Casey Arnold, Individually v. Mediport, LLC

Court of Appeals of Kentucky·Decided February 8, 2024·No. 2022 CA 000078·Unknown

Opinion

RENDERED: FEBRUARY 9, 2024; 10:00 A.M.

NOT TO BE PUBLISHED

Commonwealth of Kentucky

Court of Appeals

NO. 2022-CA-0078-MR

CASEY ARNOLD, INDIVIDUALLY; CASEY ARNOLD AS ADMINISTRATRIX OF THE ESTATE OF CHAD ARNOLD; AND CASEY ARNOLD AS NEXT FRIEND AND GUARDIAN/CONSERVATOR FOR MILES ARNOLD APPELLANTS

APPEAL FROM SCOTT CIRCUIT COURT v. HONORABLE BRIAN PRIVETT, JUDGE ACTION NO. 15-CI-00064

MEDIPORT, LLC; DR. TIMOTHY CARROLL; LANDMARK AMERICAN INSURANCE COMPANY; RICHARD COVINGTON; RSUI INDEMNITY COMPANY; STEVE MORRIS; AND WESTFIELD INSURANCE COMPANY APPELLEES

OPINION

AFFIRMING IN PART

AND DISMISSING

IN PART

** ** ** ** **

BEFORE: ACREE, COMBS, AND ECKERLE, JUDGES.

COMBS, JUDGE: In this wrongful death action, Casey Arnold, individually and as administratrix of the Estate of Chad Arnold and as Next Friend and Guardian/ Conservator of Miles Arnold (referred to collectively as Arnold), appeals the May 2018 summary judgment of the Scott Circuit Court in favor of Westfield Insurance Company (Westfield) and the July 2021 summary judgment entered in favor of Landmark American Insurance Company and RSUI Indemnity Company (referred to collectively as Landmark). With respect to the judgment in favor of Westfield, we affirm. We dismiss the appeal of the judgment entered in favor of Landmark.

On February 12, 2013, Chad and Casey Arnold signed up online to participate in an extreme, five-kilometer foot race (the Rampage event) to be held at Kentucky Horse Park (the Horse Park) on March 2, 2013. The race through the Horse Park was one commonly referred to as “extreme” because it incorporated an obstacle course for runners to navigate. The Arnolds read the website established by the Rampage event organizers indicating that an ambulance and paramedics would be available at the venue in case of an emergency.

Mediport, LLC (Mediport) is in the business of providing on-site care to individuals in need of medical assistance prior to the arrival of emergency medical services. In 2013, it provided a range of services, including basic first aid, basic life support, and advanced life support services. Mediport provided services on a contract basis and regularly provided emergency medical technicians and/or

paramedics to some of Kentucky’s horse racing facilities, including Keeneland Race Course, Red Mile Race Track, and the Horse Park. Their services were aimed at trainers, jockeys, and other equestrian professionals at various locations over the course of each track’s meet.

Prior to March 2, 2013, it agreed to provide basic life support services during the Rampage event to be held at the Horse Park and to transport those participants requiring emergency care to a location within the Horse Park where they would be met by an ambulance. Basic life support services generally included care provided to those experiencing cardiac arrest, respiratory distress, or an obstructed airway. Mediport provided two passenger vans, two emergency medical technicians, and a paramedic to the Horse Park on race day. However, it did not agree to provide ambulance services or advanced life support services during the event.

On March 2, 2013, the Arnolds registered in person with event organizers at the Horse Park. After the race had begun, Chad Arnold collapsed and experienced cardiac arrest. Casey Arnold began CPR and a member of their racing group called 911. A Mediport employee responded to the emergency in a van and provided assistance with a handheld apparatus aimed at assisting with breathing while chest compressions continued. The second emergency medical technician and the paramedic arrived soon after in the second van. None of the individuals

responding on behalf of Mediport had access to a defibrillator. Chad Arnold was promptly loaded into the second Mediport van, and CPR continued while he was transported to a designated location where the local fire department took over his care. Despite these measures, Chad Arnold died shortly thereafter.

At all relevant times, Mediport was insured under a liability policy issued by Landmark. The policy provided medical professional liability (MPL) coverage. Its terms provided that Landmark would pay sums that the insured became obligated to pay as damages and associated claim expenses “arising out of a negligent act, error or omission . . . in the rendering of or failure to render professional services as described in the Business Description on the Declarations.” The policy also advised the insured that its coverage limits would be eroded by the costs incurred to defend the insured against a claim -- including attorney fees.

Separately, the policy provided Commercial General Liability (CGL)

coverage. This coverage was triggered by bodily injury caused by an “occurrence,” defined as an “accident, including continuous or repeated exposure to substantially the same general harmful conditions.” The coverage limits available pursuant to this provision were also subject to erosion by claims expenses.

Landmark’s policy expressly provided that the MPL coverage and CGL coverage were mutually exclusive. There is no dispute that Mediport was aware of the policy’s provisions -- including its eroding coverage limits.

Mediport was also insured under a compulsory automobile liability policy issued by Westfield. The policy comported with Kentucky’s Motor Vehicle Reparations Act. It provided that Westfield would pay sums that the insured must pay as damages because of “bodily injury” or “property damage” to which this insurance applies, caused by an “accident” and resulting from the ownership, maintenance, or use of a covered auto.

In February 2014, Arnold filed a wrongful death action. Mediport was among the many named defendants. The complaint alleged that Mediport’s agents or employees “failed to resuscitate and/or perform reasonable and proper emergency lifesaving medical treatment and/or protocols for at least ten (10) minutes”; “negligently rendered and/or failed to render medical treatment”; negligently failed “to have policies procedures, or standards regarding the response to medical emergencies”; “negligently instituted inadequate policies, procedures, or standards regarding the response to medical emergencies”; “were negligent by failing to train, instruct, and supervise [agents or employees] concerning the response to medical emergencies”; and “were negligent in responding to the decedent’s medical emergency.” The complaint alleged that their negligence was

the proximate cause of Chad Arnold’s death. There was no allegation that Arnold sustained any injuries while being loaded, transported, or unloaded from the Mediport van.

Landmark undertook Mediport’s defense under the MPL coverage provided by the policy. It did not consider the CGL coverage applicable under the circumstances. In October 2014, during discovery, Mediport provided to Arnold a copy of its Landmark policy. Although Arnold was made aware of the policy’s eroding limits provision, Arnold did not make a formal demand for the Landmark policy limits for nearly a year during which the litigation continued. Finally, once Arnold made a demand, Landmark offered to tender the limits, minus the costs of Mediport’s defense. Arnold rejected the offer, and litigation continued.

In November 2015, three individual defendants were added to Arnold’s wrongful death action: Richard Covington, a paramedic and co-owner of Mediport; Steve Morris, a paramedic and co-owner of Mediport; and Dr. Timothy W. Carroll, Mediport’s medical director. Landmark undertook the defense of Mediport’s principals under the same terms of the policy.

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