Eichenseer v. Reserve Life Insurance

934 F.2d 1377
CourtCourt of Appeals for the Fifth Circuit
DecidedJuly 11, 1991
DocketNo. 88-4421
StatusPublished

This text of 934 F.2d 1377 (Eichenseer v. Reserve Life Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Eichenseer v. Reserve Life Insurance, 934 F.2d 1377 (5th Cir. 1991).

Opinion

ON REMAND FROM THE SUPREME COURT OF THE UNITED STATES

Before POLITZ and JOHNSON, Circuit Judges.1

JOHNSON, Circuit Judge:

The instant case has bounced through the federal courts like a yoyo on a long string. Most recently, the United States Supreme Court examined this case on a writ of certiorari. The Supreme Court, — U.S. -, 111 S.Ct. 1298, 113 L.Ed.2d 233, vacated our prior decision, reported at 881 F.2d 1355, and remanded the case for reconsideration in light of Pacific Mutual [1377]*1377Life Insurance Co. v. Haslip, — U.S. -, 111 S.Ct. 1032, 113 L.Ed.2d 1 (1991). Accordingly, we revisit a controversial issue: whether a substantial punitive damages award violates the Due Process Clause of the Fourteenth Amendment. We conclude that, under the circumstances of the case, the award of punitive damages did not violate due process.

I. FACTS AND PROCEDURAL HISTORY

A complete statement of the facts and procedural history of this case is found in this Court’s prior opinion. Eichenseer v. Reserve Life Ins. Co., 881 F.2d 1355 (5th Cir.1989). We will briefly summarize. On January 5, 1983, Reserve Life Insurance Company (“Reserve Life”) issued a major medical insurance policy to Patricia Eichen-seer (“Eichenseer”). Eighteen days after the effective date of the policy, Eichenseer was admitted to the hospital with severe abdominal pain. On the hospital admission sheet, Dr. L.R. Murphree noted that Ei-chenseer had experienced pain in the lower abdomen “in period for the last 2-3 years.” Dr. Murphree diagnosed acute pelvic inflammatory disease and, subsequently, performed a total hysterectomy on Eichenseer.

In late February 1983 Eichenseer received medical bills that totalled $6658.35. She submitted these bills to Reserve Life for payment. After Eichenseer signed a “proof of claim” form on March 23, 1983, Reserve Life forwarded payment on a fraction of the medical bills covered under a separate insurance policy that Eichenseer’s parents had purchased. Reserve Life formally denied, however, the claim that Ei-chenseer submitted under the major medical insurance policy she purchased in January. Reserve Life claimed that Eichen-seer’s acute pelvic inflammatory disease was a preexisting illness which the policy did not cover.

On June 21, 1983, Eichenseer called Reserve Life and requested an explanation. The employee who handled Eichenseer’s claim, Dena Marie Brannon, revealed that she had interpreted Dr. Murphree’s notes on the hospital admission sheet to suggest that Eichenseer had suffered from her illness since 1980-81. Significantly, Brannon admitted that she had not consulted either Dr. Murphree or a Reserve Life in-house physician before she reached this decision. Eichenseer called Reserve Life several more times during the following weeks, but she received no relief. On August 22, 1983, after receiving one such telephone call, a Reserve Life employee wrote Dr. Murphree a letter requesting Eichenseer’s medical records. Dr. Murphree promptly forwarded these records to Reserve Life. The insurance company, however, lost the records. Two months later, despite the absence of the medical records, Reserve Life notified Eichenseer that it had again denied her claim.

Eichenseer sent Reserve Life a second set of her medical records. Reserve Life received these records on October 26, 1983, but did not acknowledge receipt until December. At that time, Dena Brannon informed Eichenseer that the insurer could not consider payment of her claim until Dr. Murphree altered the medical records to clarify the “2-3 years” notation. Dr. Mur-phree initially declined to alter the hospital records as requested. Convinced that such a change was not ethically permissible, he instead agreed to sign an affidavit recanting the “2-3 years” remark. Eichenseer subsequently mailed Reserve Life a notarized affidavit in which Dr. Murphree asserted that the medical records were incorrect and should have stated that his patient had suffered lower abdominal pain for “2-3 days.” Reserve Life received the affidavit, but lost it in the following weeks.

On October 16, 1984, Eichenseer mailed Reserve Life a demand letter requesting either payment of the claim or an extended explanation for its denial. Six weeks later, Dena Brannon sent Eichenseer a telegram stating that the insurance company was “having difficulty in assembling the file.” Later, on January 4, 1985, Reserve Life mailed a letter that reaffirmed its denial of Eichenseer’s claim. Reserve Life commented in the letter that it based its decision on Dr. Murphree’s failure to correct the hospital records.

[1378]*1378Thereafter, Eichenseer filed the instant action against Reserve Life. During the course of pretrial discovery, defense counsel learned that Reserve Life had lost its copy of Dr. Murphree’s affidavit. The counsel recommended that Reserve Life officials review this affidavit. They did so, and on June 16, 1986 — three years and three months after her initial request for payment — Reserve Life paid Eichenseer’s claim. Despite the payment of the benefits under the insurance policy, however, Ei-chenseer continued to pursue the instant action for extracontractual damages and punitive damages. After a bench trial, the district court awarded Eichenseer $1000 in compensatory damages and $500,000 in punitive damages.2 Reserve Life appealed.

This Court, in its original consideration of this case, ruled that the award of punitive damages against Reserve Life was “consistent with the guarantees enumerated in the United States Constitution, as well as Mississippi law.” 881 F.2d at 1356. The Court denied Reserve Life’s Petition for Rehearing and Suggestion for Rehearing En Banc.3 Reserve Life then filed a petition for writ of certiorari. The Supreme Court, after granting the petition, vacated our original decision and remanded the case for reconsideration in light of Pacific Mutual Life Insurance Co. v. Haslip, — U.S. -, 111 S.Ct. 1032, 113 L.Ed.2d 1 (1991).

II. DISCUSSION

In the present era of large damage awards, perhaps no issue has generated as much interest and controversy as the proposition that substantial punitive damages awards might violate certain guarantees of the United States Constitution. Until recently, however, the Supreme Court had offered little more than vague suggestions that large punitive damages awards might offend constitutional requirements.4 In Pacific Mutual Life Insurance Co. v. Has-lip, the Court finally converted these suggestions into substance: the Court recognized that, under certain circumstances, an award of punitive damages may “cross the line into the area of constitutional impropriety.” Ill S.Ct. at 1046. Significantly, the Court concluded that the specific circumstances in Haslip did not raise constitutional concerns. Id.

The plaintiffs in Haslip purchased health insurance from Union Fidelity Life Insurance Company through its agent Lemmie L. Ruffin, Jr., who also was a licensed agent of Pacific Mutual Life Insurance Company. After several months, Union Fidelity had not received any premium payments on the health insurance.

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Bluebook (online)
934 F.2d 1377, Counsel Stack Legal Research, https://law.counselstack.com/opinion/eichenseer-v-reserve-life-insurance-ca5-1991.