Galen Health Care, Inc. v. American Casualty Co. of Reading

913 F. Supp. 1525, 1996 U.S. Dist. LEXIS 849, 1996 WL 34104
CourtDistrict Court, M.D. Florida
DecidedJanuary 25, 1996
Docket94-795-CIV-ORL-22
StatusPublished
Cited by14 cases

This text of 913 F. Supp. 1525 (Galen Health Care, Inc. v. American Casualty Co. of Reading) is published on Counsel Stack Legal Research, covering District Court, M.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Galen Health Care, Inc. v. American Casualty Co. of Reading, 913 F. Supp. 1525, 1996 U.S. Dist. LEXIS 849, 1996 WL 34104 (M.D. Fla. 1996).

Opinion

ORDER

CONWAY, District Judge.

This cause comes before the Court for consideration of the parties’ opposing Motions for Summary Judgment and Plaintiffs’ Motion in Limine.

I. BACKGROUND

Plaintiffs, Galen Healthcare, Inc., Galen of Florida (d/b/a Lucerne Medical Center), and Anglo American Insurance Company Ltd. seek reimbursement, 1 as an excess insurer, from American Casualty of Reading, Pennsylvania (ACCR), the alleged primary insurer, for a payment they made in settlement of a medical malpractice claim. On December 6, 1990, Alan Boone filed a medical malpractice suit for neurological injuries he sustained after undergoing surgery at Lucerne Medical Center on December 27, 1988. The named defendants in the Boone suit were Lucerne Medical Center, Dr. David Rosen, Dr. Ro-sen’s professional association, and Nurse La-son. The Boone case settled for $6.6 million *1528 in July 1993. The Plaintiffs allege that $4.6 million was contributed to obtain a release for Lucerne Medical Center and Nurse La-son, with Dr. Rosen’s insurance carrier contributing the remaining $2 million.

Resolution of the issues raised by the summary judgment motions turns on the interpretation and application of the policies issued by the respective companies. According to copies of insurance policies provided to the Court as exhibits 2 , Plaintiff Galen Healthcare, Inc. had primary insurance coverage with Health Care Indemnity, Inc. (HCII) covering the professional malpractice liability of the Lucerne Medical Center and Nurse Lason; HCII paid $2.5 million, the limits of its coverage, to settle the Boone claim. Nurse Lason was also covered under a professional nurses liability policy, issued by ACCR, providing $1 million in coverage. Galen Healthcare, Inc. also maintained a true excess policy with limits of $2.5 million for each occurrence in excess of HCII’s underlying $2.5 million limit. 3 Plaintiffs allege that ACCR’s $1 million policy covering Nurse Lason provided primary coverage which should have responded to the Boone malpractice action before its true excess policy.

A. Standard for Summary Judgment

Plaintiffs seek partial summary judgment on the issue of whether ACCR’s policy is a primary policy, which must cover the loss for Nurse Lason before Plaintiffs’ trae excess policy is require to indemnify the loss. ACCR moves for summary judgment on several bases; the crux of its motion is that Plaintiffs have failed to state a claim under the doctrine of equitable subrogation or Florida’s statute governing bad faith failure to settle. Summary judgment is only granted where there are no genuine issues as to any material facts and the moving party is entitled to judgment as a matter of law. Fed. R.Civ.P. 56(c). The court must view the evidence and all factual inferences arising therefrom in the light most favorable to the non-moving party. Adickes v. S.H. Kress & Co., 398 U.S. 144, 157-9, 90 S.Ct. 1598, 1608-9, 26 L.Ed.2d 142 (1970). Summary judgment is inappropriate where there are material factual issues in dispute or the movant fails to “furnish an adequate basis for the court to apply the proper legal principles in resolving a difficult question of law.” Bingham, Ltd. v. United States of America, 724 F.2d 921, 924 (11th Cir.1984). The interpretation of language in an insurance policy is a question of law properly decided on summary judgment. Cranford Ins. Co. v. Allwest Ins. Co., 645 F.Supp. 1440, 1441 (N.D.Cal.1986) (citing Continental Casualty Co. v. City of Richmond, 763 F.2d 1076, 1079 (9th Cir.1985)).

B. ACCR is a Primary Insurer

Plaintiffs argue that ACCR’s policy is primary, not excess, and Plaintiffs are entitled to indemnity from ACCR for settlement of claims against Nurse Lason under the law of equitable subrogation. ACCR contends that Plaintiffs’ policy and ACCR’s policy were both excess policies, and that Plaintiffs have no right to any reimbursement. “Florida law is quite clear that the parties’ intent is to be measured solely by the language of the policies unless the language is ambiguous.” Towne Realty v. Safeco Ins. Co. of America, 854 F.2d 1264, 1267 (11th Cir.1988) (citing Durham Tropical Land Corp. v. Sun Garden Sales Co., 106 Fla. 429, 138 So. 21, 23 (1931)). In this ease, the language of the policies is clear and unambiguous, and Florida case law dictates the priority of coverage.

Plaintiffs’ policy states in four separate places that them coverage is in excess of “the Underlying Amounts” of other insurance: 4

1) “This is a claims made policy with legal costs and expenses inclusive within the ‘Limit of Liability’ ... and is excess of Underlying Amounts (as set forth in the attached schedule of underlying amounts), which provide for legal costs and expenses *1529 to be paid in addition to the amounts specified.” (Excess Liability Policy, p. 1);
2) “This extension of coverage shall apply in excess of the Underlying Amounts for Hospital Professional Liability.” (Hospital Professional Liability Endorsement, p. 1, ¶ LA.);
3) “Underwriters shall only be liable in excess of the amounts as stated in the attached Schedule of Underlying Amounts_” (Excess Liability Policy, p. 2, ¶ 2 of Insuring’Agreements);
4) “Liability under this Policy ... shall not attach unless and until the 'Underlying Amounts have been satisfied by actual payment of such Loss ...” (Excess Liability Policy, p. 13, ¶ H).

Plaintiffs’ policy makes clear that it is a true excess policy, that is, it extends only excess coverage above the “Underlying Amounts.” Cf. Towne Realty, 854 F.2d at 1268 (interpreting language of policy with excess coverage). According to the policy’s Schedule pf Underlying Amounts, Plaintiffs’ policy attached only to excess of $2.5 million. 5

ACCR contends that the “other insurance” clause in its policy insuring Nurse Lason presumptively makes its policy an “excess policy”. The “other insurance” clause in the Professional Liability section reads:

OTHER INSURANCE
If there is other insurance which applies to the loss resulting from your professional services, the other insurance must pay first. It is the intent of this policy to apply to the amount of loss which is more than:
A.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Zurich Am. Ins. Co. v. Southern-Owners Ins. Co.
314 F. Supp. 3d 1284 (M.D. Florida, 2018)
Privilege Underwriters Reciprocal Exch. v. Hanover Ins. Grp.
304 F. Supp. 3d 1300 (S.D. Florida, 2018)
Dollar Tree Stores, Inc. v. Crum & Forster Specialty Insurance
91 Va. Cir. 433 (Norfolk County Circuit Court, 2015)
Federal Insurance v. American Home Assurance Co.
664 F. Supp. 2d 397 (S.D. New York, 2009)
American Casualty Co. v. Health Care Indemnity, Inc.
613 F. Supp. 2d 1310 (M.D. Florida, 2009)
Rupp v. Transcontinental Insurance
627 F. Supp. 2d 1304 (D. Utah, 2008)
North River Insurance v. Broward County Sheriff's Office
428 F. Supp. 2d 1284 (S.D. Florida, 2006)
Essex Builders Group, Inc. v. Amerisure Insurance
429 F. Supp. 2d 1274 (M.D. Florida, 2005)
Twin City Fire Insurance v. Fireman's Fund Insurance Co.
386 F. Supp. 2d 1272 (S.D. Florida, 2005)
Fireman's Fund Insurance Company v. In Any Event
254 F.3d 987 (Eleventh Circuit, 2001)
Talat Enterprises, Inc. v. Aetna Casualty & Surety Co.
952 F. Supp. 773 (M.D. Florida, 1996)

Cite This Page — Counsel Stack

Bluebook (online)
913 F. Supp. 1525, 1996 U.S. Dist. LEXIS 849, 1996 WL 34104, Counsel Stack Legal Research, https://law.counselstack.com/opinion/galen-health-care-inc-v-american-casualty-co-of-reading-flmd-1996.