Jackson National Life Insurance Company v. Sterling Crum

CourtCourt of Appeals for the Eleventh Circuit
DecidedFebruary 4, 2022
Docket20-11280
StatusUnpublished

This text of Jackson National Life Insurance Company v. Sterling Crum (Jackson National Life Insurance Company v. Sterling Crum) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eleventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jackson National Life Insurance Company v. Sterling Crum, (11th Cir. 2022).

Opinion

USCA11 Case: 20-11280 Date Filed: 02/04/2022 Page: 1 of 20

[DO NOT PUBLISH] In the United States Court of Appeals For the Eleventh Circuit

____________________

No. 20-11280 ____________________

JACKSON NATIONAL LIFE INSURANCE COMPANY, Plaintiff-Counter Defendant, Appellee, versus STERLING CRUM,

Defendant-Counter Claimant, Appellant. ____________________

Appeal from the United States District Court for the Northern District of Georgia D.C. Docket No. 1:17-cv-03857-WMR ____________________ USCA11 Case: 20-11280 Date Filed: 02/04/2022 Page: 2 of 20

2 Opinion of the Court 20-11280

Before BRANCH, GRANT, and JULIE CARNES, Circuit Judges. JULIE CARNES, Circuit Judge: This case presents an issue of first impression regarding what constitutes an illegal wagering contract under Georgia insurance law. Plaintiff Jackson National Life Insurance Company issued a $500,000 life insurance policy to Kelly Couch after the latter falsely represented that he was not HIV positive. At the time, during the 1990s, HIV-positive individuals had a greatly diminished life expec- tancy, which led to high demand for HIV-positive insureds willing to engage in viatical settlements. 1 Indeed, it seems clear that Couch obtained the policy for the sole purpose of selling it to a third-party buyer and pocketing the purchase price. Had Couch entered into a purchase agreement with a buyer at the time he applied for the policy, the policy clearly would have been void as an illegal wagering contract. He did not do that, how- ever. Instead, at some undetermined point before or after procure- ment of the policy, Couch began working with an intermediary— a brokerage agency specializing in viatical settlements—to find a buyer for his policy. Within eight months of the issuance of the policy, the agency found a willing purchaser in defendant Sterling

1 A viatical settlement is an arrangement whereby a person, usually with a terminal illness, sells a life insurance policy to a third party for less than its mature value in order to obtain funds that the insured can use while alive. USCA11 Case: 20-11280 Date Filed: 02/04/2022 Page: 3 of 20

20-11280 Opinion of the Court 3

Crum. The premiums were paid through a premium reserve fund set up by the broker until after the two-year contestability period for the policy expired in 2001. 2 At that point, Defendant began di- rectly paying the policy premiums and he continued on for eight more years, finally letting the policy lapse in 2009. As it turned out, Couch had died in 2005, at a time when Defendant was still making payments on the policy. Eleven years later, in 2016, Defendant became aware that Couch had died. He then made a claim for the death benefit under Couch’s policy. De- clining payment of any death benefit to Defendant, Plaintiff filed this declaratory judgment action seeking a declaration that, under Georgia law, the policy was void ab initio as an illegal human life wagering contract and further that Defendant’s claim was barred by laches, given the eleven-year delay in making the claim. The district court conducted a bench trial and found that Couch took out the policy on his own life with the intent to sell the policy in the near future to one without an insurable interest. Ac- cordingly, the court concluded that the insurance policy was void and unenforceable as an illegal human life wagering contract under Georgia law. 3 Defendant appeals, arguing that Couch’s unilateral

2 Under Georgia law, a life insurance company has two years to uncover any fraudulent representations made by the insured. After that point, the com- pany can no longer invalidate the policy based on the insured’s false represen- tations. 3 The parties agree that Georgia law governs. USCA11 Case: 20-11280 Date Filed: 02/04/2022 Page: 4 of 20

4 Opinion of the Court 20-11280

intent to sell the policy is insufficient to declare the policy void ab initio. Rather, Defendant contends, Georgia law also requires the knowing and direct involvement of an identified third-party bene- ficiary at the time of the initial procurement of the policy before one can characterize the policy as an illegal human life wagering contract. Thus, the question before this Court is whether a life insur- ance policy is void ab initio if it is procured by an individual on his own life for the sole purpose of selling the policy to a third party without an insurable interest in the insured, but without the com- plicity of the ultimate purchaser at the time of procurement. Geor- gia caselaw does not definitively answer this question. Accord- ingly, certification to the Georgia Supreme Court is warranted pur- suant to O.C.G.A. § 15-2-9(a). I. BACKGROUND A. Factual Background In August 1998, Kelly Couch applied for a term life insurance policy with a $500,000 death benefit from Plaintiff. It is undisputed that Couch made several material misrepresentations in his appli- cation for the policy: (1) he used an incorrect Social Security num- ber, (2) he failed to disclose that he had filed for bankruptcy twice in the past seven years, and (3) he represented that he was a healthy 32-year old man, when in fact he was HIV-positive. That Couch would seek such a large life insurance policy, absent any depend- ents who relied on his income, seems odd. Even odder is the fact USCA11 Case: 20-11280 Date Filed: 02/04/2022 Page: 5 of 20

20-11280 Opinion of the Court 5

that Couch, who had a troubled financial history involving two bankruptcy filings in seven years, would expend much needed cash on a life insurance policy for which there was no identified benefi- ciary. 4 The answer to the “why” motivating Couch was the AIDS crisis, which, having begun in the 1980s, gave rise to a flourishing viatical settlement industry selling life insurance policies held by HIV-positive individuals. At first, most of these policies were clearly legitimate, as they typically involved an HIV-positive in- sured individual selling for a lump sum to a third party a policy he had acquired without fraudulent representations at a time when he was healthy. The third party could purchase for a fraction of its value a life insurance policy on a person whose life expectancy was quite short; the insured, dying of what was then a terminal and quick-acting disease, would then gain some needed cash in his final months. Eventually, however, the demand by viatical investors for HIV-positive insureds outstripped the supply of policies purchased non-fraudulently when an insured was healthy. Nevertheless, the ability to purchase for a fraction of its value a life insurance policy on a person likely to soon die remained too tempting a proposition to lie untapped by potential investors. Thus, some HIV-positive individuals began working with insurance brokers to market life insurance policies that the former had fraudulently procured after having received an HIV diagnosis. One scheme to effect this plan

4 Couch listed his estate as his beneficiary. USCA11 Case: 20-11280 Date Filed: 02/04/2022 Page: 6 of 20

6 Opinion of the Court 20-11280

was “clean sheeting,” which involved the use of an imposter’s clean blood sample on behalf of an HIV-positive insurance applicant and which thereby enabled the applicant to fraudulently obtain a life insurance policy that could then be sold to a third party for profit. Couch had received two HIV-positive blood tests in the weeks surrounding his application for life insurance in 1998. 5 At that time, his life expectancy was 24-30 months, meaning that Plaintiff obviously would not have approved Couch’s application for a $500,000 life insurance policy had it known about his HIV- positive status.

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Bluebook (online)
Jackson National Life Insurance Company v. Sterling Crum, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jackson-national-life-insurance-company-v-sterling-crum-ca11-2022.