Mayberry v. Pioneer Life Insurance

37 F. App'x 954
CourtCourt of Appeals for the Tenth Circuit
DecidedMay 22, 2002
Docket01-5129
StatusUnpublished

This text of 37 F. App'x 954 (Mayberry v. Pioneer Life Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals for the Tenth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mayberry v. Pioneer Life Insurance, 37 F. App'x 954 (10th Cir. 2002).

Opinion

ORDER AND JUDGMENT *

HENRY, Circuit Judge.

After examining the briefs and appellate record, this panel has determined unanimously that oral argument would not materially assist the determination of this appeal. See Fed. R.App. P. 34(a)(2); 10th Cir. R. 34.1(G). The case is therefore ordered submitted without oral argument.

Plaintiffs Jimmy and Letha Mayberry appeal from the judgment in favor of defendant Pioneer Life Insurance Company on their claims for breach of contract, bad faith, and punitive damages, and the dismissal of their motion for a bill of accounting. We have jurisdiction under 28 U.S.C. § 1291. As we find no plain error — if *955 there is error at all — in the trial court’s action, we affirm.

Plaintiffs were covered by defendant’s catastrophic hospital expense insurance plan beginning on December 10, 1992. During the course of the policy, plaintiffs submitted approximately 3000 claims seeking approximately $250,000. Defendant paid approximately $200,000 and denied other claimed amounts. Plaintiffs asserted that defendant breached the insurance contract and acted in bad faith by wrongfully denying payment on insurance claims and improperly increasing their insurance premiums.

Defendant filed a motion for summary judgment. The district court originally granted it in part, hmiting plaintiffs’ breach of contract claim to the alleged wrongful denial of a dental daim. Addressing plaintiffs’ “motion to reconsider interlocutory order,” the district court decided to allow plaintiffs to proceed against defendant on all unpaid insurance claims. The district court noted, however, that plaintiffs’ breach of contract and bad faith claims were limited to unpaid claims, because plaintiffs did not raise the issue of claims ultimately paid upon resubmission until their motion to reconsider.

The case was then tried to a jury. At the conclusion of the evidence, defendant filed a motion for judgment as a matter of law under Fed.R.Civ.P. 50(a). The court entered judgment for defendant on plaintiffs’ bad faith and punitive damages claims and submitted plaintiffs’ remaining breach of contract claim to the jury. The jury rejected plaintiffs’ breach of contract claim, and the district court dismissed their claim for a bill of accounting on the basis that it was not supported by the evidence.

Plaintiffs argue on appeal that: (1) the district court’s comment to the jury regarding the testimony of their expert witness, Melvin Cooper, unfairly prejudiced the jury; (2) the district court erred in limiting the dollar amount of a disputed dental claim based on a theory not advanced by defendant at the time it initially rejected the claim; (3) there was sufficient evidence to submit to the jury their bad faith and punitive damages claims; (4) the district court improperly denied their evidence of resubmitted claims; (5) the district court improperly imposed a contractual statute of limitations that defendant had not preserved in the Pretrial Order; and (6) there was sufficient evidence to support their claim for a bill of accounting on premium issues. Plaintiffs contend that the jury’s verdict based on a finding that there was no breach of contract should be reversed, and the case should be retried on all issues.

“A federal court sitting in diversity must apply the law of the forum state, in this case Oklahoma, and thus must ascertain and apply Oklahoma law with the objective that the result obtained in the federal court should be the result that would be reached in an Oklahoma court.” Wood v. Eli Lilly & Co., 38 F.3d 510, 512 (10th Cir.1994). On appeal, we apply “the normal federal standards of appellate review to examine the district court’s decision process.” Mid-America Pipeline Co. v. Lario Enters., Inc., 942 F.2d 1519, 1524 (10th Cir.1991).

In their first assertion of error, plaintiffs contend that a comment made by the trial judge to the jury amounted to an instruction to disregard the testimony of their expert witness, Melvin Cooper, which unfairly prejudiced their breach of contract claim. Plaintiffs presented Mr. Cooper as an expert on the coverage provided by their insurance contract.

At the end of all the evidence, the judge said to the jury:

*956 In reference to the testimony of Mr. Melvin Cooper who testified in this case, let me simply say to you insofar as you conclude that Mr. Cooper’s testimony involved an erroneous conclusion regarding the benefits or coverage under the insurance policy, you should simply disregard his testimony if you think that was the case as to any particular claim or claims.

ApltApp., Vol. Ill at 587. Plaintiffs did not object to this comment.

Because plaintiffs did not object at trial, we review the trial judge’s instructions to the jury for plain error. Giron v. Corrections Corp. of Am., 191 F.3d 1281, 1289 (10th Cir.1999). “We will only reverse under the plain error standard in an exceptional circumstance — one where the error was patently plainly erroneous and prejudicial.” Id. (quotation omitted).

We have carefully considered the judge’s comment in this case, and hold that it does not constitute error and did not prejudice plaintiffs. The trial judge in a federal court “is not limited to instructions of an abstract sort.” Quercia v. United States, 289 U.S. 466, 469, 53 S.Ct. 698, 77 L.Ed. 1321 (1933). Rather, the judge is entitled “to assist the jury in arriving at a just conclusion by explaining and commenting upon the evidence, ... provided [the judge] makes it clear to the jury that all matters of fact are submitted to their determination.” The judge “may analyze and dissect the evidence, but ... may not either distort it or add to it.” Id. at 470. The judge’s comment in this case did not add to or distort the evidence, and clearly left the duty of fact-finding with the jury.

In their second argument, plaintiffs contend that the district court erred in limiting the dollar amount of a disputed dental claim based on a contract provision not advanced by defendant at the time it initially rejected the claim. Plaintiffs offer no support for their contention that defendant was precluded from relying on the entire insurance contract at trial of their breach of contract claim. We are aware of none and, therefore, reject plaintiffs’ argument. We have reviewed the trial transcript as it relates to the disputed dental claim. Based on the evidence presented at trial, the amount submitted to the jury as potential damages, $1722, is the amount that was potentially covered by the contract as an accidental injury.

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Related

Quercia v. United States
289 U.S. 466 (Supreme Court, 1933)
Giron v. Corrections Corp. of America
191 F.3d 1281 (Tenth Circuit, 1999)
Wood v. Eli Lilly & Co.
38 F.3d 510 (Tenth Circuit, 1994)
United States v. Bradley Grover
119 F.3d 850 (Tenth Circuit, 1997)
Dobry v. Dobry
1958 OK 8 (Supreme Court of Oklahoma, 1958)
Mid-America Pipeline Co. v. Lario Enters., Inc.
942 F.2d 1519 (Tenth Circuit, 1991)

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Bluebook (online)
37 F. App'x 954, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mayberry-v-pioneer-life-insurance-ca10-2002.