Jordan v. United Ins. Co. of America, 61663

Decision Date13 May 1981
Docket NumberNo. 61663,61663
Citation281 S.E.2d 286,158 Ga.App. 520
PartiesJORDAN v. UNITED INSURANCE COMPANY OF AMERICA.
CourtGeorgia Court of Appeals

Franklin E. Remick, Forsyth, for appellant.

Wallace Miller III, Macon, for appellee.

SHULMAN, Presiding Judge.

Plaintiff-insured brought suit against defendant-insurer after its refusal to compensate plaintiff for the loss of his leg. Although we sympathize with plaintiff's suffering, we have no recourse but to affirm the judgment of the court below, granting defendant's motion for summary judgment.

In his complaint, plaintiff stated that on or about November 17, 1978, he fell and broke his leg, severely scraping and bruising his left foot, and that the amputation of his left leg was the result of complications arising from that injury. Plaintiff contended that the loss of his leg was covered under the terms of his policy with defendant.

That policy reads in pertinent part as follows: "United Insurance Company of America (defendant) ... Does hereby insure the person named as the Insured (plaintiff) ... against loss of life, limb or sight resulting solely from bodily injury received during the term of this policy and effected directly and independently of all other causes through bodily injury by accident..." (Emphasis supplied.)

On motion for summary judgment, defendant presented the expert opinion of plaintiff's physician that the loss of plaintiff's leg was attributable to arteriosclerotic occlusion (hardening of the arteries) that there was no causal relationship between the gangrenous condition of plaintiff's left foot (which necessitated its amputation) and his fall and fracture of that foot. Plaintiff presented no evidence in rebuttal. We find that the defendant's uncontradicted evidence that plaintiff's loss did not result "solely from bodily injury ... effected directly and independently of all other causes" mandates a verdict in its favor.

Even assuming, as plaintiff contends, that there was a causal relationship between the fracture of plaintiff's leg and its gangrenous condition, defendant presented uncontradicted evidence that independent diseases suffered by plaintiff were, at the very least, a contributing factor to the loss of his leg. Plaintiff's skeletal complaint alleging that "complications" from his fall led to the amputation of his leg does not address defendant's evidence that those complications were due to diseases suffered by the plaintiff. Since plaintiff did not rebut defe...

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8 cases
  • Reynolds Const. Co. v. Reynolds
    • United States
    • Georgia Court of Appeals
    • July 14, 1995
    ...expert medical testimony. See Nat. Dairy Products Corp. v. Durham, 115 Ga.App. 420, 154 S.E.2d 752 (1967); Jordan v. United Ins. Co., etc., 158 Ga.App. 520, 521, 281 S.E.2d 286 (1981); see generally Cherokee County Hosp. Auth. v. Beaver, 179 Ga.App. 200, 204, 345 S.E.2d 904 (1986). As this ......
  • Cherokee County Hosp. Authority v. Beaver
    • United States
    • Georgia Court of Appeals
    • May 23, 1986
    ...the defendant] was sufficient to support the grant of defendant's motion for summary judgment. [Cit.]" Jordan v. United Ins. Co. of America, 158 Ga.App. 520, 521, 281 S.E.2d 286 (1981) (action on insurance policy). See also National Dairy Prods. Corp. v. Durham, 115 Ga.App. 420, 154 S.E.2d ......
  • Eberhart v. Morris Brown College
    • United States
    • Georgia Court of Appeals
    • January 15, 1987
    ...that his injury is within the coverage of the policy of insurance under which a recovery is sought. Cf. Jordan v. United Ins. Co. of America, 158 Ga.App. 520, 281 S.E.2d 286 (1981). Appellee had not assumed the responsibility of an insurer for all medical expenses that appellant might incur......
  • Westbrook v. Safeco Life Ins. Co.
    • United States
    • U.S. Court of Appeals — Eleventh Circuit
    • August 13, 1990
    ...but a "contributing factor" to the loss, there can be no recovery under accident policies of this type. See Jordan v. United Ins. Co., 158 Ga.App. 520, 281 S.E.2d 286, 287 (1981) (interpreting identical Finally, our discussion of the coverage issue disposes of the section 33-34-6 bad faith ......
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