Articles Posted in Personal Injury

If you are injured in an auto accident, you naturally assume that your insurance policy will help cover your damages. As with any contract, you need to carefully review and understand the terms of your policy. You may need to comply with a number of conditions before the insurer is legally obligated to provide you with coverage. Your failure to comply can–and will–be strictly held against you by the courts.

Geico General Insurance Company v. Breffle

A recent decision from the Georgia Court of Appeals, Geico General Insurance Company v. Breffle, provides a cautionary example. This case involves an insured driver (the plaintiff) who was injured in an April 2016 auto accident with another vehicle. The plaintiff sought medical treatment for his injuries a few days after the accident. In December 2016, about eight months after the accident, the plaintiff underwent a surgical procedure as part of his treatment. Later, in March 2017, the plaintiff’s doctors advised him that he would need a second surgery.

Have you ever participated in an activity in which the organizer asks you to sign a release or waiver? As you might imagine, such documents are designed to help minimize the organizer’s legal liability in the event you are injured. One way to do this is by restricting your ability to file a personal injury lawsuit; instead, the waiver or release may require you to submit to binding arbitration.

Atlanta Concorde Fire Soccer Association, Inc. v. Graham

How far can an arbitration agreement go? For instance, can the agreement bind third parties who did not actually sign the release? The Georgia Court of Appeals recently addressed such a case, albeit one that applied California law to the subject.

When an employee of a private business causes an auto accident, the victim can seek to hold the employer accountable under the legal principle of vicarious liability. What happens when the employee works for a local government? In that scenario, it is still possible to hold the public employer accountable, but there are a number of procedural hurdles that the victim must clear first.

Green v. Baldwin County Board of Commissioners

A May 5 decision from the Georgia Court of Appeals, Green v. Baldwin County Board of Commissioners, illustrates the difficulty such hurdles can pose. This case involves a June 2015 auto accident in Baldwin County. The plaintiff was stopped at an intersection when a police car driven by a sheriff’s deputy rear-ended her.

Personal injury cases in Georgia follow what is known as the “contributory negligence” rule. This basically means that the defendant may try and argue the plaintiff was partially responsible for their injuries. A jury will then assess the relative fault of each party and reduce the plaintiff’s damages accordingly.

In some cases, the judge may decide that the plaintiff voluntarily and knowingly assumed a particular risk. In these situations, the judge will not submit the case to the jury. Instead, the court will dismiss the plaintiff’s complaint based on this “assumption of risk” defense.

Thompkins v. Gonzalez-Nunez

It is a longstanding rule in Georgia that employers are “vicariously liable” for torts committed by their employees. In other words, if you are hit by a delivery van that runs a red light, you can sue the company that employs that driver for damages. But there is an important caveat to this rule–the driver must have been “acting within the scope of his employment” at the time of the accident. If the driver was actually running a personal errand, even in a company-owned car, then the employer is not legally responsible.

Mannion & Mannion, Inc. v. Mendez

A recent decision from the Georgia Court of Appeals, Mannion & Mannion, Inc. v. Mendez, illustrates what we are talking about. This personal injury case arose from a March 2016 auto accident. A mechanic, one of the defendants here, left his employer’s business to take his lunch break. The mechanic did not have a set lunch time and did not have to “clock out”; he simply told his co-workers he was leaving.

This may sound like a test question from an introduction to philosophy class: If a truck hits two vehicles in succession, one right after the other, is that one accident or two accidents? When it comes to dealing with insurance companies, however, this is not just a hypothetical issue. How the law defines “accident” can significantly affect the award of insurance benefits to accident victims.

Grange Mutual Insurance Company v. Slaughter

The U.S. 11th Circuit Court of Appeals in Atlanta recently confronted this “one accident or two” question in a complex personal injury case, Grange Mutual Insurance Company v. Slaughter, arising from an October 2015 incident. The driver of a dump truck owned by Four Seasons Trucking (FST) illegally crossed a center line and hit two other vehicles in rapid succession.

Class actions allow multiple individuals who suffered a common personal injury to file a single lawsuit against a defendant or group of defendants. Typically, the plaintiffs who file the class action decide whether or not to bring their case in state or federal court. But in some cases, the defendants may force the “removal” of a class action from state to federal court.

A 2005 law, the Class Action Fairness Act (CAFA), permits defendants to do this. CAFA provides for removal when there are more than 100 plaintiffs in the class, the amount they seek is more than $5 million, and at least one plaintiff is a resident of a different state than at least one of the defendants. However, removal is not allowed when the class action arises from “an event or occurrence in the State in which the action was filed, and that allegedly resulted in injuries in that State or in States contiguous to that State.”

Spencer v. Specialty Foundry Products Inc.

As you probably know, if you are injured on the job, your employer must pay you certain medical and wage replacement benefits under Georgia’s workers’ compensation law. Indeed, workers’ compensation provides what is considered an “exclusive remedy” in these situations. That is to say, you cannot file a personal injury lawsuit against your employer so long as it complies with the workers’ compensation law.

The exclusive remedy of workers’ compensation does not apply to potential claims against third parties. For example, if you are driving a company-owned truck on a delivery and get hit by a drunk driver, workers’ compensation does not prevent you from suing that driver. Of course, if you do successfully pursue a personal injury claim against the drunk driver, then your employer may seek to recoup some of the workers’ compensation benefits previously paid to you.

Sprowson v. Villalobos

When you are injured in an accident caused by another driver, you may be entitled to benefits from your own insurer if you have uninsured/underinsured motorist (UM) coverage. Essentially, UM coverage means your insurance company “steps into the shoes” of the negligent driver, who is either an unknown person, lacks insurance altogether, or has coverage that does not fully compensate you for your injuries.

Under Georgia law, an auto insurer must provide UM coverage by default. The insured party is free to reject this coverage in writing. Before 2001, state law only required UM coverage at certain minimum level, although the insured could ask for a higher limit in writing. The General Assembly subsequently amended the UM coverage rules in 2001 and 2008. The 2001 amendment said an insurance company had to offer minimum UM coverage of either $25,000 per person (or $50,000 per accident) or an amount “equal to the liability coverage in the insured’s underlying policy.” In other words, if you purchased more than $25,000/$50,000 in coverage for your regular policy, then by default your insurer would offer you the same amount in UM coverage. If you wished to purchase less in UM coverage, you could do so in writing.

UM coverage under the 2001 rules were known as “reduced by” policies. This meant that the amount of UM coverage you could receive from your insurer was reduced by whatever money you received from the negligent driver’s insurance company. In 2008, the General Assembly amended the law to change the default UM policy from “reduced by” to “added on.” Under this new default, you are entitled to the full amount of UM coverage for any damages that exceed the negligent driver’s policy limits. Again, you can elect to go back to the prior “reduced by” standard, which many drivers do because it has a lower premium.

As a general rule, you cannot directly sue an insurance company for a personal injury caused by someone they insure. In other words, if you are in a car accident caused by a negligent driver, you cannot name that driver’s insurance company as a defendant. Such “direct action” is not permitted under Georgia law.

Daily Underwriters of America v. Williams

But there are exceptions. Georgia law includes two separate provisions that permit direct action against insurance companies that insure motor carriers, i.e. semi-trucks. In a recent decision, Daily Underwriters of America v. Williams, the Georgia Court of Appeals explained how these two provisions can be applied in practice.

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