Justia Contracts Opinion Summaries

In 2007, Employers Mutual Casualty Company (EMC) brought a declaratory judgment action against the Donnellys and Rimar Construction, Inc. (RMI) to establish that under its policy of insurance with RCI, EMC had no duty or responsibility to pay damages claimed by the Donnellys in litigation between the Donnellys and RCI. The declaratory judgment action was stayed until a verdict was reached in the underlying action. In the underlying action, the Donnellys were awarded damages, costs and attorney fees against RCI. Subsequently the district court entered summary judgment in the declaratory action, finding that there was no insurance coverage for the damages the Donnellys incurred, but that there was coverage for costs and attorney fees. On appeal, EMC argued that the district court erred in its determination that it had a duty to pay attorney fees and costs when there were no damages awarded to the plaintiff subject to the policy coverage. The Donnellys cross appealed, arguing the district court erred in its conclusion that EMC did not have a duty to cover the damages in this case, and that the Donnellys were entitled to attorney fees. Upon review, the Supreme Court affirmed the district court's decision. View "Employers Mutual Casualty Co v. Donnelly" on Justia Law

Several hospitals (Hospitals) sued Aetna, Inc. and Aetna Health, Inc. (collectively Aetna) for allegedly violating the Prompt Pay Statute. Aetna provided a Medicare plan (Plan) through an HMO called NYLCare. It delegated the administration of its Plan to North American Medical Management of Texas (NAMM), a third-party administrator. IPA Management Services (Management Services) provided medical services to Plan enrollees. Management Services entered into contracts with the Hospitals to secure hospital services for the Plan employees. Aetna was not a party to these contracts. The Hospitals submitted hospital bills to NAMM for payment. After NAMM and Management Services became insolvent, Aetna de-delegated NAMM and assumed responsibility for processing and paying claims. However, Aetna instructed the Hospitals to continue submitting their bills to NAMM. The Hospitals argued that Aetna was liable for NAMM's failure to timely pay claims and was responsible for $13 million in outstanding bills. The trial court granted summary judgment for Aetna. The court of appeals affirmed, concluding that because the Hospitals entered into contracts with Management Services and not with Aetna directly, the Hospitals had no viable prompt-pay claim. The Supreme Court affirmed, holding that the lack of privity between the Hospitals and Aetna precluded the Hospitals' suit. View "Christus Health Gulf Coast v. Aetna, Inc." on Justia Law

Plaintiff filed a claim with his Insurer under his policy for stolen tools and equipment, which Insurer denied. Plaintiff sued. The district court granted summary judgment for Insurer. The court of appeals reversed and remanded for entry of judgment for Plaintiff. On remand, Plaintiff requested and received attorney fees related to both the district court and the appellate proceedings. The court of appeals reversed the award of appellate attorney fees, concluding Plaintiff had waived his right to appellate fees by not filing a motion for attorney fees with the court of appeals in the prior appeal. Petitioner filed a motion requesting appellate attorney fees for his second appeal in Snider II. The court of appeals awarded additional appellate attorney fees. Plaintiff appealed, requesting a judgment for the appellate attorney fees incurred in Snider I and an award of additional fees for the appeal in Snider II. The Supreme Court affirmed, holding that the court of appeals (1) correctly applied Supreme Court Rule 7.07(b), Evans v. Provident Life & Accident Ins. Co., and Kan. Stat. Ann. 40-908; and (2) did not err in determining the amount of reasonable attorney fees related this current appeal. View "Snider v. Am. Family Mut. Ins. Co." on Justia Law

Plaintiff and Defendant were brother and sister. Defendant was a longtime resident of Maryland. Plaintiff allegedly lived in Iowa in 2003. After Plaintiff obtained employment in Iraq in 2003, he opened a checking account in Des Moines and provided Defendant with checks that could be used to draw on the account to provide for the needs of his children and to pay the bills. Instead of using the checks as agreed, Plaintiff claimed Defendant used the checks to withdraw funds for her personal use. Plaintiff filed a lawsuit against Defendant in Iowa district court for breach of contract, conversion, bad faith, fraud, and breach of fiduciary duty. The district court dismissed the complaint for lack of personal jurisdiction over Defendant, finding that sufficient minimum contacts were lacking. The Supreme Court reversed, holding that Defendant was subject to personal jurisdiction in Iowa under the Calder v. Jones foreseeable effects test based on the claim of an intentional tort in Iowa. Remanded. View "Shams v. Hassan" on Justia Law

Plaintiffs filed suit against Wells Fargo after plaintiffs' application for a mortgage modification under the Home Affordable Modification Program (HAMP) was denied. The district court concluded that plaintiffs had failed to state a claim upon which relief could be granted and therefore granted Wells Fargo's motion to dismiss. The court concluded that plaintiffs have not plausibly stated a breach of contract claim; plaintiffs' negligence claim failed because there was no express or implied contract and therefore, no tort duty could arise as a matter of law; plaintiffs' Maryland Consumer Protection Act, Md. Code Ann., Com. Law 13-301(1), claim failed because Wells Fargo did not make misrepresentations when it stated that it needed more information to process plaintiffs' HAMP application; and the district court court properly dismissed the negligent misrepresentation and common law fraud claim. Accordingly, the court affirmed the judgment. View "Spaulding v. Wells Fargo Bank, N.A." on Justia Law

AEGIS, an insurer, appealed from the district court's denial of its motion to compel alternative dispute resolution in its dispute with UEC. The court agreed with the district court that by agreeing in the endorsement of the contract to submit to the jurisdiction of Missouri state courts, AEGIS agreed to have any dispute relating to the insurance or to the claim resolved in those courts. Thus, the endorsement entirely supplanted the condition's mandatory arbitration provision. Even if the policy as a whole were ambiguous as to the mandatory arbitration, the court concluded that UEC would still prevail because it would be entitled to have the ambiguity resolved in its favor. Accordingly, the court affirmed the judgment. View "Union Electric Co. v. AEGIS Energy Syndicate 1225" on Justia Law

The parties to this complex dispute were Plaintiffs, the Protestant Episcopal Church in the Diocese of Virginia (the Diocese) and the Protestant Episcopal Church in the United States of America (TEC), and Defendants, seven local congregations, including The Falls Church (collectively, the CANA congregations), Appellant in the present case. After The Falls Church disaffiliated from TEC, Plaintiffs filed complaints asserting that all personal and real property held by the CANA congregations was actually held in trust for TEC and the Diocese. The trial court found that Plaintiffs carried their burden of proving they had contractual and propriety interests in the church property at issue and granted relief to Plaintiffs. The Supreme Court affirmed in part and reversed and remanded in part, holding (1) Plaintiffs had a proprietary interest in the properties, and therefore, a constructive denominational trust should be imposed in the properties; (2) the trial court correctly ordered Appellant to convey the property to Plaintiffs; and (3) the trial court erred in its disposition of personal property acquired by Appellant after the vote to disaffiliate. View "The Falls Church v. Protestant Episcopal Church in the U.S." on Justia Law

The Doctors Company (TDC), a professional liability insurance company, sought a determination that its coverage of policyholder Women's Healthcare Associates (WHA) did not apply to a pending breach of contract action relating to WHA's participation in the Virginia Birth-Related Neurological Injury Compensation Act (the Birth Injury Fund). The Davidson family filed the underlying breach of contract action against WHA, alleging that they entered into an express contract with WHA partly in reliance on WHA's participation in the Birth Injury Fund, and WHA materially breached the contract by failing to pay into the fund as represented to the Davidsons. The circuit court ruled against TDC and in favor of WHA and the Davidsons, finding that the policy covered the claim alleged by the Davidsons in their complaint against WHA. The Supreme Court affirmed, holding (1) the underlying action was covered by the insurance policy; and (2) therefore, TDC must both defend and indemnify WHA in the underling breach of contract action. View "The Doctors Co. v. Women's Healthcare Assocs." on Justia Law

Appellant retained Law Firm as his counsel in two cases filed against Appellant by his brother. The parties settled. Thereafter, the circuit court (1) ordered Appellant to pay $130,000 to his attorney from proceeds deposited with the circuit court pursuant to the settlement agreement; (2) denied Appellant a jury trial on the attorney's fee issue; and (3) refused to allow an appeal bond pursuant to Va. Code Ann. 8.01-676.1(C), which would have suspended execution of its award. The Supreme Court affirmed, holding that the circuit court (1) had jurisdiction to resolve Law Firm's fee dispute with Appellant; (2) did not err in overruling Appellant's jury trial request; and (3) erred in refusing Appellant's request to post an appeal bond and suspend the award, but because the court's award to Law Firm was proper, the error was harmless. View "Henderson v. Ayres & Hartnett, P.C." on Justia Law

For fifteen years, litigation between Hugh Caperton and his companies and Donald Blankenship and his companies involved trips to many courts, including suits in circuit courts in Virginia and West Virginia, proceedings in the U.S. district court for the southern district of West Virginia, and appeals to the Supreme Courts of Virginia, West Virginia Supreme Court and the U.S. In this case, Caperton and his companies filed suit in Virginia in 2010, bringing many of the same tort claims as they did in 1998 in the circuit court of West Virginia. In the 1998 case, the Supreme Court of West Virginia ultimately determined that a forum selection clause in an agreement between the parties required that suit be brought in Virginia. In this case, the circuit court held that res judicata barred Plaintiffs' claims. The Supreme Court reversed, holding that the circuit court erred in determining that res judicata operated to bar Plaintiffs' action. Remanded. View "Caperton v. A.T. Massey Coal Co." on Justia Law