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Southern General Insurance v. Wellstar Health Systems, Inc.
315 Ga. App. 26
| Ga. Ct. App. | 2012
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Background

  • Southern General issued a $25,000 automobile liability policy to its insured.
  • In September 2007, the insured’s vehicle hit a bicycle; Gray incurred $22,047.50 in medical expenses at Wellstar.
  • Wellstar filed hospital liens in October 2007 to recover treatment costs against any Gray recoveries.
  • Southern General offered to settle Gray for $25,000, conditioning settlement on lien satisfaction; Gray’s demand letter followed within five days.
  • Gray’s attorney indicated willingness to sign a general release but objected to indemnification; Southern General paid $25,000 on October 29, 2007 and Gray signed a release without indemnity on October 31, 2007.
  • Wellstar sued Southern General to recover the lien amount ($22,047.50) plus fees; Southern General moved for summary judgment, which the trial court denied; the court then granted summary judgment to Wellstar, and the Court of Appeals affirmed.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Conflict between Holt/Frickey and lien statutes Southern General says conflicts require paying excess to insured. Wellstar and Holt/Frickey allow safe harbor by satisfying liens. No irreconcilable conflict; safe harbor exists; denial of summary judgment affirmed.
Equal protection claim viability Law creates liability for insurers not faced by others. Question not ripe; trial court did not rule on constitutional issue. Constitutional issue not reached; argument deemed not ripe.

Key Cases Cited

  • Frickey v. Jones, 280 Ga. 573 (2006) (settlement offer issues; lien resolution not binding)
  • State Farm Mut. Auto. Ins. Co. v. Holt, 262 Ga. 267 (1992) (bad-faith settlement when damages exceed policy limits)
  • Cotton States Mut. Ins. Co. v. Brightman, 276 Ga. 683 (2003) (insurer’s duty to respond to deadlines; safe harbor concept)
  • State Farm Mut. Auto. Ins. Co. v. Adams, 288 Ga. 315 (2010) (hospital liens and insurer responsibilities)
  • Fortner v. Grange Mut. Ins. Co., 286 Ga. 189 (2009) (liens and insurer liability context for Holt/Brightman framework)
Read the full case

Case Details

Case Name: Southern General Insurance v. Wellstar Health Systems, Inc.
Court Name: Court of Appeals of Georgia
Date Published: Mar 20, 2012
Citation: 315 Ga. App. 26
Docket Number: A11A2065
Court Abbreviation: Ga. Ct. App.