Milkman v. American Travellers Life Insurance

61 Pa. D. & C.4th 502, 2002 Pa. Dist. & Cnty. Dec. LEXIS 94
CourtPennsylvania Court of Common Pleas, Philadelphia County
DecidedMarch 28, 2002
Docketno. 3775
StatusPublished
Cited by1 cases

This text of 61 Pa. D. & C.4th 502 (Milkman v. American Travellers Life Insurance) is published on Counsel Stack Legal Research, covering Pennsylvania Court of Common Pleas, Philadelphia County primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Milkman v. American Travellers Life Insurance, 61 Pa. D. & C.4th 502, 2002 Pa. Dist. & Cnty. Dec. LEXIS 94 (Pa. Super. Ct. 2002).

Opinion

HERRON, J.,

This opinion addresses a proposed global settlement of the claims asserted in this matter, as well as the claims presented in two related cases in California. These claims arise from the defendants’ alleged fraud and other illegal conduct [504]*504related to the sale of certain long-term care and home health care insurance policies since 1989 and subsequent premium increases on those policies. In exchange for the dismissal of these claims, the defendants have offered members of the class the options of purchasing additional insurance or replacement insurance policies, applying the premiums already paid toward payment of long-term care or nursing care costs or retaining their current policies with protection against further substantial premium increases. The value of these benefits has been estimated at $34.7 million.

This case has generated a great deal of interest in the media1 and among groups and agencies whose interests are purportedly aligned with those of the class.2 Much of this attention has centered on perceived deficiencies in the proposed settlement and the supposed inadequacies of the relief it provides. The court initially shared some of these concerns and meticulously scrutinized the proposed settlement to determine if the benefits provided under it were as advantageous to the class as the parties contended. After a painstaking review of the proposed settlement using the seven-factor test mandated by the Pennsylvania Supreme Court, the court is convinced that [505]*505the settlement secures an adequate advantage for the class in relation to the rights being surrendered and that the settlement falls within the range of reasonableness for settling this action. This decision is based in large part on the significant risk inherent in the class’s continued prosecution of this matter and the few class members expressing opposition to the proposed settlement, especially when compared to the large number of class members who have actively expressed an interest in the settlement. In addition, the court finds that class counsel’s request for attorneys’ fees and for incentive awards for the class representatives is appropriate.

BACKGROUND

Defendant Conseco Senior Health Insurance Company is one of the leading providers of long-term care insurance in the United States. In January 1989, Conseco began issuing “guaranteed renewable” long-term care (LTC) and home health care (HHC) policies, with marketing for the policies directed primarily at senior citizens. Each of the policies includes the following language:

“We can change the renewal premium rates. We can only change them if they are changed for all policies in your state on this policy form. Notice of any change in rates will be sent at least 31 days in advance.”

According to the class, the policies were developed as an “experimental” insurance product that was guaranteed as renewable, but gave no clear indication that the policy premiums would be increased. However, when the policies were sold, the class asserts, it was known that the policy premiums would have to be increased [506]*506substantially to ensure the viability of the policies as a whole.3

In 1996, Conseco was acquired by defendant American Travellers Life Insurance Company and assumed its current status as a wholly-owned subsidiary of American Travellers.4 After this acquisition, Conseco continued to sell the policies. Around this time, the defendants allegedly decided that they would seek future increases in the policies’ premiums, but did not inform either existing or potential policyholders of their intentions. The defendants also supposedly did not inform policy applicants that the “renewable” policies had an exceptionally high lapse rate.

When the defendants raised the policy premiums, they did so by way of form letters that stated that the increases were a result of either increased medical costs, higher claims rates or other cost increases, explanations that the class contends are false.5 The defendants also “closed the book” on the policies by ceasing to sell new policies and limiting service to existing policyholders, allegedly [507]*507sending the policies into what is known as a “death spiral.” 6 As a result of the policy premium increases, many policyholders were forced to discontinue their insurance coverage and were unable to secure insurance coverage similar to that provided by the policies elsewhere because their advanced age made premiums unaffordable.

Based on these occurrences, cases similar to this one were subsequently initiated in California. The first of these cases was Blau v. American Travellers,7 filed in California on March 8,2000, brought by Janet Blau and Larry Blau. A second suit, Lane v. American Travellers,8 was filed in California on March 24, 2000 by Alva Lane and Linda Pequegnat.9

On June 29, 2000, plaintiff Irene Milkman initiated the instant action. After a round of initial preliminary objections, the plaintiff filed an amended complaint, in which she asserted claims for violations of Pennsylvania’s Unfair Trade Practices and Consumer Protection Law (UTPCPL),10 negligent misrepresentation, fraud/intentional misrepresentation and constructive fraud.11 At the same time, the courts hearing the Lane and Blau cases addressed numerous sets of demurrers and motions to [508]*508strike. While the plaintiffs emerged victorious and unscathed from the preliminary battles in Lane, the Blau court sustained demurrers to the Blau plaintiffs’ first two complaints, forcing the filing of a second amended complaint, to which a third set of challenges was presented. To promote judicial efficiency, the parties in this action and the Blau and Lane actions coordinated their considerable discovery efforts and negotiations with the defendants.12

On July 27, 2001, after extensive negotiations,13 the plaintiff and the defendants filed a joint motion for preliminary approval of proposed class action settlement. The motion addressed class certification and a proposed settlement of the action under the following terms:

• The defendants would be released from liability for all claims members of the class have had, currently have or will have against the defendants, including the claims raised in the complaint.14
[509]*509• Class members with in-force or current policies could choose: (1) to receive a replacement policy at a five percent discount; (2) to exchange the policy for a refund of all premiums paid less claims paid; or (3) to keep the policy with the right to request a refund of all premiums paid less claims paid if premiums increase above a certain percentage. In addition to these options, class members with in-force policies are entitled to either a five percent match on initial premiums for a new Conseco annuity policy or a 50 percent match on first year premiums for a new Conseco life insurance policy.

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Cite This Page — Counsel Stack

Bluebook (online)
61 Pa. D. & C.4th 502, 2002 Pa. Dist. & Cnty. Dec. LEXIS 94, Counsel Stack Legal Research, https://law.counselstack.com/opinion/milkman-v-american-travellers-life-insurance-pactcomplphilad-2002.