# Community Hospitals of Indiana, Inc. v. Aspen Insurance UK Limited and Hiscox, LTD

> Indiana Court of Appeals · October 19, 2018 · 113 N.E.3d 636

URL: https://www.frixlaw.com/law-library/cases/4322855

## Case

- **Full name:** COMMUNITY HOSPITALS OF INDIANA, INC., Appellant-Defendant, v. ASPEN INSURANCE UK LIMITED and Hiscox, Ltd, Appellees-Plaintiffs
- **Court:** Indiana Court of Appeals
- **Decided:** October 19, 2018
- **Citations:** 113 N.E.3d 636
- **Precedential status:** Published
- **Opinion:** Opinion by May
- **Judges:** May
- **Cited by:** 2 later opinions in the Frix Law Library

## Citator (automated)

- No negative treatment found by the automated citator. That is not the same as a confirmation that the case is good law; read the citing cases.
- Full citator and citing cases: https://www.frixlaw.com/law-library/cases/4322855

## Opinion text

FILED
Oct 19 2018, 8:36 am

CLERK
Indiana Supreme Court
Court of Appeals
and Tax Court

ATTORNEYS FOR APPELLANT ATTORNEYS FOR APPELLEE
Robert G. Zeigler Robert W. York
Erin E. Meyers Robert W. York & Associates
Zeigler, Cohen & Koch Indianapolis, Indiana
Indianapolis, Indiana Christopher C. White
Addie L. Jones
Lewis Brisbois Bisgaard & Smith,
LLP
Dallas, Texas

IN THE
COURT OF APPEALS OF INDIANA

Community Hospitals of October 19, 2018
Indiana, Inc., Court of Appeals Case No.
Appellant-Defendant, 18A-PL-69
Appeal from the Marion Superior
v. Court
The Honorable James B. Osborn,
Aspen Insurance UK Limited Judge
and Hiscox, LTD, Trial Court Cause No.
Appellees-Plaintiffs 49D14-1204-PL-16336

May, Judge.

[1] Community Hospitals of Indiana, Inc. (“Community”) appeals the grant of

partial summary judgment in favor of Aspen Insurance UK Limited (“Aspen”)

and Hiscox, Ltd (“Hiscox”) (collectively, “Insurance Companies”) in which the

Court of Appeals of Indiana | Opinion 18A-PL-69 | October 19, 2018 Page 1 of 18
trial court determined the Insurance Companies’ claims fell outside the

procedural and substantive provisions of the Indiana Medical Malpractice Act

(“IMMA”). Because it determined the IMMA did not apply, the trial court

concluded Community could not claim certain affirmative defenses available

only under the IMMA.

[2] Community presents three issues for our review, one of which we find

dispositive: whether Insurance Companies are estopped from denying the

IMMA applies to their claims. We reverse and remand.

Facts and Procedural History 1

[3] On May 7, 2010, David Downey, 2 a truck driver for Celadon Trucking

Services, Inc. (“Celadon”), was involved in a multi-vehicle accident in Texas

that resulted in the death of one driver and serious injury to that driver’s wife,

who was in the passenger seat of the car. The deceased’s children, as well as his

wife and estate, sued Celadon, and the parties settled out of court in Texas.

Celadon, which is located in Indiana, is insured by Insurance Companies, and

Insurance Companies paid the victims’ damages on behalf of Celadon.

[4] Prior to the accident, Celadon and Community, which is also located in

Indiana, contracted for qualified Community employees to complete physical

1
We held oral argument on this matter on July 31, 2018, in the Indiana Court of Appeals courtroom. We
thank counsel for their able advocacy.
2
Downey passed away from unrelated causes in 2012.

Court of Appeals of Indiana | Opinion 18A-PL-69 | October 19, 2018 Page 2 of 18
examinations of Celadon truck drivers based on Department of Transportation

(“DOT”) requirements. Under the agreement, a qualified Community

employee would determine whether a driver was medically able to drive, and

then Community would communicate general information about that decision

and any medical concerns observed to Celadon. The Community employee

assigned to examine Downey was a nurse practitioner (“the NP”).

[5] On February 17, 2010, the NP conducted Downey’s annual DOT examination.

She noted Downey suffered from various medical conditions, and she suspected

he also had sleep apnea. The NP certified Downey to operate a commercial

motor vehicle for six months but instructed Downey to undergo a sleep study

and send the results to the NP. On February 22, Downey completed the sleep

study and was diagnosed with severe obstructive sleep apnea (“OSA”) and

prescribed a continuous positive airway pressure (“CPAP”) machine. The NP

attempted to call Downey the same day, but she could not hear him when she

reached him via telephone. The NP did not attempt to call Downey again, and

Downey did not report his diagnosis to the NP. On April 16, 2010, Downey’s

cardiologist sent Community a fax with the sleep study results and Downey’s

prescription for the CPAP machine. On April 19, the NP declared Downey

was safe to drive a commercial motor vehicle. 3

3
It is unclear from the record why the NP was recertifying Downey in April, as she had just certified him to
operate a commercial motor vehicle in February.

Court of Appeals of Indiana | Opinion 18A-PL-69 | October 19, 2018 Page 3 of 18
[6] The accident in this case occurred May 17, 2010, when Downey drove his truck

into a line of stopped cars. At the scene of the accident, Downey prepared a

written statement admitting he was distracted by a wrecked truck on the side of

the road and did not see the line of stopped cars until it was too late. (See

Appellant’s App. Vol. II at 151) (Downey’s account of the accident as part of

his December 16, 2010, deposition). The victims of the accident sued Celadon

and received a judgment of approximately $3 million. Aspen and Hiscox are

Celadon’s insurance companies.

[7] On April 16, 2012, Aspen filed a proposed complaint with the Indiana

Department of Insurance (“IDOI”) against Community, alleging

[11.] . . . Community was negligent in failing to notify Celadon
on April 16, 2010, or shortly thereafter, that Downey was
suffering from a medical condition which precluded his ability to
drive under FMCSA regulations. Had such results been
conveyed, Celadon would have removed Downey from the
operation of his vehicle and placed him on a safety hold pending
successful treatment of his sleep apnea.

12. The failure to [sic] Community to exercise ordinary care
proximately caused, in whole or in part, the injuries sustained [by
the accident victims], as well as the other minor bodily injury
claimants, which caused, in whole or in part, Celadon to incur
over $3 million to resolve their claims.

(Id. at 41.) Aspen indicated in its proposed complaint to the IDOI that

Community’s “physicians, nurse practitioners, nurses, wellness specialists, and

administrative support/medical assistants . . . qualif[ied] as health care

Court of Appeals of Indiana | Opinion 18A-PL-69 | October 19, 2018 Page 4 of 18
providers under the Indiana Medical Malpractice Act.” (Id. at 23-4.) Aspen

contemporaneously filed an action in Marion County Superior Court asserting

the same facts and alleging Community 4 committed negligence and breach of

contract. In the complaint before the Marion County Superior Court, Aspen

indicated Community’s “physicians, nurse practitioners, nurses, wellness

specialists, and administrative support/medical assistants . . . qualif[ied] as

health care providers under the Indiana Medical Malpractice Act.” (Id. at 16.)

[8] Insurance Companies 5 filed an amended proposed complaint with the IDOI on

May 25, 2012, and in that amended complaint stated the Community

employees allegedly involved were health care providers under the IMMA.

Insurance Companies filed an amended complaint with the Marion County

Superior Court on May 30, 2012, and they again noted the Community

employees in question were health care providers under the IMMA.

[9] On April 29, 2015, the trial court, sua sponte, scheduled an Indiana Trial Rule

41(E) hearing due to inactivity in the Marion County case. On May 6, 2015 the

Insurance Companies filed an agreed motion to remove the Trial Rule 41(E)

hearing from the docket stating Insurance Companies were “seeking damages

for negligence and breach of contract arising from medical services or medically

related services provided by [Community].” (Id. at 166.) In the motion, the

4
At this time, Community was referred to only as “ABC Hospital.” (Appellant’s App Vol. II. at 15.)
5
Aspen added Hiscox as a plaintiff on May 25, 2012.

Court of Appeals of Indiana | Opinion 18A-PL-69 | October 19, 2018 Page 5 of 18
Insurance Companies also explained they were awaiting the medical review

panel’s decision. The trial court cancelled the hearing. The same process

occurred on October 13, 2015, and September 14, 2016.

[10] On October 21, 2016, the medical review panel of the IDOI issued its decision

on the Insurance Companies’ complaint, concluding the “conduct complained

of was not a factor in the resultant damages.” (Br. of Appellant at 9) (citing

Appellant’s App. Vol II at 154). 6 On January 17, 2017, the Insurance

Companies filed a second amended complaint in the Marion County case,

noting “[a]ll procedural requirements of Indiana Code section 34-18-8-4 have

been completed and the Medical Review Panel has provided its Opinion.”

(Appellant’s App. Vol. II at 44.) The Insurance Companies alleged:

On or about April 16, 2010, a facsimile was sent to and received
by [Community] which contained Downey’s February 22, 2010
sleep study. At that point, based on the nurse practitioner’s
understanding of applicable DOT and/or FMCSA regulations, in
conjunction with the results of the sleep study which diagnosed
Downey as having uncontrolled sleep apnea, Downey would
have been disqualified from operating a commercial motor
vehicle. The results of the facsimile and accompanying sleep
study were never conveyed to Celadon by [Community], and
[Community] did not pull Downey’s certification to drive or tell
him he could not operate his vehicle until he [was] successfully
treated for sleep apnea. As found by the Medical Review Panel,
[Community] failed to comply with the appropriate standard of

6
Neither party cites to the decision from the medical review panel, and it seems that decision is not part of
the record presented to us. This citation is to Community’s response to the Insurance Companies’ motion for
summary judgment, which was filed on October 11, 2017.

Court of Appeals of Indiana | Opinion 18A-PL-69 | October 19, 2018 Page 6 of 18
care with respect to the receipt and/or review of relevant health
care information.

(Id. at 48.) Again, the Insurance Companies indicated the relevant Community

employees qualified as health care providers under the IMMA. The Insurance

Companies contended Community was negligent in not communicating to

Celadon regarding Downey’s condition and, had they done so, Downey would

not have caused the accident in Texas. Further, the Insurance Companies

asserted a claim in breach of contract regarding the contract between Celadon

and Community.

[11] On March 13, 2017, Community filed a response to the Insurance Companies’

second amended complaint. In its answer, Community certified it was a

qualified health care provider “entitled to all rights, privileges, limitations,

liability caps, defenses and immunities provided for [by the IMMA].” (Id. at

70.) Community further asserted: “Claims of negligence and causation raised

in [Plaintiffs’] Proposed Complaint before the Indiana Department of Insurance

and considered by the Medical Review Panel are the sole claims upon which

the subject matter jurisdiction have been granted . . .Additionally, any claim for

breach of contract is subsumed under the malpractice.” (Id. at 70-1) (internal

citations omitted) (errors in original). Finally, Community argued, as a defense

to Insurance Companies’ negligence and breach of contract claims: “Plaintiffs

are estopped to deny that the limitations of the Medical Malpractice Act,

including the liability cap, apply to the plaintiff insurance companies.” (Id. at

71.)

Court of Appeals of Indiana | Opinion 18A-PL-69 | October 19, 2018 Page 7 of 18
[12] On September 11, 2017, the Insurance Companies filed a motion for summary

judgment. The Insurance Companies’ motion for summary judgment asked the

trial court to declare, as a matter of law, that Community’s affirmative defenses

regarding the applicability of the IMMA were unavailable. In their brief in

support of their motion for summary judgment, the Insurance Companies

stated:

At its core, Plaintiffs allege that a non-medical employee of
Community Hospital negligently failed to provide a facsimile
transmission to a nurse practitioner so that she could take
appropriate action and pull the DOT driving certification for
David Downey, a Celadon driver diagnosed with sleep apnea.
The administrative failure of Community Hospital’s staff to relay
the information about the driver’s sleep apnea diagnosis to a
medical provider who could take appropriate action or to
Celadon was not a medical determination or exercise of medical
judgment and thus, this Court should grant summary judgment
on all of Defendant’s affirmative defenses related to the
applicability of Indiana’s Medical Malpractice Act.

(Id. at 77.)

[13] On October 11, 2017, Community filed a response to the Insurance Companies’

motion for summary judgment, arguing the Insurance Companies were

estopped from denying the applicability of the IMMA based on the doctrine of

judicial estoppel; the Insurance Companies had forfeited their right to challenge

the applicability of the IMMA because the Insurance Companies frequently

asserted the IMMA governed of the issues before the court; and the IMMA

applied to the Insurance Companies’ claims “because the acts or omission at

Court of Appeals of Indiana | Opinion 18A-PL-69 | October 19, 2018 Page 8 of 18
issue are based on the provider’s behavior or practices while acting in its

professional capacity as a provider of medical services.” (Id. at 160.) The trial

court held a hearing on the Insurance Companies’ motion for summary

judgment on November 13, 2017. On January 1, 2018, the trial court entered

an order granting the Insurance Companies’ motion for summary judgment,

concluding:

[T]here is no genuine issue as to any material facts that the
claims for negligence and breach of contract made by [Insurance
Companies] against [Community] in [Insurance Companies’]
January 20, 2017 Second Amended Complaint, fall outside the
procedural and substantive provisions of the [IMMA], and that
judgment should be entered for [Insurance Companies] and
against [Community] on all of [Community’s] affirmative
defenses seeking to invoke the procedural and substantive
provisions of the [IMMA].

(Id. at 13-14.) The trial court also stated, “there is no just reason for delay and

the Court expressly directs entry of judgment as to less than all the issues,

claims or parties, as hereinabove set forth.” 7 (Id. at 14.)

Discussion and Decision
[14] We review summary judgment de novo, applying the same standard as the trial

court. Hughley v. State, 15 N.E.3d 1000, 1003 (Ind. 2014). Drawing all

7
This language certifies the order for appeal pursuant to Indiana Trial Rule 54(B), despite the fact it does not
dispose of all claims between the parties.

Court of Appeals of Indiana | Opinion 18A-PL-69 | October 19, 2018 Page 9 of 18
reasonable inferences in favor of the non-moving party, we will find summary

judgment appropriate if the designated evidence shows there is no genuine issue

as to any material fact and the moving party is entitled to judgment as a matter

of law. Id. A fact is material if its resolution would affect the outcome of the

case, and an issue is genuine if a trier of fact is required to resolve the parties’

differing accounts of the truth or if the undisputed material facts support

conflicting reasonable inferences. Id.

[15] The initial burden is on the summary judgment movant to demonstrate there is

no genuine issue of fact as to a determinative issue, at which point the burden

shifts to the non-movant to come forward with evidence showing there is an

issue for the trier of fact. Id. While the non-moving party has the burden on

appeal of persuading us summary judgment was erroneous, we carefully assess

the trial court’s decision to ensure the non-movant was not improperly denied

his day in court. Id. Summary judgment is not a summary trial, and it is not

appropriate just because the non-movant appears unlikely to prevail at trial. Id.

at 1003-04. We “consciously err[ ] on the side of letting marginal cases proceed

to trial on the merits, rather than risk short-circuiting meritorious claims.” Id.

at 1004.

[16] We have previously outlined the purpose and general requirements of the

IMMA:

Our Supreme Court has explained that the [IMMA] was a
legislative response to escalating problems in the malpractice
insurance industry, with physicians being fearful of exposure to

Court of Appeals of Indiana | Opinion 18A-PL-69 | October 19, 2018 Page 10 of 18
malpractice claims and, further, being unable to obtain adequate
malpractice insurance. Johnson v. St. Vincent Hospital, Inc., 273
Ind. 374, 379-80, 404 N.E.2d 585, 589-90 (1980).

*****

The [IMMA] defines malpractice as “a tort or breach of contract
based on health care or professional services that were provided,
or that should have been provided, by a health care provider, to a
patient.” Ind. Code § 34-18-2-18. Health care is “an act or
treatment performed or furnished, or that should have been
performed or furnished, by a health care provider for, to, or on
behalf of a patient during the patient’s medical care, treatment, or
confinement.” Ind. Code § 34-18-2-13. A “patient” is “an
individual who receives or should have received health care from
a health care provider, under a contract, express or implied, and
includes a person having a claim of any kind, whether derivative
or otherwise, as a result of alleged malpractice on the part of a
health care provider.” Ind. Code § 34-18-2-22. The [IMMA]
does not necessarily apply to all cases where a health care
provider is a party. [Midtown Cmty. Mental Health Ctr. v. Estate of
Gahl by Gahl,] 540 N.E.2d [1259, 1260 (Ind. Ct. App. 1989),
trans. denied.] The [IMMA] covers “curative or salutary conduct
of a health care provider acting within his or her professional
capacity,” i.e., it must be undertaken in the interest of or for the
benefit of the patient’s health. Collins v. Thakkar, 552 N.E.2d 507,
510 (Ind. Ct. App. 1990), trans. denied. The [IMMA] does not
apply to conduct unrelated to the promotion of a patient’s health
or the provider’s exercise of professional expertise, skill, or
judgment. Howard Reg’l Health Sys. v. Gordon, 952 N.E.2d 182,
185 (Ind. 2011) (emphasis added); Doe by Roe v. Madison Center
Hosp., 652 N.E.2d 101, 103 (Ind. Ct. App. 1995), trans. dismissed.

When deciding whether a claim falls under the provisions of the
[IMMA,] “we are guided by the substance of a claim to

Court of Appeals of Indiana | Opinion 18A-PL-69 | October 19, 2018 Page 11 of 18
determine the applicability of the Act.” Doe by Roe, 652 N.E.2d
at 104. “[T]he test to determine whether a claim sounds in
medical malpractice is ‘whether the claim is based on the
provider’s behavior or practices while acting in his professional
capacity as a provider of medical services.’” Madison Ctr., Inc. v.
R.R.K., 853 N.E.2d 1286, 1288 (Ind. Ct. App. 2006) (quoting
Collins, 552 N.E.2d at 511), trans. denied. We have observed that
application of this test “has resulted in hairline distinctions
between claims that sound in medical negligence and those that
sound in ordinary negligence.” Anonymous Hospital [v. Doe], 996
N.E.2d [329,] 333 [(Ind. Ct. App. 2013)] (citing Estate of O’Neal ex
rel. Newkirk v. Bethlehem Woods Nursing & Rehab. Ctr., 878 N.E.2d
303, 311 (Ind. Ct. App. 2007))[, trans. denied]. Indeed, “‘[f]or
more than thirty years, claimants and courts have wrestled with
the question of what activities fall within the [IMMA.]’” Eads v.
Cmty. Hosp., 932 N.E.2d 1239, 1244 (Ind. 2010) (quoting Judge
Kirsch’s dissent).

Preferred Prof’l Ins. Co. v. West, 23 N.E.3d 716, 727 (Ind. Ct. App. 2014), trans.

denied. We have also noted, regarding the difference between medical and

ordinary negligence claims:

A case sounds in ordinary negligence [rather than medical
negligence] where the factual issues are capable of resolution by a
jury without application of the standard of care prevalent in the
local medical community. By contrast, a claim falls under the
[IMMA] where there is a causal connection between the conduct
complained of and the nature of the patient-health care provider
relationship.

Terry v. Cmty. Health Network, Inc., 17 N.E.3d 389, 393 (Ind. Ct. App. 2014).

[17] Here, Insurance Companies filed their claims with the IDOI and their claims in

the trial court contemporaneously. The Insurance Companies then successfully
Court of Appeals of Indiana | Opinion 18A-PL-69 | October 19, 2018 Page 12 of 18
petitioned the trial court to hold in abeyance the claims before the trial court

until the Medical Review Board issued its opinion regarding the Insurance

Companies’ claims under the IMMA. Four years later, after receiving an

unfavorable opinion from the IMMA, the Insurance Companies argued before

the trial court that the IMMA no longer applied to the claims before the trial

court and that Community should be precluded from relying on their

affirmative defenses related to the IMMA. The trial court agreed and granted

the Insurance Companies summary judgment on the request that Community

be precluded from using affirmative defenses they asserted under the IMMA.

Community asserts the trial court erred when it granted summary judgment.

We agree with Community.

[18] We find our holding in West, 23 N.E.3d at 732, to be instructive. In West,

Crystal West sustained significant permanent injuries after a co-worker,

Michael, drove a vehicle into the elevated mechanical platform on which

Crystal was standing. Crystal and her husband, William West, (“the Wests”)

filed a complaint in St. Joseph County against certain healthcare providers of

Michael, alleging the healthcare providers were negligent in treating Michael

with narcotic pain medication for a cervical strain and releasing him to work.

The Wests also filed a proposed claim under the IMMA with the IDOI.

[19] The Wests alleged there was a breakdown in communication between a nurse

and Michael, and between the same nurse and Michael’s doctor, who cleared

Michael to return to work, not knowing he had been prescribed a narcotic pain

reliever. The Wests then filed a motion for preliminary determination of law

Court of Appeals of Indiana | Opinion 18A-PL-69 | October 19, 2018 Page 13 of 18
with the St. Joseph County Court, asking the court to determine if the IMMA

applied to their claims against Michael’s healthcare providers. The trial court

denied the motion; however, in a footnote the trial court stated that, had it

entered a preliminary determination of law, it “would have likely ruled that the

proposed complaint sounds in medical malpractice and is covered by the

[IMMA].” West, 23 N.E.3d at 720.

[20] A month later, the Wests filed a complaint for declaratory judgment in Marion

County. In that action, the Wests named the healthcare providers’ insurance

companies, the IDOI, and the Patients’ Compensation Fund as defendants.

The Wests asked the Marion County Court to determine if the IMMA applied

to their claims against the healthcare providers in St. Joseph County, as the

clarification of applicable law “would affect not only how and where the case

would be litigated but also which insurance policies and coverage would be

available to the Wests should they ultimately be successful in their claims.” Id.

[21] After denying the insurance companies’ motion to dismiss under Indiana Trial

Rule 12(B)(8), the trial court considered the issue of whether the IMMA applied

to the Wests’ claims in St. Joseph County. Following briefing and an oral

argument, the Marion County Court decided the Wests’ claims were founded in

common law negligence, rather than the IMMA, because there were no factual

disputes regarding the dosage of narcotic pain medication given to Michael,

Michael’s treatment, or the appropriateness of the warnings Michael was given,

which were all issues that could have been decided by a medical review panel.

The Marion County Court also held the Wests did not fit the IMMA’s

Court of Appeals of Indiana | Opinion 18A-PL-69 | October 19, 2018 Page 14 of 18
definition of “patient” or “a person having a claim of any kind, derivative or

otherwise.” Ind. Code § 34-18-2-22. The insurance companies appealed.

[22] As is relevant to this action, the insurance companies argued on appeal that the

Wests were estopped from claiming the IMMA did not apply to their claims

because the Wests had filed a proposed claim before the IDOI. Our court

rejected that argument, noting:

[T]he Wests simultaneously filed a complaint in the St. Joseph
Circuit Court and with the IDOI, and they promptly sought a
preliminary determination of law approximately two months
after the filing the St. Joseph action, asking that court to find that
their claims were not governed by the [IMMA.] They have
consistently and thoroughly pursued that position throughout
years of proceedings in multiple courts. We do not find that the
Wests’ decision to simultaneously file complaints in the St.
Joseph Circuit Court and the IDOI, likely done to avoid any
potential statute of limitations issues, is problematic or that it
thereby prevented them from pursuing a determination that the
[IMMA] did not apply to their claims.

West, 23 N.E.3d at 732.

[23] Community argues West is distinguishable from the facts of the case before us

because, while the Wests sought clarification from the beginning of all

litigation, the Insurance Companies here waited until after the medical review

panel rendered its decision contrary to the Insurance Companies’ interests

before seeking clarification about whether the IMMA applied to the Insurance

Companies’ claims. Further, Community contends, West is inapposite because

despite the Insurance Companies’ reliance on its holding for the premise they

Court of Appeals of Indiana | Opinion 18A-PL-69 | October 19, 2018 Page 15 of 18
did not waive their ability to challenge the applicability of the IMMA, “the

Insurance Companies consistently and repeatedly claimed to the trial court that

the [IMMA] did apply[.]” (Br. of Appellant at 25) (emphasis in original). We

agree.

[24] Unlike in West, the Insurance Companies repeatedly delayed the proceedings in

trial court while waiting for an opinion from the Medical Review Board. At no

time did the Insurance Companies file a request for declaratory judgment or

indicate in any way that they did not believe the case to be under the purview of

the IMMA. 8 In fact, the Insurance Companies repeatedly represented that their

claim fell under the IMMA by indicating the relevant Community employees

were health care providers under the IMMA.

[25] In Manley v. Sherer, 992 N.E.2d 670, 674 (Ind. 2013), our Indiana Supreme

Court confronted an issue very similar to the one at issue here. In Manley, the

Manleys filed a proposed complaint with the IDOI against Dr. Sherer, who

provided care to Kimberly Zehr, the driver in an accident in which Mrs.

Manley sustained injury. Dr. Sherer subsequently filed a motion for

preliminary determination of law and for summary judgment with the trial

8
The Insurance Companies contend Community was well-aware of the Insurance Companies’ intent to
challenge the applicability of the IMMA because the Insurance Companies “consistently alleged that they
had been damaged in a sum not less than $3,250,000 - an amount clearly over the cap imposed by [IMMA].”
(Br. of Appellees at 13.) However, as our Indiana Supreme Court noted in Eads, the amount of damages
requested is of no consequence because “[t]o the extent there is a difference . . . to the caps on medical
malpractice recovery or other procedural differences in medical malpractice cases, these are matters of law
that the Hospital is equipped to evaluate itself.” Eads v. Cmty. Hosp., 932 N.E.2d 1239, 1247 (Ind. 2010).

Court of Appeals of Indiana | Opinion 18A-PL-69 | October 19, 2018 Page 16 of 18
court, in which Dr. Sherer alleged the Manleys’ proposed complaint before the

IDOI was untimely because it was filed four days after the two-year statute of

limitations under the IMMA. In response, the Manleys contended that their

claim fell under the doctrine of continuing wrong, such that the two-year statute

of limitations imposed by the IMMA did not apply. Manley v. Sherer, 960

N.E.2d 815, 821 (Ind. Ct. App. 2011), vacated by Manley v. Sherer, 992 N.E.2d

670, 674 (Ind. 2013). Our Indiana Supreme Court rejected this argument,

holding:

We preliminarily reject the plaintiffs’ claim that their action
against Dr. Sherer and his medical group is not governed by the
Indiana Medical Malpractice Act. The plaintiffs have treated it
otherwise by filing their proposed complaint with the
Department of Insurance as required by the Act. They may not
now contend that the Medical Malpractice Act and its time
limitation do not apply to their claim.

Manley, 992 N.E.2d at 674. The same is true here. The Insurance Companies

cannot now, after receiving a decision from the medical review board that does

not comport with their trial strategy, claim the IMMA does not apply because

the issue is purely clerical.

Conclusion
[26] The trial court erred when it granted summary judgment in favor of the

Insurance Companies because, under Manley, they cannot proceed as if the

IMMA applies to their claim and then disavow the IMMA when the Medical

Court of Appeals of Indiana | Opinion 18A-PL-69 | October 19, 2018 Page 17 of 18
Review Board renders an unfavorable decision. Like in West, the Insurance

Companies should have, and had ample time to, file a motion for declaratory

judgment early in the proceedings if they believed the IMMA did not apply.

Accordingly, we reverse and remand for proceedings consistent with this

opinion.

[27] Reversed and remanded.

Riley, J. and Mathias, J., concur.

Court of Appeals of Indiana | Opinion 18A-PL-69 | October 19, 2018 Page 18 of 18

---

Source: Frix Law Library, https://www.frixlaw.com/law-library/cases/4322855. Public record. Not legal advice.
