Mauger v. Metropolitan Life Insurance Company

CourtDistrict Court, N.D. Indiana
DecidedMarch 2, 2023
Docket3:21-cv-00190
StatusUnknown

This text of Mauger v. Metropolitan Life Insurance Company (Mauger v. Metropolitan Life Insurance Company) is published on Counsel Stack Legal Research, covering District Court, N.D. Indiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mauger v. Metropolitan Life Insurance Company, (N.D. Ind. 2023).

Opinion

UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF INDIANA SOUTH BEND DIVISION

MARGARET A. MAUGER-JAKELSKI, as Co-Personal Representative of the Estate of Elmer B. Mauger, deceased,

Plaintiff,

v. Case No. 3:21-CV-190-JD-MGG

METROPOLITAN LIFE INSURANCE COMPANY,

Defendants.

OPINION AND ORDER Plaintiff Margaret Mauger-Jakelski is co-personal representative of the estate of her late father, Elmer Mauger. In this lawsuit, she claims that, over thirty years ago, Mr. Mauger directed Defendant Metropolitan Life Insurance Company (“MetLife”) to cancel his life insurance policy, which it failed to do, unbeknownst to Mr. Mauger. Instead, MetLife continued paying the premiums in the form of loans issued against the cash surrender value of the policy. By 2019, the cash surrender value became depleted to the point that the policy lapsed at which time MetLife reported to the IRS that Mr. Mauger received miscellaneous income from MetLife. Mr. Mauger sued MetLife in this Court, claiming breach of contract for its failure to cancel the policy, insurance bad faith in its handling of Mr. Mauger’s policy, and fraud for its attempts to collect the loan used to pay Mr. Mauger’s policy premiums. MetLife moved to dismiss the complaint, and the Court granted the motion in part. The Court dismissed Mr. Mauger’s bad faith claim with prejudice; dismissed his fraud claim with leave to amend; but refused to dismiss Mr. Mauger’s breach of contract claim. (DE 21 at 13–14.) Since then, Plaintiff has twice amended her complaint (DE 26 & 33), and MetLife has again moved to dismiss the fraud claim. This time the Court will grant the motion with prejudice.

A. Factual Background The Court starts with the facts alleged in the second amended complaint which it accepts

as true at this point of the case. In 1974, Mr. Mauger took out a life insurance policy with Defendant MetLife for the benefit of his then-wife, Barbara. (DE 33 at 1–2.) One of the policy’s features included the Automatic Premium Loan Option under which, if a premium is missed, the amount of the premium is automatically paid out of the policy cash value. At the insured’s option, the cash value can be repaid to maintain maximum benefit. (DE 1-4 at 5, 15, & 18.) This feature ensures the policy owner that coverage does not lapse due to a temporary failure to pay premiums. In 1985, after Mr. Mauger and Barbara were divorced, Mr. Mauger contacted MetLife to request that she be removed as the beneficiary to the policy. When MetLife informed him that

the beneficiary could not be changed, Mr. Mauger instructed MetLife to cancel the policy and ceased paying premiums. (Id. at 2.) Yet, unbeknownst to him, MetLife failed to cancel the policy. Instead, MetLife began issuing loans against the cash surrender value of the policy in order to pay the policy premiums. The issuance of these loans continued until the cash surrender value was exhausted in April 2019. (Id. at 5.) In January 2017, MetLife mailed Mr. Mauger a “Notice of Automatic Premium Loan,” at which time Mr. Mauger first discovered that MetLife did not cancel the policy in 1985 as directed. (Id. at 4.) Around this time, Mr. Mauger learned that his policy had a cash surrender value. Mr. Mauger contacted MetLife and informed it that he had previously canceled the policy but MetLife continued to take out additional loans. (Id. at 4.) In January 2018, Mr. Mauger, through his attorney, contacted MetLife and once again informed it that he canceled the policy thirty years prior, directed MetLife to stop all attempts to recover on the loans, and instructed MetLife that all communications to Mr. Mauger be made through his attorney. However, MetLife continued to contact him to attempt to collect payment on the loans for another year and

a half. (Id. at 4–5.) In August 2019, MetLife informed Mr. Mauger that the policy had lapsed due to non- payment of the premiums and that the outstanding policy loan was automatically repaid by a deduction from the policy’s cash value. (Id. at 5.) MetLife asserted that repaying the loan in that manner constituted a taxable event and subsequently issued Mr. Mauger a 1099-R form in the sum of $19,875.02 for the year 2019 and reported that sum to the IRS as income. (Id. at 4, 8.) As relevant to MetLife’s motion to dismiss, the second amended complaint alleges that MetLife committed fraud against Mr. Mauger by issuing loans against the cash surrender value of his life insurance policy because it knew, or should have known, that Mr. Mauger had

canceled the life insurance policy in 1985. MetLife then doubled down on the fraud when, instead of correcting the mistake, it attempted to collect the money for the loans from Mr. Mauger and reported to the IRS that Mr. Mauger received cash distribution from the value of the life insurance policy. Mr. Mauger claims that he incurred expenses, including attorney’s fees, as a result of MetLife’s fraud. In particular, he had to spend money to protect his benefits with the U.S. Department of Veterans Affairs and Medicaid and to prove to the IRS that he owed no additional income taxes as a result of MetLife issuing loans to pay the premiums. MetLife has moved to dismiss Plaintiff’s fraud claim for failure to state a claim pursuant to Federal Rule of Civil Procedure 12(b)(6). B. Standard of Review Federal Rule of Civil Procedure 12(b)(6) authorizes dismissal of claims for failure to state a claim upon which relief can be granted. In considering dismissal under Rule 12(b)(6), the Court construes the complaint in the light most favorable to the Plaintiff, accepts the factual

allegations as true, and draws all reasonable inferences in the Plaintiff’s favor. Reynolds v. CB Sports Bar, Inc., 623 F.3d 1143, 1146 (7th Cir. 2010). A complaint must contain only a “short and plain statement of the claim showing that the pleader is entitled to relief.” Fed. R. Civ. P. 8(a)(2). That statement must contain sufficient factual matter to “state a claim that is plausible on its face.” Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 570 (2007). “A claim has facial plausibility when the pleaded factual content allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (citing Twombly, 550 U.S. at 556). “Factual allegations must be enough to raise a right to relief above the speculative level on the assumption that all the allegations in the complaint are

true.” Twombly, 550 U.S. at 545. A pleading that offers “labels and conclusions” or “a formulaic recitation of the elements of a cause of action will not do.” Id. at 555. “[W]here the well-pleaded facts do not permit the court to infer more than the mere possibility of misconduct, the complaint has alleged—but has not shown—that the pleader is entitled to relief.” Iqbal, 556 U.S. at 679 [internal quotations omitted].

C. Discussion In its motion to dismiss, MetLife argues that the second amended complaint has not cured the fraud claim deficiencies that were present in the original complaint and that the amended fraud claim should now be dismissed with prejudice. MetLife submits that Plaintiff’s fraud claim remains an impermissibly repackaged breach of contract claim as was the case in the original complaint. In her response, Plaintiff insists that Mr.

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Mauger v. Metropolitan Life Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mauger-v-metropolitan-life-insurance-company-innd-2023.