Gambrell v. IDS Property Casualty (CA2 9/09/15)

Not a terribly exciting case but insurance practitioners will want to be aware of this nicely-done civil opinion from Division Two.

Gambrell, while driving his employer’s milk truck, was injured in an accident. He got paid by the other driver’s insurer and by his employer’s UIM policy. He then demanded UIM under his personal auto policy from  IDS. It denied him; he sued; the trial court gave IDS summary judgment; the Court of Appeals affirms.

The policy’s UIM coverage was worded so as not to cover most commercial vehicles. Gambrell argued that since UIM coverage is nowadays “portable” it must cover him wherever, citing Calvert — UIM applies in the car, walking, sitting on the porch, etc. IDS cited 20-259.01(C), which makes UIM coverage of transport vehicles permissive rather than mandatory. Gambrell threw a number of arguments at that, though most seem to have amounted to “the statute can’t mean that because portability.” The essential problem with that is that Calvert expressly recognized the statute’s predecessor as an exception to the portability requirement.

The interesting part of the case is the court’s comment on portability: “Although the statute does not explicitly state that UIM coverage is personal and portable, the legislature has never explicitly addressed this interpretation  . . .  and courts continue to rely on it.” Not exactly a ringing endorsement. This is a useful, appropriate, and somewhat unexpected reminder that, despite frequent invocation of Calvert’s porch, portability is a judicial invention that exists because the legislature hasn’t bothered to change it.  

(link to opinion)

Fidelity National Title v. Centerpoint (CA1 8/27/15)

This case about a Morris agreement on a title policy has a very complicated factual background. The court presents it at length. Our summary simplifies, though it does assume knowledge of Morris.

Some investors obtained from a bankrupt lender its deed of trust on a development in Tempe (Centerpoint) and then foreclosed it to take control of the development  itself. They also bought some adjacent property for a parking lot. With these transactions came title policies insuring their interest in the property. So when mechanics’ liens allegedly having higher priority were asserted the investors tendered the defense of those suits to the title insurers, which accepted under reservation. Eventually the investors needed to sell the property in order to pay off additional loans they themselves had taken out on it. They couldn’t do that without clearing the liens but didn’t want to clear the liens for fear of forfeiting their claim that the insurers should do that for them. Instead they came up with a scheme that we were going to make pithy and very witty comments about until we noticed that one of the lawyers in this case brags on his web page that he was its “architect,” in light of which the better part of valor is to let you form your own opinion. The investors formed a separate entity, which they controlled.  They sold the property and had part of the payment diverted to that entity, which used it to purchase the lien claims and an assignment of the lienholders’ rights against the investors. The entity then substituted itself as plaintiff in the lien claims against the investors. Finally, the investors as defendants agreed with the entity (i.e., themselves as plaintiffs) to a Morris deal on the lien claims, with a judgment three times the amount actually used to resolve the liens – which amount, if collected, the entity agreed to pay across to the investors.

When the insurers challenged this the trial court decided it that it was just fine and that, assuming coverage (which had yet to be determined), the insurers would owe the entity the amount of the stipulated judgment. And by finding that nobody had done anything wrong the court foreclosed – and therefore dismissed – claims of intentional interference with contract that the insurers were making. The insurers appealed.

The insurers wanted the court to hold that Morris doesn’t apply to title policies. The court says that it needn’t address that because even if Morris applied to title insurance in general it doesn’t apply here.

The court reviews the background and purpose of Morris agreements and finds that this agreement “falls outside [their] permitted parameters.” The agreement was not made at arms length. The lien claimants, by assigning their rights, “effectively settled their claims unconditionally . . . leaving no risk of excess liability for the insureds.” The amount of the judgment inflated both the amount and nature of the insured’s actual liability and hence of the insurance coverage.

The court therefore also reinstates the claims of intentional interference with contract and remands.

(link to opinion)

Preston v. Amadei (CA1 8/27/15)

This malpractice case breaks no new ground but touches on a few useful practice pointers.

A lady was going to a rehab center for treatment of bone fracture. While there she complained of chest pains and the center’s doctor, an internist, was called to see her. He ordered nitroglycerin; she felt better but died several hours later of heart failure. Her beneficiaries sued. The doctor made several dispositive motions on disclosure and expert-witness issues.

He moved to disqualify the plaintiffs’ expert. The expert was an internist but also a cardiologist, which specialty he had practiced almost exclusively during the previous year. The trial court granted the motion and the Court of Appeals affirms. The opinion treats the issue respectfully but between the lines says  “under the statute (12-2604) this isn’t a tough call.” Plaintiffs made the “more expert” argument – that a cardiologist is an even better expert in a heart case than an internist. This is a misunderstanding – convenient, we’re pretty sure, rather than actual – of the meaning of the statute and of the basis of malpractice liability under current law.

Plaintiffs argued that a position contrary to theirs was “absurd.” The Court of Appeals, too, mentions it in quotation marks, which we hope everyone recognizes as admonishment and advice.

In response to their expert’s disqualification the plaintiffs asked for time to get a new one. The trial court denied it but the Court of Appeals decides that this was an abuse of discretion. Turns out that the defendant had sandbagged, waiting until after the disclosure deadline to raise an issue about the expert. The trial court had presumably put in the balance the fact that after the issue was raised the plaintiffs did nothing about it for months, until they lost the disqualification motion. The opinion does not suggest that that makes any difference once the disclosure deadline passes. We will be interested to see whether the rule that diligence can stop when disclosure does is applied to defendants as well as plaintiffs.

The trial court awarded some attorney’s fees to the defendant because of the plaintiffs’ misleading disclosure about one of the witnesses, the medical examiner who performed the autopsy. The disclosure, which apparently wasn’t cleared with the witness beforehand, said essentially that he would support plaintiffs’ theory of the case, in the course of which it twisted his opinions around and put some of them backwards. The Court of Appeals affirms the sanction. That counsel knew the disclosure to be false and misleading couldn’t be established but he should have known and that was enough.

The court addresses, on the defendant’s cross-appeal (since it would be dispositive if valid),  a summary-judgment argument that the trial court did not agree with. He argued that even if the plaintiffs’ expert were qualified the opinion was speculative. The opinion was that the defendant should have told the decedent’s son that she should go to an emergency room, in which event son would have told mom and mom would have obeyed. In the past mom had variously refused and agreed to medical treatment. How a doctor could read the mind of a patient he never met and how, if that is a medical opinion at all, it is one for a cardiologist are beyond us. But the opinion affirms, saying that an expert can rely on “his or her own years of first–hand experience in a medical practice to formulate opinions as to the probable treatment a patient would receive and the likely outcome.” 

There were a couple of other issues but we skip those as either inconsequential or fact-specific. Remanded to give the plaintiffs another chance to get an expert.

(link to opinion)