Gene T. Jacobs v. UNUM Group Corporation

CourtCourt of Appeals for the Eleventh Circuit
DecidedMay 3, 2018
Docket17-12868
StatusUnpublished

This text of Gene T. Jacobs v. UNUM Group Corporation (Gene T. Jacobs v. UNUM Group Corporation) 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
Gene T. Jacobs v. UNUM Group Corporation, (11th Cir. 2018).

Opinion

Case: 17-12868 Date Filed: 05/03/2018 Page: 1 of 7

[DO NOT PUBLISH]

IN THE UNITED STATES COURT OF APPEALS

FOR THE ELEVENTH CIRCUIT ________________________

No. 17-12868 Non-Argument Calendar ________________________

D.C. Docket No. 6:16-cv-00633-GKS-KRS

GENE T. JACOBS, an individual,

Plaintiff-Appellant,

versus

BRUCE D. CHADBOURNE, JR., an individual,

Defendant,

UNUM GROUP CORPORATION, in its individual capacity and as controlling parent of its wholly owned subsidiary, The Paul Revere Life Insurance Company, a Delaware corporation, f.k.a. UNUM Provident Corporation, THE PAUL REVERE LIFE INSURANCE COMPANY, a Maine corporation,

Defendants-Appellees. Case: 17-12868 Date Filed: 05/03/2018 Page: 2 of 7

________________________

Appeal from the United States District Court for the Middle District of Florida ________________________

(May 3, 2018)

Before ED CARNES, Chief Judge, TJOFLAT, and NEWSOM, Circuit Judges.

PER CURIAM:

Gene Jacobs brought state law claims against the defendants, Unum Group

Corporation and the Paul Revere Life Insurance Company, after he did not receive

the amount of monthly benefits he thought he was entitled to receive under his

disability insurance policy. The district court granted the defendants’ motion for

summary judgment. Jacobs appeals, contending that the district court erred in

granting summary judgment to the defendants on his promissory estoppel claims.

I.

In 1986 Jacobs purchased disability insurance from the defendants. In

procuring the insurance he used the services of an independent broker, Bruce

Chadbourne. Two years later Jacobs approached Chadbourne about adding

lifetime coverage to the policy. The defendants issued Jacobs a “Lifetime Total

Disability Benefit Rider,” which stated that the defendants will pay benefits if the

insured’s disability begins before age 65 and continues until age 65. It also

provided that Jacobs’ maximum monthly insurance benefit of $5,000 would

2 Case: 17-12868 Date Filed: 05/03/2018 Page: 3 of 7

decrease 10 percent for each year after age 55 until age 65, meaning that if he

became totally disabled at, for example, 64 years old, his monthly benefit would be

reduced by 90 percent. In 1992 Jacobs requested, and the defendants approved, an

increase of the policy’s maximum monthly benefit from $5,000 to $5,300.

In early 2003 Jacobs called the defendants to confirm the benefits in his

disability policy, and in April the defendants faxed Chadbourne a letter outlining

Jacobs’ benefits. The fax cover sheet described the letter as a “summary outlining

the benefits currently provided by the above referenced disability policy(s).” The

letter provided the policy’s issue date, the monthly premium, and the maximum

monthly benefit of $5,300. It did not mention the lifetime rider or the 10 percent

reductions described in that rider. The letter concluded: “This letter does not

replace the actual contract issued to you previously by the Paul Revere Life

Insurance Company. If you have any questions pertaining to this letter, please feel

free to contact us . . . .”

In December 2011 Jacobs submitted a claim for total disability benefits

based on a date of disability of November 15, 2011, which was less than a month

before he turned 65. 1 The defendants accepted his claim and began paying benefits

1 On November 10, 2011 — five days before the onset of Jacobs’ disability — Jacobs emailed Chadbourne asking him to follow up with the defendants about another letter he had received about his disability policy. That same day Chadbourne emailed Jacobs and his wife, stating that certain benefits “are removed from the policy on your birthday, per the contract, so if you want to get disabled, you need to do it by your birthday while you still have lifetime coverage.”

3 Case: 17-12868 Date Filed: 05/03/2018 Page: 4 of 7

to him. After the payments were reduced by 90 percent based on Jacobs’ age on

the date of disability (64 years old), he sued the defendants asserting promissory

estoppel and negligent misrepresentation claims based on their failure to mention

in the 2003 letter the lifetime rider’s reductions. Both sides moved for summary

judgment, and the district court granted the defendants’ motion and denied Jacobs’

motion. This is his appeal.

II.

We review de novo a district court’s grant of summary judgment. Liebman

v. Metro. Life Ins. Co., 808 F.3d 1294, 1298 (11th Cir. 2015). Summary judgment

is proper when there is “no genuine dispute as to any material fact and the movant

is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a). We view the

evidence in the light most favorable to Jacobs. See Liebman, 808 F.3d at 1299.

III.

A.

Jacobs contends that the district court erred by charging him with

knowledge of the contents of his insurance policy. He argues that because Florida

law does doesn’t require an insured to read an insurance policy, he shouldn’t have

been charged with knowledge of his policy’s terms.

Even though Jacobs was not required by law to read the contract, see

Blumberg v. Am. Fire & Cas. Co., 51 So. 2d 182, 184 (Fla. 1951), under Florida

4 Case: 17-12868 Date Filed: 05/03/2018 Page: 5 of 7

law he is still charged with knowledge of the contract’s contents, 2 see Allied Van

Lines, Inc. v. Bratton, 351 So. 2d 344, 347–48 (Fla. 1977) (“It has long been held

in Florida that one is bound by his contract. Unless one can show facts and

circumstances to demonstrate that he was prevented from reading the contract, or

that he was induced by statements of the other party to refrain from reading the

contract, it is binding.”). Put simply, Florida law assumes that a party to a contract

knows the terms of the contract but does not require that a party read it. See

Stonebraker v. Reliance Life Ins. Co. of Pittsburgh, 166 So. 583, 584 (Fla. 1936)

(“The insured was a party to the contract. The evidence shows that the contract

was in his possession during the whole time from the date of delivery until insured

died. . . . [U]nder this state of facts the insured was bound by the terms expressed

in the contract and is charged with knowledge of the provisions of the contract.”).

Because Jacobs, as the insured, was a party to the contract, and because he had the

policy and the lifetime rider in his possession, the district court did not err in

charging him with knowledge of the contents of his policy.

2 That general rule applies to all types of contracts, including disability insurance policies like the one at issue here. See, e.g., id. (contract for shipment of goods); Kimbal v. Travelers Ins. Co., 10 So. 2d 728, 730 (Fla. 1942) (group life insurance policy); Mass. Bonding & Ins. Co. v. Hoxie, 176 So. 480, 481 (Fla. 1937) (indemnity insurance policy); Merrill, Lynch, Pierce, Fenner & Smith, Inc. v. Benton, 467 So. 2d 311, 312 (Fla.

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Related

Norelus v. Denny's, Inc.
628 F.3d 1270 (Eleventh Circuit, 2010)
Allied Van Lines, Inc. v. Bratton
351 So. 2d 344 (Supreme Court of Florida, 1977)
MERRILL, LYNCH, PIERCE, ETC. v. Benton
467 So. 2d 311 (District Court of Appeal of Florida, 1985)
Blumberg v. American Fire & Casualty Co.
51 So. 2d 182 (Supreme Court of Florida, 1951)
Sutton v. Crane
101 So. 2d 823 (District Court of Appeal of Florida, 1958)
Robert Liebman v. Metroplolitan Life Insurance Company
808 F.3d 1294 (Eleventh Circuit, 2015)
Stonebraker v. Reliance Life Insurance
166 So. 583 (Supreme Court of Florida, 1936)
Kimbal v. Travelers Insurance Company
10 So. 2d 728 (Supreme Court of Florida, 1942)
Massachusetts Bonding & Insurance v. Hoxie
176 So. 480 (Supreme Court of Florida, 1937)

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Gene T. Jacobs v. UNUM Group Corporation, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gene-t-jacobs-v-unum-group-corporation-ca11-2018.