Arocho v. Goodyear Tire & Rubber Co.

88 F. Supp. 2d 1175, 2000 U.S. Dist. LEXIS 4320, 2000 WL 340247
CourtDistrict Court, D. Kansas
DecidedFebruary 4, 2000
Docket97-4180-SAC
StatusPublished
Cited by6 cases

This text of 88 F. Supp. 2d 1175 (Arocho v. Goodyear Tire & Rubber Co.) is published on Counsel Stack Legal Research, covering District Court, D. Kansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Arocho v. Goodyear Tire & Rubber Co., 88 F. Supp. 2d 1175, 2000 U.S. Dist. LEXIS 4320, 2000 WL 340247 (D. Kan. 2000).

Opinion

MEMORANDUM AND ORDER

CROW, Senior District Judge.

The case comes before the court on the defendants’ motion for summary judgment *1177 (Dk.34) and the plaintiffs motion for summary judgment (Dk.36). The plaintiff Wanda Arocho brings this action to recover benefits claimed under an Optional Contributory Life Insurance Plan (“Optional Plan”) offered to her husband, Hector Aro-cho, as an employee of the defendant Goodyear Tire & Rubber Company (“Goodyear”). The plaintiff contends her husband enrolled in this Optional Plan issued to Goodyear by Aetna Life Insurance Company (“Aetna”) and he paid insurance premiums to Goodyear for it. The defendants have refused to pay the plaintiff the proceeds under the Optional Plan after her husband’s death. The defendants contend the proceeds are not payable as the plaintiffs husband died just two days before the Optional Plan’s coverage became effective.

SUMMARY JUDGMENT STANDARDS

A court grants a motion for summary judgment under Rule 56 of the Federal Rules of Civil Procedure if a genuine issue of material fact does not exist and if the movant is entitled to judgment as a matter of law. The court is to determine “whether there is the need for a trial — whether, in other words, there are any genuine factual issues that properly can be resolved only by a finder of fact because they may reasonably be resolved in favor of either party.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 250, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986). “Only disputes over facts that might affect the outcome of the suit under the governing law will ... preclude summary judgment.” Id. There are no genuine issues for trial if the record taken as a whole would not persuade a rational trier of fact to find for the non-moving party. Matsushita Elec. Indust. Co. v. Zenith Radio Corp., 475 U.S. 574, 587, 106 S.Ct. 1348, 89 L.Ed.2d 538 (1986).

More than a “disfavored procedural shortcut,” summary judgment is an important procedure “designed ‘to secure the just, speedy and inexpensive determination of every action.’ Fed.R.Civ.P. 1.” Celotex Corp. v. Catrett, 477 U.S. 317, 327, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986). At the same time, a summary judgment motion does not empower a court to act as the jury and determine witness credibility, weigh the evidence, or choose between competing inferences. Windon Third Oil and Gas v. Federal Deposit Ins., 805 F.2d 342, 346 (10th Cir.1986), cert. denied, 480 U.S. 947, 107 S.Ct. 1605, 94 L.Ed.2d 791 (1987).

STATEMENT OF UNCONTROVERT-ED FACTS

For purposes of these motions, the court considers the following statements to be uncontroverted.

1. The plaintiff Wanda Arocho is the widow of Hector Arocho and the beneficiary of his life insurance policies and plans.

2. For all relevant time periods, Hector was an employee of the defendant Goodyear. Hector died on August 30, 1996.

3. In 1995, Aetna issued to Goodyear a Group Insurance Policy (GP-40154-C).

4. As a Goodyear employee, Hector was covered under the Basic Life Insurance Policy in the amount of $30,000.00. By letter dated July 15, 1996, Hector and other employees were informed that they could enroll for the Optional Plan:

An analysis of the Optional Contributory Life Insurance Plan shows that over 20% of our associates are not enrolled. Our records indicate that you are one of those who missed the opportunity to enroll during the last open enrollment period.
You currently have $30,000 of basic life insurance coverage. Under the Optional Contributory Life Insurance Plan you may elect to purchase ... of additional life insurance....
There will be an open enrollment for all active associates who are currently not enrolled for Optional Contributory Life Insurance. This open enrollment will be during the month of August with coverage to be effective on September 1,1996. The first premium payment will not be deducted until September. *1178 If you wish to enroll, simply complete the enclosed enrollment card and return it to your plant Human Resources representative no later than August 31, 1996.

(Dk.35, Ex. F). A Goodyear employee pays the entire premium for this optional coverage without any contribution from Goodyear.

5. Hector discussed with his family this opportunity to enroll for the optional coverage. They agreed to purchase the maximum amount of additional life insurance benefits.

6. Hector signed and turned in the enrollment form on July 29, 1996, requesting additional coverage in an amount equal to 300% of his basic life insurance coverage or $90,000.00 additional coverage. The enrollment form did not state an effective date for coverage. A Goodyear representative who has not been identified wrote “Effect. 9-1-96” and “Do not Pay” on the enrollment form.

7. Hector’s pay statement for the period of August 12-18, 1996, shows that Goodyear deducted $36.00 for the Optional Plan. On September 30, 1996, Goodyear forwarded to Aetna a lump sum of deductions from employees’ wages which included the amount deducted from Hector’s wages.

8. There has not been any payment of proceeds under the Optional Plan after Hector’s death. Goodyear’s stated reason for not paying those proceeds is that the insurance was not in effect when Hector died. His death occurred on August 30, 1996, two days before September 1, 1996, the effective coverage date stated in the letter of July 15, 1996. Aetna’s stated reason for not paying those proceeds is that Goodyear did not submit a claim for benefits under the Optional Plan.

9. Goodyear’s “Death Claim Log” dated September 25, 1996, shows that Goodyear submitted a claim with regard to Hector Arocho on that date along with an Employer’s Statement of Proof of Death for the Basic Life Insurance Policy of $30,-000.00. The plaintiff received the $30,-000.00 in benefits under that policy.

10.In a letter dated. June 4, 1997, to the plaintiffs attorney, Ms. Robyn Crane, an attorney for Goodyear, wrote, in part:

The July 15th letter, which was sent from Akron to several locations, also stated that the first premium payment would be deducted until September. That statement was not applicable to our Topeka plant which deducts premiums one month in advance. Hence, the premium deducted from Mr. Arocho’s August 18, 1996 pay would have applied for September coverage if it had gone into effect. That premium was refunded.

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Bluebook (online)
88 F. Supp. 2d 1175, 2000 U.S. Dist. LEXIS 4320, 2000 WL 340247, Counsel Stack Legal Research, https://law.counselstack.com/opinion/arocho-v-goodyear-tire-rubber-co-ksd-2000.