Half v. Metropolitan Life Insurance

65 Pa. D. & C.4th 246, 2003 Pa. Dist. & Cnty. Dec. LEXIS 97
CourtPennsylvania Court of Common Pleas, Alleghany County
DecidedDecember 8, 2003
Docketno. GD95-17631, GD95-15437, GD95-9028, GD95-16273, GD95-17627, GD95-15438, GD94-10543
StatusPublished
Cited by2 cases

This text of 65 Pa. D. & C.4th 246 (Half v. Metropolitan Life Insurance) is published on Counsel Stack Legal Research, covering Pennsylvania Court of Common Pleas, Alleghany County primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Half v. Metropolitan Life Insurance, 65 Pa. D. & C.4th 246, 2003 Pa. Dist. & Cnty. Dec. LEXIS 97 (Pa. Super. Ct. 2003).

Opinion

WETTICK, J.,

INTRODUCTION

There are more than 200 lawsuits pending in this court involving alleged improper sales practices of insurance companies. The parties selected seven “test cases” that would be initially tried.

In these seven cases, discovery has been completed and pretrial statements have been filed. In this opinion, I consider motions for summary judgment filed by defendants in each of the seven cases and motions for partial summary judgment filed by plaintiffs in most of the seven cases.

Half v. Metropolitan Life Insurance Company et at.

Metropolitan Life Insurance Company’s motion for summary judgment seeking dismissal of each of plain[250]*250tiff’s causes of action and plaintiff’s motions for partial summary judgment are the subjects of part I of this opinion.

On the basis of the evidence construed in a manner most favorable to plaintiff, the facts are as follows:

Plaintiff purchased a MetLife insurance policy in 1946 when he was 36 years old. The policy was a 20-year limited payment policy with a face amount of $10,000. (Amended complaint, exhibit 2.) As of December 10, 1989, the value of the policy was approximately $21,300. (Plaintiff’s exhibits, ex. 4 at 4.)

In 1990, a MetLife representative requested plaintiff to meet with him to discuss a truly exceptional offer. At that time, plaintiff (then almost age 80 and now age 93) was not actively seeking to increase his life insurance or to replace his 1946 policy which was growing in value. (Plaintiff’s exhibits, ex. 1, Howard Half deposition 9/ 15/97, T. 13-14.)

The sales representative informed plaintiff that he could convert his 1946 policy into a $50,000 Flexible-Premium Life Policy. (Amended complaint, ex. 3.) Because of the amount of accumulated funds in the 1946 policy, plaintiff would never need to make any out-of-pocket premium payments in connection with the conversion of his life insurance policy to $50,000. The insurance representatives told plaintiff that he might receive documents from MetLife indicating that premiums were due. However, this was a bookkeeping process that he should disregard. (T. 14, 20.)

The information that the sales representatives furnished plaintiff was not true.1 At the time of the purchase, [251]*251MetLife’s rate of interest was 8.25 percent.2 Even if this rate of interest was sustained, the $50,000 policy would have expired as of age 89 unless additional premium payments were made.3 See the initial annual statement which plaintiff received for the period ending January 10, 1991:

“Expiry Information

“If No Payments Are Made, Your Policy Will End On The Following dates: Assuming guaranteed interest and maximum cost of insurance rates = 06/1995 Assuming current rates = 01/1999

“If modal premiums are paid, your policy will end on the following dates: Assuming guaranteed interest and maximum cost of insurance rates = 12/2001”

Plaintiff testified that he did not realize that the policy he received would not be funded in the manner which the sales representatives represented, until he saw newspaper articles in 1994 talking about promises made by [252]*252insurance companies that were inconsistent with the provisions of the policies. (T. 22.)

Through an unsolicited July 16, 2001 letter to plaintiff, MetLife guaranteed a death benefit of $50,000 under the policy at no further cost to the policyholder.4 (MetLife’s motion, ex. I.)

Plaintiff’s amended complaint has six counts: Count I, fraud and deceit; Count II, negligence (breach of duty to provide full and correct information); Counts III and IV, violations of the Unfair Trade Practices and Consumer Protection Law, 73 P.S. §201-1 et seq.; Count V, breach of implied covenant of good faith and fair dealing; and Count VI, negligent supervision. Plaintiff’s second amended complaint contains the following counts relating to the deferred acquisition cost tax (DAC tax): Count I, fraud and deceit; Count II, negligence/willful disregard; Count VII, bad faith based on the Unfair Insurance Practices Act, 40 Pa.C.S. §1171.5 and the Bad Faith Statute, 42 Pa.C.S. §8371; and Count VIII, breach of contract and implied covenant of good faith and fair dealing.

Initially, I consider the fraud claims raised in Count I of plaintiff’s amended complaint based on the representations of the sales representatives that a new $50,000 policy could be purchased with the accumulated cash value in the 1946 policy. MetLife seeks dismissal on the following grounds: the statute of limitations, the parol evidence rule, the absence of justifiable reliance, and the absence of any damages.

[253]*253I initially consider the statute of limitations defense. Fraud claims are governed by a two-year limitation period and this lawsuit was not filed until more than five years after the fraud. Plaintiff relies on the doctrine of fraudulent concealment.

The legal standards governing the doctrine of concealment are set forth in my November 7, 1994 memorandum entered in Old Republic Insurance Co. v. ARA Services Inc., no. GD90-12590 (C.P. Allegheny 11/7/94). (MetLife’s master appendix vol. II ex. 36 at 19-22.) These pages 19-22 follow as pages 253-55 of this opinion:

“Old Republic, however, relies on an alternative tolling principle — the doctrine of fraudulent concealment. Under this doctrine, the limitation period is tolled if the plaintiff, instead of conducting an independent inquiry, relies on misrepresentations which the plaintiff reasonably believes to be true. See Molineux v. Reed, 516 Pa. 398, 402-403, 532 A.2d 792, 794 (1987):

“The governing principles relevant to the establishment of a claim of estoppel based on fraud or concealment are as follows. Where, ‘through fraud or concealment, the defendant causes the plaintiff to relax his vigilance or deviate from his right of inquiry,’ the defendant is estopped from invoking the bar of the statute of hmitations. Schaffer v. Larzelere, 410 Pa. 402, 405, 189 A.2d 267, 269 (1963). Moreover, defendant’s conduct need not rise to fraud or concealment in the strictest sense, that is, with an intent to deceive; unintentional fraud or concealment is sufficient. Walters v. Ditzler, 424 Pa. 445, 227 A.2d 833 (1967); Nesbitt v. Erie Coach Company, 416 Pa. 89, 204 A.2d 473 (1964). Mere mistake, misunderstanding or lack of knowledge is insufficient however, Schaffer v. Larzelere, supra; and the burden of prov[254]*254ing such fraud or concealment, by evidence which is clear, precise and convincing, is upon the asserting party. Nesbitt v. Erie Coach Company, supra.”

“In Silverman v. Bell Savings & Loan Association, 367 Pa. Super. 464, 533 A.2d 110 (1987), the court rescinded the sale of property because the seller falsely represented to the buyer that the zoning ordinances permitted the back portion of the property to be used for commercial parking.

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65 Pa. D. & C.4th 246, 2003 Pa. Dist. & Cnty. Dec. LEXIS 97, Counsel Stack Legal Research, https://law.counselstack.com/opinion/half-v-metropolitan-life-insurance-pactcomplallegh-2003.