Goldwater v. Jackson National Life Insurance

555 F. Supp. 1022, 1983 U.S. Dist. LEXIS 19400
CourtDistrict Court, N.D. California
DecidedFebruary 8, 1983
DocketNo. C-82-0104-WWS
StatusPublished

This text of 555 F. Supp. 1022 (Goldwater v. Jackson National Life Insurance) is published on Counsel Stack Legal Research, covering District Court, N.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Goldwater v. Jackson National Life Insurance, 555 F. Supp. 1022, 1983 U.S. Dist. LEXIS 19400 (N.D. Cal. 1983).

Opinion

MEMORANDUM OF OPINION AND ORDER

SCHWARZER, District Judge.

The plaintiff in this case seeks a determination of his rights under a contract of insurance with the defendant. The matter is before the Court on cross-motions for summary judgment. The parties agree that no triable issues remain and that a final decision may be rendered on the record before the Court.

Dr. Goldwater purchased a policy of term life insurance from Jackson National on May 7, 1976. The policy included a rider waiving premiums in the event of total disability, and it provided that “the Owner may, upon written request to the Company at the Home office, convert this Policy to any life or endowment Policy for the amount of insurance then in effect without evidence of insurability ” (emphasis added).

In 1977 Dr. Goldwater was diagnosed as having Parkinson’s disease. He resigned from several staff positions in 1978 and in April, 1980. On April 23,1980, Dr. Goldwater executed a request to convert his term policy to an endowment policy with a waiver of premium rider. Under the conversion section of the original policy, plaintiff could choose either of two dates of issue for the new policy:

(1) The new Policy will be issued as of the original Policy Date specified in this Policy on any Renewal Date. The new policy premium will be based on the premium rate for the original entry age in accordance with the premium schedules and policy forms in use on the original Policy Date. There must be paid by the Owner, in addition to the premiums becoming due under the new Policy, a sum equal to the difference between the total premiums paid on this Policy to the date of conversion and the total premiums for the same period required on the new Policy with compound interest at six per cent per annum.
(2) The new Policy will be issued as of the current Policy Date of conversion. The new policy premium will be based on the premium rate for the attained age in accordance with the premium rate for the atained age in accordance with the premium schedules and policy forms in use on the date of conversion. The full reserve upon this Policy shall be applied in the reduction of the payments on the new Policy.

Dr. Goldwater chose the conversion date as the date of issue (May 7, 1980). He understood that the only consequence of choosing the earlier date and paying the additional lump sum premium as required by subsection (1), above, would be to give him a lower monthly premium and to give the policy an immediate cash value.

Attached to the endowment policy when it was issued was an endorsement which provided that “the incontestable and suicide provisions of this policy shall run from the date of issue of the original policy from which the attached policy has been converted [May 7, 1976].” The converted policy was based upon and incorporated Dr. Goldwater’s 1976 application, and its general provisions were identical to those of the original policy.

In May, 1980, Dr. Goldwater stopped working. His physician determined that he [1024]*1024was totally disabled as of May 18,1980. On October 17, 1980, plaintiff filed a proof of loss form claiming benefit of the rider waiving premiums. On March 19, 1981, Jackson National refused to waive premiums, citing the following exclusion from the rider:

RISKS NOT ASSUMED. Agreement to waive premiums under this rider does not cover total disability under the following conditions:
1. if injuries are received or sickness first manifested or if disability begins while the policy is not in force....

The rider to the original policy had contained a virtually identical exclusion.

Defendant asserts that Dr. Goldwater was disabled by his Parkinsonism before May 7, 1980, the conversion date, and is therefore not entitled to the benefit of the waiver of premium rider of the endowment policy. Dr. Goldwater contends that for the purpose of applying the exclusion clause his policy was in force on May 7,1976, the issue date of the original policy, long before his Parkinson’s disease first manifested itself. In other words, it is his position that the waiver of premium rider of the endowment policy relates back to the date of the original term policy; the second policy was merely a continuation of the first.

The parties have not cited, and the Court has not found, any California case raising similar questions. There is a good deal of venerable authority from other jurisdictions, however. In Philadelphia Life Ins. Co. v. Erwin, 165 Va. 469, 182 S.E. 209, 211 (1935), the highest court of Virginia ruled that a converted policy is but a “continuation of the original policy and not a new and separate contract.” The original policy in that case, dated January 20,1927, included a rider which provided that the company would pay the insured $50 a month for total disability beginning after the effective date of the policy. The insured converted (“exchanged”) his policy for a new policy in the same amount with a disability rider dated January 20, 1932; this new policy was issued on the basis of the original application. The insured became totally disabled on October 1, 1931. Unless the second rider related back to the date of the first policy, he plainly could not recover under its terms. The court held that the rider did relate back, for three principal reasons: (1) the new policy was based upon the same application and the same medical examination as the original policy; (2) the conversion or “exchange was made in accordance with the original contract”; and (3) “the disability provision in the old policy was similar to that in the new.” Id. 182 S.E. at 211. Erwin is indistinguishable from the instant ease in these material respects.

The Erwin court relied on Silliman v. International Life Ins. Co., 131 Tenn. 303, 174 S.W. 1131 (1915), which was approved by the Supreme Court of the United States in Aetna Life Ins. Co. v. Dunken, 266 U.S. 389, 45 S.Ct. 129, 69 L.Ed. 342 (1924). The plaintiff in Silliman converted his original policy of January 12, 1910, without providing any evidence of insurability. The insured chose January 12,1914, as the date of issue of the new policy; this meant that he, like Dr. Goldwater, would pay higher monthly premiums but would not be required to pay the lump sum that would be due if he chose January 12, 1910, as the issue date. The converted policy, like the original policy, provided that in the event of suicide committed within one year from the date “on which this insurance begins,” the limit of the beneficiary’s recovery would be premiums paid. On July 1,1914, within six months of the conversion, the insured committed suicide. The court held that the converted policy related back to 1910, and that plaintiff’s recovery was therefore not limited by the suicide clause:

It seems to us quite clear that under the facts stated the new policy was but a continuation of the same insurance contract. It was based upon the old application and the old medical examination, and the new terms were in strict accord with the provisions of the old policy, granting to the insured the right to make just such a selection to take the place of the original form. The same may be said of the higher rate of premiums paid. We are [1025]

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Related

Aetna Life Insurance v. Dunken
266 U.S. 389 (Supreme Court, 1925)
Harris v. Glens Falls Insurance
493 P.2d 861 (California Supreme Court, 1972)
Provident Life & Accident Insurance v. Kegley
99 S.E.2d 601 (Supreme Court of Virginia, 1957)
Jarmon v. American Heritage Life Insurance Co.
267 A.2d 601 (Superior Court of Delaware, 1970)
Western & Southern Life Insurance v. Shelby
194 N.E. 197 (Indiana Court of Appeals, 1935)
Gans v. Ætna Life Insurance Co. of Hartford
108 N.E. 443 (New York Court of Appeals, 1915)
Philadelphia Life Insurance v. Erwin
182 S.E. 209 (Supreme Court of Virginia, 1935)
Norris v. Travelers Insurance
79 P.2d 842 (Supreme Court of Kansas, 1938)
Silliman v. International Life Insurance
131 Tenn. 303 (Tennessee Supreme Court, 1914)

Cite This Page — Counsel Stack

Bluebook (online)
555 F. Supp. 1022, 1983 U.S. Dist. LEXIS 19400, Counsel Stack Legal Research, https://law.counselstack.com/opinion/goldwater-v-jackson-national-life-insurance-cand-1983.