Walker v. Government Personnel Mutual Life Insurance Co

CourtDistrict Court, W.D. Louisiana
DecidedOctober 17, 2024
Docket5:23-cv-00303
StatusUnknown

This text of Walker v. Government Personnel Mutual Life Insurance Co (Walker v. Government Personnel Mutual Life Insurance Co) is published on Counsel Stack Legal Research, covering District Court, W.D. Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Walker v. Government Personnel Mutual Life Insurance Co, (W.D. La. 2024).

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF LOUISIANA SHREVEPORT DIVISION

TISHAUNA WALKER CIVIL ACTION NO. 23-303

VERSUS JUDGE EDWARDS

GOVERNMENT PERSONNEL MAG. JUDGE MCCLUSKY MUTUAL LIFE INSURANCE CO

MEMORANDUM ORDER

Before the Court is a Motion for Summary Judgment1 filed by the defendant, Government Personnel Mutual Life Insurance Company (“GPM”). The plaintiff, Tishauna Walker, opposes2 the Motion, and GPM filed a Reply.3 Ms. Walker then filed a Motion to Strike GPM’s Reply,4 which we also consider here. GPM opposes the Motion to Strike,5 and Ms. Walker filed a Reply.6 After careful consideration of the parties’ memoranda and the applicable law, GPM’s Motion for Summary Judgment7 is DENIED. Ms. Walker’s Motion to Strike8 is also DENIED. I. BACKGROUND This case arises out of GPM’s denial of Ms. Walker’s claim for the proceeds of her late husband’s life insurance policy.9

1 R. Doc. 11. 2 R. Doc. 19. 3 R. Doc. 23. 4 R. Doc. 25. 5 R. Doc. 29. 6 R. Doc. 30. 7 R. Doc. 11. 8 R. Doc. 25. 9 R. Doc. 1-2 at pp. 6-8. On June 26, 2020, Ms. Walker’s husband, Edward Tyree Wilson, applied for a life insurance policy with GPM.10 The application was completed over the phone with an agent of GPM, Elisa Jirone.11 Less than a year later, Mr. Wilson died of

pneumonia and COVID-19.12 Shortly thereafter, Ms. Walker filed her claim with GPM for the proceeds of Mr. Wilson’s policy.13 As Mr. Wilson died within the two- year contestability period of the policy, GPM initiated a “contestable claims review.”14 GPM subsequently denied Ms. Williams claim.15 GPM provided reasons for its denial, namely, Mr. Wilson’s alleged misrepresentations in his application regarding his health status and history.16

On January 30, 2023, Ms. Walker filed the instant suit in state court, seeking the proceeds that she alleges are owed to her under the insurance policy.17 Ms. Walker contends that the denial of her claim was baseless.18 Subsequently, the matter was removed to this Court on the basis of diversity jurisdiction under 28 USC § 1332.19 On May 15, 2023, GPM filed the instant Motion, seeking summary judgment “on the grounds that the insured made significant, material misrepresentations in

his life insurance application with the intent to deceive GPM Life.”20 The alleged misrepresentations that GPM contends render the policy rescindable are: Mr.

10 R. Doc. 11-5. 11 R. Doc. 23-1 at pp. 2-3. 12 R. Doc. 11-11 at p. 2. 13 R. Doc. 11-7 at pp. 2-3. 14 R. Doc. 11-1 at p. 7. 15 R. Doc. 11-8. 16 Id. at pp. 4-7. 17 R. Doc. 1-2 at pp. 6-8. 18 Id. at p. 7. 19 R. Doc. 1. 20 R. Doc. 11-1 at p. 6. Wilson’s weight being listed on the application as 285 pounds, when he was in fact 337 or 338 pounds;21 his omission of “renal insufficiency”;22 and his omission of his history of stroke.23 GPM argues that it would not have issued the policy “if Mr.

Wilson’s actual health conditions had been truthfully disclosed on the application…”24 Accordingly, GPM argues that Mr. Wilson’s answers on his application constitute “material misrepresentations . . . made with the intent to deceive,” so as to void the policy under Louisiana law.25 Ms. Walker responded,26 relying mostly on her own affidavit, and the deposition of Mr. Wilson’s treating physician, Dr. Brouillette.27 Ms. Walker

contends that she participated in providing information to the GPM agent, Ms. Jirone, and that Mr. Wilson never saw the application.28 Instead, Ms. Walker alleges that Mr. Wilson provided oral answers to Ms. Jirone, who then completed the application herself.29 According to Ms. Walker’s affidavit, Mr. Wilson told Ms. Jirone that he weighed “approximately 335” pounds.30 Further, Ms. Walker alleges that “Dr. Brouillette advised [her and her husband] that her husband never had a ‘stroke’ and had no signs or symptoms of a stroke.”31 Ms. Walker contends that the

application documentation provided by GPM during litigation “do[es] not match the

21 Id. at pp. 8-9. 22 Id. at pp. 11-13. 23 Id. at pp. 10-11. 24 Id. at p. 13. 25 Id. at p. 19. 26 Ms. Walker’s response was filed on September 5, 2023, but was deficient for want of a table of contents and table of authorities. Her corrected response was filed on September 19, 2023, beyond the September 15, 2023, deadline. Nonetheless, the Court will consider it as if it were timely. 27 R. Doc. 19. 28 R. Doc. 19-3 at pp. 1-2, 4. 29 Id. at p. 4. 30 Id. at p. 3. 31 Id. at p. 4. information that her husband orally supplied Ms. Jirone.”32 Accordingly, Ms. Walker argues that any misrepresentations on the application were the fault of GPM or its agent, and not of Ms. Walker or her husband.33 Further, Dr.

Brouillette’s deposition testimony provides that Mr. Wilson was noncompliant, yet truthful, when it came to his health issues;34 that Dr. Brouillette did not witness any signs or symptoms, or proof, that Mr. Wilson had experienced a stroke;35 and that Mr. Wilson’s pathologies were tied together—diabetes, diabetic retinopathy, hypertension, and renal insufficiency (i.e., kidney disease).36 GPM replied, first asking us not to consider Ms. Walker’s opposition, as its

deficiency was not cured until five days after the response deadline.37 GPM then moves to the merits, alleging that Ms. Walker’s response was not sufficient to defeat summary judgment.38 GPM alleges that Ms. Walker’s affidavit is “conclusory, not backed in evidence, and contains inadmissible hearsay.”39 In contesting Ms. Walker’s assertions, GPM attached to its Reply, the affidavit of Elisa Jirone, GPM’s previously-mentioned agent.40 Ms. Jirone declares that she “only spoke with Mr. Wilson to answer application questions.”41 GPM alleges that this disproves Ms.

Walker’s declaration that she participated in the phone call.42 Further, Ms. Jirone

32 Id. 33 R. Doc. 19 at p. 10. 34 R. Doc. 19-2 at p. 3. 35 Id. at p. 4. 36 Id. at p. 3. 37 R. Doc. 23 at pp. 1-2. 38 Id. at pp. 2-3. 39 Id. at p. 3. 40 R. Doc. 23-1. Ms. Jirone’s affidavit is a new addition to the record, attached for the first time in GPM’s Reply to Ms. Walker’s Opposition. 41 Id. at p. 3. 42 R. Doc. 23 at p. 5. declares that she did not sign the application document on behalf of Mr. Walker; that she did not alter or manipulate the application document beyond the answers that Mr. Walker provided her; and that she sent him the application electronically

for his review and signature.43 Thus, GPM contends that Ms. Walker’s assertions to the contrary are “false.”44 Further, GPM argues that Dr. Brouillette’s testimony regarding Mr. Wilson’s truthfulness is irrelevant; that he is not qualified to analyze the handwriting on the application document; and that his testimony about the interplay of diabetes, hypertension, and renal insufficiency does not bear upon Ms. Jirone’s completion of the application, or establish what she should have known in

completing it, as Ms. Jirone is not a medical expert.45 Finally, GPM insists that Mr. Wilson had a stroke. GPM asserts that “just because Brouillette did not personally see signs of a stroke does not mean that it did not occur”46 and points to Mr. Wilson’s prior medical records47 as proof that he in fact suffered a stroke. Ms. Walker then filed a sur-reply and a Motion to Strike.48 Ms. Walker’s pleading does not reargue the propriety of GPM’s Motion for Summary Judgment, averring only that new evidence, and new arguments flowing therefrom, should be

struck.49 As previously discussed, the challenged new evidence is the affidavit of Ms. Jirone,50 and the medical records from Mr. Wilson’s June 27, 2017, visit to a

43 R. Doc. 23-1 at p. 3. 44 R. Doc. 23 at pp. 4-8. 45 Id. at pp. 8-9. 46 R. Doc. 23 at pp. 10-11. 47 R. Doc. 28. Like Ms. Jirone’s affidavit, these medical records were attached for the first time in GPM’s Reply brief. GPM contends that these records were newly obtained and directly respond to Ms.

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Walker v. Government Personnel Mutual Life Insurance Co, Counsel Stack Legal Research, https://law.counselstack.com/opinion/walker-v-government-personnel-mutual-life-insurance-co-lawd-2024.