Massey v. Congress Life Insurance

116 F.3d 1414, 38 Fed. R. Serv. 3d 84, 1997 U.S. App. LEXIS 17062
CourtCourt of Appeals for the Eleventh Circuit
DecidedJuly 10, 1997
Docket96-6635
StatusPublished
Cited by48 cases

This text of 116 F.3d 1414 (Massey v. Congress Life Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eleventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Massey v. Congress Life Insurance, 116 F.3d 1414, 38 Fed. R. Serv. 3d 84, 1997 U.S. App. LEXIS 17062 (11th Cir. 1997).

Opinion

BLACK, Circuit Judge:

The present case arises out of the termination of health insurance policies held by James D. Massey and Robert A. Massey for failure to pay the premiums prior to the due date or expiration of the grace period. The insurance policies at issue were underwritten by Congress Life Insurance Company (Congress) and administered by Insurers Administrative Corporation (IAC). After termination of the policies, the Masseys sued Congress and IAC for breach of contract, fraud, bad faith, outrage, and negligence in the United States District Court for the Northern District of Alabama. The district court granted in part a motion by Congress and IAC for summary judgment, but also granted summary judgment sua sponte in favor of the Masseys on a breach of contract claim. To remedy the perceived breach, the court awarded the Masseys injunctive relief, including immediate reinstatement of their policies. Congress and IAC then took the instant interlocutory appeal wherein they contend that the district court erred by partially denying its motion for summary judgment and then granting summary judgment on the breach of contract claim to the Mas-seys. We reverse because the district court failed to afford adequate notice prior to the sua sponte grant of summary judgment.

I. BACKGROUND

James and Robert Massey are brothers and the sole shareholders in Massey Amoco, Inc. (Massey Amoco), the corporate owner of a service station in Birmingham, Alabama. In late 1992 or early 1993, the Masseys explored the possibility of obtaining health insurance for themselves and two full-time employees. Subsequently, all four individuals elected to purchase health insurance policies underwritten by Appellant Congress and administered by Appellant IAC.

*1416 As administrator of the policies, IAC handled collection of premiums and processing of claims on behalf of Congress. On approximately October 15, 1994, in accordance with its standard practice, IAC mailed James and Robert Massey their monthly premium statements at the Massey Amoco service station. Each statement specified that payment of the monthly premium was due on November 1, 1994, and warned that “IF PREMIUMS ARE NOT RECEIVED WITHIN 31 DAYS OF THE DUE DATE, COVERAGE WILL CEASE AS OF THE DUE DATE FOR NON-PAYMENT OF PREMIUM.” Massey Amoco failed to pay the monthly premiums on or before the November 1, 1994, due date and still had not paid those premiums when IAC mailed the December statements to policyholders on or about November 15, 1994.

In late November 1994, Massey Amoco received from IAC the premium statements for the month of December. The statements indicated that the premiums for the month of November were past due. Near the bottom of each statement, a delinquency notice appeared in bold type set off in an enclosed box. The notice stated that “THE PAST DUE AMOUNT MUST BE RECEIVED WITHIN 31 DAYS OF THE DUE DATE FOR THE MONTH IN WHICH IT WAS DUE TO AVOID LAPSE OF COVERAGE.” The statement also contained the standard recitation that coverage under the policy would cease as of the due date unless premiums were received within 31 days of the due date. On December 9, 1994, IAC received a cheek from Massey Amoco purporting to pay the premiums that had been due November 1, 1994. The envelope containing the payment was postmarked December 5, 1994. Explaining that their insurance policies had lapsed on December 2, 1994, in accordance with the terms of their insurance certificates, IAC returned the check to the Masseys.

On June 2, 1995, the Masseys sued Congress and IAC in the United States District Court for the Northern District of Alabama. The complaint advanced state law causes of action for breach of contract, bad faith, fraud, outrage, and negligence. In their answer, Congress and IAC maintained that the Employee Retirement Income Security Act (ERISA), 29 U.S.C. §§ 1001-1461, preempted the Masseys’ claims. On February 27, 1996, Appellants Congress and IAC filed a motion for summary judgment arguing both ERISA preemption and, in the alternative, the merits of the Masseys’ claims. In an order issued on May 29, 1996, the district court granted in part and denied in part Appellants’ motion for summary judgment. After rejecting the ERISA preemption argument, the district court awarded Congress and IAC summary judgment on the outrage, negligence, and bad faith claims, but denied summary judgment on the breach of contract and fraud claims. In addition, although the Masseys had not moved for summary judgment, the district court granted them summary judgment sua sponte on their breach of contract claim. The court then awarded the Masseys injunctive relief for the perceived breach, ordering Congress and IAC to reinstate the Masseys’ policies and to pay any insurance claims that had accrued since cancellation. The court enjoined Congress and IAC from canceling the medical policy of James Massey prior to the time “all of the benefits have been paid for his terminal renal disease” up to the limits of the policy. On June 24, 1996, Congress and IAC filed a notice of interlocutory appeal pursuant to 28 U.S.C. § 1292(a)(1).

II. DISCUSSION

A. Scope of Appellate Review.

Section 1292(a)(1) confers upon courts of appeals jurisdiction over appeals from interlocutory district court orders “granting, continuing, modifying, refusing or dissolving injunctions.” As a general rule, when an appeal is taken from the grant or denial of an injunction, the reviewing court will go no further into the merits than is necessary to decide the interlocutory appeal. Callaway v. Block, 763 F.2d 1283, 1287 n.6 (11th Cir.1985). Courts have adopted this approach not out of jurisdictional necessity, but merely as a matter of sound judicial administration. Id. As we perceive no justification for departing from these principles of sound judicial administration in the instant ease, we confine our analysis to the propriety of the *1417 district court’s breach of contract ruling, which constitutes the sole basis for the grant of injunctive relief.

B. The District Court’s Sua Sponte Grant of Summary Judgment in Favor of the Nan-Moving Party.

We initially consider the propriety of the district court’s sua sponte grant of summary judgment in favor of the Masseys. The critical question is not whether the district court had the power to grant summary judgment sua sponte in favor of a nonmoving party. District courts unquestionably possess the power to trigger summary judgment on their own initiative. See, e.g., Celotex Corp. v. Catrett, 477 U.S. 317, 326, 106 S.Ct. 2548, 2554, 91 L.Ed.2d 265 (1986); Bosarge v. United States Dep’t of Educ., 5 F.3d 1414, 1416 n.4 (11th Cir.1993), cert.

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Bluebook (online)
116 F.3d 1414, 38 Fed. R. Serv. 3d 84, 1997 U.S. App. LEXIS 17062, Counsel Stack Legal Research, https://law.counselstack.com/opinion/massey-v-congress-life-insurance-ca11-1997.