Opinion

Coregis Ins Co v. Baratta & Fenerty

Court
Court of Appeals for the Third Circuit
Filed
Aug 29, 2001
Cited by
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More cited than 40.1%

The opinion

Opinions of the United

2001 Decisions States Court of Appeals

for the Third Circuit

8-29-2001

Coregis Ins Co v. Baratta & Fenerty

Precedential or Non-Precedential:

Docket 99-1740

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Recommended Citation

"Coregis Ins Co v. Baratta & Fenerty" (2001). 2001 Decisions. Paper 198.

http://digitalcommons.law.villanova.edu/thirdcircuit_2001/198

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Filed August 29, 2001

UNITED STATES COURT OF APPEALS

FOR THE THIRD CIRCUIT

Nos: 99-1740 & 00-1175

(Consolidated)

COREGIS INSURANCE COMPANY

v.

BARATTA & FENERTY, LTD; ANTHONY BARATTA, ESQ.;

KENNETH LEE; DANIELLE LEE

BARATTA & FENERTY, LTD; ANTHONY BARATTA, ESQ.,

Appellants

Appeal from the United States District Court

for the Eastern District of Pennsylvania

D.C. No. 99-cv-00573

District Judge: The Honorable J. Curtis Joyner

Submitted Under Third Circuit LAR 34.1(a)

September 13, 2000

Before: BECKER, Chief Judge, NYGAARD and

AMBRO, Circuit Judges

(Opinion filed August 29, 2001)

David Kraut

Craig J. Fleischmann

Cardis, Kraut & Harris

1777 Sentry Parkway West

Abington Hall, Suite 200

Blue Bell, PA 19422

Attorneys for Appellants

Mary L. Cole

Bollinger, Ruberry & Garvey

354 Eisenhower Parkway,

Suite 1500

Livingston, NJ 07039

Attorney for Appellee

OPINION OF THE COURT

AMBRO, Circuit Judge:

Appellants Anthony P. Baratta ("Baratta") and Baratta &

Fenerty, Ltd. ("B&F ") appeal from judgments of the United

States District Court for the Eastern District of

Pennsylvania (the "District Court") (1) granting summary

judgment in favor of appellee Coregis Insurance Company

("Coregis") and (2) denying Baratta's and B&F 's motion for

relief from judgment based on newly discovered evidence.

The primary issue that we must decide is whether Baratta

and B&F could have reasonably foreseen, prior to the

effective date of their professional liability insurance policy,

that Baratta's handling of his clients' case involved a

breach of professional duty that might be the basis of a

legal malpractice claim. If the answer is yes, coverage for

those legal malpractice claims is excluded under the policy.

I. Background Facts and Procedural History

Kenneth Lee sustained severe injuries to his head on

December 19, 1978 when he fell out of the passenger door

of his car onto a highway. He sought treatment at Sacred

Heart Hospital ("Sacred Heart") in Norristown, Pennsylvania

where he was initially examined by Dr. Theodore Harrison,

the emergency room physician on staff. After it became

apparent that Dr. Harrison would not admit Mr. Lee to

Sacred Heart, nor transfer him to a hospital that could do

a CAT-scan of his injuries, Mr. Lee decided to return home

with his wife, Danielle Lee.

Two days later, on December 21, 1978, Mrs. Lee returned

home from work to find Mr. Lee collapsed on the floor. Mr.

2

Lee was then taken to St. Mary's Hospital ("St. Mary's") in

Langhorne, Pennsylvania, arriving in the mid- to late

morning. Mr. Lee's condition deteriorated as he was

required to await treatment throughout the afternoon. At

5:00 p.m., a neurologist arrived and ordered Mr. Lee

transported to Mercer Hospital in Trenton, New Jersey for

a CAT-scan that ultimately revealed a subdural hematoma

and brain contusion. The physicians at Mercer Hospital

performed emergency surgery on Mr. Lee. However, as a

result of the delay in treatment, Mr. Lee allegedly suffered

severe and debilitating injuries.

In January of 1979, Mr. and Mrs. Lee consulted with

Baratta, who was then with the law firm Baratta & Takiff,

about the possibility of filing a medical malpractice case

against Sacred Heart, St. Mary's, and the doctors who had

treated Mr. Lee for the injuries he had suffered on

December 19, 1978. Baratta advised the Lees that they

should file a medical malpractice claim against Sacred

Heart and Dr. Harrison but not against St. Mary's. He

explained that he "was a personal friend of a Dr. Cahill,

who was a physician at St. Mary's Hospital, and that if the

Lees did not sue St. Mary's Hospital, [Dr. Cahill] would be

able to testify as to the negligence of Sacred Heart Hospital

and Dr. Harrison."

On March 23, 1981, Baratta filed a complaint in the

Montgomery County, Pennsylvania, Court of Common Pleas

(the "Court of Common Pleas") on behalf of the Lees alleging

that Sacred Heart and Dr. Harrison failed to treat and

diagnose properly Mr. Lee's injuries. More than ten years

later, on September 17, 1991, the Court of Common Pleas

dismissed the Lees' suit for lack of activity. In January of

1994, Baratta, who was by that time a partner in B&F, met

with the Lees and informed them that their case had been

dismissed for lack of activity but that he had taken action

to get the case reinstated. On January 13, 1995, Mr. Lee

sent Baratta a letter expressing his dissatisfaction with the

handling of his case that stated in part:

You have, for whatever reason that you never

explained, dragged this case on since 1979. You have

constantly brushed off inquiries for a case status

report. You caused and continue to cause great

3

anguish to me and my family by ignoring my case, my

plight, my right to expect you to abide by your contract

with me, to represent me and my best interest, in my

case for the medical negligence I encountered at the

hands of Dr. Harrison at the Sacred Heart Hospital in

December of 1978.

On February 22, 1995, the Court of Common Pleas denied

Baratta's petition to have the Lees' case reinstated, a

decision that was affirmed by the Pennsylvania Superior

Court on November 20, 1995, and by the Supreme Court of

Pennsylvania on April 18, 1996.

On April 24, 1996, Baratta and B&F submitted an

application for professional liability insurance to Coregis,

which extended coverage under Policy No. PLL 319978-8

(the "Policy") for the period May 6, 1996 to May 6, 1997. On

November 6, 1996, the Lees initiated a legal malpractice

action against Baratta and B&F by filing a Writ of

Summons in the Court of Common Pleas. Baratta and B&F

promptly reported this event to Coregis. On December 18,

1996, Coregis sent a letter to Baratta and B&F reminding

them that Exclusion B of the Policy provides that"[the]

policy does not apply to . . . any CLAIM arising out of any

act, error, omission or PERSONAL INJURY occurring prior

to the effective date of this policy if any INSURED at the

effective date knew or could have reasonably foreseen that

such act, error, omission or PERSONAL INJURY might be

expected to be the basis of a CLAIM . . . ." Coregis followed

up on this letter by denying coverage in January 1997 for

the Lees' malpractice claims against Baratta and B&F.

On October 27, 1998, the Lees filed a complaint in the

legal malpractice suit alleging, inter alia, a failure to fulfill

contractual obligations, failure to exercise skill and

knowledge possessed by other attorneys in the community,

and failure to prosecute the Lees' case against Sacred Heart

and Dr. Harrison. In addition, the complaint alleged legal

malpractice for failing to sue St. Mary's.

On November 20, 1998, Baratta and B&F renewed their

request for coverage, which Coregis denied on February 9,

1999. In addition, on February 3, 1999, Coregis initiated in

the District Court a declaratory judgment action against

4

Baratta and B&F to obtain a declaration of its rights and

obligations under the Policy. In granting Coregis' motion for

summary judgment on August 3, 1999, the District Court

concluded that "a reasonable attorney in the position of

Baratta would foresee that his lack of action in the Lees[']

medical malpractice case might be expected to be the basis

of not only a tort claim, but also a contract claim" and that

"Exclusion B in the 1996-97 policy . . . precludes coverage

for the Lees' legal malpractice action against Baratta as a

matter of law." Coregis Ins. Co. v. Baratta & Fenerty, LTD.,

57 F. Supp. 2d 179, 184 (E.D. Pa. 1999). On August 31,

1999, Baratta and B&F appealed to this Court.

Notwithstanding their appeal, on December 10, 1999,

Baratta and B&F filed in the District Court a motion for

relief from judgment pursuant to Federal Rule of Civil

Procedure 60(b). The Rule 60(b) motion presented the

District Court with newly discovered evidence contained in

reports from Drs. Frederick J. McEliece and Joseph J.

Levinsky that were submitted in connection with the Lees'

legal malpractice action against Baratta and B&F in

February and September of 1998, respectively. The

McEliece report provides that despite "some confusion and

at least poor communication" at Sacred Heart, there was no

deviation from "the standard of care at the time," but with

regard to St. Mary's, "if indeed [Kenneth Lee] arrived at 8:00

. . . in the morning and was evaluated at that time[,] the

delay until 2:00 P.M. until obtaining a neurosurgical

consultation is not acceptable."1 The Levinsky report states

that "[e]valuation of the care rendered [at Sacred Heart]

shows no evidence of a deviation from the accepted

standard of emergency medical care in 1978." However,

"[e]valuation of the care at St. Mary's Hospital reveals

significant deviations from the accepted standard of medical

care."

_________________________________________________________________

1. Although the McEliece report indicates that Mr. Lee arrived at St.

Mary's at 8:00 a.m. and had a neurological consultation at 2:00 p.m.,

the Levinsky report states that Mr. Lee arrived at 10:00 a.m. and had a

neurological consultation at 5:00 p.m. In any case, both reports suggest

that the interval of time at St. Mary's may have constituted negligence in

its handling of Mr. Lee's medical care.

5

By order entered on March 17, 2000, the District Court

denied Baratta and B&F 's Rule 60(b) motion. On March 22,

2000, Baratta and B&F filed another appeal. By order of

this Court on April 4, 2000, the two appeals were

consolidated. We have appellate jurisdiction under 28

U.S.C. S 1291.

II. Summary Judgment

Rule 56 of the Federal Rules of Civil Procedure provides

that a moving party is entitled to summary judgment"if the

pleadings, depositions, answers to interrogatories, and

admissions on file, together with affidavits, if any, show

that there is no genuine issue as to any material fact." Fed.

R. Civ. P. 56(c). Summary judgment is only appropriate if

the evidence cannot reasonably support a verdict for the

non-moving party. Allstate Ins. Co. v. Brown, 834 F. Supp.

854, 856 (E.D. Pa. 1993). In making this determination, all

of the facts must be reviewed in the light most favorable to,

and all inferences must be drawn in favor of, the non-

moving party. Anderson v. Liberty Lobby, Inc. , 477 U.S.

242, 248 (1986). Although the moving party bears the

initial burden of demonstrating the absence of genuine

issues of material fact, the non-movant must establish the

existence of each element of his case. Celotex Corp. v.

Catrett, 477 U.S. 317, 323 (1986).

In the case before us, the District Court granted

summary judgment in favor of Coregis after concluding that

"[e]xclusion B in the 1996-97 policy . . . precludes coverage

for the Lees' legal malpractice action against Baratta as a

matter of law." 57 F. Supp. 2d at 184. We exercise plenary

review of this decision. See Farley v. Philadelphia Hous.

Auth., 102 F.3d 697, 700 (3d Cir. 1996); Olson v. Gen. Elec.

Astrospace, 101 F.3d 947, 951 (3d Cir. 1996).

Exclusion B of the Policy excludes coverage for acts,

errors, or omissions occurring prior to the effective date of

the Policy if Baratta and B&F knew or could have

reasonably foreseen that they might be the basis of a claim.

Baratta and B&F do not dispute that the Lees' claims arise

out of acts, errors, or omissions occurring prior to the

effective date of the Policy. However, they do dispute

6

whether they knew or could have reasonably foreseen prior

to that date that these acts, errors, or omissions might be

expected to be the basis of a claim.

In Selko v. Home Ins. Co., 139 F.3d 146 (3d Cir. 1998),

we applied a mixed subjective/objective standard to

determine whether claims were excluded from coverage

under an insurance policy:

First, it must be shown that the insured knew of

certain facts. Second, in order to determine whether

the knowledge actually possessed by the insured was

sufficient to create a `basis to believe,' it must be

determined that a reasonable lawyer in possession of

such facts would have had a basis to believe that the

insured had breached a professional duty.

Id. at 152. Although the exclusionary provision interpreted

in Selko differed in language from the one before us,2 our

holding in that case is applicable here insofar as it

instructs us first to consider the subjective knowledge of

the insured and then the objective understanding of a

reasonable attorney with that knowledge. In Selko, we used

this mixed standard to determine whether the insured had

a "basis to believe" he had breached a professional duty.

We will apply this same standard to determine whether

Baratta and B&F could have reasonably foreseen that

Baratta's prior conduct might be the basis of a claim.

A. Failure To Keep Case Active Against Sacred Heart &

Dr. Harrison

There is no question that Baratta and B&F knew, prior to

applying for professional liability insurance, that the Court

of Common Pleas had dismissed the Lees' medical

malpractice complaint against Sacred Heart and Dr.

Harrison for lack of activity and that the decision of the

Court of Common Pleas had been affirmed by both the

_________________________________________________________________

2. The policy in Selko provided coverage for an act, error or omission

occurring prior to the policy period "provided that prior to the effective

date of this policy . . . the insured had no basis to believe that the

insured had breached a professional duty." Selko, 139 F.3d at 149 n.1.

As noted, the Policy in our case focuses on the foreseeability of a basis

for a malpractice claim.

7

Pennsylvania Superior Court and the Supreme Court of

Pennsylvania. Moreover, Baratta and B&F knew by May of

1996 that the Lees were dissatisfied with the legal

representation they had received. To repeat the relevant

portion of Kenneth Lee's January 13, 1995 letter to Baratta:

"You have, for whatever reason that you never explained,

dragged this case on since 1979. You have constantly

brushed off inquiries for a case status report. You caused

and continue to cause great anguish to me and my family

by ignoring my case, my plight, my right to expect you to

abide by your contract with me, to represent me and my

best interest . . . ."

In our view, a reasonable attorney in possession of these

facts would have realized that Baratta had breached a

professional duty by failing to prosecute the Lees' case

against Sacred Heart and Dr. Harrison, and that

consequently there might be a basis for a claim. 3 A

reasonable attorney also "would have realized that he had

a dissatisfied client who would undoubtedly take further

legal action absent a miraculous and unlikely turnaround"

in events. Selko, 139 F.3d at 154.

Baratta and B&F nevertheless contend that they had no

reason to foresee a legal malpractice claim by the Lees

because, by the time of the effective date of the Policy in

May of 1996, the Lees' legal malpractice action was already

time-barred by the Pennsylvania statute of limitations. We

disagree. When an attorney has a basis to believe he has

breached a professional duty, he has a reason to foresee

that his conduct might be the basis of a professional

liability claim against him. He cannot assume that the

claim will not be brought because he subjectively believes it

is time barred or lacks merit.

In this case, there remains an open question whether the

statute of limitations had run out on the Lees' malpractice

action by the time Baratta and B&F applied for professional

liability coverage with Coregis. Relying upon Sherman

Industries Inc. v. Goldhammer, 683 F. Supp. 502 (E.D. Pa.

_________________________________________________________________

3. A breach of a professional duty and a basis for a claim are thus "two

peas in a pod." If the former occurs, experience teaches that the latter

can be expected to follow.

8

1988), Baratta and B&F argue that the statute of

limitations began to run in January of 1994 when the Lees

were informed that their case had been dismissed. Baratta

and B&F maintain that they therefore had no reason to

foresee a claim in May of 1996 because the two year statute

of limitations under a tort theory of legal malpractice had

expired by January of 1996.

However, we do not believe that a reasonable attorney

could have been certain in May of 1996 that the statute of

limitations had run on the Lees' claim. In Pennsylvania,

"the point of time at which the injured party should

reasonably be aware that he or she has suffered an injury

is generally an issue of fact to be determined by the jury."

Sadtler v. Jackson-Cross Co., 587 A.2d 727, 732 (Pa. Super.

Ct. 1991). "Only where the facts are so clear that

reasonable minds cannot differ may the commencement of

the limitation period be determined as a matter of law." Id.

In the Lees' case, application of the discovery rule would

have involved a highly fact sensitive and legally complex

inquiry that might have resulted in equitable tolling of the

statute of limitations. For example, Mr. Lee's letter to

Baratta on January 13th, 1995 evidences confusion over

whether the Lees' case had been reinstated, stating"[y]ou

are still my attorney bound by our contract. I want from

you, in writing, to tell me what the status of my case is,

what you have done to correct your error, and when we can

plan to proceed to court. You have exactly two weeks to

reply." On the basis of this letter, the statute of limitations

arguably was tolled if the Lees had not been provided

sufficient information to determine whether they had

suffered an injury meriting a malpractice action against

their attorney. In any event, to this date the Lees'

malpractice action against Baratta and B&F has not been

dismissed on statute of limitations grounds.

In short, we are uncertain when the statute of limitations

began to run on the Lees' legal malpractice claim and

whether the limitations period had expired by the effective

date of the Policy in May of 1996. In our view, a reasonable

attorney in Baratta and B&F 's position could not have been

certain, and thus should not have assumed, that the

limitations period had expired as a matter of law. Rather, a

9

reasonable attorney would have foreseen that there might

be the basis for a claim because the statute of limitations

may have been tolled beyond May of 1994 under the

discovery rule.

For similar reasons, we believe Baratta and B&F had

reason to foresee that there might be the basis for a

malpractice claim based on a breach of contract theory, for

which the statute of limitations (of four years) had not

expired in May of 1996. The Court of Common Pleas may

conclude that a complete failure to prosecute the case

against Sacred Heart constitutes a failure to perform a

"specific instruction" by the Lees to develop and prosecute

that case. See Edwards v. Thorpe, 876 F. Supp. 693, 694

(E.D. Pa. 1995). Baratta and B&F were not justified in

assuming otherwise and therefore had reason to foresee

that there might be the basis for a claim against them.

We therefore affirm the District Court's determination

that Exclusion B of the Policy precludes coverage of the

Lees' claim alleging that Baratta committed legal

malpractice by failing to keep their case active against

Sacred Heart and Dr. Harrison.

B. Failure To Sue St. Mary's Hospital

We also agree with the District Court's conclusion that

Exclusion B precludes coverage of the Lees' claims

asserting that Baratta failed to investigate and file suit

against St. Mary's. An allegation in the complaint filed in

the Lees' legal malpractice action against Baratta and B&F

in October of 1998 demonstrates that Baratta knew that

the Lees had a potential claim against St. Mary's. It alleges

that the following exchange took place in 1979 when the

Lees first approached Baratta with their medical

malpractice case:

Attorney Baratta advised the Lees not to file any action

against St. Mary's Hospital. He stated that he was a

personal friend of a Dr. Cahill, who was a physician at

St. Mary's Hospital, and that if the Lees did not sue St.

Mary's Hospital, he would be able to testify as to the

negligence of Sacred Heart Hospital and Dr. Harrison.

Baratta and B&F also knew by May of 1996 that Baratta

had failed to prosecute that very case against Sacred Heart

10

that allegedly would have been strengthened by forgoing

suit against St. Mary's. Finally, as the District Court

observed, Baratta had received a letter from the Lees

expressing their general frustration over the handling of

their case. It alleged that Baratta had "brushed off inquiries

for a case status report" and "dragged on" and "ignor[ed]"

the case.

We conclude that a reasonable attorney in possession of

these facts would have foreseen that he had breached a

professional duty by failing to investigate and pursue a case

against St. Mary's, and that consequently there might be a

basis for a legal malpractice claim against him. Baratta

presented the Lees with a strategy for maximizing their

claims against Sacred Heart, which he then botched

through sheer negligence and inattention. Not only did he

fail to prosecute the case against Sacred Heart that was

allegedly strengthened by forgoing suit against St. Mary's,

he also failed to reconsider the decision not to sue St.

Mary's when, by his own inaction, he was not pursuing the

case against Sacred Heart. Put another way, Baratta in

effect excuses his failure to sue St. Mary's by his failure to

pursue the suit already brought against Sacred Heart. The

alleged understanding not to sue St. Mary's can have no

preclusive effect when the predicate for that alleged

understanding (to pursue suit against Sacred Heart and to

use as a witness against it Dr. Cahill of St. Mary's) does not

exist.

Moreover, we agree with the District Court that"the Lee

letter would clearly put a reasonable attorney in the same

position as Baratta on notice that the Lees were frustrated

about more than just the dismissal of their medical

malpractice action" against Sacred Heart. 57 F. Supp. 2d at

184. That letter expresses a general frustration with

Baratta's failure to spend adequate time developing their

case.

Thus, we also affirm the District Court's determination

that Exclusion B precludes coverage for the Lees' claim

alleging that Baratta committed legal malpractice by failing

to pursue a case against St. Mary's.

11

III. Relief Under Rule 60(b)

Rule 60(b) of the Federal Rules of Civil Procedure

provides in part that "[o]n motion and upon such terms as

are just, the court may relieve a party or a party's legal

representative from a final judgment, order, or proceeding

for the following reasons . . . (2) newly discovered evidence

which by due diligence could not have been discovered in

time to move for a new trial." This standard requires that

"the new evidence (1) be material and not merely

cumulative, (2) could not have been discovered before trial

through the exercise of reasonable diligence and (3) would

probably have changed the outcome of the trial." Compass

Tech., Inc. v. Tseng Labs., Inc., 71 F.3d 1125, 1130 (3d Cir.

1995).

Baratta and B&F sought relief under Rule 60(b) based

upon newly discovered evidence in the McEliece and

Levinsky reports. The District Court concluded that relief

from judgment was not appropriate because, "[a]fter

reviewing the newly produced report, it remains clear that

a reasonable attorney in the position of Mr. Baratta would

have foreseen that the Lees would likely file a malpractice

claim against him, and therefore that Exclusion B

precludes coverage for the Lees's legal malpractice action."

We review this decision for abuse of discretion. See Lorenzo

v. Griffith, 12 F.3d 23, 26 (3d Cir. 1993); Harris v. Martin,

834 F.2d 361, 364 (3d Cir. 1987).

The McEliece report was prepared on February 11, 1998,

and the Levinsky report was prepared seven months later

on September 21, 1998. Baratta and B&F discovered these

reports in November of 1999 through the Lees' responses to

interrogatories submitted to them on September 15, 1999

in connection with their action against Baratta and B&F for

legal malpractice. The reports seem to suggest that (1) the

Lees were not damaged by Baratta's failure to keep the

Lees' medical malpractice case against Sacred Heart and

Dr. Harrison active because Sacred Heart and Dr. Harrison

followed accepted standards of medical care and that (2)

the Lees were damaged by Baratta's failure to include St.

Mary's as a defendant in the case because St. Mary's

deviated from accepted standards of medical care.

12

These reports do not undermine the District Court's

determination that Baratta and B&F had reason to foresee

on or before the effective date of the Policy that Baratta's

handling of the Lees' case might be expected to be the basis

of a claim. In fact, we believe these reports demonstrate

how off the mark Baratta was in advising the Lees to sue

Sacred Heart instead of St. Mary's, and therefore reinforce

our belief that Baratta and B&F should have known by May

of 1996 that Baratta had breached a professional duty in

his handling of this case that provided the basis for a claim

against him.4 The District Court therefore acted within its

discretion to deny Rule 60(b) relief from judgment on the

ground that the McEliece and Levinsky reports would not

have changed the outcome of its decision. See Compass

Tech., 71 F.3d at 1130.

* * * * *

For the reasons set forth above, we affirm the District

Court's decision granting summary judgment in favor of

Coregis because Exclusion B precludes coverage of the

Lees' legal malpractice claims against Baratta and B&F. We

also affirm the judgment of the District Court denying Rule

60(b) relief from judgment.

A True Copy:

Teste:

Clerk of the United States Court of Appeals

for the Third Circuit

_________________________________________________________________

4. We also note that the McEliece and Levinsky reports, published on

February 11, 1998 and September 21, 1998 respectively, probably could

have been discovered through the exercise of reasonable diligence before

the District Court entered judgment on September 15, 1999, and

therefore do not qualify as "newly discovered evidence" justifying Rule

60(b) relief from judgment.

13

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