Prоvident Life and Accident Co. (Provident) brought a declaratory judgment action against Transamerica-Occidental Life Insurance Co. (Transamerica) asking the court to determine which of the two insurance carriers is liable for the medical expenses of David Wall incurred after April 30, 1983. Provident issued a group policy to Wall’s employer, Harlon, effective December 1, 1978. The policy contains a provision extending benefits for one year beyond the termination of the policy if the employeе covered by the policy is totally disabled on the date the policy terminates. Provident’s policy with Harlon terminated on April 30, 1983, at which time a group
Early in 1982, Wall discovered that he had cancer. The record suggests that, while he did not return to work after May 17; 1982, Wall continued to take part in Harlon’s business. In letters to Harlon’s insurance broker, Transamerica agreed to provide benefits to Wall and his family “as long as there is no extension of benefits under the former carrier.” In a letter dated June 7,1983, Transamerica аdvised Har-lon’s insurance broker:
David Wall and his family are covered under the Harlon Group Policy with [Transamerica] effective May 1, 1983. Even though Mr. Wall was totally disabled on our effective date, due to the takeover provisions of the policy, we will cоntinue to provide full benefits for him and his dependents as long as the required premium is paid.
Transamerica paid benefits to Wall through the fall of 1983. Then, according to supplemental briefs submitted by the parties, Harlon’s insurance broker began complaining abоut the premiums due under Harlon’s policy with Transamerica. By this time, Transamerica had paid benefits to Wall in the amount of $37,000.00. These payments were adversely affecting Har-lon’s premiums. The broker apparently wanted Transamerica to shift the liability for Wall’s mеdical expenses to Provident pursuant to the “Extension of Benefits” provision in Provident’s policy with Harlon in order to reduce Harlon’s current premiums. According to both parties, in order to appease the broker, Transamerica requested and rеceived a formal denial of liability from Provident for Wall’s expenses incurred after April 30, 1983. 1 In February of 1984, soon after the formal denial of liability, Transamerica determined that it was not responsible for Wall’s medical bills and asked Provident to reconsider its denial of liability. Provident refused and filed an action for declaratory judgment to determine which insurer is liable for Wall’s medical expenses.
The United States District Court for the Southern District of Florida determined that the only issue in the case was whether Wall was totally disabled on April 30, 1983 when Provident’s policy terminated. Under the court’s rationale, if Wall was totally disabled, then he was covered under the extension of benefits provision in Provident’s policy and the responsibility for his medical expenses falls on Provident; on the other hand, if Wall was not totally disabled, then he was covered under Transamerica’s policy and thus the responsibility for his medical expenses remains with Trans-america. The court found that Wall was totally disabled on April 30,1983 and therefore concluded as a matter оf law that “the loss must fall upon Provident.” 2 Provident appealed the district court’s ruling.
At oral argument, we asked both parties to explain to the court the “case or controversy” giving rise to subject matter jurisdiction in this action. 3 Because neither party explained the “case or controversy” tо the court’s satisfaction, we ordered the attorneys to brief the issue. After reading the briefs, we have concluded that no case or controversy exists between these parties. Consequently, the district court did not have jurisdiction to hear the action and we must vacate the lower court’s judgment.
Article III, section two of the Constitution limits the exercise of judicial power to “cases” and “controversies.” The declaratory judgment act, in its reference to “ ‘cases of actual controversy’ manifestly
The Supreme Court in
Aetna v. Haworth,
The controversy must be definite and concrete, touching the legal relations оf parties having adverse legal interests. It must be a real and substantial controversy admitting of specific relief through a decree of a conclusive character, as distinguished from an opinion advising what the law would be upon a hypothetical state of facts.
Id. at 240-41,
First, there is a defect in the parties to this action. Instead of bringing an action to determine the rights and obligations between the insurance company and the insured,
4
Provident brought a declaratory judgment action against Transamerica, the other insurance company. The controversy over whether Transamerica wrongly paid benefits to Wall is not between Trans-america and Provident, but between Trans-america and Wall. Consequently, Trans-america’s failure to name Wall (or Wall’s estate) in this action leaves no case or controversy on which to base jurisdiction.
See Travelers Indemnity Co. v. Standard Accident Insurance Co.
Second, the court lacks jurisdiction in this action because there is no legal relationship between the parties on which to base liability. In oral argument, Judge Vance asked the telling question “If you were pleading this case under common law pleading what label would you put on your cаuse of action?” Neither party presented a satisfactory answer at oral argument or in their supplemental briefs. While there is a legal relationship between Provident and Wall and between Transamerica and Wall, there is no legal relationship between the two insurers. Consequently, there is no basis on which to rule either party liable to the other.
Both Provident and Transamerica cite several cases to support the court’s jurisdiction over this matter. First, Provident cites
Continental Casualty Co. v. Employеrs Commercial Union Insurance Co.,
In
Industrial Underwriters Insurance Co. v. P & A Construction Co.,
We do not think this rule applicable herе, simply because this action is not one to enforce a contract but rather seeks a declaration of the relative rights and duties of [the two insurers]. The subject matter of this suit — the duty to defend and indemnify [the driver] in the pending ... lawsuit — is definite and substantial. Each party hаs a stake in the outcome, and their interests are adverse. We conclude that [the insurer] has standing to bring this declaratory action.
Id. at 1096.
To the extent that the court in
United Services
found a case or controversy between the two insurers, we must disagree.
Since there was no case or controversy between the parties we find that the district court was without jurisdiction to settle this dispute. The judgment of the district court is therefore VACATED and the case is REMANDED with directions to DISMISS the action for want of jurisdiction.
Notes
. Wall died on December 18, 1983.
. On June 4, 1987 the district court entered a judgment in favor of Transamerica for $111,-794.20, of which $25,785.86 is prejudgment interest. In the supplemental brief, Transamerica claims it has paid over $85,000.00 on Wall's claims. Neither the record nor the briefs make clear when these expenses were incurred. Howevеr, in light of our ruling on the issue of jurisdiction, the exact date that Transamerica paid these claims is irrelevant.
.At the trial below, neither party raised the issue of the court's jurisdiction in this case. The parties’ failure to address the issue, however, does not "preclude this court from uncovering fatal jurisdictional defects."
Travelers Indemnity Co.
v.
Standard Accident Insurance Co.,
. In the typical declaratory judgment action, the insurer brings an action against the insured to establish nonliability. See 20 Appleman, Insur-anee Law and Practice § 11354 n. 7 and cases cited therein.
. Since Provident lost in the trial below, Provident will benefit from a vacation of the district court's ruling. This may explain Provident’s unpersuasive authority concerning the court’s jurisdiction.
