AMEX Assurance Co. v. Caripides

316 F.3d 154, 2003 WL 77104
CourtCourt of Appeals for the Second Circuit
DecidedJanuary 9, 2003
DocketDocket No. 02-7044
StatusPublished
Cited by23 cases

This text of 316 F.3d 154 (AMEX Assurance Co. v. Caripides) is published on Counsel Stack Legal Research, covering Court of Appeals for the Second Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
AMEX Assurance Co. v. Caripides, 316 F.3d 154, 2003 WL 77104 (2d Cir. 2003).

Opinion

Judge LEVAL also files an opinion expressing separate views.

LEVAL, Circuit Judge.

AMEX Assurance Company (“AMEX”) brought this interpleader action pursuant to 28 U.S.C. § 1335 to determine the rightful beneficiaries of two $1 million insurance policies covering accidental death during airline travel for William (“William”) and Gabriella (“Gabriella”) Caripides, husband and wife, who perished in the Swissair crash off Nova Scotia on September 2, 1998. The rival contenders for the proceeds of the policies were 1) their 28-year-old daughter Cristina Caripides; 2) William’s siblings Ted Caripides, Helen Aga-bides, and Vera Grozdav (“the Siblings”) with respect to the policy covering William, and Gabriella’s parents Peter and Rita Catar (“the Parents”) with respect to the policy covering Gabriella; and 3) the estates of William and Gabriella (“the Estates”). Because the insured had made no designation of beneficiaries, the proceeds were payable under the default schedule of beneficiaries listed in the policies. That schedule listed “dependent children” after “spouse,” and thereafter listed siblings and parents; it made no provision whatsoever for non-dependent children. The court therefore granted summary judgment to the Siblings and the Parents, rejecting the claim of the insureds’ independent daughter Cristina.

We affirm.

BACKGROUND

William and Gabriella Caripides, together with their son Peter, died September 2, 1998 when Swissair flight 111 crashed off Nova Scotia. Their only surviving child was Cristina, then age 28. At the time, William and Gabriella were each covered by two separate accidental death insurance policies issued by AMEX. The first; which is not involved in this appeal, was a $100,000 policy, AX0948 (hereinafter “0948”), under which William and Gabriella were each automatically covered because they purchased their airline tickets with a standard American Express card. Because no beneficiary had been designated under this policy, the proceeds were payable pursuant to the default provisions of the policy. The default provisions specified that in the absence of a designation the proceeds would go to a surviving spouse, and in the absence of a surviving spouse to the insured’s children. No party contested Cristina’s entitlement as a surviving child to the $200,000 payable under these two policies.

In addition, William had subscribed for himself and Gabriella to a $1 million Automatic Flight Insurance Policy issued by AMEX. Once again, William had designated no beneficiary; payment of the $2 million is accordingly governed by the default provisions of the policy. The proper disposition of these benefits under the default provisions of the policy is the subject of this appeal. The evolution of these default provisions is significant.

William’s original enrollment in AMEX’s program of Automatic Flight Insurance was in March 1984 under a policy designated as GA 5145 (hereinafter “5145”), sponsored by the Fireman’s Fund Insurance Company. Under this policy, in exchange for a fee per covered person per trip charged each time airline tickets were purchased with an American Express card, the holder of this policy could choose $250,000, $500,000 or $1,000,000 of coverage. William selected coverage at the $1 million level for both himself and Gabriella.

Such a policy invites the subscriber to designate who will be the beneficiary of the proceeds, but goes on to specify a hierarchy of default beneficiaries who will [157]*157take in the event no designation is made. Under 5145, in the absence of a designation, the benefits were to be paid first to the surviving spouse, and if there was no surviving spouse, to the covered person’s “children.” (The list went on to name other categories that would take in the absence of surviving spouse or surviving children.) From 1984 through May 1989, William maintained coverage under that policy, without ever making a designation of beneficiary.

In May 1989, AMEX replaced the 5145 policy. For all insureds other than residents of the State of New York, the replacing policy was designated AX 0950 (hereinafter “0950”). This policy provided for default beneficiaries in a manner similar to its predecessor, naming first the spouse, and in the absence of a surviving spouse, any surviving children.

As to New York residents, 5145 was replaced with a different policy designated as AX 0910 (hereinafter “0910”). New York resident subscribers to 5145 were solicited to enroll under 0910. William enrolled, again choosing the $1 million level of protection, covering both himself and Gabriella.

The enrollment was by means of a summary form, which did not reveal the detailed terms of the policy, including the schedule of default beneficiaries. It was only after sending the enrollment form that the subscriber would receive the full policy. The pre-printed form that William signed in order to subscribe to coverage stated, “I understand that this coverage will replace any coverage previously in effect under the policy.”

The default provisions of 0910, however, were significantly different from the predecessor policy and from 0950. The new default hierarchy of 0910 begins like the predecessor policy by giving the proceeds to the surviving spouse. If there is no surviving spouse, the proceeds go not to the covered person’s “children,” but to “dependent children.” “Dependent children” is defined to include primarily unmarried children under 19 who are dependent on the covered card member.1 If the deceased covered person is survived by neither a spouse nor dependent children, the next takers are the decedent’s parents or, if none of them survives, brothers and sisters, and finally, if there is no survivor among any of those categories, the decedent’s estate. Thus, for a covered person who has not designated a beneficiary, the default provisions of 0910 completely exclude children who are not “dependent.” Cristina, who was 28 years old at the time of her parents’ death, was not a dependent child.

Approximately six years after subscribing to the replacement policy 0910, on March 17,1995, William and Gabriella executed wills. Each of William and Gabriella, in subparagraph Third of their respective wills, made a conditional bequest of $10,000 to Cristina, which was payable only if the testator’s spouse had predeceased. Each will went on to specify, “I [158]*158intentionally make no provisions, other than those set forth in this Subparagraph, for my daughter, Cristina Caripides.”

After the Swissair disaster that killed her parents, Cristina filed claims with AMEX, asserting that she was the beneficiary of the two $100,000 policies and the two $1 million policies. As to the latter, Cristina incorrectly believed the pertinent policy was 0950, the policy issued to replace the original 5145, for residents of all states other than New York. Under the terms of 0950, in the absence of a surviving spouse, the “children” were the default beneficiaries.

Thereafter, the estates of William and Gabriella each filed a claim as the beneficiary of the other’s policy. The estate of Gabriella claimed that Gabriella was the default beneficiary of the policy covering William. The estate pointed to subpara-graph Tenth of William’s will, which provided that if William and his wife died “simultaneously ...

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Cite This Page — Counsel Stack

Bluebook (online)
316 F.3d 154, 2003 WL 77104, Counsel Stack Legal Research, https://law.counselstack.com/opinion/amex-assurance-co-v-caripides-ca2-2003.