Adams Family Trust v. John Hancock Life Insurance

424 F. App'x 377
CourtCourt of Appeals for the Fifth Circuit
DecidedMay 11, 2011
Docket10-30880
StatusUnpublished
Cited by28 cases

This text of 424 F. App'x 377 (Adams Family Trust v. John Hancock Life Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Adams Family Trust v. John Hancock Life Insurance, 424 F. App'x 377 (5th Cir. 2011).

Opinion

PER CURIAM: 1

The Adams Family Trust (“the Trust”) appeals the district court’s denial of the Trust’s motion for leave to amend its complaint so that it could allege with greater particularity its fraud claim against the defendant John Hancock Life Insurance Company (“John Hancock”). We affirm. The Trust’s proposed amendment would have been futile: the district court granted summary judgment in favor of John Hancock, and amending the complaint would not have enabled the Trust to defeat summary judgment. Consequently, it was not an abuse of discretion for the district court to deny the motion for leave to amend.

I.

This dispute centers around a life-insurance policy that the Trust purchased from John Hancock in August 2001 to insure the life of Mary Helen Adams, the mother of the two trustees. Because Adams was 75 and in poor health at the time the policy was purchased, she was unable to qualify for a traditional life-insurance policy. Instead, the Trust purchased a specialized life-insurance policy from John Hancock: a Venture VUL Flexible Premium Variable Universal Life Insurance Policy featuring a no-lapse guarantee (“the Policy”). Under the Policy, the Trust agreed to pay premiums to John Hancock in exchange for John Hancock’s promise to pay a $1 million benefit upon Adams’s death. John Hancock’s obligation to pay the death benefit was conditioned on the Trust’s paying sufficient premiums to prevent the Policy from terminating. John Hancock regularly incurred a variety of expenses in administering the Policy. John Hancock would deduct those expenses from the Policy’s balance every month. The Trust was obligated to pay sufficient premiums so that the Policy maintained a high enough balance to cover its monthly expenses. The amount of premiums to be paid was not fixed or predetermined. The Policy’s premiums tracked its expenses, and the expenses were variable. Ordinarily the Policy’s balance would be calculated on the 24th of each month. If the Policy did not have a high enough balance to cover its expenses as of that date, the Policy would go into default. If the default was not cured within a sixty-one-day grace period, the Policy would terminate.

The Policy’s no-lapse guarantee gave the Trust the option of making an annual payment, known as the planned premium, that was guaranteed to prevent the Policy from going into default any time in the twelve months after the planned premium was paid. In other words, when the Trust paid the planned premium, the Policy’s balance — and thus its status as in default or out-of default — was calculated annually instead of monthly. But the Trust chose to pay the planned premium only once, in the first year it owned the Policy. As a result, in subsequent years John Hancock determined the Policy’s status as in or out-of default on a monthly basis. Each time the *379 policy went into default, John Hancock sent the Trust a Policy Termination Warning Notice that listed the amount the Trust needed to pay within sixty-one days to bring the Policy out of default and prevent the Policy from terminating. The amount listed in each notice was the amount that was estimated — although not guaranteed— to be sufficient to keep the Policy in force for approximately three months after the date of default. The first time the policy went into default and the Trust received a notice, it made a substantial payment that kept the policy out of default for the next year. Thereafter, each time the Trust received a notice it paid exactly the amount listed on the notice and no more. As a result, a pattern developed in which the Policy went into default every three months (on the 24th of February, May, August, and November) from May 24, 2004, until August 24, 2008 (eighteen more times in total).

Up until the payment made following the August 24, 2008 default, each payment was, as estimated, sufficient to keep the Policy out of default for the next three months. But the payment that was made following the August 24, 2008 default only kept the Policy out of default for two months. The Policy thus went into default for a twentieth and final time on October 24, 2008 (whereas in 2004, 2005, 2006, and 2007, default had not occurred until November 24). John Hancock sent a notice dated October 24, 2008, stating that payment was required no later than December 24, 2008. Based on its prior payment history, the Trust was not expecting to make another payment until January 24, 2009, so it mistakenly concluded that the notice dated October 24, 2008, had been sent in error. For that reason, the Trust disregarded the notice and failed to submit the payment needed to prevent the Policy’s termination. The Policy terminated on December 24, 2008. John Hancock declined to reinstate the Policy and took the position upon Ms. Adams’s death that it was not obligated to pay out the $1 million death benefit.

The Trust responded by filing suit in Louisiana state court. The state-court petition alleged that the Trust’s payment history from 2004 to 2008 is evidence that the parties amended the Policy by custom and/or implied agreement to agree that billing would only take place on a quarterly basis and that John Hancock’s cancellation of the policy based on the Trust’s failure to make a fifth payment in 2008 constituted a “unilateral, arbitrary, capricious and bad faith, if not negligent effort to alter and amend the terms of the parties’ implied agreement, practice and custom of both billing and paying variable premiums in quarterly installments.” The petition also contained an allegation of fraud. The Trust alleged that John Hancock was engaged in a scheme to fraudulently induce the purchase of variable-rate insurance contracts by falsely advertising that the policies contained no set payment schedule and promising that a payment schedule could be agreed upon by custom, when in actuality it was John Hancock’s practice to send arbitrary, unscheduled demands for payment and to unilaterally cancel the policies upon nonpayment.

John Hancock removed the case to federal district court in September 2009. The district court entered a Rule 16(b) scheduling order that set February 19, 2010, as the deadline for joinder of parties and amendment of pleadings and May 20, 2010, as the discovery-completion deadline. In March 2010, the Trust conducted a Rule 30(b)(6) deposition of John Hancock’s corporate representative.

According to the Trust, the key to this case is a document that John Hancock *380 produced for the first time during a break from the corporate representative’s deposition. This document, the Trust suggests, contained the critical information the Trust needed to allege in detail the particulars of the fraudulent scheme it had pled in its state-court petition. The Trust contends that it was not until it read the last page of this document, which the Trust labels an “agency agreement,” that it first had reason to believe that its decision to purchase the Policy had been induced by John Hancock’s fraud.

On March 26, 2010, the Trust moved to extend the scheduling order’s deadline for the amendment of pleadings so that the Trust could “assert alternative demands against John Hancock.” But instead of laying out those alternative demands, the Trust asked the district court to give it until May 15, 2010 (just five days before the close of discovery), to file an amended complaint.

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Bluebook (online)
424 F. App'x 377, Counsel Stack Legal Research, https://law.counselstack.com/opinion/adams-family-trust-v-john-hancock-life-insurance-ca5-2011.