Miara v. First Allmerica Financial Life Insurance

24 Mass. L. Rptr. 65
CourtMassachusetts Superior Court
DecidedFebruary 12, 2008
DocketNo. 0404067
StatusPublished

This text of 24 Mass. L. Rptr. 65 (Miara v. First Allmerica Financial Life Insurance) is published on Counsel Stack Legal Research, covering Massachusetts Superior Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Miara v. First Allmerica Financial Life Insurance, 24 Mass. L. Rptr. 65 (Mass. Ct. App. 2008).

Opinion

Hopkins, Merita A., J.

Introduction

The plaintiff Maria Miara (“plaintiff’ or “Miara”) brought this suit against the defendants seeking damages resulting from the allegedly faulty performance of an insurance product. This action is now before the court on the defendants’ Joseph Bonasera (“Bonasera”) and the First Allmerica Financial Life Insurance Company (“Allmerica”) motions for summary judgment. For the following reasons, the defendants’ motions are ALLOWED in part and DENIED in part.

Background

The undisputed facts and disputed facts viewed in the light most favorable to the plaintiff are as follows. In or about 1989, plaintiff and her husband Richard (“Richard”) (collectively “the Miaras”) owned and operated an entity known as New England Chain Link Fence Co., Inc. (“NECLF”). Affidavit of Maria Miara (“Miara Aff.”) ¶4. Plaintiff Miara was a principal of NECLF and held the role of executive vice president. In or about mid-1989, plaintiff and her husband contacted one Gary M. Baker (“Baker”) of the entity now known as Baker Associates Insurance Agency (“Baker Associates”) to inquire about the purchase of a pension plan for NECLF and its employees.2 Miara Aff. ¶3.

Baker proposed a meeting and suggested the presence of Bonasera in his capacity as a representative of the company now known as Allmerica. Miara Aff. ¶5. Between late 1989 and early 1990, Miara, Richard, Baker, and Bonasera met at least twice to discuss various plans. Id. At these meetings the Miaras “repeatedly” emphasized their desire to have the plan include survivor spouse benefits, owing to the fact that Miara was substantially younger than her husband. Id. Baker and Bonasera ultimately recommended that the Miaras purchase a Defined Benefits Plan (“DBP”), and represented to the plaintiff that under the DBP the “Pension Benefit Guaranty Corporation (“PBGC”) guaranteed 100% spousal benefits in the event that anything was to happen to either [Miara or her] husband.” Miara Aff. ¶6.

Two especially relevant documents emerged as a result of these meetings: (1) a Notice to Policyholder [of] Approval of Group Annuity Contract No. GA-91547A (the “contract”); and (2) a Summary Plan Description (the “summary” or “plan summary”). Joint Appendix at Nos. 6 and 7; Miara Aff. ¶¶9-12. Given the sweeping import of these documents to the case sub judice, they will be described at length.

Miara received the contract from Allmerica on December 22, 1989. The document contains numerous dates and signatures. On a cover page, NECLF is listed as the policyholder, and Miara’s signature as “Exec v. President/Clerk” appears. Just below her signature the “date signed” line reads April 6, 1990. The following page, which contains provisions such as the recitation of consideration and the choice of laws, lists the “effective date of contract” as September 1, 1989 and lists the “date of contract issuance and execution” as October 12, 1990. The policyholder is listed as and the contract is issued to NECLF.

Of particular relevance is §6.01 of the contract. It reads, in relevant part, as follows.

While the employer hopes and expects to continue the Plan indefinitely and every effort has been made to arrange the Plan so that it will meet future conditions insofar as they can be foreseen, the Employer . . . reserves the right to terminate the plan at any time. [I]n the event of a termination or partial termination of this Plan each affected Participant’s Accrued Benefit shall be fully vested and nonforfeitable to the extent funded or as guaranteed by PBGC. Each Participant affected by the termination or partial termination shall have recourse only to the assets then held by the Plan. . . (Emphasis added.)

Miara looked at the contract, but “did not review the boilerplate language in the multi page (sic) contract nor [did she] have any attorney or advisor review it for [her].” Miara Aff. ¶11.

In or about July 1990, Miara received the plan summary. Miara Aff. ¶12. That document features general explanatory text followed by a question and answer section, the relevant portions of which are as follows (with emphasis added).

If you die prior to becoming eligible for an early retirement benefit your spouse will receive a benefit [66]*66equal to 100% of what you would have received had you:
(a) terminated employment on the date of your death;
(b) survived until your earliest retirement age; and
(c) retired at your earliest retirement age under the 100% Contingent Annuitant option.
Q: What circumstances can affect the amount of benefit I receive?
A: The following are major circumstances that can affect the amount of benefit you receive:
(1) If the plan is amended. It is expected that the plan will be continued indefinitely and every effort has been made to design it so that it will meet future conditions. However, your employer retains the right to change the plan at any time if economic or other conditions make it necessary. Aside from amendment required by the federal government, no amendment can reduce the benefit being paid to retired participants, or your accrued benefit.
(2) If the plan is terminated. If economic or other conditions make it necessary, your employer has the right to terminate this plan partially or completely. Termination of the plan is subject to the prior approval of the Internal Revenue Service (IRS) and the PBGC, when required. If the plan terminates, the funds held by the plan will be used only for the benefit of participants and beneficiaries, until all benefits are provided.
(3) If you get divorced, the court may direct that all or part of your benefit be paid to an alternate payee. This alternate payee will generally be your ex-spouse or your children./ The plan administrator will notify you upon receiving such an order and will tell you what effect it has on your benefit.
Q: What happens at Termination of Plan?
A: Your full earned benefit will be protected to the extent that the funds in the plan are sufficient to provide the benefit or, if they are not sufficient, to the extent that the benefits are insured by the federal government through the PBGC.
If funds are insufficient to provide full benefits, they will be allocated in accordance with the priority order listed in the plan.
To the extent that plan assets exceed the plan liability for the benefits described above, any excess amount not required to be returned to employees by the federal government may be returned to your employer.
Q: What benefits are guaranteed by the PBGC?
A: Generally the PBGC guarantees most vested normal retirement benefits, early retirement benefits and certain disability and survivor’s pensions. However, the PBGC does not guarantee all types of benefits under covered plans, and the amount of benefit protection is subject to certain limitations.
The PBGC guarantees vested benefits at the level in effect on the date of plait termination.

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Cite This Page — Counsel Stack

Bluebook (online)
24 Mass. L. Rptr. 65, Counsel Stack Legal Research, https://law.counselstack.com/opinion/miara-v-first-allmerica-financial-life-insurance-masssuperct-2008.