Lincoln Benefit Life v. James Wilson

CourtCourt of Appeals for the Eighth Circuit
DecidedOctober 30, 2018
Docket17-1341
StatusPublished

This text of Lincoln Benefit Life v. James Wilson (Lincoln Benefit Life v. James Wilson) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eighth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lincoln Benefit Life v. James Wilson, (8th Cir. 2018).

Opinion

United States Court of Appeals For the Eighth Circuit ___________________________

No. 17-1341 ___________________________

Lincoln Benefit Life

lllllllllllllllllllllPlaintiff - Appellant

v.

James W. Wilson

lllllllllllllllllllllDefendant - Appellee ____________

Appeal from United States District Court for the District of Nebraska - Lincoln ____________

Submitted: May 17, 2018 Filed: October 30, 2018 (Corrected October 31, 2018) ____________

Before SMITH, Chief Judge, BEAM and COLLOTON, Circuit Judges. ____________

SMITH, Chief Judge.

Lincoln Benefit Life (“Lincoln Life”) sued its former agent, James W. Wilson (“Wilson”), for damages it incurred in a lawsuit brought by a policyholder who purchased a Lincoln Life policy through Wilson. Wilson counterclaimed, seeking withheld commissions and bonuses from the sale of that policy. The district court1 granted Wilson summary judgment with respect to Lincoln Life’s claims for damages on the basis that they were barred by collateral estoppel. At the close of the jury trial of the remaining claims, the court entered judgment as a matter of law in favor of Wilson. Lincoln Life now appeals. We affirm.

II. Background2 At all relevant times, Wilson worked as a life insurance broker, tasked with signing up policyholders for insurance companies, including Lincoln Life. He worked with Lincoln Life pursuant to a Special Agent’s Agreement (“Agent’s Agreement”). He received commissions on the premiums paid by policyholders he brought to the company.

Samuel Gindi (“Samuel”) was a cofounder and, along with several of his family members, a large shareholder of Lollytogs, Inc. (“Lollytogs”), a wholesaler/distributor of children’s clothing. In or around 1999, Samuel, along with other shareholders and Lollytogs executives, approached Wilson about obtaining a life insurance policy. The purpose of the policy was to allow the members of the Sutton family, the other major shareholders of Lollytogs, to buy out the Gindis upon Samuel’s death. The Gindis and Suttons executed a trust agreement to that effect. It required the proceeds of any policy to be held in trust.3 The interested parties sought

1 The Honorable Richard G. Kopf, United States District Judge for the District of Nebraska. 2 The facts recited in this section come, in substantial part, from the trial record in the underlying litigation, G Inv’rs Holding LLC v. Lincoln Benefit Life Co., No. 1:09-cv-02980 (S.D.N.Y.) (“prior action”). The parties filed that record in this case by order of the district court. 3 For ease of reference, from this point forward, we use “Lollytogs” to collectively refer to the company, the Gindi and Sutton families, and their representatives with respect to the policy unless otherwise noted.

-2- a convertible life insurance policy.4 Samuel was 75 years old at this time.

Wilson submitted Samuel’s information to Second Opinion, a brokerage agency. Second Opinion received proposals from a number of insurance companies. After negotiations, Lollytogs accepted Lincoln Life’s offer. In late 1999, Lincoln Life issued two policies on Samuel’s life; one insured him for $3 million, and the other for $26 million. Wilson submitted a complete and accurate application

The $3 million policy was to be in effect from October 1, 1999 through October 1, 2019, with a level premium period expiring on October 1, 2009, while the $26 million policy was to be in effect from November 8, 1999 through November 8, 2019 with a level premium period expiring on November 8, 2009.

Appellee’s Br. at 5.5 Lollytogs understood that both policies included a conversion provision.

4 Under such a policy, Samuel would be insured under a term life policy and, after the passage of a certain time set forth in the policy, have the option to change, or convert, the policy into an adjustable or whole life policy without having to go through the underwriting process again. See Insurance, Black’s Law Dictionary (10th ed. 2014) (defining “convertible insurance” as “[i]nsurance that can be changed to another form without further evidence of insurability, usu. referring to a term-life-insurance policy that can be changed to permanent insurance without a medical examination”). 5 We note that in the absence of an order permitting him to do so, Wilson filed a “corrected” brief intended to fix two deficient record citations. Lincoln Life moved to strike Wilson’s corrected brief. Wilson responded that counsel inquired with the Clerk’s office (seemingly by phone) as to how best to address the issue and was told that due to the nature of the corrections, he could submit his brief without leave. However, under Eighth Circuit Rule 27A(5), “corrections in briefs” are among the matters for which the Clerk “has discretion to enter orders on behalf of the court.” This implies that an order is required to file a corrected brief. Additionally, the corrected brief was filed after the time for briefing had expired, and Lincoln Life had already filed its reply brief. Accordingly, we grant Lincoln Life’s motion to strike and hold Wilson to his initially filed brief.

-3- Lollytogs began making payments on both policies before receiving the written policies. The written policies were issued, respectively, in November 1999 and January 2000. However, there was a problem. The written policy contained conflicting terms as to the conversion rights. As requested, the policies provided a right of conversion at the end of the ten-year level premium period. Though the premium for the converted policies would be set “based on the insured’s sex, the premium class applicable to [the] policy, and the insured’s age [at conversion],” “[n]o new evidence of insurability [would] be required.” Decl. of Joshua Mallin, Ex. 6, at 10, Lincoln Benefit Life v. Wilson, Case No. 4-13-cv-03210-RGK-CRZ (Feb. 13, 2014), ECF No. 23-7. A converted policy would afford Lollytogs a more favorable premium level than a term policy once the level premium period ended. Unfortunately, the policies also contained language that required that any conversion right must be exercised by the earlier of either one year after the insured’s 70th birthday or the end of the level premium period. As stated earlier, Samuel was already 75 and thus the earlier event had already occurred several years prior to the issuance of the policies. Recognizing a problem, a Lollytogs representative informed Wilson of the issue and asked for clarification. Wilson contacted Lincoln Life about the matter. In July 2000, Lincoln Life customer service representative Lydia Trevino responded by fax (“2000 Fax”):

CONVERSION:

Each plan is convertible during the level premium period or to age 70, if earlier, to any whole life or f[le]xible premiums adjustable life plan then sold by us which has a higher required premium (as of the date of conversion).

When speaking with Stan Shelley, Vice President of our Customer Service Department. [sic] This policy will have conversion privileges up to the term of the policy. This is limited to what product the client may go into based on current age.

-4- Decl. of Joshua Mallin, Ex. 2., at 2, Lincoln Benefit Life v. Wilson, Case No. 4-13-cv- 03210-RGK-CRZ (Feb. 13, 2014), ECF No. 23-3. That same day, Trevino made a note of this issue in an internal email:

[Agent] called and wanted verification on Conversion rights.[]

Spoke with Dan Hertzel and he verified with Stan Shelley that since it is verb . . [.]

Each plan is convertible during the level premium period.[] [W]e will allow this to be converted to any whole life or flexible prem[ium] adjustable life plan sold by us which is higher in required premium.[] However customer would be limited to certain products based on his current age.

[A] fax was sent to the agent with this information.

Decl.

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