Principal National Life Insurance Company v. Donna Rothenberg

70 F.4th 1046
CourtCourt of Appeals for the Eighth Circuit
DecidedJune 12, 2023
Docket22-1114
StatusPublished
Cited by1 cases

This text of 70 F.4th 1046 (Principal National Life Insurance Company v. Donna Rothenberg) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eighth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Principal National Life Insurance Company v. Donna Rothenberg, 70 F.4th 1046 (8th Cir. 2023).

Opinion

United States Court of Appeals For the Eighth Circuit ___________________________

No. 22-1114 ___________________________

Principal National Life Insurance Company

Plaintiff - Appellee

v.

Donna T. Rothenberg

Defendant - Appellant

Robert W. Bagby

Counter Defendant - Appellee ____________

Appeal from United States District Court for the Eastern District of Missouri - St. Louis ____________

Submitted: January 12, 2023 Filed: June 12, 2023 ____________

Before GRUENDER, BENTON, and SHEPHERD, Circuit Judges. ____________

SHEPHERD, Circuit Judge. Dr. Robert P. Rothenberg (Rob) tragically suffered a fatal heart attack prior to paying the initial premium on his term life insurance policy issued by Principal National Life Insurance Company (Principal). Principal filed this action in the district court, 1 seeking a declaratory judgment that Donna T. Rothenberg (Donna)— the policy’s intended beneficiary—was not owed death benefits in light of the nonpayment. Donna filed a counterclaim, asserting claims against Principal for breach of contract, vexatious denial of proceeds, and negligence, as well as claims against Robert W. Bagby, the couple’s insurance broker and financial planner, for negligence. After the parties filed cross-motions for summary judgment, the district court granted summary judgment in favor of Principal and Bagby, finding, in part, that the policy was not in effect at the time of Rob’s death. Donna appeals. Having jurisdiction under 28 U.S.C. § 1291, we affirm.

I.

Rob maintained a life insurance policy for many years with Jackson National Life Insurance Company (Jackson National) for the benefit of Donna. As the couple’s long-time financial planner and insurance broker, Bagby procured the policy for Rob. Bagby met with the couple yearly to discuss investments, but their contact was otherwise episodic.

Rob contacted Bagby in early 2019 concerning the policy’s renewal. Rob told Bagby that he intended to let the plan lapse at the end of its “grace period,” on April 14, 2019, because Jackson National had informed him that the policy’s premium would substantially increase upon renewal. Bagby encouraged Rob to obtain another life insurance policy, given that Rob’s dental practice was the family’s primary source of income. Rob heeded Bagby’s advice and asked him to procure a policy with approximately the same premium as Rob had been paying on the Jackson National policy. Bagby agreed and eventually recommended a $200,000 term life

1 The Honorable Jean C. Hamilton, United States District Judge for the Eastern District of Missouri. -2- insurance policy offered by Principal. Rob and Bagby met in February 2019 and completed the application for the policy. On or about April 1, 2019, Principal issued the policy. However, Bagby discovered soon thereafter that the face value of the policy could be increased to $250,000 for a similar premium as the Jackson National policy. Rob elected to increase the face amount of the coverage. Accordingly, on or about April 15, 2019, Principal sent Bagby the relevant paperwork for the $250,000 term life insurance policy (the Policy), which stated that the Policy was issued on April 5, 2019. Bagby received the documents on April 23, 2019, which was after Rob’s Jackson National policy had lapsed.

The following describes the documents received by Bagby and the relevant language from each:

• A cover letter, dated April 15, 2019 (the Cover Letter), which states in part, “You authorized us to draw funds directly from your bank account. Electronic fund transfers will be scheduled to draw on your policy date in the amount of $225.76 monthly [the amount of the monthly premium for the Policy].”

• The Policy, dated April 5, 2019. The Policy states that “[b]enefits [are] payable at the death of the Insured prior to the Policy Expiration Date and while [the P]olicy is in force.” The effective date of the Policy “is the date on which all requirements for issuance of [the P]olicy have been satisfied.” One of these requirements is the payment of the first premium, which “must be paid in advance of the [P]olicy becoming effective and is due on the Policy Date.” And while a 31-day “grace period” is allowed for the payment of premiums, this grace period does not apply to the payment of the first premium. Death proceeds will be paid to a beneficiary only upon submission of proof that “the Insured died while the [P]olicy was in force and prior to the Policy Expiration Date.” Finally, all of the insured’s “privileges and rights under th[e P]olicy terminate” when “the Insured dies.”

-3- • Part C – Agreement/Authorization to Obtain and Disclose Information, dated February 16, 2019, and completed and executed by Rob as part of his initial application and incorporated into the Policy (as stated in the Cover Letter). In this agreement, Rob checked a box indicating that his application was submitted without a premium deposit and that he had not been given any “Conditional Receipt with this application.” In this agreement, Rob also acknowledged the following:

When Policy Coverage Becomes Effective: I understand and agree that if a policy is issued as applied for with a premium deposit paid, policy coverage will become effective as of issuance. The Company [Principal] agrees to pay any proceeds pursuant to policy terms subject to the acceptance of the proposed owner and signing of Part D, if applicable.

I understand and agree that if a policy is issued as other than applied for or without a premium deposit (C.O.D.), then policy coverage is not effective and the Company [Principal] shall incur no policy liability unless:

1) A policy issued on this application has been physically delivered to and accepted by the owner and the first premium paid; and 2) At the time of such delivery and payment, the person to be insured is actually in the state of health and insurability represented in this application, medical questionnaire, or amendment that becomes a part of this application . . . .

If these conditions are met, the policy is deemed effective on the Policy Date stated in the policy data pages.

• Part D – Agreement/Acknowledgement of Delivery, which, among other things, restates the Part C acknowledgement listed above.

-4- • A Statement of Policy Cost and Benefit Information, dated April 15, 2019, which lists the “Guaranteed Annual Premium” and “Death Benefit” for a given “Policy Year.”

• Individual Life Insurance Amendment and Acceptance Form, which identifies that the Policy modified the previous $200,000 policy by increasing the amount of insurance to $250,000 and the cost of the monthly premium to $225.76.

• Payment Authorization for Electronic Fund Transfers form (the EFT Form), which states in part:

NOTE: We are unable to draw funds if any of the required fields marked with an asterisk (*) are left blank, incomplete, or if this form is not signed. Any Conditional Receipt coverage will be void.

....

Complete Your Bank Information Below, or Submit Voided Check *A) ACH Routing Number (Only if listed on your check) _________________________________________ *B) Bank Routing Number (This number is the first 9 numbers. Please do not include any alpha or special characters) _________________________________________ *C) Account Number (Include all preceding zeros on your account number) _________________________________________

• Delivery Instructions, dated April 15, 2019, which states in part:

Sign and return to the Home Office: • Part D Agreement/Acknowledgement of Delivery -5- • Amendment Form • Collect $225.76 Check or Payment Authorization Form DD9073.

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Cite This Page — Counsel Stack

Bluebook (online)
70 F.4th 1046, Counsel Stack Legal Research, https://law.counselstack.com/opinion/principal-national-life-insurance-company-v-donna-rothenberg-ca8-2023.