American Family Life Assurance Co. of Columbus v. Parker

92 So. 3d 58, 2012 WL 887496
CourtSupreme Court of Alabama
DecidedMarch 16, 2012
Docket1100227 and 1100282
StatusPublished
Cited by3 cases

This text of 92 So. 3d 58 (American Family Life Assurance Co. of Columbus v. Parker) is published on Counsel Stack Legal Research, covering Supreme Court of Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American Family Life Assurance Co. of Columbus v. Parker, 92 So. 3d 58, 2012 WL 887496 (Ala. 2012).

Opinion

PARKER, Justice.

All causes of action involved in these consolidated appeals arise from the same factual scenario. American Family Life Assurance Company of Columbus (“Aflac”) and Marilyn Phillips Hunter appeal from a judgment of the Franklin Circuit Court denying their motions to compel arbitration. We reverse and remand.

Facts and Procedural History

According to the affidavit testimony of Tyler G. Bennett, Aflac’s vice president of New Business Operations and Account Relations, whose affidavit testimony indicates that he did have access to Aflac’s business records maintained in the ordinary course of Aflac’s business, on July 12, 1990, Richard L. Parker applied to Aflac for a cancer-indemnity insurance policy. Aflac issued Parker a cancer-indemnity policy, policy number A2043738, on July 16, 1990 (“the 1990 policy”). The term of the 1990 policy was month-to-month; the monthly premium was $28.50. Bennett’s affidavit indicates that Aflac received payment for the 1990 policy from August 25, 1990, to August 17,1996. The 1990 policy provided as follows for a “Progressive Payout Benefit”:

“We will pay to the Named Insured as provided below, an indemnity benefit equal to $30 (Thirty Dollars) per month for each whole month this policy is in force subject to the dates this benefit ceases to build. This benefit will cease to build for the Named Insured on: the date of the initial diagnosis of internal cancer; the policy anniversary date next following the Named Insured’s 65th birthday; or, the 20th policy anniversary, whichever occurs first. However, regardless of the age of the Named Insured on the ‘Effective Date’ of this policy, this benefit shall accrue for a period of at least 5 years unless internal cancer is diagnosed prior to the 5th year of coverage.
“This benefit will be paid on: the date the Named Insured is initially diagnosed as having internal cancer; the 20th policy anniversary date; or, the date the Named Insured attains age 79, whichever occurs first. This benefit is payable only once in the lifetime of the Named Insured.”

[61]*61On May 9, 1996, Parker submitted to Aflac an “Application for Cancer Insurance.” Bennett’s affidavit indicates that Parker’s “application for a new policy provided that the ... 1990 ... policy would terminate on the date the new 1996 cancer policy became effective. [Parker’s] 1996 policy became effective on August 16,1996, and the 1990 policy terminated effective August 16, 1996.” Parker’s “Application for Cancer Insurance” indicated that it was an application for the conversion of the 1990 policy. The application for the new cancer policy stated, in pertinent part:

“5. If this is an application for an upgrade of coverage, the following conditions apply: (a) If cancer is diagnosed between the date this application is signed and the Effective Date of the policy shown in the Policy Schedule, the policy for which this application is made shall be void, and coverage shall continue under the terms of the previous policy, which may remain in force. Any benefits that may be due will be paid under the previous policy, (b) The waiting period and the Time Limit on Certain Defenses provision shall run from the Effective Date of the original policy, and the original policy will be terminated as of the Effective Date of the new policy.”

A cancer insurance policy was issued on August 16, 1996 (“the 1996 policy”), and had the same policy number as the 1990 policy — A2043738. The term of the 1996 policy was month-to-month, and the monthly premium was $35.90. Bennett’s affidavit indicates that Aflac received payment for the 1996 policy from October 18, 1996, to August 8, 2009.

On August 5, 2009, Parker submitted to Aflac an “Application for Cancer Indemnity Insurance.” Parker’s application indicated that it was an application for a new policy; however, Aflac issued Parker a “Cancer Indemnity Insurance” policy on August 16, 2009 (“the 2009 policy”), with the same policy number as the 1990 policy and the 1996 policy — A2043738. Bennett’s affidavit indicates that submitted with Parker’s application for the 2009 policy was an “Arbitration Agreement” (“the arbitration agreement”), which, according to Bennett, was a “condition Aflac required before beginning the underwriting process on [Parker’s] August 5, 2009 Application.” In fact, the 2009 policy, a copy of which was attached to Bennett’s affidavit and which Bennett swore was a “true and correct eop[y],” includes both Parker’s application for the 2009 policy and the arbitration agreement. The arbitration agreement states:

“I, RICHARD PARKER ..., have applied for a policy of insurance from AFLAC[1] and if AFLAC will issue the policy to me, I want to make this agreement with AFLAC.
“I agree that binding arbitration will be used to resolve the following claims, disputes or lawsuits:
“1. Any and all claims, disputes or lawsuits that I have concerning my AFLAC policy; and/or
“2. Any claims, disputes or lawsuits that I have concerning any relationships that my AFLAC insurance policy creates and/or
“3. Any claims, disputes or lawsuits concerning the validity of this arbitration agreement; and/or
“4. Any and all claims, disputes or lawsuits that I have that come up from the proposed sale of the policy by any agent or employee of AFLAC, [62]*62including any allegation of fraud or improper act.
“I understand that binding arbitration is the hearing and determining of a dispute I have with AFLAC by three persons, one chosen by me, one chosen by AFLAC and a third neutral person appointed by my representative and AF-LAC’s representative by agreement. I also understand that if my representative and AFLAC’s representative cannot agree on a third neutral party then a list of arbitrators will be provided by the American Arbitration Association to my representative and AFLAC’s representative who will then select the third neutral arbitrator from that list. I understand that I will have the choice of having AFLAC pay the fees of the third neutral arbitrator or if I prefer, AFLAC and I will equally divide the expenses and fees of the third neutral arbitrator. Both I and AFLAC agree and understand that we are choosing ARBITRATION INSTEAD OF LITIGATION to resolve any of the above described disputes. Both I and AFLAC understand that we have a right or opportunity to litigate disputes through the court but that we prefer to resolve our disputes through arbitration.
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“Both I and AFLAC voluntarily and with full understanding WAIVE ANY RIGHT WE HAVE TO A JURY TRIAL. This waiver applies either to arbitration under this agreement or to a court action filed by me. Both I and AFLAC agree and understand that all disputes arising under law, whether made by the courts or the legislature or any other law which includes but is not limited to all contract, tort and third party disputes, will be decided by the use of binding arbitration. The three arbitrators selected will meet, set a date for a hearing, notify AFLAC and me of that date, have a hearing and make the final decision. Both I and AFLAC agree and understand that the arbitrators shall have all power provided by the law subject to this agreement and the insurance policy.

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Bluebook (online)
92 So. 3d 58, 2012 WL 887496, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-family-life-assurance-co-of-columbus-v-parker-ala-2012.