Parrot v. Guardian Life Insurance Co. of America

866 A.2d 1273, 273 Conn. 12, 2005 Conn. LEXIS 77
CourtSupreme Court of Connecticut
DecidedMarch 1, 2005
DocketSC 17062
StatusPublished
Cited by11 cases

This text of 866 A.2d 1273 (Parrot v. Guardian Life Insurance Co. of America) is published on Counsel Stack Legal Research, covering Supreme Court of Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Parrot v. Guardian Life Insurance Co. of America, 866 A.2d 1273, 273 Conn. 12, 2005 Conn. LEXIS 77 (Colo. 2005).

Opinion

Opinion

ZARELLA, J.

The dispositive issue in this case, which comes to us upon our acceptance of two certified questions from the United States Court of Appeals for the Second Circuit pursuant to General Statutes § 51-199b (d), is whether the “entire contract” clause of General Statutes § 38a-483 (a) (l) 1 prohibits an insurer from *14 incorporating by reference its underwriting income rules 2 described in a future increase option rider to a disability insurance policy, when the application of those rules can neither decrease nor eliminate a fixed benefit of the original policy. We answer that question in the negative.

The plaintiff, Charles M. Parrot, commenced this breach of contract action in the United States District Court for the District of Connecticut after the defendant, The Guardian Life Insurance Company of America (Guardian), denied his request to obtain the maximum amount of insurance available under a future increase option rider to an existing disability insurance policy. In that proceeding, Parrot contended, inter alia, 3 that the income rules that Guardian had used to calculate the monthly benefit to which he was entitled were void because they were not appended to the rider to his policy as required by § 38a-483 (a) (1). The District Court rendered judgment as a matter of law for Guardian, from which Parrot appealed to the Second Circuit Court of Appeals. That court then certified two questions to us, which we have agreed to answer. 4

*15 The record certified by the Second Circuit Court of Appeals reveals the following relevant facts and procedural history. In 1988, Parrot, a medical doctor, pm-chased a disability insurance policy from Guardian that provided for the payment of monthly benefits if he should become partially or totally disabled. The policy included a future increase option rider that gave Parrot the right to purchase an additional insurance policy on each anniversary date of his original policy at terms offered to new insureds at that time, regardless of any intervening changes to his health or occupation. The future increase option rider, together with the attached schedule of benefits, stated that the maximum monthly indemnity amount that Parrot could purchase on all option dates combined was $6000. Although this term established a cap on the optional coverage, the precise amount of coverage that Parrot could purchase was limited by Guardian’s underwriting income rules, which were referenced in the rider but not appended thereto. Specifically, the rider stated: “The monthly indemnity of the option plan . . . may not exceed our published income rules for new insureds. These rules limit the total insurance which we will issue in relation to earned income. 5 We will use the rules that applied on the date of issue of this policy, unless more liberal rules are then in effect.” Parrot’s policy, to which the rider was attached, also contained the “entire contract” provision mandated by § 38a-483 (a) (1). The relevant provision in Parrot’s policy provides: “This policy, with its riders and attached papers, if any, is the entire contract of *16 insurance. No change in this policy will be valid unless it has been endorsed on or attached to this policy in writing by the president, a vice president, or the secretary of Guardian.”

In 1995, Parrot became partially disabled and Guardian began paying monthly benefits to him. One year later, Parrot became totally disabled and Guardian adjusted his monthly benefit upward to $3000, the full monthly indemnity allowed under his original policy. On the 1995 anniversary date, Parrot exercised his future increase option and submitted his tax returns and other financial records to Guardian for use in calculating the additional coverage that he was eligible to obtain under the terms of the future increase option rider. On the basis of those records, Guardian calculated Parrot’s average monthly rate of earnings during the twelve months preceding his disability. Guardian then applied its most liberal income rules to that earnings figure and determined that Parrot was qualified to receive an additional benefit of $1600 per month. 6 On December 19,1995, Guardian issued to Parrot a second insurance policy specifying an indemnity in that amount.

Parrot’s dissatisfaction with Guardian’s calculation prompted him to file a diversity action against Guardian in federal District Court. Parrot alleged that Guardian had breached the terms of its insurance contract with him and demanded that the company raise his monthly benefits under the 1995 contract to $6000, the maximum set forth in the schedule of benefits, to which the future increase option rider refers. According to Parrot, such a remedy was appropriate because the income rules were not appended to the original policy, and, consequently, were invalid under § 38a-483 (a) (1). Parrot *17 also contended that Guardian had misinterpreted the contract term “rate of earnings when you first became disabled,” which drives the incremental amount of insurance that Guardian will underwrite to its disabled policyholders in accordance with its published income rules. See footnote 3 of this opinion. Following the close of evidence after a jury trial, the District Court granted Guardian’s motion for judgment as a matter of law on both issues and rendered judgment thereon in favor of Guardian.

Parrot appealed from that judgment to the Second Circuit Court of Appeals. Following oral ar gument by the parties, the Court of Appeals determined that Parrot’s claim implicates “an important question of Connecticut insurance law” that involves the application of § 38a-483 (a) (1). Parrot v. Guardian Life Ins. Co. of America, 338 F.3d 140, 144 (2d Cir. 2003). The Court of Appeals noted that Connecticut appellate precedent addressing that statutory provision is limited to a single case, namely, Sanghavi v. Paul Revere Life Ins. Co., 214 Conn. 303, 572 A.2d 307 (1990); see Parrot v. Guardian Life Ins. Co. of America, supra, 142-43; in which this court invalidated, under a predecessor statute to § 38a-483, an income limitation in an option rider to a disability policy. Sanghavi v. Paul Revere Life Ins. Co., supra, 307-308. The Court of Appeals observed, however, that there are “material factual differences” between the policy at issue in Sanghavi and the policy at issue in the present case, and that the principal concern underlying our decision in Sanghavi apparently does not exist in the present case. Parrot v. Guardian Life Ins. Co. of America, supra, 143. In its certification order, the Court of Appeals explained: “In Sanghavi,

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

Related

Untitled Case
D. Connecticut, 2026
Munn Ex Rel. C.M. v. Hotchkiss School
795 F.3d 324 (Second Circuit, 2015)
Voris v. Middlesex Mutual Assurance Co.
999 A.2d 741 (Supreme Court of Connecticut, 2010)
Friezo v. Friezo
914 A.2d 533 (Supreme Court of Connecticut, 2007)
State v. Haight
903 A.2d 217 (Supreme Court of Connecticut, 2006)
Tracy v. Scherwitzky Gutter Co.
901 A.2d 1176 (Supreme Court of Connecticut, 2006)
D' Angelo Development & Construction Co. v. Cordovano
897 A.2d 81 (Supreme Court of Connecticut, 2006)
Board of Education v. Tavares Pediatric Center
888 A.2d 65 (Supreme Court of Connecticut, 2006)
Cogan v. Chase Manhattan Auto Financial Corp.
882 A.2d 597 (Supreme Court of Connecticut, 2005)
Parrot v. Guardian Life Insurance Co. of America
130 F. App'x 492 (Second Circuit, 2005)

Cite This Page — Counsel Stack

Bluebook (online)
866 A.2d 1273, 273 Conn. 12, 2005 Conn. LEXIS 77, Counsel Stack Legal Research, https://law.counselstack.com/opinion/parrot-v-guardian-life-insurance-co-of-america-conn-2005.