Genworth Life and Annuity Insurance Company v. TVPX ARS, Inc.

959 F.3d 1318
Court of Appeals for the Eleventh Circuit·Decided May 26, 2020·No. 19-11178·Published·Cited by 37 cases

Opinion

[PUBLISH]

IN THE UNITED STATES COURT OF APPEALS

FOR THE ELEVENTH CIRCUIT

No. 19-11178

D.C. Docket No. 4:00-cv-217-CDL

TVPX ARS, INC., Plaintiff-Appellant/Cross-Appellee, versus

GENWORTH LIFE AND ANNUITY INSURANCE COMPANY, Defendant-Appellee/Cross-Appellant.

Appeals from the United States District Court for the Middle District of Georgia

(May 26, 2020)

Before MARTIN, NEWSOM, and O’SCANNLAIN,* Circuit Judges. MARTIN, Circuit Judge:

*

Honorable Diarmuid F. O’Scannlain, United States Circuit Judge for the Ninth Circuit, sitting by designation.

In 2018, TVPX ARS, Inc. (“TVPX”) filed an amended class action complaint in the Eastern District of Virginia against Genworth Life and Annuity Insurance Company (“Genworth”). The amended complaint alleged that Genworth had violated the terms of one of its life insurance policies by imposing inflated “cost of insurance” charges on its insureds. Genworth brought this action in the Middle District of Georgia (the “District Court”), seeking to enjoin TVPX’s Virginia lawsuit and arguing that TVPX’s claims were barred by a 2004 agreement settling a prior class action about the same life insurance policies. The District Court granted Genworth’s motion to enjoin TVPX’s Virginia action. It found that TVPX’s complaint was barred by the doctrine of res judicata because its claims were premised on a continuation of the same conduct at issue the 2004 settlement. After careful consideration, and with the benefit of oral argument, we vacate the order enjoining TVPX’s Virginia lawsuit and remand for factfinding consistent with this opinion.

I.

At issue in this appeal are Genworth’s flexible premium, universal life insurance policies. A universal policy is a type of life insurance that, in addition to paying out a death benefit, includes an interest-bearing account that builds cash value during the insured’s life. Policyholders can pay premiums into their account to add to the cash value, and Genworth draws monthly deductions from the

account’s cash value. So long as the cash value is high enough to cover the following month’s deductions, the policy remains in force. If the cash value is insufficient to cover the next month’s deductions, the policy lapses unless the policyholder pays a premium that covers the deficit. Relevant here, one of Genworth’s monthly deductions is a “cost of insurance” charge (“COI”), which, according to Genworth’s policy terms, is determined “according to expectations of future mortality.” Often referred to as a “mortality charge,” COI is intended to compensate life insurers for the risk that the insured will die in a given policy year. COI rates are recalculated by Genworth on a monthly basis.

A. The McBride Class Action In 2000, Robert McBride filed a putative class action against Genworth, then known as Life Insurance Company of Virginia, over the administration and marketing of its universal life insurance policies. Complaint, McBride v. Life Insurance Co. of Virginia, No. 4:00-cv-217 (M.D. Ga.) (“McBride”), ECF No. 1- 2. 1 The second amended complaint in McBride (the “McBride complaint”), which was the operative complaint when that case settled, alleged that Genworth deceived customers purchasing universal life policies by representing that their premiums would remain level, vanish, or not be required in the future. It also alleged that Genworth “wrongfully and improperly” assessed premiums in amounts

1 For the sake of clarity, we refer to Life Insurance Company of Virginia as “Genworth.”

higher than the premiums contracted for by the parties by “applying an increased cost of insurance to cash value as policy holders grew older over time.” The McBride complaint further alleged that Genworth engaged in deceptive marketing practices by failing to disclose it charged cost of insurance rates, “or that cost of insurance is determined at the whim or discretion of [Genworth’s] management on a monthly basis.”

In 2004, the parties entered into a settlement agreement that contained a broad release. Among other things, class members agreed to release all “past, present and future” causes of action that were “based upon, related to, or connected with, directly or indirectly, in whole or in part (a) the allegations, facts, subjects or issues set forth or raised in the [McBride action] or (b) the Released Conduct.” The release also provided that class members were precluded and estopped from bringing any future causes of action “related to in any way, directly or indirectly, in whole or in part (a) the allegations, facts, subjects or issues set forth or raised in the [McBride action] or (b) the Released Conduct, regardless of whether such Causes of Action accrue after the [settlement agreement] is approved.” “Released Conduct” was defined broadly to encompass essentially every aspect of Genworth’s universal life policies, including “the design, development, marketing, sale, suitability, administration, servicing, modification, underwriting, lapse, termination, performance, payments, cash values, premiums, cost of insurance

rates and charges, death benefits, coverage, maturity date, policy loans, replacements, commissions, taxes, surrender charges, credited interest, expense charges, or other costs of any Class Policy” (emphasis added).

A court-approved settlement notice was sent to the McBride class members.

It described the issues in the lawsuit, including the allegation that Genworth breached the insurance policy by “increasing policy charges, including cost of insurance rates.” The notice also said that if class members did not opt out of the McBride settlement agreement, they might surrender claims relating to “cost of insurance charges” and “cost of insurance rates.”

No class members objected to the settlement, and only 652 of over 350,000 total class members opted out. The final judgment, which adopted the McBride settlement, said the terms of the settlement would be “forever binding on the Plaintiffs, all other Class Members and all Releasors, and shall have res judicata and other preclusive effect in all pending and future claims, lawsuits or other proceedings . . . to the extent those claims, lawsuits or other proceedings involve matters that were or could have been raised in this Action or are otherwise encompassed by the Release.”

Also relevant to this appeal, the McBride settlement provided that “Nothing in this Agreement shall prevent [Genworth] from increasing any Class Member’s monthly policy deductions (i.e., the monthly cost of insurance charges and

expenses of the Class Policy) in accordance with Pre-Settlement Policy Administration.” The definition of Pre-Settlement Policy Administration (“PSPA”) states that Genworth will

administer a Class Member’s Class Policy in the same manner that [Genworth] administered flexible premium adjustable life insurance policies prior to the Settlement. In particular, [Genworth] will administer a Class Member’s Class Policy in accordance with the terms of such policy and in accordance with [Genworth]’s interpretation of that policy’s provisions, such that the policy will stay in force only so long as the Class Policy’s cash value or cash value less surrender charges (whichever is applicable in the particular Class Policy) is sufficient to cover the monthly deductions (i.e. the monthly cost of insurance charges and expenses of the Class Policy), and that a Class Member may have to pay premiums in an amount or at a frequency greater than the Planned Premium or any other premium that the Class Member was paying or expected to pay in order to keep his/her Class Policy from lapsing.

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Genworth Life and Annuity Insurance Company v. TVPX ARS, Inc., 959 F.3d 1318 (11th Cir. 2020).

959 F.3d 1318 (Genworth Life and Annuity Insurance Company v. TVPX ARS, Inc.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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