Harrison Agency, Inc. v. Pacific Mutual Life Insurance

703 F. Supp. 441, 1989 U.S. Dist. LEXIS 318, 1989 WL 1172
CourtDistrict Court, W.D. North Carolina
DecidedJanuary 10, 1989
DocketNo. ST-C-86-150-P
StatusPublished
Cited by1 cases

This text of 703 F. Supp. 441 (Harrison Agency, Inc. v. Pacific Mutual Life Insurance) is published on Counsel Stack Legal Research, covering District Court, W.D. North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Harrison Agency, Inc. v. Pacific Mutual Life Insurance, 703 F. Supp. 441, 1989 U.S. Dist. LEXIS 318, 1989 WL 1172 (W.D.N.C. 1989).

Opinion

ORDER

ROBERT D. POTTER, Chief Judge.

I. PRELIMINARY STATEMENT

THIS MATTER is before the Court on Defendant’s Motion for Summary Judgment, filed January 27, 1988, pursuant to Rule 56 of the Federal Rules of Civil Procedure. On September 30, 1988, a hearing on this motion and other outstanding motions was conducted, the undersigned presiding.1 Jim W. Phillips, Jr., Michael D. Meeker, and Dan R. Murray appeared on behalf of Plaintiffs, and Alan W. Duncan and Jon Berkelhammer appeared on behalf of Defendant. After hearing counsel’s arguments, the undersigned took the outstanding motions under advisement. For the reasons that follow, Defendant’s Motion for Summary Judgment will be granted in part and denied in part, and this Court will dismiss Plaintiffs’ breach of contract claim, promissory estoppel claim, and tortious interference with business relations claim.

II. NATURE OF THE CASE

This case involves a group dental insurance program that Plaintiffs — a licensed insurance agent and his company — offered to state and local governmental employees in North Carolina. Plaintiffs allege that Defendant is liable to them because they spent their time, money, and effort organizing and implementing the program in reliance upon at least one of Defendant’s representatives, who assured them that De[443]*443fendant would underwrite the program.2 Defendant contends that Plaintiffs are entitled to nothing because the program — as structured and offered — violated both North Carolina’s insurance laws and Defendant’s risk-assessment guidelines and because Defendant never agreed to underwrite the program.

Plaintiffs allege Defendant is liable to them under one or more of these theories: (1) fraud, (2) breach of contract, (3) promissory estoppel, (4) tortious interference with business relations, (5) unfair trade practices, and (6) negligent supervision of employees. Plaintiffs claim actual damages in the amount of $4,900,000.00 for out-of-pocket expenses, damage to business reputation, loss of goodwill, lost profits, and lost commissions and fees. In addition, Plaintiffs claim they are entitled under Sections 75-16 of the General Statutes of North Carolina to treble damages in the amount of $14,700,000.00 because Defendants allegedly engaged in unfair and deceptive trade practices. Plaintiffs also claim they are entitled to reasonable attorney’s fees and punitive damages.

Defendant has counterclaimed against Plaintiffs for Defendant’s losses, which Defendant asserts it has suffered because it has issued allegedly unprofitable individual dental insurance policies to people Plaintiffs solicited before Defendant communicated to Plaintiffs its unwillingness to underwrite the group dental insurance program. Defendant asserts these losses— which allegedly will exceed $500,000.00— were caused by Plaintiffs’ negligence, misrepresentations, tortious interference with business relations, and other “wrongful actions.”

This Court’s subject-matter jurisdiction over this case is based upon the parties’ complete diversity of citizenship, 28 U.S.C. A. § 1332(a) (West Supp.1988), and, therefore, this Court must apply the substantive law of the State of North Carolina, 28 U.S.C.A. § 1652 (West 1966 & Supp.1988) (“Rules Decision Act”); Erie R.R. Co. v. Tompkins, 304 U.S. 64, 58 S.Ct. 817, 82 L.Ed. 1188 (1938); see also N.C.Gen.Stat. § 58-28 (1982) (“All contracts of insurance on property, lives or interests in this State shall be deemed to be made therein, and all contracts of insurance the applications for which are taken within the State shall be deemed to have been made within this State and are subject to the laws thereof.”). The parties have recognized this and have cited North Carolina statutes and cases in their briefs.

III. FACTS3

Plaintiff Tony B. Harrison (“Harrison”) is a citizen and resident of Allegheny County, North Carolina. For all times relevant to this case, Harrison was a licensed insurance agent in North Carolina; he has been involved in the insurance business since 1974.4 Plaintiff The Harrison Agency, Inc., (“the Agency”) is a corporation — begun by Harrison — organized and existing under the laws of the State of North Carolina, with its principal office and place of business in Mount Airy, North Carolina. The Agency’s business was to solicit and train independent insurance agents who would sell insurance on behalf of insurance companies for which Harrison was a general agent.5

[444]*444Defendant Pacific Mutual Life Insurance Company (“Pacific Mutual”) is a corporation organized and existing under the laws of the State of California, with its principal place of business in Newport Beach, California; it is duly authorized and registered to do business in the State of North Carolina.6 Pacific Mutual is an insurance company offering life, health, and disability insurance. It has an “A-plus” rating from BEST Insurance guidelines.7

In late 1984, Harrison became interested in providing dental insurance to certain state government employees in North Carolina.8 Harrison sought to have the dental insurance program underwritten by an insurance company with an A plus rating.9

In late May or early June of 1985, Harrison was given a booklet describing a voluntary dental program in Kentucky underwritten by Pacific Mutual.10 Harrison telephoned Pacific Mutual in California, identified himself, and explained that he wanted to speak to someone about the possibility of having Pacific Mutual underwrite a dental insurance program for North Carolina state employees.11 Harrison was referred to Peter Kremers (“Kremers”), a Pacific Mutual sales representative in San Diego, California.12

Harrison explained to Kremers that he was looking for an insurance company to underwrite a group dental insurance policy for North Carolina state employees. Kremers expressed some interest in the proposed program — apparently because he was aware that Pacific Mutual had underwritten other group dental insurance programs — and told Harrison that he should call Pacific Mutual’s Atlanta office and speak with David Westfall (“Westfall”), Pacific Mutual’s Regional Vice President for the Eastern portion of United States.13

Harrison called Westfall and told him that he had spoken to Kremers and that Kremers had asked Harrison to contact Westfall. Harrison explained to Westfall that he was interested in Pacific Mutual’s underwriting support for a group dental insurance program for North Carolina state employees.14 After hearing Harrison’s proposal, Westfall initially said that Pacific Mutual would not be interested in such a program because the company could not do separate billings for a large number of people.15

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Cite This Page — Counsel Stack

Bluebook (online)
703 F. Supp. 441, 1989 U.S. Dist. LEXIS 318, 1989 WL 1172, Counsel Stack Legal Research, https://law.counselstack.com/opinion/harrison-agency-inc-v-pacific-mutual-life-insurance-ncwd-1989.