Geise v. Nationwide Life & Annuity Co. of America

939 A.2d 409, 2007 Pa. Super. 388, 2007 Pa. Super. LEXIS 4409
CourtSuperior Court of Pennsylvania
DecidedDecember 18, 2007
StatusPublished
Cited by21 cases

This text of 939 A.2d 409 (Geise v. Nationwide Life & Annuity Co. of America) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Geise v. Nationwide Life & Annuity Co. of America, 939 A.2d 409, 2007 Pa. Super. 388, 2007 Pa. Super. LEXIS 4409 (Pa. Ct. App. 2007).

Opinion

OPINION BY

BENDER, J.:

¶ 1 Nationwide Life and Annuity Company of America, previously known as Provident Mutual Life Insurance Company (hereinafter “Provident,” “Nationwide,” or “Provident/Nationwide”), the defendants in this underlying action, appeal from the judgment entered in favor of the plaintiffs, Furman Enterprises (“Furman”) and its individual partners, following a jury trial in this breach of contract action to recover benefits on a life insurance policy owned by Furman on one of its partners, K. James Kohl. We affirm.

¶ 2 On May 14,1988, Furman, a partnership consisting of family members who own stock in Furman Foods, Inc. (a company involved in the business of processing vegetables under the Furmano label), purchased a life insurance policy, with a whole life component, from Provident Mutual Life Insurance Company on the life of Mr. Kohl,- a family member who served as the corporate secretary and farm manager for Furman Foods. N.T. Trial Vol. I, 8/15/06 (“N.T.Vol.1”), at 49-51, 64. Furman purchased the policy in order to fund its contractual obligation to Mr. Kohl’s estate to purchase, upon the death of Mr. Kohl, the stock owned by Mr. Kohl in Furman Farms, the parent company of Furman Foods, and Mr. Kohl’s partnership interest in Furman Enterprises. Id. at 52, 63-64. *413 ¶ 3 From 1988 through 1995, Furman paid Provident the annual premiums for the policy, due on May 14th of each year. Id. at 45. Around mid-April of each year, Provident would send Furman a notice of premium due, which included a “portion or segment which was to be detached from the notice and returned to Provident with a premium payment.” Id. at 46; N.T. Trial Yol. Ill, 8/16/06 (“N.T.VoLIII”), at 16. “From 1996 through 2000, the annual premiums on the policy were paid using internal policy cash reserves.” N.T. Yol. I at 46. Even so, prior to May 14th in each of the years where the premium was paid by internal policy cash reserves, Provident still “sent to Furman a document setting forth the premium for the year, the reduction in dividends and the surrender of inside additions applied to pay that premium and showing an amount due of zero dollars.” Id. at 46. See also Exh. 2 (Provident premium notice from 1998 on Kohl policy showing premium amount for 12 month period, amount of dividend applied to reduction of premium, amount of surrendered inside additions applied to premium, and indicating “amount due” from insured as zero). In 2000, the internal policy cash reserves were still adequate to cover the cost of the premium, despite the increase in the premium by that time. N.T. Trial Vol. II, 8/15/06 (“N.T.Vol.II”), at 15. 1

¶ 4 By the time the next premium payment was due, ie., May 14, 2001, the internal policy cash reserves were inadequate to cover the cost of the premium, thereby requiring Furman to pay the premium out-of-pocket. However, Furman contended that it had not received any premium notice for any premium that was due by May 14, 2001. N.T. Vol. I at 55, 74, 103. Moreover, Furman indicated that it did not receive any late payment offer or second notice that the premium was due on May 14, 2001, which Provident contended it had mailed, in accordance with its ordinary course of business, in June of 2001. Id. at 55,103; N.T. Vol. Ill at 53. Thus, by that point, the premium remained unpaid. But Furman’s position throughout this litigation was that it was not aware that any out-of-pocket premium payment was due, given Provident’s lack of notice.

¶ 5 Next, “Furman received from Provident a document entitled [’Nonforfeiture [B]enefits[’] dated August 14, 2001” sometimes referred to at trial as the policy cancellation notice or letter. N.T. Vol. I at 46. 2 Paul Dubendorf, Furman’s chief financial officer, testified that receipt of this notice is what alerted him to the fact that the premium on the Kohl policy was unpaid. N.T. Vol. II at 16. He checked various records maintained by Furman to see if the company had received the premium notice earlier in the year. Id. These records included the general correspondence file with Provident, the unpaid invoices file, and the accounts payable system. Id. He did not find any premium notice in these records. Id. Thus, he com- *414 eluded that Furman did not receive the 2001 premium notice prior to receiving the cancellation letter. Id. He also ■ did not find evidence of receipt of a late payment notice, which would have been sent after the premium notice to provide the company a second chance to pay the 2001 premium prior to cancellation of the policy. Id. at 17. Mr. Dubendorf stated that if he had received such notice he would have “absolutely” paid the premium at that time. Id. Mr. Dubendorf also testified that he was unaware, in the spring of 2001, that the internal policy cash value would be inadequate to cover the cost of the premium that year. Id. at 66.

¶ 6 Mr. Dubendorf discussed the issue with David Geise, president and CEO of Furman Foods. Id. at 18. Similarly, Mr. Geise also understood that, according to the cancellation letter, the policy for Mr. Kohl would expire on September 29, 2001, for nonpayment of premium. N.T. Vol. I at 55. Mr. Dubendorf and Mr. Geise decided that they needed to contact Provident immediately. N.T. Vol. II at 18. They requested that Provident reinstate the policy. N.T. Vol. I at 56, 77. Specifically, Mr. Dubendorf called Provident’s customer service center, expressed his shock upon receiving the cancellation letter, explained that the company did not receive any premium notices for that year, and asked how to reinstate the policy. N.T. Vol. II at 18.

¶ 7 In response, on September 4, 2001, Furman received from Provident forms to reinstate the policy and correspondence indicating that Provident would require payment of $18,979.77 for the annual premium in order to effectuate reinstatement of the policy through May 14, 2002. N.T. Vol. I at 46. The reinstatement application sent by Provident also contained questions pertaining to Mr. Kohl’s health status. N.T. Trial, Exhibit 58. In one question, Mr. Kohl, who was eighty years old at the time, marked both “yes” and “no” to the question about whether he had consulted a physician or practitioner in the previous three years. Id.; N.T. Vol. I at 81. However, in a subsequent question, asking for details about all “yes” answers, Mr. Kohl indicated “N/A” for “not applicable,” and he provided no detailed information in that section. N.T. Trial, Exhibit 58.

¶ 8 Although Mr. Kohl filled-out the form, Mr. Geise signed the form on behalf of the partnership. N.T. Vol. I at 79. Mr. Geise testified that he understood that the policy would not be reinstated until the application had been approved by Provident, but he “trusted that we were dealing with a reputable company [and] that we were going to have the policy reinstated.” Id. at 79-80. In other words, he did not foresee that reinstatement of the policy would be an issue at that point. Id. at 80. Mr. Geise admitted that he did not review the information provided by Mr. Kohl and he did not have any discussions with Mr.

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Bluebook (online)
939 A.2d 409, 2007 Pa. Super. 388, 2007 Pa. Super. LEXIS 4409, Counsel Stack Legal Research, https://law.counselstack.com/opinion/geise-v-nationwide-life-annuity-co-of-america-pasuperct-2007.