Crown Life Ins. Co. v. McBride

517 So. 2d 660, 12 Fla. L. Weekly 549, 1987 Fla. LEXIS 2463, 1987 WL 1548
CourtSupreme Court of Florida
DecidedNovember 5, 1987
Docket67476
StatusPublished
Cited by78 cases

This text of 517 So. 2d 660 (Crown Life Ins. Co. v. McBride) is published on Counsel Stack Legal Research, covering Supreme Court of Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Crown Life Ins. Co. v. McBride, 517 So. 2d 660, 12 Fla. L. Weekly 549, 1987 Fla. LEXIS 2463, 1987 WL 1548 (Fla. 1987).

Opinion

517 So.2d 660 (1987)

CROWN LIFE INSURANCE COMPANY, Petitioner,
v.
Steven Patrick McBRIDE, Respondent.

No. 67476.

Supreme Court of Florida.

November 5, 1987.
Rehearings Denied January 29, 1988.

*661 Brenton N. Ver Ploeg, Arnold L. Berman and Robert P. Major of Shutts & Bowen, Miami, for petitioner.

Frates & McCall, Palm Beach, and Edna L. Caruso of Edna L. Caruso, P.A., West Palm Beach, for respondent.

SHAW, Justice.

We have for review Crown Life Insurance Co. v. McBride, 472 So.2d 870 (Fla. 4th DCA 1985), in which the district court certified the following as being a question of great public importance:

May the theory of equitable estoppel be utilized to prevent an insurance company from denying coverage?

Id. at 871. We have jurisdiction. Art. V, § 3(b)(4), Fla. Const. For the reasons set forth below, we answer the certified question in the affirmative to the limited extent expressed herein.

In November 1977, McBride, father of respondent, inquired of Crown Life whether group health insurance coverage offered through his newly accepted employment would cover respondent who was at that time twenty years old, suffering from a genetic premature aging disease, in a special high school class for slow learners, and financially dependent upon his father. During discussions with the Crown Life group service supervisor and the insurance broker through whom the employer had purchased the group policy, McBride was allegedly led to believe that respondent would be covered. McBride asserts that in reliance upon Crown Life's representations, he allowed the conversion option on the respondent's prior coverage to lapse and took out group coverage with Crown Life Insurance Company.

Respondent brought suit for recovery of benefits due under the written policy. Crown Life denied that respondent was a dependent under the policy, claiming that he was age twenty-three when the medical expenses were incurred and that he had been disabled from the inception of McBride's group coverage.[1]

The trial court allowed respondent to amend his complaint to include claims for recovery based on estoppel and oral contract. The court denied Crown Life's motion for continuance and, at the close of the evidence, directed a partial verdict finding that respondent was not entitled to recover under the written policy. The case went to the jury on the theories of estoppel and oral contract. The jury verdict and final judgment in respondent's favor on these theories was affirmed by the district court on the authority of Kramer v. United Services Automobile Association, 436 So.2d 935 (Fla. 4th DCA 1983), and Peninsular Life Insurance Co. v. Wade, 425 So.2d 1181 (Fla. 2d DCA 1983).

The general rule in applying equitable estoppel to insurance contracts provides that estoppel may be used defensively to prevent a forfeiture of insurance coverage, but not affirmatively to create or extend coverage. Six L's Packing Co. v. Florida Farm Bureau Mutual Insurance Co., 268 So.2d 560 (Fla. 4th DCA 1972), cert. discharged, 276 So.2d 37 (Fla. 1973). "[E]quitable estoppel is not designed to aid a litigant in gaining something, but only in preventing a loss. In other words, it will not avail in offense, but only in defense." Kerivan v. Fogal, 156 Fla. 92, 96, 22 So.2d 584, 586 (1945).

An exception to the general rule is the doctrine of promissory estoppel, a qualified form of equitable estoppel which applies to representations relating to a future act of the promisor rather than to an existing *662 fact. Southeastern Sales & Service Co. v. T.T. Watson, Inc., 172 So.2d 239 (Fla. 2d DCA 1965). In South Investment Corp. v. Norton, 57 So.2d 1 (Fla. 1952), we noted that:

The authorities recognize and apply the doctrine of promissory estoppel when the promise or representation relates to the abandonment of existing rights; but, ordinarily, a truthful statement as to the present intention of a party with regard to his future act is not the foundation upon which an estoppel may be built.

Id. at 3 (citations omitted). However, in Mount Sinai Hospital, Inc. v. Jordan, 290 So.2d 484 (Fla. 1974), we found promissory estoppel applicable to a charitable pledge, recognizing that although "[a] mere gratuitous promise of a future gift, lacking consideration, is simply unenforceable as a nudum pactum. When the gratuitous promise is coupled with an inducement for others to subscribe, the promise is no longer void on its face." Id. at 486. The doctrine, however, only applies where to refuse to enforce a promise, even though not supported by consideration, "`would be virtually to sanction the perpetration of fraud or would result in other injustice.'" Southeastern Sales, 172 So.2d at 241, (quoting 19 Am.Jur. Estoppel § 53 (1939)). Such injustice may be found where the promisor reasonably should have expected that his affirmative representations would induce the promisee into action or forbearance substantial in nature, and where the promisee shows that such reliance thereon was to his detriment. See Mount Sinai Hospital.

We see no reason why this equitable doctrine should not also apply to insurance contracts. We note that several of the district courts have, in effect, found the concept applicable, albeit in the guise of equitable estoppel and/or oral contract. Kramer; Wade; Burns v. Consolidated American Insurance Co., 359 So.2d 1203 (Fla. 3d DCA 1978); General Motors Acceptance Corp. v. American Liberty Insurance Co., 238 So.2d 450 (Fla. 1st DCA 1970). We also note that, while our holding represents a minority view throughout the nation, a number of courts have adopted this position in recent years. See, e.g., Travelers Indemnity Co. v. Holman, 330 F.2d 142 (5th Cir.1964); United Pacific Insurance Co. v. Meyer, 305 F.2d 107 (9th Cir.1962); Ivey v. United National Indemnity Co., 259 F.2d 205 (9th Cir.1958); Darner Motor Sales, Inc. v. Universal Underwriters Insurance Co., 140 Ariz. 383, 682 P.2d 388 (1984); Lewis v. Continental Life & Accident Co., 93 Idaho 348, 461 P.2d 243, (1969); Harr v. Allstate Insurance Co., 54 N.J. 287, 255 A.2d 208 (1969); Martinez v. John Hancock Mutual Life Insurance Co., 145 N.J. Super. 301, 367 A.2d 904 (1976); Security Insurance Co. v. Greer, 437 P.2d 243 (Okla. 1968); Allstate Insurance Co. v. State Farm Mutual Automobile Insurance Co., 67 Or. App. 623, 679 P.2d 879 (1984); Crescent Company of Spartanburg, Inc. v. Insurance Company of North America, 266 S.C. 598, 225 S.E.2d 656 (1976).

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Gamero v. Foremost Insurance Co.
208 So. 3d 1195 (District Court of Appeal of Florida, 2017)
Public Risk Management of Florida v. One Beacon Insurance Co.
569 F. App'x 865 (Eleventh Circuit, 2014)
Frisbie v. Carolina Casualty Insurance Co.
103 So. 3d 1011 (District Court of Appeal of Florida, 2012)
JN Auto Collection, Corp. v. U.S. Security Insurance Co.
59 So. 3d 256 (District Court of Appeal of Florida, 2011)
Sanderson v. Zurich American Insurance
792 F. Supp. 2d 1291 (M.D. Florida, 2010)
Testa v. SOUTHERN ESCROW AND TITLE, LLC
36 So. 3d 713 (District Court of Appeal of Florida, 2010)
Sharp General Contractors, Inc. v. Mt. Hawley Insurance
604 F. Supp. 2d 1360 (S.D. Florida, 2009)
Essex Ins. Co. v. Mercedes Zota
466 F.3d 981 (Eleventh Circuit, 2006)
STATE FARM MUT. AUTO. INS. v. St. Godard
936 So. 2d 5 (District Court of Appeal of Florida, 2006)
Nova Casualty Co. v. Waserstein
424 F. Supp. 2d 1325 (S.D. Florida, 2006)
Morse, LLC v. United Wisconsin Life Insurance
356 F. Supp. 2d 1296 (S.D. Florida, 2005)
Philadelphia Indemnity Insurance v. Kohne
294 F. Supp. 2d 1319 (M.D. Florida, 2003)
ZC Ins. Co. v. Brooks
847 So. 2d 547 (District Court of Appeal of Florida, 2003)

Cite This Page — Counsel Stack

Bluebook (online)
517 So. 2d 660, 12 Fla. L. Weekly 549, 1987 Fla. LEXIS 2463, 1987 WL 1548, Counsel Stack Legal Research, https://law.counselstack.com/opinion/crown-life-ins-co-v-mcbride-fla-1987.