Aetna Life Insurance Co. v. St. Joseph's Hospital, Inc.

498 N.E.2d 70, 1986 Ind. App. LEXIS 3009
CourtIndiana Court of Appeals
DecidedOctober 7, 1986
DocketNo. 92A04-8601-CV-3
StatusPublished

This text of 498 N.E.2d 70 (Aetna Life Insurance Co. v. St. Joseph's Hospital, Inc.) is published on Counsel Stack Legal Research, covering Indiana Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Aetna Life Insurance Co. v. St. Joseph's Hospital, Inc., 498 N.E.2d 70, 1986 Ind. App. LEXIS 3009 (Ind. Ct. App. 1986).

Opinion

YOUNG, Judge.

Aetna Life Insurance Company appeals a jury verdict awarding St. Joseph's Hospital proceeds from a group medical insurance policy covering William Storey. Aetna raises the following issue on appeal:

Was the hospital bound, in its proceedings supplemental against Aetna, by the T.R. 41(E) dismissal of Storey's third-party complaint against Aetna? 1

We affirm.

On June 8, 1981, William Storey decided to set fire to his house in order to keep from losing it in a divorce proceeding. He brought three unopened cans of gasoline into the house, and left. After a subsequent change of heart, he returned to the house, and during his efforts to remove the gasoline an explosion occurred causing him serious injury. He was hospitalized at St. Joseph's for two months, incurring a bill of $62,900.69.

Storey submitted a claim to Aetna under his employer's group medical plan. Aetna determined that Storey's injuries were the result of an unlawful act rather than an accident and denied his claim.

On March 25, 1982, the hospital filed suit against Storey for $62,900.69. On April 30, the court granted Storey's motion to bring in Aetna as a third party under Ind. Rules of Procedure, Trial Rule 14. On the same day, the court granted the hospital's motion for summary judgment against Storey.

[71]*71On July 26, 1983, the hospital filed a verified motion for proceedings supplemental against Storey and Aetna, as garnishee. On December 8, the matter was set for trial "to a jury on plaintiff's Motion for Proceedings Supplemental against Aetna Insurance Company and defendant's third-party Complaint against Aetna Insurance Company." (R. 147)

On November 5, 1984, Aetna filed a motion pursuant to Ind. Rules of Procedure, Trial Rule 41(E) to dismiss Storey's third-party complaint for failure to prosecute. Two days later, Storey's attorneys petitioned to withdraw from the case, alleging "irreconcilable differences concerning the legal pursuit and evaluation of" Storey's case. (R. 218) On November 19, the court held a hearing on the T.R. 41(E) motion. In opposition to the motion, Storey filed an affidavit, notarized by the hospital's attorney, which stated that Storey intended to obtain new counsel and that he needed additional time to do so.

The court conditionally overruled the T.R. 41(E) motion, granting Storey thirty days to obtain counsel. As of December 28, Storey had not obtained counsel, and the court granted Aetna's motion to dismiss the third-party complaint. On December 31, the hospital filed a motion for reconsideration of the court's November 19 conditional ruling on Aetna's TR. 41(E) motion. The absence of a ruling on the hospital's motion indicates it was deemed denied. Ind. Rules of Procedure, Trial Rule 58.4(B).

On March 26, 1985, Aetna filed a motion pursuant to Ind. Rules of Procedure, Trial Rule 12(B)(6) to dismiss the proceedings supplemental. Aetna contended that since Storey's claim against it had been dismissed and since the hospital's rights were merely derivative of Storey's, the hospital could no longer maintain the action against Aetna. Thereafter, Aetna filed a supplemental and alternative motion for summary judgment based on the same theories put forth in the T.R. 12(B)(6) motion.

The court denied the motions and the cause was tried by jury. At the close of the hospital's case, Aetna moved for judgment on the evidence pursuant to Ind. Rules of Procedure, Trial Rule 50. The court denied that motion as well as Aetna's renewed motion at the close of all the evidence. The jury returned a verdict for the hospital, from which Aetna appeals.

Aetna contends the T.R. 41(E) dismissal was res judicata regarding its liability under the group medical policy.

The basic elements of the doctrine of res judicata are: 1) the former judgment must have been rendered by a court of competent jurisdiction; 2) the matter now in issue was, or might have been, determined in the former suit; 3) the particular controversy adjudicated in the former action must have been between parties to the present suit or their privies; and 4) the judgment in the former suit must have been rendered on the merits.

Carroll v. Lordy (1982), Ind.App., 431 N.E.2d 118, 125 (quoting Glass v. Continental Assurance Co. (1981), Ind.App., 415 N.E.2d 126, 128). The jurisdiction and issue identity elements are undisputably met in this case.

Aetna correctly asserts that because its T.R. 41(E) dismissal of Storey's third-party complaint was a dismissal with prejudice, it operates as an adjudication on the merits for purposes of res judicata. Aeronautics Commission v. State ex rel. Emmis Broadcasting Corporation (1982), Ind. App., 440 N.E.2d 700, 703. See, Davidson v. American Loundry Machinery Division, Martin Sales, McGraw-Edison Co. (1982), Ind.App., 481 N.E.2d 546. Aetna also correctly asserts that the liability of a garnishee is contingent upon the garnishee holding property due or owing from it to the judgment debtor. See, Lakeshore Bank & Trust Co. v. United Farm Bureau Mutual Insurance Co. (1985), Ind. App., 474 N.E.2d 1024; Allstate Insurance Co. v. Morrison (1970), 146 Ind.App. 497, 256 N.E.2d 918.

Aetna erroneously contends however that the hospital is therefore barred from pursuing its garnishment remedy against [72]*72Aetna. The key determination to be made in this case is whether the hospital is bound, as either a party or a privy, by the TR. 41(E) dismissal.

In United Farm Bureau Mutual Insurance Co. v. Wampler (1980), Ind.App., 406 N.E.2d 1195, we held that a TR. 87(B)(4) dismissal of the insured's severed third-party claim against the insurer did not bar proceedings supplemental filed by the injured party against the insured and insurer. Wampler is remarkably similar to this case in that the dismissals of the insureds' third-party complaints were on the merits and garnishment proceedings were filed against the insured and insurer.2 In Wam-pler, we held there was no privity between the injured party and either the insured or insurer. Id. at 1195.

The determination of privity depends upon the facts and circumstances of each case. Wampler, supra at 1197. Aetna presents us with absolutely no argument on the privity issue. We therefore conclude the issue is waived. Ind. Rules of Procedure, Appellate Rule 8.3(A)(7).

In this case, the third-party complaint was not severed from the original action. We therefore must determine whether the hospital was a party to the action dismissed under TR. 41(BE).

When determining identity of parties for res judicata purposes, courts look beyond mere nominal parties and hold estopped only those parties whose interests were directly involved in prior litigation concerning the same subject matter or claim. Union Insurance Co. v. State ex rel.

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Related

Drickersen v. Drickersen
546 P.2d 162 (Alaska Supreme Court, 1976)
Lakeshore Bank & Trust Co. v. United Farm Bureau Mutual Insurance Co.
474 N.E.2d 1024 (Indiana Court of Appeals, 1985)
Mayhew, Huston v. DEISTER
244 N.E.2d 448 (Indiana Court of Appeals, 1969)
United Farm Bureau Mutual Insurance v. Wampler
406 N.E.2d 1195 (Indiana Court of Appeals, 1980)
Carroll v. Lordy
431 N.E.2d 118 (Indiana Court of Appeals, 1982)
Glass v. Continental Assurance Co.
415 N.E.2d 126 (Indiana Court of Appeals, 1981)
Allstate Insurance v. Morrison
256 N.E.2d 918 (Indiana Court of Appeals, 1970)
Union Insurance v. State ex rel. Indiana Department of Insurance
401 N.E.2d 1372 (Indiana Court of Appeals, 1980)

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Bluebook (online)
498 N.E.2d 70, 1986 Ind. App. LEXIS 3009, Counsel Stack Legal Research, https://law.counselstack.com/opinion/aetna-life-insurance-co-v-st-josephs-hospital-inc-indctapp-1986.