McPherson v. U.S. Physicians Mutual Risk Retention Group

99 S.W.3d 462, 2003 Mo. App. LEXIS 124, 2003 WL 202245
CourtMissouri Court of Appeals
DecidedJanuary 31, 2003
DocketWD 59264
StatusPublished
Cited by25 cases

This text of 99 S.W.3d 462 (McPherson v. U.S. Physicians Mutual Risk Retention Group) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
McPherson v. U.S. Physicians Mutual Risk Retention Group, 99 S.W.3d 462, 2003 Mo. App. LEXIS 124, 2003 WL 202245 (Mo. Ct. App. 2003).

Opinions

Overview

HAROLD L. LOWENSTEIN, Judge.

This case touches on the seeming tension between the statutory powers possessed by receivers to wind up insolvent insurance companies and the general supervisory powers of Missouri trial courts overseeing the administration of the receivership of these companies. This case stems from a decision by a trial judge to order an audit in a four year old pending petition and case for liquidation of a Missouri insurer. A primary question is whether a court supervising an insurance [467]*467receivership can surcharge1 one of its officers (here a special deputy receiver or SDR) who, after a court initiated statutory audit, has been found to have overcharged the receivership estate they were administering. This is an issue of first impression2 raised by the appeals of Elisabeth Sauer and her law firm, Sauer P.C. (collectively, either “Sauer” or SDR). Sauer was surcharged by the supervising court, Judge Lee Wells, for overcharging a receivership in her role as special deputy receiver (“SDR”) for insolvent defendant, U.S. Physicians Mutual Risk Retention Group (hereafter referred to as USPM). USPM insured healthcare providers. Sauer argues, among other things, that the court lacked the power, statutory or otherwise, to order surcharge. Secondarily, the SDR questions the power of the supervising trial court to order an extensive “business” or “performance” audit of a pending liquidation. The named respondent is A.W. McPherson, Deputy Director of the Missouri Department of Insurance and the statutory receiver of the insolvent insurer, who had appointed Sauer.3 Throughout the remainder of this opinion the designation Receiver, Director and Department will be synonymous. This court holds that, though the trial court had the inherent power to surcharge and to order an audit that did more than examine numbers, its judgment must nonetheless be reversed because the court abused its discretion in failing to recuse itself.

Legal Background

Missouri’s Insurance law is generally contained in Chapter 375 and 376, RSMo 2000.4

In 1909, Missouri adopted its first comprehensive insurer insolvency statute. The current Insolvency Code § 375.1150 et. seq., is based on the Insurers Supervision, Rehabilitation and Liquidation Act, which went into effect in 1991.5 Under the Insolvency Code, the Director of the Missouri Department of Insurance has a duty to regulate insurance companies for the benefit of consumers. Sometimes this requires the Director, as statutory receiver, to liquidate insolvent insurance companies. An insurer is insolvent when “it is unable to pay its obligations when they are due, or when its admitted assets do not exceed its liabilities plus the greater of: a. Any capital or surplus required by law for its organization or b. The total par or stated value of its authorized and issued capital stock.” § 375.1152(13)(b). When the Director of the Department of Insurance determines an insurer is “beyond salvaging,” the Director may petition the circuit court for an order to liquidate or wind-up the affairs of the company. § 375.1175. See also § 375.570. Under § 375.1176.1, the court will order the director to take possession and control of the assets of the insurer, and subject to the supervision of [468]*468the court, wind-up the affairs of the company.

The Department’s ample regulatory and administrative tasks prevent the Director from personally supervising every liquidation. Consequently, the Director, as statutory receiver, may — -and often does with court approval — appoint SDRs who stand in the shoes of the Director, to windup the insurance companies. § 375.1176.2. See also § 375.650. In some receiverships, such as the one here, the SDR and the counsel are one in the same, where in others, the posts are held by separate persons or entities.

Although SDRs have the same powers as the Receiver, they do not have carte blanche; their administration is monitored by the supervising court, which must pre-approve many SDR actions, including compensating staff and paying administrative expenses, selling and disposing of the insolvent’s assets, creating claim procedures for creditors, and bar dates for the insureds to file claims, distributing any remaining assets, and abandoning the prosecution or defense of claims deemed unprofitable. As important to the case at bar, the supervising court, pursuant to § 375.1230, has the power to order an audit of the receivership to ensure that the administration is properly proceeding.6 In addition, it has a veto power over the appointment of an SDR and, like the Director, may unilaterally remove an SDR. This court’s oversight helps minimize agency costs. As will be pointed out later, the SDR and counsel were paid on an agreed upon hourly charge.

As an attorney acting in the role of Receiver’s counsel (Sauer the individual or as the only principal of Sauer, P.C.) was an officer of the supervising court. In re Westfall, 808 S.W.2d 829, 836 (Mo. banc 1991). Sauer, as SDR was also an officer of the court. § 375.650(2). So Sauer P.C., as Receiver’s counsel, or Sauer as SDR, was an officer or agent of the court. As officers or agents of the court, Sauer had a fiduciary duty to comply with the supervising court’s orders. Vert v. Metro. Life Ins. Co., 342 Mo. 629, 117 S.W.2d 252, 256 (1938). SDR, as the Receiver’s employee, see Transit Cas. Co. ex rel. Pulitzer Publ’g Co. v. Transit Cas. Co. ex rel. Intervening Employees, 43 S.W.3d 293, 303 (Mo. banc 2001), was an agent of the Receiver’s and, thus, a fiduciary, as was Receiver’s counsel, Sauer P.C., Klemme v. Best, 941 S.W.2d 493, 495 (Mo. banc 1997).

Sauer as SDR had broad powers over the receivership estate, see § 375.1182, thus making her a trustee, a fiduciary of all parties interested in the receivership. See Taylor v. Mayo, 110 U.S. 330, 334-35, 4 S.Ct. 147, 28 L.Ed. 163 (1884) (“A trustee may be defined generally as a person in whom some estate interest or power in or affecting property is vested for the benefit of another.”); Broussard v. Mason, 187 Mo.App. 281, 173 S.W. 698, 702 (1915). As attorney, as officer of the court, as trustee for the parties interested in the receivership estate, and as agent of the Receiver, Sauer’s fiduciary obligations were quite stringent. As Learned Hand noted:

It is... an error to suppose that good faith will excuse derelict and negligent administration of an estate [by a Receiv[469]*469er]. More is required than honesty; a receiver is a fiduciary, he undertakes to care for the property and manage it for creditors, to act with assiduity and with reasonable competence. If he is inert, if his conduct does not match with the least exacting standards of competence, he will be charged.... We are unwilling to set a standard [that] shall exonerate honest administration, however sluggish, however indifferent, however inconsiderate. Creditors are entitled to something more, and gentlemen who accept such positions must understand that they are to be alert and active in the business, though it proves exacting. If they are not willing to give their time to it, they had best not accept, for if they fail, they will be held accountable.

In re C.M.

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Bluebook (online)
99 S.W.3d 462, 2003 Mo. App. LEXIS 124, 2003 WL 202245, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mcpherson-v-us-physicians-mutual-risk-retention-group-moctapp-2003.