Myers v. Alliance for Affordable Services

371 F. App'x 950
CourtCourt of Appeals for the Tenth Circuit
DecidedApril 7, 2010
Docket08-1354
StatusUnpublished
Cited by7 cases

This text of 371 F. App'x 950 (Myers v. Alliance for Affordable Services) 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
Myers v. Alliance for Affordable Services, 371 F. App'x 950 (10th Cir. 2010).

Opinion

ORDER AND JUDGMENT *

DEANELL REECE TACHA, Circuit Judge.

Plaintiffs-appellants Howard Myers and his minor sons Ethan and Lukas Myers (“plaintiffs”) brought claims against Alliance for Affordable Services (“Alliance”), Mid-West National Life Insurance Company (“Mid-West”), and Kenneth Kochan after plaintiffs were denied insurance coverage of medical bills incurred by Ethan and Lukas. The district court dismissed all of plaintiffs’ claims on pre-trial motions, and plaintiffs now appeal. We take jurisdiction pursuant to 28 U.S.C. § 1291 and AFFIRM.

I. BACKGROUND

In January 2002, plaintiffs did not have health insurance. That month, Mr. Myers contacted Mr. Kochan, an insurance agent for Mid-West who was working through Alliance. On Tuesday, January 15, Mr. Kochan came to Mr. Myers’s home and assisted him in completing an application for health insurance, which sought coverage for Mr. Myers, Ethan, and Lukas. The application, which Mr. Myers signed, listed Dr. Kurt Wever as Mr. Myers’s physician. The application also indicated that he had a kidney removed eight years prior, a procedure known as a nephrecto-my.

In addition, the application contained various declarations, agreements, confirmations, and releases that Mr. Myers acknowledged through his signature. Under the heading “Declarations and Agreements,” the application provided that “the agent does not have the authority on behalf of [Mid-West] to accept the risks, or to make, alter, or amend the coverage” and “no insurance will take effect unless and until the Application is approved by [Mid-West] and the policy is delivered to the Applicant while the conditions affecting the insurability are and have remained as described herein....” Similarly, Mr. Myers signed a “Confirmation of Presentation and Conditional Receipt” acknowledging that the payment of an initial premium did not create insurance coverage. 1 The Confirmation of Presentation also provided that the insurance for which Mr. Myers applied would “not become effective until the policy is delivered by [Mid-West]” and that “neither [Mr. Kochan] or [Mid-West] is bound by any knowledge or statements made by [Mr. Kochan] ... unless set forth in writing in the application and this receipt.” Furthermore, at the same January 15 meeting, Mr. Myers signed a medical records release which provided, “I understand that coverage is not effective unless and until approved by [Mid-West].”

Mr. Kochan returned to the Myers’s home the following evening, Wednesday, January 16, to obtain additional information regarding Mr. Myers’s nephrectomy. Mr. Kochan turned in the application, the *954 additional information, and an initial premium payment check written by Mr. Myers in the amount of $376.11 on Friday, January 18 at Alliance’s weekly “turn-in” meeting. Alliance, in turn, mailed the application to Mid-West that Friday or the following Monday. Mid-West received the application and began the underwriting process on Tuesday, January 22.

Tragically, the same day that Mid-West received the application, Ethan and Lukas were involved in an automobile collision with a drunk driver. Medical bills for the two boys exceeded $1,000,000.

On January 31, Mid-West wrote a letter to Mr. Myers indicating that it would be unable to consider his application until it received medical records relating to his nephrectomy, and that it had requested a third party obtain the records from Dr. Wever. Two months later, on March 21, Mid-West notified Mr. Myers that it was suspending the processing of the application because it never received the necessary medical records. On March 22, Mid-West issued three “refund” checks to Mr. Myers and refused to issue him an insurance policy. Mid-West later refused to pay for the medical bills incurred by Ethan and Lukas.

Plaintiffs filed a complaint (the “amended complaint”) against Mid-West, Alliance, and Mr. Kochan (collectively, “defendants”) in El Paso County District Court in January 2004. The amended complaint raised claims for breach of contract, bad faith breach of an insurance contract, breach of fiduciary duty, fraudulent and negligent misrepresentation, negligence, and outrageous conduct. Defendants removed the action to federal comb, contending that Mr. Kochan, the only non-diverse party, was not subject to suit because he had filed for bankruptcy one month prior to the filing of the amended complaint and was protected by the automatic stay. The district court agreed that the claims against Mr. Kochan violated the automatic stay in the bankruptcy case, dismissed the claims against Mr. Kochan as void ab ini-tio, and denied plaintiffs’ motion to remand.

In March 2004, Alliance filed a motion to dismiss all of the claims against it pursuant to Fed.R.Civ.P. 12(b)(6). The district court granted Alliance’s motion and dismissed plaintiffs’ claims. Plaintiffs subsequently filed a Motion to Amend Judgment, and in the Alternative, Motion to Reinstate and Amend Their Amended Complaint, which the district court denied.

In March 2008, plaintiffs sought to amend the amended complaint to add a new claim against Mid-West, the only remaining defendant. The district court also denied this motion to amend. Finally, following Mid-West’s motion, the district court granted summary judgment in favor of Mid-West on all claims and, in doing so, also struck portions of plaintiffs’ expert testimony.

Plaintiffs now appeal the dismissal of their claims against Alliance pursuant to Rule 12(b)(6) and against Mid-West on summary judgment. They also contend that the district court erred in denying them Motion to Amend Judgment, and in the Alternative, Motion to Reinstate and Amend Their Amended Complaint, as well as their March 2008 motion to amend the amended complaint. Finally, plaintiffs contest the dismissal of Mr. Kochan from this action and argue that the district court improperly struck portions of their expert testimony in support of their opposition to summary judgment.

II. DISCUSSION

A. Plaintiffs’ Claims Against Alliance and Mid-West

1. Standards of Revieiu

The district court dismissed the claims against Alliance pursuant to Fed.R.Civ.P. *955 12(b)(6); therefore, we review the decision to dismiss de novo. Ridge at Red Hawk, L.L.C. v. Schneider, 493 F.3d 1174, 1177 (10th Cir.2007). “[W]e assume the truth of the plaintiffs well-pleaded factual allegations and view them in the light most favorable to the plaintiff.” Id. To survive a motion to dismiss, a plaintiff must “‘nudge his claims across the line from conceivable to plausible.’ ” Id. (quoting Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 570, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007)) (alterations omitted).

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
371 F. App'x 950, Counsel Stack Legal Research, https://law.counselstack.com/opinion/myers-v-alliance-for-affordable-services-ca10-2010.