B & S Underwriters, Inc. v. Constitution State Service Company

CourtLouisiana Court of Appeal
DecidedDecember 29, 2006
DocketCA-0006-0583
StatusUnknown

This text of B & S Underwriters, Inc. v. Constitution State Service Company (B & S Underwriters, Inc. v. Constitution State Service Company) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
B & S Underwriters, Inc. v. Constitution State Service Company, (La. Ct. App. 2006).

Opinion

STATE OF LOUISIANA COURT OF APPEAL, THIRD CIRCUIT

CA 06-583

B & S UNDERWRITERS, INC.

VERSUS

CONSTITUTION STATE SERVICES COMPANY, ET AL.

**********

APPEAL FROM THE NINTH JUDICIAL DISTRICT COURT PARISH OF RAPIDES, NO. 213,243 HONORABLE GEORGE CLARENCE METOYER, JR., DISTRICT JUDGE

JOHN D. SAUNDERS JUDGE

Court composed of Sylvia R. Cooks, John D. Saunders, and Marc T. Amy, Judges.

REVERSED AND RENDERED.

Kenneth Alfred Doggett P.O. Box 13498 Alexandria, LA 71315-3498 (318) 487-4251 Counsel for Plaintiff/Appellant: B & S Underwriters, Inc.

John Patrick Doggett Provosty, Sadler, & DeLaunay P.O. Drawer 1791 Alexandria, LA 71309-1791 (318) 445-3631 Counsel for Plaintiff/Appellant: B & S Underwriters, Inc. Jimmy Roy Faircloth, Jr. Faircloth & Davidson, L.L.C. P.O. Box 12730 Alexandria, LA 71315-2730 (318) 442-9533 Counsel for Defendant/Appellee: Constitution State Services Company

Seth Andrew Schmeeckle 601 Poydras St., Suite 2775 New Orleans, LA 70130 (504) 568-1990 Counsel for Defendant/Appellee: Constitution State Services Company SAUNDERS, Judge.

This cause of action arises from an alleged breach of a three party contract

governed by Connecticut law and entered into in Louisiana. The parties consisted of

an Insurer, a Manager and Constitution State Services, L.L.C. f/k/a Constitution State

Services Company (hereinafter “CSSC”). The contract in question called for one of

the parties, the Insurer, to pay a refundable initial service fee to CSSC. This initial

service fee was refundable to the Insurer based upon conditions relating to the amount

of money deemed as charges and fees received by CSSC.

The party deemed Manager under the contract brought this action claiming that

CSSC owed it the full refund of the initial service fee. It based this claim on CSSC

improperly allocating money that should be deemed charges and fees as expenses.

CSSC filed an exception of no right of action due to the contract specifically

stating that it was Insurer that has a claim, if any, to reimbursement of the initial

service fee, and not Manager. The trial court dismissed this exception.

We reverse, and render.

FACTS AND PROCEDURAL HISTORY:

B&S Underwriters, Inc., (hereinafter “B&S”), is a managing general agent and

third party administrator of insurance products. B&S developed and owned the

workers’ compensation insurance program issued by and licensed to Guarantee

Mutual Life Company, (hereinafter “Guarantee Mutual”).

As a result of a regulatory requirement of the State of Georgia, B&S was

unable to provide claims administration services for the workers’ compensation

insurance sold in Georgia. B&S contacted CSSC, and entered into a contract wherein

B&S and Guarantee Mutual transferred the entire open claims inventory and agreed

to assign all future claims in the State of Georgia to CSSC for the provision of claims services. In the 1994 contract, CSSC received a $1,000,000 initial service fee to

protect against premature termination of the agreement due to incurring costs

associated with setting up a place of business to handle the claims. The contract

called for Guarantee Mutual to pay a $1,000,000 initial service fee to CSSC. This fee

was to be reimbursed to Guarantee Mutual based upon certain thresholds being met

by CSSC as they earned charges and fees. These reimbursements were to come when

Guarantee Mutual submitted to CSSC, in writing, a request to have these

reimbursements paid.

B&S brought a suit against CSSC for breach of contract. B&S alleged that it

was owed reimbursement of the initial service fee. B&S served CSSC with its petition

alleging that CSSC was using an improper procedure in calculating charges and fees

and propounded discovery to CSSC. B&S claimed that the 1994 contract could be

interpreted to include allocated lost adjustment expenses in calculating charges and

fees and under such method of calculating charges and fees, CSSC had reached the

threshold to reimburse all of the initial service fee.

CSSC filed the peremptory exception of no right of action claiming that B&S,

even if all of the allegations in its petition were true, had no remedy under the 1994

contract. The trial court denied this exception.

CSSC then filed an answer to the B&S petition but did not answer the

propounded discovery. Instead, CSSC filed a motion for summary judgment alleging

that there was no ambiguity in the 1994 contract that charges and fees did not include

allocated loss adjustment expenses, and as such, it was entitled to a judgment as a

matter of law. This motion was granted.

B&S applied for and was granted a rehearing on CSSC’s motion for summary

2 judgment. The trial court once again ruled in favor of CSSC’s motion. B&S appealed.

This court, on its own motion pursuant to La.Code Civ.P. art. 927, can notice

the peremptory exception of no right of action. The record reflects that B&S has no

right of action under the 1994 contract against CSSC for the reimbursement of the

initial service fee. As such, we reverse the trial court’s ruling denying CSSC’s

exception of no right of action and assess all costs of this appeal to B&S.

ASSIGNMENTS OF ERROR:

1. Did the trial court err in finding that there was no genuine issue of material fact regarding the interpretation and application of the contracts between Constitution State Services Company, B&S Underwriters, Inc. and Guarantee Mutual Life Company and that defendant/appellee was entitled to judgment as a matter of law, by concluding that money deemed as “Allocated Lost Adjustment Expenses” was not to be included within “Charges and Fees” for purposes of calculating CSSC’s obligation to refund the Initial Service Fee?

2. Did the trial court err in failing to apply the “Annual Minimum Charge” defined in the 1994 contract for purposes of determining CSSC’s obligation to refund the Initial Service Fee?

3. Did the trial court err in granting CSSC’s motion for summary judgment prior to its answering of discovery propounded to it by B&S?

CSSC’S EXCEPTION OF NO RIGHT OF ACTION:

CSSC did not appeal the trial court ruling that dismissed its peremptory

exception of no right of action. CSSC did submit some argument to this court that its

exception of no right of action should have been granted, but did not claim it as an

assignment of error. However, this court, on its own motion pursuant to La.Code

Civ.P. art. 927, can notice the peremptory exception of no right of action. We choose

to do so in this case.

Louisiana Code of Civil Procedure Article 927(B) states in pertinent part:

The nonjoinder of a party, or the failure to disclose a cause of action or a right or interest in the plaintiff to institute the suit, may be noticed by

3 either the trial or appellate court of its own motion.

B&S asserts in its petition that it is entitled to the return of remnants of an

Initial Service Fee from CSSC under section VII of a 1994 contract between B&S,

Guarantee Mutual and CSSC. We find that B&S has no right of action under the 1994

contract for return of any of the Initial Service Fee paid by Guarantee Mutual to

CSSC.

The test for the application of the peremptory exception of no right of action

is whether the plaintiff has the capacity or legal interest to enforce the rights asserted

in the petition. Babineaux v. Pernie-Bailey Drilling Co., 262 So.2d 328 (La.1972).

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