Eisenstock v. Talcott Resolution Life, Inc.

CourtDistrict Court, D. Massachusetts
DecidedJune 5, 2023
Docket1:22-cv-12023
StatusUnknown

This text of Eisenstock v. Talcott Resolution Life, Inc. (Eisenstock v. Talcott Resolution Life, Inc.) is published on Counsel Stack Legal Research, covering District Court, D. Massachusetts primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Eisenstock v. Talcott Resolution Life, Inc., (D. Mass. 2023).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF MASSACHUSETTS __________________________________________ ) PHYLLIS EISENSTOCK and MARC ) EISENSTOCK, ) ) Plaintiffs, ) ) v. ) Case No. 22-cv-12023-DJC ) TALCOTT RESOLUTION LIFE, INC., ) ) Defendant. ) __________________________________________)

MEMORANDUM AND ORDER

CASPER, J. June 5, 2023

I. Introduction

Plaintiffs Phyllis Eisenstock (“Phyllis”) and Marc Eisenstock (“Marc”) (collectively, “Plaintiffs”) have filed this lawsuit against Talcott Resolution Life, Inc. (“Talcott”) relating to a life insurance policy issued by Talcott to Plaintiffs’ parents. D. 1. Specifically, Plaintiffs asserts four claims for a declaratory judgment (Count I), breach of contract (Count II), negligence (Count III), and violations of Mass. Gen. L. c. 176D, § 3 and Mass. Gen. L. c. 93A, § 2 (Count IV). Id. Talcott has now moved for judgment on the pleadings. D. 19. For the foregoing reasons, the Court ALLOWS Talcott’s motion for judgment on the pleadings as to Count I for a declaratory judgment, Count III for negligence,1 and Count IV for violations of Mass. Gen. L. c. 176D, § 3 and Mass. Gen. L. c. 93A, § 2, but DENIES the motion as to Count II for breach of contract. Id.

1 At the motion hearing, Plaintiffs withdrew Count III, the negligence claim. II. Standard of Review Rule 12(c) allows a party to move for judgment on the pleadings at any time “[a]fter the pleadings are closed—but early enough not to delay trial.” Fed. R. Civ. P. 12(c). A Rule 12(c) motion for judgment on the pleadings is “ordinarily accorded much the same treatment” as a Rule 12(b)(6) motion. Aponte-Torres v. Univ. of P.R., 445 F.3d 50, 54 (1st Cir. 2006) (citing cases).

To survive a motion for judgment on the pleadings, therefore, a plaintiff must plead “enough facts to state a claim to relief that is plausible on its face.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007). Because a motion for judgment on the pleadings “calls for an assessment of the merits of the case at an embryonic stage,” the Court “view[s] the facts contained in the pleadings in the light most favorable to the nonmovant and draw[s] all reasonable inferences therefrom” in their favor. Perez-Acevedo v. Rivero-Cubano, 520 F.3d 26, 29 (1st Cir. 2008) (citation and internal quotation marks omitted). On a Rule 12(c) motion, unlike a Rule 12(b) motion, the Court considers the pleadings, including the answer. See Aponte-Torres, 445 F.3d at 54–55. In addition, “[t]he court may

supplement the facts contained in the pleadings by considering documents fairly incorporated therein and facts susceptible to judicial notice.” R.G. Fin. Corp. v. Vergara-Nunez, 446 F.3d 178, 182 (1st Cir. 2006) (citation omitted). III. Factual Background

Unless otherwise indicated, the following summary is based upon the facts as alleged in the complaint. D. 1. Talcott, through its predecessor Hartford Life Insurance Company, originally issued life insurance policies to Plaintiffs’ parents, Mildred (“Mildred”) and James (“James”) Eisenstock, in 1993. Id. ¶ 8; see D. 20-1 at 2. Phyllis, and later Marc, were named as policyowners and beneficiaries. Id. The policies had a scheduled maturity date of February 12, 2030. Id. In 2000, Talcott replaced these policies with a Flexible Premium Variable Life insurance policy (the “Policy”), which reflected the same terms and maturity date as the former policies. Id. ¶ 9. James passed away in 2012. Id. ¶ 10. From 2000 to November 2018, Talcott mailed annual statements to Phyllis’ home address in Boynton Beach, Florida. Id. ¶ 11. In August 2019, Phyllis relocated

to Framingham, Massachusetts. Id. ¶ 12. The complaint does not allege that she notified Talcott of her change of address and Plaintiffs do not suggest same in their opposition. On December 12, 2019, Talcott sent a Grace Period Notice to Phyllis’ former address in Florida, stating that the Policy was in danger of terminating unless a premium in the amount of $5,627.35 was received by February 13, 2020. D. 1 ¶ 13; D. 1-1 at 2. Talcott sent a Final Grace Period Notice to Phyllis at her former Florida address on January 13, 2020. D. 1 ¶ 14; D. 1-1 at 4. Finally, on February 13, 2020, Talcott sent Phyllis a Policy Termination Notice to that address. D. 1 ¶ 14; D. 1-1 at 6. Because Phyllis had moved to Massachusetts, she did not receive any of these notices. D. 1 ¶ 15.

The Policy Termination Notice stated that “[f]ortunately, you have a valuable reinstatement feature that is available for the next five years, which may enable you to reinstate your coverage.” Id. ¶ 14; D. 1-1 at 6. This reinstatement feature in the Policy provides: Unless the Policy has been surrendered for its Cash Surrender Value, the Policy may be reinstated prior to the Scheduled Maturity Date provided: (a) the Insureds alive at the end of the Policy Grace Period are also alive on the date of reinstatement; (b) You make Your request in Writing within five years from the Termination Date; (c) satisfactory evidence of insurability is submitted; (d) any Indebtedness at the time of termination must be repaid or carried over to the reinstated policy; and (e) You pay sufficient premium to: (i) cover all Monthly Deduction Amounts that are due and unpaid during the Policy Grace Period; and (ii) keep the Policy in force for 3 months after the date of reinstatement.

D. 1 ¶ 16; D. 20-1 at 18. In October 2020, Phyllis requested a Reinstatement Application after learning that the Policy had been terminated, which Talcott then mailed to her former Florida address. D. 1 ¶ 17. On October 29, 2020, Talcott sent her a second letter at her address in Massachusetts, noting that “[r]ecently we sent the enclosed correspondence to you, but it was returned by the U.S. Postal Service” and that it had “conducted an address search and located this address for you and have updated our records accordingly.” Id. ¶ 18; D. 1-1 at 8. Phyllis submitted the Reinstatement Application to Talcott in December 2020. D. 1 ¶ 19; D. 20-5. By letter dated February 1, 2021, Talcott informed Phyllis that it was “unable to approve this application and must decline your request for reinstatement due to [Mildred’s] medical history obtained from Shrewsbury Primary Care. To reinstate a lapsed policy, you must qualify for the same PREFERRED underwriting risk class as the policy that was originally issued. Changes in health, the diagnosis of a new condition, or the practice of new activities can change a person’s risk classification for insurance purposes.” D. 1 ¶ 20; D. 1-1 at 10. After receiving a request from Phyllis for more information regarding the denial, Talcott further noted in a March 15, 2021 letter that “[f]or a policy to be considered for reinstatement, an insured must fall into the same rate class as when the policy was originally issued. . . . Upon review of the request for reinstatement, it was determined that [Mildred] was not eligible for reinstatement at the same rate class in which she was originally approved.” D. 1 ¶ 21; D. 1-1 at 13. That letter also reiterated that “[t]his was a

result of the medical history obtained from Shrewsbury Primary Care” and “[d]ue to personal information provided in [Mildred]’s medical record received, we are unable to provide you with the information from her physician. The information relating to the denial of the reinstatement request has been sent directly to [Mildred].” D. 1-1 at 13–14. This separate letter, also dated March 15, 2021, stated that “[t]he medical records received from Dr.

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Eisenstock v. Talcott Resolution Life, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/eisenstock-v-talcott-resolution-life-inc-mad-2023.