Fioretti v. Massachusetts General Life Insurance

53 F.3d 1228
CourtCourt of Appeals for the Eleventh Circuit
DecidedJune 7, 1995
DocketNo. 93-5187
StatusPublished
Cited by2 cases

This text of 53 F.3d 1228 (Fioretti v. Massachusetts General Life Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eleventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Fioretti v. Massachusetts General Life Insurance, 53 F.3d 1228 (11th Cir. 1995).

Opinion

EISELE, Senior District Judge:

This is an appeal from a final judgment entered in this diversity action,1 the subject of which is an insurance coverage dispute. We have jurisdiction pursuant to 28 U.S.C.A. § 1291 (West 1993). Following a bench trial, the district court entered judgment in favor of Massachusetts General Life Insurance Company (MassGen) on all counts of Vincent Fioretti’s amended complaint. The court also entered judgment for MassGen on its counterclaims for recision of the disputed life insurance contract. Although we have problems with the legal analysis adopted by the district court, we nevertheless conclude that judgment was, as a matter of law, properly [1230]*1230entered in favor of MassGen.2 As we are permitted to affirm the district court where the judgment entered is correct on any available legal ground, see Parks v. City of Warner Robins, 43 F.3d 609, 613 (11th Cir.1995); SEC v. Southwest Coal & Energy Co., 624 F.2d 1312, 1317 (5th Cir.1980),3 we AFFIRM.

I.

With one crucial exception (which will be discussed later in this opinion), the basic facts underlying this dispute are largely undisputed.4

On November 10, 1986, Anthony Fioretti applied for $100,000 of life insurance with the Columbian Mutual Life Insurance Company (Columbian Mutual). This application, which was taken in New York City, indicated that Anthony Fioretti had not, within five years of the application date, experienced any serious medical problems. Nevertheless, he was required to submit to a blood test as a condition of his application. In January, 1987, Columbian Mutual was informed that Anthony Fioretti had tested positive for the Human Immunodeficiency Virus (HIV). Not surprisingly, Columbian Mutual rejected his application. Later in January, 1987, the results of the Columbian Mutual blood test were sent, at Anthony Fioretti’s request, to Dr. Howard Siegel, a New York physician (and, presumably, one of Anthony Fioretti’s treating doctors).

Undaunted by his experience with Colum-bian Mutual, Anthony Fioretti, on February 10, 1987, applied for $1,947,111 of life insurance with MassGen. However, on his Mass-Gen application Anthony Fioretti represented his name as “C. Tony Fioretti” (his real name was Anthony C. Fioretti) and his date of birth as “3-6-47” (his real date of birth was September 6, 1948). He appears, however, to have correctly listed his Social Security Number as 115-26-07615 (the Social Security Number listed on his Columbian Mutual application was “156-42-4187”).6 Addi[1231]*1231tionally, Anthony Fioretti indicated that he had not “within the past 3 years consulted a physician for an examination, blood or other medical tests, [or] treatment of any disease, condition, or other physical disorder.” Anthony Fioretti’s MassGen application stated that it would be effective as of August 30, 1986, and that the Shields & Warendorff Florist, Inc. Pension Plan would be the owner of this policy.7 The application stated that Vincent Fioretti (Anthony Fioretti’s brother) would be the beneficiary of this policy, and listed Anthony Fioretti’s place of residence as both New York City and Tamarac, Florida.

Anthony Fioretti’s MassGen application indicated that it was taken by Stuart Kirsner, a broker associated with the New York-based insurance agency Kirsner, Stern & Slavutin, Inc.8 Although Mr. Kirsner was not licensed to sell insurance in Florida,9 the application indicated that it was completed in Tamarac, Florida. As a pre-condition for its approval of this application, MassGen required Anthony Fioretti to undergo a blood test for the HIV virus. Anthony Fioretti agreed, but because he knew that he was HIV-positive, in June, 1987 he arranged for an imposter’s blood to be tested under his name at the Spring Medical Group in New York City.10 This test indicated that the blood submitted for testing, namely that of the imposter, had reacted negatively for the HIV virus. Despite this favorable result, MassGen ultimately refused to approve Anthony Fioretti’s application, because Mr. Kirsner was not licensed to do business in Florida and the application indicated that it had been completed in that state.

Following this rejection, Anthony Fioretti submitted a second life insurance application to MassGen on September 8, 1987. This application indicated that it was taken by Ina Stern,11 another broker associated with Kirs-ner, Stern & Slavutin. The terms of this second MassGen application (e.g., the amount of insurance, the policy’s effective date, the beneficiary, etc.) were substantially similar to the original application, as were the misrepresentations concerning Anthony Fioretti’s identifying information and medical history. However, in contrast to the former MassGen application, the latter indicated that it was completed in Newark, New Jersey,12 a state in which Ms. Stern was licensed to sell insurance.13

Because this second application was submitted shortly after the results of the above-described blood test were made available, MassGen did not require Anthony Fioretti to undergo a separate HIV test in connection with this application. Instead, after a review by its Colorado office, MassGen advised that [1232]*1232it would approve this application, provided that, in lieu of a second HIV test, Anthony Fioretti would be required to execute a Statement of Good Health and Insurability (Statement of Good Health), which he did. This Statement of Good Health, which was executed in New Jersey on September 25, 1987,14 represented that Anthony Fioretti was “in good health,”' that he had “not made an application for insurance which ha[d] been declined, postponed, or modified,” and that he had “not consulted or been examined by a physician or practitioner” prior to executing the Statement of Good Health. However, at the time he completed this Statement of Good Health, Anthony Fioretti knew: (1) that he was HIV-positive; (2) that he had previously been declined life insurance by another carrier (Columbian Mutual); and (3) that he had previously consulted with at least two doctors concerning his HIV status. In short, every representation made by Anthony Fioretti in the Statement of Good Health was false.15

After completing the Statement of Good Health (and thereby securing insurance coverage), Anthony Fioretti timely paid all of the premiums required under the policy. Shortly thereafter, on December 14, 1987 Anthony Fioretti applied to MassGen for a “Waiver of Premium,” which would have relieved him from having to pay any premiums during any period of total disability. Although Anthony Fioretti stated on this application that, “[t]o the best of [his] knowledge and belief,” he did not “have any physical disease or disorder,” he was nevertheless required to undergo a second HIV test in connection with this application. In April, 1988, he again managed to have an imposter’s blood submitted for testing, and once again this blood tested negative for the HIV virus. On the strength of this test result and Anthony Fioretti’s execution of a second Statement of Good Health, MassGen approved Anthony Fioretti’s Waiver of Premium. This waiver never went into effect, however, because Anthony Fioretti declined to pay the necessary premium.

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Bluebook (online)
53 F.3d 1228, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fioretti-v-massachusetts-general-life-insurance-ca11-1995.