Gary v. Witherspoon

743 So. 2d 708, 1999 WL 346245
CourtLouisiana Court of Appeal
DecidedJune 2, 1999
Docket98-1810
StatusPublished
Cited by5 cases

This text of 743 So. 2d 708 (Gary v. Witherspoon) 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
Gary v. Witherspoon, 743 So. 2d 708, 1999 WL 346245 (La. Ct. App. 1999).

Opinion

743 So.2d 708 (1999)

Brenda GARY, Individually and on Behalf of her minor daughter, Jessica Viator, Plaintiff-Appellee,
v.
Philip H. WITHERSPOON, Jr., D.D.S., et al., Defendant-Appellant.

No. 98-1810.

Court of Appeal of Louisiana, Third Circuit.

June 2, 1999.

Calvin E. Woodruff, Jr., Abbeville, for Brenda Gary, Ind., etc.

Richard G. Duplantier, Jr., Michael J. Ecuyer, New Orleans, for National Fire Ins. Co.

Before WOODARD, AMY and SULLIVAN, Judges.

AMY, Judge.

In this medical malpractice matter involving a claims-made insurance policy, the defendant insurer appeals the trial court's denial of its motion for summary judgment and the grant of summary judgment in favor of the plaintiff. The defendant asserts that, because no claim was made within the policy period, there is no coverage under the insurance policy. For the following reasons, we affirm.

Factual and Procedural Background

The facts of this case are undisputed. Dr. Philip Witherspoon treated Jessica Viator for various dental and orthodontic problems from August 11, 1993, through January 25, 1996. The defendant, National Fire Insurance Company, issued a "claims-made" policy to Dr. Witherspoon, which policy had a prior acts date of February 10, 1988. The last policy issued to Dr. Witherspoon had effective dates of February 10, 1995, through February 10, 1996. That policy, however, was canceled by Defendant effective July 13, 1995, and Dr. Witherspoon did not purchase extended reporting coverage.[1] Plaintiff, who did not discover Dr. Witherspoon's acts of malpractice until another dentist treated Jessica on July 2, 1996, instituted suit against Dr. Witherspoon and Defendant on June 9, 1997. Service was made upon Defendant on June 17, 1997, thereby constituting Defendant's first notice of the claim in this matter. Plaintiff took a preliminary default judgment against Dr. Witherspoon on October 21, 1997, and confirmation of that default judgment was entered on November 12, 1997. Defendant filed a motion for summary judgment on August 27, 1997, asserting a lack of insurance coverage for Dr. Witherspoon's alleged malpractice. That motion, however, was denied by the trial judge because he found that Defendant *709 had neither offered any proof of the policy's cancellation, nor had it submitted any evidence demonstrating its lack of notice, during the policy period, of Plaintiff's claim. On March 13, 1998, Defendant reurged its motion for summary judgment, attaching the previously missing evidence as exhibits. Plaintiff also filed a motion for summary judgment on the issue of insurance coverage. At the hearing on the cross-motions for summary judgment, the trial court rendered judgment granting Plaintiffs motion and denying Defendant's motion. In his reasons for ruling, the trial judge stated as follows:

Okay. We do have freedom of contract in this state. That freedom is not unabridged. The claims made language in this insurance policy is, of course, effective between the parties to this insurance contract, but they—it is not effective against third parties because that would be contrary to the public policy as expressed in Revised Statute 22:629 and Revised Statute 9:5628 and Revised Statute 40:1299.45.
The plaintiff was vested with the right at the time the tort occurred, and those rights cannot be taken away by the insured's failure to notify the insurer. However, that failure may, in accordance with the insurance contract, limit the liability of the insurer to the insured. In any event, those are the reasons why I am granting the motion for summary judgment that the plaintiff has filed.

It is from that judgment that Defendant now appeals, presenting the following assignments of error:

A. The trial court improperly denied the motion for summary judgment of National Fire when a properly certified copy of the insurance policy and supporting affidavits were provided and plaintiffs produced no evidence to contradict the cancellation of said policy some twenty-three months before suit was filed.
B. The trial court improperly extended the decision reached in Hedgepeth [v. Guerin, 96-1044 (La.App. 1 Cir. 3/27/97); 691 So.2d 1355, writ denied, 97-1377 (La.9/26/97); 701 So.2d 983] to the facts of this case, declaring that the provisions in the claims-made policy at issue in this case were against public policy, as they are alleged to have limited plaintiffs' right to recover.

Discussion

As an appellate court, we review de novo trial court rulings regarding summary judgments and employ the same criteria as the trial court in conducting that review. See Brunet v. State, 97-1695 (La.App. 3 Cir. 6/10/98); 715 So.2d 560. That criteria is contained in La.Code Civ.P. art. 966, which provides, in pertinent part, as follows:

B. The judgment sought shall be rendered forthwith if the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to material fact, and that mover is entitled to judgment as a matter of law.
C. (1) After adequate discovery or after a case is set for trial, a motion which shows that there is no genuine issue as to material fact and that the mover is entitled to judgment as a matter of law shall be granted.
(2) The burden of proof remains with the movant. However, if the movant will not bear the burden of proof at trial on the matter that is before the court on the motion for summary judgment, the movant's burden on the motion does not require him to negate all essential elements of the adverse party's claim, action, or defense, but rather to point out to the court that there is an absence of factual support for one or more elements essential to the adverse party's claim, action, or defense. Thereafter, if the adverse party fails to produce factual support sufficient to establish that he will be able to satisfy his evidentiary *710 burden of proof at trial, there is no genuine issue of material fact.

In the present matter, both parties admit that there is no genuine issue of material fact left for determination. Therefore, in the context of summary judgment, the pertinent question remaining for us is whether the trial court correctly found that Plaintiff was entitled to judgment as a matter of law, while Defendant was not so entitled. At the heart of the problem presented in this case is La.R.S. 22:629, which provides, in pertinent part, as follows:

A. No insurance contract delivered or issued for delivery in this state and covering subjects located, resident, or to be performed in this state or any group health and accident policy insuring a resident of this state, regardless of where made or delivered shall contain any condition, stipulation, or agreement:
. . . .
(3) Limiting right of action against the insurer to a period of less than twelve months next after the inception of the loss when the claim arises under any insurance classified and defined in R.S. 22:6(10), (11), (12), and (13),[2] or to a period of less than one year from the time when the cause of action accrues in connection with all other insurances unless otherwise specifically provided in this Code.
B. Any such condition, stipulation, or agreement in violation of this Section shall be void, but such voiding shall not affect the validity of the other provisions of the contract.

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Bluebook (online)
743 So. 2d 708, 1999 WL 346245, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gary-v-witherspoon-lactapp-1999.