Lynch v. N. Am. Co.
Lynch v. N. Am. Co.
Opinion of the Court
INTRODUCTION
Before the Court is North American Company for Life and Health Insurance's motion for summary judgment (Dkt. 48), and Kristi Lynch's motion to strike the Affidavit of John Robbins (Dkt. 64).
*1161FACTS
Kathleen Kelly Sharpe (the "Insured") applied for a $750,000 life insurance policy on or around September 13, 1989, listing Kristi Lynch, the Insured's stepdaughter, as owner and beneficiary. John Cookman, then a broker at MCN Insurance Brokers, Inc., helped the Insured complete the application. Cookman submitted the application to CPS Insurance Services, that in turn submitted the application to North American. A flexible premium adjustable life insurance policy, policy number LW00006377, was issued to Lynch, on or around November 7, 1989 (the "Policy"). The Policy has a Specified Amount of $750,000 and, per the Application, names Lynch as owner and beneficiary. The Policy's planned periodic premium was $9,625 annually.
The Policy's terms provide that, after November 7, 2004, the Policy will lapse when the surrender value is insufficient to cover the next monthly deduction. Upon a lapse, the Policy will enter a 61-day grace period during which the owner may make a premium payment to keep the Policy in force and avoid termination. The Policy further provides:
Notice of the premium required to keep the policy in force is mailed to your last known address at least 30 days prior to termination. Such premium is due on such Monthly Anniversary Day and if not paid within the grace period, all coverage under this policy terminates without value at the end of the 61 day period.
Lynch's mailing address has been the same post office box in Picabo, Idaho, since late 2011. Lynch made regular premium payments from November 1989 to November 2006, but did not make any payments from December 2006 to December 2009. Lynch also tendered a partial surrender of $14,716 on or around September 24, 2009, to receive a check in that amount. The Policy then entered a grace period on December 7, 2009, and North American sent Lynch a grace notice informing her she had to remit either the planned periodic premium or at least $626.88 to prevent the Policy from terminating. The grace notice also informed Lynch that sending the $626.88 "minimum payment will provide coverage for this month only and will not prevent your policy from entering the 61 day grace period again next month, perhaps for a different amount. This minimum payment will not provide for the planned long term performance of your policy." The grace notice further instructed Lynch to contact North American if she had questions about her premiums or the Policy's performance. Lynch did not contact North American but instead made the minimum $626.88 payment on or around January 5, 2010.
Lynch did call North American on at least two occasions. On September 2, 2010, she called North American inquiring about a personal "note" she found that discussed premium payments. Lynch also called North American on August 12, 2011, because she had misscheduled a payment and was afraid the policy had lapsed. The North American representative suggested that Lynch set up automatic payments. Although North American sent Lynch paperwork to do so, Lynch did not follow *1162through on the suggestion. Lynch instead continued to make either a minimum payment or a payment in an amount not indicated in the Policy or any grace notice, causing the Policy to enter a grace period on numerous occasions.
North American sent Lynch 36 grace notices between December of 2009 and May of 2015.
John Robbins, Associate Vice President for Life and Variable Services for North American's parent company, Sammons Financial Group Member Companies, submitted an affidavit describing North American's mail room procedures. As Associate Vice President, Robbins oversees the Policy Billing and Accounting Team. The Policy Billing and Accounting Team is responsible for all billing procedures and matters, including the generating, issuing, and mailing of grace notices and termination of policies. Accordingly, Robbins testified he has "firsthand knowledge of the policies, procedures, and processes for generating, issuing, and mailing grace notices North American had in effect before, during, and after June of 2015." Robbins Aff. ¶ 4. (Dkt. 50 at 3.)
In his affidavit, Robbins explains that, "[p]er North American's policies and procedures, June 7, 2015, was a Sunday so North American's computer system ("LifeComm") reviewed the Policy on June 8, 2015, and determined the Policy had entered a grace period." Robbins Aff. ¶ 19. Robbins explained that LifeComm then printed three grace notices-the Owner Grace Notice to send to Lynch (the "Lynch Grace Notice"), the Agent Grace Notice to send to CPS Insurance Services, Inc. (the "CPS Grace Notice"), and the File Copy Grace Notice for North American to retain (collectively, the "Grace Notices")-in the computer room. Id. ¶ 21.
The addresses of record for Lynch and CPS Insurance Services at the time were the post office box in Picabo, Idaho, and 4400 MacArthur Blvd 8th Floor, Newport Beach, CA 92660, respectively. The computer room routed all grace notices printed on June 8, 2015, including the Grace Notices, to Policy Billing and Accounting, which sorted the grace notices and delivered them to the Advanced Processing Support team ("APS"). Id. ¶ 26.
Robbins indicated the grace notices would have then been placed in the outgoing mail bin, which the mail room picked up and delivered to North American's mailing vendor. North American's mailing vendor next would have used a folding machine to place the grace notices in envelopes, with the addresses printed on the grace notices visible through the envelope's window. The envelopes containing the Lynch and CPS Grace Notices were then run through a postage reader for postage and sent out as first class mail on June 9, 2015. Id. at 31.
Neither the Lynch nor CPS Grace Notices were returned as undeliverable. Id. at 32. CPS Insurance Services received the CPS Grace Notice. The June 8, 2015 Grace *1163Notice informed Lynch (and CPS) that a $2,000 premium payment was received on May 19, 2015, but that a $935.18 "minimum additional premium" was required by August 7, 2015, to avoid termination of coverage. The grace notice also stated that:
Payment of the minimum additional premium reflected above to avoid termination of coverage will not prevent the Policy from entering another grace period on its next monthly deduction day. Also, please note that payment of any regularly scheduled planned premiums for which you may receive premium notices or which may be automatically paid from your bank account may no longer be sufficient to prevent your coverage from terminating. We strongly encourage you to contact your agent or our office at (877) 872-0757 to obtain additional information to assist you in determining a planned premium payment amount and schedule that reflects your current goals for the Policy.
During their depositions, both Kristi Lynch and her husband, Philip Lynch, testified they did not know whether the June 8, 2015 Grace Notice was delivered to their post office box. More specifically, Kristi Lynch testified that:
Q. So going back to this big packet of grace notices.
A. Okay.
Q. From May 7th, if you could turn the page to June 8, 2015. So the second to last page
A. Oh, ok. Thank you.
Q. Uh-huh.
A. June 8th. Okay.
Q. Have you ever seen this grace notice before?
A. No, I have not.
Q. All right. Let's see. It's addressed to PO Box [ ] in Picabo, Idaho 83348. Is that correct?
A. That's correct.
Q. And it's dated June 8, 2015. Is that correct?
A. Yes.
Q. And so, to the best of your knowledge, is that an accurate address-mailing address, PO Box [ ]-
A. Yes.
Q. -for you on or around June 8, 2015?
A. Yes.
Q. Do you know if this grace notice was received in the mail?
A. I have no idea.
Q. So maybe it was and maybe it wasn't?
A. Correct.
Q. Okay. So you said earlier that Phil and only Phil would pick up the mail from the post office box?
A. Yes.
Kristi Lynch testified that her husband, Philip Lynch, would pick up the mail:
Q. Okay. Is it possible that the grace notice was delivered to your PO Box but somehow Phil missed it?
A. You'd have to ask Phil.
Q. So you don't know?
A. I don't know.
(Kristi Lynch Depo. at 106:8-108:20, Dkt. 52 at 32.)
Philip Lynch similarly testified that:
Q. All right. So the next, we'll say, four documents: February 9, 2015; March 9, 2015; May 7, 2015; and June 8, 2015.
A. Uh-huh.
Q. Do you see that?
A. Uh-huh. I do.
Q. Have you ever seen these documents before?
A. I have not.
Q. So they're all addressed to PO Box [ ]. Is that correct?
*1164A. And that would be correct for that time.
Q. For the whole time frame?
A. Yes. Uh-huh.
Q. Do you know if these documents were delivered to your mailing address at the time?
A. I do not.
Q. So that's true for the February, March, May and June 2015?
A. Uh-huh.
Q. Yes?
A. Yes.
(Philip Lynch Depo. at 107:7-108:3, Dkt. 53 at 32.)
In her affidavit, Kristi Lynch explained that, to date, she has paid approximately $182,631.21 in premiums on the Policy. She testified she never received the June 8, 2015 Grace Notice letter stating an additional $935.18 was required on or before August 7, 2015, to prevent termination of coverage under the Policy. In response to previous letters from North American, Lynch had sent three checks of $2,000.00 each in March, April, and May of 2015, under her belief premiums were approximately $1,000.00 per month, and that her payments covered six months of premium payments. Lynch Aff. ¶ 3. (Dkt. 62 at 2.)
Similarly, Phil Lynch, who regularly picks up the couples' mail, testified he never picked up or saw a copy of the June 8, 2015 Grace Notice in their post office box, and never saw one in the house where they usually kept the mail. No one else was responsible for picking up their mail during this time period. Lynch Aff. ¶ 5. (Dkt. 63 at 2.)
Lynch did not submit a premium payment to North American on or before August 7, 2015, so coverage under the Policy terminated effective August 8, 2015. Lynch received a letter dated August 11, 2015, terminating the Policy without further notice. Lynch attempted to reinstate the Policy, sending a check for $20,343.96 in advance premium payments, which North American refused. Instead, North American offered to reinstate the Policy subject to medical underwriting, but Lynch rejected the offer.
Lynch claims that mis-deliveries and failed deliveries of mail at their rural post office were not uncommon. North American did not send the June 8, 2015 Grace Notice by certified mail. North American, on the other hand, claims Lynch never told North American she had difficulty receiving mail prior to the Policy termination and did not designate a Secondary Addressee to receive grace notices or other correspondence.
ANALYSIS
1. Motion to Strike
Before considering the motion for summary judgment, the Court will address Lynch's motion to strike portions of the Affidavit of John Robbins. (Dkt. 50, 64.) Specifically, Lynch argues Robbins's testimony stating unequivocally that LifeComm (the computer system) printed three grace notices (the Lynch Grace Notice, the CPS Grace Notice and the File Copy Notice); routed all three grace notices to Policy Billing and Accounting, which sorted them and delivered them to APS; and the Lynch and CPS Grace Notices were sent out in the mail on June 9, 2015, should be stricken because Robbins lacks first-hand knowledge. At best, Lynch argues Robbins can establish the general procedures for issuing and mailing grace notices, but Robbins does not possess actual knowledge whether the three grace notices at issue were printed and mailed consistent with his testimony.
In response, North American argues Robbins's affidavit detailing the company's policies and procedures is admissible to *1165show the grace notices were mailed. North American cites several authorities which it contends support its argument that evidence of the custom and business practices of the company is proper proof of notice, and that receipt (by CPS) of the notice can constitute evidence the company's practices were followed. First Nat'l Bank of Independence v. Mid-Century Ins. Co. ,
Only admissible evidence may be considered in ruling on a motion for summary judgment. Orr v. Bank of Am. ,
Based upon these rules, it is clear Robbins' testimony is admissible insofar as he describes the customary mailing process he is aware North American used for preparing and mailing grace notices in 2015. However, there is no direct evidence establishing the June 8, 2015 Grace Notices were prepared and mailed using the same process. At best, the Court concludes Robbins's testimony establishes the company's general mailing procedures, and based upon customary practice, he assumes the Grace Notices were prepared and mailed using the same process. However, there were several steps in the mailing process, which consisted of the computer recognizing the deadline had lapsed, and then printing, sorting, delivering, folding, and finally, stuffing envelopes and affixing postage by various individuals or machines. And it was not just the Lynch policy notices that were subject to this process; presumably, there were hundreds of similar notices. But, other than the Grace Notice received by CPS and North American's file copy the Robbins affidavit contains no computer logs, vendor receipts, or other similar records to confirm the customary process was actually followed on this one occasion.
Consequently, the portions of the Affidavit of John Robbins where he asserts that the June 8, 2015 Grace Notices were actually prepared and mailed according to customary mailing procedures are stricken and these statements will not be considered by the Court. See Robbins' Aff. ¶¶ 21, 26, and 31 (Dkt. 50.) However, the testimony is properly considered to establish the usual and customary mailing practice followed by North American. The evidentiary objection will therefore be sustained in part, as the testimony will not be entirely disregarded. The Court will discuss the effect of its evidentiary ruling in more detail in the context of its analysis pertinent to the motion for summary judgment below.
2. Motion for Summary Judgment
A. Standards of Law
(1) Summary Judgment Standard
Summary judgment is appropriate where a party can show that, as to any claim or defense, "there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." Fed. R. Civ. P. 56(a). One of the *1166principal purposes of the summary judgment "is to isolate and dispose of factually unsupported claims...." Celotex Corp. v. Catrett ,
The evidence must be viewed in the light most favorable to the non-moving party, and the Court must not make credibility findings.
The Court must be "guided by the substantive evidentiary standards that apply to the case." Liberty Lobby , 477 U.S. at 255,
The moving party bears the initial burden of demonstrating the absence of a genuine dispute as to material fact. Devereaux v. Abbey ,
This shifts the burden to the non-moving party to produce evidence sufficient to support a jury verdict in her favor. Devereaux ,
(2) Insurance Contracts
Idaho courts construe insurance contracts by their plain, unambiguous language; but where the insurance contract is ambiguous, it must be construed in a light most favorable to the insured and in a manner providing full coverage for the indicated risks, rather than narrowing its protection. See Axis Surplus Ins. Co. v. Lake CDA Dev. ,
Like other contracts, insurance policies are ambiguous if they are reasonably subject to conflicting interpretations.
B. Analysis
(1) Proof of Notice
The policy provision applicable to notice of cancellation provides as follows: "Notice of the premium required to keep the policy in force is mailed to your last known address at least 30 days prior to termination." "Generally speaking, provisions for notice of cancellation of insurance policies are intended to prevent cancellation of the policy without allowing the insured ample opportunity to obtain other insurance." Crowley v. Lafayette Life Ins. Co. ,
North American argues the Policy required only that the grace notice be placed in the mail. The parties do not disagree that the Policy required mailing, and not actual receipt by Lynch, of the grace notice. However, the central issue here is the sufficiency of proof of mailing introduced by North American in support of its motion for summary judgment. It is the quality of proof, and the Court's inability to draw inferences from that proof upon summary judgment, that is the sticky wicket. As explained below, while evidence of North American's customary mailing practices may be admissible, it is not for the Court to draw inferences from such evidence when Lynch has countered with proof of non-receipt.
In Superior Ins. Co. v. Restituto ,
North American, relying upon Wallin v. C.I.R. ,
While the Court agrees the Policy's language does not require actual receipt of notice by the insured, proof of mailing *1168beyond speculation or inference based upon custom and practice is required at the summary judgment stage. The following cases illustrate why the Court cannot grant summary judgment in favor of North American on the facts presented.
In Allstate Ins. Co. v. Thacher , No. CV-08-3326-RSWL,
Similarly, in Preis v. Am. Indemnity Co. ,
And last, in McCray v. State Farm Fire & Cas. Ins. Co. ,
The examples North American cites purportedly demonstrating that courts allow affidavits detailing a company's policies and procedures to show a letter was mailed are either distinguishable, or not applicable here upon summary judgment. First, North American cites Morales v. Yaghoobian ,
Here, in contrast, the Court is construing a specific policy provision requiring notice to the insured of policy termination. There is no Idaho authority creating a rebuttable presumption under similar facts. Idaho law is clear that unambiguous policy language must be construed according to its plain meeting, and nothing in the Policy's language creates a presumption of mailing notice of policy termination upon proof of the company's usual and customary mailing practices.
In re Rural Route Neighbors ,
Upon appeal, the appellate court held the trial court impermissibly reconsidered the weight to be accorded to the Solicitor's testimony, and invaded the province of the fact finder (the board). Neighbors ,
In the only case North American cites to support its argument that proof of customary mailing policies is sufficient to infer mailing and which involves an insurer, the case was not decided upon summary judgment. Rather, the case proceeded to a bench trial, and is therefore distinguishable. In First Nat'l Bank of Independence v. Mid-Century Ins. Co. ,
The court, sitting without a jury, found in favor of the insurance company, considering the evidence of custom and business practice, and receipt of the notice by others, as evidence that the practice was followed.
The last case North American cites is Edwards v. Toys "R" Us ,
Synthesizing the conclusions of the above case law, the crucial distinction here is the procedural posture of this case. North American asks the Court to infer, based upon custom and practice, that its custom and practice was followed at each and every point of the mailing process, and the June 8, 2015 Grace Notice was mailed in the customary manner on that occasion. North American asks also that the Court infer North American mailed the grace notice to Lynch based upon CPS's receipt of its copy of the same.
Lynch's testimony is sufficient to create a triable issue of fact. While the testimony regarding North American's custom and practice may be admissible, the inferences to be drawn from that evidence, together *1171with Lynch's testimony of non-receipt, are for the jury to make. Additionally, Lynch would have the opportunity to cross-examine Robbins, and elicit testimony concerning the mailing vendor or other entities responsible for carrying out North American's customary mailing practices.
Based upon all the authorities the Court considered, the Court finds North American's other arguments-which focus upon delivery and receipt-irrelevant. The issue here is proof of mailing, which the Court finds is sufficiently disputed upon summary judgment by Lynch's claim of non-receipt of the June 8, 2015 Grace Notice, and her receipt of and response to 36 other grace notices at the same postal address. It is the province of the jury to weigh the evidence and determine if North American establishes proof of mailing of the June 8, 2015 Grace Notice.
(2) Constructive Notice
North American alternatively argues Lynch had constructive notice that the Policy had lapsed, based upon the 36 grace notices mailed and received prior to June of 2015, as well as two telephone conversations in 2010 and 2011. However, the Policy's language is unambiguous that notice of termination must be mailed. Nothing in the Policy suggests otherwise, and North American has not presented sufficient authority applicable in the context of insurance contracts supporting its reliance upon constructive notice when termination of an insurance policy is at issue.
The Court therefore holds North American cannot rely upon a theory of constructive notice in the presence of policy language requiring actual mailing.
CONCLUSION
For the reasons explained herein, the Court sustains Lynch's evidentiary objection in part, and will deny Defendant's motion for summary judgment. On the undisputed facts before the Court, the issue of proof of mailing must be reserved for the trier of fact.
ORDER
NOW THEREFORE IT IS HEREBY ORDERED:
1) Defendant/CounterClaimant's Motion for Summary Judgment (Dkt. 48) is DENIED.
2) Plaintiff's Motion to Strike (Dkt. 64) is GRANTED IN PART .
3) The Court will conduct a scheduling conference for the purpose of setting pretrial deadlines and a trial date in this matter. A separate notice of hearing will be forthcoming.
All claims against Defendant Arthur J. Gallagher & Co. Insurance Brokers of California, Inc., were dismissed with prejudice, via the parties' stipulation on June 6, 2017. (Dkt. 59, 60.)
Motions to strike are not favored under Rule 56. Instead, the proper procedure is an objection, contained within the responding party's brief. The objection functions much as an objection at trial, and the burden is on the proponent to show that the material is admissible as presented or to explain the admissible form that is anticipated. Fed. Rule Civ. P. 56(c) advisory committee's note to 2010 amendment. Accordingly, the Court will construe the motion to strike as an evidentiary objection.
The facts contained in this section are undisputed unless otherwise indicated. When the facts are disputed, they are taken in the light most favorable to Lynch, the nonmoving party. See Matsushita Elec. Indus. Co. v. Zenith Radio Corp. ,
North American indicates that, for example, a December 7, 2010 grace notice listed the minimum payment as $572.88, and Lynch made a $572.88 payment on December 20, 2010; an April 7, 2011 grace notice listed the minimum payment as $627.98, and Ms. Lynch made a $628.00 payment on June 3, 2011; a July 7, 2011 grace notice listed the minimum payment as $623.94, and Ms. Lynch made a $623.94 payment on September 6, 2011.
Under federal law, the IRS must send tax deficiency notices by certified or registered mail, and notice is sufficient regardless of receipt, provided it is mailed to the taxpayer's last known address. Wallin ,
The court explained that a proper declaration establishing proof of mailing would describe the following steps: "(1) the witness placed a notice of cancellation of the subject policy in an envelope, (2) the envelope was addressed to [the insured] at the declared address, (3) the envelope was affixed with the proper postage, and (4) placed in the United States mail at a certain location."
It is not clear in the record and was not clarified during the hearing when CPS's copy was mailed. Exhibit 2B to the Robbins Affidavit, which is purported to be CPS's copy of the June 8, 2015 grace notice, contained additional date stamps as follows: "2015/06/22 13:37"; "2016 01 18 15:38." (Dkt. 50-2.)
In a footnote, North American cites Margaret H. Wayne Trust v. Lipsky ,
Reference
- Full Case Name
- Kristi LYNCH v. NORTH AMERICAN COMPANY FOR LIFE AND HEALTH INSURANCE, an Iowa Corporation, and Arthur J. Gallagher & Co. Insurance Brokers of California, Inc., a California Corporation, North American Company for Life and Health Insurance, an Iowa Corporation, Counterplaintiff v. Kristi Lynch, Counterdefendant.
- Cited By
- 2 cases
- Status
- Published