Doe v. Prudential Insurance Co. of America

860 F. Supp. 243, 1993 U.S. Dist. LEXIS 20216
CourtDistrict Court, D. Maryland
DecidedNovember 26, 1993
DocketCiv. H-93-1131
StatusPublished
Cited by11 cases

This text of 860 F. Supp. 243 (Doe v. Prudential Insurance Co. of America) is published on Counsel Stack Legal Research, covering District Court, D. Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Doe v. Prudential Insurance Co. of America, 860 F. Supp. 243, 1993 U.S. Dist. LEXIS 20216 (D. Md. 1993).

Opinion

MEMORANDUM OPINION

ALEXANDER HARVEY, II, Senior District Judge.

A former drug user who has contracted AIDS is here suing an insurance company, claiming that delay in the treatment of her *245 serious medical condition was caused by wrongful acts of defendant committed when it refused to issue a life insurance policy to her. To protect her identity, plaintiff has been permitted to sue in this case as Jane Doe (hereinafter “Jane”). 1

Presently pending is a motion for summary judgment filed by defendant The Prudential Insurance Company of America (“Prudential”). This case arises as the result of the allegedly wrongful failure of Prudential to disclose to the plaintiff herself the results of a blood test which Jane had been required to take as part of an application for life insurance which she submitted to Prudential. That blood test indicated that Jane was infected with the human immunodeficiency virus (“HIV”), and for that reason Prudential rejected Jane’s application. Prudential did not at the time disclose the results of Jane’s blood test directly to Jane, although it did offer to disclose them to her personal physician. Plaintiffs allege that as a result of Prudential’s failure to disclose to Jane the results of her blood test, and as a result of certain statements made to Jane by defendant’s agent, Dennis Gnau, she was unaware of her HIV-positive status for some 20 months. According to plaintiffs, the allegedly wrongful acts of defendant and its agent deprived Jane of an early opportunity to obtain appropriate and necessary medical treatment, which would have increased significantly her life expectancy. Substantial compensatory and punitive damages are sought. 2

Memoranda, exhibits, depositions and other discovery materials in support of and in opposition to the pending motion have been submitted by the parties and reviewed by the Court. Oral argument has been heard in open court. For the reasons to be stated herein, defendant’s motion for summary judgment will be granted as to all of the claims asserted by the plaintiffs in this case.

I

Facts

The material facts which pertain to the Court’s consideration of the pending motion for summary judgment are essentially uncontested. 3 On December 20, 1989, plaintiffs Jane and John Doe met with Dennis Gnau, a local insurance agent of Prudential, in order to update an existing insurance policy maintained by plaintiffs with Prudential. During the course of that meeting, Gnau discussed with plaintiffs other possible insurance needs which plaintiffs might have and suggested that Jane, who was at the time in the last trimester of a pregnancy, should apply for a life insurance policy with Prudential.

With Gnau’s assistance, Jane completed an application for life insurance with Prudential. At that time, the Does were informed by Gnau that Jane would be required to submit to a blood test as part of the application process. The Does had no objection to the blood test. Certain information in the application was falsified by Jane. She stated that she had never used cocaine or heroin but later admitted during her deposition that she had used both of these drugs on numerous occasions and had even injected these drugs intravenously.

On January 24, 1990, a representative of GIB Laboratories (“GIB”), a wholly-owned subsidiary of Prudential, visited the Does’ home to obtain a blood sample from Jane. At that time, Jane was provided with an informed consent form, which stated that the blood sample taken from her would be “subjected to such testing as deemed necessary or desirable by the requesting insurance company,” and that, “[ujnless precluded by law, this may include tests to determine the *246 presence of antibodies or antigens to the Human Immunodeficiency Virus (HIV), also known as the AIDS virus, other blood constituents and certain drugs.” Jane read and signed the form, and a blood sample was taken.

Jane’s blood sample was processed by GIB and was determined to be HIV-positive. These laboratory results were then telefaxed to Prudential’s Medical Director at the time, Dr. Vincent Treat, along with guidelines of GIB for interpreting the results.

Based upon the blood test results, Prudential rejected Jane’s application for life insurance. On February 13, 1990, a standard rejection letter was sent to Jane by Thomas Reichley, a Prudential Underwriting Consultant, informing her that, “after having given [her] application very careful consideration,” Prudential had concluded that it could not offer Jane a policy. The letter stated that the reason for this decision was “because of the results of [Jane’s] blood test.” The letter also contained the following statements:

If you have any questions about our decision, please let me know. If you wish, you may receive copies of the information in our files which relate to the decision. The only exception is medical information which, in some cases may not be given to you directly but may be given to your personal physician, (emphasis added)

On February 12, 1990, an advance copy of this rejection letter had been sent by electronic mail to Gnau, who, as the local agent handling Jane’s application, was to contact the Does before they received the rejection letter by mail. The rejection letter did not indicate, nor was Gnau at any time informed by Prudential, that Jane’s blood test results indicated that Jane was HIV-positive. Prudential’s failure to include this information was in accordance with Prudential’s then-existing policy concerning the disclosure and release of HIV test results to rejected applicants. To avoid the possibility of inadvertent disclosure of highly sensitive and confidential information of this kind, Prudential did not specify or make any other mention of HIV test results in a rejection letter like this one. Moreover, Prudential never revealed such information to local insurance agents. It was Prudential’s preference to release such information, when requested, only to a physician designated by the rejected applicant, so that the physician could then explain to the applicant the significance of the test results and make appropriate recommendations concerning counseling and treatment. Prudential contends that, if an applicant insisted on having the information released directly to him or her and made a written request to that effect, its policy was to release the information directly to the rejected applicant. Plaintiffs dispute this contention.

On February 12, 1990, immediately after having received an advance copy of Jane Doe’s rejection letter, Gnau contacted the Does by telephone and relayed to them the information that Jane’s application had been rejected because of the results of her blood test. Plaintiffs inquired as to the specifics of the test results, but Gnau advised plaintiffs that he did not have that information. Plaintiffs then requested that the test results be released directly to them, but Gnau advised plaintiffs that Prudential’s policy was not to release such information directly to an applicant. Gnau indicated that the test results would be released only to a physician designated by plaintiffs.

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Cite This Page — Counsel Stack

Bluebook (online)
860 F. Supp. 243, 1993 U.S. Dist. LEXIS 20216, Counsel Stack Legal Research, https://law.counselstack.com/opinion/doe-v-prudential-insurance-co-of-america-mdd-1993.