Lincoln Benefit Life v. James Wilson

907 F.3d 1068
Court of Appeals for the Eighth Circuit·Decided October 30, 2018·No. 17-1341·Published·Cited by 3 cases

Opinion

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 court 1 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.

I. Background 2

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 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.

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.

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. of Joshua Mallin, Ex. 9, at 2, Lincoln Benefit Life v. Wilson , Case No. 4-13-cv-03210-RGK-CRZ (Feb. 13, 2014), ECF No. 23-10. Second Opinion employee Kourtney Harris, referencing information from a Lincoln Life employee, advised Lilly Phan, Wilson's executive secretary, similarly in a late 2002 email: "[T]his policy is able to be converted to a permanent product." Decl. of Joshua Mallin, Ex.10, at 2, Lincoln Benefit Life v. Wilson , Case No. 4-13-cv-03210-RGK-CRZ (Feb. 13, 2014), ECF No. 23-11. When Phan responded by asking whether this would be the case for next four years, Harris replied, "Yes. They are convertible thru the level premium paying period. These are 10 yr level terms so they are convertible thru the entire 10 yrs." Id. However, in early 2003 when Lollytogs inquired as to the costs of converting the policy, Lincoln Life stated that the 2000 Fax was a mistake and offered Lollytogs the opportunity to covert the policies under conditions much less favorable than those set forth in the policies. These new terms would have raised premiums substantially and limited Lollytogs conversion options.

In May 2007, Stephen Carb, Trustee of Lollytogs, Inc., Trust, contacted Lincoln Life to convert the policy to either a Flexible Premium Adjustable Life Plan or a Whole Life Plan. Following another debate as to whether the policy was convertible, Lincoln Life denied the convertability of the policies based on the age provision.

Lollytogs sued Lincoln Life in 2009 in the Southern District of New York. 6

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Lincoln Benefit Life v. James Wilson, 907 F.3d 1068 (8th Cir. 2018).

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