Wiener v. AXA Equitable Ins. Co.

CourtCourt of Appeals for the Second Circuit
DecidedAugust 21, 2024
Docket22-894
StatusPublished

This text of Wiener v. AXA Equitable Ins. Co. (Wiener v. AXA Equitable Ins. Co.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Second Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wiener v. AXA Equitable Ins. Co., (2d Cir. 2024).

Opinion

22-894 Wiener v. AXA Equitable Ins. Co. In the United States Court of Appeals For the Second Circuit

August Term, 2023

(Argued: September 22, 2023 Decided: August 21, 2024)

Docket No. 22-894

MALCOLM H. WIENER,

Plaintiff-Appellant,

–v.–

AXA EQUITABLE LIFE INSURANCE COMPANY, DAVID HUNGERFORD, AXA ADVISORS, LLC, AND AXA NETWORK, LLC,

Defendants-Appellees.

Before: BIANCO, ROBINSON, and NATHAN, Circuit Judges.

Plaintiff-Appellant Malcolm Wiener appeals from a judgment of the United States District Court for the Southern District of New York (Ramos, J.) dismissing his claims against Defendants-Appellees AXA Equitable Life Insurance Company (“AXA”) and insurance agent David Hungerford. Wiener principally alleges the Defendants caused him to miss a payment that would have kept his life insurance policies in force (the “Termination Claims”). He also alleges that AXA wrongfully denied his application to reinstate the policies (the “Reinstatement Claim”). We conclude that the district court properly awarded summary judgment to all defendants on the Termination Claims. Even if AXA breached a contractual duty when it failed to send Wiener a premium notice after his policies lapsed, on this record, no factfinder could conclude that the breach caused Wiener’s failure to cure the lapse. Moreover, Wiener waived any objection to AXA’s changing the address associated with his policies by acquiescing in the change, after receiving notice, for almost five years. And Wiener’s claim that Hungerford breached his obligation to contact Wiener to tell him that his policy had lapsed fails because Hungerford had no such duty. With respect to the Reinstatement Claim, there is a genuine issue of material fact as to the actual reasons underlying AXA’s denial, and whether those reasons were arbitrary.

For these reasons and others set forth herein, we AFFIRM the district court’s summary judgment for Defendants on the Termination Claims and VACATE the district court’s entry of summary judgment for AXA on Wiener’s Reinstatement Claim.

DAVID G. WEBBERT, Johnson & Webbert, LLP, Topsham, ME (Theresa Guertin & Kristen Alexandra M. O’Neill, Saxe Doernberger & Vita, P.C., Trumbull, CT; Lawrence F. Reilly, The Reilly Law Firm, LLC, Ridgefield, CT; Carolyn Talbot Seely, Greenwich, CT, on the brief), for Plaintiff- Appellant.

ANDREW B. DAVIS, Lehotsky Keller LLP, Austin, TX (Leah F. Bower, Lehotsky Keller, LLP, Austin, TX; Steven P. Lehotsky, Lehotsky Keller LLP, Washington, DC, on the brief), for Defendants- Appellees AXA Equitable Life Insurance Company, AXA Advisors LLC, and AXA Network LLC.

2 BRIAN J. PALMERI, Winget, Spadafora & Schwartzberg, LLP, Stamford, CT (Daniel P. Quinlan, Winget, Spadafora & Schwartzberg, LLP, Stamford, CT, on the brief), for Defendant-Appellee David Hungerford.

ROBINSON, Circuit Judge:

Plaintiff-Appellant Malcolm Wiener appeals from a judgment of the United

States District Court for the Southern District of New York (Ramos, J.) awarding

summary judgment to Defendants-Appellees AXA Equitable Life Insurance

Company (“AXA”) and insurance agent David Hungerford. Wiener claims AXA

and Hungerford (collectively, “Defendants”) caused him to miss a critical

payment that would have kept his life insurance policies in force (“the

Termination Claims”). 1 Wiener also alleges that AXA then wrongfully denied his

application for reinstatement on arbitrary grounds (“the Reinstatement Claim”).

We are primarily called upon to review the district court’s entry of summary

judgment for Defendants. Wiener v. AXA Equitable Life Ins. Co., No. 16 Civ. 04019

(ER), 2021 WL 1226925 (S.D.N.Y. March 31, 2021) (Wiener II).

1Wiener also sued two entities related to Defendants, AXA Advisors LLC and AXA Network LLC (collectively, “the AXA LLCs”). Because he does not on appeal challenge the district court’s judgment for the AXA LLCs, we largely omit them from our discussion.

3 We first reject Hungerford’s jurisdictional argument that Wiener’s appeal is

untimely with respect to his challenges to the judgment for Hungerford because

we conclude that the appeal clock didn’t start running until after the district court

denied Wiener’s post-judgment motion under Federal Rule of Civil Procedure 59.

On the merits, having reviewed the summary judgment record without

deference to the district court, Williams v. New York City Housing Authority, 61 F.4th

55, 68 (2d Cir. 2023), we conclude that the court did not err in awarding Defendants

summary judgment on the Termination Claims, but that material issues of

disputed fact preclude summary judgment in AXA’s favor on the Reinstatement

Claim. Although AXA identifies grounds to deny Wiener reinstatement that may

fall within its reasonable discretion, there is a genuine factual dispute concerning

its actual reason for declining to reinstate Wiener’s policy, and whether that reason

was arbitrary. Thus, AXA was not entitled to summary judgment on the

Reinstatement Claim. Moreover, we conclude that the district court erred in part

when it excluded testimony from Wiener’s doctors regarding factual matters,

although it did not exceed its discretion in precluding Wiener’s experts from

testifying about underwriting matters.

We thus AFFIRM the district court’s judgment for Defendants on the

Termination Claims, VACATE the grant of summary judgment to AXA on

4 Wiener’s Reinstatement Claim, and REMAND for further proceedings consistent

with this opinion.

BACKGROUND

I. The Facts 2

A. The Parties and the Policies

Malcolm Wiener is a historian, lawyer, and the retired founder of Millburn

Corporation (“Millburn”), a financial services firm based in New York City. In

1986, around the time Wiener retired from Millburn, he purchased three life

insurance policies (the “Policies”) from AXA. Four years later, David Hungerford

became the Policies’ designated agent. Hungerford worked for AXA and related

entities.

The Policies are known as “flexible” or “universal” life insurance policies.

App’x 848–50, 854, 4085. 3 To maintain them, Wiener was not required to pay a

predefined premium amount on a regular schedule. Instead, he could skip

planned premium payments or change their frequency and amount, as long as he

2 Unless otherwise noted, our factual recitation is drawn from the summary judgment record, and we resolve disputed facts and draw all reasonable inferences in Wiener’s favor. Rupp v. Buffalo, 91 F.4th 623, 634 (2d Cir. 2024).

3 When quoting the summary judgment evidence, the parties’ briefs, and caselaw, we omit all internal quotation marks, alterations, footnotes, ellipses, and citations, unless otherwise noted.

5 maintained enough funds in each Policy Account to cover his monthly deductions

for the cost of insurance and other fees. If the Policy Account had insufficient

funds to cover these deductions, Wiener would be given a 61-day grace period to

pay a sufficient amount to cover three months of monthly deductions. The parties

refer to this event as a “lapse.” Id. at 4086. If Wiener failed to pay the required

sum within the grace period, the Policies would “end[] without value.” Id. at 903,

931, 959. The parties refer to this as “terminat[ion].” Id. at 4087.

Termination did not necessarily mean that all was lost. The Policies allowed

Wiener to seek reinstatement within three years if he provided “evidence of

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