Krohngold v. National Health Insurance

825 F. Supp. 996, 1993 U.S. Dist. LEXIS 9343, 1993 WL 254378
CourtDistrict Court, M.D. Florida
DecidedFebruary 18, 1993
Docket90-580-CIV-T-15B
StatusPublished
Cited by2 cases

This text of 825 F. Supp. 996 (Krohngold v. National Health Insurance) 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
Krohngold v. National Health Insurance, 825 F. Supp. 996, 1993 U.S. Dist. LEXIS 9343, 1993 WL 254378 (M.D. Fla. 1993).

Opinion

ORDER GRANTING SUMMARY JUDGMENT

MERRYDAY, District Judge;

This is a libel action in which the defendants seek summary judgment. (D-22) Summary judgment is proper only “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 judgment as a matter of law.” Celotex Corp. v. Catrett, 477 U.S. 317, 322, 106 S.Ct. 2648, 2552, 91 L.Ed.2d 265 (1986). In evaluating motions for summary judgment, fact issues are resolved pre-emptively in the manner most favorable to the non-moving party. United of Omaha Life Ins. v. Sun Life Ins. Co., 894 F.2d 1555, 1558 (11th Cir.1990).

The parties stipulate to the following facts. (D-47) In January, 1988, Krohngold was appointed as an agent of National Health Insurance Company (“National”). On November 27, 1989, National sent a letter to 214 of National’s insureds. Krohngold claims that National libeled him in the letter. The letter informed each insured that Krohngold was no longer an agent with National and identified the new agent for their account. The letter states:

We appreciate your trust as a valued policyholder of National Health Insurance *998 Company. Since we are concerned about our customers, we are writing to alert you to a situation that could affect your eligibility for hospital-surgical insurance benefits.
The agent from whom you purchased your present National Health Insurance policy, Ralph Krohngold, no longer represents our Company. Due to your agent’s leaving, our. Regional Manager in your area, Bob Bodkin will now service your needs. Rest assured your coverage with National Health will continue with no changes whatsoever, provided you keep your coverage in force.
Please be aware that as some agents leave one insurance company and begin to work for another, they make it a practice to build their business by contacting former customers in an attempt to “roll” them into coverage with their new insurance company. This replacement practice is unlawful and could result in a loss of benefits. Another company may deny claims under a new policy due to waiting periods and limitations for “pre-existing conditions”. These claims probably would have been payable under their original coverage with National Health, had it remained in force.
Should Ralph Krohngold contact you and attempt to replace your present National Health Insurance policy, please call us immediately so we can assist you in protecting your insurance' benefits.
If you have any concerns about your coverage or questions about other benefits available through USA For Health Care or National Health Insurance Company, call Bob Bodkin at our regional office 813^149-2000. If you are unable to reach them, feel free to call our Home Office directly at 1-800-747-1900, ext. 405.

The defendants contend that their letter contains neither a falsehood nor an accusation of wrongful conduct. They further claim that Krohngold cannot prove the special damages necessary to recover under libel per quod and that, absent malice, Krohngold cannot overcome the defendants’ qualified privilege. Krohngold attempts no proof of special damages and bases his suit exclusively on the theory of libel per se.

In order for a publication to be libelous per.se, the publication considered alone and without innuendo (1) must tend to subject a person to hatred, distrust, ridicule, contempt, or disgrace; 2) must tend to injure a person in á trade or profession; or 3) must attribute to a person either conduct, characteristics, or conditions incompatible with the proper exercise of a lawful business, trade, profession, or office. Perry v. Cosgrove, 464 So.2d 664 (Fla. 2d DCA 1985); Barry College v. Hull, 353 So.2d 575 (Fla.1977). If the plaintiff demonstrates that the publication was facially libelous, no proof of special damages is necessary. Layne v. Tribune Co., 108 Fla. 177, 146 So. 234, 236 (1933).

The defendants contend that the letter contains no false or defamatory statement, an essential element of libel. The existence of libel under these circumstances depends upon whether the statement is reasonably subject to defamatory interpretation. Keller v. Miami Herald Pub. Co., 778 F.2d 711 (11th Cir.1991). If a publication is subject only to one interpretation, the Court determines whether the statement is defamatory. However, if the publication is ambiguous or subject to divergent interpretation, an issue, exists that precludes summary judgment. Perry v. Cosgrove, 464 So.2d 664, 666 (Fla. 2d DCA 1985).

A judicious reading of the insurer’s letter yields only one interpretation, which is not defamatory. Part X .of Chapter 626, Florida Statutes, regulates unfair insurance trade practices. Part X prohibits any “unfair method of competition or an unfair or deceptive act or practice involving the business of insurance.” Penalties are prescribed for violations. Included among the prohibited acts of unfair and deceptive insurance practice is “twisting,” which is sometimes called “rolling” in insurance matters. Section 626.-9541(l)(a), Florida Statutes, states, that the unfair and deceptive practice of “twisting” is:

Knowingly making any misleading representations or incomplete or fraudulent comparisons or fraudulent material omissions of or with respect to any insurance policies or insurers for the purpose of inducing, or tending to induce, any person to lapse, forfeit, surrender, terminate, retain, *999 pledge, assign, borrow on, or convert any insurance policy or tO take out a policy of insurance in another insurer. 1

Allowing for the substitution of the term "roll" for the more commonly used term "twist," the letter is accurate. The letter ascribes the illegal act of rolling to "some agents" but carefully avoids any suggestion that Krohngold is culpable. In fact, the letter is remarkable only to the extent that it is manifestly crafted with the conscious objective of avoiding any accusation against Krohngold. Insureds who received this letter would have no reasonable cause attributable to National to lessen their opinions of Krohngold.

Krohngold's complaint in this action contains a grievance on his part that is better addressed to the legislative branch, which has identified a category of individuals (specifically, insurance salespeople changing companies) whose behavior is likely to run afoul of the legitimate interests of the legislature in preserving insurance coverage against inadvertent lapses, gaps, and the like. Florida's legislative authority has acted to outlaw "rolling" and "twisting," a prohibition not uncommon in the United States. 2

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Cite This Page — Counsel Stack

Bluebook (online)
825 F. Supp. 996, 1993 U.S. Dist. LEXIS 9343, 1993 WL 254378, Counsel Stack Legal Research, https://law.counselstack.com/opinion/krohngold-v-national-health-insurance-flmd-1993.