Russell v. Royal MacCabees Life Insurance

974 P.2d 443, 193 Ariz. 464, 268 Ariz. Adv. Rep. 51, 1998 Ariz. App. LEXIS 78
CourtCourt of Appeals of Arizona
DecidedMay 7, 1998
Docket1 CA-CV 97-0157
StatusPublished
Cited by17 cases

This text of 974 P.2d 443 (Russell v. Royal MacCabees Life Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals of Arizona primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Russell v. Royal MacCabees Life Insurance, 974 P.2d 443, 193 Ariz. 464, 268 Ariz. Adv. Rep. 51, 1998 Ariz. App. LEXIS 78 (Ark. Ct. App. 1998).

Opinion

OPINION

PATTERSON, Judge.

¶ 1 Stephen T. Russell (appellant) appeals from summary judgment permitting Royal Maccabees Life Insurance Company (Royal) to rescind appellant’s disability insurance policy because of an alleged misrepresentation in the policy application. Finding a genuine issue of material fact, we reverse and remand.

I. FACTS AND PROCEDURAL HISTORY

¶ 2 We state the facts in a light most favorable to appellant. Griffith v. Faltz, 162 Ariz. 599, 599, 785 P.2d 119, 119 (App.1990). In July 1980, appellant was arrested and charged with felony insurance fraud and felony theft. As a result of pleading guilty to the felony theft charge, the insurance fraud charge was dismissed. On March 31, 1981, the court sentenced appellant to four years probation. Approximately seven months later, appellant’s probation officer. recommended early termination of his probation, which the trial court granted, subsequently entering an order discharging appellant from probation.

¶3 In February 1982, on motion from appellant, the trial court issued an administrative order pursuant to Arizona Revised Statutes Annotated (A.R.S.) section 13-907, vacating judgment of guilt, dismissing charges, and restoring appellant’s civil rights. Appellant’s attorney subsequently advised him that he could respond to inquiries into his criminal background, such as whether he had ever been convicted of a felony, in the negative. Since that time, appellant consistently answered “no” to such questions.

*466 ¶ 4 On May 14, 1992, appellant submitted to Royal an application for a disability buyout insurance policy (the policy). Question 23(f) on the application asked: “Has the Proposed Insured(s) in Question 1 ever been convicted of a felony?” Appellant answered in the negative. Royal issued the policy to appellant on June 14,1992.

¶ 5 Appellant was injured in an accident on March 7,1994 and, as a result, underwent physical therapy. The physical therapy did not alleviate appellant’s pain, therefore, on June 30, 1994, his physician placed him on total disability. Appellant subsequently filed a disability claim under his policy. Royal denied the claim on the grounds that he was not disabled. Appellant brought suit on June 20, 1995, to enforce coverage. On October 31, 1995, following an investigation into appellant’s background, Royal moved to file an amended answer and counterclaim to assert rescission as an affirmative defense because of the newly discovered conviction. The trial court granted Royal’s motion.

¶ 6 In February 1996, Royal moved for summary judgment on the grounds of rescission. Appellant cross-moved for summary judgment. By a minute entry order, the trial court granted Royal’s motion for summary judgment and denied appellant’s cross-motion. After hearing oral arguments and considering motions for attorneys’ fees from both parties, the court ruled in favor of Royal, granting $1,577.66 in costs and $25,000 in attorneys’ fees pursuant to A.R.S. section 12-341.01 (1992).

¶ 7 In January 1997, the trial court entered its final judgment against appellant. This timely appeal followed. We have jurisdiction pursuant to A.R.S. sections 12-120.21 (1992) and 12-210RB) (1994).

II. STANDARD OF REVIEW

¶ 8 We must determine whether genuine issues of material fact exist and whether the trial court correctly applied the substantive law. Jordan v. Burgbacher, 180 Ariz. 221, 225, 883 P.2d 458, 462 (App.1994). We will find summary judgment appropriate where the non-moving party has presented so little evidence in support of the claim or defense advanced, given the quantum of evidence required, that reasonable people could not agree with the conclusion advanced by that party. Orme School v. Reeves, 166 Ariz. 301, 309, 802 P.2d 1000, 1008 (1990).

III. DISCUSSION

A. The Incontestability Period of the Policy

¶ 9 Pursuant to A.R.S. section 20-1346(A)(a) (1990), every disability insurance contract requires the following provision:

Time limit on certain defenses: (a) After two years from the date of issue of this policy no misstatements, except fraudulent misstatements, made by the applicant in the application for such policy shall be used to void the policy or to deny a claim for loss incurred or disability (as defined in the policy) commencing after the expiration of such two year period.

¶ 10 Appellant argues on appeal that the trial court erred in interpreting A.R.S. section 20-1346 as permitting an insurer to rescind an insurance policy for reasons other than intentional fraudulent misrepresentation after the two-year incontestability period of the policy has expired. Appellant is essentially arguing that the two year time limit for contesting insurance policies refers to the date the insurer raises the misstatement defense and that because Royal did not raise the defense until after the two year time limit had expired, Royal must now prove appellant made a fraudulent misstatement. Appellant’s argument is flawed.

¶ 11 While it is true that two years had elapsed from the date of issuance to the date Royal first raised its fraudulent misrepresentation claim, appellant misconstrues the effect of the second half of the statute: “for loss incurred or disability ... commencing after the expiration of such two year period.” Id. Under section 20-1346, this language means an insurer can only void an insurance policy or deny a claim for loss incurred or disability originating two years from the date of issuance of the policy if the insurer proves that the applicant made a fraudulent misstatement in the application for the insurance policy. The language of the statute is *467 plain and unambiguous. Therefore, our duty is simply to apply the language to the ease at hand. Chaparral Dev. v. RMED Int’l, Inc., 170 Ariz. 309, 311, 823 P.2d 1317, 1319 (App. 1991).

¶ 12 As Royal points out in its answering brief, appellant’s argument ignores the dispositive clause of the statute — that his disability must commence after the expiration of the two yehr period. He also ignores the dispositive provisions of the policy itself:

We rely on the statements made in the application. But after two years from the Policy Effective Date, no misstatements, except fraudulent misstatements, in the application may be used by Us to void the Policy or deny any claim for loss incurred or Disability that begins after the end of the two year period.

(Emphasis added.) Appellant’s insurance contract was issued on June 14, 1992. His total disability commenced on March 7,1994. 1

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Bluebook (online)
974 P.2d 443, 193 Ariz. 464, 268 Ariz. Adv. Rep. 51, 1998 Ariz. App. LEXIS 78, Counsel Stack Legal Research, https://law.counselstack.com/opinion/russell-v-royal-maccabees-life-insurance-arizctapp-1998.