Claudia Mora v. Lancet Indemnity

Court of Appeals for the Fourth Circuit·Decided May 7, 2019·No. 18-1566·Unpublished

Opinion

UNPUBLISHED

UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT

No. 18-1566

CLAUDIA M. MORA, individually and as a parent, natural guardian and next friend of A.C., a minor and S.C., a minor; JUAN CARLOS CASTILLO; ADVANCE WALK-IN URGENT CARE, LLC; and UNION MULTI-CARE MEDICAL CENTER, INC.,

Plaintiff - Appellees,

and

RICHARD OSEI AKOTO, M.D., P.C., LLC; and RICHARD OSEI AKOTO, M.D.,

Plaintiffs,

v.

LANCET INDEMNITY RISK RETENTION GROUP, INC., Defendants - Appellants.

Appeal from the United States District Court for the District of Maryland at Greenbelt. Paula Xinis, District Judge. (8:16-cv-00960-PX)

Argued: January 29, 2019 Decided: May 7, 2019

Before MOTZ, KING, and WYNN, Circuit Judges.

Affirmed by unpublished opinion. Judge Wynn wrote the opinion, in which Judge Motz and Judge King concurred.

ARGUED: John Becker Mumford, Jr., HANCOCK, DANIEL & JOHNSON, P.C., Glen Allen, Virginia, for Appellant. Matthew Peter Maloney, MALONEY LAW OFFICE, LLC, Kensington, Maryland, for Appellees. ON BRIEF: Kathryn E. Kasper, HANCOCK, DANIEL & JOHNSON, P.C., Glen Allen, Virginia, for Appellant.

Unpublished opinions are not binding precedent in this circuit.

WYNN, Circuit Judge:

In this appeal, we confront the issue of whether a medical malpractice insurer owes coverage for a default judgment obtained against an insured physician who fled the country and refused to participate in the defense of a malpractice action against him. The insurer contends that it does not owe coverage under the Policy because Maryland law prohibited it from defending the malpractice claim without the physician’s consent and because his refusal to participate prejudiced the insured’s ability to defend the malpractice action. The district court rejected these arguments and found the insured liable for payment under the terms of the Policy. For the reasons below, we affirm the judgment of the district court.

I.

In January 2015, Dr. Ishtiaq Malik treated Juan Castillo for his complaints of chest pains and shortness of breath. After administering a treadmill stress test and an EKG, Dr. Malik prescribed a beta blocker but did not refer Castillo to a cardiologist or instruct him to seek any other immediate medical attention. Eight days later, Castillo died from a cardiac event.

On July 2, 2015, counsel for Castillo’s wife, Claudia Mora, and children notified Dr. Malik’s malpractice insurer, Lancet Indemnity Risk Retention Group, Inc. (“Lancet”), that they were preparing to file a medical malpractice action against Dr. Malik. Plaintiffs indeed filed that action on July 24, 2015 in Montgomery County, Maryland state court naming as defendants: Dr. Malik, P.C.; Dr. Malik’s two physician practices, Advanced Walk-In, LLC (“Advanced”) and Union Multi-Care Medical Center,

Inc. (“Union,” and collectively with Advanced and Dr. Malik, “the Insureds”); Castillo’s former physician, Dr. Richard Akoto; and Dr. Richard Osei Akoto, M.D., P.C., LLC. Mora v. Advanced Walk-In Urgent Care LLC, No. 407276 (Montgomery Cnty. Cir. Ct. July 24, 2015). Plaintiffs alleged that Dr. Malik and Dr. Akoto negligently failed to refer Castillo to a cardiologist, leaving his condition undiagnosed and untreated, resulting in Castillo’s death. That same day, Plaintiffs mailed a copy of the complaint to Lancet and Lancet’s outside counsel.

In response to the letter and lawsuit, Lancet informed the Insureds that it had been contacted by the plaintiffs in the malpractice action, had retained defense counsel on the Insureds’ behalf, and required Dr. Malik’s assistance in discussing the allegations against the Insureds. The attorney retained by Lancet, Brad Kelly, made multiple attempts to contact Dr. Malik by phone, email, and in writing. Dr. Malik, however, never responded, despite repeated attempts to reach him over the course of many months. After speaking with one of Dr. Malik’s former attorneys, Lancet learned Dr. Malik had moved to Pakistan and had no plans to return to the United States.

Unable to reach Dr. Malik, Kelly advised Lancet that because he had not obtained Dr. Malik’s consent to representation, the Maryland Rules of Professional Conduct barred him from appearing in the malpractice action. After Kelly advised Lancet that he believed he was ethically barred from appearing on Dr. Malik’s behalf, Lancet elected not to participate in the malpractice action—it did not investigate the malpractice claim, it did not obtain Castillo’s medical records, and it did not answer Plaintiffs’ complaint.

Several months later, in October 2015, Lancet sent a letter to Dr. Malik’s last known address informing him that it was disclaiming coverage because of his failure to cooperate in defense of the malpractice suit. Lancet sent two similar letters to Pakistani addresses thought to be where Dr. Malik might be residing.

In February 2016, Plaintiffs moved for Entry of an Order of Default against the Insureds, which the state court granted on March 11, 2016. The attorney for the Plaintiffs notified Lancet that it had thirty days to move to vacate the order. Three days before a state-court scheduled hearing on damages, Lancet filed a motion to intervene—its first effort to participate in the case—which the court granted. Thereafter, Lancet unsuccessfully moved to delay the damages hearing. The state court then entered judgment in the Plaintiffs’ favor in the amount of $2.56 million.

On March 2, 2016, Mora, her two minor children, and her adult son, Juan Carlos Castillo, filed the instant action in Maryland state court, seeking a declaration that Lancet owed coverage under the Policy for the judgment in the malpractice action. Lancet removed the case to federal court and filed a counterclaim seeking a declaration that the Policy was void because of Dr. Malik’s failure to comply with notice and cooperation provisions in the Policy. 1

1 Following a Rule 16 pretrial conference, Mora, Lancet, and Dr. Akoto stipulated that Advanced and Union, as well as Defendants Richard Akoto, M.D. and Richard Osei Akoto, M.D., P.C., LLC, should be realigned as plaintiffs in the declaratory judgment action against Lancet.

Thereafter, both parties filed motions for summary judgment, which the court denied in an opinion and order entered March 1, 2017. Mora v. Lancet Indem. Risk Retention Group, Inc., No. PX 16-960, 2017 WL 818718, at *1 (D. Md. Mar. 1, 2017). Applying Maryland law, the district court held that as a matter of law Lancet could not disclaim coverage based on lack of notice because it had received notice from Plaintiffs’ counsel. Id. at *6–7. However, the court determined that there were triable issues of fact precluding summary judgment on the issue of whether, under the terms of the Policy, Lancet could disclaim coverage on grounds that it was prejudiced by Dr. Malik’s absence and refusal to cooperate. Id. at *10.

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