Home Insurance v. Aetna Life & Casualty Co.Home Insurance v. Aetna Life & Casualty Co.
These certified appeals arise out of litigation stemming from a fire started by Barry Schuss on August 15, 1983, that caused extensive damage to the Emanuel Synagogue in West Hartford. The plaintiff, Home Insurance Company (Home), which was the synagogue’s insurer, obtained a judgment against Schuss and, thereafter, brought this subrogation action against the defendant, Aetna Life and Casualty Company (Aetna), the insurer of Schuss’ parents. After the trial court, Hodgson, J., had denied Home’s motion for
Home appealed to the Appellate Court, claiming that the trial court improperly had: (1) denied its request for access to Schuss’ psychiatric records; and (2) granted Aetna’s motion for summary judgment. The Appellate Court agreed with both of Home’s claims and, accordingly, reversed the judgment of the trial court. Home Ins. Co. v. Aetna Life & Casualty Co.,
We granted Schuss’ petition for certification to appeal, limited to the issue of whether the Appellate Court properly concluded that Home was entitled to access to his psychiatric records. We also granted Aetna’s petition for certification to appeal, limited to the issue of whether there existed a genuine issue of material fact concerning the applicability of the policy exclusion in the circumstances of this case.
The facts and procedural history relevant to this appeal are set forth in the opinion of the Appellate Court. “This is a subrogation action to recover an amount paid by [Home] for damages caused by a fire at the Emanuel Synagogue in West Hartford. The fire was set by Barry Schuss who pleaded guilty to arson in the third degree in violation of
“[Home], as the insurer and assignee of the Emanuel Synagogue, paid its insured $696,539.71 for the damage caused by the fire and commenced an action against Schuss to recover the amount paid. As a special defense, Schuss initially pleaded that he had been ‘exposed to various experiences in his personal life so as to result in a growing psychological vulnerability [and] ... his loss of a substantial ability to control himself.’ Schuss later withdrew the special defense, and the court rendered judgment, in accordance with a stipulation, against Schuss for $696,539.71 plus interest. [Home] and Schuss stipulated that [Home] would seek to satisfy the judgment only to the extent that Schuss had insurance coverage.
“[Home] then commenced a subrogation action against [Aetna], the insurer of Schuss’ parents, to recover the amount of the judgment obtained against Schuss.
“[Home] filed an application for an order pursuant to
Home appealed from the judgment of the trial court to the Appellate Court, claiming that the trial court improperly had: (1) denied Home’s application for an order releasing Schuss’ psychiatric records; and (2) granted Aetna’s motion for summary judgment. The Appellate Court reversed on both issues, concluding that “[although the patient, Schuss, introduced his mental condition in [Home’s] action against Schuss, and not in [Home’s] action against [Aetna] . . . the actions are one and the same because the action against Schuss is the underlying action to the subrogation action against [Aetna].” Id., 99. Having determined that Schuss had, in effect, placed his mental condition at issue in Home’s subrogation action against Aetna, the Appellate Court concluded that Home was entitled to access to Schuss’ psychiatric records pursuant to
On appeal to this court, Schuss claims that the Appellate Court incorrectly concluded that Home is entitled to access to his psychiatric records under
I
Home acknowledges that Schuss’ psychiatric records fall within the ambit of
A
Under
Home’s argument is contrary to the plain language of
We find nothing in the legislative history of
We are not persuaded, moreover, that Home’s subrogation claim against Aetna is, in effect, the same action as Home’s claim against Schuss for the puipose of
Furthermore, the claims underlying Home’s action against Schuss and its action against Aetna are completely different: the former was brought as a common law trespass action, and the latter as a statutory subrogation action involving the scope of an insurer’s liability coverage under an insurance policy. Because the claims are separate and distinct, the facts to be proven in satisfaction thereof are also different. Finally, although the two actions were commenced by the same plaintiff, each
Although neither the Appellate Court nor Home cite any authority for the proposition that
In sum, Home’s claim finds no support in the language of
B
Home next asserts that § 38a-321, which subrogates a judgment creditor to the rights of his or her debtor against the debtor’s insurer, authorized Home to waive the confidentiality of Schuss’ psychiatric records.
Under § 38a-321, a party who obtains a judgment against an insured defendant “shall be subrogated to all the rights of the defendant and shall have a right of action against the insurer to the same extent that the defendant . . . could have enforced his claim against such insurer had such defendant paid such judgment.” Thus, § 38a-321 authorized Home to assert any claim or defense that Schuss himself could have raised had Schuss himself brought suit against Aetna. We repeatedly have stated, however, that the “intention of the [statute] is to give to the [judgment creditor] the same rights under the policy as the assured . . . .’’(Citations omitted; emphasis added; internal quotation marks omitted.) Brown v. Employers’ Reinsurance Corp.,
In effect, Home urges us to construe § 38a-321 as creating an exception to a psychiatric patient’s right to confidentiality under
Home cites State v. White, supra,
Finally, our conclusion is consistent with one of the primary purposes underlying the enactment of
C
Home’s final argument is that the stipulation it entered into with Schuss carried with it an implied covenant that Schuss would take no action detrimental to Home’s subrogation claim against Aetna. Schuss’ efforts to block the release of his psychiatric records, Home maintains, violated this implied covenant. We do not agree.
Home argues that because Schuss knew that Home would proceed against Aetna under § 38a-321 after having obtained a judgment against Schuss, Home “justifiably expected to obtain all the records of Schuss necessary to prosecute its subrogation action.” In the circumstances, however, Home’s expectation that it would be able to obtain Schuss’ psychiatric records gave rise to no legally cognizable right in Home to gain access to those records. We have stated that “[e]very contract carries an implied covenant of good faith and fair dealing requiring that neither party do anything that will injure the right of the other to receive the benefits of the agreement.” Habetz v. Condon,
There is further reason to reject Home’s claim. Whatever contractual obligation Home claims Schuss had to assist Home in its litigation against Aetna, that obligation, in the absence of an explicit agreement between the parties, cannot extend to Schuss’ statutoiy right to maintain the confidentiality of his psychiatric records. To conclude otherwise would allow Home to obtain access to Schuss’ confidential psychiatric communications without demonstrating either that the records were available under a recognized exception to the psychiatrist-patient privilege or that Schuss himself expressly had consented to the release of the records. In view of the strong public policy in favor of the confidentiality of psychiatric communications, it cannot be presumed that Schuss’ agreement to a stipulated judgment on the issue of damages also represented his consent to the release of the records in question. See State v. Toste,
II
Aetna claims that the Appellate Court improperly concluded that the trial court should not have granted Aetna’s motion for summary judgment. We agree.
The standard of review of a trial court’s decision to grant a motion for summary judgment is well established. Summary judgment “shall be rendered forthwith if the pleadings, affidavits and any other proof submitted show that there is no genuine issue as to any material fact and that the moving party is entitled to judgment as a matter of law.”
In support of its opposition to Aetna’s summary judgment motion, Home offered as evidence the special defense, later withdrawn, asserted by Schuss in Home’s action against him, as well as Schuss’ deposition testimony.
We turn first to Home’s argument that Schuss’ assertion of a special defense empowered Home to use that defense for the purpose of establishing a factual basis for its claim that Schuss did not intend to cause damage to the synagogue and, consequently, that Schuss’ conduct falls outside the provision in Aetna’s policy excluding from coverage any property damage intentionally caused by its insured. Although assertions in pleadings generally are inadmissible as hearsay, “[statements in pleadings that are inconsistent with claims advanced at trial are admissible as judicial admissions.” Schenck v. Pelkey,
Home advances two arguments in support of its position that Schuss’ deposition testimony raised a sufficient issue of material fact to have defeated Aetna’s summary judgment motion. First, Home claims that the testimony created a doubt as to Schuss’ credibility regarding his intent to cause damage to the synagogue. Second, Home contends that Schuss’ deposition testimony is sufficient to permit an inference that Schuss lacked the soundness of mind to have intentionally caused damage to the synagogue. We are not persuaded by either of these arguments.
Our careful review of Schuss’ deposition testimony reveals that Schuss testified consistently and unequivocally that he had intended to set fire to the Emanuel Synagogue for the purpose of damaging it.
In addition, when Schuss was asked whether he had been able to control his actions when he set the fire, Schuss stated that he was in control and that, had he wanted to, he could have stopped himself. Further, Schuss’ testimony that he had wanted to “caus[e] trouble” by setting the fire and that he was fearful only about getting caught clearly indicates that he was aware of the wrongfulness of his actions. Home has produced no evidence to the contrary.
We have not had occasion to decide the question of how an insured’s mental condition may affect the application of an insurance policy’s intentional act exclusion clause.
The judgment of the Appellate Court is reversed, and the case is remanded to that court with direction to affirm the judgment of the trial court.
In this opinion the other justices concurred.
Notes
We granted Schuss’ petition for certification to appeal limited to the following question: “Under the circumstances of this case, did the Appellate Court properly conclude that the psychiatric records of Barry Schuss were disclosable under
The two appeals have been consolidated for presentation to this court.
The trial court had granted Home’s unopposed motion for summary judgment on the issue of liability. Thereafter, Home and Schuss stipulated to damages. The stipulation provided, inter alia, that Home would “seek to satisfy its judgment against the defendant Barry D. Schuss only to the extent the defendant has insurance coverage.”
Home has never disputed that the psychiatric records it seeks are confidential and, therefore, protected from disclosure under
“(b) Any consent given to waive the confidentiality shall specify to what person or agency the information is to be disclosed and to what use it will be put. Each patient shall be informed that his refusal to grant consent will not jeopardize his right to obtain present or future treatment except where disclosure of the communications and records is necessary for the treatment.
“ (c) The patient or his authorized representative may withdraw any consent given under the provisions of this section at any time in a writing addressed to the person or office in which the original consent was filed. Withdrawal of consent shall not affect communications or records disclosed prior to notice of the withdrawal.”
“(2) ‘Communications and records’ means all oral and written communications and records thereof relating to diagnosis or treatment of a patient’s
“(3) ‘Consent’ means consent given in writing by the patient or his authorized representative . . .
“(6) ‘Patient’ means a person who communicates with or is treated by a psychiatrist in diagnosis or treatment;
“(7) ‘Psychiatrist’ means a person licensed to practice medicine who devotes a substantial portion of his time to the practice of psychiatry, or a person reasonably believed by the patient to be so qualified.”
We certified only the first of the three claims raised by Home in support of its argument that it is entitled to disclosure of Schuss’ psychiatric records. Home has raised the remaining claims as alternate grounds for affirmance pursuant to
Under
Schuss contends that even if Home’s action against him could be considered the same as this action for purposes of
Because the Appellate Court agreed with Home’s first argument, it did not consider any of Home’s other claims.
For example, there are indications in Schuss’ April, 1988 deposition that Schuss withdrew his special defense to avoid the release of the records under
Schuss was deposed by Home on April 29, 1988, December 18, 1990, February 11, 1992, and May 18, 1992.
Accordingly, Schuss’ psychiatric records also are not available to Home under
We need not consider the question of whether Aetna could, by virtue of Home’s status as Schuss’ subrogee, use Schuss’ special defense as an admission against Home.
In ruling on the defendant’s motion for summary judgment, the trial court, Gordon, J., considered only Schuss’ deposition testimony. As the Appellate Court noted, this evidence, contrary to Home’s claim, “showed that Schuss intended and expected to cause damage to the synagogue. Schuss’ statements in his deposition of December 18, 1990, established that when
Noting that Connecticut has not yet considered the question, the Appellate Court stated that “other jurisdictions have determined that the conduct of an insured is not intentional for the purposes of an intentional act exclusion where the insured lacks a certain mental capacity.” Home Ins. Co. v. Aetna Life & Casualty Co., supra,
Accordingly, the defendant cannot prevail under any of the tests used in determining whether an insured’s conduct is intentional for the purposes of an insurance policy’s intentional act exclusion clause. See footnote 18. We express no view as to the standard adopted by the Appellate Court.