Dennis Norem v. Lincoln Benefit Life Company

737 F.3d 1145, 2013 WL 6512923, 2013 U.S. App. LEXIS 24810
CourtCourt of Appeals for the Seventh Circuit
DecidedDecember 13, 2013
Docket12-1816
StatusPublished
Cited by31 cases

This text of 737 F.3d 1145 (Dennis Norem v. Lincoln Benefit Life 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
Dennis Norem v. Lincoln Benefit Life Company, 737 F.3d 1145, 2013 WL 6512923, 2013 U.S. App. LEXIS 24810 (7th Cir. 2013).

Opinion

ROVNER, Circuit Judge.

Dennis Norem, M.D., is the current owner of a variable life insurance policy issued by Lincoln Benefit Life Company. Dr. Norem filed this putative class action on behalf of himself and other similarly situated policyholders. Specifically, Dr. Norem claimed that Lincoln Benefit breached the terms of its insurance policies with him and other policyholders in its method of calculating what is known as the *1147 cost of insurance (“COI”) rate on its policies. Before deciding the issue of class certification, 1 the district court granted summary judgment to Lincoln Benefit after concluding that its calculation of COI rates did not breach Dr. Norem’s contract. Dr. Norem appeals, and we affirm.

I.

In 1994, Dr. Norem purchased a “Flexible Premium Variable Life Insurance Policy” from Lincoln Benefit. Unlike a term life insurance policy, which provides benefits only for a finite period while premiums are being paid, a universal life policy is a form of permanent insurance intended to provide protection for the life of the insured. Variable universal life insurance policies combine the premium flexibility of universal life insurance with the investment flexibility of variable life insurance. With variable life insurance, a portion of the premium is allocated to the insurer’s investment funds, called subaccounts. Policyholders may move their investments within the subaccounts and the policy’s death benefit, which is guaranteed not to fall below a certain amount. With variable universal life, the policyholder may easily invest and alter insurance coverage. The policy is comprised of the policy value, which represents the investment component, and its net amount at risk, which represents the insurance component. Dr. Norem purchased his variable universal life policy because he wanted both life insurance and an investment vehicle for the proceeds from the sale of his ownership interest in a medical business.

Although Dr. Norem’s policy specifies several periodic charges owed by a policyholder, only one is relevant here — the COI charge, which is deducted monthly from the policy. The description of the COI charge appears in a section of the policy along with other charges, such as a premium charge, an annual administrative expense charge, and an annualized “risk charge.” This section of Dr. Norem’s policy, entitled “Policy Value,” contains an explanation of’how the COI rate is calculated. .The COI rate is calculated first by the insurer and then multiplied by the policy’s “net amount at risk” to arrive at the ultimate COI charge. As relevant here, the policy states that: “The cost of insurance rate is based on the insured’s sex, issue age, policy year, and payment class. The rates will be determined by us, but they will never be more than the guaranteed rates shown on Page 5.” 2

Dr. Norem brought this putative class action suit alleging breach of contract based on the express terms of this COI rate clause. He alleges that Lincoln Bene *1148 fit contravenes the ■ terms of the policy because it considers factors beyond the insured’s sex, issue age, policy year, and payment class when it calculates the COI rates. Lincoln Benefit concedes it considers a number of factors beyond those listed when setting its COI rates. Among other things, Lincoln Benefit considers expected policy lapse rates, agent commissions, and anticipated death benefit costs. Notwithstanding these other considerations, Lincoln Benefit maintained that the COI rate was “based on” the enumerated factors so long as those factors taken together made up a significant portion of the COI rate calculation — in short, that by limiting Lincoln Benefit solely to the enumerated factors Dr. Norem was reading into the contract a nonexistent guarantee that the COI rates would be based exclusively on sex, issue age, policy year, and payment class. The district court agreed, and granted summary judgment to Lincoln Benefit. The court noted that under Illinois law, undefined contract terms should be given their ordinary meaning. Using the ordinary dictionary definition of the verb “base” or “based,” the court concluded that as long as the insured’s 'sex, issue age, policy year, and payment class were principal components of the COI rate, they need not be the exclusive factors used to set the rates. The district court further emphasized that Lincoln Benefit had never exceeded the guaranteed rates in the contract, which served as a limit on its discretion in calculating the COI rate. Dr. No-rem appeals.

II.

The sole issue on appeal is whether the policy allows Lincoln Benefit to include factors beyond an insured’s sex, issue age, policy year, and payment class when it calculates COI rates. It is uncontested that Lincoln Benefit incorporates a variety of components beyond those enumerated in the policy when it calculates the COI rate. Dr. Norem argues that these additional, undisclosed factors are used to inflate the COI rate, thereby increasing Lincoln Benefit’s profit margin and decreasing the cash value of the policy. According to Dr. Norem, this practice breaches the COI rate clause.

We review de novo the district court’s grant of summary judgment in favor of Lincoln Benefit, construing all facts and reasonable inferences in the light most favorable to Dr. Norem, the non-moving party. E.g., Nature Conservancy v. Wilder Corp., 656 F.3d 646, 648 (7th Cir.2011); see also CIMCO Commc’n, Inc. v. Nat’l Fire Ins. Co., 407 Ill.App.3d 32, 347 Ill. Dec. 986, 943 N.E.2d 276, 279 (2011) (noting that construction of an insurance contract presents a question of law appropriate for disposition by summary judgment). The parties agree that Illinois law applies in this diversity suit. As the forum state, the choice of law principles of Illinois determine which state’s substantive law governs the action. See West Bend Mut. Ins. Co. v. Arbor Homes LLC, 703 F.3d 1092, 1095 (7th Cir.2013). Dr. Norem’s policy contains a choice of law clause providing that it is subject to the laws of the state where the application was signed — in this case, Illinois, where Dr. Norem continues to reside. Cf. Dunn v. Meridian Mut. Ins. Co., 836 N.E.2d 249, 251 (Ind.2005) (“An insurance policy is governed by the law of the principal location of the insured risk during the term of the policy.”).

A breach of contract under Illinois law requires a valid contract, performance by the plaintiff, breach by the defendant, and damages. See Elson v. State Farm Fire & Cas. Co., 295 Ill.App.3d 1, 229 Ill.Dec. 334, 691 N.E.2d 807, 811 (1998). Insurance contracts are interpreted under the same rules of construction *1149

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737 F.3d 1145, 2013 WL 6512923, 2013 U.S. App. LEXIS 24810, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dennis-norem-v-lincoln-benefit-life-company-ca7-2013.