Harris v. Jones

550 S.E.2d 93, 209 W. Va. 557
CourtWest Virginia Supreme Court
DecidedJuly 2, 2001
Docket29008
StatusPublished
Cited by17 cases

This text of 550 S.E.2d 93 (Harris v. Jones) is published on Counsel Stack Legal Research, covering West Virginia Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Harris v. Jones, 550 S.E.2d 93, 209 W. Va. 557 (W. Va. 2001).

Opinions

PER CURIAM:

This is an appeal from the Circuit Court of Mercer County by a practicing physician of an order granting summary judgment in favor of an insurance agency and an individual insurance agent. The physician alleged that the insurance agent sold him a policy that failed to fully cover the physician in a medical malpractice lawsuit settlement. The circuit court concluded that the physician’s action was barred by the statutes of limitation for both tort and contract actions.

After carefully examining the record, we conclude that questions of material fact remain. Accordingly, as set forth below, we reverse the circuit court’s summary judgment order.

I.

The appellant, Dr. David Harris (“Dr.Harris”), is a physician who practices plastic and reconstructive surgery in both Bluefield, Virginia, and Bluefield, West Virginia. In late 1989 or early 1990, Dr. Harris was deciding whether to renew his existing malpractice insurance policy, or to purchase a different policy from insurance agent Hamilton Jones (“Mr.Jones”), one of the appellees in the instant case.

Mr. Jones is an agent of the appellee, Mutual Insurance Agency, Inc. (“MIA”). Mr. Jones offered Dr. Harris a medical malpractice liability insurance policy to be issued by Physicians National Risk Retention Group (“PNRRG”). Mr. Jones’ chief selling point was the substantially lower price of the PNRRG policy. Mr. Jones told Dr. Harris that the PNRRG policy was “sound.”

However, according to Dr. Harris, Mr. Jones did not tell him that PNRRG was not “backed up” by the West Virginia Insurance Guaranty Association (“Guaranty Fund”), a statutorily-created fund that provides a degree of backup coverage when an insurance company cannot meet its obligations. See W.Va.Code, 33-26-1 to -19 [1970], Dr. Harris further contends that the appellees failed to comply with W.Va.Code, 33-32-9 [1987]1 [560]*560by failing to include on the insurance application form and on the declaration page notice that the policy being purchased was not “subject to the insurance laws or protected by the guaranty funds.”

Dr. Harris purchased the PNRRG policy in or around February 1990.

On June 22, 1990, Dr. Harris and other health care providers performed surgery on a patient to remove a blockage from her esophagus. The patient experienced complications from the surgery. Subsequently, the patient sued Dr. Harris and the other medical care providers who were involved in her care, claiming medical malpractice.

In November 1991, during the course of the malpractice litigation, PNRRG was placed into receivership in Louisiana. Dr. Harris questioned Mr. Jones about the PNRRG receivership and was allegedly told by Mr. Jones “not to worry;” that PNRRG “had plenty of money;” that PNRRG’s being placed into receivership was “a political problem;” and that it was just a case of “lawyers ... gouging each other.” PNRRG did provide Dr. Harris with a legal defense for the medical malpractice case.

Mr. Jones allegedly also assured Dr. Harris that PNRRG, even though in receivership, would pay between 90 and 95 percent of any malpractice judgment or any settlement that was reached in the pending malpractice litigation.

In May 1993, relying on Mr. Jones’ representations, Dr. Harris entered into a settlement agreement in the medical malpractice case for $100,000 plus interest. As part of the settlement, Dr. Harris pledged to personally pay any deficiency between the agreed-upon settlement and any payment made toward the settlement by PNRRG.

In October 1995, the medical malpractice plaintiff received a payment of approximately $28,000 from PNRRG’s receivership. Whether PNRRG would be able to pay more than the $28,000 remained questionable. A review of the record indicates that at the time this case was appealed, PNRRG’s liquidation was yet to be finalized, PNRRG had not paid any additional monies toward the settlement of the malpractice claim, nor had Dr. Harris personally paid any money toward the settlement.

Dr. Harris claims that it was in the summer of 1997 that he first learned: (1) that the PNRRG receivership proceeds would be substantially inadequate with respect to the malpractice settlement; and (2) that any balance owed after PNRRG made its final payment on the settlement agreement would not be paid by the Guaranty Fund. Specifically, Dr. Harris alleges that it was in the summer of 1997, after he began to hear rumors from other doctors that the Guaranty Fund did not cover certain medical malpractice claims, that he consulted an attorney who told him that PNRRG’s policy was not covered by the Guaranty Fund.

In November 1998, Dr. Harris instituted the instant action in the Circuit Court of Mercer County against the appellees, claiming that Mi'. Jones and MIA misled Dr. Harris and recommended and sold him a policy of insurance from a company that Mr. Jones and MIA knew, or should have known, was financially unsound. Dr. Harris further contended that the appellees negligently failed to inform Dr. Harris that the policy would not be protected by West Virginia’s Guaranty Fund, failed to comply with specific statutory requirements relating to notice that Guaranty Fund protection was not available, and that he suffered severe emotional distress as a result of the failure of his professional liability policy to protect him in the event of a malpractice claim against him.

Mr. Jones and MIA filed motions for summary judgment, asserting that Dr. Harris’ actions were barred by statutes of limitation.

The circuit court granted the appellees’ motions for summary judgment, finding that Dr. Harris’ action was untimely. Specifically, the circuit court found that Dr. Harris’ former insurance agent had informed Dr. Harris in 1990 regarding risks associated with PNRRG. Furthermore, the circuit [561]*561court found that Dr. Harris’s PNRRG policy specifically stated that “STATE INSURANCE INSOLVENCY GUARANTY FUNDS ARE NOT AVAILABLE FOR THE RISK RETENTION GROUP.” Lastly, the trial court found that on June 29, 1993, Dr. Harris received a certified mail letter from PNRRG informing Dr. Harris that PNRRG did not belong to any guaranty fund.

In an order dated July 11, 2000, the circuit court granted summary judgment in favor of Jones and MIA concluding, as a matter of law, that Dr. Harris’ claims were barred by the statutes of limitation for both tort and contract actions.2 Dr. Harris appeals from this ruling.

II.

In the instant appeal, the controlling question is whether the granting of summary judgment was appropriate. This Court reviews summary judgments under a de novo standard. We have consistently said that “[a] circuit court’s entry of summary judgment is reviewed de novo.” Syllabus Point 1, Painter v. Peavy, 192 W.Va. 189, 451 S.E.2d 755 (1994).

In Syllabus Point 3, Aetna Cas. & Sur. Co. v. Federal Ins. Co. of New York, 148 W.Va. 160, 133 S.E.2d 770 (1963), we stated the basic rule that:

A motion for summary judgment should be granted only when it is clear that there is no genuine issue of fact to be tried and inquiry concerning the facts is not desirable to clarify the application of the law.

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Harris v. Jones
550 S.E.2d 93 (West Virginia Supreme Court, 2001)

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550 S.E.2d 93, 209 W. Va. 557, Counsel Stack Legal Research, https://law.counselstack.com/opinion/harris-v-jones-wva-2001.