Destiney Kashia Xiong v. Security National Life Ins. Co.

CourtCourt of Appeals of Wisconsin
DecidedFebruary 22, 2022
Docket2019AP002320
StatusUnpublished

This text of Destiney Kashia Xiong v. Security National Life Ins. Co. (Destiney Kashia Xiong v. Security National Life Ins. Co.) is published on Counsel Stack Legal Research, covering Court of Appeals of Wisconsin primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Destiney Kashia Xiong v. Security National Life Ins. Co., (Wis. Ct. App. 2022).

Opinion

COURT OF APPEALS DECISION NOTICE DATED AND FILED This opinion is subject to further editing. If published, the official version will appear in the bound volume of the Official Reports. February 22, 2022 A party may file with the Supreme Court a Sheila T. Reiff petition to review an adverse decision by the Clerk of Court of Appeals Court of Appeals. See WIS. STAT. § 808.10 and RULE 809.62.

Appeal No. 2019AP2320 Cir. Ct. No. 2017CV320

STATE OF WISCONSIN IN COURT OF APPEALS DISTRICT III

DESTINEY KASHIA XIONG,

PLAINTIFF-RESPONDENT,

V.

SECURITY NATIONAL LIFE INSURANCE COMPANY,

DEFENDANT-APPELLANT.

APPEAL from orders of the circuit court for Dunn County: JAMES M. PETERSON, Judge. Order affirmed; order reversed and cause remanded for further proceedings.

Before Stark, P.J., Hruz and Nashold, JJ. No. 2019AP2320

¶1 NASHOLD, J. This interlocutory appeal1 involves an insurer’s fraud defense to claims for death benefits under life insurance policies, with some unusual twists. Security National Life Insurance Company (Security) issued two life insurance policies to its own insurance agent, Destiney Kashia Xiong (Destiney), insuring the life of Wang Y. Xiong (Wang), a man Destiney claims was her father. When Wang died, Security denied Destiney’s claims and attempted to rescind the policies, but it did not then allege that Destiney had committed any fraud. Destiney sued for breach of contract and various torts. Security attempted to plead a fraud defense based on circumstances it claims to have learned of after Wang’s death—including that Wang was not Destiney’s father and that he was unaware the policies were even issued.

¶2 The circuit court granted partial summary judgment to Destiney on her breach of contract claim because it determined that Security did not comply with statutory notice requirements before attempting to rescind the policies. See WIS. STAT. § 631.11(1)(b), (4)(b) (stating that an insurer must, within specified time frames, notify the policyholder that the insurer intends to rescind or defend against a claim on the basis of fraud). We conclude that, under these circumstances, Security’s initial (allegedly improper) attempt to rescind the policies and deny Destiney’s claims does not impact its ability to subsequently raise a fraud defense. We further conclude that Destiney failed to set forth a prima facie case for why Security did not meet the notice requirements of § 631.11(4)(b) when asserting its fraud defense. Accordingly, we reverse the order granting

1 This court granted Security National Life Insurance Company’s petitions for leave to appeal pursuant to WIS. STAT. RULE 809.50(3) (2019-20). All references to the Wisconsin Statutes are to the 2019-20 version unless otherwise noted.

2 No. 2019AP2320

Destiney’s motion for partial summary judgment on her breach of contract claim, and we remand for further proceedings on all claims.

¶3 Security further appeals a circuit court order denying its motion to bifurcate Destiney’s contract and tort claims for purposes of trial. We conclude that the court did not erroneously exercise it discretion in ordering a consolidated trial. Accordingly, we affirm that order.

BACKGROUND

¶4 The following material facts are undisputed. In 2016, while Destiney was employed as a Security insurance agent, she applied for and was issued two Security policies, together insuring Wang’s life for $35,000. The policies are materially identical except as to their benefit amounts, so we discuss them together.2

¶5 For each policy, Destiney is the policyholder and beneficiary. The applications (incorporated into the policies) state that Destiney is Wang’s child; that they share an address in Eau Claire, Wisconsin; and that Wang does not have any of the medical conditions listed on the applications. The applications contain Wang’s and Destiney’s electronic signatures as applicant and policyholder, respectively, and are “[d]ated at” Eau Claire, Wisconsin, indicating that Wang and Destiney signed them there. Destiney, as a licensed Security insurance agent, also electronically signed the “Agent’s statement,” certifying:

2 The first Security policy, issued April 8, 2016, insures Wang’s life for $20,000. The second policy, issued August 16, 2016, insures Wang’s life for $15,000.

3 No. 2019AP2320

1. I correctly asked all the Medical Questions in this application and correctly recorded all the answers given; and

2. All answers given in this application are true and complete; and

….

4. The signature of the proposed insured(s) … is what they are represented to be and were signed in my presence; and

5. I know of no factor affecting the insurability of the proposed insured(s) except as stated in this application.

¶6 Wang died of a heart attack in February 2017, less than a year after the policies were issued. In March 2017, Destiney submitted claims for the death benefits under the policies. By letter dated December 14, 2017 (the December 2017 letter), Security informed Destiney that it was returning the premiums paid on the policies and not paying the death benefits, on the grounds that it lacked Wang’s medical records. The letter explains:

[Security] requested medical records from doctors listed on the form provided by [Wang’s] family, [and] no medical records were available for the period from March 2014—August 2016[,] which is 2 years prior to the [policies’] date[s] of issue. This being a contestable claim there are no records to present for review by our Medical director to determine [Wang’s] insurability at the time [the] policy was issued.

… Should any new information be discovered[,] you can request that the claim be reopened and reviewed[.]

¶7 Destiney filed suit on December 21, 2017, and filed an amended complaint on December 26, 2017. As pertinent here, the amended complaint asserted a breach of contract claim for $35,000. In its February 13, 2018 answer,

4 No. 2019AP2320

Security raised several affirmative defenses, including that Destiney had “engaged in fraudulent conduct to procure the issuance of the policies.”

¶8 Destiney brought a motion for summary judgment. She argued that Security could neither rescind the policies nor raise fraud as an affirmative defense because—based on Destiney’s status as Security’s insurance agent—Security had constructive knowledge of any misrepresentation involved in the policies’ procurement. See WIS. STAT. § 631.11(4)(a) (providing that a misrepresentation made by or on behalf of a policyholder cannot constitute grounds for rescission of, or affect the insurer’s obligations under, the policy if the insurer had constructive knowledge of the relevant facts when it issued the policy); WIS. STAT. § 631.09(1) (imputing to the insurer “any fact material to the risk or which breaches a condition of the policy” and known to the agent who transmitted the insurance application).

¶9 In its response, Security argued that, as a matter of law, misrepresentations by a person who is both an agent and a policyholder cannot be imputed to the insurer. Security also addressed some of the “suspicious circumstances” that formed the basis of its fraud defense. Referencing various discovery materials and Wang’s death certificate (listing his residence in the State of Arkansas), Security argued that there were disputed material facts as to whether Wang was in fact Destiney’s father; whether Wang lived in Wisconsin with Destiney; whether Wang was physically present with Destiney in Eau Claire when the applications were completed and submitted; and whether Wang had an undisclosed heart condition.

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Destiney Kashia Xiong v. Security National Life Ins. Co., Counsel Stack Legal Research, https://law.counselstack.com/opinion/destiney-kashia-xiong-v-security-national-life-ins-co-wisctapp-2022.