AIX Specialty Insurance Company v. Raj Shiwach, MD

CourtCourt of Appeals of Texas
DecidedDecember 18, 2019
Docket05-18-01050-CV
StatusPublished

This text of AIX Specialty Insurance Company v. Raj Shiwach, MD (AIX Specialty Insurance Company v. Raj Shiwach, MD) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
AIX Specialty Insurance Company v. Raj Shiwach, MD, (Tex. Ct. App. 2019).

Opinion

AFFIRM and Opinion Filed December 18, 2019

S Court of Appeals In The

Fifth District of Texas at Dallas No. 05-18-01050-CV

AIX SPECIALTY INSURANCE COMPANY, Appellant V. RAJ SHIWACH, MD, Appellee

On Appeal from the 134th Judicial District Court Dallas County, Texas Trial Court Cause No. DC-18-04268

MEMORANDUM OPINION Before Chief Justice Burns, Justice O’Neill1, and Justice Rosenberg2 Opinion by Chief Justice Burns This appeal involves insurer AIX Specialty Insurance Company’s (“AIX”) duty to defend

the insured Dr. Raj Shiwach, MD (“Shiwach”). AIX appeals the summary judgment in Shiwach’s

favor, contending in six issues the trial court erred by granting Shiwach’s partial motion for

summary judgment and denying its motion for summary judgment. We affirm.

FACTUAL AND PROCEDURAL BACKGROUND

Shiwach purchased a professional liability policy from AIX. When Leslie Broderick, a

patient under Shiwach’s psychiatric care at Hickory Trail Hospital, LP (“HT”), sued Shiwach, he

notified AIX of Broderick’s lawsuit and demanded AIX defend and indemnify him. AIX refused,

1 The Hon. Michael J. O'Neill, Justice of the Court of Appeals for the Fifth District of Texas at Dallas, Retired, sitting by assignment. 2 The Hon. Barbara Rosenberg, former Justice of the Court of Appeals for the Fifth District of Texas at Dallas, sitting by assignment. contending neither Broderick’s Original Petition nor her later First Amended Petition (the

“Broderick Petition”) asserted any covered allegation because the policy’s sexual, criminal, and

willful acts exclusions applied. Shiwach paid for his own defense and prevailed in the district court

and on appeal. Despite a renewed request by Shiwach to reimburse his defense costs, AIX again

refused.

Shiwach sued AIX, asserting claims for breach of contract, violations of chapters 541 and

542 of the Insurance Code, and recovery of his attorneys’ fees. AIX’s answer included a general

denial, various affirmative defenses, but no counterclaims.

Shiwach moved for partial summary judgment, omitting only his chapter 541 claims.

Together with the Broderick Petition and the policy, Shiwach’s evidence included the summary

judgment order and the related appellate opinion from the Broderick lawsuit, in which both courts

determined Broderick’s claims against Shiwach were time-barred “healthcare liability claims.”

AIX objected to both exhibits as a violation of the eight-corners rule and filed a combined no-

evidence and traditional motion for summary judgment addressing each of Shiwach’s claims.

After the summary judgment hearing but before the trial court ruled, Shiwach filed a notice

of nonsuit as to his chapter 541 claims. The trial court granted Shiwach’s nonsuit, overruled AIX’s

objections to Shiwach’s evidence, granted Shiwach’s motion for summary judgment, and denied

all other relief. AIX appeals the order overruling its objections, the order granting Shiwach’s

nonsuit, the summary judgment in Shiwach’s favor, and the denial of its motion for summary

judgment.

DISCUSSION

Standard of Review and Burden of Proof

We review a trial court’s grant of summary judgment de novo. Cmty. Health Sys. Prof’l

Servs. Corp. v. Hansen, 525 S.W.3d 671, 680 (Tex. 2017). To prevail on a traditional motion for

–2– summary judgment, a movant must prove the absence of a genuine issue of material fact and its

entitlement to judgment as a matter of law. TEX. R. CIV. P. 166a(c); Nixon v. Mr. Prop. Mgmt. Co.,

690 S.W.2d 546, 548 (Tex. 1985). To prevail on a no-evidence summary judgment, the non-

movant must produce evidence that raises a genuine issue of material fact on each challenged

element of its claim. Timpte Indus., Inc. v. Gish, 286 S.W.3d 306, 310 (Tex. 2009). In both

instances, we credit evidence favorable to the nonmovant if reasonable jurors could, and disregard

contrary evidence unless reasonable jurors could not. Id.; Mann Frankfort Stein & Lipp Advisors,

Inc. v. Fielding, 289 S.W.3d 844, 848 (Tex. 2009).

The insured has the initial burden to establish a claim potentially covered by the policy.

Dallas Nat’l Ins. Co. v. Calitex Corp., 458 S.W.3d 210, 222 (Tex. App.—Dallas 2015, no pet.). If

the insured does so, the burden shifts to the insurer, which can then defeat the duty to defend by

demonstrating the application of any relevant exclusion. TEX. INS. CODE § 554.002; Calitex Corp.,

458 S.W.3d at 222.

Duty to Defend

In its first issue, AIX contends the trial court erred in not granting its summary judgment

motion because injuries that arose out of an alleged gang rape3 were not “medical incidents” that

triggered its duty to defend. To determine whether the Broderick Petition triggered AIX’s defense

obligation, we must first decide whether it alleged a covered “medical incident” as the cause of

Broderick’s injury.

The eight-corners rule governs our analysis. Ewing Const. Co., Inc. v. Amerisure Ins. Co.,

420 S.W.3d 30, 33 (Tex. 2014). Pursuant to the eight-corners rule, we look to the four corners of

the petition for allegations potentially within the scope of coverage in the four corners of the

3 Because the statute of limitations barred the Broderick lawsuit, the court did not reach the merits of Broderick’s claims. –3– insurance policy. Id. We consider the factual allegations in the petition without regard to their truth

or falsity, and we resolve all doubts regarding the duty to defend in the insured’s favor. Id. If the

underlying petition contains even one covered claim, the insurer must defend the entire suit.

Evanston Ins. Co. v. Legacy of Life, Inc., 370 S.W.3d 377, 380 (Tex. 2012).

Here, the policy required AIX to defend and indemnify Shiwach against a claim for

damages with respect to an injury only if “(1) the injury is caused by a ‘medical incident’; . . . (3)

the injury arises out of the individual insured’s profession as a physician; and (4) [a] claim for

damages, with respect to the injury, is first made against any insured.” The policy defined a

“medical incident” as “any act or omission arising out of the providing of or failure to provide

professional medical services . . . by the insured or any person acting under the personal direction,

control or supervision of the insured.”

Thus, we examine the allegations against Shiwach. We first note that the Broderick

Petition’s introductory paragraph listed all defendants: Shiwach, HT, Universal Health Services,

Inc., UHS of Delaware, Inc.,4 a “manager of HT called John Doe,” “Chica an employee of HT last

name unknown,” and a “European woman also employed by HT.” The same paragraph defined

each listed defendant collectively as “Defendants.”

The Broderick Petition also identified each defendant in separate numbered paragraphs and

provided capacity information about each. Regarding Shiwach, the petition specified:

3. The Defendants are all sued in their capacity as employees and managers of Hickory Trail LP and or the Universal Health “UHS” Defendants. Dr. Shiwach is sued in his individual capacity as well as his capacity as a medical professional and employee and or manager of Hickory Trail LP “HT” and the UHS Defendants.

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