Steward v. City of Mt. Vernon

497 N.E.2d 939, 1986 Ind. App. LEXIS 2953
CourtIndiana Court of Appeals
DecidedSeptember 25, 1986
Docket87A01-8603-CV-79
StatusPublished
Cited by15 cases

This text of 497 N.E.2d 939 (Steward v. City of Mt. Vernon) is published on Counsel Stack Legal Research, covering Indiana Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Steward v. City of Mt. Vernon, 497 N.E.2d 939, 1986 Ind. App. LEXIS 2953 (Ind. Ct. App. 1986).

Opinion

RATLIFF, Judge.

STATEMENT OF THE CASE

Bobby Jo Steward appeals the trial court's involuntary dismissal, pursuant to Indiana Rules of Procedure, Trial Rule 41(B), of his claim that the City of Mount Vernon was negligent in processing his application for major medical and hospitalization insurance. We affirm.

FACTS

The City of Mount Vernon (City) is a municipal corporation within Indiana,. Mutual Medical Insurance and Mutual Hospitalization Insurance, Inc. is an insurance company doing business in Indiana as Blue Cross and Blue Shield of Indiana (Blue Cross). Subject to the provisions of the Master Policy, the city, as an employer, provides that every regular, full-time city employee is eligible to apply for Blue Cross insurance membership within thirty days of the date of employment. The city submits applications of employees prior to the date of eligibility and keeps all necessary records regarding membership. In addition, the city holds an annual re-opening period for non-members, policy reclassifica-tions, and policy transfers on the policy anniversary date, April 15.

Bobby Jo Steward has been employed continuously as a police officer for the city since June 10, 1968. On April 14, 1983, Steward withdrew from his Blue Cross coverage by executing and delivering a cancellation of deduction authorization form to the city's clerk. Thereafter, Blue Cross terminated Steward's insurance coverage.

On October 8, 1983, Steward reapplied for coverage under Blue Cross by executing and delivering an application to the city's clerk, which the city forwarded to Blue Cross on October 5, 1983. On October 24, 1983, the city clerk received correspondence from Blue Cross requesting additional information on Steward's application. The clerk delivered this request to Steward the following day, to which Steward drafted a letter. On October 27, 1983, Steward's letter and response to the request for additional information were forwarded to Blue Cross by the city clerk. On January 3, 1984, the city clerk received notification from Blue Cross, dated December 28, 1983, denying Steward's application requesting coverage. The clerk transmitted the denial letter to Steward the next day.

On January 16, 1984, the city clerk received a $303.40 refund from Blue Cross of premiums paid on Steward's behalf, That same day, the city clerk wrote Blue Cross requesting an additional refund on behalf of Steward, which the city received on February 22, 1984. On March 6, 1984, the city issued a check to Steward for $95.00, which constituted the full amount of premiums withheld from Steward's wages but not accepted by Blue Cross.

From and after October 4, 1983, Steward and his family incurred medical expenses amounting to $17,690.13. The majority of these expenses, $13,594.01, were paid by Steward's wife's insurance plan, leaving a balance of $4,096.12 unpaid. It must be noted, however, that only $185.00 in medical bills were incurred from the time of *942 Steward's reapplication in October until his receipt of notice denying his application in January of 1984.

Steward filed a complaint on March 22, 1984, against the city seeking to recover medical expenses. Steward alleged negli-genee on the part of the city in failing to advise him that he did not have insurance coverage for medical and hospital expenses and in waiting an unreasonable length of time to inform him of the lack of coverage. Steward also alleged the city was negligent in failing to notify and advise him of the eligibility requirements pertaining to renewal or reinstatement of insurance coverage after cancellation thereof. Steward further alleged the city was negligent in failing to request, on his behalf, an exception to the Master Policy eligibility requirements. At the close of Steward's case, in a bench trial, the trial court granted the city's Trial Rule 41(B) motion for involuntary dismissal. Thereafter, Steward perfected this appeal.

ISSUES

Steward presents three issues for review which we have subsumed into the following:

1. Whether the trial court erred in finding the City was not negligent in processing Steward's application for insurance and finding that any delay in determining Steward's eligibility or giving him notice thereof was the fault of Blue Cross.

2. Whether the trial court erred in finding Steward failed to mitigate his damages by seeking other insurance coverage.

DISCUSSION AND DECISION

Issue One

At the outset it must be noted that Steward is appealing from a negative judgment. A party appealing a negative judgment must show that the trial court's judgment is contrary to law. Communications Workers of America, Local 5701 v. Drake (1985), Ind.App., 487 N.E.2d 821, 823. Thus, in order to grant relief from a negative judgment, we must find that the evidence leads solely to a conclusion opposite that reached by the trial court. Roberts v. Wabash Life Insurance Co. (1980), Ind.App., 410 N.E.2d 1377, 1882, trans. denied.

The relationship of agent and principal is confidential and fiduciary and requires the agent to exercise good faith and loyalty. Montgomery Ward and Co. v. Tackett (1975), 163 Ind. App. 211, 216-17, 323 N.E.2d 242, 246, Carmichael v. Lovengood (1942), 112 Ind.App. 144, 151, 44 N.E.2d 177, 180. The principal and agent relationship also imposes certain duties and obligations on the principal. A principal must exercise good faith and care to prevent the agent from suffering harm during the existence of the relationship. Bulla v. Donahue (1977), 174 Ind.App. 123, 130, 366 N.E.2d 233, 238; Montgomery Ward, 163 Ind.App. at 217, 323 N.E.2d at 246. In addition, there is an implied obligation to do nothing to thwart the effectiveness of the agency. Bulla, 174 Ind.App. at 130, 366 N.E.2d at 238; Montgomery Ward, 163 Ind. App. at 217, 323 N.E.2d at 246. In the absence of an express agreement, an agent is not an insurer of the success of an undertaking and if he acts with good faith and due care he is not liable for losses resulting from mere mistake. Carmicko-el, 112 Ind.App. at 151-52, 44 N.E.2d at 180.

An insurance broker or agent who agrees to procure insurance for another is an agent of the proposed insured, and thus owes his principal a duty to exercise reasonable skill, care, and diligence in effecting the insurance. Bulle, 174 Ind.App. at 126, 366 N.E.2d at 286. Therefore, if an agent undertakes to procure insurance and through his neglect and fault fails to do so, he is liable to his principal for any damage resulting therefrom. Id. There is also an implied corresponding duty, in an undertaking to procure insurance, to notify the applicant in the event the agent is unable to obtain insurance. Id. Thus, an insurance agent must use reasonable care and dil *943 igence in acquiring insurance for an applicant.

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Bluebook (online)
497 N.E.2d 939, 1986 Ind. App. LEXIS 2953, Counsel Stack Legal Research, https://law.counselstack.com/opinion/steward-v-city-of-mt-vernon-indctapp-1986.