Burley v. New York Life Insurance Co.

179 So. 3d 922, 15 La.App. 3 Cir. 263, 2015 La. App. LEXIS 2389, 2015 WL 7566495
CourtLouisiana Court of Appeal
DecidedNovember 25, 2015
DocketNo. CA 15-263
StatusPublished
Cited by8 cases

This text of 179 So. 3d 922 (Burley v. New York Life Insurance Co.) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Burley v. New York Life Insurance Co., 179 So. 3d 922, 15 La.App. 3 Cir. 263, 2015 La. App. LEXIS 2389, 2015 WL 7566495 (La. Ct. App. 2015).

Opinion

SAVOIE, Judge.

11 This .matter involves New York Life Insurance Company’s (New York Life’s) appeal of a default judgment rendered against it awarding Plaintiff Michael Bur-ley life insurance proceeds from a policy insuring the life of his brother, as well as damages and penalties for New York Life’s breach of duty under La.R.S. 22:1973. New York Life also appeals the denial of its Motion for New Trial.

For the reasons that follow, we affirm the trial court’s award in favor of the Plaintiff for $200,000 in policy proceeds and decrease the amount awarded to Plaintiff under La.R.S. 22:1973 to $5,000 in penalties.

FACTUAL AND PROCEDURAL BACKGROUND

Brothers William and Michael Burley each obtained reciprocal life insurance policies, with the other named as the owner and beneficiary of the policy. They purchased the policies from their personal friend, Mitch Ashmore, who was an agent for New York Life. Mr. Ashmore filled out the application for the policy insuring William’s life, and both Michael and William signed the application on October 16, 2012. The policy insuring William’s life became effective in December 2012.

William died on April 24, 2013, from a heart attack. Mr. Ashmore assisted Michael with filing a claim for payment of the policy proceeds. On October 14, 2013, New York Life sent a certified letter to Michael noting an inaccurate response to question 3(1!) on William’s insurance application. The application reflected a response of “no” to the following question:

In the last ten (10) years, has the Proposed Insured been diagnosed, treated, tested positive for or been given medical advice by a member of the medical profession ... for drug or alcohol use, used cocaine or other controlled substances (other than as prescribed by a physician), or been counseled or hospitalized for drug or alcohol use?

|2According to New York Life, however, William’s medical records indicated that the answer to question 3(l) should have been “yes.” The October 14, 2013 letter further referred to New York Life’s nor[927]*927mal procedure under the circumstances to refund all premiums paid and void the policy, but gave Michael thirty days to present any additional information. New York Life sent a check to Michael dated January 30, 2014 in the amount of the insurance premiums paid on the policy, but Michael did not deposit the check.

On February 21, 2014, Michael filed suit against New York Life seeking the $200,000 life insurance policy proceéds, as well as penalties and attorney fees pursuant to La.R.S. 22:1892 and/or La.R.S. 22:1973 for New York Life’s alleged bad faith handling of the claim. New York Life was served through the Louisiana Secretary of State on April 30, 2014. On June 3, 2014, Michael filed a Motion for Preliminary Default Judgment, noting New York Life’s failure to file an Answer, and a preliminary default was entered on June 5, 2014.

A hearing to confirm the default judgment was held on June 10, 2014, wherein Michael testified and documentary evidence was admitted into evidence. The complete record of the confirmation hearing is before us on appeal.

The trial court rendered a default judgment in favor of'Michael for the $200,000 policy proceeds. The trial court also awarded $20,000 in penalties under La. R.S. 22:1973, as well as $100,000 in penalties and “33 1/3% for attorney fees” under La.R.S. 22:1892. The judgment was signed on June 10, 2014, and served on New York Life through the Louisiana-Secretary of State on June 16, 2014.

On June 23, 2014, New York Life filed a Motion for New Trial. Following a hearing, the trial court took the matter under advisement. On December 19, 2014, |3the trial court signed a judgment denying New York Life’s Motion for New Trial as to the policy proceeds awarded to Michael. The judgment further provided:

IT IS FURTHER ORDERED, ADJUDGED AND DECREED that the “Motion for New Trial” is granted for purposes of regargument only ... with regard to any and all damages, interest or attorney’s fees previously awarded under [La.R.S.] 22:1892, et[.] seq.
IT IS FURTHER ORDERED, ADJUDGED AND DECREED the “Motion for New Trial” is denied with regard to damages pursuant to [La,R.S.] 22:1973, because of New York Life Insurance Company’s abusive, arbitrary, and capricious handling and denial of Plaintiffs claim-, -following the death of William Burley, so that an award of $100,000.00 in actual damages to Michael Burley is appropriate based on the record.
IT IS FURTHER ORDERED, ADJUDGED AND DECREED with regard to penalties provided pursuant to [La.R.S.] 22:1973, an award of double the actual damages of $100,000.00, or $200,000.00, in penalties under this provision is appropriate and therefore the “Motion for New Trial” in this regard is denied.

New York Life filed a Motion for Sus-pensive Appeal.

On March 23, 2015, this court issued an order to New York Life requiring it to show cause why its appeal should not be dismissed for prematurity and/or because it was taken from a partial non-final judgment. We noted that the trial court had granted a new trial on the issue of penalties and attorney fees under La.R.S. 22:1892, and that a new trial had not yet been held. In response thereto, the parties jointly submitted a signed order from the district court dismissing Michael’s claims for penalties and attorney fees under La.R.S. 22:1892. The March 23, 2015 [928]*928order web recalled on May 28, 2015, and the appeal resumed,

ASSIGNMENTS OF ERROR

On Appeal, New York Life submits the following assignments of error:

1, The (now-retired) District Court erred, as a matter of law, by granting the Default Judgment, since Burley was not. able to, and did not present prima facie .evidence, supporting the allegations in his petition.
Jj2. The District Court erred, as a matter of law, by awarding Burley attorney’s -fees and penalties because neither the law nor the evidence support such an.award.
3. The District Court erred, as a matter of law, by denying New York Life’s Motion for New Trial.
4. The, District Court erred, as a matter of law, by rendering a Judgment on New York Life’s Motion for New Trial that ‘restructured’ the award of ‘attorney fees’ under the original Default Judgment to an award of additional ‘penalties and damages.’

ANALYSIS

Confirmation of Default:

In its first two assignments of error, New York Life argues that Michael did' not establish prima facie entitlement to either the policy proceeds or to the penalties awarded under La.R.S. 22:1973.1

Burden of Proof and Standard of Review:

Louisiana Code of Civil Procedure Article 1701(A). allows a judgment of default to be entered against a defendant who fails to answer within the time prescribed by law. Confirmation of a default judgment under La.Code Civ.P. art. 1702(A) requires “proof of the demand that is sufficient to establish a prima facie case.”

For a plaintiff to obtain a default judgment, he must establish the elements of a prima facie case with competent evidence, as My as though each of the allegations in the petition were denied by the defendant.

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179 So. 3d 922, 15 La.App. 3 Cir. 263, 2015 La. App. LEXIS 2389, 2015 WL 7566495, Counsel Stack Legal Research, https://law.counselstack.com/opinion/burley-v-new-york-life-insurance-co-lactapp-2015.