Digital Alchemy Llc v. John Hancock Life Insurance Company (usa)

Court of Appeals of Washington·Decided November 4, 2019·No. 78731-4·Unpublished

Opinion

IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON DIVISION ONE

DIGITALCHEMY, LLC, ) No. 78731-4-1 a Washington limited liability ) company, )

)

Appellant, )

)

v. )

)

JOHN HANCOCK INSURANCE ) UNPUBLISHED OPINION COMPANY (USA), an insurer ) admitted to conducted the business ) FILED: November 4, 2019 of insurance in the state of Washington, )

)

Respondent. )

)

VERELLEN, J. — If a life insurance company agrees to backdate a life insurance policy, then statutory and policy provisions governing death by suicide within the first two years of the policy may be implicated. Here, John Hancock Life Insurance Company(USA)terminated the insurance policy and denied coverage when insured Micah Koffron died by suicide less than two years after the policy's "Issue Date" but more than two years after the backdated "Policy Date." John Hancock's denial of coverage was consistent with the phrase "date of issue" in RCW 48.23.260(1)(b) and with "Issue Date" as defined in the policy. Digitalchemy's allegations of breach of contract and violation of RCW 48.23.260(1) were properly dismissed under CR 12(b)(6).

But an insurance policy may be reformed for mutual mistake. Policy purchaser and beneficiary Digitalchemy, LLC, alleges that the Issue Date on the face of the insurance policy was contrary to the parties' intention to backdate the policy's Issue Date, as confirmed by the Issue Date recorded in John Hancock's internal systems. Digitalchemy's mutual mistake allegations were sufficient to survive a CR 12(b)(6) motion to dismiss.

Digitalchemy also states valid claims for violations of the Consumer Protection Act(CPA)1 and the Insurance Fair Conduct Act(IFCA).2 Under the policy, John Hancock had an unqualified obligation to return all premiums paid upon termination of the policy due to the insured's suicide. But it conditioned return of those premiums on Digitalchemy agreeing to a sweeping indemnification and hold harmless agreement, which either misrepresented the policy or required a release beyond the subject matter that gave rise to the payment. Because either can be a per se CPA violation and the violations allegedly precluded Digitalchemy from taking possession of the premiums paid, Digitalchemy adequately alleged claims for violation of the CPA and IFCA.

We deny Digitalchemy's request for attorney fees on appeal because it fails to establish at this early stage of the proceedings that it is a prevailing party for purposes of RAP 18.1 and Olympic Steamship Co. v. Centennial Insurance Co.3 attorney fees.

1 Ch. 19.86 RCW.

2 RCW 48.30.015.

3 117 Wn.2d 37, 811 P.2d 673(1991).

Therefore, we affirm in part, reverse in part, and remand for further proceedings consistent with this opinion.

FACTS

In October of 2014, the three principals of Digitalchemy decided to purchase key person life insurance policies for themselves with their company as the beneficiary. They worked with an insurance agent to buy policies from John Hancock. Because Koffron, one of the principals, had recently aged a "life insurance year," his premiums were to be higher than originally estimated. The agent offered to let Digitalchemy pay a premium to backdate Koffron's policy to September 1, 2014. On February 3, 2015, Digitalchemy and the insurance agent, acting on the behalf of John Hancock, agreed to the backdating endorsement.4 The face of the policy identified January 15, 2015 as its Issue Date and September 1, 2014 as its Policy Date. The insurance policy also contained a suicide exclusion clause.

Koffron died by suicide on December 18, 2016. Digitalchemy submitted a claim on Koffron's policy in January of 2017, and on May 18, 2017, John Hancock

4 John Hancock argues the backdating endorsement was a mere notice and could not have changed the policy "in any respect." Resp't's Br. at 10. And, the insurer argues, even if it was an endorsement, its insurance agent was not authorized to agree to endorsements on its behalf. Id. at 11. But when reviewing a CR 12(b)(6) motion to dismiss, we accept as true Digitalchemy's factual assertion that an insurance agent acting on John Hancock's behalf signed a policy endorsement intending to change the policy date in the insurance contract. See Trujillo v. Nw. Tr. Servs., Inc., 183 Wn.2d 820, 830, 355 P.3d 1100(2015)(courts accept as true all facts alleged in a complaint on a motion to dismiss); Swanson v. Liquid Air Corp., 118 Wn.2d 512, 524, 826 P.2d 664(1992)(whether parties intended to modify a contract is a question of fact).

denied it on the basis of suicide. The same day, John Hancock sent a check for the amount of premiums paid, a release of all claims, and a letter stating, "Negotiation of the check will be treated as your acceptance and acknowledgement of all the terms in the Release."5 The release would obligate Digitalchemy to "defend, indemnify, and hold harmless John Hancock against any loss or liability" from any party.6 Digitalchemy sued John Hancock, alleging breach of contract, violation of RCW 48.23.260, reformation of the insurance contract, violations of the CPA, bad faith investigation, and a violation of IFCA. The trial court granted John Hancock's CR 12(b)(6) motion to dismiss all claims with prejudice.

Digitalchemy appeals.

ANALYSIS

We review a CR 12(b)(6) motion de novo.7 Dismissal was proper if the plaintiff cannot prove any set of facts, even hypothetical facts, justifying recovery.8 We accept as true alleged and hypothetical facts and draw all reasonable inferences in the plaintiff's favor.9

5 Clerk's Papers(CP)at 282.

6 CP at 283.

7 Tru'illo, 183 Wn.2d at 830.

8 Id.

9 Id.

I. Whether John Hancock Breached the Insurance Contract We construe insurance policies as contracts and give insurance policies ma fair, reasonable, and sensible construction as would be given to the contract by the average person purchasing insurance.'"10 We read contract terms with their ordinary, usual meaning and avoid technical interpretations, except when the entirety of the contract clearly demonstrates a contrary intent.11 "If terms are defined in a policy, then the term should be interpreted in accordance with that policy definition."12 Digitalchemy argues John Hancock breached the insurance contract because it denied coverage under the policy's suicide exclusion provision. The suicide exclusion provision states if the insured "commits suicide, while sane or insane, within [two] years from the Issue Date, the policy will terminate on the date of such suicide."13 The insurance policy defines "Issue Date" as "the date shown in the Policy Specifications section of this policy from which the Suicide and Incontestability provisions are applied."14 "Policy Date" is defined as "the date

10 Kut Suen Lui v. Essex Ins. Co., 185 Wn.2d 703, 710, 375 P.3d 596 (2016)(internal quotation marks omitted)(quoting Key Tronic Corp. v. Aetna (CIGNA) Fire Underwriters Ins. Co., 124 Wn.2d 618, 627, 881 P.2d 201 (1994)).

11 Hearst Commc'ns, Inc. v. Seattle Times Co., 154 Wn.2d 493, 504, 115 P.3d 262 (2005); Jack v. Paul Revere Life Ins. Co., 97 Wn. App. 314, 318, 982 P.2d 1228 (1999).

12 Bordeaux, Inc. v. Am. Safety Ins. Co., 145 Wn. App. 687, 694, 186 P.3d 1188(2008)(quoting Kitsap County v. Allstate Ins. Co., 136 Wn.2d 567, 576, 964 P.2d 1173(1998)).

/3 CP at 87.

14 CP at 241.

from which the first premium is due.. . Policy Years, Policy Months, and Policy Anniversaries are determined from the Policy Date."15 Because the Issue Date in the policy specifications section is January 15, 2015, and Koffron died less than two years later on December 18, 2016, Digitalchemy concedes that the face of the policy supports John Hancock's denial of coverage. It contends, however, that the backdating endorsement amended the policy by changing both the Issue Date and the Policy Date to September 1, 2014.

The backdating endorsement is titled "Notice — Backdating/Special Dating,"

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Digital Alchemy Llc v. John Hancock Life Insurance Company (usa), (Wash. Ct. App. 2019).

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