of the possible consequences. Significantly, in order to be found liable under this “willful or malicious” standard, the property owner must have “actual knowledge” of the hazard, rather than the much easier to prove “constructive knowledge” standard that exists in the usual premises liability situation. Further, under the Recreational Property Act, no affirmative duty to inspect the premises is imposed on the property owner.

This law strikes a balance by providing an incentive for property owners to make their land available to the public for recreational purposes, while still providing some remedy to injured parties for egregious conduct.

April 10, 2009

PREMISES LIABILITY AND GEORGIA’S RECREATIONAL PROPERTY ACT – Part 1 of a 2-Part Series

Posted by Jonathan A. Barash

With the increase in premises liability litigation over the past 50 years, it is understandable that property owners would be cautious about letting others enter their lands for recreational purposes. In an effort to encourage property owners in Georgia to make their land and water areas available to the public for recreational purposes, Georgia, in 1965, enacted the Recreational Property Act which limits the liability of owners and occupiers of such property for injuries suffered by persons using the property. O.C.G.A. § 51-3-20 et seq.

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March 30, 2009

GEORGIA COURT OF APPEALS RULES PLAINTIFF'S EVIDENCE INSUFFICIENT TO PROVE EITHER TENANT GROCERY STORE OR LANDLORD IS LIABLE FOR CUSTOMER ASSAULT IN PARKING LOT

Posted by H. Lee Pruett

Applying well-established law and rules of evidence, the Georgia Court of Appeals recently affirmed summary judgment for a tenant and the landlord in a premises liability case in which the plaintiff was assaulted and robbed in a shopping center parking lot. In Drayton v. Kroger Co., Case No. A08A1935 (Ga. Ct. App., Mar. 2, 2009), the plaintiff bought groceries at the defendant Kroger in a shopping center in Fayetteville, Georgia, and was attacked by a person unconnected to either defendant as she was putting the groceries away in the trunk of her car. The trial court granted summary judgment to both defendants.

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March 27, 2009

SOVEREIGN IMMUNITY IN GEORGIA: STRIKING A BALANCE

Posted by Susan J. Levy

Since 1992, the State of Georgia, including all State agencies like the State Department of Human Resources or Department of Transportation, is entitled to sovereign immunity except to the extent sovereign immunity has been waived by the provisions of the Georgia Tort Claims Act (“GTCA”). [See also A Practitioner’s View of the Georgia Tort Claims Act, Georgia State Bar Journal (1992)]

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March 16, 2009

GEORGIA SUPREME COURT ISSUES RULING ON LIMITED RELEASE FOR PURSUIT OF UNINSURED MOTORIST COVERAGE

Posted by H. Lee Pruett

The Georgia Supreme Court ruled that a limited release for pursuit of uninsured motorist (“UM”) coverage is ambiguous when the plaintiffs -- husband and wife -- settle bodily injury claims and a loss of consortium claim for single person liability limits.

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March 9, 2009

GEORGIA JUDGES LAMENT DECISION BUT UNANIMOUSLY HOLD TRANSPORTATION BROKER NOT VICARIOUSLY LIABLE FOR NEGLIGENCE OF MOTOR CARRIER AND TRUCK DRIVER

Posted by Susan J. Levy

Last summer, in the case of Clarendon National Insurance Co. v. Johnson, 293 Ga. App. 103 (2008), cert denied 2008 Ga. LEXIS 1004, Plaintiff Johnson was seriously injured when he was struck by Robert “Wesley” Carnley who drove his tractor trailer across the center line into the opposite lane of travel with a load of carpet he had picked up in Calhoun, Georgia, on his way to California.

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