Fioretti v. Massachusetts General Life Insurance

892 F. Supp. 1492, 1993 U.S. Dist. LEXIS 20889, 1993 WL 786854
CourtDistrict Court, S.D. Florida
DecidedSeptember 24, 1993
Docket90-6530-CIV.
StatusPublished
Cited by3 cases

This text of 892 F. Supp. 1492 (Fioretti v. Massachusetts General Life Insurance) is published on Counsel Stack Legal Research, covering District Court, S.D. Florida 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, 892 F. Supp. 1492, 1993 U.S. Dist. LEXIS 20889, 1993 WL 786854 (S.D. Fla. 1993).

Opinion

*1493 FINDINGS OF FACT AND CONCLUSIONS OF LAW

MARCUS, District Judge.

THIS CAUSE was tried without a jury before the undersigned on December 28 and 29, 1993. Plaintiff, Vincent Fioretti is the named beneficiary of a life insurance policy issued by Defendant, Massachusetts General Life Insurance Company (“Mass General”) to Plaintiffs brother, Anthony Fioretti. Anthony Fioretti died in Florida on February 28, 1989, and Plaintiff made a claim for the insurance proceeds which Mass General declined. Plaintiff, by this action sues for $1,947,111.00 allegedly due under the policy. Mass General defends against the complaint and counterclaims for rescission of the policy, claiming that it was procured by fraud. Plaintiff seeks to deny this defense and defends against the counterclaim on the basis that the incontestability clause in the policy bars the defense of fraud. Plaintiff is a citizen of Florida and Defendant is incorporated in Massachusetts with its principal place of business in Colorado, and thus the action was properly removed based on diversity jurisdiction, 28 U.S.C. § 1332. Accordingly, pursuant to Fed.R.Civ.P. 52(a) the Court makes the following Findings of Fact and Conclusions of Law.

I.Findings of Fact

1. In November of 1986, Anthony Fioretti applied to Columbian Mutual Life for a $100,000 life insurance policy. The application showed his correct name and his correct birthdate, September 6, 1948. Blood drawn from him in January 1987 tested HIV reactive. As a result, Columbian Mutual never issued a policy insuring Fioretti.

2. On February 10, 1987, Anthony Fioret-ti applied to Mass General for a life insurance policy. This time, he indicated his name as “C. Tony Fioretti” and falsely stated his date of birth as “3-6-47.” D.Ex. 12. Under the heading “Requested Issue Date” he wrote “Date Policy — 8/30/86.” Id.

3. The application stated that it was “signed at Tamarac Fla., 2/10/87.” Id. It designated the owner of the plan as “Shields & Warendorff Florist, Inc. Pension Plan.” Anthony Fioretti, was the president and sole shareholder of Shields & Warendorff Florists, Inc., a florist shop located in New York, New York. It recited the residence of the insured as both New York, New York and Tamarac, Florida. The broker for the policy was Kirsner, Stern & Slavutin, Inc., located in New York, New York, and Stuart Kirsner was the agent on this application. See Pretrial Stip. ¶ 5. The signature of “Stuart Kirsner” appears as “Licensed Agent,” but one Suzanne Kaplon-Harmon, a clerk in the broker’s New York office, in fact signed Kirs-ner’s name with the permission of Kirsner and other principals of the firm. Kaplon-Harmon never saw Fioretti sign the application, and did not know where it was signed, yet she wrote “Tamarac, Fla.” as the being the place the application was signed. See Harmon Depo. at 16-17; Pretrial Stip. ¶ 12.

4. Although Mass General is licensed to do business in Florida, and Florida has approved the relevant policy form, Mass General refused to write the policy on the February application because the designated soliciting agent, Kirsner, was not licensed to do business in Florida.

5. In connection with the first application, Plaintiff conceded at trial that the blood of a person other than the insured was tested for AIDS in July 1987 at the Spring Medical Group in New York City. See D.Ex. 23. Either an impostor appeared for the blood test, or the insured somehow arranged for the substitution of another person’s blood sample for his. The blood tested non-reactive to the HIV antibody.

6. On September 8, 1987, a second application was filed by Anthony Fioretti. D.Ex. 24. The application was substantially similar to the February application — proposing “C. Tony Fioretti” as the insured, again designating the Pension Plan as the owner of the policy, reiterating the false birthdate, showing the insured’s residence as both New York and Florida, and requesting the policy to run retroactively from August 30, 1986. Significantly, however, this time the application indicated that it was signed in Newark, New Jersey on September 8, 1987. D. Ex. 24. Again, Susan Kaplon-Harmon, a clerk in the broker’s New York office, wrote “Newark, New Jersey” on the application, although she did not know whether it had been signed *1494 there. Pretrial Stip. at ¶ 15. As it turns out, the policy form was not approved in New Jersey, see Pretrial Stip. at ¶ 16, nevertheless, it was issued there.

7. Mr. Gary Yeargler, the underwriter at Mass General responsible for the Fioretti risk, testified that he relied on the negative blood test for HIV submitted in connection with the first application in approving Anthony Fioretti’s second application for life insurance. Mass General relied on the results of the fraudulent blood test in issuing the subject life insurance policy, such that had Anthony Fioretti himself submitted to a blood test as Mass General required, Mass General never would have underwritten the policy.

8. Because some time had lapsed between the test and the approval of the application, Yeargler and Mass General accepted the application subject to Anthony Fioretti’s executing a Statement of Good Health and In-surability. Pretrial Stip. at ¶ 17; D.Ex. 26. Anthony Fioretti signed the Statement, and Kaplon-Harmon filled in spaces indicating that the Statement was executed in New Jersey on September 25,1987. Pretrial Stip. at ¶ 18. By that Statement, the insured represented to the best of his knowledge and belief that:

(1) I have continued in good health.
(2) I have not made an application for insurance which has been declined, postponed or modified.
(3) I have not consulted or been examined by a physician or practitioner.

D.Ex. 26.

9. At the time he signed that Statement, however, Anthony Fioretti knew that he was HIV-positive, had been declined life insurance by Columbian Mutual, and had consulted with at least two doctors about his HIV, Kaposi’s sarcoma and AIDS. See Lauben-stein Depo. at 33-34, 42-43.

10. The issued policy was backdated to August 30, 1986, as requested on both applications. Pretrial Stip. ¶ 19; D.Ex. 27, at 2 (“Notification of Participation”).

11. After the policy had been approved and issued, on December 14, 1987 Anthony Fioretti applied to Mass General for an additional benefit called “Waiver of Premium.” In exchange for an additional premium, this benefit provides that the insurer will not require payment of any premiums during the insured’s period of total disability. The application for this benefit required that Fioret-ti answer the following two questions:

(4) Has the insured or any named dependent ... received advice or treatment from a physician or other medical or physical practitioner within the past three years?

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Bluebook (online)
892 F. Supp. 1492, 1993 U.S. Dist. LEXIS 20889, 1993 WL 786854, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fioretti-v-massachusetts-general-life-insurance-flsd-1993.