Jones v. New England Life Insurance

974 F. Supp. 1476, 1996 U.S. Dist. LEXIS 21837, 1996 WL 910773
CourtDistrict Court, M.D. Georgia
DecidedNovember 1, 1996
Docket6:95-cv-00019
StatusPublished
Cited by5 cases

This text of 974 F. Supp. 1476 (Jones v. New England Life Insurance) is published on Counsel Stack Legal Research, covering District Court, M.D. Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jones v. New England Life Insurance, 974 F. Supp. 1476, 1996 U.S. Dist. LEXIS 21837, 1996 WL 910773 (M.D. Ga. 1996).

Opinion

ORDER

SANDS, District Judge.

Presently before the Court is Defendants’ motion for summary judgment.

Background

Plaintiff brought this case in the Superior Court of Brooks County, Georgia, seeking damages for alleged misrepresentations by an insurance agent and for alleged violations of the Georgia Insurance Code. Defendants removed the ease to this Court on the basis of diversity of citizenship.

Plaintiff was employed at the Pic ‘n Save Drugs store in Valdosta, Georgia. Effective June 3, 1990, National Merchandise Company, Inc., the parent owner of Pic ‘n Save Drugs stores, offered long term disability insurance coverage to its employees through a group policy issued by UNUM Life Insurance Company. National Merchandise also allowed employees to select alternate individual disability insurance and to pay premiums through payroll deduction.

In 1990, Cheryl Katz, Employee Benefits Manager for National Merchandise, spoke with plaintiff and other employees at the Valdosta store. In addition to her employment by National Merchandise, Katz was also an insurance agent authorized to submit applications to defendant New England Insurance Company (“New England”). Apparently based on his conversation with Ms. Katz, plaintiff applied for a disability policy from New England. In response to his application, plaintiff received policy number D171629.

On July 21, 1993, plaintiff filed a civil action against New England in Seminole County, Florida seeking disability benefits under policy number D171629 and punitive damages. Plaintiffs Seminole County complaint read, in relevant part:

My name is Robert H. Jones. By profession, I am a pharmacist, sixty years of age, and a veteran. I am an honest law-abiding citizen and of the Baptist faith since age eleven.
Several years ago I took out a disability policy with THE NEW ENGLAND. The policy # D 171629. I became disabled and THE NEW ENGLAND paid what they agreed for several months. For no apparent reason they discontinued their payments. I am sueing [sic] THE NEW ENGLAND for $180,000.00 (one hundred eighty thousand and no/100) actual amount owed, and for ten million ($10,000,000.00). I am doing this to keep THE NEW ENGLAND, A[sie] large company, from cheating anyone else.

New England removed the Seminole County case to the United States District Court for the Middle District of Florida, Orlando Division, and filed counterclaims for rescission and restitution. The Florida case culminated in a trial by jury, and the verdict entered by the Court read, in relevant part:

It is ordered and adjudged that Judgment be entered in favor of Defendant, New England Mutual Life Insurance Company, and against Plaintiff, Robert H. Jones on *1478 the jury verdict on the claims of Plaintiff, Robert H. Jones.
On the claim for recission [sic] and restitution of Defendant, New England Mutual Life Insurance Company, Judgment is entered in favor of Defendant, New England Mutual Life Insurance Company and against Plaintiff, Robert H. Jones as follows:
a) The Disability Policy No. D 171629 is rescinded;
b) Defendant, New England Mutual Life Insurance Company, shall pay to Plaintiff, Robert H. Jones, the amount of premiums paid by Plaintiff to Defendant in the amount of $1,537.47;
c) Plaintiff, Robert H. Jones shall pay to Defendant, New England Mutual Life Insurance Company, the benefits Defendant paid to Plaintiff in the amount of $15,000;
d) Thus, Judgment is entered in favor of Defendant, New England Mutual Life Insurance Company, and against Plaintiff, Robert H. Jones, on the claim of rescission and restitution, in the amount of $13,-462.53.

Plaintiff appealed the decision of the Florida District Court to the Eleventh Circuit, but the appeal was dismissed for want of prosecution on January 9,1996.

Plaintiff filed the instant complaint in the Superior Court of Brooks County Georgia on February 22, 1995. Plaintiffs complaint reads, in relevant part:

My name is Robert H. Jones and I was working as a pharmacist for Pie and Save Drugs in Valdosta, Ga., beginning in 1987. I was covered under a disability policy from that time until 1990 when I was enticed by false promises to give up my coverage to purchase a policy which resulted in no coverage as this policy was rescinded by the insurance company based on the medical questionaire [sic]. This suit I based not on that policy but on the fact that New England through thier [sic] agents did not abide by the insurance laws of Georgia as far as replacement law, misrepresentation and other appliciable [sic] laws. These illegal actions caused me damages in amount of $1,000,000.00 actual damages and $10,000,000.00 injury and damages otherwise. I am asking $100,-000,000.00 in punitive damages____ I am also sueing [sic] because of the illegal act that the defendants used forms not on file with State of Georgia and approved by the Georgia State Insurance Comm, as the enticement for me to drop my disability insurance and buy a policy of less coverage and reliability and as result of these illegal taties [sic] I have suffered greatly.

Defendants’ motion for summary judgment asserts that plaintiffs claims are either barred by the doctrine of res judicata or should be dismissed for failure to state a claim upon which relief can be granted.

Discussion

Rule 56(c) of the Federal Rules of Civil Procedure provides that summary judgment shall be “rendered forthwith if the pleadings, depositions, answers to interrogatories-and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter of law.” Fed.R.Civ.P. 56(c).

[T]he plain language of Rule 56(e) mandates the entry of summary judgment, after adequate time for discovery and upon motion, against a party who fails to make a showing sufficient to establish the existence of an element essential to that party’s case, and on which that party will bear the burden of proof at trial.

Celotex Corp. v. Catrett, 477 U.S. 317, 322, 106 S.Ct. 2548, 2552, 91 L.Ed.2d 265 (1986). In this regard, the nonmoving party must put forth more than a mere scintilla of evidence, “there must be enough of a showing that the jury could reasonably find for that party.” Walker v. Darby, 911 F.2d 1573, 1577 (11th Cir.1990). Further, “the mere existence of some alleged factual dispute between the parties will not defeat an otherwise properly supported motion for summary judgment----” Anderson v. Liberty Lobby, Inc.,

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974 F. Supp. 1476, 1996 U.S. Dist. LEXIS 21837, 1996 WL 910773, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jones-v-new-england-life-insurance-gamd-1996.