Kuszmaul v. Sterling Life Insurance

2012 MT 154, 282 P.3d 665, 365 Mont. 390, 2012 WL 2952147, 2012 Mont. LEXIS 204
CourtMontana Supreme Court
DecidedJuly 20, 2012
DocketDA 11-0500
StatusPublished
Cited by5 cases

This text of 2012 MT 154 (Kuszmaul v. Sterling Life Insurance) is published on Counsel Stack Legal Research, covering Montana Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kuszmaul v. Sterling Life Insurance, 2012 MT 154, 282 P.3d 665, 365 Mont. 390, 2012 WL 2952147, 2012 Mont. LEXIS 204 (Mo. 2012).

Opinion

JUSTICE COTTER

delivered the Opinion of the Court.

*391 ¶1 Shaune Kuszmaul (Kuszmaul) appeals from the Decision and Order (Order) entered by the First Judicial District Court of Lewis and Clark County, Montana, granting summary judgment to Sterling Life Insurance Company (Sterling) on her wrongful discharge claim, and denying partial summary judgment to Kuszmaul.

¶2 We affirm.

ISSUES

¶3 Kuszmaul raises two issues on appeal. We restate the issues as follows:

¶4 1. Did the District Court err in granting Sterling Life Insurance Company’s Motion for Summary Judgment based on its determination that Kuszmaul was not wrongfully discharged from her employment?

¶5 2. Did the District Court err in denying Kuszmaul’s Motion for Partial Summary Judgment pertaining to Sterling’s affirmative defenses?

FACTUAL AND PROCEDURAL BACKGROUND

¶6 Beginning in May 2000, Kuszmaul was employed as an Outside Sales Agent by Olympic Health Management Systems, Inc. (Olympic), 1 a subsidiary of Aon Corporation, and a sister company of Sterling since 1999. Sterling is a national insurance provider which sells various insurance plans, including health and life insturance. Kuszmaul signed an employment agreement with Olympic on May 19, 2000, which included the following provision: ‘You agree not to use any advertising materials, supplies, other printed or written material used in the sale or promotion of the Carrier’s policies without prior written approval of Olympic.” The agreement also provided that Tn] otwithstanding anything stated herein to the contrary, employment at Olympic is voluntarily entered into and may be terminated by either party, with or without cause, at any time.”

¶7 On November 6, 2002, Kuszmaul signed another employment agreement with Olympic, which noted that ‘Olympic is engaged in the business of the sale of life and health insurance and coverage products for Sterling Life Insurance Company,” that Sterling owns the business named in the agreement, and that under the agreement, Kuszmaul will be “acting as a Sales Agent of Olympic and Sterling.” (Internal *392 parenthetical definitions excluded.) This agreement contained similar provisions as the one signed in 2000, including:

3.3.2 Advertising and Sales Promotion Material
a. Agent agrees not to use any advertising medium, leads, supplies, or other printed or written materials used in the sale or promotion of Sterling’s policies without prior authorization.
b. In the event Agent becomes aware of any materials used in the sale or promotion of the carrier’s policies which have not been authorized by Olympic, Agent agrees to promptly disclose such information to Olympic.
7.1 Employment At Will
As stated in Section 1 of this Agreement, employment with Olympic is “at-will”. Either party may terminate this Agreement at any time, with or without cause and with or without prior notice.
8.6 No Waiver.
No act of forbearance or toleration on the part of either party to this Agreement in favor of the other with respect to any provision of this Agreement, either express or implied, shall be construed as a waiver by either party of any of its rights hereunder.

¶8 Kuszmaul signed yet another employment agreement on J anuary 1, 2008, which contained provisions identical to those in the 2002 contract. Sterling had a written Zero Tolerance Policy (Policy), requiring all solicitation materials for Sterling to be pre-approved by its home office, and providing that without exception, a violation of the Policy would result in immediate termination. It is undisputed that Kuszmaul was aware of the Policy. The employment agreement she signed included the following provision:

4. Zero Tolerance Activities
Agents, Field Sales Managers and Market Managers selling Sterling products will be immediately terminated, without exception, for:
4.2 Use of Unapproved Marketing Materials/Leads -Distributing in any fashion (including but not limited to mailing, handing out in person or placing as advertisement for publication or broadcast) any document that describes Sterling or a Sterling product and has not been explicitly approved for use by the home office.
It is to be noted that this is a violation of State and Federal law and regulation, and is also a direct breach of the OHM Sales Agent Employment Agreement.

*393 According to Kuszmaul, she signed and dated this document after she carefully read it, she agreed with the content of it before signing it, and she understood she was required to comply with it.

¶9 On April 1, 2008, Sterling was sold to Munich-American Holding Company, though Aon Corporation still managed several employee programs for six more months. On this same date, Sterling adopted an Employee Handbook (Handbook), which was designed to help the employees get acquainted with the “organization’s general policies and practices applicable to all employees.”

¶10 On September 21, 2009, Kuszmaul read and signed a separate document specifying Sterling’s Policy. This document included the same Zero Tolerance Activities provision as noted above, though ‘immediately terminated” was underlined. The document also stated at the beginning that ‘[the Centers for Medicare and Medicaid Services (CMS)] and the state departments of insurance are heavily scrutinizing the marketing activities of companies selling in the Medicare market place,” and that Sterling thought it “prudent to publish a list of activities that will not be tolerated.” In signing the document, Kuszmaul agreed to the following:

I have read and understand the Sterling Zero Tolerance Policy. I understand that I must comply with all provisions in this document and that failure to comply with the above listed policy will result in termination of employment.

¶11 In October 2009, Kuszmaul drafted a marketing letter promoting Sterling products. She mailed out approximately 1,000 copies of the letter to current and potential customers. Notably, Kuszmaul did not obtain approval from anyone at Sterling before sending the letter, nor did she clear it with the Montana Department of Insurance (DOI) or any other regulatory agency. A relative of one of the recipients of the letter anonymously notified Sterling by mail that the letter might violate the Policy. The writer sent a copy of its complaint, dated November 20, 2009, to the Sterling Life Corporate Compliance Office, the Montana DOI, and the CMS Regional Office, exposing Sterling to possible state and federal sanctions. This prompted Sterling to begin an internal investigation.

¶12 While being investigated, Kuszmaul acknowledged that her marketing letter was not in conformance with the Policy, but denied doing anything intentionally wrong.

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Cite This Page — Counsel Stack

Bluebook (online)
2012 MT 154, 282 P.3d 665, 365 Mont. 390, 2012 WL 2952147, 2012 Mont. LEXIS 204, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kuszmaul-v-sterling-life-insurance-mont-2012.