Georgia Farm Bureau Mutual Insurance v. Coffman

Deen, Presiding Judge.

On December 30, 1976, appellee Mary Coffman (then Mary Peacock) applied for “no-fault” automobile insurance under the Assigned Risk Plan, OCGA § 40-9-100 (Ga. Code Ann. § 68C-601 et seq.). The application form used by Ms. Coffman contained separate boxes for each of the three additional Personal Injury Protection (PIP) coverages ($10,000, $25,000, $50,000), followed by two boxes labeled respectively “I (We) Accept” and “I (We) Reject.” Beneath these five boxes was a signature line. The application form provided similar boxes to indicate acceptance or rejection of…