Wiener v. Axa Equitable Life Ins Co

CourtDistrict Court, S.D. New York
DecidedMarch 29, 2022
Docket1:16-cv-04019
StatusUnknown

This text of Wiener v. Axa Equitable Life Ins Co (Wiener v. Axa Equitable Life Ins Co) is published on Counsel Stack Legal Research, covering District Court, S.D. New York 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 Life Ins Co, (S.D.N.Y. 2022).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK MALCOLM H. WIENER, Plaintiff, –against – OPINION AND ORDER AXA EQUITABLE LIFE INS. CO., 16 Civ. 4019 (ER) DAVID HUNGERFORD, AXA ADVISORS, L.L.C., and AXA NETWORK, L.L.C., Defendants. RAMOS, D.J.: Malcolm H. Wiener brought this action against his former life insurance company, AXA Equitable Life Insurance Co. (“AXA Equitable”), his life insurance agent, David Hungerford, and two related companies that serviced his policies, AXA Advisors, L.L.C. and AXA Network, L.L.C., for allowing his life insurance policies to lapse and for failing to reinstate his policies. Docs. 1, 79.1 Wiener now moves the Court to alter or amend its decision granting summary judgment to Defendants. Doc. 255. For the reasons set forth below, the motion is DENIED. I. BACKGROUND A. Factual Background �e Court assumes familiarity with the facts and holdings of its prior opinions precluding the testimony of two of Wiener’s proposed experts, denying reconsideration of that order, and granting summary judgment for Defendants and denying Wiener’s cross- motion for partial summary judgment. Docs. 160, 177, 253. In brief, Wiener purchased three flexible premium life insurance policies from AXA Equitable in the late 1980s. Doc. 253 at 2. Hungerford was the agent of record on 1 Wiener’s third amended complaint, Doc. 79, was the operative complaint at the time the Court entered its opinion granting summary judgment to Defendants. these policies at all relevant times since 1990. Id. Wiener relied on the financial services firm he founded, Millburn Corporation (“Millburn”), to handle all aspects of his financial portfolio, including making the necessary payments to keep his life insurance policies in effect. Id. at 1–3. Under the terms of the policies, AXA Equitable would send premium reminder notices for the planned payment period selected by the policyholder, unless the policyholder elected not to receive them. Id. at 2. However, Wiener’s policies did not require fixed premium payments, and Millburn instead paid the policies’ cash value based on lapse notices, because the company decided to pay only the minimum payment amount to keep the policies in force, and the lapse notices provided the minimum payment amount. Id. at 2–3; Doc. 160 at 3. From 1994 to October 2013, Millburn would not pay the monthly premiums for Wiener’s insurance policies until it received a policy lapse notice from AXA Equitable, at which point it would pay the minimum amount necessary to cover monthly deductions for three months at a time. Doc. 253 at 3. �ose payments allowed the policies to remain in force. Id. In 2009, Wiener’s address of record for the policies was changed from Millburn’s address to his personal address in Connecticut. Id. Wiener had a system in place at his residence to process mail he received there, and his executive assistant was responsible for sending notices from AXA Equitable to Millburn. Id. On October 1, 2013, the policies lapsed and entered a sixty-one-day grace period. Id. at 4. During that period, AXA Equitable did not send Wiener any premium reminder notices, and the parties disputed whether it sent, and whether Wiener received, any policy lapse notices. Id. In any event, Millburn did not pay the minimum premiums owed on the policies, and they were terminated on December 1, 2013. Id. On December 2, 2013, when Wiener was seventy-eight years old, he received a Notice of Policy Termination from AXA Equitable for each policy because of the lapse in payment, along with an application for reinstatement of his policies. Docs. 79-4 at 2–4, 253 at 4. Under the terms of the policies, Wiener could apply for either technical reinstatement, which occurs automatically if AXA Equitable made a technical or processing mistake resulting in a lapsed policy, or a regular reinstatement, which requires evidence of insurability. Doc. 253 at 4. Wiener applied for reinstatement of his insurance in late December 2013. Id. On March 24, 2014, AXA Equitable sent Wiener a letter signed by its medical director, Richard Jaeger, informing him that it had declined to reinstate the policies, based on “our evaluation of specific items of information obtained from you in your application, or supplements to the application statements . . . specifically information received from Dr[.] Barry Boyd.” Doc 79-8. Wiener alleged that his health did not materially differ from June 2008, when AXA Equitable had previously granted his application for reinstatement, and December 2013, when he applied for the reinstatement of his insurance policies. Doc. 79 ¶¶ 63, 93, 135. Jaeger’s letter notwithstanding, it was in fact AXA Equitable’s underwriter, Hallie Hodgins (formerly known as Hallie Hawkins)2, who reviewed Wiener’s reinstatement application to determine whether he was insurable under AXA Equitable’s guidelines. Doc. 253 at 4–5. In reviewing his application, Hodgins assessed Wiener’s medical records against AXA Equitable’s applicant medical checklist for seniors and the underwriting manual, and she requested a physician statement from Wiener’s physician, Dr. Boyd. Id. at 5. �ose records showed, among other things, that Wiener had at various times had Id. Under the Senior Applicant Medical Checklist that AXA Equitable had in place, the underwriter should “usually decline” to renew the policy if the applicant had difficulty performing activities of daily living, an albumin level of 3.8 or less, or mild or worse dementia. Doc. 140-7 at 3.

2 In accordance with the parties’ briefing on the instant motion, the Court will refer to her as Hallie Hodgins. According to Jaeger’s deposition testimony, in the life insurance industry, are associated with increased mortality risk.3 Doc. 173-10 at 9. Hodgins was deposed in this action over two days, one in August and one in October 2017. Doc. 177 at 2–3. On the first day of her deposition, Hodgins testified that, as she had written in a contemporaneous 2014 note, the deciding factors in denying Wiener’s application for reinstatement were

. Doc. 135-6 at 211–13. However, Wiener testified at his deposition in September 2017 that

.4 Doc. 261 at 9. On the second day of her deposition, after Wiener’s testimony, Hodgins testified that the reason AXA Equitable denied his application for reinstatement was Doc. 135-9 at 12–13. In its opinion granting summary judgment for Defendants, the Court held, “as to Wiener’s argument regarding [Hodgins’s] credibility, the record reflects that there is no inconsistency in her testimony regarding whether she relied upon to deny his claim: she simply testified that there were ‘other factors’ that counsel declining reinstatement, Doc. 253 at 45. B. North Carolina Action In 2018, Wiener brought another case in North Carolina (the “North Carolina Action”), which proceeded to trial in the U.S. District Court for the Western District of North Carolina on Wiener’s claim for negligence, alleging that AXA Equitable had 3 Jaeger’s testimony also explained that Doc. 173-10 at 8. 4 Dr. Boyd, Wiener’s primary care physician, now submits an affidavit to the same effect. Doc. 261-5. negligently reported certain medical codes to the MIB Group, Inc. (formerly the Medical Information Bureau).5 Docs. 261 at 4, 257-3. �e jury ultimately returned a verdict in favor of Wiener, finding that AXA Equitable had negligently reported certain medical codes including , among other codes. �e jury awarded him $8 million in damages.6 Docs. 261 at 5, 257-6. As relevant to Wiener’s instant motion, Hodgins testified at trial in the North Carolina Action. Doc. 261 at 11–12. At trial, she testified that, to the best of her recollection, she had attempted to contact Wiener’s physician Dr. Boyd before deciding Wiener’s reinstatement application, and that there was no reason she thought she was not allowed to contact him. Id.

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Wiener v. Axa Equitable Life Ins Co, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wiener-v-axa-equitable-life-ins-co-nysd-2022.