Bajwa v. Metropolitan Life Insurance Co.

CourtAppellate Court of Illinois
DecidedAugust 13, 2002
Docket1-01-0844 Rel
StatusPublished

This text of Bajwa v. Metropolitan Life Insurance Co. (Bajwa v. Metropolitan Life Insurance Co.) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bajwa v. Metropolitan Life Insurance Co., (Ill. Ct. App. 2002).

Opinion

SECOND DIVISION

August 13, 2002

No. 1-01-0844

KHALID J. BAJWA, the Administrator of the Estate of ) Appeal from the

Muhammad Cheema,  a/k/a Manwar Ahmand Bajwa, ) Circuit Court of

Deceased, ) Cook County.

)

Plaintiff-Appellee, )

  1. )

METROPOLITAN LIFE INSURANCE COMPANY, )

and )

MUHAMMAD U. CHEEMA; UNNAMED ACCOMPLICES, )

OF MUHAMMAD U. CHEEMA; and IMTIAZ SHEIK, )

Insurance Agent for METROPOLITAN LIFE INSURANCE )

COMPANY, )

)The Honorable

Defendants-Appellants. ) Susan Zwick,

) Judge Presiding.

JUSTICE GORDON delivered the opinion of the court:

Plaintiff, Khalid J. Bajwa (plaintiff), administrator of the estate of Muhammad Cheema, brought a wrongful death action against Metropolitan Life Insurance Company (defendant or Met Life) alleging that Met Life's negligent issuance of an insurance policy on the life of Muhammad Cheema (decedent), designating Muhammad U. Cheema (Cheema) as the policy beneficiary, proximately caused the decedent's death.  Plaintiff's fourth amended complaint, which is the subject of the instant appeal, contained four separate counts of negligence against Met Life. (footnote: 1) The trial court granted defendant's motion to dismiss counts IV through VI of plaintiff's complaint,

and also granted defendant's motion for summary judgment on count VII. (footnote: 2)  Plaintiff now appeals the trial court's judgments.  We affirm in part, reverse in part and remand.

BACKGROUND

In December 1992, Cheema approached Imtiaz Sheik (Sheik), a Met Life account representative, and filled out an application for a life insurance policy on the life of the decedent.  Cheema, whose name is nearly identical to the decedent's, represented himself as the decedent's son and provided Sheik with personal information about the decedent necessary for the policy application.  Cheema also designated himself as the beneficiary of the policy and arranged for the policy premiums to be automatically deducted from his bank account, but listed the decedent as the "owner" of the policy on the application.  Cheema then told Sheik that he would take the application to his "father" and obtain his "father's" signature, and Sheik agreed to this arrangement even though Met Life company procedure required that an insurance agent personally meet with the insured and witness the insured sign the policy application.  Cheema returned the application to Sheik with a signature bearing the decedent's name.  Although plaintiff asserts that Cheema forged the decedent's signature on the application, there is no evidence in the record which affirmatively refutes or supports this assertion.  The record does, however, provide evidence which indicates that much of the information provided by Cheema on the policy application was incorrect.  For example, the decedent's home address, occupation, years of employment, annual income, current insurance status and medical information were misstated.  Further, the application wrongly indicated that Cheema was the decedent's son.

As part of the application process, the insured was required to submit to a medical examination conducted by EMSI, a paramedical company hired by Met Life.  An individual who identified himself as the decedent was examined by EMSI in relation to the instant policy application.  The individual, whom plaintiff now asserts was not the decedent, produced a State of Illinois identification card which identified him as the decedent.  A Met Life investigator contacted the Secretary of State's office and confirmed that an identification card was issued to an individual with the same name as the decedent.  Notably, the individual examined by the EMSI paramedic was listed in the report as standing 5 feet 11 inches tall and weighing 195 pounds.  At the time of his death, less than a year after the paramedical examination, the decedent stood 5 feet 8 inches tall and weighed 213 pounds.

The insurance application in question, including the parts containing the paramedical examiner's certification, were submitted to a Met Life underwriter prior to issuance of the policy.  The underwriter noticed anomalies in the policy application which required further investigation.  Specifically, the underwriter questioned why Cheema, rather than the insured's wife, was the policy beneficiary and why the beneficiary, rather than the insured, was paying the monthly policy premiums.  The underwriter also questioned why the policy amount was $200,000 when the decedent's income, pursuant to Met Life financial guidelines, qualified him for a policy in the amount of $150,000.  The underwriter confronted Sheik with these discrepancies and was told that the son was the beneficiary because the wife lived in Pakistan and foreign beneficiaries were discouraged by the company.  Sheik also advised the underwriter that, despite information in the application suggesting otherwise, the insured would be paying the policy premiums with some assistance from his son. Sheik also explained that the increase in the policy amount was necessary because the decedent was supporting his wife and children in Pakistan and would be buried in Pakistan upon his death.  Based on these explanations, the underwriter decided that the application was acceptable and issued the policy.  The underwriter never asked Sheik if he personally met with the decedent.  Notably, the policy application indicated, albeit dishonestly, that Sheikh had properly met with the decedent and certified the signing of the insurance application.

A policy insuring the life of the decedent in the amount of $200,000 was issued in January 1993.  A note in the record indicates that, on February 19, 1993, an individual purporting to be the insured called Met Life four times with questions concerning potential coverage on possible death claims relating to the decedent's policy.  Met Life's notations concerning these calls revealed that the caller asked whether the policy would pay if he was injured in a car accident in another country, returned to this country and then died.  The caller was advised that an affirmative response could not be given because different factors would influence the decision to pay on the policy.  Another notation indicated that a call was received wherein the caller asked "detailed questions about if he goes to Pakistan and dies will we [Met Life] pay the claim."  The notation further indicated that the caller "had specific hypothetical situations that he wanted to know if we would pay or not."  The caller was given the number to the death claims division.   Another call was received in which the caller asked whether Met Life would pay if he was in a car accident or his house was robbed and he was killed in Pakistan.  Met Life responded by explaining the insurance contestability provision to the caller.  During another call, the caller stated that he did not speak much English and put an individual on the phone whom he identified as his girlfriend.  The policy conditions were then explained to the girlfriend.  

A memorandum written to the vice president of the Mid-America head office who appears to have been involved in the investigation of the policy after the decedent's death refered to these calls and states:

"Barb Gardener called.  They received four calls on the case you

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