McCollum v. Continental Casualty Co.

728 P.2d 1242, 151 Ariz. 492, 1986 Ariz. App. LEXIS 651
CourtCourt of Appeals of Arizona
DecidedJuly 1, 1986
Docket1 CA-CIV 8068
StatusPublished
Cited by12 cases

This text of 728 P.2d 1242 (McCollum v. Continental Casualty Co.) is published on Counsel Stack Legal Research, covering Court of Appeals of Arizona primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
McCollum v. Continental Casualty Co., 728 P.2d 1242, 151 Ariz. 492, 1986 Ariz. App. LEXIS 651 (Ark. Ct. App. 1986).

Opinion

*493 OPINION

CORCORAN, Judge.

During October 1980, Dr. Daun Batters-by, a chiropractor, received a solicitation letter from the International Chiropractic Association (the association), regarding malpractice insurance coverage, which included an application and a premium rate chart. The premium rate chart states: “Coverage is not retroactive but begins upon date of application pending approval.” This document also includes a section entitled “Prior Acts Coverage” which provides: “Individuals who wish insurance for any unknown possible prior acts can acquire it for a one-time-only charge payable quarterly over two years or in advance____”

On February 13, 1981, Dr. Battersby mailed his signed application and first premium check, thereby requesting malpractice coverage. Battersby’s premium included the quarterly payment for “$1,000,-000/1,000,000” basic liability coverage and for prior acts coverage.

On February 17,1981, Dr. Battersby was served with a summons and complaint (Maricopa County Cause C-429809) that alleged malpractice on his part occurring in November of 1979. The complaint was filed by Norman McCollum, the alleged victim of Battersby’s malpractice. After Norman’s death on December 4, 1981, his widow, Wanda McCollum (McCollum), acting as personal representative for Norman’s estate, became the sole plaintiff in the action.

The trial court made a finding in this case that Dr. Battersby did not know of this malpractice claim at the time he had mailed his application to the association. No one involved with the processing and issuance of the doctor’s insurance coverage was notified of this pending lawsuit until after the premium check had been cashed and the policy received. Battersby and his attorney had decided that no notification would be the best course of action.

Battersby’s insurance policy was issued in June 1981. The policy’s effective date was February 13, 1981 — the date of the application. On June 11, 1981, Battersby’s attorney sent a certified letter to the association and its agent, Marsh & McLennan, Inc. acknowledging that a malpractice lawsuit had been filed but did not include either the summons or the complaint. Furthermore, the letter did not make reference to the date of service.

On June 22, 1981, Continental first received notice of Norman McCollum’s claim against Battersby by way of a letter sent by Marsh & McLennan. In early October of 1981, Battersby entered into a Damron agreement with the McCollums whereby his answer was withdrawn and liability was admitted. See Damron v. Sledge, 105 Ariz. 151, 460 P.2d 997 (1969); State Farm Mut. Auto. Ins. Co. v. Paynter, 122 Ariz. 198, 593 P.2d 948 (App.1979). Cause C-429809 proceeded to a default hearing, and on June 14, 1982, the court awarded McCollum compensatory damages equalling $404,586, punitive damages in the amount of $500,000, and taxable costs. Battersby, pursuant to the Damron agreement, assigned all rights, claims, actions and causes of action that he had against Continental to McCollum.

McCollum’s later action against Continental was tried to a court sitting without a jury, and the judgment awarded to plaintiff was $443,584.50 plus attorney’s fees total-ling $45,000.00 and costs. Thereafter, Continental filed a timely notice of appeal.

Continental has framed two issues for our consideration:

1. Does an applicant for an insurance policy owe the duty to the prospective insurer to advise it of new facts which materially affect the coverage, when the knowledge of such facts is obtained after the application is completed, but prior to the time the policy was issued?
2. If the answer to Question 1 is in the affirmative and the new facts learned by the prospective insured materially affect the risk, does his failure to supplement or update the information given on the application authorize the insurance carrier to deny coverage for that claim?

McCollum, in her answering brief, agrees that this appeal is comprised of these two issues and adds a third:

*494 3. If the answer to Question 1 is in the affirmative, does the insurer waive (or is it estopped to assert) its right to deny coverage by accepting, collecting, and retaining premium payments after it has acquired knowledge of the existence of the “new facts which materially affect the coverage?”

1. Continental’s Issues

We note initially that both Continental and McCollum concede that this case is one of first impression, dealing with insurance coverage for an event occurring after an application is completed but before the policy is issued. Continental urges this court to follow the general rule among other jurisdictions that both the insurer and the insured must treat each other with utmost good faith, and therefore the insured is under a continuing duty to disclose to the insurer all facts affecting the risk which arises after the application has been completed and before the policy is issued. Continental argues that to hold otherwise would allow an insured to conceal with impunity material facts that occur after the application is submitted, and therefore would be contrary to common sense and fair play.

Did Dr. Battersby have a legal duty to disclose the McCollums’ suit to Continental once he learned of its existence? We think not. The key distinction between the cases relied on by Continental and this case is that we are dealing with a predated insurance policy (i.e., the insurer agrees to predate the effective date of the insurance policy to the date of application). Continental's position is that under a good faith doctrine, the rule of uberrimae fidei, the insured is under a duty to disclose to the insurer all facts affecting the risk which arises after the application and before the contract has been consummated, and it cites Stipcich v. Metropolitan Life Ins. Co., 277 U.S. 311, 48 S.Ct. 512, 72 L.Ed. 895 (1928), and 12A J. Appleman, Insurance Law and Practice § 7275 (rev. ed. 1981), as supporting authority. However, the policy in Stipcich became effective on the date of delivery —not the date of application. The Supreme Court in Stipcich did address the duty arising between an insured and his insurer given a predated insurance policy and concluded:

An insurer may of course assume the risk of such changes in the insured’s health as may occur between the date of application and the date of the issuance of a policy. Where the parties contract exclusively on the basis of conditions as they existed at the date of the application, the failure of the insured to divulge any later known changes in health may well not affect the policy.

277 U.S. at 315, 48 S.Ct. at 513. (emphasis added). This is the predated policy rule, and we believe it is applicable to the instant case.

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Cite This Page — Counsel Stack

Bluebook (online)
728 P.2d 1242, 151 Ariz. 492, 1986 Ariz. App. LEXIS 651, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mccollum-v-continental-casualty-co-arizctapp-1986.