Catlin Specialty Insurance v. Aron

38 F. Supp. 3d 694, 2014 WL 3889075, 2014 U.S. Dist. LEXIS 107880
CourtDistrict Court, D. Maryland
DecidedAugust 6, 2014
DocketCivil Action No. RDB-13-826
StatusPublished

This text of 38 F. Supp. 3d 694 (Catlin Specialty Insurance v. Aron) is published on Counsel Stack Legal Research, covering District Court, D. Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Catlin Specialty Insurance v. Aron, 38 F. Supp. 3d 694, 2014 WL 3889075, 2014 U.S. Dist. LEXIS 107880 (D. Md. 2014).

Opinion

MEMORANDUM OPINION .

RICHARD D. BENNETT, District Judge.

This declaratory judgment action is a medical malpractice insurance coverage dispute. Defendant Dr. Barry I. Aron (“Dr. Aron”) is an obstetrician/gyneeologist who had purchased an insurance policy from Plaintiff Catlin Specialty Insurance Co. (“Catlin”). After becoming aware of a claim by Defendant Sherry Marie Pfenninger (“Ms. Pfenninger”) against Dr. Aron arising out of a 2010 surgery, Catlin filed this declaratory judgment action to determine the scope of its duty to defend and indemnify Dr. Aron and Barry I. Aron, M.D., P.C. (Dr. Aron’s professional [696]*696corporation). Currently pending before this Court are the Defendants’ Motion for Partial Summary Judgment (ECF No. 26)1 and Plaintiffs Motion for Summary Judgment (ECF No. 30). The parties’ submissions have been reviewed and no hearing is necessary. See Local Rule 105.6 (D.Md. 2014). For the reasons that follow, the Motion of Defendants Dr. Barry I. Aron and Barry I. Aron, M.D., P.C., for Partial Summary Judgment (ECF No. 26) is GRANTED, and the Plaintiffs Motion for Summary Judgment (ECF No. 30) is DENIED.

BACKGROUND

This Court reviews the facts and all reasonable inferences in the light most favorable to the nonmoving party. Scott v. Harris, 550 U.S. 372, 378, 127 S.Ct. 1769, 167 L.Ed.2d 686 (2007); see also Hardwick ex rel. Hardwick v. Heyward, 711 F.3d 426, 433 (4th Cir.2013).

I. THE INSURANCE POLICIES

Dr. Aron purchased one-year insurance policies from Catlin Specialty Insurance Co. over the course of several years.2 The 2012 Policy ran from January 1, 2012 to January 1, 2013, while.the 2013 Policy ran from January 1, 2013 to January 1, 2014.3 Defs.’ Mem. MPSJ 2. Both policies named Dr. Aron as the “named insured” and included Barry I. Aron, M.D., P.C.—Dr. Aron’s professional corporation—as an “additional named insured.” Id. at 5.

The 2012 Policy explains the extent of coverage as follows:

The Company, subject to the exclusions, limits of liability, and other terms and conditions hereof, will pay on behalf of the Insured those sums which the Insured is legally obligated to pay as damages because of a loss event within the policy territory, to which this insurance applies, subsequent to the retroactive date and for which a claim is first made in writing during the policy period and reported to the Company in writing during the policy period or any applicable extended reporting period.

Pl.’s Am. Compl. Ex. G 15, ECF No. 6-8 (hereinafter “2012 Policy”).4 Additionally, one of the conditions of the Policy was that the insured—i.e., Dr. Aron—had to provide Catlin Specialty Insurance with written notice of a claim by the expiration of the applicable policy. Defs.’ Mem. MPSJ 6.

The 2012 Policy defines the term “claim” accordingly:

A. “claim” means:

1. the filing of a lawsuit against an Insured, and/or
[697]*6972. written notice of intent to file a lawsuit or to arbitrate against an Insured, and/or
3. a written demand for money or services delivered to an Insured, and/or
4. written notice of a loss event from the Named Insured, Additional Insured or Additional Named Insured detailing the name of a patient, witnesses and the circumstances under which the Insured became aware of injury suffered; and
as a result of a loss event which occurred subsequent to the retroactive date of this Policy and which has been reported to the Company in writing, pri- or to the expiration date or the expiration of an applicable Extended Reporting Period Endorsement.

2012 Policy at 21-22. The 2012 Policy also explains how the timing of the claim and the reporting of the claim are to be calculated. Specifically, the Policy states that:

[A] claim against an Insured is first made when the Named Insured, Additional Insured or an Additional Named Insured receives during the policy period (i) a written demand for money or services from a claimant or claimant’s attorney or agent or (ii) service of process in a suit or other proceeding seeking damages or services, as a result of an alleged loss event to which this Policy applies, or when the Named Insured, Additional Insured or Additional Named Insured becomes aware of a loss event to which this Policy applies or (iii). a written demand for money or services delivered to an Insured, or (iv.) written notice of a loss event from the Named Insured, Additional Insured or Additional Named Insured detailing the name of a patient, witnesses and the circumstances under which the Insured became aware of injury suffered.

2012 Policy at 19. Meanwhile, a claim is considered reported “on the date when [Catlin Specialty Insurance Co.] first receives written notice from a Named Insured, Additional Insured or Additional Named Insured that a claim has been made against an Insured as a result of an alleged loss event to which this Policy applies.” Id. at 20.

Finally, the Policy identifies several coverage exclusions. Of particular import in this case is Exclusion ll(ii), which expressly excludes coverage for “claims, incidents or loss events which were first brought to the attention of the Insured or reported to another insurer prior to the inception date.” Id. at 16.

II. THE SURGERY ON MS. PFEN-NINGER

Defendant Dr. Barry Aron (“Dr. Aron”) is an obstetriciab/gyneeologist practicing in Charles County, Maryland. Defs.’ Mem. Supp. Mot. Partial Summ. J. 5, ECF No. 26 (hereinafter “Def. Mem. MPSJ”). This suit arises out of a surgery that Dr. Aron performed on Defendant Sherry Marie Pfenninger (“Ms. Pfenninger”) on December 30, 2010. The surgery—known as a pelvic laparotomy—required Dr. Aron to make an incision in the abdominal wall. Pl.’s Mem. Supp. Mot. Summ. J. 6, ECF No. 30 (hereinafter “PL’s Mem. MSJ”). Dr. Aron removed a cystic mass in the right pelvic area and tied off a number of vessels.5 Id. at 7. Subsequently, a patho[698]*698logical examination revealed that Dr. Axon had removed a small segment of Ms. Pfenninger’s right ureter, which is a tubular structure that allows urine to drain from the kidney to the bladder. Id. The pathologist who conducted the' examination informed Dr. Aron of the issue on January 3, 2011. Id. After consulting with an urologist and a radiologist, Dr. Aron contacted Ms. Pfenninger—who had already been discharged—and informed her that she needed to return to the hospital so that a catheter could be inserted directly into her kidney and allow urine to drain into an external bag until her ureter could be surgically repaired.6 Id. at 8-9.

III. EVENTS FOLLOWING THE SURGERY

As noted above, Dr. Aron renewed his policy with Catlin Specialty Insurance for the 2012 calendar year.

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Cite This Page — Counsel Stack

Bluebook (online)
38 F. Supp. 3d 694, 2014 WL 3889075, 2014 U.S. Dist. LEXIS 107880, Counsel Stack Legal Research, https://law.counselstack.com/opinion/catlin-specialty-insurance-v-aron-mdd-2014.