Sutton v. Banner Life Insurance

686 A.2d 1045, 1996 D.C. App. LEXIS 288, 1996 WL 745015
CourtDistrict of Columbia Court of Appeals
DecidedDecember 30, 1996
Docket94-CV-927
StatusPublished
Cited by9 cases

This text of 686 A.2d 1045 (Sutton v. Banner Life Insurance) is published on Counsel Stack Legal Research, covering District of Columbia Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sutton v. Banner Life Insurance, 686 A.2d 1045, 1996 D.C. App. LEXIS 288, 1996 WL 745015 (D.C. 1996).

Opinion

RUIZ, Associate Judge:

Appellee Banner Life Insurance Company denied appellant Maxine Sutton’s claim for a death benefit under her husband’s life insurance policy following his suicide, on the ground that the suicide occurred within two years of the policy date and was therefore barred by the policy’s suicide clause. Sutton brought this action, contending that the policy containing the term upon which Banner Life relies was not a new policy, but should be interpreted as only an increase in coverage over an earlier policy containing a similar clause, the terms of which had already been satisfied. Appellant also claimed in the alternative that even if under the terms of the policy the two-year suicide exclusion were to start to run anew, she should' not be held to its terms, because Banner Life’s agent, ap-pellee Ronald Holmes, had misrepresented the nature of the change in policies. The trial court granted summary judgment for Banner Life and Holmes. We hold that the trial court erred in granting summary judgment because there was a disputed issue of material fact as to what were the terms of *1047 the life insurance contract between the parties in 1988, when Mr. Sutton committed suicide. Therefore, we reverse the grant of summary judgment on the contract claim as to Banner Life. Because Sutton has pointed to no fact or law establishing in Holmes or Banner Life a duty affirmatively to disclose any more than they in fact did, we affirm summary judgment on the fraud claim.

I.

We review a grant of summary judgment de novo to ensure that there is no genuine issue of material fact and that the prevailing parties, here Banner Life and Holmes, are entitled to judgment as a matter of law. Colbert v. Georgetown Univ., 641 A.2d 469, 472 (D.C.1994) (en banc). In ascertaining the facts as to which there is no genuine dispute, we view the record in the light most favorable to Sutton, the party opposing the motion. Id.

The facts we consider are that in 1979, Sutton’s husband obtained a whole life insurance policy in the amount of $35,000 from Government Employees Life Insurance Company (GELICO), not a party to this action. The premium was $45.26 per month. As a whole life policy, it had a cash value that increased as the Suttons paid premiums. The policy contained the following suicide provision:

In the event of the suicide of the Insured while sane or insane within two years from the Issue Date, the amount payable under this policy shall be limited to the amount of premiums paid.

Sometime during or before 1985, appellee Banner Life succeeded to GELICO’s rights and obligations under the policy. Banner Life wrote to the Suttons in July 1985, apparently because it was concerned that the Suttons were thinking of cancelling their policy. It urged the Suttons to consider certain facts before surrendering the policy. Among those facts were the continuing increase in the cash value of the policy and the potential increased cost and difficulty of obtaining other life insurance. The Suttons continued with the policy.

In the fall of 1988, appellee Holmes contacted the Suttons to suggest that they increase the amount of their policy with Banner Life. In an affidavit filed in opposition to appellees’ motion for summary judgment Sutton stated:

We met with Mr. Holmes at our house in late October, 1988, and he explained to us that the coverage of the policy could be increased from $35,000 to $50,000. At no time did he inform either my husband or me that in increasing the policy benefits a new two (2) year period would begin for suicide exclusion or contestability. We were not shown a copy of the prospective new policy, nor given the opportunity to review its terms and conditions. The only aspect of the policy discussed was the amount of the coverage and the amount of the premiums. Based on Mr. Holmes’ representations, my husband agreed to the increase in coverage.

Banner Life thereafter issued to Mr. Sutton a universal life insurance policy in the amount of $50,000. Although bearing the signatures of officials of Banner Life, the policy is not signed by either of the Suttons. 1

The new policy provided that its issue date was November 4, 1988. The initial planned annual premium was $543.12, the same as under the 1979 policy. Thereafter, premiums payable under the policy were flexible. The policy stated that under Internal Revenue Service regulations the maximum annual premium consistent with tax treatment as a life insurance premium was $1,131.99. The policy also contained the following suicide exclusion provision:

For the first two full years from the date of issue, the Company will not pay if the insured commits suicide, while sane or insane. The Company will terminate the *1048 policy and give back the premiums paid less any loan and any partial surrender amount [previously paid].
A like limitation applies to any increase in benefits and the effective date of such increase. The company will give back the monthly deductions for the increased specified amount as a death benefit as of the effective date of such increase in specified amount.

Approximately twenty months after Banner Life issued the 1988 policy, Sutton’s husband committed suicide. Relying on the suicide exclusion provision of the 1988 policy, Banner Life refused to pay Sutton the face value of the policy. Instead, according to Banner Life’s statement of undisputed facts, it “paid to Plaintiff all premiums accrued on the Banner Life insurance policy to the date of the Decedent’s death, as well as the cash surrender value of the insurance policy, to-talling” $2,401.66. (Emphasis added.) That amount is more than the maximum premium payable under the 1988 policy for the prior two years.

Sutton brought this action against both Banner Life and Holmes, demanding judgment for the amount of the 1979 policy, $35,000, less the amount already paid out by Banner Life. She did not claim the face amount of $50,000 under the 1988 policy. She alleged that Banner Life had breached its obligation under both policies and that Holmes, as Banner Life’s agent, had fraudulently or negligently failed to disclose that a new two-year suicide exclusion period would commence if the Suttons agreed to an increase in the indemnity amount.

The trial court granted Banner Life’s and Holmes’ motion for summary judgment, reasoning that

[t]he insurance policy between [defendant] Banner Life and the decedent constituted an entirely new [contract] and the decedent as well as any intended beneficiary are bound by its terms. The Court is aware of no precedent which requires that the agent, [defendant] Holmes[,] specifically highlight the provision regarding suicide. Moreover the complaint in no way sets forth with sufficient particularity any fraud claim or claims for negligent] mis-rep[resentation.]

II.

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Cite This Page — Counsel Stack

Bluebook (online)
686 A.2d 1045, 1996 D.C. App. LEXIS 288, 1996 WL 745015, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sutton-v-banner-life-insurance-dc-1996.