Wiener v. AXA Equitable Life Insurance Company

CourtDistrict Court, W.D. North Carolina
DecidedFebruary 19, 2021
Docket3:18-cv-00106
StatusUnknown

This text of Wiener v. AXA Equitable Life Insurance Company (Wiener v. AXA Equitable Life Insurance Company) is published on Counsel Stack Legal Research, covering District Court, W.D. North Carolina 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 Insurance Company, (W.D.N.C. 2021).

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF NORTH CAROLINA CHARLOTTE DIVISION 3:18-cv-00106-RJC-DSC

MALCOLM WIENER, ) ) Plaintiff, ) ) v. ) ) ORDER AXA EQUITABLE LIFE INSURANCE ) COMPANY, ) ) Defendant. ) )

THIS MATTER comes before the Court on Defendant’s Motion to Dismiss for Lack of Jurisdiction, to Set Aside the Judgement, to Set Aside the Verdict, and for a New Trial, (Doc. No. 130), Defendant’s Memorandum in Support, (Doc. No. 131), Plaintiff’s Response in Opposition, (Doc. No. 138), Defendant’s Reply, (Doc. No. 140), and Plaintiff’s Surreply, (Doc. No. 143). I. FACTS This case was tried to a jury, which ruled for the Plaintiff on common law negligence. The facts recited here, if at all disputed, are taken in a light most favorable to the Plaintiff as the non-moving party. On December 2, 2013, Defendant AXA Equitable Life Insurance Company (“AXA”) notified Plaintiff Malcolm Wiener (“Wiener”) that his $16 million life insurance policies had terminated.1 (Doc. No. 1-2, at Exs. A–D.) Later that month Wiener, a Connecticut resident, submitted reinstatement applications to AXA along with the materials required for such applications, including a waiver granting AXA

access to all information regarding Wiener’s past, present, or future physical or mental conditions. (Doc. No. 1-2, ¶¶ 26, 46–47; Doc. No. 9, ¶¶ 26, 46–47; Doc. No. 48- 1, at Ex. 61.) Upon reviewing Plaintiff’s medical records, AXA underwriter Hallie Hawkins reported to AXA’s Charlotte, NC operations center that Wiener had at least six serious medical conditions.2 (Doc. No. 1-2, ¶ 29; Doc. No. 9, ¶ 29, Doc. No. 48-1, at Ex. 71.) Hawkins directed an employee in Charlotte, NC to report the Plaintiff’s relevant medical codes denoting these conditions to the Medical Information Bureau

(“MIB”). (Id.) The MIB is a corporation that compiles information about insurance applicants, analogous to a health history credit report. (Doc. No. 48-5, at 4.) When an individual applies for life insurance with an MIB member company, the company may disclose the individual’s MIB report and medical conditions, if any, to the insurance company evaluating the individual’s application. (Doc. No. 49-5, at 3.)

MIB members must report to MIB any medical impairments and conditions, denoted

1 The termination of the policies is the subject of an earlier filed lawsuit pending in the Southern District of New York. Wiener v. AXA Equitable Life Insurance Co., No. 1:16-cv-04019-ER. 2 The six disputed conditions that Hawkins cited were: 1) Atrial Fibrillation. (Doc. No. 45-7, at 280:18–281:1.) 2) Suspected Cerebral Vascular Accident. (Doc. No. 45-7, at 283:17–284:8.) 3) High Blood Pressure. (Doc. No. 45-7, at 280:7–16.) 4) Suspected Memory Loss. (Doc. No. 45-7, at 284:21–22.) 5) Monoclonal Gammopathy of Uncertain Significance (“MGUS”). (Doc. No. 45-7, at 284:10–13.) 6) Sleep Apnea. (Doc. No. 45-7, at 283:5–15.) by six-digit “codes”, that any underwriter discovers about an individual applying for life insurance. (Doc. No. 45-5, at 13–14; Doc. No. 45-7, at 281:1–2.) Any codes reported by an MIB member about an applicant are maintained in MIB’s database,

and these codes are available to other MIB members who obtain the applicant’s authorization to use the MIB as an information source. (Doc. No. 49-5, at 3.) Defendant informed Plaintiff on March 24, 2014 that it had declined his applications for life insurance reinstatement. (Doc. No. 1-2, at Ex. E.) Plaintiff then contacted Sanford Robbins of American Business, an insurance brokerage company, who submitted an informal application for life insurance on Plaintiff’s behalf to John Hancock, Principal Life Insurance Company, and Security Mutual Life Insurance

Company of New York. (See Doc. No. 48-4, at 7:8–19; Doc. No. 48-4, at 20:21–21:3, 23:6–25, 26:25–27:19.) John Hancock reviewed Plaintiff’s medical records and declined his application. (Doc. No. 48-4, at 20:24–23:5.) Principal Life Insurance Company reviewed Plaintiff’s medical records and tentatively approved his informal application at a Table 4 rating, which is double the standard rate, subject to a full underwriting and MIB check upon receipt of a formal application. (Doc. No. 48-4, at

23:6–24:13.) Unlike John Hancock and Principal Life Insurance Company, Security Mutual obtained and reviewed Plaintiff’s MIB file in addition to Plaintiff’s medical records, and tentatively approved Plaintiff’s application, but did so at a more costly Table 4 rating, whereupon Plaintiff declined to submit additional records or otherwise follow up with the company. (Doc. No. 48-4, at 27:23–28:13, 25:8–20, 28:15–22.) Mr. Robbins testified that some insurance companies had indicated privately that Mr. Wiener’s MIB codes had affected their insurance decision. (Doc. No. 122 at 121–124.) On May 13, 2015, Plaintiff sued Defendant over the termination of the life insurance policies in a case currently before the Southern District of New York, Case

No. 1:16-cv-04019-ER. During discovery in that case the Plaintiff discovered that Defendant’s North Carolina branch had reported six Plaintiff-related medical codes to the MIB. As a result, Plaintiff filed this separate lawsuit in North Carolina. II. PROCEDURAL HISTORY On January 25, 2018, Plaintiff filed his Complaint in the Superior Court of Mecklenburg County, North Carolina, and Defendant subsequently removed the action to the United States District Court for the Western District of North Carolina.

Plaintiff alleged that Defendant failed to exercise reasonable care in assessing Plaintiff’s medical history and conditions and reporting such information to the MIB. Plaintiff asserted claims for negligent misrepresentation, libel, negligence, and unfair or deceptive acts or practices in violation of N.C. Gen. Stat. § 75-1.1. (Doc. No. 1.) On March 12, 2018, Defendant filed to change venue to the Southern District of New York. (Doc. No. 10.) Plaintiff opposed the motion, arguing in part that the

actions in question occurred in North Carolina and the relevant law was North Carolina law. (Doc. No. 15.) This Court denied the motion to change venue on February 13, 2019. (Doc. No. 21.) Trial was initially set for May 4, 2020. (Doc. No. 29.) Prior to trial Defendant filed a Motion for Summary Judgment, seeking to dismiss all claims. (Doc. No. 43.) This Court granted the motion in part and denied the motion in part, dismissing all claims except for the negligence claim. (Doc. No. 63.) Trial was scheduled on the negligence claim. In light of the COVID-19 pandemic this trial was postponed beyond the originally-planned May 4, 2020 date, and ultimately set for September 2020.

(Docs. Nos. 56, 86.) From September 8 to September 10, 2020, this Court held a three-day jury trial on Plaintiff’s negligence claim. The jury returned a verdict for Plaintiff on September 10, finding Defendant liable for $16 million of damage but reducing the amount by $8 million based on Plaintiff’s own negligence, for a final verdict amount of $8 million in Plaintiff’s favor. (Doc. No. 117.) Following trial Defendant filed an October 8, 2020 motion to dismiss the case

for lack of jurisdiction, to set aside the judgment, to set aside the verdict, and to move for a new trial. (Doc. No. 130; see also Docs. Nos. 131, 138, 140, 143.) In this motion, for the first time, Defendant argues that the Court lacked subject-matter jurisdiction to hear this case, (Doc. No. 131 at 1), based upon the North Carolina Consumer and Customer Information Privacy Act. N.C. Gen. Stat. §§ 58-39-5 to -165. That statute, Defendant argues, provides a set of exclusive remedies for the type of violation that

Plaintiff alleges, and that these exclusive remedies deprive the Court of subject- matter jurisdiction to hear Plaintiff’s common law negligence claim. (Doc. No.

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