National Western Life Insurance Company v. Ella Mae Rowe, Individually and on Behalf of All Others Similarly Situated

CourtCourt of Appeals of Texas
DecidedAugust 8, 2002
Docket03-01-00396-CV
StatusPublished

This text of National Western Life Insurance Company v. Ella Mae Rowe, Individually and on Behalf of All Others Similarly Situated (National Western Life Insurance Company v. Ella Mae Rowe, Individually and on Behalf of All Others Similarly Situated) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
National Western Life Insurance Company v. Ella Mae Rowe, Individually and on Behalf of All Others Similarly Situated, (Tex. Ct. App. 2002).

Opinion

TEXAS COURT OF APPEALS, THIRD DISTRICT, AT AUSTIN

NO. 03-01-00396-CV

National Western Life Insurance Company, Appellant

v.

Ella Mae Rowe, Individually And On Behalf Of All Others Similarly Situated, Appellee

FROM THE DISTRICT COURT OF TRAVIS COUNTY, 345TH JUDICIAL DISTRICT NO. GN000704, HONORABLE PAUL DAVIS, JUDGE PRESIDING

National Western Life Insurance Co. (ANational@) brings this interlocutory appeal

challenging the trial court=s order certifying a class action. See Tex. Civ. Prac. & Rem. Code Ann. '

51.014(a)(3) (West Supp. 2002). National contends that the trial court abused its discretion in certifying

the class because the appellee, Ella Mae Rowe, failed to satisfy certain requirements for class certification

under rule 42 of the Texas Rules of Civil Procedure. We will affirm the trial court=s order certifying the

class.

BACKGROUND

This case concerns child riders to life insurance policies sold by National. National began

selling child riders in 1965. Rowe purchased her life insurance policy with a child rider from National in 1977. Since National began selling these riders, the forms of the child riders have been altered.1 However,

all forms of the rider that lie at the center of this controversy contain substantially similar language. Each

rider provides for a $1,000 benefit to be paid upon the death of a child prior to termination of coverage for

that child at age twenty-five. The rider defines Achild@ as follows:

AChild@ as used in this rider means (1) each of the Insured=s children who is named in the application for this rider, who is at least 15 days old, and who at the date of application is not yet 18 years old, and (2) each child born to or legally adopted by the Insured and Insured=s spouse after the date of application for this rider, who becomes 15 days old and who at the date of adoption is not yet 18 years old.

National does not maintain records of the insured=s children and does not require notice upon the birth or

adoption of additional children after the child rider is purchased. National simply promises to provide the

$1,000 benefit upon receipt of Adue proof of death of a child.@

The rider also contains the following language concerning termination of coverage:

Insurance on a Child stops on the rider anniversary when the Child is 25 years old unless it stops earlier in accordance with this section.

1 The order certifying the class lists a total of thirteen different rider forms that were issued since 1965. Those form numbers are 01-3014, 01-3014A, 01-3014R, 01-3014 (Rev. 5/89), 01-3014RM (Rev. 5/89), 01-3014R-MO, 01-3024, 01-3024A, 01-3024R, 01-3024R-MO, 01-3029R-MO, 01- 3029, and 01-3029A.

2 Premiums are not due for this rider after it has stopped. If we accept a premium after termination it does not mean that we are liable for benefits under this rider or that we waive the termination. We will refund any premiums so accepted.

National drafted these riders so that coverage terminates once the policyholder=s children have reached

twenty-five years of age. However, because National recognized that it may continue to receive rider

premiums after coverage terminates, the rider disclaims liability for benefits if premiums are received and

accepted after coverage terminates. Although the rider promises a refund of premiums so accepted,

National has not offered to refund the premiums collected from unnamed class members that were remitted

after coverage terminated.2 It is National=s failure to refund premiums paid after a child turns twenty-five

that forms the basis for this class action litigation.

The termination language in the rider lies at the heart of this dispute. Rowe alleges that

National has wrongfully continued to collect premiums for riders under which the coverage has terminated.

Policyholders do not receive a copy of the rider until after the first premium payment is received by

National. Therefore, policyholders have already initiated payment for the rider before having the

opportunity to review the contractual language to which they have agreed. Furthermore, Rowe claims that

National designed that language to place an affirmative duty on the policyholder to recognize when the rider

has expired. Rowe claims that National designed the riders in this manner with an understanding that

2 National did offer to refund the premiums that Ella Mae Rowe has paid since her rider=s coverage has terminated, but she refused.

3 individuals would not recognize the nuances of this language, and thus, would likely continue to pay

premiums for riders that had terminated.

Additionally, Rowe argues that National is in the best position to monitor its policyholders=

rider coverage and should assume the obligation of notifying policyholders if they remit premiums that are no

longer due. Rowe further contends that National=s billing policies confuse policyholders and manipulate

them into paying for terminated riders, in that National submits premium invoices to policyholders that fail to

segregate the two premiums, one for the underlying policy and one for the rider. National concedes that on

policies that are in effect for ten or twenty years, policyholders may forget that their premiums include

payments for the rider. Rowe argues that National should notify its policyholders about the status and

charges concerning the riders. Therefore, Rowe filed suit in March 2000 asserting claims against National

for breach of contract, fraud, negligent misrepresentation, unjust enrichment, and violations of the Deceptive

Trade Practices-Consumer Protection Act and article 21.21 of the Texas Insurance Code. See Tex. Bus.

& Com. Code Ann. ' 17.41 (West 2002); Tex. Ins. Code Ann. art. 21.21 (West Supp. 2002).

National responds that it should not be responsible for notifying policyholders when

coverage terminates on the rider because National has no way of knowing the ages of children covered by

the rider. National does not maintain records of the names and ages of its policyholders= children. Nor

does National require notice if additional children come under the rider=s umbrella of coverage. Because

National does not maintain such records, National claims that it cannot be expected to know the number or

ages of covered children. National=s second defense to Rowe=s allegations is that the riders are designed to

provide continuing coverage regardless of whether policyholders have children under twenty-five when

4 premiums are paid. National argues that some policyholders choose to continue paying for the rider to

ensure that any after-born or after-adopted children are covered. National asserts, inter alia, that the class

certification is improper because the trial court ignored National=s argument based on this continuing benefit.

National raises eight issues in its appeal. In its first issue, National attacks the trial plan on

grounds that it relies on a flawed claim form procedure and it eliminates or lowers Rowe=s burden of proof

concerning reliance and National=s statute of limitations defense. In its fifth and sixth issues, National also

challenges the trial plan as arbitrarily placing Rowe=s breach of contract claims ahead of the remaining tort

claims and failing to consider a section of the insurance code. See Tex. Ins. Code Ann. ' 36.159(c) (West

2002) (governing Texas Department of Insurance subpoena powers and duty to protect confidentiality of

privileged records).

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