Langer v. Monarch Life Insurance

966 F.2d 786, 23 Fed. R. Serv. 3d 1010, 1992 U.S. App. LEXIS 13607
CourtCourt of Appeals for the Third Circuit
DecidedJune 11, 1992
DocketNos. 90-1924 to 90-1927, 90-1965, 90-1966, 91-1052 and 91-1084 to 91-1086
StatusPublished
Cited by74 cases

This text of 966 F.2d 786 (Langer v. Monarch Life Insurance) 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 v. Monarch Life Insurance, 966 F.2d 786, 23 Fed. R. Serv. 3d 1010, 1992 U.S. App. LEXIS 13607 (3d Cir. 1992).

Opinions

[789]*789OPINION OF THE COURT

BECKER, Circuit Judge.

These consolidated appeals in a diversity case involving Pennsylvania law arise from a bitter dispute concerning the obligations of Presbyterian Medical Center of Philadelphia (“Presbyterian”) and Monarch Life Insurance Corporation (“Monarch”) to pay disability benefits to Dr. Terry Langer. Presbyterian had lured Langer, a leading cardiologist, away from the Hospital of the University of Pennsylvania (HUP) with a lucrative contractual package, an important part of which, in view of Langer’s medical history, was disability benefits. Although Langer and Presbyterian had sought disability insurance from Monarch, Langer was stricken with a disabling stroke before Monarch acted with finality on Langer’s application, and Monarch subsequently denied coverage. Langer sued both Monarch and Presbyterian for disability payments, but subsequently settled with Monarch under a loan receipt agreement entitling Monarch to reimbursement if Langer obtains a sufficient recovery from Presbyterian. After that settlement, Presbyterian claimed, in a companion case, that if it is found liable to Langer, then Monarch is liable over to it under various equitable and legal theories.

Presbyterian appeals from a judgment of the district court for the Eastern District of Pennsylvania entered on a jury verdict finding Presbyterian contractually liable to pay Langer disability benefits. Presbyterian contends, among other things, that the district court erred in taking from the jury an important defense, namely that Presbyterian satisfied all or most of its obligations to Langer when Langer obtained, and Presbyterian paid for, disability insurance from Monarch. Presbyterian also asserts that the district court erred in granting summary judgment to Monarch in the companion case. The district court there held that Presbyterian’s responses to requests for admissions under Federal Rule of Civil Procedure 36 destroyed the predicate for two of the hospital’s claims against Monarch, that one claim was factually insupportable, and that another was moot in light of the jury verdict.

Langer and Monarch have also appealed. Langer contends that the district court erred in not molding the jury verdict to award him future disability benefits. Monarch asserts that the district court erred in failing to award it sanctions under Federal Rule of Civil Procedure 11 against Presbyterian’s counsel. According to Monarch, the district court recognized that Presbyterian’s counsel violated Rule 11 by filing procedurally improper cross-claims that resulted in a later-lifted default judgment against Monarch, but the court abused its discretion by not assessing any sanctions.

We conclude that the district court erred in taking the issue of Langer’s insurance with Monarch, and Presbyterian’s theory that it was, at most, a “back-up insurer,” from the jury. We will therefore vacate the judgment for Langer and remand for a new trial. We also hold that Presbyterian’s judicial admissions did not justify the district court’s award of summary judgment to Monarch against Presbyterian. We will therefore vacate the judgment for Monarch and remand for further proceedings on all but one of Presbyterian’s liability-over claims. Finally, we conclude that the district court did not abuse its discretion in its handling of the Rule 11 motion, and will affirm its ruling on that issue. In view of these dispositions, we need not reach some of the subsidiary issues raised in these appeals, although we do dispose of a number that are likely to recur on remand.

I. FACTS AND PROCEDURAL HISTORY

In the spring of 1985, Presbyterian’s Chief of Medicine, Dr. Richard H. Helfant, approached Langer, a 45-year-old cardiologist with a national reputation, and suggested that Langer leave his staff position at the Hospital of the University of Pennsylvania (“HUP”) and bring his lucrative clinical practice to nearby Presbyterian (then known as the Presbyterian-University of Pennsylvania Medical Center). Lan-ger had suffered a heart attack in the [790]*790summer of 1983, and although he had recovered by 1985, he remained particularly concerned about his disability benefits. Accordingly, disability benefits were an important part of the offering put together by Robert Bauer, Presbyterian’s Vice President for Finance.

By July 1985, Presbyterian had agreed in principle to double the $135,000 annual disability coverage that Langer was then receiving under two policies at HUP. • That offer appeared in letters dated July 23 and July 30, 1985, and in an attachment to an August 14, 1985 letter that outlined the benefits that Presbyterian would provide Langer. The August 14, 1985 offer letter was the most important because it served as the basis for discussions at an August 15, 1985 meeting at which Langer and Presbyterian tried to hammer out a final agreement. The relevant portion of Presbyterian’s August 14, 1985 letter read:

2. Disability

Double your present coverage. We understand this will result in coverage of approximately $270,000 per year.

At the August 15, 1985 meeting, however, Presbyterian’s benefits expert, Frank Raiti (of the accounting firm Coopers & Lybrand), noted that Presbyterian’s existing group disability policy would not be sufficient to provide $270,000 in annual coverage, and that structuring the benefits that way would be disadvantageous tax-wise in any event. He therefore suggested' that a better course would be for Langer to purchase disability insurance, and for Presbyterian to reimburse him for that amount plus an additional sum to cover the income taxes he would have to pay on the premium reimbursement.

The parties agreed — or so they thought. Bauer recalls that at the August 15, 1985 meeting he stated that he did not want Presbyterian “to be an insurance company.” He further testified that he thought that Presbyterian was committing itself only to make premium payments, although he concedes that he never explicitly stated that if Langer was unable to obtain insurance he would be without coverage. Raiti and Langer’s lawyer, Phillip Weiss, recalled no manifestation of Bauer’s qualms, however, and Langer apparently believed that Presbyterian was unconditionally offering to provide disability benefits.

At all events, in a letter dated August 21, 1985, Helfant outlined Presbyterian’s revised offer to Langer, including salary, responsibilities, title, and benefits. The benefits were listed in a special Attachment I. The provision for disability benefits was identical to that contained in the August 14, 1985 letter, except that a crucial third sentence was added. Captioned “Disability,” the paragraph read:

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 Presbyterian’s offer, and Attachment I became part of the contract between them.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
966 F.2d 786, 23 Fed. R. Serv. 3d 1010, 1992 U.S. App. LEXIS 13607, Counsel Stack Legal Research, https://law.counselstack.com/opinion/langer-v-monarch-life-insurance-ca3-1992.