Arellano v. Primerica Life Insurance

332 P.3d 597, 235 Ariz. 371, 693 Ariz. Adv. Rep. 13, 2014 Ariz. App. LEXIS 155
CourtCourt of Appeals of Arizona
DecidedAugust 12, 2014
Docket1 CA-CV 13-0011
StatusPublished
Cited by11 cases

This text of 332 P.3d 597 (Arellano v. Primerica Life Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals of Arizona primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Arellano v. Primerica Life Insurance, 332 P.3d 597, 235 Ariz. 371, 693 Ariz. Adv. Rep. 13, 2014 Ariz. App. LEXIS 155 (Ark. Ct. App. 2014).

Opinion

OPINION

OROZCO, Judge.

¶ 1 Miriam Arellano (Mrs. Arellano) brought suit against Appellants Primeriea Life Insurance Company (Primeriea) and several of its employees. A jury found substantially in favor of Mrs. Arellano. Primeri-ea, Donald Edward Page, Jr. (Donald) and Huel Cox, Jr. (dba Cox and Associates) 1 appeal (1) the trial court’s ruling that the life insurance application was inadmissible; (2) the court’s denial of Primerica’s motion for judgment as a matter of law regarding the tort of forgery; and (3) the punitive damages award. On cross-appeal, Mrs. Arellano appeals the trial court’s denial of her request for interest on unliquidated damages pursuant to Arizona Rule of Civil Procedure 68(g). For the following reasons, we affirm in part, reverse in part, and remand to the trial court with directions.

FACTS AND PROCEDURAL HISTORY

¶ 2 In October 2006, Mrs. Arellano twice met with Tammy S. (Tammy) a Primeriea agent with Cox, in order to obtain life insurance for her husband, Martin Arellano (Mr. Arellano). On the second visit, Mr. Arellano completed the life insurance application (Application # 1) and medical questionnaire with the assistance of Tammy, as well as Mrs. Arellano because Mr. Arellano did not speak or write “a lot of’ English. Tammy advised the Arellanos they qualified for a $100,000 life insurance policy. Tammy also took a mouth swab for lab testing from Mr. Arella-no and accepted a premium payment from Mrs. Arellano.

¶ 3 Later, Mrs. Arellano contacted Tammy to explain she was having second thoughts about purchasing the policy, because the premium was too high. Another agent in the Cox office, Donald, then met with Mrs. Arel-lano. Donald did not meet with Mr. Arella-no, who never knew Mrs. Arellano met with Donald.

¶ 4 At their meeting, Donald told Mrs. Arellano he could increase the coverage to $150,000 for a slightly higher premium. Mrs. Arellano agreed and, provided a premium payment, this time to Donald. Mrs. Ar-ellano testified that, at the meeting’s conclusion, she understood the policy was in effect immediately, based upon Donald’s statement that her cheek was proof of coverage. Donald did not provide Mrs. Arellano a copy of a new or revised life insurance application (Application # 2). Furthermore, Donald did not *375 ask Mrs. Arellano to sign Application #2. Donald submitted Application # 1 and Application #2 (collectively the Applications) to Cox for processing.

¶ 5 Because Mr. Arellano’s age was incorrectly reflected 2 on Application#2, the $150,000 insurance coverage requested, and Mr. Arellano’s history of hypertension, Prim-erica required an underwriting medical interview and additional medical tests of Mr. Arellano. Primerica’s outside vendor, Examinations Management Services, Inc. (EMSI), contacted Mr. Arellano to conduct a telephone interview on January 8, 2007, to obtain necessary medical information and to arrange for the collection of required blood and urine specimens. After the EMSI representative identified herself, Mr. Arellano stated “Uh ... oh, they already got one for me.” The representative advised him she was verifying information and asked Mr. Ar-ellano if he had spoken with Donald. Mr. Arellano responded, “Oh, no. My wife already bought some for me. At another company; I don’t know where.” Upon hearing this, the representative thanked Mr. Arella-no and ended the call.

¶6 As a result of the conversation with Mr. Arellano, the EMSI representative issued an alert to Donald’s attention at the Cox office, advising him that Mr. Arellano cancelled his application. By this time, however, Donald no longer worked for Primerica. No one from Primerica ever contacted the Arellanos.

¶ 7 Mr. Arellano died suddenly on March 14, 2007. Thereafter, Mrs. Arellano submitted a claim for death benefits to Primerica. Primerica denied the claim, asserting there was no policy or coverage because Mr. Arel-lano failed to schedule the required medical tests and advised the EMSI representative, who in turn advised Primerica, that he was no longer interested in the coverage. Along with the denial letter, Primerica included a copy of Application # 2 that contained signa-toes and initials Mrs. Arellano later testified were forged.

¶ 8 Mrs. Arellano filed suit against Primer-iea, Tammy, Donald, and Huel claiming breach of contract and bad faith as to Prim-erica and insurance producer malpractice as to Tammy and Donald. After discovery, Mrs. Arellano filed an amended complaint, and added breach of contract to procure insurance against Donald; consumer fraud, fraud and negligence against Tammy, Donald, Huel and Primerica; promissory estop-pel against Primerica and Donald; waiver and reasonable expectations against Primeri-ea; forgery against Tammy, Donald and Huel; and added Huel to the insurance producer malpractice claim. Mrs. Arellano alleged her initials were forged in an attempt to reduce the policy coverage from $150,000 to $100,000. The amended complaint also alleged Mr. Arellano’s signature was forged in two separate places on Application #2. Primerica denied liability, contending that the Arellanos made material misrepresentations in the Applications and failed to satisfy the conditions necessary for the Applications to be processed and coverage issued.

¶ 9 Mrs. Arellano served an offer of judgment on Primerica for $150,000 plus costs and attorney fees of $15,000 or such other amounts determined by the court. Primerica declined the offer.

¶ 10 The ease initially went to trial in January 2012. Shortly before that trial commenced, Mrs. Arellano filed a memorandum regarding the inadmissibility of the insurance applications pursuant to Arizona Revised Statutes (AR.S.) section 20-1108 (2010). Mrs. Arellano argued that:

Primerica claims that no temporary insurance came into existence under the conditional coverage contract because the Arellanos failed to satisfy three of the conditions for coverage. One of those conditions, Condition # 1, required that all the information on the application be “true and complete.” ... Defendants claim the application contained false information____
Although [Mrs. Arellano] maintains that all information provided was accurate, whether there is a question of accuracy presupposes that Primerica can establish that the Arellanos made certain affirmative representations. If there is no admissible *376 evidence that any untrue representations were made, then this defense fails. In this case, Defendants’ only evidence on this point is the insurance application itself____
... However, Arizona law is well-established that an insurance application is not admissible in a civil action unless a copy of the application was attached to the policy when delivered.

¶ 11 The court agreed with Mrs. Arellano and ruled the Applications were inadmissible. Based upon this ruling and upon the parties’ subsequent stipulation, the trial court granted a mistrial.

¶ 12 A second trial began in March 2012. Without admitting the Applications, Mrs. Ar-ellano’s handwriting expert testified that Application # 2 contained forgeries. Moreover, he testified that it was obvious some effort was made to mimic Mrs. Arellano’s signature.

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Cite This Page — Counsel Stack

Bluebook (online)
332 P.3d 597, 235 Ariz. 371, 693 Ariz. Adv. Rep. 13, 2014 Ariz. App. LEXIS 155, Counsel Stack Legal Research, https://law.counselstack.com/opinion/arellano-v-primerica-life-insurance-arizctapp-2014.