Howard L. Chabner v. United of Omaha Life Insurance Company

225 F.3d 1042, 10 Am. Disabilities Cas. (BNA) 1705, 2000 Cal. Daily Op. Serv. 7542, 2000 Daily Journal DAR 9995, 2000 U.S. App. LEXIS 22770
CourtCourt of Appeals for the Ninth Circuit
DecidedSeptember 11, 2000
Docket19-35797
StatusPublished
Cited by170 cases

This text of 225 F.3d 1042 (Howard L. Chabner v. United of Omaha Life Insurance Company) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Howard L. Chabner v. United of Omaha Life Insurance Company, 225 F.3d 1042, 10 Am. Disabilities Cas. (BNA) 1705, 2000 Cal. Daily Op. Serv. 7542, 2000 Daily Journal DAR 9995, 2000 U.S. App. LEXIS 22770 (9th Cir. 2000).

Opinion

HUG, Chief Judge:

Plaintiff/Appellee Howard Chabner brought suit against DefendanVAppellant United of Omaha Insurance Company (“United”) for alleged violations of the Americans with Disabilities Act (“ADA”) *1045 and of various California state laws. Chabner, who is disabled, claims that United unfairly discriminated against him by offering him a life insurance policy that substantially overcharged him for any increased mortality risk associated with his disability. The district court held that Chabner had a valid claim under both state law and the ADA, and finding no genuine issue of material fact, the district court granted summary judgment for Chabner. See Chabner v. United of Omaha Life Ins. Co., 994 F.Supp. 1185 (N.D.Cal.1998). The court directed United to issue Chabner a new policy that conformed to its order granting summary judgment. United appeals both the summary judgment and the order requiring modification of the policy.

Upon careful review of the record we have found that no genuine issue of material fact exists, and that summary judgment for Chabner was appropriate. We do not, however, base our decision on the ADA. We instead rest our decision on California law, which provides Chabner with the remedy he seeks for the misconduct he has alleged. We therefore affirm, although not for all of the reasons relied upon by the district court.

FACTS

Howard Chabner suffers from a progressive condition called facioscapulohum-eral muscular dystrophy (FSH MD), a rare form of muscular dystrophy. The condition has confined Chabner to a wheelchair since 1991 and has caused “marked wasting” of his extremities. Chabner takes medication to help control the condition, and his doctor administers annual electrocardiograms to detect any cardiom-yopathy that may arise.

On May 3, 1993, Chabner, who was 35 years old at the time, applied to United for whole life insurance. 1 United forwarded Chabner’s application to an underwriter who had experience in underwriting insurance policies for applicants with muscular dystrophy, but not with FSH MD. United possessed no internally developed actuarial data for people with FSH MD, and so its underwriter turned to external sources to estimate Chabner’s mortality risk. The underwriter, who was not a doctor, arranged to have Chabner examined by a paramedic, reviewed Chabner’s medical records, and consulted two underwriting source materials: the Cologne Life Reinsurance Company’s “Life Underwriting Manual” (“Cologne manual”); and “Medical Selection of Life Risks” by R.D.C. Brackenridge and W. John Elder (“Brack-enridge manual”). After reviewing these materials, the underwriter authorized a policy with a “Table 6” rating, which corresponded to a mortality rate of 150 percent above standard. 2

United offered Chabner a $100,000 whole life policy at a cost of $1,076 per year. Of the $1,076 annual premium, $305.44 was applied to the cost of insurance, and the remainder was invested in the policy’s cash accumulation and surrender values. By contrast, even though the annual premium for a standard whole life policy (without an increased mortality rating) would have been the same $1,076, only $155.44 of that annual premium would have been applied to the cost of insurance, which would result in an additional $150 being invested in the policy’s cash accumulation and surrender values each year.

Chabner accepted the policy, but inquired about the reason for his nonstandard premium. United’s Vice President and Senior Medical Director of Underwriting sent Chabner a letter attempting to explain the nonstandard rating. In the letter, United acknowledged that FSH MD “has only a small effect on mortality” and stated that it reduced life expectancy by four years for a non-smoking man of his *1046 age. Unsatisfied, Chabner wrote United on two more occasions to inquire why his premium was 96.5% greater than standard if his condition had only a small effect on mortality. United did not respond, and Chabner filed this action.

Chabner filed his original complaint in California Superior Court on January 3, 1995, alleging violations of California’s Insurance Code, its Business and Professions Code, its Unruh Civil Rights Act, and common law fraud. After United removed the case to federal court based on diversity jurisdiction, Chabner amended his complaint to add a claim under the ADA. 3 Chabner sought class certification and moved for summary judgment on all but his fraud claim. The district court denied class certification, but granted Chabner’s motion for summary judgment. See Chabner, 994 F.Supp. 1185. The district court held that the ADA applies to insurance underwriting, see id. at 1190-93, that California law provides Chabner with a private cause of action for the alleged violation of the state insurance code, see id. at 1189, ■ and that United’s actions in this case violated the ADA, the California Insurance Code and the Business and Professions Code, and the Unruh Civil Rights Act, see id. at 1193-96. In subsequent orders the court denied United’s motions for reconsideration and ultimately ordered United to issue Chabner a new policy that conformed to the court’s order granting summary judgment. The court dismissed Chabner’s remaining fraud claim, pursuant to Chabner’s request, and entered final judgment on September 28, 1998. United timely filed its notice of appeal on October 23,1998. We have jurisdiction pursuant to 28 U.S.C. § 1291.

DISCUSSION

I. The ADA

The district court’s interpretation of the ADA is a question of law that we review de novo. See Bay Area Addiction *1047 Research and Treatment, Inc. v. City of Antioch, 179 F.3d 725, 730 (9th Cir.1999).

Chabner alleges that the nonstandard premium that United charged him for his insurance policy violated the ADA. Recently, however, we held that although Title III of the ADA requires an insurance office to be physically accessible to the disabled, it does not address the terms of the policies the insurance companies sells. See Weyer v. Twentieth Century Fox Film Corp., 198 F.3d 1104, 1115 (9th Cir.2000). We therefore hold that United did not violate the ADA by offering Chabner a nonstandard policy.

Title III of the ADA provides: “No individual shall be discriminated against on the basis of disability in the full and equal enjoyment of the goods, services, facilities, privileges, advantages, or accommodations of any place of public accommodation by any person who owns, leases (or leases to), or operates a place of public accommodation.” 42 U.S.C. § 12182(a). The ADA also includes a “safe harbor” provision, which says that “[the ADA] shall not be construed to prohibit or restrict ... an insurer ...

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225 F.3d 1042, 10 Am. Disabilities Cas. (BNA) 1705, 2000 Cal. Daily Op. Serv. 7542, 2000 Daily Journal DAR 9995, 2000 U.S. App. LEXIS 22770, Counsel Stack Legal Research, https://law.counselstack.com/opinion/howard-l-chabner-v-united-of-omaha-life-insurance-company-ca9-2000.