Vining Ex Rel. Vining v. Enterprise Financial Group, Inc.

148 F.3d 1206
CourtCourt of Appeals for the Tenth Circuit
DecidedJuly 6, 1998
Docket96-6254, 96-6267 and 97-6082
StatusPublished
Cited by32 cases

This text of 148 F.3d 1206 (Vining Ex Rel. Vining v. Enterprise Financial Group, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Tenth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Vining Ex Rel. Vining v. Enterprise Financial Group, Inc., 148 F.3d 1206 (10th Cir. 1998).

Opinion

ORDER

This matter is before the court on its own motion to vacate the opinion and judgment issued on July 6, 1998 and to reissue an amended opinion and partial judgment. The attached opinion constitutes the decision of the court. A forthwith partial mandate and partial judgment are issued with respect to the issues addressed in today’s amended opinion. The court retains jurisdiction to address the issues of prejudgment interest and attorneys’ fees. We will issue a supplemental decision on those issues following the Oklahoma Supreme Court’s resolution of the certified questions submitted in appeal number 95-5207, Taylor v. State Farm Fire and Casualty Company. The order submitting those certified questions was filed in this court on June 19, 1997. The parties to this appeal shall monitor the proceedings in the Taylor matter and submit notice to this court immediately upon its resolution in the Oklahoma Supreme Court. Pending that disposition, the portion of these appeals concerning the issues of prejudgment interest and attorneys’ fees is abated.

OPINION

EBEL, Circuit Judge.

Plaintiff-Appellee Billie Vining brought a bad faith insurance claim as surviving spouse and next of kin on behalf of her deceased *1210 husband Milford Vining. 1 Vining claimed that defendant-appellant Enterprise Financial Group, Inc. acted improperly in rescinding a credit life insurance policy after Vining made a claim under the policy as a result of her husband’s death. At trial, the jury found in favor of Vining and awarded her compensatory and punitive damages. Enterprise appeals the judgment of the district court on the grounds of insufficient evidence, improper consideration of inadmissable evidence, improper jury instructions, failure to order a remittitur based on an excessive damage award, failure to order a new trial because the jury verdict was the product of passion and prejudice, improper award of prejudgment interest, and improper award of attorneys’ fees. Vining cross-appeals, arguing that in the event a new trial is ordered, the court should award additional punitive damages based on Enterprise’s willful conduct. We affirm on all issues, except we retain jurisdiction and do not now decide the issues raised on appeal pertaining to prejudgment interest and attorney’s fees.

BACKGROUND

On March 9, 1992, Milford Vining (“Milford”), now deceased husband of plaintiff-appellee Billie Vining (“Vining”), purchased a Jeep at Crown Auto World in Tulsa, Oklahoma. Defendant-Appellant Enterprise Financial Group (“Enterprise”), through a wholly owned subsidiary ELIC, had appointed Nancy Sidler (“Sidler”) as its finance and insurance representative at the car dealership. Enterprise sold credit life insurance policies as a way for customers to insure that car payments would be covered in the event of death. Sidler offered and Milford elected to buy an Enterprise credit life insurance policy (the “Policy”) in connection with the purchase of the vehicle. Sidler had never been trained in any way by Enterprise, including training on what constituted “good health” under Enterprise’s definition.

Milford died on May 28, 1993 of an acute myocardial infarction (sudden heart attack). At the time of his death, Milford’s Policy had a pay-out value of $10,046. Vining made a claim for death benefits under the Policy, and Enterprise subsequently rescinded the Policy, claiming that Milford had misrepresented material health history in his insurance application and that the Policy was issued in reliance upon this misrepresentation. Vining unsuccessfully contested the rescission and sent letters to the Oklahoma Insurance Department complaining of Enterprise’s conduct. On July 27, 1995, Vining brought an action for breach of contract and for bad faith in the United States District Court for the Western District of Oklahoma. Enterprise defended on the grounds that it had a legitimate basis for contesting Vining’s claim, and thus did not act in bad faith. Enterprise also raised the affirmative defense of rescission, arguing that Milford made material misrepresentations in the insurance application which justified a rescission of the Policy pursuant to Okla. Stat. tit. 36, § 3609 (1990).

During trial, Vining proved the following facts. 2 Milford had suffered from coronary artery disease which resulted in a triple *1211 coronary bypass operation in 1983. After the surgery, Milford underwent a series, of post-bypass tests and procedures and began taking heart maintenance medication to prevent the occurrence of angina. Milford complained of no chest pains or other symptoms from the time immediately following the operation up until the time of his death. Milford visited Dr. Michael- Sullivan (“Dr.Sullivan”) on February 12, 1992, for a get-acquainted visit because he recently had moved and wanted to find a new doctor nearer to his home. Milford’s visit was not precipitated by any symptoms or medical reasons. In fact, Milford led a very active life. Dr. Sullivan continued Milford on his heart maintenance medications as a preventive measure. At the time of Milford’s visit with Dr. Sullivan, Milford suffered from little, if any, angina.

The insurance application Milford signed included a disclaimer that stated:

I HEREBY CERTIFY THAT I AM IN GOOD HEALTH AS OF THE EFFECTIVE DATE ABOVE. I FURTHER CERTIFY THAT I DO NOT PRESENTLY HAVE, NOR HAVE I EVER HAD, NOR HAVE I BEEN TOLD I HAVE, NOR HAVE I BEEN TREATED WITHIN THE PRECEDING 12 MONTHS FOR ANY OF THE FOLLOWING: ANY HEART DISEASE, OR OTHER CARDIOVASCULAR DISEASES....

Both parties agree that Milford did not intentionally attempt to mislead Enterprise by signing the disclaimer, that Milford’s appointment with Dr. Sullivan was his only medical visit in the twelve months preceding the Policy purchase date, and that under Oklahoma Insurance Regulations, an insurance company may only consider the last twelve months of an insured’s medical history to evaluate an insurance application.

After Milford’s death, Enterprise sought all of Milford’s medical records, including Dr. Sullivan’s notes. On the same day it received Dr. Sullivan’s notes, Enterprise rescinded the Policy. Enterprise routinely contests all claims on life insurance policies made within two years of a policy's effective date and. investigates to find misrepresentations in the insurance application. 3 Debbie Cluck (“Cluck”), Enterprise’s claims examiner, denies four out of every ten claims that she reviews. Enterprise does not have a claims manual or any written guidelines specifying when a claim is payable or not, and it never informed Cluck of any applicable Oklahoma law or regulation-pertaining to when a policy may be rescinded. Enterprise had no system of tracking whether any of its agents routinely sold policies to ineligible applicants.-

Cluck felt it appropriate to rescind a policy even if the agent issued the policy with full knowledge of an applicant’s medical history. Cluck’s beliefs comport with Enterprise company philosophy.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Untitled Case
W.D. Oklahoma, 2026
Untitled Case
W.D. Oklahoma, 2026
Edens v. Netherlands Insurance
834 F.3d 1116 (Tenth Circuit, 2016)
Cudd Pressure Control, Inc. v. New Hampshire Insurance
645 F. App'x 733 (Tenth Circuit, 2016)
Federal Trade Commission v. Chapman
714 F.3d 1211 (Tenth Circuit, 2013)
Farm Bureau Life Insurance v. American National Insurance
408 F. App'x 162 (Tenth Circuit, 2011)
Kelley v. City of Albuquerque
542 F.3d 802 (Tenth Circuit, 2008)
Cook v. Medical Savings Insurance
287 F. App'x 657 (Tenth Circuit, 2008)
Sellman v. Amex Assurance Company
274 F. App'x 655 (Tenth Circuit, 2008)
Brown v. Patel
2007 OK 16 (Supreme Court of Oklahoma, 2007)
Renner v. Harsco Corporation
475 F.3d 1179 (Tenth Circuit, 2007)
Scottsdale Ins. Co. v. Tolliver
440 F. Supp. 2d 1247 (N.D. Oklahoma, 2006)
Haberman v. Hartford Insurance Group
443 F.3d 1257 (Tenth Circuit, 2006)
Scottsdale Insurance Co. v. Tolliver
2005 OK 93 (Supreme Court of Oklahoma, 2005)
Eaves v. Fireman's Fund Insurance Companies
148 F. App'x 696 (Tenth Circuit, 2005)
Markham v. National States Insurance
122 F. App'x 392 (Tenth Circuit, 2004)

Cite This Page — Counsel Stack

Bluebook (online)
148 F.3d 1206, Counsel Stack Legal Research, https://law.counselstack.com/opinion/vining-ex-rel-vining-v-enterprise-financial-group-inc-ca10-1998.