Mosier v. Southern California Physicians Ins. Exch.

63 Cal. App. 4th 1022, 63 Cal. App. 2d 1022, 74 Cal. Rptr. 2d 550, 98 Cal. Daily Op. Serv. 3574, 98 Daily Journal DAR 4851, 1998 Cal. App. LEXIS 412
CourtCalifornia Court of Appeal
DecidedMay 8, 1998
DocketB088559
StatusPublished
Cited by37 cases

This text of 63 Cal. App. 4th 1022 (Mosier v. Southern California Physicians Ins. Exch.) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mosier v. Southern California Physicians Ins. Exch., 63 Cal. App. 4th 1022, 63 Cal. App. 2d 1022, 74 Cal. Rptr. 2d 550, 98 Cal. Daily Op. Serv. 3574, 98 Daily Journal DAR 4851, 1998 Cal. App. LEXIS 412 (Cal. Ct. App. 1998).

Opinion

*1026 Opinion

HASTINGS, J.

The case presents a unique fact situation involving a courtesy defense provided to Dr. Neil Jouvenat, an uninsured physician, by appellant, Southern California Physicians Insurance Exchange (hereinafter SCPIE), which resulted in a jury verdict against SCPIE for fraud and conspiracy to breach fiduciary duty. Although the instant appeal involves only one plaintiff, one defendant and two counts, it is inextricably intertwined with two prior legal proceedings.

The first is the underlying medical malpractice action, brought by Ashley Hughes (Ashley), a quadriplegic, ventilator-dependent minor, and various family members, against Jouvenat and other defendants for debilitating medical injuries she suffered in their care during her delivery and the first few days of her life (hereinafter referred to as the personal injury action).

The second involves a bankruptcy petition filed by Jouvenat shortly after the verdict was rendered in.the personal injury action. Respondent Robert Mosier was appointed the interim bankruptcy trustee for Jouvenat’s estate.

The instant action was prosecuted by Mosier based upon allegations that SCPIE defrauded Jouvenat by inducing him to accept the courtesy defense and conspired to breach fiduciary duties owed to Jouvenat by counsel retained by SCPIE, Darrell Forgey, of the law firm of Hillsinger & Costanzo. 1 After a seven-week trial, a jury found the allegations true and concluded that the original allocation of fault against Jouvenat in the personal injury action, 70 percent, should have been only 40 percent. A judgment was subsequently entered against SCPIE, directing it to pay Mosier, an interim trustee for the bankruptcy estate of Jouvenat, $4,221,078.90 in compensatory damages, $14 million in punitive damages and $24,311.82 in costs.

SCPIE appeals, raising numerous issues. After a thorough review of the record, while we conclude there is sufficient evidence to support the findings of the jury relating to fraud and breach of fiduciary duty, we conclude there is insufficient evidence to support a finding that Jouvenat was injured or that the compensatory damages are causally related to SCPIE’s breaches of duty.

Statement of Facts

We review the facts, bearing in mind that we must resolve all evidentiary conflicts favorably to respondent Mosier and accord him the benefit of all *1027 reasonable inferences which can be drawn from the evidence. (Campbell v. Southern Pacific Co. (1978) 22 Cal.3d 51, 60 [148 Cal.Rptr. 596, 583 P.2d 121]; Hasson v. Ford Motor Co. (1977) 19 Cal.3d 530, 544 [138 Cal.Rptr. 705, 564 P.2d 857, 99 A.L.R.3d 158].)

Background Facts

The facts regarding Ashley’s birth are, for the most part undisputed. She was bom on March 31, 1987, at Pomona Valley Hospital (the Hospital). Her mother, Kristy, was a minor and Ashley’s legal guardian at all pertinent times was her grandmother, Linda Hughes.

Jouvenat, Kristy’s obstetrician-gynecologist, had been on the Hospital staff since 1985. As part of the offer of employment, the Hospital had agreed to pay his malpractice insurance premiums, and Jouvenat had secured malpractice coverage through SCPIE. Prior to Ashley’s birth, a dispute arose between the Hospital and Jouvenat relating to the tax consequences of the Hospital’s payment of Jouvenat’s malpractice premiums. As a result of this dispute, the Hospital stopped paying the premiums, and at the time Ashley was bom Jouvenat’s policy with SCPIE had lapsed. Following Ashley’s birth, SCPIE agreed to retroactive reinstatement of the insurance, but without coverage for the incident relating to the birth of Ashley. Thus, Jouvenat was uninsured for this incident.

The delivery of Ashley was difficult, and Jouvenat utilized a forceps procedure in a manner not authorized by the Hospital. Due to Ashley’s position in the birth canal and the direction in which Jouvenat turned her, Ashley’s neck was twisted 180 degrees, resulting in severe injury to her spinal cord.

Immediately after her birth, Ashley was transferred to the care of the Hospital’s staff neonatologists, Drs. Andrew Hsu and Yu-Sheng Wu (collectively referred to as Hsu and Wu), and Dr. Kong-Tay Wu. (To avoid confusion, Dr. Kong-Tay Wu will always be referred to by his full name, while Dr. Yu-Sheng Wu will be referred to only as Wu or Dr. Wu.) At this point, no one was aware that any injury to Ashley had occurred during delivery, although it was clear that she was not in good health. Ashley was placed in intensive care while the neonatologists attempted to ascertain what was wrong with her. She was treated for breathing difficulties and four days later she was referred to the care of a pediatric neurologist who misdiagnosed her as having a rare congenital disease called Werdnig-Hoffman syndrome. The neonatologists informed Ashley’s family that Ashley probably would not survive.

*1028 Ashley was transferred to Loma Linda Hospital where the spinal cord injury was properly diagnosed. Because of the spinal cord injury, Ashley was rendered a quadriplegic. She is also dependent on a ventilator to breathe.

The Personal Injury Lawsuit

Ashley’s legal guardian, Ashley’s mother and Ashley’s aunt (who was in the delivery room) brought a lawsuit against Jouvenat, the Hospital, Drs. Hsu and Wu, Dr. Kong-Tay Wu, and the pediatric neurologist Dr. Rice. These plaintiffs were represented by Attorney Bruce Fagel.

The theory against Jouvenat was that his manner of delivery had caused a lesion to the spinal cord, resulting in Ashley’s quadriplegia and ventilator dependency. The theory of recovery against the neonatologists was that they had aggravated the original injury caused by Jouvenat. It was asserted that had the neonatologists timely diagnosed the spinal cord injury and promptly treated it with steroids, as recommended by a leading pediatric textbook, Ashley would not be dependent on a ventilator to breathe. It was also alleged that Hsu and Wu had fraudulently covered up Jouvenat’s negligence and their own failure to diagnose the injuries to Ashley. 2

Jouvenat initially engaged the services of Attorney George McDonald; however, McDonald withdrew for nonpayment of fees two years before trial commenced, leaving Jouvenat to represent himself. While Jouvenat was representing himself, he testified in a deposition that he had problems with alcohol and drug abuse during the time period immediately prior to and after Ashley’s birth. However, he disputed that he had actually been under the influence at the time of delivery in March 1987. 3

The three neonatologists, Hsu and Wu, and Kong-Tay Wu, were insured by SCPIE. Policy limits for Hsu and Wu were $6 million, collectively. SCPIE retained Marshall Silberberg, of the law firm of Baker, Silberberg and Keener (BSK), to represent Hsu and Wu. It retained another law firm to represent Kong-Tay Wu.

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Bluebook (online)
63 Cal. App. 4th 1022, 63 Cal. App. 2d 1022, 74 Cal. Rptr. 2d 550, 98 Cal. Daily Op. Serv. 3574, 98 Daily Journal DAR 4851, 1998 Cal. App. LEXIS 412, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mosier-v-southern-california-physicians-ins-exch-calctapp-1998.