Chicago Insurance v. Halcond

49 F. Supp. 2d 312, 1999 U.S. Dist. LEXIS 7724, 1999 WL 329790
CourtDistrict Court, S.D. New York
DecidedMay 21, 1999
Docket98 Civ. 4528 (LAK)
StatusPublished
Cited by5 cases

This text of 49 F. Supp. 2d 312 (Chicago Insurance v. Halcond) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Chicago Insurance v. Halcond, 49 F. Supp. 2d 312, 1999 U.S. Dist. LEXIS 7724, 1999 WL 329790 (S.D.N.Y. 1999).

Opinion

MEMORANDUM OPINION

KAPLAN, District Judge.

This is an action to declare that (1) a policy of insurance issued to defendant Frank Halcond is void ab initio and may be rescinded, and (2) the plaintiff is not obligated to defend Halcond in two personal injury cases brought against him. Discovery having been completed, plaintiff moves for summary judgment.

Facts

The Initial Application

Frank Halcond has practiced as a nurse/anesthetist since 1970.

On March 26, 1996, he applied to plaintiff Chicago Insurance Company (“Chicago”) for an Individual Nurse Anesthetist Professional Liability claims-made policy for the period April 1, 1996 to April 1, 1997. Question 4 on the form was captioned “professional title” and provided two boxes, one for “CRNA” (doubtless an acronym for certified registered nurse anesthetist although that is not made clear on the application form) and the other for “student nurse anesthetist” as well as a blank in which to insert the applicant’s number of years in practice. Halcond check the CRNA box. In addition, he added the letters CRNA after his signature at the end of the application. Chicago duly issued the policy.

The Gomez and Bourodimos Incidents

On September 23, 1996, Halcond served as the nurse-anesthetist under the direction of a physician during a surgical procedure performed on Francisca Gomez at the Queens Women’s Medical Services Center. A catastrophic event occurred. Ms. Gomez was taken to Elmhurst Hospital but resuscitative efforts failed and she remains in an irreversible coma/persistent vegetative state. It is undisputed that Halcond did not notify Chicago of the incident prior to being sued more than a year later.

On March 20, 1997, Halcond served as the nurse-anesthetist under the supervision of another physician during a plastic surgery procedure performed on Angela Bourodimos. Another catastrophic event occurred. Ms. Bourodimos became unresponsive and was rushed to New York Hospital. Apart from the inference to be drawn from the fact that she is represented here by her mother and court-appointed guardian in consequence of her mental incompetence, the record before this Court is silent as to the outcome in her case. In any event, Halcond did not notify Chicago of this incident either before he was sued many months later.

*314 The 1997-98 Renewal Application

On March 26, 1997, Halcond applied for renewal of the Nurse Anesthetist Professional Liability claims-made policy for the period April 1, 1997 to April 1, 1998. In response to a question on the application form whether any facts or circumstances had occurred in the past year “that might give rise to a claim or suit,” Halcond checked “No.”

The Gomez and Bourodimos Laxusuits

In December 1997, personal injury suits were brought by Gomez and Bourodimos’ guardian against Halcond and others allegedly involved in the incidents allegedly resulting in their injuries. Halcond was served with the Gomez complaint on December 22, 1997 and the Bourodimos complaint on January 21, 1998. Although Hal-cond claims to havé given telephonic notice to Chicago’s “agent/broker” and to have forwarded the pleadings to Chicago by mail, he concedes that the mailings were returned. It is undisputed that Chicago first learned' of these actions on March 13 (Bourodimos) and March 23, 1998 (Gomez ).

The 1998-99 Renewal

The record does not contain Halcond’s application to renew his policy for the April 1,1998 to April 1, 1999 year. Nevertheless, it is undisputed that Chicago renewed the policy for that additional one year term on April 3,1998.

Subsequent Events

On May 8, 1998, Chicago issued a disclaimer to Halcond with respect to the Gomez and Bourodimos claims. The letter makes clear thé carrier’s view that Halcond’s March 1997 statement in the first renewal application that nothing had occurred in the preceding year “that might give rise to a claim or suit” was materially false given his knowledge of thd Gomez and Bourodimos incidents. Further, it asserted that the policy was “deemed void as of its inception” and recited that the broker was forwarding a check to Halcond under separate cover for the full amount of the premium he had paid. In addition, the letter contended that Halcond had breached his obligation to forward the pleadings in the Gomez and Bourodimos cases to Chicago “as soon as practicable” and that Chicago was not obliged to defend or indemnify Halcond on that ground as well. 1

Some time in May 1998, it came to Chicago’s attention that Halcond was not a certified registered nurse anesthetist at the-, time of or subsequent to his application for the policy. It now is undisputed that his certification expired on July 31, 1988. 2

On June 23, 1998, Chicago commenced this action seeking a declaration that it is not obliged to defend or indemnify Hal-cond in the Gomez and Bourodimos cases on the grounds that (1) the 1997-98 policy is void ab initio in consequence of his concealment and affirmative misrepresentation of material facts in the procurement of the original policy and the renewal, viz. the false assertion in the original application that he was a CNRA and the negative response in the renewal application to the question about incidents that might give rise to claims, and (2) he failed to provide timely notice of the Gomez and Bourodi-mos occurrences and lawsuits. 3

On December 16, 1998, Halcond was sued yet again in consequence of a catastrophic incident that occurred during the 1998-99 renewal term and that resulted in the death of a patient (the Stewart case). He promptly notified Chicago of the action. But on January 27, 1999, Chicago disclaimed any obligation to defend or indemnify him with respect to the Stewart case. The disclaimer relied upon the alleged misrepresentation in the original policy application of Halcond’s CRNA status, asserted that the 1998-99 renewal *315 policy was void as of its inception, and recited that Halcond’s premium was being returned. The letter asserted also that Halcond failed to comply with the policy provision requiring prompt notice of the incident that gave rise to the Steivart claim. 4

For reasons that are not clear on the record, Chicago’s counsel in this case wrote to Halcond again on March 3, 1999 summarizing the carrier’s position with respect to all three underlying claims as well as the policy and its renewals. The letter recited also that a check in the full amount of all premiums paid for all three years was enclosed. 5

Discussion

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Cite This Page — Counsel Stack

Bluebook (online)
49 F. Supp. 2d 312, 1999 U.S. Dist. LEXIS 7724, 1999 WL 329790, Counsel Stack Legal Research, https://law.counselstack.com/opinion/chicago-insurance-v-halcond-nysd-1999.