Whitman v. State Farm Life Insurance Company

CourtDistrict Court, W.D. Washington
DecidedSeptember 6, 2022
Docket3:19-cv-06025
StatusUnknown

This text of Whitman v. State Farm Life Insurance Company (Whitman v. State Farm Life Insurance Company) is published on Counsel Stack Legal Research, covering District Court, W.D. Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Whitman v. State Farm Life Insurance Company, (W.D. Wash. 2022).

Opinion

The Honorable Barbara J. Rothstein 1

5 IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF WASHINGTON 6 AT TACOMA 7 WILLIAM T. WHITMAN, et al., 8 Plaintiffs, 9 Civil Action No. 3:19-cv-06025-BJR v. 10

ORDER GRANTING DEFENDANT’S 11 MOTION FOR SUMMARY JUDGMENT STATE FARM INSURANCE COMPANY, AND DENYING PLAINTIFFS’ MOTION 12 FOR SUMMARY JUDGMENT Defendant. 13

16 I. INTRODUCTION 17 Plaintiffs, a class of individuals who purchased life insurance from Defendant State Farm, 18 brought suit against Defendant alleging claims for breach of contract, conversion, violations of the 19 Washington Consumer Protection Act (“WCPA”), and for declaratory judgment. Before the Court 20 are cross-motions for summary judgment as to all of Plaintiffs’ claims. Having reviewed the 21 motions, the oppositions thereto, the record of the case, and the relevant legal authorities, the Court 22 23 will grant Defendant’s motion for summary judgment and deny Plaintiffs’ motion. The reasoning 24 for the Court’s decision follows. 25 1 II. BACKGROUND 1 The parties’ dispute arises out of a life insurance policy (the “Policy”) sold by Defendant 2 3 since at least 2001. Policy, Dkt. 149-2 at 3. The dispute focuses on how the monthly cost of 4 Plaintiffs’ insurance was calculated, more particularly on the deductions Defendant made from 5 Plaintiffs’ individual accounts. On September 20, 2021, the Court certified a class of all persons 6 in the State of Washington who own or owned a universal life insurance policy issued by State 7 Farm on Form 94030 whose policy was in-force on or after January 1, 2002 and who was subject 8 to at least one monthly deduction. Dkt. 125. 9 A. The Policy 10 The Policy is described on its cover page as “[f]lexible premium adjustable life insurance” 11 12 and is somewhat novel in design. Policy, Dkt. 149-2 at 1. Unlike a traditional insurance policy, 13 the premium amount is not fixed by the insurer and need not be paid every month. Policy, Dkt. 14 149-2 at 9. The Policy states that policyholders can “make premium payments in any amount at 15 any time.”1 Policy, Dkt. 149-2 at 9. What the Policy calls a “premium” is more akin to a deposit 16 made to a savings account.2 The account into which policyholders make deposits accrues interest 17 and funds can be withdrawn from it. Policy, Dkt. 149-2 at 3, 9. Instead of a traditional premium, 18 19

21 1 There were certain limitations to this flexibility. Premium payments had to be at least $25, could not exceed the 22 total “Planned Premiums” for a policy year, and could not result in the account being “disqualified as a life insurance contract under . . . the Internal Revenue Code.” Policy, Dkt. 149-2 at 5. “Planned Premium” is defined as 23 “[t]he premium amount that you [the policyholder] have chosen.” Policy, Dkt. 149-2 at 5. It is unclear whether policyholders suffered any penalty if they did not pay their premiums as planned, even if their account held enough 24 funds to cover the monthly deduction. 2 However, the policyholder is charged a 5% “premium expense charge” for each deposit made to the account. 25 Policy, Dkt. 149-2 at 3. 2 the insurance is paid for by a set of fixed monthly deductions from the account. Policy, Dkt. 149- 1 2 at 8-9. The Policy would not necessarily lapse if a policyholder did not make a monthly deposit, 2 3 but it would lapse if the account lacked funds sufficient to cover the monthly deductions. See 4 Policy, Dkt. 149-2 at 9. 5 The Policy authorizes Defendant to make three different types of monthly deductions: “(1) 6 the “cost of insurance” charge; (2) a “charge for any riders” (not at issue here); and (3) a $5.00 7 “monthly expense charge.””3 Policy, Dkt. 149-2 at 9; Plaintiffs’ SJ Motion, Dkt. 147 at 2. This 8 dispute concerns the meaning of (1) and (3): the “cost of insurance” and “monthly expense charge” 9 deductions. 10 11 B. The Monthly Cost of Insurance Provision 12 The monthly “cost of insurance” (“COI”) deduction is a fixed monthly amount set by 13 Defendant at the outset of each new Policy year. Policy, Dkt. 149-2 at 10. The COI deduction is 14 described in the Policy as follows: 15 Monthly Cost of Insurance Rates. These rates for each policy year are based on 16 the Insured’s age on the policy anniversary, sex, and applicable rate class. A rate class will be determined for the Initial Basic Amount and for each increase. The 17 rates shown on page 4 are the maximum monthly cost of insurance rates for the Initial Basic Amount. Maximum monthly cost of insurance rates will be provided 18 for each increase in the Basic Amount. We can charge rates lower than those shown. 19 Such rates can be adjusted for projected changes in mortality but cannot exceed the maximum monthly cost of insurance rates. Such adjustments cannot be made more 20 than once a calendar year.

21 Policy, Dkt. 149-2 at 10 (emphasis added). The primary subject of the parties’ dispute is the 22 23

24 3 These deductions are separate from the 5% premium expense charge, which is a fee assessed on deposits, not a 25 deduction from the account. See supra note 2. 3 phrase: “based on the Insured’s age on the policy anniversary, sex, and applicable rate class.” 1 “Rate Class” is defined elsewhere in the Policy as “the underwriting class of the person insured.” 2 3 Policy, Dkt. 149-2 at 5. In the case of the named Plaintiff, the rate class was “Standard Rate Class- 4 Male Non-Tobacco.” Policy, Dkt. 149-2 at 10. 5 Plaintiffs claim that Defendant did not base its monthly deduction only on age, sex, and 6 rate class, but instead “inflated [its] rates with undisclosed loads after considering and including 7 unlisted profit and expense factors.” Plaintiffs’ SJ Motion, Dkt. 147 at 3-4. Plaintiffs assert that 8 the COI deduction should have been calculated based only on “mortality factors” specific to the 9 policyholder, such as age, sex, and tobacco use, and that Defendant’s profit and expense 10 11 considerations should not have been part of the calculation. 12 Defendant does not dispute that profit and expense (i.e., non-mortality) factors influenced 13 the COI but only insofar as these factors were weighed in determining the rate classes that were 14 used as part of the COI calculation. Defendant’s SJ Motion, Dkt. 154 at 4. According to 15 Defendant, “[t]he rate selection process is separate (both topically and temporally) from State 16 Farm’s earlier actuarial process for developing those rates for the various cohorts of Insureds years 17 18 before the Policy was ever sold.” Defendant’s SJ Motion, Dkt. 154 at 4 (emphasis in original). In 19 other words, Defendant used non-mortality factors to determine its base rates (rate development), 20 and the mortality factors of a particular policyholder acted as multipliers in determining that 21 individual’s monthly COI (rate selection). 22 C. The $5.00 Monthly Expense Charge Provision 23 The second provision at issue is the fixed $5.00 “monthly expense charge” deduction. The 24 provision is listed under the heading “Monthly Deductions” where the COI is also listed. Policy, 25 4 Dkt. 149-2 at 3. Unlike the COI, the monthly expense charge is not defined or discussed elsewhere 1 in the Policy. The provision states only that “[t]he monthly expense charge is $5.00.” Policy, Dkt. 2 3 149-2 at 3. 4 Plaintiffs contend that the plain language of the expense charge provision implies that 5 “State Farm is not authorized to deduct more than $5.00 for expenses in each Monthly Deduction, 6 and that State Farm cannot therefore deduct $5.00 each month for the Expense Charge and also 7 deduct undisclosed expenses through the COI Charge.” Plaintiffs’ SJ Motion, Dkt. 147 at 14. 8 Plaintiffs claim that Defendant violated the expense charge provision by effectively charging 9 Plaintiff for other expenses through the COI formulation. Plaintiffs’ SJ Motion, Dkt. 147 at 15.

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Whitman v. State Farm Life Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/whitman-v-state-farm-life-insurance-company-wawd-2022.