Indiana Restorative Dentistry, P.C. v. Laven Insurance Agency Inc.

999 N.E.2d 922, 2013 WL 6631142, 2013 Ind. App. LEXIS 621
CourtIndiana Court of Appeals
DecidedDecember 17, 2013
DocketNo. 49A05-1212-PL-627
StatusPublished
Cited by4 cases

This text of 999 N.E.2d 922 (Indiana Restorative Dentistry, P.C. v. Laven Insurance Agency Inc.) is published on Counsel Stack Legal Research, covering Indiana Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Indiana Restorative Dentistry, P.C. v. Laven Insurance Agency Inc., 999 N.E.2d 922, 2013 WL 6631142, 2013 Ind. App. LEXIS 621 (Ind. Ct. App. 2013).

Opinion

OPINION

RILEY, Judge.

STATEMENT OF THE CASE

Appellant-Plaintiff, Indiana Restorative Dentistry, P.C. (IRD), appeals the trial court's denial of its motion to correct error following the trial court's summary judgment in favor of Appellee-Defendant, ProAssurance Indemnity Co., Inc. f/k/a The Medical Assurance Co., Inc. (ProAssu-rance).

We reverse and remand.

ISSUES

IRD raises three issues on appeal, which we restate as:

(1) Whether Appellee-Defendant, Laven Insurance Agency, Inc. (Laven), was under a special duty to advise IRD about its insurance coverage where Laven and IRD had a long-term relationship;
(2) Whether Laven had a duty to procure full coverage insurance based on its past dealings with IRD; and
(3) Whether ProAssurance is vicariously liable for Laven's actions.

FACTS AND PROCEDURAL HISTORY

On October 25, 2009, a fire destroyed the Carmel offices of IRD. The office contents were covered under an insurance policy issued by ProAssurance and obtained through Laven. ProAssurance paid the policy limits for the loss. However, IRD now asserts that it was underinsured due to Laven's failure to provide insurance [926]*926advice and to secure additional insurance coverage.

Dr. Stephen Lehman (Dr. Lehman), a licensed prosthodontist, opened his Carmel office in 1978. Dr. Lehman's spouse, Maureen Lehman (Maureen), is the office manager and has handled the practice's insurance requirements for over twenty years. Dr. Lehman was referred to Laven to secure Indiana Dental Association (IDA) endorsed insurance coverage for his small business.1 He purchased the coverage recommended © by Laven, which sold ProAssurance's products. The relationship between Laven and ProAssurance is governed -by an Agency Agreement.

On an annual basis, and as part of the insurance renewal process, Laven would mail IRD a questionnaire with an existing Declarations Page, outlining the current year's policy limits. The questionnaire sought to determine any changes in IRD's practice which might affect its insurance. Maureen would complete the questionnaire and once completed and reviewed, she would mail or fax the questionnaire to Laven. Additionally, in 1999, 2008, and 2009, Maureen annotated the questionnaire with the request to increase the insurance coverage with a specific amount. Laven would process the renewal and send IRD an updated coverage summary for the forthcoming year's insurance policy, with a cover letter stressing the importance of reviewing the coverage summary to confirm that the proposed coverage met IRD's expectations. The coverage summary would list the various coverage limits to be expressed in the renewed insurance policy and the premiums due. Maureen would use the updated coverage summary as a receipt to note the premium due, and to document the number of the cheek used to pay the premiums.

On September 17, 1999, Maureen submitted a renewal questionnaire to Laven and requested an increase of $15,000 in IRD's office contents coverage. Laven failed to communicate this request for increased insurance coverage to ProAssu-rance. Six months later, Laven sent IRD a notice that it had "overlooked a notation on [IRD's] renewal questionnaire" to add the requested coverage increase. (Appellant's App. p. 718).

In October of 2008, as was the typical practice in prior years, Laven forwarded a cover letter, renewal questionnaire, and a summary of IRD's current year coverage to Maureen. At that time, IRD's office contents coverage had a limit of $204,371. On October 8, 2008, Maureen returned the questionnaire, requesting an increase in office contents coverage to $350,000, an increase in professional liability coverage, and the addition of an additional insured in connection with lab machinery that IRD was leasing. On October 28, 2008, Laven sent IRD a cover letter, the coverage summary, and an invoice for the policy renewal, commencing on November 27, 2008. As with Laven's cover letters to IRD in past years, its cover letter included the cautionary language informing IRD to carefully review the proposed insurance coverage:

Please take a moment to look these policies over and be sure that they have been issued to your liking. 1 have enclosed a summary of all your policies. Please keep this with your copies of the policies. Any changes from your renewal questionnaire may not nee-essarily be included.

{Appellant's App. p. 298) (emphasis in original). The summary enclosed with the Oc[927]*927tober 28, 2008 letter listed each of the coverages under the ProAssurance policy, including office contents coverage in the amount of $204,371.

In August 2009, IRD received the annual questionnaire, as well as the summary of insurance coverage for the preceding poli-ey period that reflected office contents coverage of $204,371. Without notifying La-ven of the error in insurance coverage, Maureen completed the questionnaire and requested another increase in office contents coverage in the amount of $45,000. Upon receipt of the questionnaire, Laven directed ProAssurance to increase IRD's office contents coverage, beginning with the new policy period on November 27, 2009.

Throughout the policy period, Laven sent a series of risk review newsletters to current and potential customers, including IRD, describing its insurance expertise and skills. One of the newsletters received by IRD in 2010 included the following representation:

Risk Analysis Services
A professional insurance agent is trained in risk analysis, which involves evaluating risk exposure to measure the potential loss to your business. With your specific business and property in mind, your agent can recommend appropriate insurance coverage and perhaps reveal risk exposures you may have overlooked. Insurance professionals are knowledgeable about the insurance options available in your state. With this expertise, your agent can suggest options from a vast menu of risk-management products and ensure that you are in compliance with all mandatory regulations. Your insurance professional can also amend a basic policy by adding endorsements, which alter or expand the coverage provided under a basic policy. The insurance program developed by your agent will be tailored to your business's unique needs.

(Appellant's App. p. 515).2

A fire destroyed IRD's Carmel office on October 26, 2009. The office's contents loss due to the fire amounted to $704,894.34. Because the office contents coverage insurance had a policy limit of $204,871, the fire resulted in an IRD shortfall of more than $500,000.

On October 22, 2010, IRD filed its Complaint against ProAssurance and Laven to recover the uninsured losses resulting from the fire. On April 16, 2012, each party filed a separate motion for summary judgment, along with a designation of evidence and a memorandum of law. On July 16, 2012, the trial court conducted a hearing on the motions. Thereafter, on July 31, 2012, the trial court granted summary judgment in favor of ProAssurance and against IRD, as well as denying Laven's and IRD's respective motions for summary judgment. In its judgment, the trial court concluded in pertinent part:

The designated evidence shows that [Laven] was not under a special duty to advise [IRD] about its insurance coverage.

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999 N.E.2d 922, 2013 WL 6631142, 2013 Ind. App. LEXIS 621, Counsel Stack Legal Research, https://law.counselstack.com/opinion/indiana-restorative-dentistry-pc-v-laven-insurance-agency-inc-indctapp-2013.