Government Employees Insurance v. Group Hospitalization Medical Services, Inc.

589 A.2d 464, 322 Md. 645, 1991 Md. LEXIS 85
CourtCourt of Appeals of Maryland
DecidedMay 6, 1991
DocketMisc. No. 11, September Term, 1990
StatusPublished
Cited by25 cases

This text of 589 A.2d 464 (Government Employees Insurance v. Group Hospitalization Medical Services, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals of Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Government Employees Insurance v. Group Hospitalization Medical Services, Inc., 589 A.2d 464, 322 Md. 645, 1991 Md. LEXIS 85 (Md. 1991).

Opinion

McAULIFFE, Judge.

The District of Columbia Court of Appeals has certified to this Court 1 questions relating to a subrogee’s rights against an automobile casualty insurer who settled with the subrogor after receiving notice of the subrogee’s interest. The facts as given to us by the certifying Court, and the questions presented, are as follows:

“On May 25, 1985, Frederick J. Proctor and a passenger were traveling south on Piscataway Road in Clinton, Maryland, on Proctor’s motorcycle when an automobile driven by Louise D. Thompson emerged from a driveway onto Piscataway Road. Proctor’s motorcycle struck Thompson’s automobile as the automobile, attempting to turn northward, crossed the southbound lane____
“Investigating police officers determined that the motorcycle was being driven at a very high rate of speed, in excess of sixty-five miles per hour. It was also determined that Proctor, the driver of the motorcycle, had been drinking, and several witnesses reported that the motorcycle had rapidly accelerated just before the collision.
“Group Hospitalization Medical Services, Inc. (“GHI”), had a health care contract with Mr. Proctor which provided that, in the event he was injured as a result of the negligence of another person, GHI would be subrogated *648 to Proctor’s rights against that person. Pursuant to this contract, GHI paid $21,518.26 for medical services rendered to Proctor as a result of his injuries. The contract provided further that GHI would have the right to obtain from Proctor any payments he received from that other person as the result of such injuries, or from any insurance company making such payments, as much of the recovery as would reimburse GHI for any medical expenses it paid.
“At the time of the accident, Louise Thompson was insured by Government Employees Insurance Company (“GEICO”) with policy limits of $25,000/$50,000 per accident. On December 19, 1985, GHI sent GEICO written notice of its subrogation right regarding any settlement agreement that GEICO might make with Proctor. On the same date, GHI sent a letter to Proctor and his attorney notifying them of GHI’s right of subrogation and its right to recover any fees for medical expenses received by them from, or on behalf of, the other party involved in the accident, Louise Thompson.
“On January 7, 1986, GEICO, despite the contributory negligence of Mr. Proctor (which is stipulated in this case), settled Proctor’s claim against Thompson for the policy limit of $25,000. An internal GEICO memorandum dated January 2, 1986, reveals that GEICO had received GHI’s notice of December 19, 1985, which the memorandum characterized as a ‘lien letter.’ After receiving payment from GEICO, Proctor declared bankruptcy. GHI filed a claim in the bankruptcy proceedings to recover the amount of its subrogated medical expenses, but the claim was disallowed as not recoverable from Proctor.
“On May 14, 1986, GHI sent a second letter to GEICO, again giving notice of GHI’s right of subrogation and the amount claimed, $21,518.26. GEICO replied in a letter dated June 9, 1986, informing GHI that $25,000 had been paid to Proctor and his attorney on January 7, and stating that since the policy limit had been exhausted, GEICO would not honor any subrogation lien.
*649 “GHI then filed this action in the Superior Court of the District of Columbia seeking judgment against GEICO in the amount of its subrogation claim, plus interest and costs. The trial court granted summary judgment for GHI, and GEICO brought this appeal.
“This appeal presents two questions of law:
“1. Under Maryland law, may GEICO defend against GHI’s subrogation claim by asserting that Proctor was contributorily negligent, despite having been notified of GHI’s right of subrogation before it paid Proctor’s claim against Thompson, GEICO’s insured? ...
“2. Under Maryland law, did a contractual relationship exist between GHI (as Proctor’s subrogee) and GEI-CO, so that GEICO’s failure to include GHI in its settlement negotiations with Proctor constituted a breach of contract? ...” We answer question 1 “yes” and question 2 “no.”

GHI advances three alternative theories of recovery against GEICO. First, GHI claims it acquired a lien against funds in GEICO’s hands when it gave GEICO notice of its subrogation claim, and the lien was not defeated by GEI-CO’s payment to Proctor. Second, by its payment to Proctor, GEICO waived any right it may have had to plead contributory negligence or otherwise contest its liability for damages caused by the accident. Third, GEICO, by its action or inaction, became contractually obligated to pay GHI’s claim. GEICO, although eschewing any right to rely upon the release given it by Proctor, and abandoning its earlier contention that it could not be made to pay more than its policy limits, denies direct liability to GHI. We address GHI’s contentions separately.

The Lien Theory

GHI, perhaps inspired in part by the language of its own letter informing GEICO that its “present total lien is $21,474.72,” and encouraged by GEICO’s internal memorandum characterizing GHI’s communication as a “lien letter,” claims a lien upon funds in the hands of GEICO. GHI *650 offers no authority for the contention that a subrogee acquires a lien when it obtains its subrogation rights, and we know of none. A subrogee acquires no greater rights than those possessed by the subrogor. Poe v. Phila. Casualty Co., 118 Md. 347, 353, 84 A. 476 (1912); General Cigar Co. v. Lancaster Leaf Tobacco Co., 323 F.Supp. 931, 935 (D.Md.1971); 16 Couch on Insurance 2d § 61:36 (rev. ed. 1983). Proctor never acquired a lien against GEICO; neither, therefore, did GHI.

Waiver

GHI contends that GEICO’s payment to Proctor constituted an implied waiver of GEICO’s right to raise the defense of contributory negligence — indeed to raise any defense related to liability — in a claim brought by Proctor’s subrogee for damages arising out of this accident.

The doctrine of waiver may operate to deprive an insurer of a right it would otherwise enjoy. St. Paul Fire & Mar. Ins. v. Molloy, 291 Md. 139, 144-45, 433 A.2d 1135 (1981); A/C Electric Co. v. Aetna Ins. Co., 251 Md. 410, 419, 247 A.2d 708 (1968). We have defined waiver in this context as “ ‘the intentional relinquishment of a known right’ existing for the benefit of the insurer.” St. Paul Fire & Mar. Ins., 291 Md. at 145, 433 A.2d 1135, quoting from Rubinstein v. Jefferson Nat’l Life, 268 Md. 388, 392, 302 A.2d 49 (1973).

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Bluebook (online)
589 A.2d 464, 322 Md. 645, 1991 Md. LEXIS 85, Counsel Stack Legal Research, https://law.counselstack.com/opinion/government-employees-insurance-v-group-hospitalization-medical-services-md-1991.