Smith v. Southeastern Fidelity Ins. Co.

Decision Date25 February 1988
Docket NumberNo. 44245,44245
Citation365 S.E.2d 105,258 Ga. 15
PartiesSMITH v. SOUTHEASTERN FIDELITY INSURANCE CO.
CourtGeorgia Supreme Court

Gerry E. Holmes, Mundy & Gammage, Cedartown, for Bessie Mae Smith, admrx.

J. Clinton Sumner, Jr., Sidney P. Wright, Rogers, MacGruder, Hoyt, Sumner & Brinson, Rome, for Southeastern Fidelity Ins. Co.

SMITH, Justice.

We granted certiorari in Smith v. Southeastern Fidelity Insurance Company, 181 Ga.App. 316, 352 S.E.2d 407 (1986), to consider the holding of the Court of Appeals in light of recent decisions by this Court. We reverse.

On October 9, 1981, James Lasker Smith, while making deliveries as he operated his employer's tractor-trailer, was involved in a one-vehicle accident in Louisiana. Not thinking he was hurt, Smith sought no medical attention; he completed his delivery and returned home. One week later, Smith was admitted to the hospital after he experienced pain and felt no pulse in his leg. He had a history of chronic arterial and pulmonary disease, and on October 17, 1981, he had to have an emergency revision of a previous aortofemoral by-pass graft. He suffered complications from the surgery, including pneumonia. Following five weeks in intensive care, he died on November 25, 1981. The appellee, Southeastern Fidelity Insurance Co., was notified of the accident in January 1982.

In October, 1984, the appellant, the deceased's wife, sought no-fault benefits under a personal insurance policy issued to her husband by the appellee. After discovery, the appellee moved for summary judgment. The trial court sustained the motion on the grounds that: (1) Smith's death was not the result of an "insured event"; (2) he had rejected optional PIP; (3) the appellant failed to provide timely notice as the policy required; (4) and the policy excluded coverage under the circumstances.

The Court of Appeals held that it only needed to decide the issue of the policy exclusion to resolve the case. The exclusion stated, "[i]n consideration of the premium charged, insurance is not afforded by this policy: (a) when a vehicle is being driven, operated or manipulated by any person who is driving, operating or manipulating for wholesale or retail transport or delivery of goods, merchandise, or other materials in connection with any business or enterprise."

1. The exclusion in this case, like the one in Southeastern Fidelity Insurance Co. v. Johnson, 256 Ga. 713, 352 S.E.2d 760 (1987), excludes from coverage job related activities performed while "Occupying" or "Operating" a "Motor vehicle" as these terms are defined in OCGA § 33-34-2. Nevertheless, OCGA § 33-34-7(a)(1) provides for the payment of no-fault benefits for accidental bodily injury sustained while occupying any motor vehicle. "All policies of motor vehicle liability insurance issued in this state must be in accordance with the requirements of this chapter; and no insurer shall issue a policy ... that does not contain at least the minimum coverage required under this chapter." OCGA § 33-34-3(a)(1). Thus, the policy exclusion in this case, as in Southeastern Fidelity Insurance Co. v. Johnson, supra, is unenforceable because, if allowed to be effective, it would reduce the coverage below the minimum required by the...

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22 cases
  • Clarke v. Unum Life Ins. Co. of America
    • United States
    • U.S. District Court — Southern District of Georgia
    • March 3, 1998
    ...of the excuse and the insured's subsequent diligence in giving notice are questions of fact. Smith v. Southeastern Fidelity Ins. Co., 258 Ga. 15, 16, 365 S.E.2d 105, 107 (1988); Watson, 6 Ga.App. at 196, 64 S.E. 693; Seabra, 369 A.2d at 657 The Georgia Court of Appeals addressed this issue ......
  • Knight v. Wal-Mart Stores, Inc.
    • United States
    • U.S. District Court — Southern District of Georgia
    • May 11, 1995
    ...injury ... and that reasonable minds could not disagree." Edmunds, 192 Ga.App. at 619, 386 S.E.2d 39 (citing Smith v. Southeastern Fidelity, 258 Ga. 15, 16, 365 S.E.2d 105 (1988)). See also Gauck v. Meleski, 346 F.2d 433, 437 (5th Cir.1965); Jones v. Crown Construction Co., 152 Ga.App. 578,......
  • Marcus v. Hanover Ins. Co., Inc.
    • United States
    • Supreme Court of Louisiana
    • June 4, 1999
    ...laws, most have concluded that such exclusions conflict with public policy and are unenforceable. See Smith v. Southeastern Fidelity Ins. Co., 258 Ga. 15, 365 S.E.2d 105 (1988) (holding business use exclusion similar to one at issue is contrary to statute requiring minimum coverage and ther......
  • Wilcher v. Redding Swainsboro Ford Lincoln Mercury, Inc.
    • United States
    • United States Court of Appeals (Georgia)
    • April 12, 2013
    ...plaintiffs' injuries is a question of fact that should be reserved for the jury's determination. See Smith v. Southeastern Fidelity Ins. Co., 258 Ga. 15, 16(3), 365 S.E.2d 105 (1988) (issues of proximate causation generally are reserved for the jury and are not appropriate for summary adjud......
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