Delores Miles brought suit against Great Southern Life Insurance Company, alleging claims for breach of contract, fraud, and bad faith refusal to pay an insurance claim. She appeals from the grant of partial summary judgment to Great Southern on the fraud claim.
During the relevant time period, appellant was an employee of Gulfstream Aerospace Corporation (“GAC”), which provided its employees the opportunity to purchase group life insurance from appellee as part of GAC’s employee benefit plan. On December 2, 1987, appellant discussed the insurance plan with Tamara Williams, an insurance counselor with Tarkenton/Watkins Insurance Group, the insurance broker responsible for servicing the plan. Williams provided appellant with a brochure describing the plan, which stated in pertinent part that employees and their spouses and children were eligible for “Guaranteed Issue coverage” of a specified amount, and that “[n]o health questions or physical examinations are required on applications within the Guaranteed Issue amount.” Appellant decided to purchase the Guaranteed Issue coverage for herself, her husband, and her son. Williams completed the application forms and appellant signed them. In response to question 19 on appellant’s application, which asked whether the proposed insured had been hospitalized within the past 90 days, Williams wrote “N/A,” but the applications for appellant’s husband and son are marked “no” in response to the query. The parties agree that appellant informed Williams that her husband had cancer, but they disagree regarding whether appellant
1. The trial court held that appellee was entitled to summary judgment on appellant’s fraud claim because there was no special relationship between appellant and appellee that would give rise to a tort claim for appellant’s refusal to pay benefits under the insurance contract, and thus appellee was entitled to judgment as a matter of law. Appellant contends that the issuance of the group policy either made appellee an agent of GAC or vice versa. Accordingly, she maintains, the trial court erred by failing to find that a fact question was presented regarding whether her relationship with her employer, GAC, constituted a confidential relationship with concomitant duties, the breach of which could be the basis for a tort claim against appellee.
As appellant acknowledges, a breach of contract cannot constitute a tort unless there exists between the parties a special or confidential relationship of the type described in OCGA § 23-2-58. E.g.,
Thomas v. Phoenix Mut. Life Ins. Co.,
The presence of a confidential relationship between an employer and employee arising from the procurement by the employer of insurance benefits for the employee turns on the nature of the activities engaged in by the employer. Our courts have recognized that when an employer takes action to procure group coverage for its employees — e.g., when the employer selects a group insurer, negotiates for new coverage or changes in existing coverage, and obtains applications from the employees to be submitted to the insurer — the employer acts as an agent of the employees.
Dawes Mining Co. v. Callahan,
In the case at bar, the group life insurance plan had been in effect since 1985. GAC provided a forum one week each month for Williams or another of appellee’s representatives to meet with employees to service existing accounts and solicit new ones. The information provided to appellant concerned coverage previously established by GAC and appellee, and there is no evidence any changes in the coverage or the carrier were involved. Compare Carney, supra. Accordingly, at the time appellant applied for the coverage at issue, GAC was an agent of appellee, not appellant, and thus we agree with the trial court that there is no material question of fact regarding appellant’s claim of a confidential relationship between her and GAC. Therefore, appellant’s theory of the case, which is based on the assumption that GAC was her agent, must fail. Although a breach of a duty imposed by virtue of any confidential relationship that might exist between appellee and GAC could provide the basis for tort liability of GAC to its principal, appellee, the relationship does not provide the necessary foundation for a tort action between appellee and appellant.
The cases cited by appellant do not support her position. The holding in
Capriulo v. Bankers Life Co.,
Consequently, we concur in the. trial court’s conclusion that appellant’s claim against appellee lies in contract only, and accordingly affirm the grant of summary judgment to appellee on the claim for fraud.
2. Appellant maintains in her remaining enumeration that the trial court erred by denying her motion to compel appellee to respond
Judgment affirmed.
