Celtic Life Ins. Co. v. McLendon

814 So. 2d 222, 2001 WL 586905
CourtSupreme Court of Alabama
DecidedJune 1, 2001
Docket1992060 and 1992061
StatusPublished
Cited by22 cases

This text of 814 So. 2d 222 (Celtic Life Ins. Co. v. McLendon) is published on Counsel Stack Legal Research, covering Supreme Court of Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Celtic Life Ins. Co. v. McLendon, 814 So. 2d 222, 2001 WL 586905 (Ala. 2001).

Opinions

Celtic Life Insurance Company ("Celtic") and its "soliciting agent" Jeffrey Fredrickson appeal from an order denying their motions to compel arbitration of an action commenced by Diane McLendon. We reverse and remand.

On January 13, 1999, McLendon completed and signed an application seeking health insurance. Fredrickson submitted the application to Celtic, which approved it and issued McLendon a major-medical policy, effective March 1, 1999. In June 1999, McLendon underwent surgery and submitted a claim to Celtic for payment under the policy. Celtic denied the claim, contending that the condition for which she was treated predated the issuance of the policy and that she had failed to disclose the preexisting condition on her application. Moreover, by a letter dated January 14, 2000, Celtic informed her that it was rescinding the policy because of her alleged failure to disclose a preexisting condition. The letter was accompanied by a check purporting to refund the premiums she had paid.

On March 22, 2000, McLendon filed an eight-count complaint against Celtic and Fredrickson. Her complaint included claims of breach of contract, fraud, bad-faith failure to pay an insurance claim, and conversion of premiums. Celtic and Fredrickson moved to compel arbitration of *Page 224 the dispute on the basis of the following provisions in the policy:

"Controversies or disputes arising out of, in connection with, or relating to this certificate which cannot be resolved to the satisfaction of both parties, may be resolved by arbitration, only as herein provided. Except that, judicial injunctive relief may be sought if such action is necessary to avoid irreparable harm or to preserve the status quo. . . .

". . . .

". . . It is understood and agreed that the arbitration shall be binding upon the parties, that the parties are waiving their right to seek remedies in court (except for judicial injunctive relief, as stated above), including the right to a jury trial; and that an arbitration award may not be set aside in later litigation except upon the limited circumstances set forth in the Federal Arbitration Act. Judgment upon the award rendered by the arbitration panel may be entered in any court having jurisdiction thereof."

Celtic supported its motion with various documents, including an affidavit detailing the connection of the transaction with interstate commerce. The trial court denied their motions, and Celtic (case no. 1992060) and Fredrickson (case no. 1992061) appealed.

The appeal of an order denying a motion to compel arbitration is generally subject to de novo review. Fleetwood Enters., Inc. v. Bruno,784 So.2d 277, 280 (Ala. 2000); First American Title Ins. Corp. v.Silvernell, 744 So.2d 883 (Ala. 1999); Jim Burke Auto., Inc. v. Murphy,739 So.2d 1084 (Ala. 1999); Crimson Indus., Inc. v. Kirkland, 736 So.2d 597 (Ala. 1999). The proponent of arbitration has the initial burden of producing (1) a written arbitration agreement, covering (2) a transaction that "substantially affects interstate commerce." Sisters of theVisitation v. Cochran Plastering Co., 775 So.2d 759, 761 (Ala. 2000). "[A]fter a motion to compel arbitration has been made and supported, the burden [shifts to] the non-movant to present evidence that the supposed arbitration agreement is not valid or does not apply to the dispute in question." Jim Burke Auto., Inc. v. Beavers, 674 So.2d 1260, 1265 n. 1 (Ala. 1995) (emphasis omitted). Celtic and Fredrickson have made the necessary prima facie showing of the existence of a controlling arbitration agreement. McLendon, therefore, bears the burden of demonstrating that the "arbitration agreement is not valid or does not apply to the dispute in question."1 Id.

In this connection, McLendon makes three arguments. Her first argument focuses on that portion of the arbitration clause stating: "Controversies or disputes arising out of, in connection with, or relating to this certificate which cannot be resolved to the satisfaction of both parties, may be resolved by arbitration. . . ." (Emphasis added.) Essentially, she contends that the use of the word "may," instead of the word "shall," renders the clause unenforceable if either party to the agreement objects to arbitration. In other words, she argues, neither party has a right to insist on arbitration. This contention is faulty for two reasons.

First, McClendon's argument focuses on the word "may" in isolation. However, "[i]nsurance contracts, like other contracts, are construed so as to give effect to the intention of the parties, and, to determine this intent, a court must examine more than an isolated sentence or term; it must read each phrase in the context of all other provisions." AttorneysIns. Mut. of Alabama, Inc. v. Smith, *Page 225 Blocker Lowther, P.C., 703 So.2d 866, 870 (Ala. 1996) (emphasis added); see also Hall v. American Indem. Group, 648 So.2d 556, 559 (Ala. 1994); State Farm Mut. Auto. Ins. Co. v. Lewis, 514 So.2d 863, 865 (Ala. 1987). McLendon's interpretation ignores other terms of the arbitration provision, such as: "It is understood and agreed that the arbitrationshall be binding upon the parties, that the parties are waiving theirright to seek remedies in court (except for judicial injunctive relief, as stated above), including the right to a jury trial; and that an arbitration award may not be set aside in later litigation . . . ." (Emphasis added.) These latter clauses resolve any ambiguity created by the use of the word "may" and make it clear that arbitration is not "optional."

Second, McLendon's interpretation of the arbitration provision simply does not make sense, as other courts addressing and rejecting similar interpretations have concluded. "[T]he use of the word `may' in an arbitration agreement does not imply that the parties to the agreement have the option of invoking some remedy other than arbitration." Held v.National R.R. Passenger Corp., 101 F.R.D. 420, 424 (D.D.C. 1984) (emphasis added). "Rather, `[t]he sole option an aggrieved party retained through use of the word "may" was to abandon its claim.'" Id. Such an interpretation "would render the arbitration provision meaningless for all practical purposes. If the parties to such an agreement intended for arbitration to be permissive, there would be no reason to include . . . the arbitration provision in the contract, for the parties to an existing dispute could always voluntarily submit it to arbitration." Austin v.Owens-Brockway Glass Container, Inc., 78 F.3d 875, 879 (4th Cir.) (emphasis added), cert. denied, 519 U.S. 980 (1996). See also AmericanItalian Pasta Co. v. Austin Co., 914 F.2d 1103

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Celtic Life Ins. Co. v. McLendon
814 So. 2d 222 (Supreme Court of Alabama, 2001)

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814 So. 2d 222, 2001 WL 586905, Counsel Stack Legal Research, https://law.counselstack.com/opinion/celtic-life-ins-co-v-mclendon-ala-2001.