Nuspl v. Missouri Medical Insurance Co.

842 S.W.2d 920, 1992 Mo. App. LEXIS 1888, 1992 WL 365531
CourtMissouri Court of Appeals
DecidedDecember 15, 1992
DocketNo. 61465
StatusPublished
Cited by14 cases

This text of 842 S.W.2d 920 (Nuspl v. Missouri Medical Insurance Co.) 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
Nuspl v. Missouri Medical Insurance Co., 842 S.W.2d 920, 1992 Mo. App. LEXIS 1888, 1992 WL 365531 (Mo. Ct. App. 1992).

Opinions

GARY M. GAERTNER, Presiding Judge.

Appellants, Gary and Cheryl Nuspl, appeal the dismissal of their suit for contract reformation, breach of contract, and negligence. The Circuit Court of the City of St. Louis dismissed appellants’ suit against both respondents, Missouri Medical Insurance Company (“Momedico”) and Rollins Burdick & Hunter (“RBH”), on statute of limitations grounds. We affirm in part and reverse in part.

On November 25, 1972, appellants’ son, Keith Nuspl,1 was born. As a result of alleged medical malpractice, Keith sustained serious injuries which, appellants claim, eventually resulted in his death on February 20, 1990. Appellants filed suit against Dr. Hugh Smith, the obstetrician who delivered Keith, on July 11, 1985, and Dr. Smith was served on December 5,1985.

Until 1979, Dr. Smith was covered by a “claims made” medical malpractice policy, which he purchased from Lloyd’s of London. A policy of this type covers only those claims made while the policy is in force. In 1979, however, Dr. Smith changed his malpractice coverage to an “occurrence” type policy, which he purchased from respondent Momedico. This type of policy covers the policy holder for all events which occur while the policy is in effect, regardless of when the claims for those events are made. Momedico’s policy contained a limited prior acts endorsement, which provided Dr. Smith with coverage for acts committed between December 1, 1976, and the date of the policy’s inception in 1979. These circumstances left a gap period in Dr. Smith’s malpractice coverage for any potential claims occurring prior to December 1, 1976, which had not yet been filed. Appellants’ suit, which arose from acts occurring on November 25, 1972, and had not been filed until July 11, 1985, fell within that gap.

On January 8, 1991, appellants and Dr. Smith entered into a consent judgment for one million dollars. In addition, Dr. Smith assigned all causes of action against his insurance carriers to appellants. In return, appellants agreed not to levy execution on any property owned by Dr. Smith. Appellants filed the instant suit against Momedi-co that same day, claiming Dr. Smith’s policy should have provided coverage all the way back to 1972, as he allegedly requested. On May 29, 1991, appellants amended their suit to name RBH, Dr. Smith’s insurance agent in the above transaction, as an additional defendant, alleging RBH failed to request adequate coverage for Dr. Smith. Both Momedico and RBH moved for judgment on the pleadings, based on the statute of limitations. After oral argument and submission of written memoranda, the court sustained respondents’ motions on January 23, 1992. On January 30, the court entered a supplemental order clarifying the January 23 order. Appellants appeal the court’s entry of judgment on the pleadings.

For their only point on appeal, appellants claim their causes of action were not barred by the applicable statute of limitations. We partially agree.

In reviewing a judgment granted on the pleadings, we consider only such facts as were well pleaded in appellants’ petition below. Tomlinson v. Kansas City, 391 S.W.2d 850, 852-53 (Mo.1965). Respondents do not claim insufficiency of the pleadings to state a cause of action; respondents’ only contention is that the actions are time-barred.

BREACH OF

CONTRACT/NEGLIGENCE CLAIMS

All parties agree the applicable statute of limitations for negligence claims is five years. RSMo § 516.120 (1986). There is, however, some dispute regarding breach of contract claims. Appellants averred in their petition that, because the claims were based on the written insurance policy, and [922]*922not an oral contract, the applicable statute of limitations is ten years. RSMo § 516.-110 (1986). We do not address this issue because the trial court made no finding on this subject, therefore the question is not properly before us.

Respondents’ contend the causes of action accrued, and the limitations period began to run, either (a) when the policies were first delivered in 1979, or (b) when suit was filed against Dr. Smith on July 11, 1985. For respondents to prevail, one of the above contentions must be correct as a matter of law. We conclude respondents are incorrect.

RSMo § 516.100 (1986) provides, in relevant part:

[T]he cause of action shall not be deemed to accrue when the wrong is done or the technical breach of contract or duty occurs, but when the damage resulting therefrom is sustained and is capable of ascertainment ...

As respondents point out, the phrase “capable of ascertainment” refers to the fact of damage, not the precise amount of damage. Earls v. King, 785 S.W.2d 741, 744 (Mo. App., S.D.1990). We note, however, that the mere occurrence of an injury may not necessarily coincide with the accrual of a cause of action.

This court recently decided a very similar case in Community Title v. Safeco Ins. Co., 795 S.W.2d 453 (Mo.App., E.D. 1990). An owner of a building directed an insurance agent to procure the necessary fire coverage, and the building was subsequently destroyed by fire. Allegedly due to the agent's negligence, the coverage was not as requested, and was quite insufficient. The agent moved for summary judgment on statute of limitations grounds, claiming, as here, the limitations period began to run when the policies were delivered. Id. at 458. Reversing the trial court’s grant of summary judgment in favor of respondent’s agent, this court stated:

[At] the time the policies were delivered, appellants had no claim against [respondent] because none of the risks appellants sought to insure against had occurred ...

Community Title, 795 S.W.2d at 459. Here, quite obviously, none of the malpractice litigation had occurred by 1979, and Dr. Smith had no inkling his personal assets were at stake when the suit was initiated in 1985. Therefore, none of the risks Dr. Smith sought to protect against had occurred, either. In an action on contract, a cause of action accrues upon a defendant’s failure to perform at the time and in the manner contracted, and a statute of limitations begins to run when a suit may be maintained. Davis v. Laclede Gas Co., 603 S.W.2d 554, 555 (Mo. banc 1980).

Furthermore, appellants herein could not have been aware of any damage when the policies were delivered in 1979, because Dr. Smith (whose interest in this litigation has been assumed by appellants) is entitled to rely on the insurance experts at RBH to procure the requested coverages. Martin v. Crowley, Wade & Milstead, Inc., 702 S.W.2d 57, 58 (Mo. banc 1985). As with any relationship between a layman and an expert, the layman has no duty to double-check the expert’s work. Id.

For the same reason, this cause of action could not have accrued when suit was filed in 1985 because Dr. Smith still had a right to rely upon RBH’s expertise.

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Bluebook (online)
842 S.W.2d 920, 1992 Mo. App. LEXIS 1888, 1992 WL 365531, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nuspl-v-missouri-medical-insurance-co-moctapp-1992.