Roberts v. Metropolitan Life Insurance Company

808 F.2d 1387
CourtCourt of Appeals for the Tenth Circuit
DecidedJanuary 30, 1987
Docket84-1404
StatusPublished
Cited by11 cases

This text of 808 F.2d 1387 (Roberts v. Metropolitan Life Insurance Company) is published on Counsel Stack Legal Research, covering Court of Appeals for the Tenth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Roberts v. Metropolitan Life Insurance Company, 808 F.2d 1387 (10th Cir. 1987).

Opinion

808 F.2d 1387

Marjorie ROBERTS, the Mission State Bank and Trust Company
(now Federal Deposit Insurance Corporation); and
the Overland Park State Bank and Trust
Company, Plaintiffs-Appellees,
v.
METROPOLITAN LIFE INSURANCE COMPANY, Defendant-Appellant.

No. 84-1404.

United States Court of Appeals,
Tenth Circuit.

Jan. 7, 1987.
As Amended Jan. 30, 1987.

William J. Toppeta (Rena Friedlander, of counsel, with him on the briefs), New York City, for defendant-appellant.

Richard T. Merker (Leonard J. Schapker also of Wallace, Saunders, Austin, Brown and Enochs, with him on the briefs), Overland Park, Kan., for plaintiffs-appellees.

Before LOGAN and MOORE, Circuit Judges, and WEST, District Judge.*

LOGAN, Circuit Judge.

In this diversity case, defendant, Metropolitan Life Insurance Company, appeals from the judgment of a federal district court in Kansas holding Metropolitan liable to pay the full amount of a $250,000 insurance policy on the life of Sherman H. Roberts. The district court found that Metropolitan's conduct had led Roberts to justifiably believe that his late premium payments would be accepted without fulfillment of the policy's reinstatement requirement. Accordingly, the court concluded, Metropolitan was estopped to rely on the policy's forfeiture and reinstatement provisions to deny payment after Roberts' death to an assignee of the policy (the FDIC as successor to the Mission State Bank and Trust Company (Mission)) and policy beneficiaries.

In this appeal, Metropolitan contends that the district court's application of Kansas law is clearly erroneous and, in the alternative, that the court's findings of fact are insufficient to permit our review. Because the court's findings of fact are not sufficient to permit us to properly evaluate its legal conclusion, we remand.1

Although we find them incomplete, we perceive no error in the findings of fact made in the district court's Memorandum and Order of October 26, 1983. It appears from the record that after the policy was converted to quarterly premium payments in 1977, Roberts was in default every quarter, paying the premium by a combination of a credit for the available loan value of the policy and remittance of the balance due after Metropolitan calculated that amount and notified him of the amount due via Dan Hosfield, the agent who serviced this policy. Each quarter a credit for the loan value would cover approximately sixty percent of the premium. In the four quarters prior to September 1978, payment of the balance due was remitted after the thirty-one-day grace period, on dates ranging up to fifteen days after the end of the grace period. Contrary to written policy provisions, however, Metropolitan did not require a reinstatement application from Roberts in any one of these four quarters.2

Roberts thereafter continued his practice of paying premiums by a combination of credit for loan value and cash payment for the balance, remitted after the end of the grace period. On the final occasion, the balance due on premiums for September 1978 and December 1978 was remitted in two installments, on January 12, 1979, by Roberts, and February 22, 1979, by Mission, nearly one hundred days after the end of the grace period for the September payment and six days after the end of the grace period for the December payment.3

Metropolitan required an application for reinstatement along with the balance due on the September and December 1978 premiums. Because Roberts was no longer medically insurable, Metropolitan denied the application for reinstatement and issued refund checks to Roberts and Mission in March 1979. Roberts died seven months later in October 1979. Metropolitan refused the plaintiffs' subsequent demand for payment of the proceeds of the policy, and plaintiffs filed the action now before us on appeal.

The Kansas rule of law applicable in this case is well established: "A forfeiture will not be permitted where, by the adoption of a custom or the course of its conduct, the insurer has led the insured member honestly to believe that the assessments may be paid and will be received at times other than those specified in the contract." Fenn v. Northwestern Nat. Life Ins. Co., 90 Kan. 34, 38, 133 P. 159, 161 (1913) (citing cases). It is apparent that the district court decided the instant case with reference to this rule of law. It held Metropolitan liable for the full amount of Roberts' insurance policy, because it found Metropolitan's "conduct was such that Sherman Roberts was justifiably led to believe that his late premium payments would be accepted without fulfillment of the reinstatement requirement, even after the 31-day grace period." R. I, 149. The Fenn court's statement of law is incomplete, however, and the proper disposition under Kansas law depends upon the nature of underlying findings of fact that we do not have.

The parties assert different and, based on the record, equally plausible courses of conduct on the part of Metropolitan. Metropolitan asserts that its customary practice amounted to no more than its acceptance of late premium payments from Roberts, establishing an extension of the payment period no longer than its latest unconditional acceptance of a premium payment. The record indicates the latest acceptance of a premium was fifteen days past the grace period. Accordingly, Metropolitan argues, it had not led Roberts to believe that it would accept a premium payment made almost one hundred days past the grace period, and the court erred in concluding otherwise.

If this was in fact the course of conduct between the parties, then Metropolitan's position is correct under Kansas law, and we would be obliged to find the district court's conclusion to the contrary to be erroneous. The insurer is only obligated to accept late payments "if made within a reasonable time after they [become] due." Runbeck v. Farmers' & Bankers' Life Insurance Co., 96 Kan. 186, 188, 150 P. 586, 586 (1915) (citing Fenn v. Northwestern National Life Insurance Co., 90 Kan. 34, 133 P. 159 (1913)). Acceptance of late payments does not extend the time for payment indefinitely, but only for the extension period actively established and shown by conduct. Conroy v. Grand Lodge of Brotherhood of Railroad Trainmen, 102 Kan. 757, 761, 171 P. 1161, 1163 (1918).

But plaintiffs contend that the course of conduct between the parties involved significantly more on Metropolitan's part than mere acceptance of late premium payments. Instead, plaintiffs argue, Roberts relied on what amounted to an automatic loan against the cash value of the policy, paying the balance when Metropolitan calculated the amount due and notified him of that amount via its agent, Dan Hosfield.

There is support in the record for finding an understanding between Roberts and Metropolitan, through Hosfield, that the agent would ascertain the amount available for a premium loan, arrange the loan, and allow the insured to pay the difference. Hosfield testified that he usually initiated the premium payment process. R. V, 151.

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Cite This Page — Counsel Stack

Bluebook (online)
808 F.2d 1387, Counsel Stack Legal Research, https://law.counselstack.com/opinion/roberts-v-metropolitan-life-insurance-company-ca10-1987.