Robicheaux v. Adly

779 So. 2d 1048, 2001 WL 83381
CourtLouisiana Court of Appeal
DecidedJanuary 31, 2001
Docket00-1207
StatusPublished
Cited by9 cases

This text of 779 So. 2d 1048 (Robicheaux v. Adly) 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
Robicheaux v. Adly, 779 So. 2d 1048, 2001 WL 83381 (La. Ct. App. 2001).

Opinion

779 So.2d 1048 (2001)

Curtis ROBICHEAUX, et al.
v.
Camran G. ADLY, M.D., et al.

No. 00-1207.

Court of Appeal of Louisiana, Third Circuit.

January 31, 2001.

*1050 L. Clayton Burgess, Lafayette, LA, Counsel for Plaintiffs/Appellants, Curtis Robicheaux, et al.

Burleigh G. Doga, Crowley, LA, Counsel for Defendant/Appellee, Camran G. Adly, M.D.

Nicholas J. Sigur, Lafayette, LA, Counsel for Defendant/Appellee, American Legion Hospital d/b/a Pauline Faulk Centre for Behavior Health.

Marc W. Judice, Judice & Adley, Lafayette, LA, Counsel for Defendant-Appellee, Louisiana Medical Mutual Insurance Co. (LAMMICO).

Nicholas Gachassin, Jr., Gachassin & Hunter, Lafayette, LA, Counsel for Defendant/Appellee, Morris Lahasky Nursing Home.

Donald S. Zuber, Seale, Smith, Zuber & Barnette, Baton Rouge, LA, Counsel for Defendant/Appellee, Dauterive Hospital Corporation.

Court composed of Judge THIBODEAUX, Judge PETERS and Judge PICKETT.

THIBODEAUX, Judge.

The plaintiffs/appellants, Curtis Robicheaux, individually and on behalf of/and as natural tutor of the minor child, Kisha Robicheaux; Kelvin Robicheaux, Kirk Robicheaux, and Kasey Robicheaux, appeal the judgment of the trial court granting summary judgment in favor of the defendant/appellee, Louisiana Medical Mutual Insurance Company (hereinafter "LAMMICO"). The Robicheauxs filed a petition for damages against Camran G. Adly, M.D., and American Legion Hospital, Inc., d/b/a The Pauline Faulk Centre for Behavioral Health, for the alleged negligent treatment and misdiagnosis of schizophrenia given to Mrs. Judy Robicheaux. Dr. Adly was insured by LAMMICO under a "claims made" policy during the treatment of Mrs. Robicheaux. LAMMICO did not receive notice of the claim until after the policy had terminated. In response to the claim, LAMMICO filed a motion for summary judgment, maintaining there was no coverage under the terms of the policy. The trial court found that the medical malpractice claim was timely filed against Camran G. Adly, M.D. but was not timely filed against LAMMICO. Thus, the court held that the claim was not covered by the LAMMICO policy and granted LAMMICO's motion for summary judgment. Mr. Robicheaux appeals.

We affirm.

I.

FACTS

On August 16, 1996, the plaintiffs, Curtis Robicheaux, individually and on behalf of/and as natural tutor of the minor child, Kisha Robicheaux; Kelvin Robicheaux, Kirk Robicheaux, and Kasey Robicheaux, (hereinafter "the plaintiffs") filed a petition for damages for the alleged negligent treatment and misdiagnosis of Judy Robicheaux against Dr. Camran Adly, M.D., American Legion Hospital, d/b/a The Pauline Faulk Centre for Behavioral Health, Morris Lahasky Nursing Home, *1051 and Dauterive Hospital Corporation. The plaintiffs contend that Dr. Adly and the American Legion Hospital, Inc., d/b/a The Pauline Faulk Centre for Behavioral Health, failed to properly monitor the treatment rendered by Dr. Adly as well as the effects of the medication administered to Mrs. Robicheaux which resulted in extreme pain and suffering and, ultimately, the premature death of Mrs. Robicheaux.

At the time the plaintiffs filed their petition for damages, Dr. Adly could not be located and a curator ad hoc was appointed to protect his interests. The curator was served with the petition for damages on December 4, 1996. On January 25, 1999, the plaintiffs filed a First Supplemental Petition for Damages naming LAMMICO as a defendant in the case, alleging it was an insurer of Dr. Adly. LAMMICO was served with the Supplemental Petition on February 12, 1999.

Dr. Adly was insured by LAMMICO on a "claims made" basis from January 1, 1995 through January 1, 1996, with a retroactive date of May 7, 1994. Dr. Adly failed to renew his medical malpractice coverage upon its termination on January 1, 1996 and did not purchase a reporting endorsement.

On March 24, 2000, LAMMICO filed a motion for summary judgment. LAMMICO argued that although Dr. Adly treated Mrs. Robicheaux during the policy period, Dr. Adly did not report the claim by the plaintiffs during the policy period. Therefore, since the policy was not renewed and LAMMICO did not receive notice of the claim until after January 1, 1996, there would be no coverage under the terms of the policy.

The trial court granted LAMMICO's motion for summary judgment and it is this judgment that the plaintiffs appeal.

II.

ISSUE

The issue presented for review is whether the trial court erred in granting LAMMICO's motion for summary judgment despite the statutory language of La.R.S. 22:629, Louisiana's Direct Action Statute, precluding an insurer from limiting the prescriptive period in a policy for a period of less than twelve months.

III.

LAW AND DISCUSSION

Standard of Review

As a general principal, appellate courts review summary judgments de novo, under the same criteria which governs the district court's consideration of whether summary judgment is appropriate. Schroeder v. Board of Sup'rs of Louisiana State Univ., 591 So.2d 342 (La.1991). A motion for summary judgment "shall be rendered forthwith if the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to material fact, and that mover is entitled to judgment as a matter of law." La.Code Civ.P. art. 966(B).

The burden of production remains with the mover to show that no material issues of fact exist. La.Code Civ.P. art. 966(C)(2). The mover must present supportive evidence that the motion for summary judgment should be granted. Landry v. Fincke, 98-90 (La. App. 3 Cir. 5/20/98), 714 So.2d 826. Once the mover has made a prima facie showing that the motion for summary judgment should be granted, the burden of production shifts to the nonmoving party to present evidence demonstrating the existence of issues of material fact which preclude summary judgment. Hayes v. Autin, 96-287 (La.App. 3 Cir. 12/26/96), 685 So.2d 691, writ denied, 97-0281 (La.3/14/97), 690 So.2d 41.

Coverage Under "Claims Made" Policies

A "claims made" policy is distinguished from an "occurrence" policy as follows:

*1052 With the development of a more complex society, it became more reasonable, particularly with respect to the activities of professionals, to insure against the making of claims, rather than the happening of occurrences, and "claims made" insurance developed to meet a need for professionals to insure against the making of a claim as the insured event, rather than having to struggle with traditional concepts and difficulties inherent in determining whether the "event" insured against was the commission of an act, error or omission or the date of discovery thereof or the date of injury caused thereby.
The major distinction between the "occurrence" policy and the "claims made" policy constitutes the difference between the peril insured. In the "occurrence" policy, the peril insured is the "occurrence" itself. Once the "occurrence" takes place, coverage attaches even though the claim may not be made for some time thereafter. While in the "claims made" policy, it is the making of the claim which is the event and peril being insured and, subject to policy language, regardless of when the occurrence took place.

Sol Kroll, The Professional Liability Policy "Claims Made," 13 Forum 842, 843 (1978).

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Bluebook (online)
779 So. 2d 1048, 2001 WL 83381, Counsel Stack Legal Research, https://law.counselstack.com/opinion/robicheaux-v-adly-lactapp-2001.