In Re Lavigne
In re Jeffrey E. LAVIGNE, doing business as Laser Medical
Associates of NY, Debtor.
MEDICAL MALPRACTICE INSURANCE ASSOCIATION, Plaintiff-Appellant,
v.
Hal M. HIRSCH, as Trustee of the Estate of Jeffrey E.
Lavigne, d/b/a Laser Medical Associates of NY,
Defendant-Appellee.
No. 1141, Docket 96-5104.
United States Court of Appeals,
Second Circuit.
Argued Feb. 24, 1997.
Decided June 2, 1997.
Richard J. Cairns, New York City (Larry P. Schiffer, Haroula K. Ballas, Werner & Kennedy, New York City, of counsel), for Appellant.
Hal M. Hirsch, Purchase, NY (David L. Barrack, Scott R. Goldberg, Allen G. Kadish, Gainsburg & Hirsch, Purchase, NY, of counsel), for Appellee.
Before: VAN GRAAFEILAND, MESKILL and KEARSE, Circuit Judges.
MESKILL, Circuit Judge.
Appeal from a final judgment of the United States District Court for the Southern District of New York, Duffy, J., affirming an order of the bankruptcy court. See In re Lavigne,
The bankruptcy court held that the Chapter 11 debtor-in-possession's cancellation of the policy was use of estate property beyond the ordinary course of business, which required notice and a hearing under
MMIA filed an appeal of the bankruptcy court's decision in the district court, and the judgment was stayed pending the appeal. The district court affirmed the judgment of the bankruptcy court. In re Lavigne,
BACKGROUND
MMIA, a non-profit, unincorporated underwriting associаtion, was established by the New York Legislature in 1975 to provide professional liability insurance to all medical practitioners licensed in New York. MMIA was created to cure "the lack of adequate medical malpractice insurance at reasonable rates, and ... to assure the prompt and fair disposition of medical malpractice claims." Bleiler v. Bodnar,
Dr. Jeffrey Lavigne, d/b/a Laser Medical Associates of New York, was a proctologist specializing in laser surgery. He had several offices throughout the New York metropolitan area and advertised extensively аs "MD-Tusch."
I. Lavigne's Purchase and Cancellation of the Policy
In April 1992, Lavigne obtained a one-year claims-made professional liability insurance policy from MMIA. The policy, which became effective on April 1, 1992, covered liability for malpractice claims arising on or after the effective date, as long as the claims were first asserted during the policy period or during any extended reporting period.1 See N.Y.Comp.Codes R. & Regs. tit. 11 § 73.1(a) (1993) (NYCRR) (defining claims-made policy).
The policy provided for an automatic sixty day tail coverage period upon termination of the policy and a concurrent sixty day option to purchase additional tail coverage. Tail coverage is insurance coverage that becomes effective upon the cancellation or termination of a policy. The coverage applies to all claims that arise during the primary policy period but are not asserted until after the stated policy period expires. Claims made during the tail period are considered to have been made during the primary policy term. See id. § 73.1(d). Under New York law, MMIA is required to provide both automatic tail coverage for sixty days and the option to purchase additional tail coverage upon the termination of a policy. Id. §§ 73.3, 73.5.
On October 8, 1992, Lavigne filed a voluntary petition for protection under Chapter 11 of the Bankruptcy Code. Lavigne continued to practice medicine and to manage his affairs as a debtor-in-possession. In this capacity, Lavigne renewed his policy with MMIA for a one year period beginning April 1, 1993. However, in a letter to MMIA dated September 24, 1993, Lavigne cancelled the policy and requested information regarding tail coverage. During this time, Lavigne's personal and professional lives were in turmoil. His medical license was subject to revocation hearings and he faced over seventy medical malpractice claims. Several days before cancelling the policy, Lavigne decided to close his last remaining office. Also, following a criminal investigation, he pleaded guilty to a criminal information for tax evasion.
Two days after cancelling the insurance policy, Lavigne attempted suicide. He was hospitalized, put on suicide watch and eventually transferred to a rehabilitative facility in New Hampshire, where he remained until the end of November 1993. During the period of Lavigne's incapacity, his attorney took over operation and control of his business affairs. Without leave of court, the attorney collected accounts receivable, placed them in a non-segregated general account and at his discretion paid certain claims. When these activities were discovered, the bankruptcy court reprimanded the attorney and ordered him to provide an accounting.
In response to the insurance cancellation letter, MMIA sent a letter to Lavigne stating that the cancellation was effective as of September 28, 1993 and that the option to purchase tail coverage would expire sixty days from termination (November 28, 1993). The stated option period expired while Lavigne was institutionalized and his attorney never purchased the tail coverage.
II. Conversion of the Bankruptcy Case to Chapter 7
On January 27, 1994, Lavigne's case was converted from Chapter 11 to Chapter 7 and Hal M. Hirsch was appointed Trustee. According to the Trustee, the circumstances of Lavigne's incapacitation and the conduct of Lavigne's attorney, coupled with their failure to inform the Trustee of the existence of the policy, made it impossible immediately to obtain a clear picture of the estate's affairs. The Trustee claims that based оn the above, he was unaware of the MMIA policy and unable to assume it or seek to extend the time to do so.
When the Trustee discovered the existence of the policy, he wrote a letter to MMIA dated May 3, 1994 seeking to purchase tail coverage. The Trustee claimed that Lavigne's cancellation of the policy without court approval was invalid and that the policy remained in effect until it terminated on April 1, 1994 by its own terms. Thus, according to the Trustee, the option to purchase tail coverage did not expire until May 31, 1994. The parties entered into a Standstill and Tolling Agreement on May 27, 1994 to allow the parties to assess whether any claims would be made against Lavigne subsequent to the alleged cancellation date of September 28, 1993. At least four malpractice claims were asserted after that date. On September 29, 1994, MMIA terminated the agreement and advised the Trustee that it would not grant the request to purchase the coverage. According to MMIA, Lavigne's cancellation was valid and therefore the option had already expired, or alternatively, the option was not available because the policy had been rejected by the Trustee.
III. Procedural History
Pursuant to Bankruptcy Rule 7001, MMIA brought an adversary proceeding seeking a declaratory judgment that its obligation to extend the option to purchase tail coverage had expired. Both parties filed motions for summary judgment, agreeing that there were no material issues of fact and the dispute could be decided as a matter of law.
MMIA argued that under
The Trustee argued that based on Lavigne's failure to give notice and obtain court approval, cancellation of the policy was null and void under
The bankruptcy court denied MMIA's motion and granted the Trustee's motion by holding that (1) Lavigne's cancellation of the policy was void under
Pursuant to
Appellate jurisdiction is proper pursuant to
I.
The first step of our analysis requires us to determine whether the courts below properly held that Lavigne's initial cancellation of the policy was invalid under
Lavigne's insurance policy with MMIA was property of the bankruptcy estate. See In re Johns-Manville Corp.,
The term "ordinary course of business" generally has bеen accepted "to embrace the reasonable expectations of interested parties of the nature of transactions that the debtor would likely enter in the course of its normal, daily business." In re Watford,
Under the vertical test, the court "views the disputed transaction from the vantage point of a hypothetical creditor and inquires whether the transaction subjects a creditor to economic risks of a nature different from those he accepted when he decided to" enter into a contract with the debtor. In re Dant & Russell,
The horizontal test involves "an industry-wide perspective in which the debtor's business is compared to other like businesses. In this comparison, the test is whether the postpetition transaction is of a type that other similar businesses would engage in as ordinary business." In re Dant & Russell,
MMIA claims that the transaction was ordinary. According to MMIA, Lavigne intended to cancel his policy and purchase tail coverage because prior to the cancellation, he decided to close his remaining practice. Lavigne never purchased the tail coverage because two days after the cancellation, he attempted suicide and was hospitalized during the entire option period. While it may be within the ordinary course of business for professionals to cancel their professional liability coverage and purchase tail coverage upon the closing of their practice, the cancellation here was clearly an extraordinary action requiring notification. The circumstances surrounding Lavigne at the time of the cancellation make such an аct extraordinary. "[S]ome transactions either by their size, nature or both are not within the day-to-day operations of a business and are therefore extraordinary." In re Dant & Russell,
In sum, we hold that cancelling the policy was an extraordinary act for which notice was required under
II.
Next we decide if the courts below properly held that the Trustee's rejection of the policy did not prevent the Trustee from purchasing tail coverage. The bankruptcy court determined that the Trustee's failure to assume the policy within sixty days of conversion to Chapter 7 resulted in a deemed rejection of the policy under
Under
The purpose behind allowing the assumption or rejection ... is to permit the trustee ... to use valuable property of the estate and to renounce title to and abandon burdensome property.... In short, ... the trustee [is allowed] to go through the inventory of executory contracts of the debtor and decide which ones it would be beneficial to adhere to and which ones it would be beneficial to reject.
In re Orion Pictures Corp.,
A. The Extended Reporting Period
Section IV of the policy, entitled "Optional Extended Reporting Period," provides:
In the event of the termination of this insurance by reason of non-renewal or cancellation by the Named Insured or if the Company shall cancel this policy or terminate it by refusing to renew, for reasons other than the Named Insured's non-payment of premium ... then the Named Insured, upon payment of an additional premium ... shall have the option to extend the period during which claims may be reported to the Company.... [A] premium notice will be sent to the Named Insured or his or her legal representative. The Named Insured must inform the Company in writing of his or her intent to purchase the Optional Extended Reporting Period coverage within 60 days from the date of termination and must pay the premium therefor in full within thаt 60 day period or in three annual installments with an additional finance charge. Failure to so inform the Company within this 60 day period shall void the option to purchase the [optional coverage] provided in this section.
In addition, Section V, entitled "Automatic Extended Reporting Periods," provides:
[T]he period for reporting claims or suits shall be automatically (and without the payment of any additional premium) extended for a period of 60 days if the insurance provided by this policy is terminated by either the Company or the Named Insured, for whatever reason.
The parties agree that the deemed rejection cancelled the existing coverage under the policy but dispute the effect of the rejectiоn on the option to purchase tail coverage. MMIA claims that the rejection abrogated all rights under the policy, including the tail coverage option. The Trustee argues that rejection effected a termination of the existing coverage and triggered the sixty day option period pursuant to Section IV of the policy.
B. The Effect of Rejection
Rejection is not the power to release, revoke, repudiate, void, avoid, cancel or terminate, or even to breach, contract obligations. Rather, rejection is a bankruptcy estate's election to decline a contract or lease asset. It is a decision not to assume, not to obligate the estate on the contract or lease as the price of obtaining the continuing benefits of the non-debtor party's performance. That decision leaves the non-debtor in the same position as all others who have dealt with the debtor, by giving rise to a presumption that the debtor has 'breached'--i.e., will not perform--its obligations. The debtor's obligations are unaffected, and provide the basis for a claim.
Andrew, 59 U.Colo.L.Rev. at 931.
Rejection gives rise to a remedy for breach of contract in the non-debtor party. The claim is treated as a pre-petition claim, affording creditors their proper priority. Under
MMIA claims that under New York law, a non-breaching party is discharged from all contractual obligations. We find this argument to be without merit for two reasons.
First, under New York law, only "a breach in a contract which substantially defeats the purpose of that contract can be grounds for rescission. The non-breaching party will be discharged from the further performance of its obligations under the contract when the breach goes to the root of the contract." Dept. of Economic Dev. v. Arthur Andersen & Co.,
The breach in this case was not material. Under the very terms of the policy, the insured has a right to terminate the insurance and purchase tail coverage. Clearly, the deemed rejection ended the primary insurance coverage under the policy. Rejection freed the estate from the burden of paying premiums under the policy by cancelling the existing coverage. Had the Trustee affirmatively cancelled the policy, there would be no question that the option period would be available and we see no material difference between affirmative cancellation and passive сancellation via deemed rejection. The insured-debtor had a right to cancel the insurance and opt for tail coverage; therefore, the rejection-breach, which simply cancelled the existing coverage, did not defeat the purpose of the contract. The purpose of the malpractice policy was to insure Lavigne while practicing medicine and allow him to extend the reporting period for claims against him after the cessation of his practice.
Second, MMIA's obligation to provide an automatic extended coverage period and option to purchase tail coverage is more than a contractual obligation--it is a statutory obligatiоn. See 11 NYCRR §§ 73.3, 73.5. "All contracts are made subject to any law prescribing their effect, or the conditions to be observed in their performance." In re Estate of Havemeyer,
As discussed above, MMIA "was created by the [New York] Legislature in 1975 in response to the withdrawal of many private insurance companies from the medical malpractice market in New York. MMIA was created for the express purpose of providing medical malpractice insurance, which is no longer readily available in the voluntary market." Medical Malpractice Ins. Assoc. v. Super. of Ins. of New York,
New York Ins.L. § 5504(f)(1) (McKinney Supp.1997) states that MMIA shall issue claims-made policies as prescribed by the Superintendent of Insurance by regulation. The regulations promulgated by the Superintendent, which are relevant here, read in pertinent part:
[N]o claims-made liability insurance policy shall be issued or renewed ..., unless the policy and the issuing insurer comply with the following minimum standards:
....
(c)(1) Upon termination of coverage, extended reporting period coverage ... must be available for any claims-made liability coverage provided under the policy.
....
(d) Upon termination of covеrage, a 60-day automatic extended reporting period ... must be provided by the insurer.
MMIA launches several other arguments that it has no obligation to extend the tail coverage purchase option. Because of the fact-specific nature of this case, we reject each argument without extended discussion. First MMIA cites several cases to support its position that an executory contract may not be rejected in part and assumed in part. See In re Chicago, Rock Island & Pacific R.R. Co.,
MMIA also argues that in order for the еstate to be vested with any benefits under the policy, the Trustee had to first assume the policy and cure any defaults.6 Again, under the terms of the policy, the Trustee could have affirmatively cancelled the insurance at any time and exercised the tail coverage option. We cannot see that the Trustee has a lesser right after a deemed rejection than after an affirmative cancellation. Both have the effect of repudiating the existing coverage. Of course, there are procedures available to MMIA to recover the premiums owed. In sum, because the rejection does not terminate all contractual and statutory obligations, MMIA is not absolved from providing extended coverage. Rejection simply cancelled the existing coverage and triggered the policy's sixty-day automatic extended reporting period and option to purchase additional tail coverage.
C. The Running of the Option Period
The final issue that we must decide is when the sixty day automatic extended coverage and purchase option period began to run. The lower courts held that the option period began to run on March 28, 1994, the deemed rejection date, and the Trustee's May 3, 1994 letter was a timely exercise of the coverage option. We agree.
MMIA argues that the courts should have applied the "relation-back" provisions of section 365(g). According to MMIA, under section 365(g), the date of termination of a breached executory contract relates back to the date immediately preceding petition. Therefore, as MMIA claims, the date of termination should be set at either October 7, 1992, the day immediately before Lavigne entered Chapter 11, or January 26, 1994, the date immediately before conversion to Chapter 7. Under either of MMIA's proposed termination dates, the May 3, 1994 letter would be untimely.
We agree with the district court that "MMIA's proposed Section 365(g) construction would eliminate the Tail Coverage option solely as a function of the operation of the bankruptcy laws." In re Lavigne,
Section 365(g) provides the means for determining the priority of the non-debtor's claim. When a contract is rejected, the breach claim is treated as a pre-petition unsecured claim. "The purpose of section 365(g) is to make clear that, under the doctrine of relation back, the other party to a contract that has not been assumed is simply a general unsecured creditor." 3 Collier § 365.09. The section doеs not set the date on which a contract should be deemed terminated.
For the purpose of determining the proper termination date, the deemed rejection date should be used because it was the rejection that ended the coverage under the primary policy. Therefore, we agree with the lower courts that the Trustee had until May 27, 1994, sixty days after rejection, to exercise the tail coverage option. The Trustee's letter dated May 3, 1994 was a timely exercise of the option.
CONCLUSION
We hold that Lavigne's cancellation of the policy was beyond the ordinary course of his business and invalid without notice. We also hold that the Trustee's deemed rejection of the policy triggered the tail coverage purchase option, which was timely exercised. Based on the foregoing, we affirm the judgment of the district court.
Notes
The policy limits were $1 million per claim and $3 million in the aggregate. The policy called for premium payments to be made in four quarterly installments
Court approval is not required under section 363(b)(1) as long as notice of the proposed transaction is given to third parties that have interests in the subject property. If there is no objection to the proposed transaction, the transaction may go ahead without court approval. See 3 Collier On Bankruptcy § 363.02 (Lawrence P. King et al. eds., 15th ed. 1996)
The sixty days runs from the date of conversion. See 3 Collier § 365.04[a] (citing In re Tompkins,
There are situations under the Bankruptcy Code when a rejection may constitute a termination of an executory contract or lease. See, e.g.,
As of September 28, 1993, Lavigne owed MMIA $4,986.17 in earned premiums