Pacific Indemnity Co. v. Interstate Fire & Casualty Co.

488 A.2d 486, 302 Md. 383, 1985 Md. LEXIS 556
CourtCourt of Appeals of Maryland
DecidedFebruary 25, 1985
DocketMisc. No. 6, September Term, 1984
StatusPublished
Cited by253 cases

This text of 488 A.2d 486 (Pacific Indemnity Co. v. Interstate Fire & Casualty Co.) 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
Pacific Indemnity Co. v. Interstate Fire & Casualty Co., 488 A.2d 486, 302 Md. 383, 1985 Md. LEXIS 556 (Md. 1985).

Opinion

RODOWSKY, Judge.

This case comes to us from the United States Court of Appeals for the Fourth Circuit pursuant to the Maryland Uniform Certification of Questions of Law Act, Md.Code (1974, 1984 RepLVol.), §§ 12-601 to -609 of the Courts and Judicial Proceedings Article. The dispute is between the *386 primary and excess medical malpractice insurers of an obstetrician. The question is whether the causes of action of a brain-damaged infant for personal injuries and of the infant’s father for consequential expenses are subject to but one, or to two separate, limit(s) of liability under the primary policy.

The primary carrier is the Pacific Indemnity Company (Pacific), which was a defendant in the United States District Court for the District of Maryland in the action giving rise to the proceeding before us. 1 The excess insurer is Interstate Fire & Casualty Company (Interstate), which was the plaintiff in the United States District Court. Their insured was Dr. Vibhakar J. Mody (Dr. Mody). On September 14, 1979, a statement of claim was filed in the Health Claims Arbitration Office of Maryland against certain health care providers, including Dr. Mody. The claimants were an infant, George M. Cross, Jr. (George Jr.), and his parents, George M. Cross, Sr. (George Sr.) and Barbara Ann Cross (Barbara Ann). Each claimant alleged negligence by Dr. Mody in rendering obstetrical services. Money awards were claimed on behalf of George Jr. for brain damage, by George Sr. for the past and prospective expenses of George Jr. consequential to the brain damage, and by Barbara Ann for a tearing of the vaginal and perineal areas. The two insurers settled these claims by a total payment of $560,-500. As allocated between claimants the settlement is $350,000 on the infant’s claim, $200,000 on the father’s claim, and $10,500 on the mother’s claim.

We are concerned with the $200,000 allocated to George Sr. which Interstate supplied for the total settlement. Interstate now claims that $200,000 from Pacific in the federal litigation on the theory that it was the primary carrier’s obligation to pay it.

*387 The “Limits of Liability” section of the declaration sheet of Pacific’s policy provides: “$200,000 each claim $600,000 aggregate.” Pacific’s position is that “each claim” for policy limit purposes is not synonymous with a cause of action in legal theory for presenting a claim in a common law action in a Maryland court. Pacific says that one $200,000 limit applies to Barbara Ann’s claim and another $200,000 limit applies to the infant’s claim which, for purposes of limits under the policy provisions, includes the derivative claim of George Sr. Interstate’s position is that three separate $200,000 limits are implicated with one limit applying to the claims of father, mother, and child respectively.

The United States District Court for the District of Maryland concluded that Pacific’s policy was unambiguous and entered summary judgment in favor of Interstate for $200,000. Interstate Fire & Cas. Co. v. Pacific Indent. Co., 568 F.Supp. 633 (D.Md.1983). Pacific’s appeal resulted in transmittal of the certified question to us. Interstate Fire & Cas. Co. v. Pacific Indent. Co., 738 F.2d 638 (4th Cir.1984). That question is:

Construing Pacific’s policy under Maryland law, is Pacific liable to pay a separate $200,000 policy limit to Interstate for the claim of George M. Cross, Sr. for the financial injury sustained by him as a result of the insured’s alleged malpractice?

In responding to this question we shall first state the principles applied under Maryland law to the construction of insurance contracts. They are by no means unique to this state. We shall then apply those principles to Pacific’s policy. As will be seen, that application does not produce a categorical answer to the certified question. In order to comply with the spirit of the Maryland Uniform Certification of Questions of Law Act under these circumstances, we shall then explicate how this Court would decide an appeal from a Maryland circuit court which presented the certified question on the same record which was made in the federal district court.

*388 (1)

Construction of insurance contracts in Maryland is governed by a few well-established principles. An insurance contract, like any other contract, is measured by its terms unless a statute, a regulation, or public policy is violated thereby. Bond v. Pennsylvania Nat’l Mut. Cas. Ins. Co., 289 Md. 379, 424 A.2d 765 (1981); National Grange Mut. Ins. Co. v. Pinkney, 284 Md. 694, 399 A.2d 877 (1979); Travelers Ins. Co. v. Benton, 278 Md. 542, 365 A.2d 1000 (1976). To determine the intention of the parties to the insurance contract, which is the point of the whole analysis, we construe the instrument as a whole. Aragona v. St. Paul Fire & Marine Ins. Co., 281 Md. 371, 378 A.2d 1346 (1977); Federal Ins. Co. v. Allstate Ins. Co., 275 Md. 460, 341 A.2d 399 (1975); Pennsylvania Nat’l Mut. Cas. Ins. Co. v. Bierman, 266 Md. 420, 292 A.2d 674 (1972); Mills v. Judd, 256 Md. 144, 259 A.2d 267 (1969); Simkins Industries, Inc. v. Lexington Ins. Co., 42 Md.App. 396, 401 A.2d 181, cert. denied, 285 Md. 730 (1979). Maryland courts should examine the character of the contract, its purpose, and the facts and circumstances of the parties at the time of execution. Allstate Ins. Co. v. Humphrey, 246 Md. 492, 229 A.2d 70 (1967); First Nat’l Bank v. Maryland Cas. Co., 142 Md. 454, 121 A. 379 (1923); United States Fire Ins. Co. v. Maryland Cas. Co., 52 Md.App. 269, 447 A.2d 896 (1982).

In so doing, we accord words their ordinary and accepted meanings. The test is what meaning a reasonably prudent layperson would attach to the term. This Court has consulted Webster’s Dictionary, Random House Dictionary, or, less often, Black’s Law Dictionary. See, e.g., DeJarnette v. Federal Kemper Ins. Co., 299 Md. 708, 475 A.2d 454 (1984) (“use of a motorcycle”); St. Paul Fire & Marine Ins. Co. v. Pryseski, 292 Md. 187, 438 A.2d 282 (1981) (“occurrence”); Fisher v. Tyler, 284 Md. 100, 394 A.2d 1199 (1978) (“loan” and “used under contract in behalf of”); Aragona, supra, (“any dishonest, fraudulent, criminal *389 ... act ... of ... partner”); C & H Plumbing & Heating, Inc. v.

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Bluebook (online)
488 A.2d 486, 302 Md. 383, 1985 Md. LEXIS 556, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pacific-indemnity-co-v-interstate-fire-casualty-co-md-1985.