United States Fidelity & Guaranty Co. v. Lockhart , 124 Ga. App. 810 ( 1971 )

Pannell, Judge.

A plaintiff, insured by the defendant insurer with uninsured motorist coverage, brought an action against the insurer seeking recovery of damages for injuries sustained in an automobile collision on August 16, 1968, with an unknown motorist without first bringing an action against the unknown motorist under § 56-407A of the Georgia Insurance Code (Code Ann. § 56-407.1), alleging by paragraph 4 (a) of the petition the following: "Any failure on the part of plaintiff to initiate any law suit against any unknown operator, as the same reflects upon the liability of defendant under the aforesaid policy, was a direct result of intentional, fruadulent and deceitful representations of defendant to plaintiff in the form of assurances that no legal steps were necessary, and promises to pay a stated amount of money to plaintiff within a stated period of time, defendant being thereby estopped and barred from raising the question of any such failure.” The defendant insurer filed a motion for summary judgment on the grounds that no judgment had been obtained against the unknown motorist as required by the Act. No evidence or materials were introduced or presented by the movant on the issue raised by paragraph 4 (a) of the complaint. The plaintiff’s affidavit disclosed that one Melvin Smith, an agent of the defendant, in September of 1968, advised plaintiff that the defendant had been able to locate the driver of the other car involved in the collision, and had determined that said driver was poverty stricken and without resources with which to pay any claim, but refused, upon plaintiff’s request, to divulge the name of said driver and the said Smith advised plaintiff that the company would settle with him, whenever the plaintiff was ready, and on or about August 7, 1970, plaintiff filed with defendant an affidavit with regard to property damage and personal injury arising out of the aforesaid collision, a copy of which was attached as Exhibit "C”, and during the course of these transactions, plaintiff was continuing to advise defendant of such progress as he was making in recovery from the aforesaid injuries, whereupon agents of defendant consistently and repeatedly assured plaintiff that his claim under the uninsured motorist coverage for personal injuries and property damages would be satisfactorily concluded, and that it would not be necessary for plaintiff to initiate legal action of any kind in order to receive payment of his claim under the uninsured motorist coverage and said agents continuously and consistently advised plaintiff that all that was necessary for him to do in order to receive payment under the said uninsured motorist coverage would be to furnish documentation of the amounts of his claims, which plaintiff has done fully, and that on or about August 12, 1970, plaintiff discussed with defendant’s agent, Jim Harvey, the question of payment of his claim, and said Harvey advised plaintiff that he, Harvey, was preparing to issue a draft payable to plaintiff in settlement of his claim in the amount of $5,000 for bodily injury, said Harvey advised plaintiff that it would be a day or two before he had concluded necessary internal administrative procedures, whereupon the draft would be delivered to the plaintiff. At that time, plaintiff inquired specifically of Harvey whether it was necessary for him, plaintiff, to take any further steps of any kind, and defendant’s agent, Harvey, advised plaintiff that no further steps on plaintiff’s part were necessary. Suit was filed August 13, 1970. Held:

1. The provisions of the Georgia Insurance Code, § 56-407A (Code Ann. § 56-407.1), requiring a complainant to first sue and obtain a judgment against the tortfeasor as a condition precedent to recovery against the complainant’s insurer under the uninsured motorist coverage provisions of a policy (King v. State Farm Mut. Auto. Ins. Co., 117 Ga. App. 192 (160 SE2d 230)) is for the benefit of the insurer, and may be waived by it.

2. Such provisions and conditions precedent to recovery upon the policy whether contained in the policy or contained in a statute, unless contrary to public policy, are waived where the insurer has led the insured to believe that the insured will be paid without suit by its actions in negotiating for settlement or direct promises to pay. General Ins. Co. v. Lee Chocolate Co., 97 Ga. App. 588 (103 SE2d 632); Stanley v. Sterling Mut. Life Ins. Co., 12 Ga. App. 475 (77 SE 644); Knights of the Ku Klux Klan v. Fidelity &c. Co. of Maryland, 47 Ga. App. 12 (169 SE 514); Hartford Fire Ins. Co. v. Amos, 98 Ga. 533 (25 SE 575); American Surety Co. v. Peoples Bank, 55 Ga. App. 28 (189 SE 414); Aetna Ins. Co. v. Paulk, 120 Ga. App. 445, 446 (171 SE2d 153).

Argued June 1, 1971 Decided September 24, 1971 Rehearing denied November 10, 1971 Hopkins & Gresham, Robert E. Whitley, H. Lowell Hopkins, for appellant. Weltner & Crumbley, Charles L. Weltner, for appellee.

3. Whether upon a trial of the case this same evidence might not entitle the plaintiff to a verdict for damages in an action for fraud and deceit against the insurer, we do not decide, nor do we decide whether the allegations of paragraph 4 (a) of the complaint would be subject to a motion to strike as not sufficiently stating actionable fraud as a ground for tolling the statute of limitation under Code § 3-807, which were the questions involved in Clinton v. State Farm Mut. Auto. Ins. Co., 110 Ga. App. 417 (138 SE2d 687).

On motion for summary judgment by a defendant, the defendant must disprove the plaintiff’s right of recovery under any theory, and since the plaintiff’s evidence did authorize, if it does not demand, a finding of waiver of the condition precedent of suit and recovery against the tortfeasor, the trial judge did not err in refusing the grant of summary judgment to the defendant insurer.

Judgment affirmed.

Bell, C. J., Jordan, P. J., Quillian, Whitman and Evans, JJ., concur. Hall, P. J., Eberhardt and Deen, JJ., dissent.