Nitkewicz v. Lincoln Life & Annuity Co. of N.Y.

49 F.4th 721
CourtCourt of Appeals for the Second Circuit
DecidedSeptember 26, 2022
Docket21-1830-cv
StatusPublished
Cited by6 cases

This text of 49 F.4th 721 (Nitkewicz v. Lincoln Life & Annuity Co. of N.Y.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Second Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nitkewicz v. Lincoln Life & Annuity Co. of N.Y., 49 F.4th 721 (2d Cir. 2022).

Opinion

21-1830-cv Nitkewicz v. Lincoln Life & Annuity Co. of N.Y.

1 UNITED STATES COURT OF APPEALS 2 FOR THE SECOND CIRCUIT 3 4 August Term, 2021 5 6 (Argued: June 6, 2022 Decided: September 26, 2022) 7 8 Docket No. 21-1830-cv 9 10 _____________________________________ 11 12 ANDREW NITKEWICZ, AS TRUSTEE OF THE JOAN C. LUPE FAMILY TRUST 13 AND ON BEHALF OF HIMSELF AND ALL OTHERS SIMILARLY SITUATED, 14 15 Plaintiff-Appellant, 16 17 v. 18 19 LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK, 20 21 Defendant-Appellee. 22 _____________________________________ 23 Before: 24 25 CALABRESI, LOHIER, and SULLIVAN, Circuit Judges. 26 27 The United States District Court for the Southern District Court (Cronan, 28 J.) concluded that Lincoln Life & Annuity Company of New York was not 29 obligated under New York Insurance Law Section 3203(a)(2) to refund a payment 30 Joan C. Lupe had deposited into a policy account associated with her life 31 insurance policy five months before she died. Because no New York court has 32 analyzed this provision of New York insurance law, and because insurance 33 policy implicates significant New York State interests, we defer decision on this 34 appeal in order to certify the following question to the New York Court of 35 Appeals: Whether a planned payment into an interest-bearing policy account, as 36 part of a universal life insurance policy, constitutes a “premium actually paid for 1 any period” under the refund provision of New York Insurance Law Section 2 3203(a)(2). QUESTION CERTIFIED. 3 4 SETH ARD (Alexander P. Frawley, on the brief), Susman 5 Godfrey L.L.P., New York, NY, for Plaintiff-Appellant 6 Andrew Nitkewicz, as Trustee of the Joan C. Lupe 7 Family Trust and on behalf of himself and all others 8 similarly situated. 9 10 JOHN F. LASALLE (Alan B. Vickery, on the brief), Boies 11 Schiller Flexner LLP, New York, NY, for Defendant- 12 Appellee Lincoln Life & Annuity Company of New York. 13 14 PER CURIAM:

15 New York Insurance Law Section 3203(a)(2) governs what an insurance

16 company must refund when a policyholder dies. It provides that “if the death of

17 the insured occurs during a period for which the premium has been paid, the

18 insurer shall add to the policy proceeds a refund of any premium actually paid

19 for any period beyond the end of the policy month in which such death

20 occurred . . . .” N.Y. Ins. Law § 3203(a)(2). The question presented in this case is

21 whether an annual payment that Joan C. Lupe, the insured, made into an

22 interest-bearing account associated with her universal life insurance policy

23 constitutes a “premium actually paid for any period” such that Lincoln Life &

24 Annuity Company of New York (“Lincoln Life”), Lupe’s insurance company,

2 1 was statutorily required to refund a portion of that payment to her estate after

2 she died.

3 New York’s state courts have not provided any guidance for us to answer

4 whether Lupe’s annual payment falls within the statute’s scope. And both

5 parties — Lincoln Life and the trustee of Lupe’s estate, Andrew Nitkewicz —

6 concede that no New York court has ever interpreted Section 3203(a)(2), let alone

7 its two important phrases: “a premium actually paid” and “for any period.”

8 Because no New York court has analyzed this provision of New York insurance

9 law, and because the statute implicates significant New York State interests in

10 regulating the insurance industry, we reserve decision and certify the following

11 question to the New York Court of Appeals:

12 Whether a planned payment into an interest-bearing policy account, as 13 part of a universal life insurance policy, constitutes a “premium actually 14 paid for any period” under the refund provision of New York Insurance 15 Law Section 3203(a)(2). 16 17 BACKGROUND

18 In 2011 Lincoln Life issued a life insurance policy to the Joan C. Lupe

19 Family Trust to insure the life of Joan C. Lupe for $1.5 million. Lupe elected to

20 receive “Flexible Premium Adjustable Life Insurance,” which is Lincoln Life’s

21 “generic name for universal life insurance.” App’x 62, 100. Unlike term life

3 1 insurance, for which the policyholder simply pays a periodic premium that

2 extends coverage for a specific amount of time, universal life insurance typically

3 includes both regular insurance coverage and an interest-bearing account with

4 cash value. See Gaidon v. Guardian Life Ins. Co. of Am., 94 N.Y.2d 330, 342

5 (1999) (explaining that universal life insurance “combines ‘pure’ life insurance

6 with an investment component that creates a potential accumulation of money in

7 the policy”).

8 The interest-bearing account that Lincoln Life provides to policyholders

9 (the “Policy Account”) is a centerpiece of its universal life insurance policy. See

10 App’x 62. The policyholder pays premiums into that account, and Lincoln Life

11 takes money from it to pay for insurance coverage and other expenses. The

12 initial premium is due on the date the policy goes into effect, but the payment

13 schedule is flexible thereafter. Premiums “may be paid at any time prior to the

14 Insured’s Attained Age 121 and in any amount,” so long as the payments are

15 sufficient to meet the monthly deductions, which keep the policy in force from

16 month-to-month. App’x 75. The funds in the Policy Account, meanwhile,

17 accumulate interest, may be withdrawn or partially withdrawn by the

18 policyholder, and may serve as security for a loan. On a set date every month,

4 1 Lincoln Life deducts from the Policy Account the cost of insurance plus the cost

2 of any riders or administrative charges. If on that date there are insufficient

3 funds in the account to cover the monthly deduction, the policy enters a grace

4 period of 61 days to allow the policyholder to deposit “the minimum amount

5 needed to continue” coverage. App’x 76. If sufficient payment is not made, the

6 policy terminates at the end of the grace period.

7 To ensure that the funds in their Policy Accounts never dip below the

8 amount required to continue coverage, policyholders may commit to a payment

9 schedule in advance through a feature known as the “Planned Premium.” This

10 feature is entirely optional and does not itself guarantee continued coverage. See

11 App’x 75 (“Payment of the Planned Premium is Your option,” and “Payment of a

12 Planned Premium may not prevent this policy from terminating”). Policyholders

13 who elect to pay a Planned Premium indicate how and when they intend to

14 deposit money into their Policy Account, and Lincoln Life then sends them

15 “payment reminder notices” at the appointed intervals. App’x 75. Consistent

16 with that framework, Lupe chose to pay an annual Planned Premium of $53,878,

17 for which she received billing reminders at her residence.

5 1 As noted, Lincoln Life deducts the cost of insurance from the Policy

2 Account on a monthly basis. The company calculates the cost of insurance as a

3 function of “the net amount at risk for the month,” where the net amount at risk

4 is the death benefit for that month — that is, the amount payable on the death of

5 the insured — minus the amount of money in the Policy Account. 1 App’x 78.

6 Planned Premiums increase the amount of money in an insured’s Policy Account

7 and thus ultimately also lower the net amount at risk and therefore the cost of

8 insurance.

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Cite This Page — Counsel Stack

Bluebook (online)
49 F.4th 721, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nitkewicz-v-lincoln-life-annuity-co-of-ny-ca2-2022.