Allstate Insurance Company (Allstate) filed the instant declaratory judgment action seeking a determination of its obligation to afford coverage and to defend a wrongful death action filed against Joan Sargent and others by Mr. and Mrs. Jesse L. Sewell for the death of their daughter. On January 13,1981, Sargent collided with a car driven by Mrs. Sewell, in which her daughter, Penny was a passenger. Sargent’s own car, a Mazda, was being repaired at the time of the collision, and she was driving, with permission, a car owned by Rickey Ford, who had no insurance. When Sargent purchased the Mazda in 1980, her father, who lived in Alabama, cosigned the note, registered
Sargent promptly reported the collision to Allstate, which had all the facts shortly thereafter. On January 28, 1981, Penny Sewell died. In January or February 1981, Allstate paid the property damage claim for Rickey Ford’s car.
On May 12, 1981, the Sewells filed a wrongful death action against Sargent and others. Sargent immediately notified Allstate of the lawsuit and was referred to legal counsel with whom she met on May 27,1981. At that meeting, Sargent gave a statement concerning the collision and signed a reservation of rights agreement in which she agreed not to assert any claim of waiver or estoppel against Allstate. The first law firm then referred the case to a second firm which filed defensive pleadings, apparently on the basis of information Sargent furnished the first firm.
On July 15,1981, Allstate, represented by the first law firm, filed the instant action. Both Sargent and Allstate moved for summary judgment. The trial court granted summary judgment in favor of Sargent on the issue of Allstate’s duty to defend and in favor of Allstate on the question of coverage. Sargent appeals and Allstate cross appeals. Sargent contends that the trial court erred in partially denying her motion for summary judgment and in partially granting Allstate’s motion. She contends that Allstate is estopped to deny coverage, because the May 27, 1981 non-waiver document was neither effective nor timely as a reservation of rights agreement, and further because Allstate’s payment of the property damage claim of Rickey Ford waived any coverage question. Allstate denies any waiver or estoppel and contends in its cross appeal that the trial court erred in partially granting Sargent’s motion, and partially denying Allstate’s, on the question of Allstate’s duty to defend Sargent in the wrongful death action.
1. The first issue on appeal is whether Allstate is, by waiver, estopped to rely upon certain exclusions and conditions of its policy.
Allstate contends that Sargent was not covered while using a “non-owned auto” because she was not a resident relative of her father’s household and because she was using Ford’s car in her business or occupation as a nurse in a medical personnel pool. As to the second basis of exclusion, the undisputed evidence shows only that Sargent was using the vehicle to go to and from her work assignments. In the absence of any evidence of the elements necessary to establish that the vehicle was being used in the course of Sargent’s employment, rather than for her own purposes, we conclude that the policy exclusion for nonowned vehicles being used in any business or occupation was inapplicable as a matter of law. See
In asserting that, notwithstanding its payment of the property damage claim, it has not waived the issue of noncoverage based on Sargent’s non-residency, Allstate relies upon the well-established principle: “The doctrines of implied waiver and estoppel, based upon the conduct or action of the insurer, or its agent, are not available to bring within the coverage of a policy risks not covered by its terms, or risks expressly excluded therefrom.”
Ballinger v. C. & S. Bank,
The critical question in the instant case is whether Sargent is seeking to employ the theory of implied waiver to cover a loss not within the coverage of the Allstate policy. From the copy of the policy in the record, we discern that the automobile liability insurance covers bodily injury, sickness, disease or death to any person. Liability for injury and death of Penny Sewell, if found to result from collision with the car operated by Sargent is clearly a risk assumed by Allstate under the terms of the contract. Compare
Southeastern &c. Inc. v. Graphic Arts &c. Co.,
The holding in
Globe &c. Ins. Co. v. Atlantic &c. Shipping Co., 51
Ga. App. 904 (
We hold, therefore, that Allstate’s payment of the property damage claim constituted a waiver of the policy condition concerning residency of a relative driving a nonowned vehicle.
2. The second issue on appeal is whether the non-waiver agreement signed by Sargent acted to revoke the earlier waiver by the insurer of the residency condition. We hold that it did not.
The non-waiver agreement was executed after Allstate discovered that the coverage question of Sargent’s residence had been overlooked by personnel responsible for handling her initial claim and authorizing the property damage payment. The agreement provided: “It is the desire of Sargent notwithstanding the company’s disclaimer of obligations under its policy or the potential disclaimer of obligations under its policy, that Allstate shall proceed with the investigation . . . negotiations . . . defense. . . .” In consideration thereof, Sargent agreed that she would not “assert any claim of waiver or estoppel against Allstate because of its investigation . . . negotiations ... or defense----” Allstate reserved the right to elect to discontinue any of these services and to insist on its non-liability at any time.
A general reservation of defenses is wholly ineffective to prevent a waiver that has already occurred.
Cordell v. Metropolitan Life Ins. Co.,
Allstate failed to pierce Sargent’s defense of waiver and estoppel; instead, the evidence established that waiver and estoppel existed. See
Hembree v. Cotton States &c. Ins. Co.,
Judgments affirmed in part;
