Caccavale v. W. S. Life Assur. Co., 07ca009124 (3-3-2008)

2008 Ohio 825
CourtOhio Court of Appeals
DecidedMarch 3, 2008
DocketNo. 07CA009124.
StatusUnpublished
Cited by2 cases

This text of 2008 Ohio 825 (Caccavale v. W. S. Life Assur. Co., 07ca009124 (3-3-2008)) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Caccavale v. W. S. Life Assur. Co., 07ca009124 (3-3-2008), 2008 Ohio 825 (Ohio Ct. App. 2008).

Opinions

DECISION AND JOURNAL ENTRY
This cause was heard upon the record in the trial court. Each error assigned has been reviewed and the following disposition is made:

{¶ 1} Appellant, Cynthia Caccavale, appeals from the judgment of the Lorain County Court of Common Pleas. This Court affirms.

I.
{¶ 2} On February 5, 1999, Brian Mango, an agent of Appellees, the Western Southern Life Insurance Co., et al. ("WS"), sold Appellant, Cynthia Caccavale, a policy of life insurance on her life, in the amount of $65,000. The policy contained a family rider for a $5000 death benefit on the life of Caccavale's *Page 2 daughter, Antonia Pyland. Pyland was 14 years old at the time. Question #18 of the life insurance application read as follows:

"Has anyone proposed for this insurance ever used marijuana, LSD, barbiturates, cocaine, heroin, or other narcotic or other habit-forming drug other than those properly prescribed by a physician or been diagnosed, treated, or advised to be treated for alcoholism or drug abuse?"

{¶ 3} Similarly, Question #20 asked Caccavale to respond truthfully to the following question concerning the physical and mental health of all persons proposed for insurance:

"In the past ten years, has anyone proposed for this insurance had or been treated for any abnormality or disease of the heart, lungs, kidneys, or any other part of the body, or been treated for high blood pressure, diabetes, stroke, cancer or a mental or nervous condition?"

{¶ 4} Despite Caccavale's knowledge that her daughter had used marijuana and had been treated for both alcohol and marijuana abuse, the policy application reflects that either she or Mango checked the "No" box corresponding to Question #18.1 Although Caccavale responded "Yes" to Question #20, she failed to disclose that Pyland had received treatment for mental health problems. Caccavale represented that her responses to the questions in the life insurance application were true and complete by signing the following statement which appeared in bold-faced, capitalized print on her application: *Page 3

"I (WE) HAVE CAREFULLY REVIEWED EACH AND EVERY STATEMENT AND ANSWER ON PAGES 1 AND 2 OF THIS APPLICATION AND REPRESENT THAT THEY ARE TRUE AND COMPLETE TO THE BEST OF MY (OUR) KNOWLEDGE AND BELIEF."

{¶ 5} On March 7, 1999, WS issued Caccavale an insurance policy in the amount of $65,000, with a rider on the life of Pyland in the amount of $5000.

{¶ 6} When Pyland was 16 years old, she had a baby. In an effort to secure the future of her grandchild, Caccavale sought a life insurance policy for Pyland. On June 6, 2000, Caccavale executed a WS life insurance policy for $100,000. Caccavale also purchased this policy through Mango. On the day she executed the policy, Caccavale gave Mango a check for $27, the amount of the first month's premium on the $100,000 policy. In return, Mango gave Caccavale a receipt ("Binder") which served to provide insurance on Pyland's life from June 6, 2000, the date of the application, in an amount not to exceed $50,000, subject to certain limitations. The Binder stated that Caccavale's $27 check was "accepted subject to collection." Further, the Binder stated that WS would not provide any insurance on Pyland's life unless she was in good health as of the date of the application. The Binder also included a limitation that the insurance would not take effect if the amount paid for insurance when the application was signed was less than one month's premium for the policy. *Page 4

{¶ 7} This policy issued on June 21, 2000. The effective date on the policy was June 23, 2000. Tragically, Pyland was killed on June 22, 2000, when she was struck by a vehicle while crossing a road.

{¶ 8} When the policy issued, WS attempted to negotiate Caccavale's $27 check. Caccavale's check was dishonored for insufficient funds. Caccavale testified in her deposition that sometime after Pyland's death, Mango brought the dishonored check to her. Caccavale gave him $30 cash to redeem the dishonored check. At some point, WS attempted to return the $30 to Caccavale. Caccavale testified that she refused to accept the money. The $30 is still held on WS's record books.

{¶ 9} On July 1, 2000, WS received Caccavale's Statement of Claimant in which she requested benefits under both the 1999 rider and the 2000 policy issued in Pyland's name. On July 1, 2000, Caccavale also executed an Authorization for Release of Information, affording WS permission to obtain "any information concerning diagnosis, treatment and prognosis relative to any physical or mental condition, or treatment relative to drug or alcohol use * * * of the person on whom claim was presented, and any other non-medical information concerning such person[.]"

{¶ 10} In September of 2000, WS informed Caccavale that her claims for death benefits on the 1999 rider and the June 2000 policy would be denied. Caccavale initially filed a complaint against WS in the Cuyahoga County Court *Page 5 of Common Pleas on December 22, 2005. She later voluntarily dismissed her complaint and refiled it in the Lorain County Court of Common Pleas on February 22, 2006. Caccavale alleged six claims in her complaint. Under Counts I and II, Caccavale alleged that WS breached its contract with her when it denied coverage under her two policies. Under Count III, Caccavale alleged that WS gave her the Binder after she gave it the $27 check for the first month's premium on the $100,000 policy. She asserts that, pursuant to this Binder, she was entitled to the $100,000 policy amount. She alleged that WS's attempts to limit its liability to $50,000 were void as against public policy. Under Count IV, Caccavale alleged that WS acted in bad faith in denying her claims for coverage. Under Count V, Caccavale alleged negligence. Under Count VI, Caccavale alleged that the provisions of WS's policies under which it denied her recovery for the full amount of the policies were void as against public policy.

{¶ 11} On May 11, 2006, the trial court granted in part WS's motion to strike Counts III, V and VI of Caccavale's complaint. The trial court struck Counts III and VI from the record, but declined to strike Count V. WS filed a motion for partial summary judgment on Counts I, II, and IV of Caccavale's complaint. Caccavale responded in opposition. On January 24, 2007, the trial court granted WS's motion for partial summary judgment. On February 15, 2007, the trial court granted Caccavale's motion to dismiss Count V of her complaint. Caccavale timely appealed the trial court's order, raising three *Page 6 assignments of error for our review. We have combined two of Caccavale's assignments of error to facilitate our review.

II.
ASSIGNMENT OF ERROR I
"THE TRIAL COURT ERRED IN GRANTING SUMMARY JUDGMENT IN FAVOR OF [WS] WHEN THERE WERE MATERIAL ISSUES OF FACT UPON WHICH REASONABLE MINDS MIGHT COME TO DIFFERENT CONCLUSIONS."

{¶ 12}

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2008 Ohio 825, Counsel Stack Legal Research, https://law.counselstack.com/opinion/caccavale-v-w-s-life-assur-co-07ca009124-3-3-2008-ohioctapp-2008.