DocketNumber: No. CV-00-0599367S
Judges: RITTENBAND, JUDGE TRIAL REFEREE.
Filed Date: 1/4/2002
Status: Non-Precedential
Modified Date: 4/18/2021
Catherine McNally (hereinafter "decedent") was a patient at CVH between April 29, 1996 and June 30, 1996. The balance claimed by DAS for her care is $24,140.51. This amount is supported by an affidavit of debt of Donna Wadhams, Reimbursement Analyst for the DAS, dated September 24, 2001. The defendant has not disputed the amount claimed by the plaintiff.
The decedent died on July 28, 1999, and the defendant is the executrix of her estate having been appointed by the Probate Court for the District of Colchester.
The allegations of the complaint are not disputed by the defendant except that the defendant has offered a special defense the gravamen of which is that "At the time of her admission to CVH, Catherine McNally inquired as to the cost of care and payment therefor. Catherine McNally was informed by the plaintiff's intake personnel, in the presence of others, that the cost of her care would be entirely covered by her medical insurance. . . . Catherine McNally made said inquiry because she would not have admitted herself in the event that she had to pay for her stay our of her own funds. The plaintiff is therefore properly estopped from the collection of said funds."
A party moving for summary judgment has the burden of showing the absence of any genuine issue of material fact. Dougherty v. Graham,
The elements of estoppel against a government agency are set forth inIn Re Michael R.,
The Court finds the special defense to be without merit for the following reasons:
1. The defendant has admitted that she did not know the names of the individuals who allegedly made such a statement to the decedent until she was informed of same by the plaintiff by his response to the defendant's motion for disclosure and production dated December 14, 2001. The defendant has not interviewed either of these two individuals. The reason that their testimony is essential is because the alleged statement made CT Page 252 to the decedent who then repeated it to her son, who then repeated it to the defendant, who is a daughter of the decedent, is at least double hearsay and not admissible in court. As stated in In Re Michael R., supra, estoppel may be invoked against a public agency "only when the action in question has been induced by an agent having authority in such matters". The defendant cannot prove statements were made by someone with authority nor that the decedent relied on it to her detriment. The only statement that she relied on it would have been a statement of the decedent which is also hearsay.
Additionally, the special defense was filed on August 11, 2000, yet the defendant made no effort to acquire the names of the individuals who allegedly made such statement until she filed a motion for disclosure and production on November 20, 2001, approximately sixteen months after the special defense was filed. Whether the defendant will be able to interview the above-mentioned two individuals and what they will say is strictly speculative and does not comply with the ruling in Miles v. Foley, supra, that the party opposing the motion must provide an evidentiary foundation to demonstrate the existence of a genuine issue of material fact.
2. The affidavit accompanying the motion for summary judgment states that on May 3, 1996 which is five days after the decedent was admitted to CVH for alcohol detoxification, she received from a physician at CVH a written advisory that she no longer required skilled nursing care and that from that day forward she was liable for the cost of her care at CVH. This is contained in exhibit 11 of the affidavit. Therefore, sheelected to stay in the hospital for another forty-three days.
3. The defendant cannot establish any inequity in paying the state's claim. There is no dispute that the decedent actually received the care for which payment is claimed on the dates alleged. Payment thereof does not in any way disadvantage Catherine McNally. It may be a disadvantage to the heirs of Catherine McNally, but Connecticut does not recognize an inherent right to inherit. See Watrous v. Connally,
Additionally, it is well-settled law that he who claims equity (equitable estoppel) must do equity. In her application to be named Executrix of Catherine McNally's estate, the defendant stated that the decedent did not ever receive aid or care from the State of Connecticut. (Emphasis added). Exhibit 3 of affidavit. This statement, of course, was untrue, and it is hard to believe that the defendant did not know about her mother's stay at CVH. Defense counsel makes much of the argument that CT Page 253 no effort was made to collect this money before Catherine McNally died and that somehow in order to make sure that she was not inequitably treated, the effort to obtain payment of the bill was delayed until after she died. This is contradicted by the investigator's notes, (exhibit 4 to the affidavit of Donna Wadhams), which show that on June 4, 1999 (decedent died July 28, 1999), the investigator for "DAS" received a call from James P. Jr., the son of the decedent. He claimed that the mother could not pay this balance of what was at that time $17,684.97 because she had no assets to pay the bill. This was untrue. Also, the failure to list the State of Connecticut as a creditor for the plaintiff having given care to the decedent could be construed as an effort to avoid having the State make a claim to the defendant. This Court, therefore, concludes that there is no inequity to the defendant in being required to pay the claim of the State of Connecticut made in this Motion.
4. Exhibit 10 to the affidavit of Donna Wadhams is a form signed by the decedent indicating that she has Medicare and insurance from Gerber Co., her employer or former employer. She should have known whether the Gerber insurance covered this type of care. Also, she was asked to list her various assets and income which should have indicated to her that the state was inquiring about these assets/income to determine whether she is financially able to pay the bills incurred despite insurance and Medicare. Then, according to exhibit 11 attached to the affidavit, she was given notice on May 3, 1996 that she was financially liable for all costs under the care that she was receiving commencing May 4, 1996. As stated in Kimberly-Clark Corporation v. Dubno, supra, "[It is the burden of the person claiming the estoppel to show that he exercised due diligence to ascertain the truth and that he not only lacked knowledge of the true state of things but had no convenient means of acquiring that knowledge." Id. 148. The decedent was put on notice that there was at least a question as to whether her insurance would cover her care. By exhibit 10 she should have known that the information would not be required by the state if it was relying solely on private insurance and Medicare. Exhibit 11 in which she was advised that she was liable for the cost of her care at CVH would have further put her on notice that she might not have insurance coverage to the extent she needed it. The Court finds that she did not exercise due diligence to ascertain the truth and that she did have a convenient means of acquiring knowledge of the truth by checking her insurance policy with Gerber.
There are no disputed evidentiary issues of fact, and the plaintiff is entitled to judgment as a matter of law.
For the above reasons, the plaintiff's motion for summary judgment is granted in the amount of $24,140.5 CT Page 254
Rittenband, JTR