Langer, Terry, M.D. And Langer, Joan v. Monarch Life Insurance Company, and Presbyterian-University of Pennsylvania Medical Center

879 F.2d 75, 1989 U.S. App. LEXIS 9499, 1989 WL 72959
CourtCourt of Appeals for the Third Circuit
DecidedJuly 6, 1989
Docket89-1053
StatusPublished
Cited by24 cases

This text of 879 F.2d 75 (Langer, Terry, M.D. And Langer, Joan v. Monarch Life Insurance Company, and Presbyterian-University of Pennsylvania Medical Center) is published on Counsel Stack Legal Research, covering Court of Appeals for the Third Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Langer, Terry, M.D. And Langer, Joan v. Monarch Life Insurance Company, and Presbyterian-University of Pennsylvania Medical Center, 879 F.2d 75, 1989 U.S. App. LEXIS 9499, 1989 WL 72959 (3d Cir. 1989).

Opinion

OPINION OF THE COURT

GREENBERG, Circuit Judge.

This appeal concerns the meaning of the disability insurance provision of the employment contract between Doctor Terry Langer, the plaintiff, 1 and the Presbyterian-University of Pennsylvania Medical Center (the Medical Center). On December 13, 1985, while Langer was employed by the Medical Center, he suffered a disabling stroke. At that time he was not covered by the disability insurance policy provided for in his employment contract, an omission which ultimately triggered a dispute regarding his entitlement to the disability benefits from the Medical Center. The district court concluded that the employment contract unambiguously placed the burden of obtaining the insurance on Langer and that, consequently, the Medical Center had no obligation to him other than to pay the premiums if he obtained the insurance. Thus, in this action in which Langer has sought to have the Medical Center held responsible for the disability payments as they accrue, the district court granted summary judgment in its favor. Because we conclude that the contract did not unambiguously place the risk of loss on Langer if the insurance was not obtained, we will reverse and remand.

I. BACKGROUND

A. Contract Formation

In the spring of 1985, Langer, who was 45 years old, was a medical doctor serving on the faculty of the University of Pennsylvania Medical School and on the staff of the Hospital of the University of Pennsylvania (HUP). Unquestionably he was, as the district court described him, “a world renowned cardiologist with an immense and lucrative practice.” Langer v. Presbyterian-University of Pennsylvania Medical Center, No. 87-4000, slip op. at 1, 1988 WL 81728 (E.D.Pa. Aug. 1, 1988). While he had suffered a heart attack in the summer of 1983, by 1985 he had recovered from it.

In the spring of 1985, Dr. Richard H. Helfant, Chief of Medicine of the Medical Center, contacted Langer and suggested that he leave HUP to join the medical and teaching staff of the Medical Center as its Chief of Clinical Cardiology. This approach led to negotiations between Langer and the Medical Center which continued during the summer of 1985. It is apparent that the Medical Center was not merely recruiting a doctor. Rather, it anticipated that it would hire both Langer’s HUP secretary and a nurse practitioner selected by him, and would reorganize its staff to provide him with additional support. Langer was expected to “have responsibility for the Cardiology Training Program including the Fellowship, House Staff and Medical Student programs as well as being responsible for matters regarding cardiac patient care.” As Helfant explained in a letter of August 14, 1985, “my plan and goal is for you [Langer] to assume the key position as both magnet doctor and role model in the forefront of our plan to become a leading center of excellence.”

No later than June 1985, Robert Bauer, the Medical Center’s Chief Financial Officer, became involved in its recruitment of Langer. Bauer arranged for consultants from Coopers and Lybrand, a major accounting firm, to prepare projections comparing the Medical Center’s offer with the terms of Langer’s position at HUP.

In an attachment to an August 14, 1985, letter to Langer, the Medical Center outlined “Benefits to be Provided to Dr. Terry Langer by Presbyterian-University of Pennsylvania Medical Center.” The three provisions dealing with insurance coverage stated:

1. Health Insurance
*77 Comprehensive coverage for you and your family. All pre-existing condition clauses will be waived.
2. Disability
Double your present coverage. We understand this will result in coverage of approximately $270,000 per year.
3. Life Insurance
We would pay for an amount equal to your present coverage ($557,500) plus an additional $1,000,000.

Langer asserts that this memorandum was prepared for use at a meeting on August 15, 1985, at which the final terms of his employment by the Medical Center were drafted.

B. Contract Terms

By letter dated August 21, 1985, Helfant outlined the terms of the Medical Center’s offer of employment to Langer as its Chief of Clinical Cardiology, including his salary. 2 The letter stated that “[i]n addition to this salary, you will receive all of the benefits outlined on Attachment I.”

Attachment I was entitled “Benefits to Be Provided to Dr. Terry Langer by Presbyterian-University of Pennsylvania Medical Center,” and its second paragraph was captioned “Disability.” It added a sentence to the preliminary terms as set forth in the August 14, 1985, letter and provided as follows:

Double your present coverage. We understand this will result in coverage of approximately $270,000 per year. We agree to ‘gross-up’ payments to provide you with sufficient after tax dollars to purchase this coverage (the ‘gross-up’ will be calculated on the basis of your marginal federal tax rate plus applicable state and city income taxes).

On August 23,1985, Langer accepted the Medical Center’s offer. Thus, the disability insurance provision in the attachment to the August 21, 1985, letter became part of his contract.

C. Post-Contract Performance

At a meeting on September 25, 1985, Bauer asked Robert Hardin, the Medical Center’s Administrator of the Department of Medicine, who had not been involved in the recruiting, to assist in making arrangements for Langer’s move from HUP to the Medical Center. In particular, they discussed Langer’s insurance coverage. Hardin contacted an insurance broker, Gabriel Agins, and learned that at least one company, Monarch Life Insurance Company, was willing to consider an application for disability insurance but only for a policy with a maximum annual benefit of $204,000 rather than $270,000. Accordingly, by application of October 28, 1985, signed by Langer, a disability insurance policy on his behalf was sought from Monarch. We are not certain, however, who prepared the application or delivered it to Monarch. 3

On or about November 1,1985, in accordance with his employment contract with the Medical Center, Langer left HUP and began employment with the Medical Center. However, on December 13, 1985, Langer suffered the stroke which paralyzed him on his left side and he has not since served as Chief of Clinical Cardiology. At the time of the stroke, the application for disability insurance with Monarch was still pending but it was subsequently rejected.

On January 20, 1986, Hardin wrote to Philip Weiss, Langer’s attorney, stating “the disability policy has been denied by the life insurance company (Monarch Life) and therefore the disability coverage will be provided via the Medical Center itself. Commencement of this disability payment would be after a 90 day waiting period.”

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879 F.2d 75, 1989 U.S. App. LEXIS 9499, 1989 WL 72959, Counsel Stack Legal Research, https://law.counselstack.com/opinion/langer-terry-md-and-langer-joan-v-monarch-life-insurance-company-and-ca3-1989.