Malcolm Wiener v. AXA Equitable Life Insurance Company

58 F.4th 774
CourtCourt of Appeals for the Fourth Circuit
DecidedJanuary 20, 2023
Docket21-2165
StatusPublished
Cited by35 cases

This text of 58 F.4th 774 (Malcolm Wiener v. AXA Equitable Life Insurance Company) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fourth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Malcolm Wiener v. AXA Equitable Life Insurance Company, 58 F.4th 774 (4th Cir. 2023).

Opinion

USCA4 Appeal: 21-2165 Doc: 50 Filed: 01/20/2023 Pg: 1 of 18

PUBLISHED

UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT

No. 21-2165

MALCOLM WIENER,

Plaintiff – Appellant,

v.

AXA EQUITABLE LIFE INSURANCE COMPANY,

Defendant – Appellee.

Appeal from the United States District Court for the Western District of North Carolina, at Charlotte. Robert J. Conrad, Jr., District Judge. (3:18−cv−00106−RJC−DSC)

Argued: December 6, 2022 Decided: January 20, 2023

Before GREGORY, Chief Judge, WILKINSON, Circuit Judge, and John A. GIBNEY, Jr., Senior United States District Judge for the Eastern District of Virginia, sitting by designation.

Reversed and remanded by published opinion. Judge Wilkinson wrote the opinion, in which Chief Judge Gregory and Senior Judge Gibney joined.

ARGUED: Ross Fulton, RAYBURN COOPER & DURHAM, P.A., Charlotte, North Carolina, for Appellant. Matthew Woodruff Sawchak, ROBINSON, BRADSHAW & HINSON, P.A., Raleigh, North Carolina, for Appellee. ON BRIEF: David G. Webbert, JOHNSON, WEBBERT & GARVAN, LLP, Augusta, Maine; Richard H. Fallon, Jr., Cambridge, Massachusetts; Carolyn T. Seely, Greenwich, Connecticut, for Appellant. John R. Wester, Stephen D. Feldman, ROBINSON, BRADSHAW & HINSON, P.A., Charlotte, North Carolina, for Appellee. USCA4 Appeal: 21-2165 Doc: 50 Filed: 01/20/2023 Pg: 2 of 18

WILKINSON, Circuit Judge:

Malcolm Wiener appeals the district court’s post-trial dismissal of his case for lack

of subject-matter jurisdiction. A jury found that AXA Equitable Life Insurance Company

negligently reported false medical information about Wiener to an information

clearinghouse used by insurance companies, causing him to become uninsurable. Despite

the fact that the parties satisfied the requirements for federal diversity jurisdiction, and the

fact that both parties litigated the entire case through trial under North Carolina law, the

district court decided that Connecticut law applied and found itself deprived of subject-

matter jurisdiction by virtue of a Connecticut statute. This was error. Choice of law is

waivable and was waived here. And even if Connecticut’s law applied, it would not have

ousted federal jurisdiction. Finding no merit in the alternative ground for affirmance that

AXA advances with respect to liability, we reverse and remand the case for further

proceedings in accordance with this opinion.

I.

Because Wiener won a jury verdict, we recite the facts as the jury found them,

construe all disputed facts in his favor, and give him the benefit of all reasonable inferences.

See Konkel v. Bob Evans Farms Inc., 165 F.3d 275, 279 (4th Cir. 1999).

Wiener, a citizen of Connecticut, purchased $16 million in life insurance from AXA

Equitable, a citizen of New York, in the 1980s. After Wiener’s policy lapsed in 2013, he

applied for reinstatement and authorized AXA to access his medical records. AXA

conducted a medical assessment of Wiener’s reinstatement application without attempting

to speak to Wiener’s primary care doctor and without reviewing the follow-up tests in his

2 USCA4 Appeal: 21-2165 Doc: 50 Filed: 01/20/2023 Pg: 3 of 18

medical records. AXA then negligently and erroneously concluded that Wiener suffered

from four serious medical conditions.

Based on its flawed review of Wiener’s medical history, AXA’s North Carolina

office reported false diagnosis “codes” to an information exchange—the Medical

Information Bureau (MIB). The MIB is a consortium of about 400 companies, which write

about 90–95% of the individual life insurance policies in the United States. When an MIB

member reviews an applicant’s medical records, it reports any medical conditions that

might be relevant to a later underwriter in the form of standardized six-character codes.

Wiener’s application was assigned to an AXA underwriter in Connecticut, Hallie Hawkins,

who reviewed his medical records and asked her colleague in AXA’s North Carolina office,

Sandra Huffstetler, to report Wiener’s MIB codes.

In 2014, AXA declined Wiener’s application for reinstatement. So Wiener’s

insurance agent submitted new applications for a $16 million policy to at least eight other

insurers. Two carriers made preliminary offers for $10 million policies at double the

standard rate. No other carrier offered Wiener a policy. Several insurance-company

representatives informed Wiener’s agent that Wiener’s MIB codes adversely affected their

determination, and an expert testified that at least one code that AXA incorrectly reported

was a “hot button[]” that would deter carriers from offering insurance. J.A. 1581.

Wiener sued AXA in North Carolina state court in 2018. His complaint alleged that

Huffstetler, who worked in AXA’s North Carolina operations center, reported false

conclusions about his medical conditions to the MIB, causing him to become uninsurable.

The complaint included four counts under North Carolina law: (1) negligent

3 USCA4 Appeal: 21-2165 Doc: 50 Filed: 01/20/2023 Pg: 4 of 18

misrepresentation; (2) libel; (3) negligence; and (4) violation of North Carolina’s Unfair

and Deceptive Trade Practices Act, N.C. Gen. Stat. § 75-1.1. AXA removed the case to the

Western District of North Carolina based on diversity of citizenship. AXA’s answer cited

North Carolina law and did not raise any choice-of-law issues. See J.A. 146.

The district court denied AXA’s motion for summary judgment with respect to

Wiener’s claim that AXA negligently caused him to become uninsurable. It concluded that

there was a “genuine dispute of fact as to whether the MIB codes effectively rendered

[Wiener] uninsurable or insurable at a significantly increased cost.” Id. at 235. The court

granted AXA summary judgment on Wiener’s remaining claims. AXA’s memorandum

supporting its summary-judgment motion, the court’s summary-judgment decision, and

AXA’s trial brief all cited North Carolina law as the governing law.

A jury trial on Wiener’s negligence claim was held in September 2020. AXA moved

for a directed verdict, arguing that Wiener’s claimed injury was categorical uninsurability,

and that this injury was contradicted by his own evidence because several companies gave

Wiener preliminary offers of insurance. The district court denied the motion. The jury

subsequently found AXA liable for negligence and awarded Wiener $8 million—the value

of the $16 million death benefit from his lapsed policies less $8 million because Wiener

had not mitigated his damages.

AXA moved for post-trial relief. Its motion objected to the court’s subject-matter

jurisdiction for the first time. Relying on North Carolina law, AXA asserted that an

exclusive-remedies provision of North Carolina’s Consumer and Customer Information

Privacy Act (CCIPA) preempted Wiener’s negligence claim and deprived the court of

4 USCA4 Appeal: 21-2165 Doc: 50 Filed: 01/20/2023 Pg: 5 of 18

subject-matter jurisdiction. AXA also challenged the sufficiency of the evidence. In

response, Wiener argued, inter alia, that the North Carolina statute did not apply because

it only applies to North Carolina residents, and Wiener lives in Connecticut.

The district court concluded that it lacked subject-matter jurisdiction and dismissed

the case. While the court noted that the parties had not disputed that North Carolina law

governed as the case proceeded through trial, the court undertook a choice-of-law analysis

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

Related

Cite This Page — Counsel Stack

Bluebook (online)
58 F.4th 774, Counsel Stack Legal Research, https://law.counselstack.com/opinion/malcolm-wiener-v-axa-equitable-life-insurance-company-ca4-2023.