McCarthy v. Aetna Life Insurance

231 A.D.2d 211, 661 N.Y.S.2d 625, 1997 N.Y. App. Div. LEXIS 8290
CourtAppellate Division of the Supreme Court of the State of New York
DecidedAugust 14, 1997
StatusPublished
Cited by3 cases

This text of 231 A.D.2d 211 (McCarthy v. Aetna Life Insurance) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
McCarthy v. Aetna Life Insurance, 231 A.D.2d 211, 661 N.Y.S.2d 625, 1997 N.Y. App. Div. LEXIS 8290 (N.Y. Ct. App. 1997).

Opinions

OPINION OF THE COURT

Tom, J.

The issue on appeal is whether, under the narrow circumstances of this case, the insured may change the designation of beneficiary on a life insurance policy, nunc pro tunc, by means of a testamentary disposition when the insurance company, by paying the proceeds of the policy to the court, has waived technical compliance with its change of beneficiary requirements.

The relevant facts are essentially undisputed. This is a tragic case in which the insured, while still a young man, and shortly after his 1972 marriage to plaintiff, was diagnosed in 1973 as suffering from multiple sclerosis. During his employment the insured had been provided with life insurance coverage issued by defendant Aetna Life Insurance Company with a 1973 effective date. On the enrollment card, he designated his then-wife, plaintiff, to be the beneficiary. The insured retained the power to change the designation of beneficiary, but no change of beneficiary was ever filed with the carrier.

As a result of his illness, the insured soon developed severe tremors and underwent an operation on his brain to alleviate [213]*213this condition. In 1974, the insured started to lose his sight, and was certified to be medically blind shortly thereafter. His marriage, which had been entered into in the State of Virginia, deteriorated along with his physical health, and he had to move into his father’s Pennsylvania home in 1977. Although the insured’s marital separation was not formalized into a divorce decree until 1978, the father, after the son moved in with him, assumed exclusive responsibility for the care of his son. During the next seven years, the father cared for and attended to the needs of his bedridden son, who was a quadriplegic at the time of death.

The parties’ separation agreement dated February 27, 1978, governed by Virginia law, was incorporated into the divorce decree. It provided for a complete property settlement, which has relevant features. Not only did the insured specifically not make any provision for plaintiff that was to survive the divorce, but plaintiff agreed to pay the insured alimony for a four-year period. It appears from the record that at some point the insured was required to commence litigation to enforce compliance with this provision. The insured agreed to assume responsibility for all of his medical costs, and each party relinquished all rights, title and interests against the other party. The intent of the insured to deprive his ex-wife of any financial benefits was manifested more clearly in the 1977 last will, which was holographically prepared, apparently without the advice of counsel. This will specifically revoked a prior will bequeathing the estate to plaintiff, and now bequeathed to his father all of his assets, specifically including all insurance benefits. The will was probated in the State of Pennsylvania. Its provisions are not challenged, excepting the effectiveness of disposition of the insurance policy, and we give the decree of the Pennsylvania court full force and effect insofar as such is consistent with the relevant State insurance law.

Upon the death of the insured in 1984, plaintiff (since remarried), as the beneficiary of record, and the insured’s father, Emil Kapcar, each made a claim upon Aetna for the proceeds of the policy. Aetna paid the money into the court and plaintiff commenced the instant action against Aetna which then interpleaded Emil Kapcar.

The Civil Court held that the plaintiff was entitled to the policy proceeds. The Appellate Term (Parness, J., dissenting), affirmed the decision of the Civil Court, essentially for the reasons stated by the Civil Court, on grounds including, inter alia, that plaintiff was the beneficiary designated in the policy [214]*214application by decedent prior to his death, and that the insured had not taken affirmative steps to do all that he reasonably could have done to effect a change in the designated beneficiary of the policy prior to his death. Interpleaded defendant Kapcar appeals, by leave of the Appellate Term, the decision and order of the Appellate Term, and we now reverse.

In the group life insurance policy issued by Aetna, the terms explicitly provide that: "This policy shall be construed in accordance with the laws of Delaware, where it is delivered”.

We would give effect to the choice of law provision in the insurance contract itself to determine a material term going to the heart of that contract, to wit, the enforceability of the technical procedures for changing the designation of beneficiary. By arguing for the applicability of Pennsylvania law to govern the insurance law issue, plaintiff and the dissent misconstrue the limited applicability of Pennsylvania’s probate law regarding a testamentary instrument executed in that State for a Pennsylvania resident. Pennsylvania insurance law would not operate to govern interpretation of an insurance contract, such as the one before us, which has no nexus with that State, rendering irrelevant plaintiff’s reliance on Carruthers v $21,000 (290 Pa Super 54, 434 A2d 125). We respectfully part issue with the dissent on this point. Further, the insurance policy unequivocally provides that the laws of Delaware shall govern.

Delaware case law, albeit in a different factual context, has allowed for a challenge by a claimant to the payment of life insurance proceeds under contested circumstances in which the designated beneficiary could not rely entirely on her status as the beneficiary of record (Carpenter v Greene, 396 A2d 150 [Del]). The Delaware Supreme Court in Carpenter held that the decedent’s intent was a controlling factor, under the circumstances of that case, in the determination of the rightful beneficiary of decedent’s life insurance policy. The dissent acknowledges that in Carpenter the focal point was the decedent’s intention to name another beneficiary of the policy proceeds. By analogy, plaintiff herein would not be entitled as a matter of law to the proceeds of this policy under circumstances where the manifest intentions of the insured, rather than the fact of a prior designation of beneficiary, became the analytical focus by virtue of the carrier’s waiver of strict compliance with policy terms governing disposition of the proceeds.

Even based on the law of New York, under the narrow circumstances of this case, we could reach the same conclusion [215]*215without diluting the sound reasoning otherwise requiring strict adherence to policy procedures for changing beneficiaries (see, EPTL 13-3.2). New York has judicially adopted (see, Kane v Union Mut. Life Ins. Co., 84 AD2d 148, appeal dismissed 57 NY2d 956; Aetna Life Ins. Co. v Sterling, 15 AD2d 334, affd 11 NY2d 959; Considine v Considine, 255 App Div 876) an equitable principle recognized by other States (see, Franklin Life Ins. Co. v Mast, 435 F2d 1038; Sears v Austin, 292 F2d 690, 693, cert denied 368 US 929; Doss v Kalas, 94 Ariz 247, 383 P2d 169) when the insured retains the right to change beneficiaries (cf, Kornacki v Mutual Life Ins. Co., 195 AD2d 847 [when insured tried to change designation of beneficiary, he lacked the power to do so; his uncle was the "rightsholder” so empowered]), allowing for noncompliance with the policy requirements for changing designations of beneficiaries. The policy in this case provides that a change in beneficiary must be made in writing and that the form is to be filed with the carrier.

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Bluebook (online)
231 A.D.2d 211, 661 N.Y.S.2d 625, 1997 N.Y. App. Div. LEXIS 8290, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mccarthy-v-aetna-life-insurance-nyappdiv-1997.