Lesoon v. Metropolitan Life Insurance

898 A.2d 620, 2006 Pa. Super. 67, 2006 Pa. Super. LEXIS 288, 2006 WL 771568
CourtSuperior Court of Pennsylvania
DecidedMarch 28, 2006
Docket1647 WDA 2004, 1787 WDA 2004
StatusPublished
Cited by33 cases

This text of 898 A.2d 620 (Lesoon v. Metropolitan Life Insurance) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lesoon v. Metropolitan Life Insurance, 898 A.2d 620, 2006 Pa. Super. 67, 2006 Pa. Super. LEXIS 288, 2006 WL 771568 (Pa. Ct. App. 2006).

Opinion

OPINION BY BOWES, J.:

¶ 1 Edmond and Kathy Lesoon appeal from the judgment entered on the nonjury verdict after the trial court found that they did not sustain actual damages as a result of the deceptive sales practices of Metropolitan Life Insurance Company (“Met-Life”). MetLife has filed a cross-appeal challenging the trial court’s award of nominal damages and the court’s determination that the action was not time-barred. Upon review, we vacate the judgment and remand for further proceedings consistent with this opinion. 1

1! 2 The record reveals that Mr. Lesoon purchased two life insurance policies from MetLife during the 1970s. In 1975, he bought a $5,000 family policy payable at age sixty-five under which he was insured for $3,000, his wife was insured for $2,000, and their daughter was insured for $1,000. In 1976, Mr. Lesoon bought a $10,000 *623 whole life policy under which he was the sole insured. The total monthly payment for both policies amounted to $32.50. Appellants made regular, timely payments using payment coupons and checks drawn on Mrs. Lesoon’s personal checking account.

¶ 3 On January 8, 1989, MetLife agent Ronald Sabilla traveled to Appellants’ home in McKees Rocks, Pennsylvania, and advised Mr. Lesoon that he could increase his coverage from $15,000 to $65,000 by purchasing a $50,000 universal life policy (“universal policy”) at an additional cost of $18.00 per month. According to Mr. Le-soon, Mr. Sabilla promoted the universal policy as a retirement plan. Mr. Sabilla informed Mr. Lesoon that if he bought the universal policy, the $5,000 and $10,000 policies would remain in force, and if Mr. Lesoon ever failed to make a monthly payment on the universal policy, MetLife would simply “take part of the dividends out of the ... $5,000 [family policy].” N.T. Trial, 4/14/03, at 19. Mr. Lesoon responded that he did not want to use dividends from the family policy to pay for the universal policy and that he could not afford to purchase any additional insurance because he and his wife had a combined yearly income of less than $25,000. However, when Mr. Lesoon subsequently discussed the matter with his wife, they decided to eliminate certain luxury expenses and buy the universal policy. Thus, Mr. Lesoon submitted an application, and Mrs. Lesoon gave Mr. Sabilla a check for $60. Mr. Sabilla indicated that the $60 payment would guarantee coverage if something should happen to Mr. Lesoon while his application was being approved.

¶4 The application was approved, and Mr. Sabilla returned to Appellants’ home on March 7, 1989. Mr. Sabilla promptly reimbursed Appellants for the $60 check they had provided in January, and Mr. Lesoon proceeded to sign contractual documents pertaining to the universal policy. Prior to signing, however, Mr. Lesoon unequivocally refused to utilize the Metropolitan Check-O-Matie Plan, a payment program that would have enabled MetLife to automatically withdraw monthly premiums from a checking account. Mr. Lesoon insisted on paying for the universal policy using payment coupons and checks. Based on Mr. Sabilla’s representations, Mr. Lesoon believed that he was purchasing a new policy worth $50,000, that the existing family and whole life policies would not be altered in any way, and that the total monthly payment for all three policies would never exceed $50.50.

¶ 5 Appellants later discovered that Mr. Sabilla misrepresented the terms of the universal policy and that they had been enrolled in the Check-O-Matic Plan without their consent. The trial court summarized its factual findings:

Mr. Sabilla knew — but did not advise [Appellants] — that the $50.50 monthly payment would be sufficient only if the transaction included the restructuring of the $5,000 [family] policy from a policy payable at age 65 to a policy payable at age 85 and the transfer of the accumulated funds in the $5,000 policy to the $50,000 policy.
The paperwork that Metropolitan Life prepared [for the universal policy] provided for the $5,000 policy to be converted from age 65 to age 85 and for the accumulated funds in the $5,000 policy to be transferred to the universal life policy.
... [Appellants] had always paid the life insurance premiums through a monthly payment, using a coupon book and checks. They made it clear to Mr. Sabilla that this was the way they would *624 pay for the $50,000 universal life policy. Mr. Sabilla recommended that they use the Metropolitan Life Check-O-Matic Plan under which premiums are automatically withdrawn from a checking account. [Appellants] told him that this was not acceptable.
Under Metropolitan Life procedures (which were unknown to [Appellants]), an insured could make monthly payments on a universal policy only by using the Check-O-Matic Plan. Someone at Metropolitan Life forged Ms. Le-soon’s signature on a form authorizing monthly withdrawals from her checking account. In reliance on the authorization, Ms. Lesoon’s bank made withdrawals of $61.75 in March, April, and May [1989]. [Appellants] had not reviewed the monthly statements from the bank and were not aware that this was occurring until two cheeks bounced in June.
Once [Appellants] learned that these monthly withdrawals were occurring without their permission, they objected to Metropolitan Life. Through a check dated June 14, 1989, in the amount of $185.25, Metropolitan Life returned the money to Ms. Lesoon.
Once [Appellants] learned of the unauthorized withdrawals, they had a series of meetings with Metropolitan Life representatives to discuss the transaction and the forged authorization. Through these meetings, they learned that their $5,000 age 65 [family] policy had been replaced with a $5,000 age 85 policy. They also learned that the $50.50 monthly payment would not pay for the three policies unless money in the $5,000 policy was transferred to the $50,000 policy. In December 1989, they asked that everything be restored to where it was before they purchased the $50,000 policy. In June 1990, Metropolitan Life returned [Appellants] to the position that they would have occupied if they had not purchased the $50,000 policy: the universal policy was cancelled and all money in that policy was refunded. While Metropolitan Life issued a new $5,000 policy, it had the same monthly premium of $16.10, the same terms as the initial policy, and the same amount of money in the new policy as would have been in the old policy if it had not been altered ....

Trial Court Memorandum and Verdict, 5/9/03, at 2-4 (footnotes and citations to record omitted).

¶ 6 Appellants filed a praecipe for writ of summons at docket number GD 91-7121 on April 24,1991, naming MetLife and Mr. Sabilla as defendants. On March 5, 1993, Appellants filed a complaint alleging breach of contract, fraud, and violation of the Unfair Trade Practices and Consumer Protection Law, 73 P.S. §§ 201-1 — 209-6 (“UTPCPL”). The matter proceeded to arbitration on March 16, 1994, resulting in an award for the defendants. Appellants filed a timely appeal and demanded a jury trial.

¶ 7 Thereafter, on April 21, 1995, Appellants instituted a second action against MetLife and agent J. Joel Sherman at docket number GD 95-6841 based on deposition testimony that Mr. Sabilla was acting on behalf of MetLife and Mr.

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Bluebook (online)
898 A.2d 620, 2006 Pa. Super. 67, 2006 Pa. Super. LEXIS 288, 2006 WL 771568, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lesoon-v-metropolitan-life-insurance-pasuperct-2006.