Perez-Ortiz v. Sun Life Assur. Co. of Canada

15 F.3d 1088, 1994 U.S. App. LEXIS 6294, 1994 WL 1704
CourtCourt of Appeals for the Ninth Circuit
DecidedJanuary 4, 1994
Docket92-55925
StatusPublished

This text of 15 F.3d 1088 (Perez-Ortiz v. Sun Life Assur. Co. of Canada) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Perez-Ortiz v. Sun Life Assur. Co. of Canada, 15 F.3d 1088, 1994 U.S. App. LEXIS 6294, 1994 WL 1704 (9th Cir. 1994).

Opinion

15 F.3d 1088
NOTICE: Ninth Circuit Rule 36-3 provides that dispositions other than opinions or orders designated for publication are not precedential and should not be cited except when relevant under the doctrines of law of the case, res judicata, or collateral estoppel.

Dimna Josefina PEREZ-ORTIZ; Jaime A. Guerra-Chavez;
Fernando A. Callo-Perez; David A. Guerra-Chavez,
Plaintiffs-Appellants,
v.
SUN LIFE ASSURANCE COMPANY OF CANADA, and Does 1 Through
100, inclusive, Defendant-Appellee.

No. 92-55925.

United States Court of Appeals, Ninth Circuit.

Argued and Submitted Dec. 10, 1993.
Decided Jan. 4, 1994.

Before: CHOY, TANG, and D.W. NELSON, Circuit Judges.

MEMORANDUM*

This action arises from the denial by appellee, Sun Life Assurance Company of Canada (Sun Life), of claims of appellants, the beneficiaries of Manuel Chavez Perez (Manuel), to benefits under a $500,000 life insurance policy. Sun Life initially denied appellants' claims, relying upon information it asserts indicated that Manuel failed to disclose relevant and material information on the insurance application. Appellants filed this action against Sun Life claiming that Sun Life acted in bad faith when it denied their claims against the policy, even though Sun Life did ultimately honor the claims. A jury found in favor of Sun Life.

I. Sufficiency of the Evidence

Appellants argue there was insufficient evidence to support the jury's verdict. They urge that the district court should have granted either their motion for judgment as a matter of law or their motion for new trial. The standard for reviewing jury verdicts is whether they are supported by "substantial evidence"; that is, such relevant evidence as reasonable minds might accept as adequate to support a conclusion. Davis v. Mason County, 927 F.2d 1473, 1486 (9th Cir.), cert. denied, --- U.S. ----, 112 S.Ct. 275 (1991).

The issue before the jury was whether Sun Life unreasonably withheld benefits from appellants.

We find that there is substantial evidence to support the jury's verdict that Sun Life's investigation was reasonably thorough and prompt. Sun Life promptly retained two investigating firms to research Manuel's application for insurance and his death. The investigators discovered that he obtained two other sizeable life insurance policies from Mexican insurers in August and September 1988; that he had three large life insurance policies issued within the two months prior to his death; and that he signed a will less than one month before his death. The investigation by Patrick Goodrich compiled information calling into question the cause of the accident, the cause being either Manuel himself or the truck driver. His investigation also produced medical records indicating that Manuel had previously been treated for mental illness. Still, appellants rely on Egan v. Mut. of Omaha Ins. Co., 169 Cal.Rptr. 691, 695 (1979), cert. denied, 445 U.S. 912 (1980), for the principle that the insurer must fully inquire into any possible basis that might support the insured's claim, and alleges that Mr. Goodrich and Roger Montgomery, Sun Life's claims supervisor, failed to make such a full inquiry. While it is probably true that Sun Life's investigations focused primarily on whether Manuel committed suicide and whether he failed to disclose relevant and material information, we do not find that this violates Egan because these issues were the only unresolved questions concerning appellants' claims.

Appellants urge, however, that several facts undermine support for the jury's verdict. Most noteworthy is the fact that there was virtually no basis for Sun Life's assertion, in its letter of denial to appellants, that Manuel's sister committed suicide. Also in conflict with Sun Life's letter of denial is the fact that the two Mexican policies had not yet been issued when Manuel completed Sun Life's application. We recognize that these facts, and others cited by appellants, do not square well with Sun Life's contention that it reasonably denied appellants' claims. Nevertheless, we remain convinced that the record reveals substantial evidence for a reasonable jury to find that Sun Life did not act in bad faith.

Add to the evidence noted above the fact that appellants' counsel at the time, James C. Talaga, knew as early as May 1989 that the medical records of Manuel's mental illness were false. Despite Sun Life's obvious reliance on such records in its denial of appellants' claims a month earlier, Mr. Talaga refrained from informing Sun Life that the records were false. Some time after the filing of appellants' complaint, Sun Life's counsel asked Mr. Talaga for all documents he had indicating the medical records were fraudulent. Unfortunately, it cannot be fairly stated that Mr. Talaga gave Sun Life credible evidence of the falsity of the records before November 1990, more than a year after he confirmed the records were false.

No doubt, the jury considered appellants' failure to promptly disclose proof that the records were false, and Sun Life's reconsideration of its denial of appellants' claims. We uphold the jury's verdict in finding sufficient evidence for it to conclude that Sun Life acted reasonably in initially denying appellants' claims and later reconsidering the denial.

II. Appellants' Motion for New Trial

Appellants next contend that the denial of their motion for new trial based on newly discovered evidence was reversible error.

In deciding the Rule 59 motion, both parties argued that the district court should apply the test borrowed from cases considering motions under Rule 60(b)(2) for relief from judgment based upon newly discovered evidence. See Rules 59 and 60(b)(2), Fed.R.Civ.P.; 11 C. Wright & A. Miller, Federal Practice and Procedure: Civil Sec. 2859 (1973) ("The same standard applies to motions on the ground of newly discovered evidence whether they are made under Rule 59 or Rule 60(b)(2)."); Coastal Transfer Co. v. Toyota Motor Sales, U.S.A., 833 F.2d 208, 211-12 (9th Cir.1987).

The district court found:

One of the requirements needed to obtain a new trial on the ground of "newly discovered evidence" is that the movant must show that the alleged new evidence could not have been discovered through due diligence. Clearly, plaintiffs knew of Guillermo Palacios and Alberto Santibanez long before trial and could have, by the exercise of due diligence, obtained their testimony and any alleged minutes of meetings between Mr. Santibanez and Patrick Goodrich.

[ER at 1139.1-.2.] The record supports the district court's findings. Moreover, appellants fail completely to address on this appeal why the alleged new evidence could not have been discovered through due diligence. We do not find that the district abused its discretion in denying their motion for new trial.

III. Appellants' Motion to Continue and to Reopen Discovery

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15 F.3d 1088, 1994 U.S. App. LEXIS 6294, 1994 WL 1704, Counsel Stack Legal Research, https://law.counselstack.com/opinion/perez-ortiz-v-sun-life-assur-co-of-canada-ca9-1994.