Stacey Simmons v. Allstate Life Insurance Company and Maurice Cole

65 F.3d 526, 33 Fed. R. Serv. 3d 201, 1995 U.S. App. LEXIS 26173, 1995 WL 548174
CourtCourt of Appeals for the Sixth Circuit
DecidedSeptember 18, 1995
Docket94-1571
StatusPublished
Cited by3 cases

This text of 65 F.3d 526 (Stacey Simmons v. Allstate Life Insurance Company and Maurice Cole) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Stacey Simmons v. Allstate Life Insurance Company and Maurice Cole, 65 F.3d 526, 33 Fed. R. Serv. 3d 201, 1995 U.S. App. LEXIS 26173, 1995 WL 548174 (6th Cir. 1995).

Opinion

MARTHA CRAIG DAUGHTREY, Circuit Judge.

This diversity action was brought by the plaintiff-appellant, Stacey Simmons, in an attempt to recover the proceeds of a life insurance policy allegedly in effect at the time of death of the insured, Simmons’s fiance, John Journe. The district court granted the motion for summary judgment filed by Allstate Life Insurance Company and also dismissed the complaint against Maurice Cole, an Allstate agent, for lack of in personam jurisdiction. On appeal, Simmons alleges that the court did in fact have jurisdiction over the person of Cole and that Cole’s apparent authority to enter into the insurance contract on Allstate’s behalf bound the company to provide the benefits contained in the policy. For the reasons given below, we disagree and affirm the judgment of the district court. We conclude, furthermore, that Allstate’s request for sanctions under Federal Rule of Appellate Procedure 38 has merit and should be granted.

The facts in this case, while outrageous, are largely undisputed. Indeed, the appellant’s brief on appeal fails altogether to set out a statement of fact, leaving us to depend *528 on the appellee’s brief and our own independent review of the record.

That record shows that in December 1991, Maurice Cole, an insurance agent and the brother-in-law of Stacey Simmons, visited Michigan from his North Carolina home in order to spend the holidays with his children. 1 While in the state, Cole visited with Simmons and Journe at the couple’s apartment. During the visit, Journe, who was interested in purchasing life insurance, raised the subject of such insurance with Cole and discussed with him various aspects of the application process. Cole informed the couple that any policy application must be completed in North Carolina, however, because Cole was not licensed as an insurance agent in Michigan. At that time, therefore, discussions ended and Simmons and Journe informed Cole, “Okay, we’ll get back.”

By the end of that meeting, or at least by late the following month, Cole was aware of much of Journe’s past history. For example, he knew that Journe had previously been shot in the head, that he had been hospitalized on several occasions, and that he suffered from epilepsy that was then controlled by medication. Cole was also aware that Joume’s driver’s license had been suspended and that the earlier shooting of Journe was believed to have been related to involvement with illegal drugs. The agent supposedly assured his sister-in-law and her fiance, however, that Joume’s medical condition and past history would not affect his insurability.

When Simmons and Journe later visited Cole in North Carolina on January 20, 1992, Cole agreed to prepare a $1,000,000 insurance policy application on Joume’s life. While filling out that application, despite the knowledge he already had concerning the applicant’s history, Cole checked boxes on the form that indicated Journe had no significant medical problems and had not suffered a revocation of his driving privileges as a result of prior moving violations. In fact, in a letter to Allstate accompanying Joume’s application, Cole stated, “Based on John’s lifestyle and his current salary I feel he is a [sic] excellent risk and that issuing him a policy would not adversely affect Allstate in any way. I wish I was as healthy and clean cut as John.” Although Simmons and Journe signed the application indicating that all information provided was true and correct, the plaintiff later stated in her deposition that she was not aware of Cole’s misstatements. Cole himself corroborated Simmons’s account of the situation and stated that, because he was interested in having the application approved, he had simply pushed the application in front of Simmons and Journe and told them to sign it. Cole also suggested in his deposition that neither Simmons nor Journe were aware that he was providing incorrect information on the application form.

After signing the application for the $1,000,000 policy, Simmons and Journe tendered a check to Cole for the applicable premium. Cole gave Journe only a temporary insurance agreement at that time, however, pending review of the entire application by Allstate’s underwriters. Journe was further informed that the $500,000 temporary insurance policy would not become effective, under the express terms of the policy, until all required medical exams were conducted.

On February 6,1992, Allstate sent a letter to Journe, again informing him that the coverage under the temporary $500,000 policy would “start and stop as described in the Agreement.” Pursuant to that contract, a medical examination was considered a prerequisite for initiation of coverage and coverage under the temporary policy would extend only until a final decision on the $1,000,000 policy was reached or for 60 days, whichever occurred first. Furthermore, because initial coverage was limited under the temporary agreement to $500,000, the letter also contained a refund of that portion of his premium payment attributable to the requested second $500,000 in coverage. Simmons and Journe acknowledged both their receipt of the letter and their understanding that the $1,000,000 policy was not yet in effect by cashing the refund check from Allstate.

*529 Finally, on February 14, 1992, Journe underwent a medical examination at his residence in the Detroit area. Dr. Morris Miek-elson conducted the examination and stated in a later deposition that all answers given by Journe to questions related to the proposed insured’s medical condition “are accurately reflected in the February 14 Medical Report.” Both the medical report and Mickel-son’s affidavit indicate, however, that during the examination, Journe “did not disclose that he had been shot in the head in December 1988, Mr. Journe did not disclose that he had suffered from epileptic seizures, and Mr. Journe did not disclose that he had been hospitalized as a result of the gunshot wound and epileptic seizures.” 2

On March 17, 1992, a month after the temporary insurance policy purportedly went into effect, Journe disappeared. He had still not returned home or been located by March 80, 1992, when Simmons received notification from Allstate that the company would not issue the requested insurance policy on Joume’s life because essential medical reports had not been supplied as promised. The notification continued by indicating that a full refund for premium payments already made was enclosed and that “[a]ny coverage that may have existed under the receipt you received in exchange for this payment has terminated.” Simmons later cashed the refund cheek issued in the amount of the premium for the temporary $500,000 policy.

On April 30, 1992, Journe’s body was discovered in the trunk of a car parked at the Detroit airport. He had again been shot in the head, and the badly decomposed nature of the corpse led the medical examiner to conclude that Journe had probably died around March 17, the date of his original disappearance.

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65 F.3d 526, 33 Fed. R. Serv. 3d 201, 1995 U.S. App. LEXIS 26173, 1995 WL 548174, Counsel Stack Legal Research, https://law.counselstack.com/opinion/stacey-simmons-v-allstate-life-insurance-company-and-maurice-cole-ca6-1995.