Craner v. Northwestern Mutual Life Insurance

12 F. Supp. 2d 1234, 1998 U.S. Dist. LEXIS 10766, 1998 WL 400453
CourtDistrict Court, D. Utah
DecidedJuly 13, 1998
Docket2:96-cv-01063
StatusPublished
Cited by7 cases

This text of 12 F. Supp. 2d 1234 (Craner v. Northwestern Mutual Life Insurance) is published on Counsel Stack Legal Research, covering District Court, D. Utah primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Craner v. Northwestern Mutual Life Insurance, 12 F. Supp. 2d 1234, 1998 U.S. Dist. LEXIS 10766, 1998 WL 400453 (D. Utah 1998).

Opinion

MEMORANDUM DECISION and ORDER

J. THOMAS GREENE, District Judge.

This matter is before the court on cross motions for summary judgment for alleged breach of a written agreement for life insurance coverage. The motions were argued after extensive memorandums of law and other materials were filed. Plaintiff was represented by C. Blaine Morely, and Wendell E. Bennett of Wendell E. Bennett & Associates. Defendant was represented by Mary Anne Q. Wood and Sheri A. Mower of Wood Crapo LLC. Post hearing memorandums were filed contemporaneously with leave of court on May 18, 1998, and the case was taken under advisement. Now being fully advised, the court enters its Memorandum Decision and Order.

FACTS

In February, 1996, Stephen Craner phoned Kent Lambert, an agent of defendant Northwestern Mutual Life (“NML”), requesting life insurance coverage. Mr. Craner sought coverage as soon as possible, and in order to accommodate this request, Mr. Lambert suggested that Mr. Craner obtain the necessary medical examination, after which they should *1237 meet in order to complete an insurance application. Mr. Craner underwent the medical examination on February 27, 1996. On the next day, February 28, the two met and together completed an application for a $500,000 life insurance policy. Mr. Lambert asked and Mr. Craner orally responded to questions on the insurance application form. Mr. Lambert recorded the responses on the form, and signed as agent, certifying that he had “asked all questions and have completely and correctly recorded the insured’s answers _” He further certified that the application and other documents “were signed by the insured ... in my presence after all questions were answered and recorded.” Mr. Craner signed the Medical Questionnaire in which the below noted answers were given under a declaration that “my answers and statements are correctly recorded, complete and true to the best of my knowledge and belief.” Mr. Craner’s response to two of the questions was as follows:

Question 33: “In the past 10 years, have you been told you had or been treated for: ... (c). Anxiety, depression, stress, or any psychological or emotional condition or disorder?”

Mr. Craner’s response: “No.”

Question 36: “Other than as previously stated on this application, in the last five years have you: a. Consulted any other health care providers (medical doctor, psychiatrist, psychologist, osteopath, chiropractor, counselor, therapist or other)?”

On February 28, 1996, Mr. Craner signed and received a copy of the insurance application document which was entitled on the frontpage, “CONDITIONAL LIFE INSURANCE AGREEMENT” (“Agreement”), and provided Mr. Lambert with $172.52 (one month’s premium). The document also bore the notation on the front page: “RECEIPT FOR PAYMENT AND CONDITIONAL LIFE INSURANCE AGREEMENT,” followed by bold language

“Not a Binder — No Insurance if Section 1 Applies.”

Section I of the document on the first page provides:

I. Unacceptable Risks — No Insurance in Force. No insurance or additional benefits will be in force at any time under the terms of this Agreement if the proposed insured is not a risk acceptable to Northwestern Mutual Life on the Underwriting Date according to its rules and standards.

One of the terms of the Agreement is

If the premium is paid when the application is taken, no life insurance will be in effect if Section I. of the Conditional Life Insurance Agreement applies.

Section III of the Agreement provides:

III. Underwriting Date — When Insurance Begins. For acceptable risks insurance begins on the Underwriting Date, which is the later of:
A. The date of application ...; or,
B. the date of the nonmedical, paramedical or medical examination.

(Emphasis added.)

Mr. Craner signed the document as “Applicant,” and Mr. Lambert signed as “Licensed Agent.”

The Agreement also included a “Notice of Insurance Information Practices” and “Insured’s Authorization to Obtain and Disclose Information.” The “Insured’s Authorization” form provides that the authorization “is valid for 30 months from the date it is signed.” The “Notice of Insurance Information Practices” given to Mr. Craner states that the insurance company may request an investigative consumer report “about your character, general reputation, personal characteristics, mode of living and health_” It also provides:

We may call you from our Home Office in Milwaukee to confirm or add to this information. The questions asked during the phone interview will be detailed so you may wish to have records about your income and health history at hand.
We need such information to see if you qualify for the insurance.... (Emphasis added.)

The insurance agent is required as a part of the application to “remind your client that he/she may receive a phone call from the Home Office to Conduct a Personal History Interview.” Mr. Lambert as the insurance agent signed the document certifying that he has given the applicant a copy of “Notice of Insurance Information Practices.”

*1238 In the last part of the Conditional Insurance Agreement the following is set forth:

“NOT A ‘BINDER’ — No Agent May Modify the Terms of this Agreement— NO INSURANCE IF SECTION I APPLIES.”

On March 8, 1996, Veronica Brame of NML called Mr. Craner to conduct a Personal History Interview with him. Among other things, she asked the following question:

Question 8: “Have you ever been convicted of violating any criminal law other than a traffic violation?”

In response to another question, Mr. Craner revealed that he had seen a psychologist once per week due to the death of his son, starting in December of 1995. In this regard, Mr. Craner provided Ms. Brame the name and location of his doctor, Dr. Austin Chiles.

On or about March 13, 1996, NML requested an Attending Physician’s Statement from Dr. Chiles. A one page report from Dr. Chiles was received on April 8, 1996, three days after the death of Mr. Craner, to the effect that Dr. Chiles had seen Mr. Craner over two periods of time, the first period being a couple of years ago and the second for the past three months. Dr. Chiles stated that the first period dealt with issues of the bankruptcy and feelings of Mr. Craner about unfairness and discouragement. Dr. Chiles stated that the last period of time dealt with the death of his son Kent. Because the information contained in the report was so limited, Patricia Valoe, the Regional Underwriting Consultant for the Western Region of NML, contacted Dr. Chiles by phone and requested his notes from two years ago and from December 1995 to the present, together with summaries of the notes. There was delay in providing the information, but it was faxed to NML on the weekend of May 3, 1996, reviewed on May 6,1998. These materials revealed that on November 2, 1995, Mr.

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Bluebook (online)
12 F. Supp. 2d 1234, 1998 U.S. Dist. LEXIS 10766, 1998 WL 400453, Counsel Stack Legal Research, https://law.counselstack.com/opinion/craner-v-northwestern-mutual-life-insurance-utd-1998.