Collinsworth v. Foster

680 So. 2d 1275, 1996 WL 539246
CourtLouisiana Court of Appeal
DecidedSeptember 25, 1996
Docket28,671-CA
StatusPublished
Cited by14 cases

This text of 680 So. 2d 1275 (Collinsworth v. Foster) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Collinsworth v. Foster, 680 So. 2d 1275, 1996 WL 539246 (La. Ct. App. 1996).

Opinion

680 So.2d 1275 (1996)

Mrs. Billie COLLINSWORTH, Plaintiff-Appellant,
v.
Orin F. FOSTER, et al., Defendants-Appellees.

No. 28,671-CA.

Court of Appeal of Louisiana, Second Circuit.

September 25, 1996.

*1276 Bobby L. Culpepper, Jonesboro, for Plaintiff-Appellant.

Cook, Yancey, King & Galloway by Herschel E. Richard, Jr., Shreveport, for Defendants-Appellees.

Before MARVIN, BROWN and PRICE, JJ.

MARVIN, Chief Judge.

In this action questioning medical insurance coverage, Billie and Ben Collinsworth appeal the district court's grant of summary judgment in favor of one of the defendants, International Surplus Lines Insurance Company ("ISLIC") that dismissed the claims against it.

We reverse the summary judgment and remand.

FACTUAL AND PROCEDURAL BACKGROUND

In her original petition filed on December 2, 1987, Mrs. Collinsworth alleges that she applied for group major medical insurance coverage on March 5, 1987, through her employer, the Bienville Voluntary Council on the Aging, Inc. ("Bienville"), and its associate, the Louisiana Association of Councils on Aging, Inc ("the Association").

ISLIC, the appellee, is Bienville's liability insurer. According to the petition, Mrs. Collinsworth applied for coverage for herself and her husband as part of a group major medical insurance plan to be effective March 1, 1987, provided through Bienville by Protective Service Life Insurance Company ("Protective").

In her deposition, Mrs. Collinsworth testified that Mr. Orin Foster, an employee of Group Insurance, Inc., an insurance agency, was present when she filled out the application on March 5, 1987. According to Mrs. Collinsworth, Foster told her at that time that she was eligible for the insurance, although she could not remember whether Foster also said that she and her husband would be provided coverage at that time. Mrs. Collinsworth also testified that she could not remember anyone other than Foster telling her before April 15, 1987, that they were covered.

Mrs. Collinsworth alleged in her petition that Foster and/or Group Insurance negligently prepared an insurance flyer describing benefits which caused her to believe that she and her husband were insured within 24 hours of her application. Bienville continually withheld premiums for the insurance from Mrs. Collinsworth's paycheck for approximately three months thereafter.

On April 15, 1987, Ben Collinsworth was admitted to the Lincoln General Hospital in Ruston, Louisiana, and then to the Schumpert Medical Center in Shreveport for treatment of a heart condition and surgery. Mrs. *1277 Collinsworth allegedly made several unsuccessful attempts to verify insurance coverage with Mr. Foster before placing her husband in the hospital, but asserts he did not answer. However, Mrs. Collinsworth's petition alleges that prior to her husband's hospitalization, Mrs. Gertie Baker at Bienville specifically told her that she and her husband were covered by the group insurance policy.

On the day that her husband was admitted to the hospital, Mrs. Collinsworth asserts that she went to Bienville's offices, attempting to confirm coverage under the plan, where she spoke with Mrs. Baker, who was her supervisor. Mrs. Collinsworth testified that after Baker told her that, as far as Baker knew, she and her husband were covered, Baker then telephoned Foster's office and the Association to further verify coverage. According to Mrs. Collinsworth, Foster was unavailable at the time, but Baker did reach someone at the Association who told her that "as far as they knew," the Collinsworths were covered. Then Baker, in turn, told Mrs. Collinsworth again that, "as far as she knew," Mrs. Collinsworth and her husband were covered. According to the Collinsworths, they decided to proceed with Mr. Collinsworth's treatment and surgery based upon this "reassurance" that they had insurance coverage, instead of avoiding some of the expense by going to L.S.U. Medical Center in Shreveport.

The cost of Mr. Collinsworth's treatment and surgery totaled $34,407.99. When the Collinsworths submitted the medical bills to Protective for payment, they were notified, for the first time, that they were not covered by the insurance. The Collinsworths claim that they were not notified of their lack of coverage until after May 13, 1987, almost a full month after Mr. Collinsworth's surgery.

Mrs. Collinsworth filed suit, as the sole plaintiff, on December 2, 1987, against Foster, Protective, Group Insurance, Inc. and the Association, alleging that the defendants were liable for breach of the insurance contract or, in the alternative, for negligently misleading her into believing that she and her husband were covered.

On June 17, 1988, pursuant to the district court judgment sustaining Protective's dilatory exception of nonjoinder of necessary party, Mrs. Collinsworth filed an amended petition to include her husband as a plaintiff and her employer, Bienville, as a defendant. Almost six years later, on May 20, 1994, the Collinsworths filed an amended and supplemental petition naming ISLIC as a defendant, alleging that ISLIC provided liability insurance coverage to Bienville for Bienville's alleged negligence.

The Collinsworths ultimately compromised and settled their claims with all defendants except Bienville and ISLIC. ISLIC filed a motion for summary judgment on July 6, 1995. The district court granted the summary judgment September 12, 1995, dismissing the Collinsworths' claims against ISLIC without assigning reasons.

STANDARD OF REVIEW

Appellate courts review summary judgments de novo under the same criteria that govern the district court's consideration of whether summary judgment is appropriate. Schroeder v. Board of Supervisors of Louisiana State University, 591 So.2d 342 (La.1991).

By Act No. 9 of the first extraordinary session of 1996, the Louisiana legislature amended the summary judgment article, La. C.C.P. art. 966, to provide that summary judgment procedure is favored, to set forth criteria for mandatory granting of the motion, to provide that judgment on the motion shall be rendered at least ten days prior to trial, and to specify that the burden of proof shall remain with the mover. The amended version of Art. 966, which became effective May 1, 1996, provides that summary judgment procedure is "designed to secure the just, speedy, and inexpensive determination of every action, ... and shall be construed to accomplish these ends."[1] One of our sister *1278 courts has construed the amendment to be procedural in nature and, therefore, retroactive in application. La.C.C. art. 6; Short v. Giffin, 96-0361 (La.App. 4th Cir. 8/21/96) 682 So.2d 249.

Even though the legislative intent is now stated to favor summary judgments, the amended version of Art. 966 does not change the law regarding the burden of proof in a summary judgment proceeding. The burden of proof remains on the mover to show "that there is no genuine issue as to material fact and that the mover is entitled to judgment as a matter of law." La.C.C.P. art. 966; Short v. Giffin, supra. Notwithstanding the amendment to Art. 966, if the mover fails to show that no genuine issues of material fact remain, summary judgment is not proper.

Facts are material if they potentially insure or preclude recovery, affect a litigant's ultimate success, or determine the outcome of the legal dispute. Penalber v. Blount, 550 So.2d 577 (La.1989).

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Bluebook (online)
680 So. 2d 1275, 1996 WL 539246, Counsel Stack Legal Research, https://law.counselstack.com/opinion/collinsworth-v-foster-lactapp-1996.