Lambert v. Independent Life & Accident Insurance

994 F. Supp. 1385, 1998 U.S. Dist. LEXIS 1567, 1998 WL 59195
CourtDistrict Court, M.D. Alabama
DecidedFebruary 4, 1998
DocketCV 96-D-1730-N
StatusPublished
Cited by2 cases

This text of 994 F. Supp. 1385 (Lambert v. Independent Life & Accident Insurance) is published on Counsel Stack Legal Research, covering District Court, M.D. Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lambert v. Independent Life & Accident Insurance, 994 F. Supp. 1385, 1998 U.S. Dist. LEXIS 1567, 1998 WL 59195 (M.D. Ala. 1998).

Opinion

MEMORANDUM OPINION AND ORDER

DE MENT, District Judge.

Before the court is Defendants Independent Life and Accident Insurance Company’s (“Independent”) and Shelia Diann Conway’s (“Conway”) Motion For Summary Judgment (“Defs.’ Mot.”) filed November 12,1997. The Defendants filed a Brief In Support (“Defs.’ Br.”) on the same date. On November 14, 1997, the Defendants filed the Original Affidavit of Wayne Falls (“Falls Aff.”) in support of their Motion. Plaintiff filed a Response (“Pl.’s Resp.”) to the Defendants’ Motion on December 8,1997, to which Defendants’ filed a Reply (“Defs.’ Reply”) on January 14,1998. *1387 Also before the court is Defendants’ Motion To Strike Affidavit of Robert Lambert (“Defs.’ Mot. To Strike”), filed January 14, 1998. Plaintiff filed a Response on January 28,1998.

After a thorough review of the arguments of counsel, relevant law, and the record as a whole, the court finds that for the reasons set forth below, Defendants’ Motion To Strike Affidavit of Robert Lambert is due to be granted in part and denied in part, and Defendants’ Motion For Summary Judgment is due to be granted.

JURISDICTION

The court properly exercises subject matter jurisdiction over this action pursuant to 28 U.S.C. § 1332 (diversity). The parties do not contest personal jurisdiction or venue.

SUMMARY JUDGMENT STANDARD

On a motion for summary judgment, the court is to construe the evidence and factual inferences arising therefrom in the light most favorable to the nonmoving party. Adickes v. S.H. Kress & Co., 398 U.S. 144, 157, 90 S.Ct. 1598, 26 L.Ed.2d 142 (1970). Summary judgment can be entered on a claim only if it is shown “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.” Fed.R.Civ.P. 56(c). As the Supreme Court has explained the summary judgment standard:

[T]he plain language of Rule 56(c) 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. In such a situation, there can be no genuine issue as to any material fact, since a complete failure of proof concerning an essential element of the non-moving party’s case necessarily renders all other facts immaterial.

Celotex Corp. v. Catrett, 477 U.S. 317, 322-23, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986).

The trial court’s function at this juncture is not “to weigh the evidence and determine the truth of the matter but to determine whether there is a genuine issue for trial.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 249-50, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986) (citations omitted). A dispute about a material fact is genuine if the evidence is such that a reasonable jury could return a verdict for the nonmoving party. Anderson, 477 U.S. at 248; see also Barfield v. Brierton, 883 F.2d 923, 933 (11th Cir.1989).

The party seeking summary judgment has the initial burden of informing the court of the basis for the motion and of establishing, based on relevant “portions of ‘the pleadings, depositions, answers to interrogatories, and admissions in the file, together with affidavits, if any,’ ” that there is no genuine issue of material fact and that the moving party is entitled to judgment as a matter of law. Celotex, 477 U.S. at 323. Once this initial demonstration under Rule 56(c) is made, the burden of production, not persuasion, shifts to the nonmoving party. The nonmoving party must “go beyond the pleadings and by [his] own affidavits, or by the ‘depositions, answers to interrogatories, and admissions on file,’ designate ‘specific facts showing that there is a genuine issue for trial.’ ” Celotex, 477 U.S. at 324; see also Fed.R.Civ.P. 56(e).

In meeting this burden the nonmoving party “must do more than simply show that there is a metaphysical doubt as to the material facts.” Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 586, 106 S.Ct. 1348, 89 L.Ed.2d 538 (1986). That party must demonstrate that there is a “genuine issue for trial.” Fed.R.Civ.P. 56(c); Matsushita, 475 U.S. at 587. An action is void of a material issue for trial “[w]here the record taken as a whole could not lead a rational trier of fact to find for the non-moving party.” Matsushita, 475 U.S. at 587; see also Anderson, 477 U.S. at 249.

FACTUAL SUMMARY 2

In March of 1958, Plaintiff, and her husband, were issued identical Sickness and Ac *1388 cident Policies by Defendant Independent. (Compl. ¶ 7; Falls Aff. ¶ 2, Ex. A.) The policy at issue in this suit is the policy issued to Plaintiffs husband (“Policy”). That Policy was given policy number “58H707265A,” although both policies fell under “Family Group Number” “6230.” (Falls Aff. ¶2, Ex. A.) Premium payments were $.60 per week per policy, or $7.80 per quarter. (Id.) The combined premium payments for both policies was $15.60 per quarter. (Id.) The Policy was to pay twelve dollars per day if Mr. Lambert was hospitalized. (Id. ¶ 10.)

On approximately September 11,1995, Defendant Conway, an employee of Independent, began collecting premium payments on the Policy. (Id. ¶¶ 5, 9.) On approximately November 18, 1995, Plaintiffs husband made a claim on the Policy, which Independent denied. (Id. ¶ 11.) The claim was for hospital services Plaintiffs husband received from October 27, 1995 to October 30, 1995 and from November 3,1995 to November 6,1995. (PL’s Resp., Ex. B.) On approximately December 8, 1995, Plaintiff received a letter from Independent denying coverage because, according to Independent, the Policy had lapsed on September 18, 1995, and the insurance contract was not in force when treatment was rendered. (Id. ¶ 12.) Plaintiffs husband passed away on December 9, 1995. (Id. ¶ 13.)

This action arose from the denial of coverage, and essentially turns on an October 1995 premium payment that was allegedly made, but is unaccounted for.

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994 F. Supp. 1385, 1998 U.S. Dist. LEXIS 1567, 1998 WL 59195, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lambert-v-independent-life-accident-insurance-almd-1998.