Waukesha Cutting Tools, Inc. v. New Jersey Life Insurance

563 F. Supp. 614, 37 Fed. R. Serv. 2d 313, 1983 U.S. Dist. LEXIS 17151
CourtDistrict Court, E.D. Wisconsin
DecidedMay 6, 1983
DocketCiv. A. 82-C-5
StatusPublished
Cited by4 cases

This text of 563 F. Supp. 614 (Waukesha Cutting Tools, Inc. v. New Jersey Life Insurance) is published on Counsel Stack Legal Research, covering District Court, E.D. Wisconsin primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Waukesha Cutting Tools, Inc. v. New Jersey Life Insurance, 563 F. Supp. 614, 37 Fed. R. Serv. 2d 313, 1983 U.S. Dist. LEXIS 17151 (E.D. Wis. 1983).

Opinion

DECISION AND ORDER

REYNOLDS, Chief Judge.

This is a diversity action to recover damages arising from an alleged breach of contract. The defendant, New Jersey Life Insurance Company (NJL), has moved for summary judgment pursuant to Fed.R. Civ.P. 56. The Stamm Agency (Stamm), the third party defendant, has moved to dismiss under Fed.R.Civ.P. 4(d) and 12(b) for insufficiency of process and lack of personal jurisdiction. The material facts will be set forth first, with a discussion of each motion to follow.

Waukesha Cutting Tools, Inc. (Waukesha) is a Wisconsin corporation which, in the spring of 1981, sought to obtain life insurance on the life of Robert C. Brumder, one of its executive employees. Brumder was 64 and had a medical problem. Waukesha enlisted the services of KTM Associates, Inc. (KTM), a Wisconsin insurance agency, to investigate the availability of insurance on Brumder’s life. KTM, on behalf of Waukesha, approached Stamm to explore available options and to obtain competitive quotations. Stamm is a Florida corporation which specializes in placing insurance for sub-standard risks.

*616 First, KTM sent Stamm an “Insurability Inquiry” dated March 11, 1981 applying for insurance in the amount of $1 million and authorizing Stamm to obtain a statement from Mr. Brumder’s attending physician. Stamm then obtained such a statement and forwarded it with the Inquiry on April 2, 1981 to NJL and other life insurance companies, requesting a “tentative offer.” NJL is a Delaware corporation licensed to do business in Wisconsin as a non-domestic insurer; its principal place of business is in New Jersey.

NJL responded by sending Stamm a “Tentative Quotation” dated April 7, 1981. NJL quoted a policy in the amount of $1 million at standard table rates, which quotation was made subject to submission of the following items: “Formal Application,” “Medical Examination,” “Home Office [Urine] Specimen”, “Chest X-Ray,” “Masters Exercise ECG,” “SMA-12 With Triglycerides” (a type of blood study), and an “Inspection Report.” The quotation was signed by Richard Riker, NJL’s vice-president in charge of underwriting. Stamm, acting as a general agent for NJL pursuant to a written “General Agent’s Agreement” dated April 1, 1981, forwarded this quotation to KTM with a cover letter dated April 17, 1981. In the letter, Stamm calculated the standard premium rate based on Brumder’s age to be $44.05 per $1,000 of coverage. The letter also requested submission of the pertinent medical information along with the policy application and premium, as “necessary application requirements.”

Additional medical data were forwarded through KTM to Stamm on June 12, 1981. Because Waukesha was considering a competitive offer of insurance, KTM specifically asked Stamm on Waukesha’s behalf “if the offer still stands from New Jersey based on the enclosed information.” To keep its available options open, Waukesha intended first to submit the medical data to determine whether the standard ratés still would be offered by NJL before sending the formal application and premium payment.

On June 15, 1981, Stamm sent the medical information to NJL, requesting NJL to “[p]lease confirm the standard rate as soon as possible as we are in competition on this case and need approval very soon.” NJL responded to Stamm on June 17, 1981 with an “Underwriting Progress Report,” signed again by Vice-President Riker, stating that “Standard still looks OK” and noting that two underwriting requirements remained due: the Inspection Report and Formal Application. A second progress report was sent to Stamm on June 25, 1981. It again stated that the inspection report and application were awaited, but said nothing as to the offer of standard table rates. In the final progress report, dated July 13, 1981, Mr. Riker indicated that only the formal application was being awaited and noted at the bottom of the report: “Still looks Standard.”

In late July, 1981, Waukesha decided to pursue NJL’s offer by completing the application and submitting a payment of the premium. At the bottom of Part I, the Formal Application states, inter alia:

It is understood that no one except the President, Vice President, Secretary, Assistant Secretary or Treasurer can make, alter or discharge contracts or waive any of the Company requirements.
It is agreed that: ... (2) that acceptance of the policy issued shall constitute a ratification of any addition, change or correction made by the Company and noted in the space entitled “corrections and amendments.” ... (4) if the premium payment is made with this application, insurance shall become effective only as provided in the [Conditional Advance Premium] Receipt for such payment.

The Conditional Advance Premium Receipt provides in pertinent part:

IMPORTANT: This receipt does not provide any insurance unless and until each and every one of its conditions set forth in paragraph A below are met. No agent of the Company and no broker is authorized to alter, amend or waive any such conditions of this receipt.
*617 A. CONDITIONS UNDER WHICH INSURANCE MAY BECOME EFFECTIVE PRIOR TO THE POLICY DELIVERY (For Up To 45 Days And $25,-000)
If each and everyone of the following conditions are fulfilled exactly:
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3. the proposed insured ... must be on the Effective Date, as defined below, a risk acceptable to the Company as a standard risk under the Company’s rules, limits and standards for the plan and the amount of insurance applied for without modification and at the rate of the premium paid;
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“Effective Date” as used herein means the latest of the following dates: (a) the date of the application Part I; (b) the date of completion of all health statements, medical examinations, tests, X-rays and electrocardiograms required by published Company rules; or (c) the Policy Date, if any, requested in the application.
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C. RETURN OF PREMIUM RECEIVED
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If the Company declines the application or if no insurance becomes effective under the terms of this receipt, or if a policy is issued on a basis other than as applied for and such policy is not accepted, there shall be no liability on the part of the Company except to return the amount received ....

KTM and its principal, David J. Tolan, were in possession of both the application and the conditional receipt in late July, 1981, and knew of their provisions.

Waukesha sought to bind insurance coverage from the date the application and premium were tendered. Tolan of KTM had some doubt whether such a binder was contemplated in the Conditional Receipt; he also had concern that the offer of standard rates was based on stale medical data that might first have to be updated.

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Bluebook (online)
563 F. Supp. 614, 37 Fed. R. Serv. 2d 313, 1983 U.S. Dist. LEXIS 17151, Counsel Stack Legal Research, https://law.counselstack.com/opinion/waukesha-cutting-tools-inc-v-new-jersey-life-insurance-wied-1983.