Jackson National Life Insurance v. Proper

760 F. Supp. 901, 1991 U.S. Dist. LEXIS 4011, 1991 WL 45097
CourtDistrict Court, M.D. Florida
DecidedMarch 13, 1991
Docket89-1299-Civ-T-17B, 89-1478-Civ-T-17B
StatusPublished
Cited by8 cases

This text of 760 F. Supp. 901 (Jackson National Life Insurance v. Proper) is published on Counsel Stack Legal Research, covering District Court, M.D. Florida 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 v. Proper, 760 F. Supp. 901, 1991 U.S. Dist. LEXIS 4011, 1991 WL 45097 (M.D. Fla. 1991).

Opinion

ORDER

KOVACHEVICH, District Judge.

This cause is before the Court on both parties’ motions for summary judgment. The Court also has for consideration the defendant’s motion to strike certain affidavits filed by the plaintiff.

The Court denies Defendant’s motion to strike certain affidavits filed by the Plaintiff in response to the Defendant’s motion for summary judgment. The Court has read those affidavits and has considered them in making its ruling on both parties’ motion for summary judgment.

FACTS

Plaintiff, Jackson National Life Insurance Company (Jackson), filed a complaint for Declaratory Decree requesting this Court enter a judgment that Jackson is not liable for $200,000.00 of life insurance coverage under the policy of insurance issued to the decedent, Richard N. Proper, and declare the policy of insurance void ab ini-tio. Jackson has moved for summary judgment on two grounds. First, Jackson argues that Mr. Proper’s policy should be declared void ab initio under Florida Statute Section 627.409(1) because Mr. Proper made certain misrepresentations, omissions and incorrect statements in his application for life insurance that are highly material to his eligibility for a Yearly Renewable Term to 100 policy and if Jackson had known the true facts, it would not have issued Mr. Proper a policy for insurance. Mr. Proper is alleged to have failed to provide any information concerning his problems swallowing solids and liquids, his hospitalization and treatment for chest *902 pains, his use of prescription medications and his substantial weight loss.

In addition, Jackson argues that Mr. Proper’s policy should be declared void ab initio because Mr. Proper failed to give Jackson written notice of his change in health prior to the delivery of his Policy. Mr. Proper did not inform Jackson in writing that he had been diagnosed as having cancer of the esophagus.

Defendant Deborah M. Proper has filed a counterclaim for the $200,000.00 of life insurance benefits allegedly due and owing to Mrs. Proper as to the policy’s named beneficiary. Mrs. Proper has moved for summary judgment on the basis that Jackson is not able to sustain its burden of proof on the issue that the unreported medical incidents were material to the issuance of the policy under any of the provisions of Florida Statute Section 627.409. The Defendant also argues that Jackson has either waived or is estopped from claiming that it was entitled to written notice of Mr. Proper’s change in health because Mr. Proper informed Jackson’s insurance agent of the cancer when the policy was delivered.

On June 9, 1988, Mr. Proper completed Part I and Part II of the insurance application by supplying certain information including medical information to life insurance agent James A. Burns. Part III of the application was completed by Mr. Proper on July 14, 1988 when he supplied the required medical information to Carol Tos-cani, a registered nurse. Mr. Proper signed each part of the application after it was completed.

The language directly above Mr. Proper’s signature in Part I of the application which was incorporated into the policy stated that:

I understand that no policy based on this application will be effective unless all of my statements and answers in the application continue to be true as of the date I receive the policy. I understand that if my health or any of my answers or statements change pri- or to the delivery of the policy, I must so inform the company in writing.
(Plaintiff’s Memorandum at 4, citing, Application for Life Insurance, Exhibit “A,” Affidavit of Jose R. De La Garza.)

In Part II of the application which was incorporated into the policy stated directly above Mr. Proper’s signature that:

I (We), hereinafter jointly referred to as I, represent that all statements and answers made in all parts of this application are full, complete and true to the best of my (our) knowledge and belief. It is agreed that:
(a) all such statements and answers shall be the basis of any insurance issued.
(b) no agent or medical examiner can make, alter or discharge any contract, accept risks, or waive the company’s rights or requirements. No information or statement made available or given by or to the agent or examiner shall bind the company unless put in writing in this section.
I understand that no policy based on this application will be effective unless all of my statements and answers in the application continue to be true as of the date I receive the policy. I understand that if my health or any of my answers or statements change prior to the delivery of the policy, I must so inform the company in writing.

(Id.)

Part III of the application which was incorporated into the policy also stated directly above Mr. Proper’s signature that:

I understand that no policy based on this application will be effective unless all of my statements and answers in the application continue to be true as of the date I receive the policy. I understand that if my health or any of my answers or statements change prior to the delivery of the policy, I must so inform the company in writing.

(Id. at 5.)

Failure to Disclose Swallowing Problems

In both Part II and Part III of the application, Questions 1(a) asked:

*903 (1) Have you ever been treated for, or ever had any indication of:
(a)Disorder to the eyes, ears, nose, mouth or throat?
(Plaintiffs Memorandum at 5. Application for Life Insurance, Exhibit “A,” Affidavit of Jose R. De La Garza.)

Mr. Proper answered “no” to Question 1(a) in Part II. However in Part III, Mr. Proper answered “yes” to the same question. He explained that he had a tonsillectomy with no complications when he was six years old and that he had to wear corrective bi-focal lenses. (Id.)

On June 17, 1988, three days after Mr. Proper completed his application for insurance, he visited his family physician, Dr. David B. Brecher. (Plaintiffs Memorandum at 5, citing Deposition of David B. Brecher, M.D., February 16, 1990, at 4-5.) At this time, Mr. Proper complained of a one-month history of swallowing problems. (Id.) Mr. Proper told Dr. Brecher that over the month’s time he had difficulty swallowing solids and liquids and had a mild pain which Dr. Brecher diagnosed as epigastric pain. (Id.)

On June 28, 1988, only two weeks after Mr. Proper completed his application for insurance, Dr. Karoly Kiss performed an endoscopy on Mr. Proper and discovered a long tubular mass partially obstructing his esophagus. (Deposition of Karoly Kiss, M.D., February 16, 1990, at 10.) A biopsy was taken on the same day. (Id.) The biopsy was positive and Mr. Proper was diagnosed as having cancer of the esophagus on June 29, 1988. (Id.)

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760 F. Supp. 901, 1991 U.S. Dist. LEXIS 4011, 1991 WL 45097, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jackson-national-life-insurance-v-proper-flmd-1991.