Brander v. Nabors

443 F. Supp. 764, 1978 U.S. Dist. LEXIS 20195
CourtDistrict Court, N.D. Mississippi
DecidedJanuary 12, 1978
DocketEC 76-223-K
StatusPublished
Cited by50 cases

This text of 443 F. Supp. 764 (Brander v. Nabors) is published on Counsel Stack Legal Research, covering District Court, N.D. Mississippi primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Brander v. Nabors, 443 F. Supp. 764, 1978 U.S. Dist. LEXIS 20195 (N.D. Miss. 1978).

Opinion

*766 MEMORANDUM OPINION

KEADY, Chief Judge.

This diversity action by Francis Everett Brander, a citizen and subject of Great Britain (hereinafter Lloyd’s), 1 against Thomas Jackson Nabors, a Mississippi citizen, seeks a declaratory judgment of non-coverage under Lloyd’s Policy No. 24563. The parties agreeing that no issues of material fact are raised at this juncture of the case, have filed cross motions for summary judgment under Rule 56, F.R.Civ.P.

The relevant facts, gleaned from the pleadings, policy provisions and evidentiary materials on file, may be briefly summarized.

On November 12, 1968, Lloyd’s issued a medical malpractice liability insurance contract, Policy No. 24563, to the assured, Drs. Royce Houston Franks and Thomas Purser, III, of Tupelo, Mississippi. The policy explicitly states that the insurance is provided on a “claims made basis,” with the original period of insurance being from November 12, 1968, to November 12, 1969. By renewal, the insurance period was extended for an additional year, or to November 12,1970. The relevant terms of the policy provide that

“2. ... WE THE UNDERWRITERS hereby agree, subject to the terms, limitations, exclusions and conditions of this Insurance, to pay on behalf of the Assured all sums which the Assured shall by law be held liable to pay for damages arising out of bodily injury or mental injury to or death of any patient caused by or alleged to have been caused by error, omission or negligence in professional services rendered or which should have been rendered (hereinafter referred to as Malpractice).

PROVIDED ALWAYS THAT

(a) such Malpractice results in a claim being made against the Assured during the period of Insurance as stated in the Schedule. .
(c) there shall be no liability hereunder for any claim made against the Assured for Malpractice committed or alleged to have been committed prior to the Retroactive Date specified in the Schedule.

5. In the event of

(a) the expiration of this Insurance by reason of nonrenewal, .
then this Insurance shall extend, subject otherwise to its terms, limitations, exclusions and conditions, to apply to claims made against the Assured during the thirty-six calendar months following immediately upon such expiration or termination but only for Malpractice committed or alleged to have been committed between the Retroactive Date and such expiration or termination.” (Emphasis in the original)

The “retroactive date” specified in the schedule was November 12, 1968, which coincided with the precise date on which the original period of insurance commenced.

On or about March 19, 1975, Thomas Jackson Nabors, defendant in the present action, brought a diversity action in this court against Dr. Thomas Purser, III, one of the named assureds, seeking recovery for serious injury caused by acts of medical malpractice alleged to have occurred between August 1968 and June 1970. On April 15, 1976, Nabors recovered, by way of compromise settlement, a judgment for $100,000. On August 12, Dr. Purser assigned his rights under Lloyd’s policy to Nabors and his attorney. 2

*767 Lloyd’s contends that it is not liable since no claim under the policy was made against the assured, Dr. Purser, until March 19, 1975, a date occurring fifty-two months after its policy had expired and sixteen months after the end of th'e three-year extension, provided by provision 5(a) as set out above.

Defendant argues that liability is cast upon Lloyd’s under alternative theories.

First, the defendant maintains that the policy provisions, when considered as a whole, create an ambiguity, which defendant is entitled to have resolved in his favor, as to the character of the coverage afforded by the policy; that is, a reasonable doubt exists as to whether the policy provides coverage on an “occurrence” basis or a “claims made” basis. Defendant reasons that once this ambiguity is resolved in his favor by a declaration that Lloyd’s has provided insurance on an “occurrence” basis, the policy terms limiting the time within which a claim must be made against the assured violate the prohibitions expressly stated in Miss.Code Ann. § 15-1-5 (1972). 3

Alternatively, the defendant argues that the policy provides for coverage which is so structured that it offends Mississippi public policy, and therefore its restrictions are unenforceable.

(1) Background.

The insurance industry has, for some years, provided two basic types of professional liability insurance which may be classified as (a) “claims made” policies (sometimes called “discovery” policies), and (b) “occurrence” policies.

The basic “claims made” or “discovery” policy provides for indemnity, regardless of when the act complained of occurred, if the act is discovered and brought to the attention of the insurer during the policy period.

The basic “occurrence” policy provides for indemnity, regardless of when the act complained of is discovered or brought to the attention of the insurer, if the act occurred during the policy period. 4

The case law throughout the country has generally recognized the difference in these two basic types of coverage. See e. g., Samuel N. Zarpas, Inc. v. Morrow, 215 F.Supp. 887 (D.C.N.J.1963), Rotwein v. General Accident Group, 103 N.J.Super. 406, 247 A.2d 370 (1968), see also Comment, The “Claims Made” Dilemma in Professional Liability Insurance, 22 U.C.L.A.L.Rev. 925 (1975), Comment, Professional Liability Insurance: The Doctor’s Dilemma, 7 Loyola U.L.Rev. 459 (1976).

Basically, the “claims made” policy would provide unlimited retroactive coverage and no prospective coverage at all, while the “occurrence” policy would provide unlimited prospective coverage and no retroactive coverage at all.

*768 Despite the judicial harmony in defining these two forms of professional liability insurance, courts have reached divergent views when construing policies 'containing more restrictive, or different provisions.

In Jones v. Continental Casualty Co., 123 N.J.Super. 353, 303 A.2d 91 (Sup.Ct.N.J. 1973), the court was confronted with a policy containing the following relevant terms:

IV. Policy Period, Territory.

(a) During the Policy Period.

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Bluebook (online)
443 F. Supp. 764, 1978 U.S. Dist. LEXIS 20195, Counsel Stack Legal Research, https://law.counselstack.com/opinion/brander-v-nabors-msnd-1978.