Missouri Medical Insurance v. Wong

676 P.2d 113, 234 Kan. 811, 1984 Kan. LEXIS 258
CourtSupreme Court of Kansas
DecidedJanuary 24, 1984
Docket55,531
StatusPublished
Cited by26 cases

This text of 676 P.2d 113 (Missouri Medical Insurance v. Wong) is published on Counsel Stack Legal Research, covering Supreme Court of Kansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Missouri Medical Insurance v. Wong, 676 P.2d 113, 234 Kan. 811, 1984 Kan. LEXIS 258 (kan 1984).

Opinions

The opinion of the court was delivered by

Prager, J.:

This is an action brought by the plaintiff, Missouri Medical Insurance Company (MoMedico), for a declaratory judgment seeking cancellation and construction of a medical malpractice insurance policy issued to the defendant, Dr. David Wong. Plaintiff joined as additional defendants, Lynn Eugene Cleveland and Jack Jacobson, former patients of Dr. Wong, who had filed medical malpractice actions against Wong, and Fletcher Rell, Commissioner of Insurance, as administrator of the Health Care Stabilization Fund. MoMedico alleged in its petition that it had cancelled Wong’s policy of professional liability insurance as of the date of issuance for material misrepresentations made in his application, and further alleged that the policy, as issued, covered only acts of negligence which occurred during the term of the policy rather than for claims made during the policy period. Defendant Wong filed a counterclaim seeking a determination that MoMedico was precluded from cancelling his medical professional liability insurance ab initio, and that the provisions of the Kansas Health Care Provider Insurance Availability Act (K.S.A. 40-3401 et seq.) require the policy to be construed as a claims made policy rather than an occurrence policy. Defendant Wong also claimed he was entitled to recover actual and punitive damages from MoMedico arising out of its attempted cancellation of the policy, and that he was also entitled to recover attorney fees from MoMedico incurred in the defense of the declaratory judgment action. The other named defendants also filed counterclaims which will be discussed later in the opinion.

The matter came regularly on for trial on November 1, 1982. [813]*813Counsel for MoMedico made his opening statement. Counsel for defendant Wong then moved for a directed verdict and for judgment as a matter of law. The trial court interpreted the motion as a motion for summary judgment, and entered summary judgment in favor of Dr. Wong. A hearing was then held on November 2, 1982, on the issues raised in the defendants’ counterclaims. MoMedico has appealed from the judgments entered in favor of the various defendants. Defendant Wong filed a cross-appeal claiming that the district court erred in disallowing certain elements of damage claimed by Wong in his counterclaim.

The basic facts in this case were either stipulated or undisputed and are as follows: Defendant David Wong, M.D., began practicing medicine in the state of Kansas on or about July 1, 1975. At all times, he maintained professional medical liability insurance coverage as required by the Kansas Health Care Provider Insurance Availability Act (K.S.A. 40-3401 et seq.). St. Paul Fire & Marine Insurance Company advised Wong that it would not renew his professional liability insurance policy when it expired on June 30, 1980. On July 28, 1980, Wong purchased a policy of professional liability insurance from MoMedico which took effect on that date. The policy was purchased by Wong in person at MoMedico’s office in St. Louis, Missouri. On his application for insurance, Dr. Wong listed both a Wichita address and a Cameron, Missouri, address. Thus on July 28, 1980, when it issued the policy, MoMedico’s agents knew that Wong had both a Kansas and Missouri address. The insurance binder was mailed to Wong at his Wichita address. The policy was mailed to Dr. Wong at his Cameron, Missouri, address. The policy purchased by Dr. Wong provided professional liability insurance coverage and limits of $1,000,000 for each claim with a $1,000,000 annual aggregate. The policy was an occurrence form policy rather than a claims made policy. MoMedico knew at the time the policy was issued that Dr. Wong would render some professional care to persons in Kansas. For the basic coverage in Missouri, Dr. Wong paid a quarterly premium of $721, and for Kansas coverage he paid a quarterly premium of $72.10. Thereafter, Dr. Wong continued to render some medical services in Kansas until September 5, 1980. As of July 28, 1980, Dr. Wong had not received any written notice of any claim being made [814]*814against him by anyone. Defendant Jack Jacobson filed a medical malpractice suit against Wong on September 11, 1980. Defendant Lynn Eugene Cleveland filed a medical malpractice suit against Wong on September 28, 1980. The alleged acts of negligence claimed in both of these suits occurred prior to July 28, 1980, the effective date of the MoMedico policy.

On October 8, 1980, after it became aware of the two claims, MoMedico attempted cancellation of the policy ab initio and tendered Wong the return of his premiums and surcharge payments. MoMedico refused to provide Dr. Wong insurance coverage or a defense to the Jacobson and Cleveland claims. Mo-Medico, in May 1978, had filed a “Non-Admitted Carrier Declaration of Compliance” form with the Kansas commissioner of insurance. This form states, in substance, that MoMedico declares that its professional liability policies, wherever issued, shall be deemed to provide the insurance coverage required by K.S.A. 40-3402(a)(l), when the nonresident health care provider renders professional service as a health care provider in Kansas. It was stipulated by the parties that MoMedico never notified the Kansas insurance commissioner of either the issuance or cancellation of Dr. Wong’s insurance policy.

Because MoMedico refused to provide Dr. Wong insurance coverage and a defense to the Jacobson and Cleveland claims, defendant Fletcher Bell, Commissioner of Insurance, as administrator of the Health Care Stabilization Fund, provided a defense to Dr. Wong in those cases under a reservation of rights. Defendant Bell, in his counterclaim against MoMedico, sought reimbursement for attorney fees and expenses and for the sum of $12,000 paid to Jacobson in settlement of his malpractice claim against Dr. Wong. At the time the judgment in this case was entered in district court, the Cleveland action against Dr. Wong was still pending.

As a basis for the cancellation of Dr. Wong’s policy, MoMedico claimed that Dr. Wong misrepresented his place of residence, continued to practice medicine in Kansas after indicating that he would be concluding his Kansas practice, failed to inform plaintiff that claims were being made against him, and neglected to inform MoMedico that Wong had been insured by Western Casualty & Surety Company. Prior to cancellation of Dr. Wong’s policy, MoMedico’s manager conducted an investigation of Dr. [815]*815Wong. That investigation did not disclose any acts of wrongdoing whatsoever on the part of Dr. Wong nor disclose any facts justifying cancellation of the policy. Following this investigation, MoMedico decided to cancel Dr. Wong’s policy from the date of issuance and, thereafter, instituted this declaratory judgment action. When the case came on for trial, the district court granted judgment in favor of all defendants on plaintiff s claims following MoMedico counsel’s opening statement. This judgment was granted upon the motion of Dr. Wong’s counsel for a “directed verdict or for judgment as a matter of law.” The judge indicated that he had considered the stipulation of facts and exhibits referred to in those stipulations in reaching his decision.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

HM of Topeka, LLC v. Indian Country Mini Mart
Court of Appeals of Kansas, 2017
Ney v. Farm Bureau Life Insurance Co.
350 P.3d 1126 (Court of Appeals of Kansas, 2015)
Nationwide Mutual Insurance Co. v. Briggs
317 P.3d 770 (Supreme Court of Kansas, 2014)
Johnson v. Westhoff Sand Co.
135 P.3d 1127 (Supreme Court of Kansas, 2006)
Marshall v. Kansas Medical Mutual Insurance Co.
73 P.3d 120 (Supreme Court of Kansas, 2003)
Montoy v. State
62 P.3d 228 (Supreme Court of Kansas, 2003)
Itc Investments v. Employers Reinsurance, No. Cv98-115128 (Dec. 11, 2000)
2000 Conn. Super. Ct. 15454 (Connecticut Superior Court, 2000)
Wilson v. Ramirez
2 P.3d 778 (Supreme Court of Kansas, 2000)
Stauffer v. Jackson National Life Insurance
75 F. Supp. 2d 1271 (D. Kansas, 1999)
Farm Bureau Mutual Insurance v. Kurtenbach Ex Rel. Kurtenbach
961 P.2d 53 (Supreme Court of Kansas, 1998)
Potomac Residence Club v. Western World Insurance
711 A.2d 1228 (District of Columbia Court of Appeals, 1998)
MLK, INC. v. University of Kansas
940 P.2d 1158 (Court of Appeals of Kansas, 1997)
Glickman, Inc. v. Home Insurance Co
86 F.3d 997 (Tenth Circuit, 1996)
Overbaugh v. Strange
867 P.2d 1016 (Supreme Court of Kansas, 1994)
Canal Insurance v. Benner
First Circuit, 1992
Bell v. Simon
790 P.2d 925 (Supreme Court of Kansas, 1990)

Cite This Page — Counsel Stack

Bluebook (online)
676 P.2d 113, 234 Kan. 811, 1984 Kan. LEXIS 258, Counsel Stack Legal Research, https://law.counselstack.com/opinion/missouri-medical-insurance-v-wong-kan-1984.