Ross v. John Hancock

Vermont Superior Court·Decided October 7, 2016·No. 1095·Published

Opinion

Ross et al. v. John Hancock Life Insurance Co. et al., 1095-11-15 Cncv (Mello, J., Oct. 7, 2016). [The text of this Vermont trial court opinion is unofficial. It has been reformatted from the original. The accuracy of the text and the accompanying data included in the Vermont trial court opinion database is not guaranteed.]

STATE OF VERMONT

SUPERIOR COURT CIVIL DIVISION Chittenden Unit Docket No. 1095-11-15 Cncv

PETER H. ROSS, ET AL., Plaintiffs,

v.

JOHN HANCOCK LIFE INSURANCE COMPANY (USA), ET AL., Defendants.

RULING ON CROSS-MOTIONS FOR SUMMARY JUDGMENT1 This is an action to recover on a “Flexible Premium Adjustable Life Insurance” policy.

Defendant John Hancock Life Insurance Company (U.S.A.) (“John Hancock”) contends that the policy was no longer in effect at the time of the insured’s death because it had been terminated for failure to pay premiums. Plaintiffs contend that the termination of the policy was unlawful and that the policy was therefore still in effect at the time of the insured’s death. Unless indicated otherwise, the following facts are undisputed.

On April 5, 2004, The Manufacturers Life Insurance Company (U.S.A.) issued life insurance policy number 59 336 875 (the “Policy”) to the trustee of the Charlotte H. Ross Irrevocable Life Insurance Trust II. The policy insured the life of Charlotte H. Ross, the mother of plaintiffs Charles R. Ross, Jr., Peter Ross, and Jacqueline Ross. On January 1, 2005, John Hancock became the issuer of the Policy as the result of a merger. The face amount of the policy is $1 million.

1 The cross-motions relate solely to plaintiffs’ claim against defendant John Hancock.

On June 29, 2006, the policy was assigned to the plaintiffs, which had the effect of making the plaintiffs the owners of the Policy. A “Change of Ownership” form (Exhibit A to the Complaint) by which ownership of the Policy was transferred to the plaintiffs, was delivered to and accepted by the defendant. The form listed the “[n]ew assigned owners” and their addresses as follows:

“Charles R. Ross 394 Tyler Bride Road Hinesburg, VT 05461

“Peter Ross 2130 Shelburne Falls Road Hinesburg, VT 05461

“Jacqueline Ross 1328 State Highway 205 Oneonta, NY 13820”

Change of Ownership, p. 3.

John Hancock was required by Vermont’s Department of Insurance to remind policy owners annually of their right to designate a third party addressee (Defendant’s Exh. 4). On December 17, 2010, John Hancock mailed to “Charles R. Ross, 394 Tyler Bridge Road, Hinesburg VT 05461” a letter notifying him of his right to designate a third party designee in writing (Id.). None of the plaintiffs ever sent John Hancock a writing designating a third party addressee.2 The Policy contained a flexible premium provision under which a policy owner could choose when and how frequently to make premium payments. A policy owner could choose to make monthly, quarterly, semi-annual or annual payments of the amount needed to cover the

2 John Hancock claims that it sent such letters to the plaintiffs annually, but Exhibit 4 is the only such letter provided to the court, and it is addressed only to plaintiff Charles R. Ross.

cost of the amount of insurance desired. In other words, there was no fixed premium schedule for the Policy.

Premium payments were made on the Policy from time to time during the years 2005 through 2009. The last premium payment in the amount of $45,232.64 was made on March 9, 2009. There is no evidence in the record establishing who made these premium payments, except that they were not made by the plaintiffs. The payments might have been made by the insured herself (i.e., Charlotte H. Ross) or by the agent who sold her the Policy (Damon K. Kinzie of Morgan Stanley Smith Barney, LLC, whose business address was 69 Swift Street, 4th Floor, South Burlington, VT 05403), who also served as a financial advisor.3 The Policy contained a “Policy Termination” provision which stated that the Policy would go into default “if, at the beginning of any Policy Month, the Net Cash Surrender Value would go to or below zero after we take the Monthly Deduction that is due for that month” (Defendant’s Exhibit 1 at JH259). It provided for a grace period of 61 days from the date that the Policy went into default for the policy owner to pay the overdue premium (Id.). The Policy provided that it would terminate at “the end of the grace period for which you have not paid the amount necessary to bring the policy out of default (Id.).” The Policy also stated:

At least 30 days prior to the termination of coverage, we will send a notice to your last known address, specifying the amount you must pay to bring the policy out of default. If we have notice of a policy assignment on file at our Service Office, we will also mail a copy of the notice of the amount due to the assignee on record.

Id. Under the Policy, “‘you’ and ‘your’ refer to the owner of the policy” and “‘[w]e,’ ‘us’ and

3 Plaintiffs allege in their Complaint that they and their mother relied on Damon K. Kinzie to pay the premiums on the Policy when necessary and to keep her and them properly advised of issues relating to the Policy; they also allege that Kinzie in fact made all the premium payments on the Policy through 2009, presumably from Charlotte H. Ross’ funds, and that his employer, Morgan Stanley Smith Barney, is liable to the plaintiffs for allowing the Policy to lapse in 2011 (Complaint, pp. 2–3). In its Answer to the Complaint, John Hancock denies these allegations for lack of sufficient information. Morgan Stanley denies that they are true (see “Morgan Stanley’s Response to John Hancock’s Memorandum on Summary Judgment”).

‘our’ refer to [the insurer]” (Id., at JH 245).

On February 22, 2011, John Hancock mailed out a “Termination Warning Notice”

addressed to “Charles R. Ross, Peter Ross, Jacqueline Ross, 394 Tyler Bride Road, Hinesburg, VT 05461” (Defendant’s Exh. 3). The notice said, “Your premium payments to date are insufficient to maintain your coverage beyond February 21, 2011,” and it added “To keep your valuable insurance in force, you need to submit … [a] minimum payment of $9,790.20 by Apr 23 2011 to continue your coverage until May 21, 2011” (Id.). The “394 Tyler Bridge Road, Hinesburg, VT” address to which John Hancock mailed the notice was the address of plaintiff Charles R. Ross, Jr. John Hancock did not mail a copy of its “Termination Warning Notice” to plaintiff Peter Ross’ address at 2130 Shelburne Falls Road in Hinesburg, Vermont or to plaintiff Jacqueline Ross’ address at 1328 State Highway 205 in Oneonta, New York.

Plaintiff Charles R. Ross, Jr. did not inform Peter Ross or Jacqueline Ross about the “Termination Warning Notice,” and neither Peter Ross nor Jacqueline Ross was aware that the Policy was at risk of terminating unless a premium payment was made by April 23, 2011.

No premium payment was made on the Policy by the deadline of April 23, 2011. On May 3, 2011, John Hancock issued a “Lapse Termination Notice” addressed to “Charles R. Ross, Peter Ross, Jacqueline Ross, 394 Tyler Bridge Road, Hinesburg, VT 05461” (Defendant’s Exhibit 5). The notice said, “We regret to inform you that, effective Apr 23, 2011 your policy has terminated due to insufficient payments” (Id.). John Hancock did not mail a copy of its “Lapse Termination Notice” to plaintiff Peter Ross’ address at 2130 Shelburne Falls Road in Hinesburg, Vermont or to plaintiff Jacqueline Ross’ address at 1328 State Highway 205 in Oneonta, New York.4

4 John Hancock alleges that “Plaintiffs’ financial adviser, Damon K. Kinzie, also received the Termination Warning Notice and Lapse Termination Notice” (Defendant’s Statement of Undisputed Facts, ¶ 12). However, this

Free access — add to your briefcase to read the full text and ask questions with AI

Ross v. John Hancock, (Vt. Ct. App. 2016).

Ross v. John Hancock (Ross v. John Hancock) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Towns v. Northern Security Insurance
2008 VT 98 (Supreme Court of Vermont, 2008)
Rocque v. Co-Op. Fire Ins. Ass'n of Vt.
438 A.2d 383 (Supreme Court of Vermont, 1981)
Stonewall Insurance Company v. Moorby
298 A.2d 826 (Supreme Court of Vermont, 1972)
Putney School, Inc. v. Schaaf
599 A.2d 322 (Supreme Court of Vermont, 1991)
In re Bernice Landry
2015 VT 6 (Supreme Court of Vermont, 2015)
Stein ex rel. Meisels v. American General Life Insurance
34 F. Supp. 3d 224 (E.D. New York, 2014)
E. R. Wiggins Builders Supplies, Inc. v. Smith
149 A.2d 360 (Supreme Court of Vermont, 1959)