Perkins v. Philadelphia Life Insurance

586 F. Supp. 296
CourtDistrict Court, W.D. Missouri
DecidedMarch 5, 1984
Docket83-0350-CV-W-5
StatusPublished
Cited by4 cases

This text of 586 F. Supp. 296 (Perkins v. Philadelphia Life Insurance) is published on Counsel Stack Legal Research, covering District Court, W.D. Missouri primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Perkins v. Philadelphia Life Insurance, 586 F. Supp. 296 (W.D. Mo. 1984).

Opinion

ORDER AND MEMORANDUM

SCOTT O. WRIGHT, District Judge.

Plaintiff has brought this diversity action pursuant to 28 U.S.C. § 1332, alleging that the defendant has vexatiously refused to pay her benefits under a life insurance policy. Defendant contends that it properly refused to pay benefits. Trial was held before the Court on January 26, 1984. After careful consideration of the evidence and applicable law, the Court finds that the plaintiff is entitled to the insurance benefits, but that the defendant’s refusal to pay was not vexatious, arbitrary or unreasonable. For the reasons stated, judgment is entered for plaintiff and against defendant on plaintiff’s claim for insurance benefits, and judgment is entered for the defendant and against the plaintiff on plaintiff’s claim for vexatious refusal to pay.

Findings of Fact

1. The plaintiff is a citizen of the State of Kansas.

2. The defendant is a Pennsylvania corporation, with its principal place of business in Pennsylvania. The defendant is, and at all times material hereto was licensed to transact business in the State of Missouri.

3. The plaintiff was the named beneficiary under defendant’s life insurance policy No. 3126181 at the time of the insured Raymond M. Perkins’ death.

4. At all material times Raymond M. Perkins was the president of TEC, Inc., a Missouri corporation.

*298 5. On or about December 5, 1980, TEC, Inc. submitted an Adoption and Participation Agreement to the defendant, Philadelphia Life Insurance Company. The Adoption and Participation Agreement was executed by Raymond M. Perkins and provided that TEC, Inc. elected to become a Participation Employer in the PLICO 79 trust. The Adoption and Participation Agreement and the PLICO 79 Trust constituted a plan of group term life insurance under 26 U.S.C. § 79. TEC, Inc. entered into the plan of group term insurance to provide benefits to its employees and to obtain favorable tax treatment.

6. The Adoption and Participation Agreement and PLICO 79 Trust supplemented a plan of group term life insurance which TEC, Inc. had with Mutual Benefit Life Insurance Company by increasing the total amount of group term life insurance coverage from $50,000 to $100,000 for those employees classified as President.

7. On or about December 5, 1980, TEC, Inc. and Philadelphia Life Insurance Company executed an Underwriting Agreement through which Philadelphia Life Insurance Company agreed to provide pre-retirement and post-retirement group term life insurance for eligible employees of TEC, Inc. according to the terms of that Agreement.

8. On or about December 1, 1980, Philadelphia Life Insurance Company issued a Certificate of Participation certifying that Raymond M. Perkins was a participant in a plan of group term life insurance established by TEC, Inc., which provided continuing group term life insurance during the lifetime of eligible participants in the plan.

9. Raymond M. Perkins executed an application for a policy of life insurance on December 5, 1980 at the office of TEC, Inc., located at 3170 Mercier, Kansas City, Missouri.

10. On or about January 21, 1981, the defendant issued its life insurance policy No. 3126181 effective December 1, 1980, with Raymond M. Perkins designated as the insured and owner of the policy.

11. The life insurance policy was delivered to Raymond M. Perkins at the offices of TEC, Inc. in Missouri.

12. The defendant stamped a notice on the suicide exclusion clause in the main body of the policy providing as follows: “See endorsement attached;” and the defendant attached an endorsement to the policy regarding whether and under what circumstances suicide was a defense to payment of policy benefits.

13. Defendant attached an endorsement to the policy providing that the policy was issued under a plan of group term life insurance established by TEC, Inc. pursuant to 26 U.S.C. § 79. Premium payments were to be made by TEC, Inc. to provide continuing group term life insurance coverage on the life of Raymond M. Perkins.

14. TEC, Inc. paid life insurance premiums due under the policy, was entitled to a deduction for such payments under 26 U.S.C. § 79, and could terminate the policy at any time. The defendant looked to TEC, Inc. for payment of the premiums.

15. Raymond M. Perkins qualified for favorable tax treatment under 26 U.S.C. § 79.

16. At all material times, Raymond M. Perkins was a resident and citizen of Kansas.

17. At all material times, TEC, Inc. was a corporation organized and existing under the laws of the State of Missouri; accordingly, TEC, Inc. was a resident and citizen of Missouri.

*299 18. The defendant’s policy No. 3126181 was in force and effect at the time of Mr. Perkins’ death on July 5, 1981.

19. By letter dated October 7, 1981, the plaintiff requested payment of the policy proceeds and supplied the defendant with a beneficiary proceeds form, a death certificate, and a copy of the coroner’s report.

20. The plaintiff delivered to Philadelphia Life Insurance Company a proof of death form dated November 17, 1981. The proof of death form was enclosed in a letter to the defendant dated November 25, 1981.

21. By letter of December 24, 1981, the defendant requested information to establish the citizenship of Raymond M. Perkins at the time of his death.

22. Plaintiff supplied information to the defendant regarding Raymond M. Perkins’ residence by letter dated March 10, 1982.

23. On or about April 27, 1982, the defendant sent a check to the plaintiff in the amount of $414.44 representing payment of the premiums paid on policy No. 3126181 plus interest from the date of death of Raymond M. Perkins. The plaintiff has not accepted such payment.

24. The defendant believed that the plaintiff was unentitled to the insurance benefits because the insured was a resident of Kansas and because policy No. 3126181 listed the insured Raymond M. Perkins as the owner of the policy.

25. The defendant’s failure to pay the plaintiff benefits under policy No. 3126181 was not vexatious, arbitrary, or unreasonable, but based on a reasonable belief that the insured’s suicide was a defense to payment under the policy.

CONCLUSIONS OF LAW

1. The Court has subject matter jurisdiction over this action pursuant to 28 USC § 1331

2. The law of the State of Missouri governg

3. The defendant’s policy No. 3126181 issued pursuant to the plan of group term life insurance between Philadelphia Life Insurance Co.

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Bluebook (online)
586 F. Supp. 296, Counsel Stack Legal Research, https://law.counselstack.com/opinion/perkins-v-philadelphia-life-insurance-mowd-1984.