Griffin v. PATS. COMP. FUND OVERSIGHT BOARD

907 So. 2d 90
CourtLouisiana Court of Appeal
DecidedMarch 24, 2005
Docket2004 CA 0613, 2004 CA 0614
StatusPublished
Cited by5 cases

This text of 907 So. 2d 90 (Griffin v. PATS. COMP. FUND OVERSIGHT BOARD) 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
Griffin v. PATS. COMP. FUND OVERSIGHT BOARD, 907 So. 2d 90 (La. Ct. App. 2005).

Opinion

907 So.2d 90 (2005)

Jeffrey F. GRIFFIN, Hildreth B. McCarthy and David C. Longcope
v.
LOUISIANA PATIENT'S COMPENSATION FUND OVERSIGHT BOARD.

Nos. 2004 CA 0613, 2004 CA 0614.

Court of Appeal of Louisiana, First Circuit.

March 24, 2005.

*91 James F. Willeford, New Orleans, for Plaintiffs — Appellees Jeffrey F. Griffin, Hildreth B. McCarthy, and David C., Longcope.

Max J. Cohen, New Orleans, for Intervenors — Appellees Insurance Underwriters, Ltd. and Edwin O. Schlesinger.

David A. Woolridge, Jr., Larry M. Roedel, Baton Rouge, for Defendant — Appellant, Louisiana Patient's Compensation Fund Oversight Board.

Robert J. Burns, Jr., Baton Rouge, for Intervenor — Appellee St. Paul Fire & Marine Ins. Co.

Before: PARRO, KUHN, and WELCH, JJ.

WELCH, J.

This is an appeal by the defendant, the Louisiana Patient's Compensation Fund Oversight Board ("the PCF Board"), from a summary judgment granted in favor of the plaintiffs, Drs. Jeffrey F. Griffin, Hildreth B. McCarthy, and David C. Longcope ("the plaintiff health care providers"), and the intervenor, St. Paul Fire & Marine Insurance Company ("St. Paul"), finding the plaintiffs to be "qualified health care providers" under the provisions of the Medical Malpractice Act (La. R.S. 40:1299.41, et seq.) ("the MMA") for the time period of October 19, 2001, through January 11, 2002 ("the time period at issue"), and ordering the PCF Board to report them as qualified health care providers for the time period at issue.[1] For the following reasons, we affirm the judgment of the trial court.

FACTUAL AND PROCEDURAL HISTORY

The facts of this case are generally undisputed. The PCF Board is a legislatively created entity that administers the Patient's Compensation Fund ("the PCF"), which holds private monies in trust to compensate victims of medical malpractice and to protect qualified health care provider members who may be liable for damages caused by their malpractice.

The plaintiff health care providers are and have been qualified health care providers under the MMA[2] and are and have been insured by St. Paul with medical malpractice liability limits of $1 million/$3 million. On October 19 of every year, the St. Paul medical malpractice insurance policy was renewed. However, in 2001, Insurance Underwriters, Ltd. ("IU"), the agent for St. Paul, did not deliver the renewal policy, the policy invoices, PCF surcharge invoice, and other renewal documentation to the plaintiff health care providers until December 17, 2001.

On January 7, 2002, the plaintiff health care providers issued a check to St. Paul in the amount of $16,716 for the insurance premium, and a check to the PCF in the amount of $24,136, for the payment of their surcharge, as calculated by St. Paul. St. Paul accepted the insurance premium payment and has provided continuous malpractice *92 coverage from October 19, 2001, continuing to and beyond January 11, 2002, with no lapse in coverage. On January 11, 2002, the check made payable to the PCF was received by the PCF Board, along with a cover letter indicating that the payment was for the period October 19, 2001 to October 19, 2002. The PCF Board deposited the check, thereby, accepting the full twelve-month surcharge tendered by the plaintiff health care providers.

Approximately ten weeks later, on March 24, 2002, the PCF Board sent written notice to the plaintiff health care providers informing them that they were refunding a portion of the PCF surcharge payment due to the untimely receipt of the payment. Additionally, the PCF Board took the position that a lapse in PCF "coverage" had occurred, since the annual renewal surcharge was received by the PCF Board after the date the surcharge was allegedly due. Consequently, the PCF Board has declared that the plaintiff health care providers were not "qualified health care providers" under the MMA for the time period at issue.

On January 3, 2003, a claim for medical malpractice was filed against Dr. Griffin, one of the plaintiff health care providers herein, for professional services rendered by him on January 4, 2002. The PCF Board asserted that Dr. Griffin was not a qualified health care provider on this date, and therefore, he has no PCF coverage. Thereafter, the plaintiff health care providers instituted proceedings seeking declaratory judgment as to whether they were "qualified health care providers" under the MMA during the time period at issue or whether the untimely payment of the surcharge (through no fault of the health care providers) resulted in a lapse in PCF coverage. St. Paul and IU intervened in the suit seeking the same relief as the plaintiff health care providers.

The plaintiff health care providers and St. Paul filed motions for summary judgment, which the trial court granted, thereby rendering declaratory judgment that the plaintiff health care providers were "qualified health care providers" under the MMA for the time period at issue and ordering the PCF Board to report them as "qualified health care providers" for the time period at issue. It is from this judgment that the PCF Board has appealed, contending that the trial court erred in finding that the plaintiff health care providers were PCF qualified for the time period October 19, 2001 through January 11, 2002, where the annual renewal surcharge for these health care providers was due on October 19, 2001, but was not received by the Oversight Board until January 11, 2002.

DISCUSSION

The MMA confers upon qualified health care providers two major advantages in actions against them for malpractice. Bennett v. Krupkin, XXXX-XXXX (La.App. 1st Cir.3/28/02), 814 So.2d 681, 685, writ denied, XXXX-XXXX (La.6/21/02), 819 So.2d 338. First, the liability of a qualified health care provider for all injuries or death for any one patient may not exceed $100,000, and the total amount recoverable from all defendants (including the PCF) for all malpractice claims for injuries or death for any one patient, exclusive of future medical care and related benefits, may not exceed $500,000, plus interest and costs. Id.; La. R.S. 40:1299.42(B). Second, no action for malpractice against a qualified health care provider or his insurer may be commenced in a court of law before the complaint has been presented to a medical review panel and the panel has rendered its expert opinion on the merits *93 of the complaint, unless the parties agree to waive this requirement. Id.; La. R.S. 40:1299.47(A).

Health care providers may take advantage of these benefits only if they "qualify" under the MMA by meeting certain statutory requirements set forth in La. R.S. 40:1299.42(A). These benefits are bestowed on health care providers for as long as they remain qualified under the Act. Id.; La. R.S. 40:1299.45(A).

Louisiana Revised Statute 40:1299.42 sets forth the requirements for a health care provider seeking to qualify under the MMA, and it provides, in pertinent part, as follows:

A. To be qualified under the provisions of this Part, a health care provider shall:
(1) Cause to be filed with the board proof of financial responsibility as provided by Subsection E of this Section.
(2) Pay the surcharge assessed by this Part on all health care providers according to La. R.S. 40:1299.44.
(3) For self insureds, qualification shall be effective upon proof of financial responsibility by and payment of the surcharge to the board.

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Cite This Page — Counsel Stack

Bluebook (online)
907 So. 2d 90, Counsel Stack Legal Research, https://law.counselstack.com/opinion/griffin-v-pats-comp-fund-oversight-board-lactapp-2005.