Washington v. American Heritage Life Insurance

500 F. Supp. 2d 610, 2007 U.S. Dist. LEXIS 54120
CourtDistrict Court, N.D. Mississippi
DecidedJuly 25, 2007
DocketCivil Action 4:05CV184-P-B
StatusPublished
Cited by3 cases

This text of 500 F. Supp. 2d 610 (Washington v. American Heritage Life Insurance) is published on Counsel Stack Legal Research, covering District Court, N.D. Mississippi primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Washington v. American Heritage Life Insurance, 500 F. Supp. 2d 610, 2007 U.S. Dist. LEXIS 54120 (N.D. Miss. 2007).

Opinion

MEMORANDUM OPINION

PEPPER, District Judge.

This matter comes before the court upon Defendant American Heritage Life Insurance Company’s Motion for Summary Judgment [74]. After due consideration of the motion and the responses filed thereto, the court is prepared to rule.

I. FACTUAL BACKGROUND

Ola Washington purchased a $ 100,000 life insurance policy from American Heritage naming her husband Thomas Washington as the beneficiary.

On November 19, 2003 Ola Washington executed a voluntary statement with the Verona, Mississippi Police Department that her husband Thomas had stabbed her with a knife. She received treatment at the North Mississippi Medical Center. Thomas Washington, who claims it was Ola who had the knife and she was stabbed while they were scuffling over it, was arrested and placed in jail for two weeks. On December 20, 2003, a month after the knife wound, Ola Washington died in her bed. At that time Ola lived in her home with her husband Thomas and Shoenda Townsend, one of her daughters born prior to her marriage to Thomas.

On December 22, 2003 Townsend called American Heritage requesting a death claim form. Townsend spoke with Claudia Osborne, team leader in the Claims Department, and advised Osborne that Ola Washington had died on December 20, that no death certificate had yet been issued, and gave Osborne the phone numbers to the funeral home and the Verona Police Department. Osborne sent a letter to Townsend enclosing a claims form and instructions on what was needed to make a claim for the death benefits. On the same day or on the next day, Osborne avers that she spoke with Allen Brewer, the insurance agent for Ola Washington’s policy, who told her that Ola’s death was a homicide and that she had been stabbed by her husband Thomas, the beneficiary.

On August 31, 2004 Townsend called American Heritage’s Customer Service Department requesting another copy of the claims form. American Heritage sent a new form on that same day.

On November 3, 2004, eleven months after Ola Washington died, American Heritage received a Claimant’s Statement filled out by Thomas Washington, along with a death certificate and a Statement to Amend Cause of Death. In the Block 28 of the death certificate for cause of death were the words: “Pending Autopsy Report.” In Box 25(a) of the attached Statement to Amend Cause of Death, the cause of death was listed as “Severe Cardiome-galy.” In Box 26 of the Statement to Amend Cause of Death, which covers “Other Significant Conditions,” the Lee County medical examiner wrote: “ASCHD, Pulmonary vascular congestion.” *613 Thus, the attached official forms to the claims form indicated that Ola’s death was due to natural causes. However, on the actual Claimant Statement filled out by Thomas Washington, the cause of death in Box 11 was written as “Internal Bleeding.” Furthermore, in response to Box 23, “Describe Accident in Detail,” Thomas Washington wrote “Internal Bleeding Resulting from Knife Wound.” In response to Box 24 which asked “What injuries were sustained,” Thomas Washington wrote “Improper Medical Procedures.”

Because of the conflicting causes of death between the death certifícate and Thomas Washington’s own words, combined with the knowledge that Ola Washington had been stabbed a month prior to her death and her husband and the beneficiary of her life insurance proceeds had been arrested for the stabbing, American Heritage decided to investigate the claim further given that a beneficiary who was involved in the insured’s death is prohibited by Miss.Code Ann. § 91-1-25 from receiving the life insurance proceeds.

On November 10, 2004 American Heritage hired International Claims Specialists (ICS) to investigate the claim, asking ICS to obtain a copy of the police report and outcome of the trial of Thomas Washington. During the investigation, which took approximately six months, ICS determined from Desiree Kershner at the Verona Police Department that although Thomas Washington had been charged for aggravated assault in relation to the stabbing, he had not been indicted by the Grand Jury because by the time the case went before them, Ola Washington had died. Kershner also indicated on at least two occasions that she and the Police Department believed that Thomas Washington should be tried for the stabbing. Kersh-ner also indicated that the Police Department was awaiting the results of the autopsy report to confirm or deny the cause of death.

American Heritage received approximately nine status reports from ICS regarding the investigation. Essentially, American Heritage and ICS were waiting for the results of the autopsy and toxicology reports and had difficulty obtaining the proper authorization forms from Thomas Washington because he had changed his address and phone number without informing American Heritage. On February 7, 2005 American Heritage sent a letter to Thomas Washington requesting he sign the enclosed authorization form to obtain the autopsy report at his original address but received no reply. Two days later, American Heritage mailed a duplicate letter to Thomas Washington’s new address after Shoendra Townsend called to inform American Heritage of his address change. American Heritage received the signed authorization form on March 14, 2005 and sent it along to ICS on March 21, 2005. On April 21, 2005 ICS reported to American Heritage that the North Mississippi Medical Center had rejected the autopsy report authorization form because it had been filled out incorrectly. American Heritage requested that ICS contact the next of kin to obtain the proper form. On May 6, 2005 ICS reported to American Heritage that it had sent the new form to Thomas Washington. On May 16, 2005, American Heritage noted that ICS sent the letter to the old address. On May 31, 2005 ICS faxed the new form to American Heritage who in turn sent it to Thomas Washington’s new address.

Before American Heritage received the proper authorization form, and before they ever received the autopsy report, Thomas Washington filed suit against American Heritage and ICS.

In his Amended Complaint, Thomas Washington asserts the following claims: *614 (1) tortious breach of contract; (2) breach of fiduciary duty and duty of good faith and fair dealing; (3) negligence; (4) gross negligence; and (5) intentional infliction of emotional distress. The damages claimed are the loss of use of the $100,000.00 proceeds of the life insurance policy, the foreclosure of Thomas Washington’s home, and emotional distress. For all of the causes of action, the plaintiff seeks punitive damages, while not requesting compensatory damages.

After the plaintiff filed suit, American Heritage received the autopsy report during discovery on December 12, 2005. On December 30, 2005 American Heritage paid Thomas Washington $106,140.34, the amount of the insurance proceeds plus interest.

After receipt of the subject insurance proceeds, the plaintiff now asserts that his causes of action are based on the defendants’ alleged willful and unreasonable delay of payment.

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Cite This Page — Counsel Stack

Bluebook (online)
500 F. Supp. 2d 610, 2007 U.S. Dist. LEXIS 54120, Counsel Stack Legal Research, https://law.counselstack.com/opinion/washington-v-american-heritage-life-insurance-msnd-2007.