Costello v. Mutual Hospital Insurance Inc.

441 N.E.2d 506, 1982 Ind. App. LEXIS 1469
CourtIndiana Court of Appeals
DecidedNovember 9, 1982
Docket4-182A13
StatusPublished
Cited by12 cases

This text of 441 N.E.2d 506 (Costello v. Mutual Hospital Insurance Inc.) is published on Counsel Stack Legal Research, covering Indiana Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Costello v. Mutual Hospital Insurance Inc., 441 N.E.2d 506, 1982 Ind. App. LEXIS 1469 (Ind. Ct. App. 1982).

Opinion

CONOVER, Judge.

Martha Costello, appellant, appeals a summary judgment granted in Fountain Circuit Court in favor of the appellee, Mutual Hospital Insurance, Inc., and Mutual Medical Insurance, Inc., doing business as Blue Cross and Blue Shield of Indiana (Blue Cross). Costello’s motion to correct errors was overruled. She asserts the following errors for review:

1. Did the trial court err in finding there was no evidence of malice?

2. Did the trial court erroneously determine the original action was brought with probable cause?

Affirmed.

Martha Costello was covered by a group medical insurance policy written by Blue Cross and Blue Shield of Indiana. Her daughter, Gina, was also covered by the terms of the policy as a dependent.

Gina was injured in an automobile accident and required hospitalization and physician’s services. All expenses were paid by Blue Cross, under the terms of the policy, and subject to a subrogation provision in the insurance contract. It provided:

In the event of any payment for services under this policy, The Corporations shall, to the extent of such payment, be subrogated to all rights of recovery of the Member or Dependent arising out of any claim or cause of action which may accrue because of the alleged negligent conduct of a third party. Any such Member or Dependent hereby agrees to reimburse *508 The Corporations, for any benefits so paid hereunder, out of any monies recovered from such third party as the result of judgment, settlement or otherwise....

Martha informed Blue Cross that Gina was an adult and they should contact her to arrange repayment. Blue Cross was also told Gina was prosecuting a personal injury action against the other party to the accident. Gina’s personal injury claim was eventually settled. In spite of Martha’s letters to Blue Cross, the insurance carrier continued to attempt recovery from Martha. The attorney for Gina and Martha also attempted to rectify the error with letters to Blue Cross.

Blue Cross eventually filed a claim against Martha and Gina to recover payments made by Blue Cross. Gina paid the amount in question and the suit was dismissed with prejudice.

Subsequent to the termination of the collection suit, Martha filed a complaint against Blue Cross, charging them with malicious prosecution. Blue Cross answered the complaint and moved for summary judgment, which was granted. DISCUSSION AND DECISION

Summary judgment is appropriate when:

the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits and testimony, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter of law.

Ind. Rules of Procedure, Trial Rule 56(C). A party challenging an adverse grant of summary judgment must show either a genuine issue of material fact in dispute or erroneous legal conclusions drawn from undisputed facts. Campbell v. Eli Lilly & Co., (1980) Ind.App., 413 N.E.2d 1054, trans. denied Ind., 421 N.E.2d 1099; Tabani v. Hester, (1977) 174 Ind.App. 56, 366 N.E.2d 193.

When an appellate court reviews the grant of a summary judgment the following rules apply. A fact will be regarded as material if it affects the outcome of the litigation. Stuteville v. Downing, (1979) Ind.App., 391 N.E.2d 629. A factual issue is genuine if it may not be resolved by reference to undisputed facts. American Family Mutual Insurance Co. v. Kivela, (1980) Ind.App., 408 N.E.2d 805. All facts set forth by the party opposing the motion for summary judgment are regarded as true and any doubts are resolved in favor of the non-moving party. Campbell, supra. Any necessary inferences drawn from the facts presented are resolved against the moving party.

After reviewing the evidence submitted the court issued the following conclusions of law:

Conclusion 1. Defendants acted properly in prosecuting the case against Martha because they were following their ‘ordinary course of business’; and
Conclusion 2. There was no intention of bad faith on the part of defendants in suing Martha, and there was no evidence of malice on the part of the defendants; and
Conclusion 8. Defendants has ‘probable cause’ to prosecute the lawsuit against Martha, which was prior to the decision of the Indiana Court of Appeals in Mutual Hospital v. McGregor (1977) 368 N.E.2d 1376, and Hagerman v. Mutual Hospital (1978) 371 N.E.2d 394; and
Conclusion 4. The prosecution against Martha was not terminated in Martha’s favor, but merely terminated.

To prevail Martha must show summary judgment was improperly rendered on each element of her claim for malicious prosecution. If Blue Cross was entitled to summary judgment on any necessary element, summary judgment was correctly entered.

To support a claim for malicious prosecution a plaintiff must show the occurrence of:

1. Legal action instituted by defendant.
2. With malice
3. Without probable cause
4. Termination in favor of the plaintiff
5. Damages sustained.

Aluminum Co. of America v. City of Lafayette, (1980) Ind.App., 412 N.E.2d 312.

*509 As we affirm the finding of the trial court we will deal only with the dispositive issue, probable cause. The facts underlying Blue Cross’s belief it had probable cause to institute a collection action are undisputed.

At the time Blue Cross sued Martha and Gina the status of Indiana law was unsettled as to the interpretation of the subrogation clause contained in Blue Cross’s standard insurance contract. Affidavits and testimony submitted by Blue Cross showed they were unsure whether the subrogation clause in the contract gave them a right of recovery against an insured dependent or only against the party paying the insurance premiums.

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441 N.E.2d 506, 1982 Ind. App. LEXIS 1469, Counsel Stack Legal Research, https://law.counselstack.com/opinion/costello-v-mutual-hospital-insurance-inc-indctapp-1982.