Dishman v. American General Assurance Co.

193 F. Supp. 2d 1119, 2002 U.S. Dist. LEXIS 5821, 2002 WL 517786
District Court, N.D. Iowa·Decided April 3, 2002·No. C 01-3002-MWB·Published·Cited by 7 cases

Opinion

MEMORANDUM OPINION AND ORDER REGARDING DEFENDANT’S MOTION TO RECONSIDER AND MOTION TO SET THE ORDER OF PROOF FOR TRIAL

BENNETT, Chief Judge.

TABLE OF CONTENTS

I. BACKGROUND. 1121

II. LEGAL ANALYSIS. 1122

A. AGAC’s Motion To Reconsider. 1122

1. Authority to reconsider the summary judgment ruling 1122

2. The effect of the Rubes decision. 1123

B. Other Trial-Related Matters. 1127

1. AGAC’s motion to set the order of proof for trial . 1127

2. Location of trial. 1128

III. CONCLUSION. 1128

This matter comes before the court pursuant to the April 1, 2002, motion of defendant American General Assurance Company (AGAC) to reconsider portions of the court’s February 19, 2002, ruling on cross-motions for partial summary judgment, see Dishman v. American Gen. Assur. Co., 187 F.Supp.2d 1073 (N.D.Iowa 2002), in light of a subsequent decision of the Iowa Supreme Court in Rubes v. Mega Life & Health Ins. Co., Inc., No. 135/01-0433, 642 N.W.2d 263 (2002), petition for reh’g pending. This matter also comes before the court pursuant to AGAC’s March 27, 2002, *1121 motion to set the order of proof for trial. Plaintiff Dishman has not yet responded to either motion. Although the court is ordinarily receptive to motions to reconsider, and ordinarily tries to provide the parties with all reasonable opportunities to present arguments upon all motions, trial in this matter is set to begin on April 15, 2002. Therefore, in order to facilitate the parties’ preparations for trial and to avoid any delay of the trial, the court will address both of AGAC’s motions without waiting for plaintiff Dishman’s responses or hearing further arguments.

I. BACKGROUND

In this action, plaintiff Judy K. Dishman originally asserted claims of breach of contract, breach of reasonable expectations, and first-party bad faith arising from AGAC’s failure to pay claims on two of three credit life insurance polices following the death of her husband, Randall Dish-man. AGAC’s primary defense to each of these claims was that Mr. Dishman misrepresented that he was in “good health” on the credit life insurance applications, where he was suffering from the serious effects of post-polio syndrome, including frequent bouts of what had been diagnosed as “congestive heart failure.” In its February 19, 2002, ruling, the court granted AGAC’s motion for summary judgment on Mrs. Dishman’s “reasonable expectations” and “first-party bad faith” claims, which neither party has moved to reconsider. Rather, AGAC has moved to reconsider the court’s disposition of the parties’ cross-motions regarding Mrs. Dishman’s breach-of-contract claim.'

As to that claim, in its February 19, 2002, ruling, the court concluded that the parties nowhere disputed the elements of Mrs. Dishman’s breach-of-contract claim; rather, what was truly at issue was AGAC’s affirmative defense of fraudulent misrepresentation. Prior to oral arguments on the parties’ cross-motions for summary judgment, the court notified the parties that it was the court’s belief that the elements of AGAC’s affirmative defense of fraudulent misrepresentation to Mrs. Dishman’s breach-of-contract claim were set out in Higgins v. Blue Cross of Western Iowa and South Dakota, 319 N.W.2d 232 (Iowa 1982). That is, such a defense is established if the insurer proves the following by clear, convincing, and satisfactory evidence: (1) the applicant made a false representation or non-disclosure in connection with his application for insurance; (2) the representation or non-disclosure was material to the transaction, that is, the representation or non-disclosure materially affected the risk assumed by the insurer; (3) the applicant made the representation with actual knowledge of its falsity or reckless disregard of whether it was true or false or the applicant knowingly withheld material information; (4) the applicant intended to deceive the insurer; (5) the insurer relied on the applicant’s representation or non-disclosure in issuing the insurance contract; and (6) the insurer would not have issued the insurance contract if it had known the true facts. Higgins, 319 N.W.2d at 236-37 (finding that the trial court’s instructions were in error, because they failed to include non-disclosure, and instead were stated only in terms of affirmative falsehood). At the oral arguments on the cross-motions for summary judgment, the parties concurred in this statement of the elements of AGAC’s affirmative defense to Mrs. Dishman’s breach-of-contract claim.

In its analysis of the parties’ cross-motions for summary judgment on this defense, the court concluded, first, that Mr. Dishman’s statement that he was in “good health” at the time of the applications was false as a matter of law, where he was suffering from serious effects of post-polio syndrome at the time he made the applica *1122 tions, and thus was suffering from what must be called a “disease” that was quite plainly “ ‘a vice in the constitution or [ailment] so serious as to have some bearing on the general health and continuance of health.’ ” Dishman, 187 F.Supp.2d at 1088 (quoting Service Life Insurance Company of Omaha, Nebraska v. McCullough, 234 Iowa 817, 13 N.W.2d 440, 447 (1944)). However, the court concluded that, “[a]l-though perhaps tenuously and just barely,” Mrs. Dishman had generated genuine issues of material fact on the elements of “knowledge of falsity” and “intent to deceive” with regard to the “good health” representations. These genuine issues of material fact were generated by evidence that Mr. Dishman could “subjectively,” or even “reasonably,” have believed that he was in “good health,” because he had controlled his post-polio syndrome and resulting chronic conditions for many years, was able to maintain full-time employment, and made no effort to hide the fact that he had had polio and continued to suffer some consequences from the disease. Id. at 1089. In so concluding, the court noted the fact that “intent” is the quintessential jury question, and that AGAC’s affirmative defense was subject to the heightened burden of proof by clear, convincing, and satisfactory evidence. Id. Moreover, the court declined to hold that the “materiality,” “reliance,” and “would not have issued” elements had been established as a matter of law, notwithstanding record evidence supporting AGAC’s contentions, because some of that evidence was equivocal, and because the court had sua sponte raised issues concerning these elements of the defense, which meant that Mrs. Dish-man may not have had a full and fair opportunity to marshal evidence regarding these elements prior to oral arguments. Id. at 1090.

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Dishman v. American General Assurance Co., 193 F. Supp. 2d 1119, 2002 U.S. Dist. LEXIS 5821, 2002 WL 517786 (N.D. Iowa 2002).

193 F. Supp. 2d 1119 (Dishman v. American General Assurance Co.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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