Crum v. Jackson National Life Insurance Company

880 S.E.2d 205, 315 Ga. 67
Supreme Court of Georgia·Decided October 25, 2022·No. S22Q0649·Published·Cited by 4 cases

Opinion

315 Ga. 67 FINAL COPY

S22Q0649. CRUM v. JACKSON NATIONAL LIFE INSURANCE COMPANY.

PINSON, Justice.

This case comes to us from the United States Court of Appeals for the Eleventh Circuit, which has certified questions to us about Georgia life insurance law. Those questions are set out below in full. The basic question we need to answer is whether a person can legally take out an insurance policy on his own life with the intent to turn around and sell that policy to a third party who has no “insurable interest” in the policyholder’s life. The person seeking to recover on the life insurance policy in this case says that such a policy is legal if a third party was not involved in causing the policy to be procured. The insurance company says that with or without such third-party involvement, such a policy is an illegal wagering contract and therefore void, relying on some of our case law. But as it turns out, that case law was interpreting and applying old

statutes. In 1960, our General Assembly repealed those statutes and replaced them with new statutory language that codified some, but not all, of the old decisional law. See OCGA § 33-24-3. And the new language, which remains materially the same today, does not even hint at the unilateral-intent-based limitation that the insurance company advances. So we answer the certified questions as follows: under Georgia law, a life insurance policy taken out by the insured on his own life with the intent to sell the policy to a third party with no insurable interest, but without a third party’s involvement when the policy was procured, is not void as an illegal wagering contract.

1. Background In 1999, Kelly Couch applied for a $500,000 life insurance policy from Jackson National Life Insurance Company. When he applied, Couch told Jackson that he was healthy, but that was not true. In fact, Couch knew that he was HIV-positive, which, in 1999, meant that he had a greatly diminished life expectancy. He bought the policy with the intent to sell it on the secondary “viatical

settlement” market.1 Eight months later, Couch did just that: a brokerage agency that specialized in viatical settlements connected Couch with Sterling Crum, who bought Couch’s insurance policy knowing that Couch was HIV-positive and likely had only a few years left to live.

Couch died in 2005, and years later, Crum made a claim to Jackson for the death benefit under Couch’s policy. Jackson denied the claim and filed a declaratory judgment action in the U.S. District Court for the Northern District of Georgia, seeking a declaration that the policy was void ab initio under Georgia law as an illegal human-life wagering contract, and that laches barred Crum’s claim.2 After a bench trial, the district court agreed with Jackson that

1 A viatical settlement is an arrangement in which a person, usually with

a terminal illness, sells a life insurance policy to a third party for less than its mature value to obtain funds that the insured can use while alive. Such settlements were common in the 1980s and 1990s for people who were HIV- positive. See Jackson Nat. Life Ins. Co. v. Crum, 25 F4th 854, 857 (11th Cir. 2022). Early on, many of these policies were legitimate, because the person had acquired the policy when healthy, without any fraud. See id. Later, as investor demand rose, some people who already had HIV worked with insurance brokers to market policies they procured fraudulently after having received an HIV diagnosis. See id.

2 It appears that Jackson could not deny Crum’s claim based on any

the policy was an illegal wagering contract. The court found that Couch bought the policy without Crum’s involvement, but with the intent to sell it in the near future to someone without an insurable interest. See Jackson Nat. Life Ins. Co. v. Crum, No. 1:17-cv-03857- WMR, 2020 WL 12968089, at *9 (N.D. Ga. Mar. 2, 2020). The court acknowledged that Georgia’s statute addressing insurable interests in the context of life insurance did not appear to prohibit such a policy without the involvement of a third party at the time the policy was issued. Id. at *5, *7 (citing OCGA § 33-24-3 (b), (i)). But the court concluded that our case law treated such policies as illegal wagering contracts, see id. at *6-*7, and so it declared the policy void ab initio.

Crum appealed to the Eleventh Circuit. He contended that the district court erred in declaring the policy void ab initio based on only Couch’s unilateral intent to sell the policy soon after he bought it. In Crum’s view, Georgia law requires “the knowing and direct

“misrepresentation or nondisclosure of a material fact” in Couch’s application because the policy contained an incontestability clause that allowed denials on such grounds only for a period of two years from the date the policy went into force.

involvement of an identified third-party beneficiary at the time of the initial procurement of the policy” to find a policy void ab initio as an illegal wager on a human life. Jackson Nat. Life Ins. Co. v. Crum, 25 F4th 854, 856-857 (11th Cir. 2022). The Eleventh Circuit, however, opined that Georgia case law did not definitively answer the question these arguments raised. So the Eleventh Circuit certified the following two questions to this Court:

1. When an insured has purchased a life insurance policy with the intent to sell the policy to a third party with no insurable interest, must either the subsequent purchaser or an intermediary[ ] be complicit in the procurement of the policy before the latter can be deemed to be an illegal wagering contract and thus void ab initio?

2. If the answer to the above question is neither an absolute “Yes” or “No,” but instead is a response that a life insurance policy can sometimes be deemed to constitute an unlawful wagering contract even without the complicity of the described third party, then we respectively [sic] seek further guidance as to the circumstances that determine when the policy is void ab initio and when it is not.

Id. at 863.

2. Analysis We address these certified questions in three steps. We start

by explaining why these questions about whether a life insurance policy is an illegal wagering contract are generally resolved by determining whether they meet the statutory insurable-interest requirement. Next, we review the statute that imposes that requirement, the language of which—and this is not disputed—does not prohibit buying insurance on one’s own life with the unilateral intent to sell the policy to a third party with no insurable interest. Finally, we address our cases interpreting prior versions of that statute, and we conclude that none of that decisional law warrants a different reading of the current statute.

(a) The first point to square away is that the question whether a life insurance policy is an illegal wagering contract is answered by applying our statutes that govern life insurance policies. Although our legislature has deemed “[w]agering contracts” contrary to public policy and unenforceable as a general matter, OCGA § 13-8-2 (a) (4), the prohibition against wagering contracts in the context of life insurance has been incorporated into a specific statutory requirement: the “insurable interest” rule. See OCGA § 33-24-3.

Application of that rule, and not any broader foray into public policy untethered from this statute, must guide the analysis.

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Crum v. Jackson National Life Insurance Company, 880 S.E.2d 205, 315 Ga. 67 (Ga. 2022).

880 S.E.2d 205 (Crum v. Jackson National Life Insurance Company) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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