Deborah J. Anetsberger, Margaret H. Lepine and Joseph A. Ryan v. Metropolitan Life Insurance Company

14 F.3d 1226, 1994 U.S. App. LEXIS 2111, 1994 WL 23580
CourtCourt of Appeals for the Seventh Circuit
DecidedJanuary 28, 1994
Docket93-1852
StatusPublished
Cited by37 cases

This text of 14 F.3d 1226 (Deborah J. Anetsberger, Margaret H. Lepine and Joseph A. Ryan v. Metropolitan Life Insurance Company) is published on Counsel Stack Legal Research, covering Court of Appeals for the Seventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Deborah J. Anetsberger, Margaret H. Lepine and Joseph A. Ryan v. Metropolitan Life Insurance Company, 14 F.3d 1226, 1994 U.S. App. LEXIS 2111, 1994 WL 23580 (7th Cir. 1994).

Opinion

HARLINGTON WOOD, Jr., Circuit Judge.

Plaintiffs-appellants Deborah J. Anetsber-ger, Margaret H. Lepine, and Joseph A. Ryan appeal the district court’s entry of summary judgment against them on all counts of their complaint against defendant-appellee Metropolitan Life Insurance Company (“Metropolitan”).

I. BACKGROUND

Plaintiffs sue Metropolitan based on a Receipt and Temporary Insurance Agreement (“Receipt”) allegedly issued to their father, Joseph Ryan, Sr. (“Ryan, Sr.”), now deceased. On the policy Ryan, Sr. had listed the plaintiffs as the beneficiaries. The complaint alleges that plaintiffs are entitled to the life insurance proceeds under terms of the Receipt.

In September, 1991, Ryan, Sr. was sixty-three years old and suffering from emphysema. His wife had recently passed away and he received his medical coverage under her medical policy. Following her death, terms of the medical policy allowed Ryan, Sr. to extend the policy under a COBRA 1 plan for a limited period of time. Because of Ryan, Sr.’s age and illness, Ryan, Sr.’s children expected their father’s medical costs to be high. For these reasons, Ryan, Sr.’s children decided to seek some form of life insurance for their father.

On September 13, 1991, Ryan, Sr. and his adult children, Deborah Anetsberger, Margaret H. LePine, and Joseph A. Ryan, met with John Morreale, an insurance agent of Metropolitan, for the purpose of obtaining life insurance on the life of Ryan, Sr. Everyone present knew of Ryan, Sr.’s emphysema and poor health. During this meeting, Morreale completed an application form for a term insurance policy in the amount of $100,000 on behalf of Ryan, Sr. Deborah Anetsberger paid the first month premium of $107.00 on behalf of her father. Metropolitan subsequently cashed and deposited this check. As a matter of convenience, the parties agreed that Morreale would contact Deborah Anets-berger regarding any future questions on the policy.

On the subject of when policy coverage would begin, Morreale told the plaintiffs that coverage would go into effect after Morreale signed the application and collected the first *1229 month’s premium. 2 After making this statement, Morreale handed Ryan, Sr. the Receipt. Morreale did not inform plaintiffs or Ryan, Sr. that a medical examination would be required and did not say he was waiving any provisions of the Receipt.

At the top of the first page of the Receipt, in a paragraph set off by different margins and in heavier type, Metropolitan stated:

Please read both sides of this Receipt carefully. The Information It contains is Important to you. The maximum amount of coverage under this and all other receipts will not be more than $500,000 for any person to be insured. The maximum period of coverage under this Receipt is 90 days. If a medical examination is required, no coverage [except for accidental death] will be provided until the examination has been completed.

Immediately below this paragraph the Receipt described the terms under which temporary insurance would take effect. Terms of the policy stated in relevant part:

Eligibility for Temporary Insurance-Metropolitan will grant Temporary Insurance to each person to be insured if at least one month’s premium is received on the date of the application and there is no material misrepresentation in the application.
When Temporary Insurance Starts— Coverage starts on the date of this Receipt. But, if a medical examination of a person to be insured is initially required by our underwriting rules, coverage on that person will not start until completion of the examination. If it is not completed within 90 days from the date of this Receipt, there will be no coverage. However, if a person to be insured dies from an accident within 30 days from the date of this Receipt and before the examination is completed, Temporary Insurance will be in effect if it has not already ended under the terms of this Receipt.

At the top of page two, the Receipt described when temporary insurance ends and limitations on the authority of the insurance agent:

When Temporary Insurance Ends — Temporary Insurance on any person will end on the earliest of the following:
1. When coverage starts under a Metropolitan policy.
2. When Metropolitan’s first offer to issue a policy is not accepted.
3. When Metropolitan offers to refund the amount received.
4. Five days after Metropolitan mails, to the address on the application, a notice that the application has been declined.
5. The date the person to be insured or the applicant learns that the application has been declined.
6. Ninety days from the date of this Receipt.
If no Metropolitan policy takes effect, the amount received will be refunded when Temporary Insurance ends.
Limitations on Authority — No one but the President, the Secretary or Vice-President of Metropolitan may change or waive the terms of this Receipt.

Although some of the above quoted language was set off by different margins or bold print as identified above, all of the language appeared in standard type size.

Morreale handed the Receipt containing this language to Ryan, Sr. on September 13, 1991 who then placed it on a table in his home. The record contains no evidence indicating that Ryan, Sr. read the receipt or knew of its contents. Deborah Anetsberger did not read the Receipt until after her father died.

Morreale met with Deborah Anetsberger on or about September 21, 1991, to discuss a *1230 policy that Anetsberger was ■ interested in taking out on her own life. At this time Morreale informed her that Metropolitan underwriting rules required a medical examination on her father before Metropolitan would issue the policy. He did not make any statement regarding whether temporary insurance was in effect.

On or about September 23,1991, Anetsber-ger made an appointment for her father to undergo a physical. On the day the physical was scheduled, September 30, 1991, Ryan, Sr. died of a heart attack before the physical was completed.

Four days later, on October 4, 1991, Metropolitan denied Ryan, Sr.’s application on the grounds that the medical examination was not completed. In response, by an October 15, 1991 letter, plaintiffs claimed the benefits under the alleged policy. Metropolitan rejected this claim on November 22, 1991, and returned the initial deposit of $107.00 to the plaintiffs on December 4,1991.

Plaintiffs filed the three count complaint in this matter on March 23, 1992 in the Circuit Court of Cook County. The defendant then removed the case to the United States District Court for the Northern District of Illinois. Count I alleges that Metropolitan is in breach of the Receipt and Temporary Agreement by refusing to pay the policy proceeds.

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Bluebook (online)
14 F.3d 1226, 1994 U.S. App. LEXIS 2111, 1994 WL 23580, Counsel Stack Legal Research, https://law.counselstack.com/opinion/deborah-j-anetsberger-margaret-h-lepine-and-joseph-a-ryan-v-ca7-1994.