Ohic Insurance v. Employers Reinsurance Corp.

694 F. Supp. 2d 794, 2010 U.S. Dist. LEXIS 20641, 2010 WL 816994
CourtDistrict Court, S.D. Ohio
DecidedMarch 8, 2010
Docket3:08-mj-00083
StatusPublished
Cited by1 cases

This text of 694 F. Supp. 2d 794 (Ohic Insurance v. Employers Reinsurance Corp.) is published on Counsel Stack Legal Research, covering District Court, S.D. Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ohic Insurance v. Employers Reinsurance Corp., 694 F. Supp. 2d 794, 2010 U.S. Dist. LEXIS 20641, 2010 WL 816994 (S.D. Ohio 2010).

Opinion

OPINION AND ORDER

JAMES L. GRAHAM, District Judge.

I. Introduction

In December 2007, plaintiff, OHIC Insurance Company (“OHIC”), filed suit in *798 the Franklin County Court of Common Pleas against defendant Employers Reinsurance Corporation (“ERC”), now known as Westport Insurance Company. The complaint alleges that ERC breached a reinsurance contract, the Excess Cession Reinsurance Agreement dated January 1, 1994 (the “Reinsurance Agreement”), with OHIC (Count I), and breached its duty of good faith and fair dealing in handling a claim on the Reinsurance Agreement (Count II). This insurance coverage dispute between ERC and OHIC concerns the payment of statutory interest and legal expenses incurred in a 1998 Wisconsin medical malpractice lawsuit. The matter was removed to this court in January 2008.

Pursuant to a preliminary pretrial order and stipulated supplemental case management order of this court, the matter has been bifurcated into two phases. “Phase 1” of the litigation is limited to the interpretation and construction of the Reinsurance Agreement and the policies of insurance that are reinsured by this agreement and/or constitute insurance for the underlying limits under this agreement. If a breach of contract is found to have occurred, OHIC’s damages for the breach are to be decided in Phase 1, without prejudice to any of ERC’s affirmative defenses or counterclaims to be decided in “Phase 2.” OHIC’s bad faith claim (Count II) is deferred until Phase 2. Also deferred to Phase 2 are all of ERC’s affirmative defenses as set forth in paragraphs 33-36, and 39-40 of ERC’s second amended answer to OHIC’s complaint, 1 as well as all of ERC’s counterclaims. The parties agreed that no argument concerning these affirmative defenses or counterclaims would be made or heard in Phase 1.

This matter is currently before the court on the parties’ cross-motions for summary judgment concerning Phase 1 of this litigation. ERC moves for summary judgment as to all of OHIC’s claims in Phase 1 of this case. OHIC has filed two partial motions for summary judgment: one on the issue of indemnification for prejudgment interest, and the other on the issue of indemnification for legal expenses and postjudgment interest. Also pending before this court is OHIC’s motion for an order prohibiting testimony of a certain expert witness disclosed by ERC, and ERC’s motion for leave to file sur-reply briefs to OHIC’s reply briefs in support of its motions for summary judgment. The motions have been fully briefed by both parties, and are now ripe for disposition.

II. Factual and Procedural Background

OHIC seeks reimbursement from ERC under the terms of the Reinsurance Agreement, which the parties entered in 1994. Pursuant to the Reinsurance Agreement, ERC agreed to provide reinsurance for OHIC’s excess liability policies becoming effective on or after January 1, 1994, and prior to January 1, 1998. More particularly, ERC agreed to indemnify OHIC for certain “losses” and “claim expenses” sustained or incurred by OHIC. Precisely what “losses” and “claim expenses” are covered by the Reinsurance Agreement is disputed by the parties.

In 1996, OHIC issued an insurance policy, Policy Number HPP1996-4104-00 (“Primary Policy”) to Children’s Health Systems, Inc., the named insured, for the period of March 1, 1996, to March 1, 1997. The Primary Policy generally has a $400,000 per occurrence limit of liability as to hospital professional liability, but as to insureds not covered under the Wisconsin Patients Compensation Fund, it has a $1 million per occurrence professional liability *799 limit. In addition to the applicable limit of liability, OHIC agreed to defend any suit against the insured seeking damages on account of injury, and to pay certain expenses and interest awarded in any suit defended by it under the policy. Because it is not an excess liability policy, liability covered under the Primary Policy is not reinsured by ERC under the terms of the Reinsurance Agreement.

OHIC also issued Umbrella Liability Policy, Number UML-1996-4104-00 (“Umbrella Policy”), to Children’s Health Systems, Inc., the named insured, for the period of March 1, 1996, to March 1, 1997. The Umbrella Policy contains a $20 million coverage limit for each occurrence and names the Primary Policy in its schedule of underlying insurance. The Umbrella Policy provides coverage for “ultimate net loss” in excess of the “retained limit.” The retained limit includes the $1 million of hospital professional liability insurance provided under the Primary Policy for persons not subject to the Wisconsin Patients Compensation Fund. Thus, the Umbrella Policy provides coverage in excess of the limits of the Primary Policy. Because the Umbrella Policy became effective March 1, 1996, and because it provides excess liability coverage, it is reinsured by ERC under the Reinsurance Agreement.

In 1998, the Estate of Sarah Hegarty and her surviving parents sued various medical entities and two physicians in Milwaukee, Wisconsin, for negligently providing medical care to Hegarty in March 1996 at the Children’s Hospital of Wisconsin. The case was captioned as Estate of Sarah M. Hegarty, et al. v. Beauchaine, et al., Case No. 98-CV-009906. One of the physicians sued was Angela Beauchaine, M.D., an insured under the Primary Policy 2 and the Umbrella Policy. OHIC was also named as a defendant in its capacity as an insurer for Dr. Beauchaine. 3

In July 2000, and pursuant to Wis. Stat. § 807.01(3), Hegarty’s parents offered to settle their claims against Dr. Beauchaine for $3 million, and the Estate of Hegarty offered to settle its claims against Dr. Beauchaine for $349,999. These offers of settlement were rejected.

The Hegarty case ultimately proceeded to trial in October 2004. The jury returned a verdict in favor of the plaintiffs. The jury found Dr. Beauchaine and Dr. Ernest Stremski negligent with respect to Sarah Hegarty’s care and treatment, and that their negligence was the cause of Hegart/ s injuries and death. The jury attributed 75% of the negligence to Dr. Beauchaine and 25% of the negligence to Dr. Stremski. The plaintiffs were awarded $12,557,947.29 in compensatory damages as to Dr. Beauchaine and OHIC. The trial court entered judgment against Dr. Beauchaine and OHIC, jointly and severally, and awarded to the plaintiffs the compensatory damages together with double taxable costs and statutory interest pursuant to Wis. Stat. § 807.01, 4 at an annual *800 rate of 12%. Pursuant to the judgment, the statutory interest began to accrue on July 13, 2000, which was the date the plaintiffs served their offers of settlement, and would continue to accrue until the entire judgment was paid.

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694 F. Supp. 2d 794, 2010 U.S. Dist. LEXIS 20641, 2010 WL 816994, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ohic-insurance-v-employers-reinsurance-corp-ohsd-2010.