Smith v. Globe Life Insurance

597 N.W.2d 28, 460 Mich. 446
CourtMichigan Supreme Court
DecidedJuly 13, 1999
Docket110065, Calendar No. 7
StatusPublished
Cited by369 cases

This text of 597 N.W.2d 28 (Smith v. Globe Life Insurance) is published on Counsel Stack Legal Research, covering Michigan Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Smith v. Globe Life Insurance, 597 N.W.2d 28, 460 Mich. 446 (Mich. 1999).

Opinions

Young, J.

This case involves a dispute regarding defendant insurer’s avoidance of a credit life and disability insurance policy on the ground that the insured [449]*449made misrepresentations concerning his health on the application.

We granted leave in this case to determine whether defendant Globe Life Insurance Company is entitled to summary disposition with regard to plaintiff Debra L. Smith’s complaint alleging: (1) breach of contract involving the credit life and disability insurance policy, and (2) violations of the Michigan Consumer Protection Act (mcpa), MCL 445.901 et seq.; MSA 19.418(1) et seq., concerning the manner in which defendant represented the benefits and conditions of the policy in question.

Reversing the Court of Appeals in part, we conclude that defendant is entitled to summary disposition regarding plaintiff’s breach of contract claim. Defendant’s evidence established that plaintiff’s deceased father, Robert Smith, made material misrepresentations in his insurance application. Contrary to the Court of Appeals conclusion, there is no genuine issue of material fact regarding the application’s authenticity. In addition, defendant was not required to establish that it issued the insurance policy in reliance on Smith’s misrepresentations.

However, we agree with the Court of Appeals that defendant is not entitled to summary disposition regarding its alleged violations of the Michigan Consumer Protection Act. Although § 4(l)(a) of the act generally exempts from the MCPA transactions that are “specifically authorized” by law, § 4(2) provides an exception to that exemption by permitting certain private actions to be brought pursuant to § 11. That exception is applicable to plaintiff’s claim.

Accordingly, we affirm in part and reverse in part the judgment of the Court of Appeals.

[450]*450I. FACTUAL AND PROCEDURAL BACKGROUND

On December 4, 1992, plaintiffs deceased father, Robert Smith, bought a new truck financed through Ford Motor Credit Company (fmcc). At the time, Smith was forty-seven years old and employed full-time. As part of his financing package, he purchased a combined credit life and disability policy issued by defendant. Only the credit life insurance policy is at issue here. The certificate of insurance provided the following eligibility requirements:

Who is eligible for life insurance: On the Date of Debt you and any Co-Debtor must each: (i) owe the Debt; (ii) be fully capable of being actively at work for wages or profit at least 30 hours per week; and (iii) be less than 71 years old. At the end of the Term of Insurance, you and any Co-Debtor must each be less than 71 years old.

On Smith’s application for insurance, slash marks had been made in boxes labeled “no” as responses to the following inquiries:

1. Have you been medically diagnosed as having and are you receiving treatment for:
a. Any condition of the heart, brain, liver, kidney, lungs, cancer or any malignant growth?
b. Diabetes, high blood pressure, circulatory disorders, neurological disorders, mental disorders or disorders of the back or neck?

Above Smith’s signature, the application also warned:

Answer all questions honestly and truthfully, misrepresentation is a basis for denial of benefits. Any underwriting decision based on this evidence of insurability shall be made within 60 days from the date of this application.

[451]*451The credit life insurance policy provided in relevant part that defendant would be responsible for the balance due on the fmcc loan if Smith died while the policy was in force.

Smith had made two payments on the fmcc loan when he suffered a fatal heart attack on January 27, 1993. As personal representative of her father’s estate, plaintiff notified defendant of Smith’s death and made a claim for benefits pursuant to the certificate of insurance. Defendant denied coverage, asserting that the policy was void because Smith had misrepresented his state of health on the application. Defendant rescinded the policy, returning premiums paid for the policy to the car dealership.

After defendant denied the claim, plaintiff filed a complaint alleging breach of contract and violations of the Michigan Consumer Protection Act.1 Relying on conditions of coverage provided in the certificate of insurance quoted above, count I alleged that defendant was aware that decedent met the conditions and denied his claim in bad faith. Count n alleged that defendant misrepresented the advantages, benefits, terms, and conditions of the insurance policy in violation of the mcpa.

In its motion for summary disposition, defendant claimed it would not have insured Smith had it been aware of his true medical background. In support of its motion, defendant submitted: (1) a copy of Smith’s application revealing negative responses to the aforementioned health inquiries, (2) medical records establishing Smith had been diagnosed with coronary heart [452]*452disease in 1986 and was being treated for this condition at the time of his death, (3) interrogatory responses establishing Smith was an insulin-dependent diabetic, and (4) an affidavit by a former underwriter who claimed defendant would have denied the certificate of insurance had it been aware of Smith’s condition at the time he applied for coverage.

Opposing the motion, plaintiff submitted an affidavit and claimed: (1) the slash marks through the “NO” responses were not in Smith’s handwriting, and (2) defendant failed to proffer evidence establishing that it had received the insurance application when the insurance policy was issued. Plaintiff also claimed that she was not bound by any statements made in the application and that defendant was precluded from admitting the application into evidence because the application was not attached to plaintiff’s certificate of insurance.

The trial court granted the motion for summary disposition pursuant to MCR 2.116(C)(10). It concluded: (1) an insurer is not obligated to attach the application to the certificate of insurance, (2) Smith had not truthfully answered the application inquiries, and (3) the signature appeared authentic. The trial court noted that there was a question whether Smith authored the slash marks through the “no” boxes on the application. However, the court concluded that the issue was “largely beside the point” because the answers appeared to be “adoptively [Smith’s].”

Addressing the MCPA claims, the trial court concluded that the mcpa does not apply to activity regulated by the State Commissioner of Insurance, citing Kekel v Allstate Ins Co, 144 Mich App 379; 375 NW2d [453]*453455 (1985). Accordingly, the trial court dismissed plaintiffs complaint.

The Court of Appeals reversed. 223 Mich App 264, 266; 565 NW2d 877 (1997). It concluded that there was no genuine issue of material fact regarding the authenticity of Smith’s signature. However, the Court held that a factual question existed regarding whether Smith had authored the slash marks through the “NO” boxes and whether defendant had received and relied on the application when issuing the policy.

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Cite This Page — Counsel Stack

Bluebook (online)
597 N.W.2d 28, 460 Mich. 446, Counsel Stack Legal Research, https://law.counselstack.com/opinion/smith-v-globe-life-insurance-mich-1999.