Gallinger v. North Star Hospital Mutual Assurance, Ltd.

64 F.3d 422
CourtCourt of Appeals for the Eighth Circuit
DecidedAugust 29, 1995
DocketNo. 94-2617
StatusPublished
Cited by1 cases

This text of 64 F.3d 422 (Gallinger v. North Star Hospital Mutual Assurance, Ltd.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eighth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gallinger v. North Star Hospital Mutual Assurance, Ltd., 64 F.3d 422 (8th Cir. 1995).

Opinions

MORRIS SHEPPARD ARNOLD, Circuit Judge.

In 1978, a group of 13 hospitals formed North Star Hospital Mutual Assurance, Ltd. (NSHMA), an entity through which they intended to insure themselves for malpractice and other types of general liability. Membership in the company, which was incorporated in Bermuda, later grew to almost 250 hospitals and nursing homes.

Although the NSHMA members did not hold shares of stock in the company, the members were subject to various Bermuda statutes that treated those members in a manner analogous to shareholders in a corporation. For instance, under the legislation authorizing the formation of the company in Bermuda, the “liability of each member ... [was] limited to the premiums or any unpaid ... portion thereof, due” to the company. Under that same legislation, no member was to be required to “pay any dues or assessments in addition to such premiums”; rather, “the property and assets” of the company were to be “liable for its debts and liabilities.”

Under the legislation authorizing the formation of the company in Bermuda, the members of the company were granted the power to approve a set of bylaws proposed by the company’s initial board of directors. Under that same legislation, the members were also given the power to “revoke, alter, amend or add to” the bylaws by resolution. The original bylaws for NSHMA provided that each member’s base premium could be increased by up to 100 percent in any particular year, depending upon that member’s insurance losses for that year (those increases were called general and specific experience modifiers). In 1981, however, the members of NSHMA, through a resolution passed at a general meeting, deleted the provision allowing for experience modifiers from the bylaws of the company.

In mid-1983, a company called Great Global Assurance (GGA) began providing workers’ compensation insurance to NSHMA members. NSHMA agreed to be GGA’s reinsurer for claims under GGA policies. In early 1986, however, an Arizona state court placed GGA into receivership because of insolvency; the receiver for GGA then canceled all insurance policies that had been issued by GGA.

[425]*425For payment of claims, GGA policyholders turned as an alternative to the various insurance guaranty funds of the states in which the policyholders were located. Those insurance guaranty funds sought to recover their own payments of over $15 million from the receiver for GGA. In response, in mid-1991, the receiver for GGA sued NSHMA and 67 of its members in federal district court in Minnesota. The complaint alleged that NSHMA was the reinsurer for GGA’s policies and therefore that NSHMA and its members were liable to GGA for the amounts sought by the state insurance guaranty funds from the receiver for GGA. The complaint contended that the NSHMA members could be held individually liable for the debts of NSHMA itself because “NSHMA was a mere instrumentality and alter ego of the ... defendants” and that the defendants “conducted, managed and controlled the affairs of NSHMA as though NSHMA was their own business.” (The receiver for GGA sought relief against the NSHMA members on account of the fact that NSHMA itself was— and is — insolvent.)

The complaint asserted claims for breach of contract, civil conspiracy, promissory es-toppel, and unjust enrichment. The receiver for GGA asked for $15 million in damages. In 1993, on motions for summary judgment, the district court dismissed the claims of promissory estoppel and unjust enrichment against the NSHMA members. In 1994, on motions for summary judgment, the district court dismissed the remaining claims of breach of contract and civil conspiracy against the NSHMA members. Subsequently, the district court entered a partial final judgment on all claims in favor of the NSHMA members and certified the judgment for appeal. See Fed.R.Civ.P. 54(b). The receiver for GGA appeals. We affirm the district court.1

I.

We turn first to the promissory estoppel claim. The district court held that the receiver for GGA had failed to establish the existence of a genuine issue of material fact with respect to whether the NSHMA members had promised to pay NSHMA’s debts if NSHMA itself was unable to do so (specifically, in this case, NSHMA’s reinsurance obligations to GGA), and therefore that the NSHMA members were entitled to summary judgment on the claim for promissory estop-pel.

In doing so, the district court rejected the affidavit of Allin Karls, the chairman of GGA during the relevant time; Mr. Karls is also the chairman of the company that had contracted to handle “claims, loss control, underwriting and administrative services” for NSHMA. The district court held that Mr. Karls’s affidavit about promises allegedly made by the NSHMA members was not specific enough to defeat the motions for summary judgment, since the affidavit did not identify which particular NSHMA members made the alleged promises, did not describe the specific nature of the alleged promises, and included no details about the persons who allegedly made the promises or the circumstances under which the alleged promises were made.

On appeal, the receiver for GGA disputes the district court’s conclusions about Mr. Karls’s affidavit and points to other evidence submitted that, according to the receiver, established a genuine issue of material fact with respect to promises allegedly made by the NSHMA members to cover debts such as the reinsurance obligations of NSHMA to GGA. We have examined the evidence to which the receiver for GGA directs us — an affidavit dated late 1992 from Mr. Karls; an affidavit dated late 1992 from Michael Miller, a vice-president for GGA until it went into receivership, and a marketing vice-president until early 1983 for the administrative services company headed by Mr. Karls; and an affidavit dated late 1992 from James Groves, an expert in “hospital-owned insurance companies.”

It is true that Mr. Karls asserted that “if there were not enough funds to pay claims, the founding hospitals knew that they would [426]*426be liable for the amounts over and above NSHMA’s payments”; that it was his “understanding” that “the hospital members would be responsible for losses” to NSHMA; that “[t]his was discussed at NSHMA board meetings”; and that “hospital administrators of NSHMA members assured [him] that ... the hospitals would contribute the money to pay the losses.” It is also true that Mr. Miller asserted that one of the NSHMA members, for which he worked before becoming associated with the administrative services company headed by Mr. Karls, “was willing to accept [the] risk [that] ... if [sufficient] funds were not available to pay its claims then [that NSHMA member] would have to make up the difference,” and that the president of NSHMA told him in late 1985 that the “NSHMA members were committed to ... contributing more capital.” Finally, it is true that Mr. Groves asserted that “the hospitals [in self-insuring organizations such as NSHMA] had committed their substantial financial resources to insuring their own risks ... [by] assuming the responsibility of taking care of their own losses”; that it was his “understanding” that “the participating hospitals [in such organizations] were responsible for paying their own collective losses”; and that he “had many discussions with hospital administrators about the way [that] participating hospitals [in such organizations] were responsible for the group’s own risks and losses.”

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Bluebook (online)
64 F.3d 422, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gallinger-v-north-star-hospital-mutual-assurance-ltd-ca8-1995.