Marla Wohlman, Plaintiff-Counter v. Paul Revere Life Insurance Company, Defendant-Counter Claimant-Appellee

980 F.2d 283, 1992 U.S. App. LEXIS 32763, 1992 WL 370234
CourtCourt of Appeals for the Fifth Circuit
DecidedNovember 23, 1992
Docket92-4541
StatusPublished
Cited by5 cases

This text of 980 F.2d 283 (Marla Wohlman, Plaintiff-Counter v. Paul Revere Life Insurance Company, Defendant-Counter Claimant-Appellee) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Marla Wohlman, Plaintiff-Counter v. Paul Revere Life Insurance Company, Defendant-Counter Claimant-Appellee, 980 F.2d 283, 1992 U.S. App. LEXIS 32763, 1992 WL 370234 (5th Cir. 1992).

Opinion

PER CURIAM:

Appellant, Dr. Marla Wohlman, appeals the district court’s judgment in favor of Paul Revere Insurance Company, Appellee, holding that Wohlman’s disability income insurance policy with the Appellee was void ab initio as a result of misrepresentations made in her application for the policy. Additionally, the court rendered judgment against Wohlman requiring her to reimburse Paul Revere $11,233.24 it had paid her in benefits, and costs. We find no error and affirm.

Background,

The following facts were found by the district court. In April 1987, Dr. Wohlman applied for disability income insurance with Paul Revere. At the time she was married to Dr. W. Zeichner, who had previously purchased a disability income policy from Paul Revere and encouraged Dr. Wohlman to do the same. In completing the application, Dr. Wohlman was asked if she had ever used “stimulants, hallucinogens, narcotics or any controlled substance other than prescribed by a physician, or been counseled or treated for excess use of alcohol or drugs?” Dr. Wohlman answered “no”, even though she had previously, experimented with marijuana, cocaine, and ecstacy. Dr. Wohlman, however, had never been counseled or treated for the excess use of drugs or alcohol. She claims that all prior drug use had ceased almost two years prior to the date of the application.

The insurance agent did not explain to Dr. Wohlman that previous drug use would result in rejection of her application. Dr. Wohlman claims that she did not realize that her policy would be rejected and answered “no” because she felt the question violated her privacy. She felt that her prior experimental drug use was of no significance with respect to her application for disability income insurance.

Paul Revere bases much of it's case on the testimony of Dr. Zeichner, now divorced from Dr. Wohlman, and statements Dr. Wohlman made to physicians two years after applying for the policy. Dr. Zeichner testified that Dr. Wohlman told him of drug use prior to their marriage and that he has personal knowledge of her smoking marijuana and using cocaine, and purchasing and consuming an illegal drug commonly referred to as “ecstacy.” Dr. Zeichner testified that his personal knowledge of Dr. Wohlman’s drug use predated her entry into medical school in 1980 and continued until they moved to Shreveport, Louisiana, in 1985. Dr. Wohlman and Dr. Zeichner were divorced in 1988.

Paul Revere also relies on medical records from drug rehabilitation centers in which Dr. Wohlman was a patient after her application for insurance. On February 26, 1989, Dr. Wohlman became disabled as defined in the policy when she put her left forearm through a window in her home while hallucinating under the influence of alcohol and other drugs. The Shreveport police arrested her for possession of cocaine and transported her to the LSU Medical Center where she was treated for her injury. While receiving treatment, Dr. Wohlman told the treating physician that she had not used any cocaine that day and that her previous use had been approximately a week earlier. As a result of the police charges, Dr. Wohlman was suspended from the LSU residency program and her license to practice medicine was suspended.

*285 In order to be reinstated into the LSU surgical residency program and regain her medical license, Dr. Wohlman was required to enter an in-patient drug abuse treatment program, submit to urinalysis drug screening and undergo psychiatric treatment. She admitted herself into the Jackson Recovery Center in Mississippi in March 1989. She told the physician there that she had abused cocaine approximately 10 times between the ages of 17 and 30, and had abused marijuana and hashish infrequently. She also admitted to once using ecsta-cy and to periodically using Halcion to help her sleep. She indicated on a drug questionnaire that her last use of cocaine was on February 26, 1989. 1 Doctors at that facility diagnosed chemical dependency, however, Dr. Wohlman discharged herself without completing the treatment program.

In April 1989, Dr. Wohlman met with a Paul Revere field representative concerning her disability. She told the representative that she had tried marijuana once in high school and cocaine once in college, but was too busy working to do drugs and alcohol.

In June 1989, she was evaluated by Dr. A. Singdahlsen, a psychiatrist in Shreveport. In September 1989, Dr. Wohlman was admitted to Timberlawn Psychiatric Hospital in Dallas for referral to Timber-lawn’s health professionals program for evaluation of possible substance abuse disorder. Once again, Dr. Wohlman described her past drug use differently to both of these ■ professionals.

Dr. Singdahlsen treated Wohlman through May 1990, when Dr. Wohlman informed Dr. Singdahlsen that she was doing well and had no depression. At Dr. Wohl-man’s request, Dr. Singdahlsen certified to the Louisiana Board of Medical Examiners on October 12, 1989, that Wohlman was competent to practice medicine and surgery.

On December 14, 1989, Paul Revere reviewed Timberlawn Psychiatric Hospital medical records and determined that, had Paul Revere known at the time of the application of Dr. Wohlman’s prior cocaine use, Paul Revere would not have issued a disability income insurance policy to her. In December, Paul Revere notified Dr. Wohl-man that her policy was being rescinded and tendered her a refund of $1,117.66 for previously paid premiums. At that time, Paul Revere had paid a total of $11,233.34 in disability benefits.

Discussion

Dr. Wohlman admits that she lied in applying for her policy when answering the question concerning prior drug use. Paul Revere contends that this false statement is sufficient to bar recovery under the policy-'

Because plaintiffs intent to deceive and-understanding of' the materiality of her misrepresentation to Paul Revere are both fact findings, Fed.R.Civ.P. 52(a) determines that the clear error standard of review applies. “[Ejspecially where, as here, the factual determination is made by resolving conflicts in the evidence, requiring that essential credibility determinations be made, this Court will defer to the trier of fact.” Fontenot v. Global Marine, Inc., 703 F.2d 867, 872 (5th Cir.1983). Finally, “[t]he burden of showing that the findings are clearly erroneous ... is on the party attacking them.” Seaton v. Sills, 403 F.2d 710, 711 (5th Cir.1968); see also Terrell v. Feldstein Co., Inc., 468 F.2d 910, 911 (5th Cir.1972).

Under La.Rev.Stat. 22:619, an insurance company cannot avoid liability under the policy solely as a result of a false statement given by the insured in an application for insurance.

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980 F.2d 283, 1992 U.S. App. LEXIS 32763, 1992 WL 370234, Counsel Stack Legal Research, https://law.counselstack.com/opinion/marla-wohlman-plaintiff-counter-v-paul-revere-life-insurance-company-ca5-1992.