American Cont'l Ins. Co. v. American Cas. Co. of Reading, PA

103 Cal. Rptr. 2d 632, 86 Cal. App. 4th 929
CourtCalifornia Court of Appeal
DecidedFebruary 16, 2001
DocketB138343
StatusPublished
Cited by24 cases

This text of 103 Cal. Rptr. 2d 632 (American Cont'l Ins. Co. v. American Cas. Co. of Reading, PA) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American Cont'l Ins. Co. v. American Cas. Co. of Reading, PA, 103 Cal. Rptr. 2d 632, 86 Cal. App. 4th 929 (Cal. Ct. App. 2001).

Opinion

Opinion

CROSKEY, J.

In this action between two insurers we are presented with an issue arising under the doctrine of equitable contribution which is a matter of first impression in California. The basic facts may be summarized as follows: Insurer A provides professional liability insurance to a hospital and its employees. One of those employees is a nurse who also has her own professional liability insurance with Insurer B. A claim of malpractice is made against the hospital and its employees arising out of a medical procedure in which the nurse was involved and in which she was allegedly negligent, but the claim and the lawsuit which followed do not name or refer to the nurse. Insurer A defends and settles the suit, but Insurer B refuses to participate. Insurer A then seeks to recover from Insurer B the latter’s “fair share” of the indemnity and defense costs incurred in settling the malpractice *933 claim made against the hospital and its employees (which necessarily included the nurse). The issue presented to us is, under these factual circumstances, does Insurer B have any liability to Insurer A? We conclude it does not.

The plaintiff and appellant, American Continental Insurance Company (ACIC), seeks reversal of the trial court’s order dismissing its complaint for equitable contribution against the defendant and respondent, American Casualty Company of Reading, PA (American Casualty). After a review of the novel facts presented by this case, we find ourselves in agreement with the trial court’s conclusion.

We hold that where an insurer was never under any legal obligation to provide coverage under a policy of liability insurance, that insurer may not be required to contribute to the defense or indemnity costs which may have been incurred by a second insurer in defending and settling an action for medical malpractice allegedly arising, at least in part, from the negligent acts of a common insured who was not named as a defendant in said suit and against whom no claim of negligence was ever made. We also reject ACIC’s contention, based on a contrary decision reached on similar facts by an Arizona court in a case between these same two parties, that principles of collateral estoppel preclude American Casualty from litigating the issue of its liability for equitable contribution.

We therefore affirm the trial court’s order of dismissal.

Factual and Procedural Background 1

On or about July 27, 1996, Sarah Chatfield (Chatfield) was a nurse employed by Huntington Memorial Hospital (Hospital). On that date, she was one of Hospital’s employees involved in the treatment and care of Cecilia Gavino during the delivery of her son, Andrew. Chatfield was responsible for monitoring Andrew’s condition during labor and interpreting the “fetal monitoring strip.” During labor Andrew suffered fetal distress and oxygen deprivation which resulted in his being bom with neurological damage and severe cerebral palsy.

*934 On April 30, 1997, Cecilia Gavino filed a medical malpractice action against Hospital and four physicians, who apparently had been involved in her care and treatment and Andrew’s delivery. Although Chatfield later admitted in a deposition taken in the Gavino litigation that she had failed to recognize the signs of fetal distress displayed on the fetal monitoring equipment and had failed to call the treating physician during the critical hours before delivery, she was never named or served as a defendant in the action; indeed, no claim was ever made against her by Gavino. In her complaint, Gavino had only alleged that professional negligence had been committed by Hospital and “its employees.”

ACIC had issued to Hospital two different liability policies. The first was a primary policy providing coverage of up to $1 million per occurrence for claims made against Hospital and its employees, which necessarily included Chatfield. The second policy was an umbrella policy which provided additional coverage of up to $10 million per occurrence. American Casualty had issued a primary professional liability policy to Chatfield which provided her with up to $1 million in coverage. 2 As a result, Chatfield was covered, at least up to $1 million, under the policies of both ACIC and American Casualty.

Hospital tendered the Gavino action to ACIC, which undertook its defense. Prior to settlement discussions, ACIC discovered that Chatfield was personally insured by American Casualty and demanded that it participate in the defense and settlement of the Gavino action. American Casualty refused. 3 On August 21, 1998, ACIC negotiated a settlement of the Gavino action on behalf of Hospital and its employees (which included Chatfield) for the total sum of $3.5 million. ACIC paid $1 million under its primary policy and $1.85 million under its umbrella policy. The remaining $650,000 was paid by or on behalf of the treating physician.

*935 Following this settlement, ACIC filed this action in which it alleged several causes of action, including declaratory relief and equitable contribution. 4 ACIC alleged the facts which we have summarized above and sought recovery from American Casualty of the $1 million payable under its policy as its pro rata share of the $2.85 million which ACIC had paid to settle the Gavino action and to obtain a full release of liability for Hospital and all of its employees, including Chatfield, who was also American Casualty’s insured. American Casualty responded with a demurrer, arguing that because no claim had ever been made against Chatfield and because she had never been named or served in the Gavino action, no obligation to provide coverage under its policy had ever arisen and thus there was no basis upon which it could be held liable to ACIC for any part of the sum paid to defend and settle the underlying malpractice action.

The trial court agreed with American Casualty and sustained the demurrer without leave to amend. Judgment was ultimately entered in its favor. ACIC then filed this timely appeal.

Contentions of the Parties

ACIC contends that American Casualty, as the professional liability insurer for Chatfield, was equally “on the risk” for any claim arising from or based on Chatfield’s alleged negligence. Since Hospital’s liability in the Gavino action arose in part from what ACIC alleges was Chatfield’s professional negligence, American Casualty should pay its fair share of that liability which, in this case, would amount to its policy limit of $1 million. 5 ACIC also contends that it has previously litigated this same legal issue with American Casualty in two other cases involving similar facts, one in California and one in Arizona. In both cases, ACIC’s equitable contribution claim was sustained. Therefore, ACIC argues, American Casualty is collaterally estopped to deny its liability in this matter.

American Casualty disputes both of these arguments. It urges that its duty to provide coverage never arose.

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Cite This Page — Counsel Stack

Bluebook (online)
103 Cal. Rptr. 2d 632, 86 Cal. App. 4th 929, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-contl-ins-co-v-american-cas-co-of-reading-pa-calctapp-2001.