Medical Mutual Liability Insurance Society v. Goldstein

879 A.2d 1025, 388 Md. 299, 2005 Md. LEXIS 470
CourtCourt of Appeals of Maryland
DecidedAugust 9, 2005
Docket134, September Term, 2004
StatusPublished
Cited by6 cases

This text of 879 A.2d 1025 (Medical Mutual Liability Insurance Society v. Goldstein) is published on Counsel Stack Legal Research, covering Court of Appeals of Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Medical Mutual Liability Insurance Society v. Goldstein, 879 A.2d 1025, 388 Md. 299, 2005 Md. LEXIS 470 (Md. 2005).

Opinion

GREENE, Judge.

This matter arises from a declaratory judgment action filed by Barrett Goldstein, M.D. against Property and Casualty Insurance Guaranty Corporation (“PCIGC”), 1 and Medical Mutual Liability Society of Maryland (“Medical Mutual”). Dr. Goldstein, an orthopedic surgeon, sought a determination of whether PCIGC or Medical Mutual was obligated to provide a defense and indemnification for him in a contribution action filed by Montague Blundon, III, M.D. The Circuit Court for Montgomery County held that both companies were obligated to provide a defense and to indemnify Dr. Goldstein. PCIGC and Medical Mutual appealed. Prior to consideration of the matter in the Court of Special Appeals we granted certiorari on our own motion. See Medical Mutual Liability Society of Maryland v. Goldstein, 385 Md. 161, 867 A.2d 1062 (2005).

*302 PCIGC contends that the trial court erred in failing to apply the bar date restriction included in the definition of “covered claim” in PCIGC’s operating statute, Md.Code (1995, 2003 Repl.Vol.) § 9-301(d)(l) of the Insurance Article (“INS”). 2 In the alternative, it argues that the trial court erred in determining that PCIGC and Medical Mutual have a co-extensive duty to defend and indemnify Dr. Goldstein. According to PCIGC, the trial court’s interpretation violated INS § 9-310, 3 which requires Dr. Goldstein to exhaust coverage by another insurer before pursuing coverage by PCIGC. Medical Mutual argues that the trial court erred in declaring it responsible for the defense and indemnification because its policy explicitly excludes coverage for claims “first made” prior to the policy period. It also argues that Dr. Goldstein should be estopped from taking a position that is inconsistent with the theory, which he successfully argued against PCIGC, that the contribution claim is “the same injury” asserted in the medical malpractice action because it is an “additional claim made for damages resulting from the same injury.”

We hold that, based on the plain language of the statute, Dr. Goldstein’s claim for indemnification is not a “covered claim” because it was not presented to PCIGC prior to the absolute and final bar date as required by INS § 9-301(d)(l)(ii). Timely notice to PCIGC of an actual claim is not timely notice of all *303 potential claims arising out of the same event. Accordingly, PCIGC is not obligated to provide a defense and to indemnify Dr. Goldstein in the contribution action. Additionally, we hold that, based on the language of the Medical Mutual policy, Medical Mutual is not required to provide a defense or indemnification to Dr. Goldstein in the contribution action. Although the contribution action was “first made” during the coverage period, January 1, 2002, to January 1, 2003, the first claim against Dr. Goldstein arising out of the injury to Ms. Taylor was made prior to the coverage period. The policy specifically states that “[a]ll ‘claims’ for damages arising out of any one ‘incident’ will be deemed to have been made at the time the first of those ‘claims’ is first made against any insured.” Therefore, the claim is not covered by the policy.

Facts

The contribution action arose from a medical malpractice suit brought by Shirley Taylor against Doctors Goldstein and Blundon on January 6, 1995. The malpractice suit, HCA No. 95-006, arose from a surgical procedure performed in 1992 on Ms. Taylor’s hip by Dr. Blundon. Dr. Goldstein assisted in the surgery. On February 20, 1997, the Health Claims Arbitration Panel entered an award against Dr. Blundon in the amount of $503,189.64, and entered an award in favor of Dr. Goldstein. On November 20, 1997, the Circuit Court for Montgomery County confirmed the Panel’s determination. Dr. Blundon appealed. We affirmed the Circuit Court’s ruling. See Blundon v. Taylor, 364 Md. 1, 770 A.2d 658 (2001). No appeal was taken by either Dr. Blundon or Ms. Taylor regarding the Panel’s conclusion in favor of Dr. Goldstein. On April 16, 2002, Dr. Blundon filed the underlying contribution action, HCA No. 2002-177, seeking $312,450 plus cost and interest from Dr. Goldstein. The contribution action has been stayed pending the outcome of this litigation. 4

*304 After receiving notice of the contribution action, Dr. Gold-stein notified Medical Mutual and PCIGC. He sought a defense and indemnification from both companies pursuant to his respective insurance policies. PCIGC denied coverage on the basis that the claim was filed two-and-a-half years after the final bar date established in the PIE Mutual insolvency proceeding and, therefore, the claim was not a “covered claim” within the meaning of INS § 9-301(d)(l). Medical Mutual denied coverage on the basis that the policy Dr. Goldstein maintained with the company was a “claims first made” policy which limits coverage to “claims which are first made against any insured during the policy period for ‘incidents’ occurring after the Retroactive Date specified in the Declaration.” The policy further states that “all claims for damages arising out of any one ‘incident’ -will be deemed to have been made at the time the first of those ‘claims’ is first made against any insured.” Medical Mutual took the position that because the underlying medical malpractice suit was the first claim made against an insurer for damages arising out of the treatment of Ms. Taylor, the claim was “first made” in 1995 and, therefore, not covered by its policy.

In March of 2003, Dr. Goldstein filed a declaratory judgment action against PCIGC and Medical Mutual to determine whether either company was obligated to provide him with a defense and indemnification in the contribution action. PCIGC filed a motion to dismiss or in the alternative a motion for summary judgment on the same grounds that it originally denied the claim. On June 2, 2003, the Circuit Court for Montgomery County denied PCIGC’s motion on the basis that the language of the PIE Mutual policy, 5 which defines the contribution action as a claim pursuant to the policy, “does *305 have some relevance.” 6

PCIGC filed a motion for reconsideration and Dr. Goldstein filed a motion for summary judgment. The court began the hearing by noting:

To me, when I read it, the claim itself clearly falls within the definition of a covered claim under the PIE [Mutual] policy. The issue is does the statute which defines covered claim, change that when it refers to the time it has to be filed and the order with the absolute drop dead bar date.

After argument by both parties the court granted Dr. Gold-stein’s motion, holding:

The aspect of this claim that we’re talking about which, in essence, is the cross claim not filed earlier, is only under the PIE [Mutual] policy because it is an extension of the original claim that was made.

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Bluebook (online)
879 A.2d 1025, 388 Md. 299, 2005 Md. LEXIS 470, Counsel Stack Legal Research, https://law.counselstack.com/opinion/medical-mutual-liability-insurance-society-v-goldstein-md-2005.