Unicare Life & Health Insurance v. Craig

157 F. App'x 787
CourtCourt of Appeals for the Sixth Circuit
DecidedSeptember 22, 2005
Docket04-3192
StatusUnpublished
Cited by8 cases

This text of 157 F. App'x 787 (Unicare Life & Health Insurance v. Craig) 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
Unicare Life & Health Insurance v. Craig, 157 F. App'x 787 (6th Cir. 2005).

Opinions

BATCHELDER, Circuit Judge.

On June 15, 2001, Unicare Life & Health Insurance Company (“Unicare”) filed a complaint for interpleader against Appellant Floyd Craig, Jr., and Appellees Patricia D. Hall, Danielle M. Hardy, and Kimberly M. Stephens, to determine the proper beneficiary of a policy of life insurance on its insured, Patricia E. Hardy-Craig. The decedent’s widower, Floyd Craig, argued that as the named beneficiary at the time of the insured’s death he was entitled to the entire proceeds of the life insurance policy. Contrarily, the decedent’s three daughters claimed that their mother had effectuated a change of beneficiary prior to her death and that they were entitled to equal shares of the policy proceeds. Following a bench trial, the magistrate judge issued a written order dated December 29, 2003, finding that the decedent had expressed a clear intent to [789]*789change the beneficiaries of her insurance policy to her daughters before her death, and ruling that the daughters are entitled to the proceeds of the policy. Because it is well-established in this circuit that we must determine the insured’s intent by looking to the designated beneficiary in the plan documents at the time of the insured’s death, we REVERSE the judgment of the magistrate judge.

I.

As a benefit of her employment, Patricia Hardy-Craig was covered by a contract for Group Term Life Insurance issued by Unicare pursuant to a contractual arrangement with her employer Ernst & Young Product Sales LLC (“Ernst & Young”). The policy, which became effective on January 1, 1999, named Patricia’s three daughters as beneficiaries and provided $50,000 in death benefits. In May 1999, Patricia married Floyd Craig. She executed a Beneficiary Designation/Change Form on June 1, 1999, substituting Craig as the primary 100% beneficiary of the insurance policy in place of her three daughters. Prior to her marriage, Hardy-Craig had been diagnosed with colon cancer, and she died on November 28, 2000. Following her death, Craig, Hardy, Stephens, and Hall, all contacted Unicare claiming to be entitled to the proceeds of Hardy-Craig’s life insurance policy.

According to the plan documents, to change a beneficiary designation, the insured must execute a written form and return it to Ernst & Young. The policy provides in relevant part:

Beneficiary of Employee

The employee’s beneficiary shall be the person or persons designated by the employee in writing and entered in the insurance records maintained as provided under the Policy Specifications.

Change of Beneficiary

Changes in the employee’s designation of beneficiary may be made by the employee by notice in writing given to his Participating Employer, but the new designation shall become effective only when it is entered in the insurance records maintained as provided under Policy Specifications....

Ernst & Young never received a signed copy of the form required to change beneficiaries, and it is undisputed that at the time of Hardy-Craig’s death, Craig was listed as the sole named beneficiary under the life insurance policy.

The daughters contend that despite the designation of Craig as the primary beneficiary in the plan documents, Hardy-Craig intended to change her primary beneficiary from Craig to her daughters. Both Stephens and Hardy testified that then-mother told them she wanted Craig replaced as the beneficiary on her life insurance policy because she did not want Craig to benefit from her death. Hardy also testified that she listened in on three telephone conversations between her mother and a representative of Benefits Express, the administrator of Ernst & Young’s benefits plan, in which Hardy-Craig obtained information on how to change her personal identification number (“PIN”) so that she could change her beneficiary from her husband to her daughters. However, Stephens, Hardy, and Hall all testified that they never saw or helped their mother prepare a change of beneficiary form.

In addition to the foregoing testimony, the magistrate judge accepted into evidence transcripts of four recorded telephone conversations between Hardy-Craig and benefits representatives at Benefits Express. In the first conversation, Hardy-Craig indicated that she wished to change the named beneficiary to designate [790]*790her three daughters, and she stated, “I want Floyd Craig off.” Because she did not have sufficient information about her daughters in front of her to complete the process and generate the change of beneficiary form, however, the form was not sent to her at that time. In the second conversation, Hardy-Craig again told the benefits representative that “I want to eliminate Floyd Craig, Jr.” as a beneficiary. She gave the representative the required information about her daughters to generate the change of beneficiary form, and the representative informed her that “[y]ou’ll receive a confirmation in the mail in about five to 10 business days ... What you would do is sign that, date that and return that within 90 days ... And then once that’s processed here at Benefits Express, that will update your beneficiaries.” Hardy-Craig responded, “Okay.” During the third conversation, Hardy-Craig informed the benefits representative that one month had gone by and she had not yet received a confirmation form. The representative indicated that Hardy-Craig should have received the form already, but told her that a new form could not be generated at that time because Hardy-Craig was unable to recite her PIN properly. The representative then sent Hardy-Craig a new temporary PIN in the mail and told her to call back immediately upon getting the PIN to finish the process of changing beneficiaries. Finally, during the fourth conversation, Hardy-Craig gave the benefits representative her PIN and confirmed that she wanted Craig “off’ as the primary beneficiary on her life insurance policy, and wanted to designate instead her three daughters. A change of beneficiary form was then generated, and the benefits representative stated, “You’ll be receiving beneficiary forms in the mail showing the beneficiaries that you elected. You just need to make sure you sign them and date them and send them back into us.”

Janette Gears, supervisor of the health and welfare plans of Ernst & Young, explained in further detail that in order to change the primary beneficiary designation under the life insurance provided by her employer, an insured must: (1) contact Benefits Express by phone (absent access to a personal computer); (2) provide a PIN for identification purposes; (3) provide names, addresses, social security numbers, birth dates and percentage distribution relating to the intended beneficiaries; and (4) upon receiving a form confirming the above information, sign and return it. She stated that until the signed confirmation form was received, the change would not be effective. Gears also identified printouts of computer screens generated consequent to the telephone calls between Benefits Express representatives and Hardy-Craig indicating that she had attempted to change the beneficiary designation on her life insurance policy to her daughters. This information would typically be sent to another department so that a confirmation letter could be generated and sent to the insured for signature. Gears testified that these computer screens were evidence that the change of beneficiary form was both generated and mailed to Hardy-Craig in the regular course of business.

II.

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Bluebook (online)
157 F. App'x 787, Counsel Stack Legal Research, https://law.counselstack.com/opinion/unicare-life-health-insurance-v-craig-ca6-2005.