State Ex Rel. Sizemore v. United Physicians Insurance Risk Retention Group

56 S.W.3d 557, 2001 Tenn. App. LEXIS 242
CourtCourt of Appeals of Tennessee
DecidedApril 12, 2001
StatusPublished
Cited by44 cases

This text of 56 S.W.3d 557 (State Ex Rel. Sizemore v. United Physicians Insurance Risk Retention Group) is published on Counsel Stack Legal Research, covering Court of Appeals of Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State Ex Rel. Sizemore v. United Physicians Insurance Risk Retention Group, 56 S.W.3d 557, 2001 Tenn. App. LEXIS 242 (Tenn. Ct. App. 2001).

Opinion

OPINION

KOCH, J.,

delivered the opinion of the court,

in which CANTRELL, P.J., M.S., and TODD, Sp. J., joined.

This appeal involves a dispute between a physician and the receiver of his professional malpractice insurance carrier over the timeliness of the filing of a proof of claim form involving a reported but unresolved malpractice claim. After the receiver found the claim to be untimely, the physician filed an objection in the liquidation proceeding pending in the Chancery Court for Davidson County. The trial court upheld the receiver’s rejection of the claim on the ground that it did not have authority to extend the receiver’s filing deadline. We reversed. After concluding that the trial court had the authority to excuse the late filing of claims on the ground of excusable neglect, we remanded the case with directions to consider whether the late filing of the claim should be *560 excused. On remand, the trial court excused the late filing and held that the claim should be considered timely. The receiver has appealed. We have determined that the physician is an “unexcused late filer” for the purpose of Tenn.Code Ann. § 56 — 9—326(b) (2000) because he has not made out a case for excusable neglect under Tenn.R.Civ.P. 6.02.

Dr. Naresh B. Dave is an orthopaedic surgeon practicing in Tampa, Florida. In 1991, he purchased a professional malpractice insurance policy from United Physicians Insurance Risk Retention Group (“United Physicians”), a captive insurance company headquartered in Tennessee. Dr. Dave’s policy contained a prior acts provision extending coverage for acts and omissions occurring on or after October 1, 1987.

United Physicians had been operating since 1989. In March 1992, after the company’s 1991 statement indicated that it was insolvent, Tennessee’s Commissioner of Commerce and Insurance placed the company under administrative supervision and directed the company to submit a plan to correct its capital and surplus impairment. United Physicians failed to submit an acceptable plan, and in April 1992, the Commissioner filed a petition under the Insurers Rehabilitation and Liquidation Act in the Chancery Court for Davidson County requesting the appointment of a receiver for the purpose of rehabilitating the company. On May 1, 1992, the trial court placed United Physicians in receivership and approved the Commissioner’s request to appoint Jeanne Barnes Bryant as special deputy receiver for the rehabilitation. 1

United Physicians’s finances continued to deteriorate rapidly. On July 16, 1992, the trial court entered an order directing the Commissioner to liquidate United Physicians and approving the appointment of Ms. Bryant as special deputy receiver for that purpose. 2 On July 24, 1992, Ms. Bryant sent a letter to all of United Physicians’s policyholders, including Dr. Dave, informing them that United Physicians had been placed in receivership and that their policies would be cancelled effective August 21,1992.

'Approximately one week before receiving Ms. Bryant’s memo regarding the receivership, Dr. Dave received notice from a former patient, as required by Florida law, that she intended to file a malpractice action against him based on knee surgery he had performed on her in March 1990. On August 19, 1992, Dr. Dave forwarded a copy of the patient’s notice to the law firm representing United Physicians’s receiver. In response, United Physicians arranged for Kenneth Deacon, a Florida lawyer, to represent Dr. Dave in the malpractice suit that the patient eventually filed.

Shortly after Dr. Dave mailed a copy of the notice of his former patient’s suit to United Physicians, he received another letter from Ms. Bryant dated August 17, 1992. This letter confirmed the information contained in her July 24, 1992 letter. Enclosed with the letter was a “proof of claim” form. Ms. Bryant requested that the form be filed by July 21, 1993, and instructed Dr. Dave that “[t]his proof of claim must be filed in addition to any other claims that you have previously made.” The letter also informed Dr. Dave that *561 “the receivership is currently paying defense costs on litigation that has been filed against UPI insureds.”

Dr. Dave received another letter from the receiver on April 23, 1993. This letter repeated that July 21, 1993 was the deadline for filing proof of claim forms. It also stated that failure to file a timely claim could result in the receiver discontinuing an insured’s defense and could also allow the receiver to deny liability for any malpractice judgment ultimately entered against the insured. The notice exhorted the insureds to “carefully read and follow the instructions for filing the proof of claim” and concluded unambiguously in bold letters: “The Tennessee Receiver’s Office will not consider those proofs of claim received after the claim filing deadline of July 21,1993.”

The receiver also sent a copy of this notice to Mr. Deacon who was continuing to represent Dr. Dave in the Florida malpractice proceeding. On May 20, 1993, Mr. Deacon sent Dr. Dave another copy of the receiver’s April 23, 1993 letter and a blank proof of claim form. In his cover letter, Mr. Deacon reminded Dr. Dave “that the properly executed Proof of Claim must be filed prior to July 21, 1993, if you have not already done so.”

Dr. Dave evidently did not attend to this claim personally but rather delegated it to Nancy Castellana, his longtime office administrator. As soon as Ms. Castellana received Mr. Deacon’s letter, she completed the proof of claim form except for the “claim number” and the “total amount claimed.” On May 21, 1993, Ms. Castella-na telephoned Mr. Deacon’s office for this information. After speaking to Bonnie Montgomery, Mr. Deacon’s litigation paralegal, Ms. Castellana faxed Mr. Deacon’s office a copy of the partially-completed proof of claim form. According to Ms. Castellana, Ms. Montgomery telephoned her later and told her that “Mr. Deacon said he would take care of it.” Ms. Castel-lana interpreted'Ms. Montgomery’s statement to mean that Mr. Deacon knew both the “claim number” and the “total amount claimed” and that he would see to it that the completed proof of claim form was timely filed with United Physicians’s receiver.

As far as this record shows, the proof of claim form fell between the cracks following the telephone conversation between Mses. Castellana and Montgomery. Dr. Dave and Mr. Deacon never discussed the proof of claim form, and Ms. Castellana never followed up with either Ms. Montgomery or Mr. Deacon. Accordingly, sixty days passed, and the receiver’s July 21, 1993 deadline for filing proof of claim forms came and went without a claim form being filed on Dr. Dave’s behalf.

On September 24,1993, Ms. Bryant notified Dr. Dave by letter that United Physicians was now denying coverage under his policy because he had not filed a timely proof of claim form. She also informed Dr. Dave that United Physicians was discontinuing its representation of him in the pending Florida malpractice proceeding and that he should make arrangements for his own defense. As a procedural matter, Ms. Bryant also informed Dr.

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Cite This Page — Counsel Stack

Bluebook (online)
56 S.W.3d 557, 2001 Tenn. App. LEXIS 242, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-ex-rel-sizemore-v-united-physicians-insurance-risk-retention-group-tennctapp-2001.