Adams-Pickett, MD. v. Mag Mutual Insurance Company

CourtDistrict Court, S.D. Georgia
DecidedSeptember 30, 2024
Docket1:22-cv-00063
StatusUnknown

This text of Adams-Pickett, MD. v. Mag Mutual Insurance Company (Adams-Pickett, MD. v. Mag Mutual Insurance Company) is published on Counsel Stack Legal Research, covering District Court, S.D. Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Adams-Pickett, MD. v. Mag Mutual Insurance Company, (S.D. Ga. 2024).

Opinion

IN THE UNITED STATES DISTRICT COURT

FOR THE SOUTHERN DISTRICT OF GEORGIA

AUGUSTA DIVISION

DONNA ADAMS-PICKETT, MD, and * AUGUSTA WOMEN’S HEALTH & * WELLNESS CENTER, P.C., * * Plaintiffs, * * v. * CV 122-063 * MAG MUTUAL INSURANCE COMPANY, * * Defendant. *

O R D E R

For the following reasons, the Court GRANTS summary judgment in favor of Defendant Mag Mutual Insurance Company (“MagMutual”) on Plaintiffs’ racial discrimination claim under 42 U.S.C. § 1981 and DISMISSES WITHOUT PREJUDICE the state law claims. (Id.) I. BACKGROUND This case arises out of a professional liability insurance policy issued by MagMutual to Plaintiffs Donna Adams-Pickett, MD, and Augusta Women’s Health & Wellness Center, P.C. (See doc. 1, “Compl.”.) The Complaint, filed on May 17, 2022, alleges MagMutual cancelled and refused to reinstate coverage because of Dr. Adams- Pickett’s race in violation of 42 U.S.C. § 1981, wrongfully cancelled the policy in violation of O.C.G.A. § 33-24-44, and breached the Georgia covenant of good faith and fair dealing. (Id. at 4-7.) A. Factual Background Dr. Adams-Pickett is an African American female Obstetrician/Gynecologist who opened her solo practice in 2008. (Doc. 64-1, “D SMF,” ¶ 6; Compl., pp. 1-2.) Dr. Adams-Pickett owns and operates Augusta Women’s Health & Wellness Center, P.C.,

and her husband, Elmer Pickett, serves as Chief Financial Officer and business manager. (Compl., p. 2; D SMF ¶ 6.) MagMutual first issued claims-made medical malpractice insurance to Plaintiffs in October 2008, and renewed coverage for fourteen years through issuance of the final policy covering October 2021 to October 2022. (D SMF ¶¶ 2, 4; doc. 87, “P SMF,” ¶ 1.) From 2015 to 2021, five of Dr. Adams-Pickett’s patients filed malpractice suits against her, with three alleging shoulder dystocia, a fourth alleging hypoxic ischemic encephalopathy, and a fifth alleging bilaterial parenchymal frontal and temporal bleeds. (D SMF ¶¶ 9-13.) By the time MagMutual cancelled coverage

for nonpayment and declined Plaintiffs’ request for reinstatement, four of these five lawsuits remained pending, MagMutual had settled the fifth lawsuit, and Plaintiffs’ total “incurred losses,” as MagMutual uses this term, was $X,XXX,XXX, which includes defense payments made on open claims, defense and indemnity payments made on closed claims, and reserves for projected future defense and indemnity payments on open claims. (D SMF ¶¶ 41-42 (citing doc. 64-4, “Willis Decl.,” ¶ 6).) Plaintiffs’ incurred losses of $X,XXX,XXX included a total reserve for the four pending lawsuits of $X,XXX,XXX. (D SMF ¶¶ 41 (citing Willis Decl. ¶ 6); see also doc. 87-7, “Lewis Dep.,” pp. 65-69; doc. 64-5, “Coffin Dep.,” pp. 84, 86.) MagMutual uses the term “loss history” more broadly to include not only incurred losses, but also other details such as

the number, status, type, and strength of covered claims. (See Willis Decl. ¶ 6.) To understand how Plaintiffs fell behind on premium payments, one must look back to 2020 when, to alleviate financial hardships caused by the COVID-19 pandemic, MagMutual created a Premium Deferral Program (“PDP”). (D SMF ¶ 15.) Plaintiffs enrolled their 2020-2021 policy in the PDP in September 2020. (D SMF ¶ 16; P SMF ¶¶ 8, 10.) MagMutual explained the PDP terms in a notice issued to all enrollees, stating in relevant part as follows: Our records indicate that you elected to participate in our 2020 premium deferral program, and we wanted to provide you with some important information: • You will receive separate invoices for your deferred premium balance and your current policy premium balance. • The invoices for your deferred premium will have a unique account number ending in – EXT. • Payments will first be applied to any currently due premium balances that were previously deferred under the program. For example, if you have both a currently due deferred premium of $500 and a current premium of $500 due on March 1 and remit only one payment of $500, your payment will be applied to the deferred premium balance. You will still need to remit the additional $500 to keep your current policy in good standing. (D SMF ¶ 19; P SMF ¶ 12.) MagMutual contends it sent this notice to Plaintiffs by mail, but Plaintiffs do not recall receipt. (D SMF ¶ 19; P SMF ¶ 12.) One year after Plaintiffs’ PDP enrollment, on September 21, 2021, MagMutual Senior Account Manager Kimberly McGee Coffin emailed Dr. Adams-Pickett, informing her of the premium payment schedule for both Plaintiffs’ automatically renewed 2021-2022 policy and the deferred premium for the 2020-2021 policy. (D SMF ¶ 23; P SMF ¶ 14.) Due dates for both were October 1, 2021; January 1, 2022; and April 1, 2022. (D SMF ¶ 23.) In addition, the email included a July 1, 2022, due date for a fourth payment

on the renewed policy. (Id.) It is undisputed Plaintiffs received this email because Dr. Adams-Pickett followed up with a reply email more than three months later, on January 3, 2022, requesting enrollment in another COVID assistance program. (Id. ¶ 28.) Plaintiffs timely made the payments due on October 1, 2021, for both the renewed policy and deferred premium. (Id. ¶ 27.) On December 2, 2021, MagMutual mailed separate invoices for the January 1, 2022, premiums due on both policies. (Id.) The amounts due were $XX,XXX for the renewed policy and $XX,XXX.XX for the deferred premium. (Id. ¶ 23.) Plaintiffs contend they did not receive the invoice for the deferred premium. (Id. ¶ 30.) Plaintiffs failed to pay both premiums. (See id. ¶ 29.) Thus, MagMutual automatically issued a Notice of Intent to Cancel (“Notice”) dated January 17, 2022. (D SMF ¶ 29; P SMF 16.) The Notice warned Plaintiffs that, to avoid cancellation of coverage, they must pay the overdue premium on the renewed policy of $XX,XXX.XX by February 6, 2022. (P SMF ¶¶ 16, 18.) The Notice did not mention the overdue deferred premium of $XX,XXX.XX. (P

SMF ¶¶ 16, 18.) On January 28, 2022, Mr. Pickett called MagMutual to inquire about the minimum balance due to avoid cancellation of the policy. (D SMF ¶ 31; P SMF ¶ 17.) A MagMutual accounting employee informed Mr. Pickett that, to avoid cancellation of the renewed policy, he would need to pay $XX,XXX, the overdue amount on the renewed policy as referenced in the January 17th Notice. (D SMF ¶ 31; P SMF ¶¶ 16-17.) Mr. Pickett did not inquire about payments due for the deferred premium, nor did the accounting employee offer any information about deferred premiums in general or the unpaid deferred premium of $XX,XXX.XX due on January 1, 2022. (See D SMF

¶ 31; P SMF ¶ 17.) Mr. Pickett paid $XX,XXX, and consistent with the accounting employee’s advice, MagMutual initially credited the payment to the renewed policy as the receipt issued by MagMutual confirmed. (D SMF ¶ 31; P SMF ¶¶ 16-17.) After the January 28th phone call and payment, however, MagMutual ran a receivables report that listed as unpaid the deferred premium due January 1, 2022. (D SMF ¶ 33.) Pursuant to the PDP conditions, MagMutual accounting personnel manually transferred the entire January 28th payment from the renewed policy to the deferred premium. (D SMF ¶ 31; P SMF ¶ 20; see also D SMF ¶ 19 (“Payments will first be applied to any currently due premium balances that were previously deferred under the program.”).) As a result of this transfer, MagMutual’s records reflected

nonpayment of the January 1, 2022, premium due on the renewed policy. (D SMF ¶ 34; see also P SMF ¶ 20.) MagMutual did not notify Plaintiffs of the payment transfer or its consequences.

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Adams-Pickett, MD. v. Mag Mutual Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/adams-pickett-md-v-mag-mutual-insurance-company-gasd-2024.