Penton v. Hotho

601 So. 2d 762, 1992 WL 117289
CourtLouisiana Court of Appeal
DecidedMay 22, 1992
Docket91 CA 0771
StatusPublished
Cited by24 cases

This text of 601 So. 2d 762 (Penton v. Hotho) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Penton v. Hotho, 601 So. 2d 762, 1992 WL 117289 (La. Ct. App. 1992).

Opinion

601 So.2d 762 (1992)

Robert Ester PENTON and Laura McNeese Penton, Individually, and on Behalf of Robert Patrick Penton and Kippy Penton
v.
Dr. Vincent HOTHO and Bogalusa Community Medical Center.

No. 91 CA 0771.

Court of Appeal of Louisiana, First Circuit.

May 22, 1992.

*763 Steve M. Marks, Baton Rouge, for plaintiff-appellee.

Judy Perry Martinez, New Orleans, for defendant-appellant Lammico.

Chris Landry, Metairie, for defendant/appellee Dr. Hotho.

H. Martin Hunley, Jr., New Orleans, for defendant/appellee, Med Pro.

Before WATKINS, CARTER and FOIL, JJ.

WATKINS, Judge.

This appeal comes to the court on cross-motions for summary judgment, seeking judicial declaration of liability between two insurance policies, one containing a "pro rata" "other insurance" clause and the other having an "excess" other insurance clause. The movers are Louisiana Medical Mutual Insurance Company, (LAMMICO) and The Medical Protective Company (Med Pro), the medical malpractice insurers of defendant Dr. Vincent Hotho. The trial court found the "other insurance" clauses within the competing policies to be mutually repugnant, and accordingly granted summary judgment in favor of Med Pro. We affirm.

LAMMICO insured Dr. Hotho under a "claims made"[1] policy from July 1, 1986, through July 1, 1987. In June, 1987, Dr. Hotho voluntarily changed his malpractice insurance to Med Pro. Med Pro also issued a "claims made" policy to Dr. Hotho which provided retroactive coverage for acts that occurred on or after July 1, 1986, but were not reported until after the policy's effective date of June 1, 1987. Both policies insured Dr. Hotho for claims made and acts or omissions of Dr. Hotho during their respective policy periods. When Dr. Hotho switched to Med Pro in June 1987, he purchased a "tail" or "reporting endorsement" from LAMMICO that afforded him an additional period of time (through December, 1987) within which he would be insured by LAMMICO for protection of claims arising out of alleged acts occurring during the original LAMMICO policy period, but for which claims were made after the termination of the policy.

As fate would have it, the plaintiff, Robert Ester Penton, was injured while Dr. Hotho was insured by LAMMICO, but he did not make his claim until July of 1987, which was within both LAMMICO's extended reporting period and the retroactive period of Med Pro.

Mr. Penton filed a request for a statutory medical review panel with the Commissioner of Insurance against Dr. Hotho and the Bogalusa County Medical Center on July 28, 1987. In December, 1987, Dr. Hotho forwarded to LAMMICO a copy of the request for the medical review panel and LAMMICO assumed Dr. Hotho's defense. In February, 1988, Dr. Hotho notified Med Pro of Mr. Penton's claim. Thereafter, LAMMICO discontinued its defense of Dr. Hotho, and counsel for Med Pro assumed Dr. Hotho's defense.

A medical review panel was convened pursuant to LSA-R.S. 40:1299.47(A)(1), which panel rendered an opinion against Dr. Hotho and the Bogalusa Community Medical Center. On February 21, 1989, Mr. Penton, his wife, and children filed this medical malpractice suit against Dr. Hotho and the Bogalusa Community Medical Center. They alleged that on August 19, 1986, Dr. Hotho performed surgery on Mr. Penton at the Bogalusa Community Medical Center and that Mr. Penton was damaged by the acts or omissions of the defendants committed during the hospitalization and surgery and suffered the loss of a kidney. By amended petition the plaintiffs joined LAMMICO and Med Pro as additional parties defendant.

Med Pro cross-claimed against LAMMICO, seeking a declaratory judgment decreeing that the Med Pro and LAMMICO policies *764 were co-extensive and provided identical coverage and a duty to defend Dr. Hotho, and thus LAMMICO was responsible for one-half of the costs of defense and one-half of any payment made by Dr. Hotho, or on his behalf, to the plaintiffs. In answer to the Med Pro cross claim, LAMMICO alleged that by the terms of its policy, it was merely an excess insurer and that Med Pro was Dr. Hotho's primary insurer. Thereafter, Med Pro and LAMMICO each filed a motion for summary judgment on Med Pro's cross claim.

The trial court granted Med Pro's motion for summary judgment. It decreed that there was concurrent coverage in equal proportions under the policies issued to Dr. Hotho by Med Pro and LAMMICO; that there was an equal duty to defend Dr. Hotho and to pay in equal proportions the reasonable costs of his defense; that indemnification to Dr. Hotho was due in equal proportions. LAMMICO appeals the judgment asserting that the trial court erred in concluding that the LAMMICO and Med Pro policies provided concurrent coverage.

There is no question that both the LAMMICO and the Med Pro policies of insurance were in effect and provided coverage at the time the Penton claim was made. However, a determination of the respective coverage provided by the policies depends on the interpretation of the "other insurance" clauses[2] that purport to allocate liability when other valid and collectible insurance is available.

In the instant case LAMMICO's policy contains an "excess" "other insurance" clause which reads:

The insurance available under this policy shall be excess over any other valid and collectible insurance.

Med Pro's policy contains a "pro rata" "other insurance" clause which reads:

4 Other insurance—The insurance afforded by this policy is primary insurance, except when stated to apply in excess of or contingent upon the absence of other insurance. When this insurance is primary and the insured has other insurance which is stated to be applicable to the loss on an excess or contingent basis, the amount of the company's liability under this policy shall not be reduced by the existence of such other insurance.
When both this insurance and other insurance apply to the loss on the same basis, whether primary, excess or contingent, the Company shall not be liable under this policy for a greater proportion of such loss than the applicable limit of liability under this policy for such loss bears to the total applicable limit of liability of all valid and collectible insurance against such loss.

LAMMICO argues that because of the "excess" clause contained in its other insurance provision, its policy is an excess policy "applicable to the loss on excess or contingent basis" as delineated in the first paragraph of Med Pro's other insurance provision and that accordingly Med Pro's liability should not be reduced. In contrast, Med Pro argues that both its policy and the LAMMICO policy provide primary coverage, thus making the first paragraph of its other insurance provision inapplicable. Med Pro argues, instead, that both insurance policies apply to the loss on the same basis and that the loss should be prorated according to the second paragraph of its other insurance provision.

We believe that the first paragraph of Med Pro's other insurance provision applies in this case only if LAMMICO is a true excess insurer.[3] When the provisions *765 of Med Pro's other insurance clauses are read together, it becomes clear that the excess coverage referred to in the first paragraph refers to a true excess policy and not merely a policy which becomes excess by virtue of the existence of another policy. The inclusion of an "excess clause" within the other insurance provision of an insurance policy does not transform a primary policy into a excess policy. Dean v.

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Cite This Page — Counsel Stack

Bluebook (online)
601 So. 2d 762, 1992 WL 117289, Counsel Stack Legal Research, https://law.counselstack.com/opinion/penton-v-hotho-lactapp-1992.