Ordinary Negligence is What Medical Professi0nal Liability Insures

Post number 5319

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Sexual Conduct Exclusion Doesn’t Apply When Doctor Negligently Uses His Own Sperm

In Integris Insurance Company v. Narendra B. Tohan, No. AC 47222, Court of Appeals of Connecticut (April 7, 2026) Integris Insurance Company, a medical professional liability insurer, initiated a declaratory action to determine its duty to defend and indemnify Narendra B. Tohan, a physician licensed in Connecticut, in a separate negligence action alleging medical misconduct.

FACTUAL BACKGROUND

In 2019, Kayla Suprynowicz and Reilly Flaherty (civil action plaintiffs), who were strangers for most of their lives, discovered through a genetic testing company that they are half siblings.

INSURANCE POLICY

The policy defines “Professional Services” in relevant part as “any professional medical services within the customary scope of the insured’s practice specialty or classification ….” The policy further obligates the plaintiff, among other things, to “defend the insured against any claim or suit which includes . . . allegations of professional negligence for which coverage is provided under this policy.” It excluded sexual conduct.

The plaintiff claimed that the sexual conduct exclusion applies because “procreation is quintessentially sexual.” That contention overlooked the fact that procreation was the purpose of the professional services rendered in this case. As the underlying complaint makes clear, the civil action concerns the defendant’s provision of fertility services to the civil action plaintiffs’ parents through IVF procedures, which undoubtedly are medical procedures.

The professional service at issue is not the defendant’s production of sperm. It is, instead, the fraudulent use of his sperm to inseminate his patients. Although that suit alleged that the defendant negligently mixed his own sperm with that of Gary Suprynowicz to impregnate Kayla’s mother, it also alleges that he negligently failed to offer her parents “the choice of sperm donor” and negligently utilized sperm that contained a genetic disease. The Court of Appeal was unable to see how either of the latter two negligence allegations implicate the sexual conduct exclusion in any way.

The trial court granted summary judgment in favor of Integris Insurance Company, finding that the policy exclusions applied and that there was no coverage for the alleged misconduct. Tohan appealed this decision to the Connecticut Court of Appeals.

LEGAL ISSUES

The dispute centers on the interpretation of the medical professional liability insurance policy and whether the underlying complaint alleged facts potentially within the scope of coverage.

The trial court examined two principal issues: (1) whether the underlying complaint contained allegations that could trigger coverage, and (2) whether exclusions in the policy clearly and unambiguously barred coverage for all allegations and concluded there was no coverage for defense or indemnity.

DISCUSSION AND ANALYSIS

Providing IVF services to Kayla’s parents plainly is within the customary scope of the defendant’s practice specialty and thus constitutes “professional services” as that term is defined in the policy. The fact that the defendant may have negligently used his own sperm while providing those professional services, as the civil action plaintiffs allege in their complaint, does not alter that conclusion.

CONCLUSION

The Court of Appeals found that the trial court erred by concluding that the policy exclusions applied to every allegation without ambiguity.

The Court of Appeals concluded that the defendant’s fraudulent artificial insemination of his patients with his own sperm involved the provision of professional, medical services requiring special skill and knowledge. In this case, it is the operation itself, i.e., the insemination (and, ironically, its success), that is the proximate cause of the harms alleged in the underlying civil actions. As a result, the plaintiff’s policy extends coverage to claims arising from the defendant’s misconduct.

The civil action plaintiffs did not allege in count one that the defendant was aware that his sperm contained a genetic disease or that he knowingly used sperm that contained a genetic disease when providing IVF services to Kayla’s parents and that specific allegation constitutes an ordinary claim of negligence on the part of the defendant, and one that is not sexual in nature.

ZALMA OPINION

Since the good doctor never had any contact with the plaintiff’s mother but merely performed his specialty, inseminating her eggs with sperm from the father mixed with the doctor’s sperm. There was no excluded sexual conduct, just professional in vitro fertilization of the mother’s egg – a medical procedure not excluded.

(c) 2026 Barry Zalma & ClaimSchool, Inc.

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