Abajian v. Aetna Casualty and Surety Company

232 F. Supp. 710, 1964 U.S. Dist. LEXIS 6562
CourtDistrict Court, D. Vermont
DecidedMay 1, 1964
DocketCiv. A. 3849
StatusPublished
Cited by4 cases

This text of 232 F. Supp. 710 (Abajian v. Aetna Casualty and Surety Company) is published on Counsel Stack Legal Research, covering District Court, D. Vermont primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Abajian v. Aetna Casualty and Surety Company, 232 F. Supp. 710, 1964 U.S. Dist. LEXIS 6562 (D. Vt. 1964).

Opinion

GIBSON, District Judge.

John Abajian, Jr., Ernest L. Mills and Gino A. Dente, all residents of Burlington, Vermont, and all qualified anesthetists, brought a complaint asking for declaratory judgment against the Aetna Casualty and Surety Company. The complaint alleged that in November 1959, the defendant insurance company issued to each of the plaintiffs a professional liability policy wherein the defendant promised : (1) to pay on behalf of the insured all sums which the insured shall become legally obligated to pay as damages because of the hazards defined in the policies and (2) to defend any suit against the insured alleging injury and damages resulting from the hazards defined in the policy. It further alleged that these policies were in full force and effect at the time that one Harold Marshall underwent an operation in the Mary Fletcher Hospital in September, 1960; that as a result of this operation, said Marshall filed an action in this Court against the Mary Fletcher Hospital numbered Civil Action No. 3727 and that thereafter the Mary Fletcher Hospital filed a third party complaint against the three doctors who are the plaintiffs in this declaratory judgment case. The defendant has refused to defend these three plaintiffs in the Marshall case, and hence the bringing of this declaratory judgment action asking that the defendant insurance company be ordered to defend the third party complaint against each of the plaintiffs in this action. Hearing was held on this declaratory judgment action at Burlington on March 6, 1964.

FINDINGS OF FACT

The three anesthetists, Doctors Dente, Mills and Abajian were in a partnership and the partnership had a contract with the Mary Fletcher Hospital for the use of the services of these doctors as anesthetists during operations taking place in the Mary Fletcher Hospital.

In November of 1959, the defendant insurance company issued a professional liability policy to Dr. Dente for coverage of $100,000 for each claim, $300,000 aggregate; on the same day, it issued a similar policy to Dr. Mills for similar amount of coverage; on the same day, it issued to Dr. Abajian a similar policy with coverage of $50,000 for each claim, $150,000 aggregate.

The policies were sold to the doctors through the Allen Agency in Burlington and all bore the same date. The Allen Agency was a general agent of the defendant insurance company for the sale of casualty insurance policies.

These policies contain, amongst other provisions, the following provisions:

“I. INSURING AGREEMENT
“To pay on behalf of the Insured all sums which the Insured shall become legally obligated to pay as damages because of the hazards defined in the special provisions.
“II. Defense, Settlement, Supplementary Payments
“With respect to such insurance as is afforded by this policy, the Company shall:
“(a) defend any suit against the Insured alleging injury and seeking damages on account thereof, even if such suit is groundless, false or fraudulent * * *
*712 “SPECIAL PROVISIONS
“1. Definition of Hazards — Pro fessional Liability — Individual Coverage.
“Injury arising out of malpractice, error or mistake in rendering or failing to render professional services in the practice of the Insured’s profession described in the declarations, committed during the coverage period by the Insured or by any person for whose acts or omissions the Insured is legally responsible except as a member of a partnership.
“2 * * *
* * *
“4. This insurance does not apply : * * *
“(b) to liability of others assumed by the Insured under any contract or agreement, or to liability assumed by the Insured under any agreement guaranteeing the result of any treatment

While there is a conflict in evidence, this Court finds that the Allen Agency was aware when it issued the policies in issue that Doctors Abajian, Mills and Dente were in partnership, and further that the Allen Agency was aware that this partnership was under contract with the Mary Fletcher Hospital for said hospital as anesthetists.

CONCLUSIONS OF LAW

The knowledge of the Allen Agency that the three aforementioned doctors were partners is imputable to the Aetna Casualty and Surety Company. Brink & Co. v. Merchants & Mechanics Insurance Co., 49 Vt. 442, 458-459 (1877). The defendant Aetna Casualty and Surety Company is therefore es-topped from denying coverage to the three doctors on the ground they were members of a partnership. If, when the agent of an insurance company delivers a policy of insurance he has knowledge of facts as regards the subject of insurance inconsistent with the terms of the policy, the assurer, by accepting the premium, is estopped from declaring the policy void because the terms thereof were not so changed in writing as to conform to the facts. Welch v. Fire Association of Philadelphia, 120 Wis. 456, 98 N.W. 227 (1904). In the instant situation, the defendant Aetna Casualty and Surety Company is estopped from denying the policy provision “1” quoted above applies when it bases its contention on the ground that such coverage is not applicable to the individual doctor’s liability as a member of a partnership.

The defendant secondly contends that the coverage of the policies issued to the plaintiffs does not extend to the instant situation due to the contract between the plaintiffs’ partnership and the Mary Fletcher Hospital. Assuming for the moment that the partnership is an independent contractor and not a servant or agent of the hospital, Harold Marshall could have brought suit against the partnership, or the hospital, or both. If suit had been brought against the partnership, or partnership and hospital, in such case the partnership and its members would have been primarily liable in the eyes of the law. The rationale of United States Fidelity & Guaranty Co. v. Virginia Engineering Co., 213 F.2d 109, 63 A.L.R.2d 1114 (4th Cir. 1954) appears valid upon this point, and I quote:

“It is not reasonable to suppose that, when the insured was taking insurance to protect against liability imposed by law, it was intended to exclude coverage of claims for which the law imposed liability on the insured, merely because insured had agreed to protect another against secondary liability on account of such claims.”

A clause in a liability insurance policy which excludes liability assumed by the insured by contract does not exclude coverage of claims for which the law imposes primary liability upon the insured where the insured agrees to protect another against secondary liability. It would appear that the finding which is of “controlling importance”, of *713 a special contract, rather than a doctor’s implied contract, in McGee v.

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Bluebook (online)
232 F. Supp. 710, 1964 U.S. Dist. LEXIS 6562, Counsel Stack Legal Research, https://law.counselstack.com/opinion/abajian-v-aetna-casualty-and-surety-company-vtd-1964.