Malcolm Wiener v. AXA Equitable Life Insurance Company

CourtCourt of Appeals for the Fourth Circuit
DecidedSeptember 3, 2025
Docket24-1316
StatusPublished

This text of Malcolm Wiener v. AXA Equitable Life Insurance Company (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, (4th Cir. 2025).

Opinion

USCA4 Appeal: 24-1316 Doc: 48 Filed: 09/03/2025 Pg: 1 of 16

PUBLISHED

UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT

No. 24-1316

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 11, 2024 Decided: September 3, 2025

Before WILKINSON, GREGORY, and RICHARDSON, Circuit Judges.

Affirmed by published opinion. Judge Richardson wrote the opinion, in which Judge Wilkinson and Judge Gregory joined.

ARGUED: Ross Fulton, RAYBURN, COOPER & DURHAM, PA, Charlotte, North Carolina, for Appellant. Matthew Woodruff Sawchak, ROBINSON, BRADSHAW & HINSON, P.A., Raleigh, North Carolina, for Appellee. ON BRIEF: Carolyn T. Seely, Greenwich, Connecticut; David G. Webbert, JOHNSON & WEBBERT, LLP, Topsham, Maine; Richard H. Fallon, Jr., Cambridge, Massachusetts, for Appellant. John R. Wester, Stephen D. Feldman, Erik R. Zimmerman, ROBINSON, BRADSHAW & HINSON, P.A., Raleigh, North Carolina, for Appellee. USCA4 Appeal: 24-1316 Doc: 48 Filed: 09/03/2025 Pg: 2 of 16

RICHARDSON, Circuit Judge:

This is the second time this case has come before us on appeal. The first time, the

parties disputed, among other things, whether there was sufficient evidence for a jury to

find AXA liable for causing Malcolm Wiener’s inability to find a life insurance policy.

We held that there was but remanded to have the district court determine whether the jury

had sufficient evidence to calculate the amount of Wiener’s damages. The district court

found the evidence lacking. We affirm.

I. BACKGROUND

A portion of the events underlying this appeal have already been given in our first

panel opinion. See Wiener v. AXA Equitable Life Ins., 58 F.4th 774, 777–79 (4th Cir. 2023)

(Wiener I). For clarity, we recap from the beginning.

Malcolm Wiener purchased $16 million in permanent life insurance1 from AXA

Equitable Life Insurance in the 1980s. All was uneventful until 2013, when Wiener failed

to pay premiums on time and his policy lapsed.2 Seeking to reinstate his policy, he

authorized AXA to access his medical records for its reinstatement assessment. In 2014,

Hallie Hodgins, an AXA underwriter, assessed Wiener’s health on the basis of his medical

1 As the parties explain, there are two types of life insurance: term and permanent. Term life insurance covers a period of time and functions like car insurance. If the insuree does not die within that period of time, the coverage ends with no payout on the policy. By contrast, permanent life insurance covers an insuree until their death, guaranteeing a payout on the policy. Due to the guaranteed payout, the premiums for permanent life insurance are much higher. 2 Technically, Wiener purchased three life insurance policies that added up to a $16 million death benefit. We refer to the three policies in the aggregate as a single policy for simplicity.

2 USCA4 Appeal: 24-1316 Doc: 48 Filed: 09/03/2025 Pg: 3 of 16

records and denied his application after determining he had four serious medical

conditions. This determination was erroneous. AXA then spread its error by submitting

diagnosis codes representing his nonexistent medical conditions to the Medical

Information Bureau (“MIB”), a private not-for-profit consortium of about 400 insurance

companies that collectively underwrite 90–95% of life insurance in the United States. Any

MIB member who checked Wiener’s MIB file would see the nonexistent medical

conditions in his file.

Rejected by AXA, Wiener asked his insurance agent, Sanford Robbins, to apply for

a $16 million life insurance policy at other insurers. All but two insurers rejected Wiener’s

application outright. The remaining two made preliminary offers “for a $10 million policy

at double the standard rate—which would have cost Wiener an extra $400,000 per year.”

Wiener I, 58 F.4th at 785. Later, several representatives from the other insurers testified

that the false MIB codes in Wiener’s file adversely affected his application.

Wiener responded by initiating two separate and distinct sets of lawsuits against

AXA. Ours is only the second, but it will help to understand the contours of both.

First, in 2015, Wiener sued AXA in Connecticut state court. The suit was then

removed to federal court and transferred to the Southern District of New York. See Wiener

v. AXA Equitable Life Ins., 2021 WL 1226925, at *3 (S.D.N.Y. Mar. 31, 2021). In that

suit, Wiener asserted claims against AXA for (1) terminating his original policy, and for

(2) failing to approve his reinstatement application. Id. The district court granted summary

judgment to AXA on all claims. Id. at *23. The Second Circuit recently upheld the grant

of summary judgment as to the former “Termination Claims,” but vacated and remanded

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on the latter “Reinstatement Claim.” Wiener v. AXA Equitable Life Ins., 113 F.4th 201,

206 (2d Cir. 2024). The post-remand proceedings in the Southern District of New York

are still ongoing.

Second, in 2018, Wiener sued AXA in North Carolina state court. The suit was

removed to the Western District of North Carolina—the district court below. Here, Wiener

asserted a wholly distinct claim of negligence: that AXA “communicated false

information” to MIB through false MIB codes and thereby “rendered [him] uninsurable.”

J.A. 38–40; see also J.A. 37 (“Defendant’s false report and misrepresentations to MIB

prevents Plaintiff from obtaining life insurance from other companies and renders him

uninsurable.”); J.A. 41 (“The MIB report . . . is the proximate and actual cause of Plaintiff’s

uninsurability.”).

The second case proceeded to a jury trial in September 2020. Wiener had three

main sources of evidence for his uninsurability negligence claim: (1) the direct

examination of AXA underwriter Hodgins, who was grilled about her read of Wiener’s

medical record and MIB codes; (2) a deposition from Robbins elaborating on his failed

attempts to procure replacement life insurance for Wiener at the standard rate; and (3)

expert testimony from Stephen Burgess, an insurance sales manager, explaining how MIB

codes are used by insurance companies.

After the close of Wiener’s case, AXA moved for a directed verdict under Rule

50(a). In its motion, AXA argued that Wiener had not produced sufficient evidence that

he suffered the injury of uninsurability, or that the MIB codes caused such an injury. AXA

also argued that the amount requested by Wiener in damages—the $16 million face value

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of the sought-after insurance policy—“makes no logical sense whatsoever.” J.A. 1164.

The district court denied the motion.

At the end of the trial, the jury found AXA liable for negligence and determined that

Wiener had suffered $16 million in damages. The jury awarded only $8 million after

finding that Wiener had failed to mitigate his losses. As is normal, no explanation was

given by the jury as to how it calculated either the amount of actual damages or the

mitigation reduction.

AXA filed for post-trial relief under Rule 50(b), reasserting, among others, the

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