Paul Revere Life Insurance v. Forester

32 F. Supp. 2d 352, 1998 U.S. Dist. LEXIS 21578, 1998 WL 901570
CourtDistrict Court, W.D. North Carolina
DecidedDecember 4, 1998
Docket3:97CV45-MCK
StatusPublished
Cited by2 cases

This text of 32 F. Supp. 2d 352 (Paul Revere Life Insurance v. Forester) is published on Counsel Stack Legal Research, covering District Court, W.D. North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Paul Revere Life Insurance v. Forester, 32 F. Supp. 2d 352, 1998 U.S. Dist. LEXIS 21578, 1998 WL 901570 (W.D.N.C. 1998).

Opinion

ORDER

McKNIGHT, United States Magistrate Judge.

THIS MATTER is before the court for ruling on the following motions: (1) The Paul Revere Life Insurance Company’s (“Revere”) motion for summary judgment, filed October 15,1998; (2) Kenneth P. Forester’s (“Forester”) motion to amend, filed October 15, 1998; and (3) Forester’s motion for partial summary judgment, filed October 15,1998.

I. Factual and Procedural Background

On January 21, 1980, Revere issued a disability insurance policy (“Policy A”) to Forester. Forester dutifully paid the insurance premiums on Policy A for approximately 14 years. However, on April 21, 1994, Forester failed to pay a quarterly premium, and Revere canceled his insurance coverage.

On October 27, 1994, Forester applied for reinstatement of Policy A. The reinstatement application asked Forester if, “within 5 years” of his application, he had “been treated by a physician or practitioner;” or “been ill or injured;” and whether he had “any physical or mental impairment;” and if he was “on medication.” Forester responded “No” to all of these questions and he represented that his answers on the reinstatement application were true.

Revere reinstated Policy A effective October 27, 1994. Thereafter, on April 25, 1995, Forester submitted a claim for disability benefits under Policy A and under another disability insurance policy that had been issued by Revere to Forester in 1984 (“Policy B”). On his claim form, Forester alleged that he was totally disabled due to “Severe Depression.” Forester indicated that he had experienced a “gradual decline” and that he had been unable to work since “November 1994.”

Revere investigated Forester’s disability claim and determined that Forester had made a number of misrepresentations on his reinstatement application for Policy A. For example, Revere learned that Forester had actually been receiving treatment for depression from' Dr. Groder since August 5, 1994. Revere also learned that Forester was on anti-depressant medication at the time he completed the reinstatement application. Because of Forester’s misrepresentations on the application, Revere elected to rescind the reinstated policy. Revere also decided to deny Forester’s disability claim under Policy A because the medical evidence indicated that Forester’s depression began prior to ten days after the reinstatement date. 1 With respect to Policy B, however, Forester’s claim of disability was accepted and Revere began to make disability payments to Forester pursuant to Policy B. 2

On January 30, 1997, Revere filed its complaint in this court seeking a declaratory judgment upholding its decision to rescind the reinstated policy. In his answer and counterclaim, Forester admitted making misrepresentations on his reinstatement application. However, Forester asserted that the reinstatement application was unnecessary because Policy A never lapsed. According to Forester, he suffered from a disability- in April 1994 and was excused from paying insurance premiums on Policy A pursuant to the policy’s waiver of premium provision.

On October 15,1998, Revere filed a motion for summary judgment, while Forester filed a motion for partial summary judgment and a motion to amend his counterclaims. All of these motions are fully briefed and ripe for disposition.

II. Analysis

A. Summary Judgment Standard

Summary judgment is appropriate when the pleadings, responses to discovery, and the record reveal that no genuine issue of any material fact exists and that the moving party is entitled to judgment as a matter of *354 law. See Fed.R.Civ.P. 56(c). The party moving for summary judgment has the initial burden of showing that no genuine issue of any material fact exists and that the moving party is entitled to judgment as a matter of law. Celotex Corp. v. Catrett, 477 U.S. 317, 323, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986). After the moving party has met its burden, the non-moving party must come forward with specific facts showing that evidence exists to support its claims and that a genuine issue for trial exists. Id.; Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587, 106 S.Ct. 1348, 89 L.Ed.2d 538 (1986); see Fed.R.Civ.P. 56(e) (in response to motion for summary judgment, “adverse party may not rest upon the mere allegations or denials of the adverse party’s pleading, but the adverse party’s response, by affidavits or as otherwise provided in this rule, must set forth specific facts showing that there is a genuine issue for trial”). When considering motions for summary judgment, courts must view facts and inferences in the light most favorable to the party opposing the motion for summary judgment. Matsushita, 475 U.S. at 587-88, 106 S.Ct. 1348; United States v. Diebold, Inc., 369 U.S. 654, 655, 82 S.Ct. 993, 8 L.Ed.2d 176 (1962). When, however, the evidence from the entire record could not lead a rational fact-finder to find for the non-moving party, no genuine issue for trial exists and summary judgment is appropriate. Matsushita, 475 U.S. at 587, 106 S.Ct. 1348.

In the present ease, Revere has filed a motion for summary judgment and Forester has filed a motion for partial summary judgment. In reviewing Revere’s motion for summary judgment, the court must view the facts and inferences in the light most favorable to Forester. In reviewing Forester’s motion for partial summary judgment, the court must view the facts and inferences in the light most favorable to Revere.

B. Revere’s Claim for Declaratory Judgment and Forester’s Motion for Partial Summary Judgment

Revere’s complaint seeks a declaratory judgment upholding its decision to rescind the reinstatement application. Forester does not contest such a judgment. In fact, in his motion for partial summary judgment, Forester concedes that rescission of the reinstatement application is appropriate. Forester claims that upon such rescission, Forester is entitled to recovery of his reinstatement premiums — a total of $1,572.12. Recovery of this sum is the basis of Forester’s motion for partial summary judgment.

It appears that Revere does not oppose Forester’s motion for partial summary judgment. Revere agrees that Forester is entitled to a refund of his reinstatement premiums upon rescission of the reinstatement application. Thus, the court concludes that Revere’s request for a declaratory judgment and Forester’s motion for partial summary judgment should both be granted. The reinstatement application should be rescinded and Forester is entitled to a refund of its reinstatement premiums.

C.

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Bluebook (online)
32 F. Supp. 2d 352, 1998 U.S. Dist. LEXIS 21578, 1998 WL 901570, Counsel Stack Legal Research, https://law.counselstack.com/opinion/paul-revere-life-insurance-v-forester-ncwd-1998.