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Moss v. Medical Liability Mutual Insurance

Citations: 224 A.D.2d 762; 636 N.Y.S.2d 948; 1996 N.Y. App. Div. LEXIS 815

Court: Appellate Division of the Supreme Court of the State of New York; January 31, 1996; New York; State Appellate Court

Narrative Opinion Summary

In this case, the plaintiff, a medical doctor insured under a professional liability policy requiring consent for settlements, faced multiple malpractice lawsuits from 1985 to 1987. The insurer, defending the plaintiff, settled two cases through arbitration after the plaintiff's refusal, while a third case resulted in a trial and an award deemed inadequate by the court. The plaintiff challenged the insurer's authority, alleging a breach of good faith in defense, but was met with summary judgment against him. The insurer moved to dismiss the complaint on grounds of res judicata, collateral estoppel, and failure to state a cause of action. The court dismissed the complaint, affirming that the plaintiff's claims had been previously litigated or could have been raised earlier, thus barring their relitigation. Moreover, the court found the current complaint insufficiently pleaded as it relied on the same conduct already subject to judicial and arbitral scrutiny. Consequently, the court affirmed the dismissal, with costs awarded to the defendant.

Legal Issues Addressed

Arbitration and Judicial Examination

Application: The court upheld the arbitration results which supported the settlements recommended by the defendant, concluding that these matters had been fully adjudicated and could not form the basis for a new claim.

Reasoning: When the plaintiff refused to settle the Kerrigan and Passino actions, the defendant initiated arbitration, which upheld the settlements.

Bad Faith and Failure to State a Cause of Action

Application: The plaintiff's claim of bad faith in the defendant's actions was dismissed as it was based on the same conduct previously adjudicated, and the complaint was deemed potentially legally insufficient due to its conclusory nature.

Reasoning: The bad-faith claim was based on the same actions previously adjudicated in the Kerrigan and Passino arbitrations and the Dunn coverage action, which had been fully resolved.

Doctrine of Res Judicata

Application: The court applied the doctrine of res judicata to dismiss the plaintiff's complaint, as the claims had been previously litigated or could have been raised in earlier actions related to the same transaction or series of transactions.

Reasoning: The doctrine of res judicata prohibits the relitigation of claims that were previously litigated or could have been raised in earlier actions if they stem from the same transaction or series of transactions.

Professional Liability Insurance and Consent to Settle

Application: The plaintiff alleged that the defendant breached its duty to defend in good faith under a professional liability policy requiring the insured's consent for settlement, but the court found the challenges to the defendant's authority had already been resolved in prior proceedings.

Reasoning: The plaintiff, a medical doctor, was insured by the defendant under a professional liability policy that required the insured's consent for settlement of claims.