William S. Stano v. AuguStar Life Assurance Corporation

CourtDistrict Court, D. Idaho
DecidedMay 4, 2026
Docket1:25-cv-00215
StatusUnknown

This text of William S. Stano v. AuguStar Life Assurance Corporation (William S. Stano v. AuguStar Life Assurance Corporation) is published on Counsel Stack Legal Research, covering District Court, D. Idaho primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
William S. Stano v. AuguStar Life Assurance Corporation, (D. Idaho 2026).

Opinion

UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF IDAHO

WILLIAM S. STANO, an individual, Case No. 1:25-cv-00215-DKG

Plaintiff,

MEMORANDUM DECISION AND v. ORDER

AUGUSTAR LIFE ASSURANCE CORPORATION,

Defendant.

INTRODUCTION Plaintiff Dr. William Stano, DPM, brought this action as an insured against insurer AuguStar Life Assurance Corporation (“AuguStar”), following AuguStar’s denial of Stano’s claims for total disability under two disability insurance policies and a related life insurance policy. Presently before the Court is AuguStar’s Motion for Summary Judgment. (Dkt. 11). The motion is fully briefed and ripe for the Court’s consideration.1 Having fully reviewed the record, the Court finds that the facts and legal arguments are adequately presented in the briefs and record. Accordingly, in the interest of avoiding further delay,

1 The parties have consented to proceed before a United States Magistrate Judge in this matter pursuant to 28 U.S.C. § 636(c)(1) and Local Civil Rule 72.1(a)(1). and because the Court conclusively finds that the decisional process would not be significantly aided by oral argument, the Court will decide the motion based on the

record.2 Dist. Idaho. Civ. Rule 7.1(d). For the reasons that follow the Court will deny the motion. FACTUAL AND PROCEDURAL BACKGROUND3 Dr. Stano, DPM, is a podiatric surgeon who began his podiatric surgery practice in 1988. (Dkt. 14-1 at ¶¶ 1–2). Stano submitted applications for disability insurance in 1989,

and life insurance in 1993, to AuguStar4. (Dkt. 14-1 at ¶¶ 4–6). Stano was issued three insurance policies: Disability Income Policy H6105452 (“Policy 1”), issued May 16, 1989 (Dkt. 1-2 at 20–41) and Disability Income Policy H6124996 (“Policy 2”), issued May 16, 1991 (Dkt. 1-2 at 43–62) (collectively “Disability Policies”); and Life Insurance Policy 6136583 (“Life Insurance Policy”), issued February 15, 1993 (Dkt. 1-2 at 63–82).

1. Relevant Policy Terms a. Policy 1 and 2 The Disability Policies purport to pay the insured “on receipt at our home office of due proof that you are Totally Disabled.” (Dkt. 1-2 at 20, Policy 1; Dkt. 1-2 at 43, Policy

2 Defendant requested oral argument on this motion. (Dkt. 11). Applying its discretion, the Court finds that oral argument is not necessary. Dist. Idaho Civ. R. 7.1(d); Bach v. Teton Cnty. Idaho, 207 F. App’x 766, 769 (9th Cir. 2006). 3 Consistent with the standard on summary judgment, the factual background is written to reflect that all evidence in the record is construed in a light most favorable to the non-moving party, who is also given the benefit of all reasonable inferences which can be drawn from that evidence. 4 The policies were issued by Ohio National Life Assurance Corporation, which is AuguStar’s former name. See Dkt. 7 at ¶¶ 16–17, 19. 2). Total Disability is defined separately in each respective policy. Policy 1 defines Total Disability as follows:

You are Totally Disabled or have a Total Disability if: (a) you are not able to do the substantial and material tasks of your own job due to Injury or Sickness; and (b) you are under a Physician’s care. You do not need to be under a Physician’s care on a regular basis if you can show that further recovery is not expected for you. You are not Totally Disabled if you are working at your own job and are earning more than 25% of your Monthly Earnings Before Disability.

(Dkt. 1-2 at 24, Policy 1). Policy 2 defines Total Disability, in relevant part, as follows: You are Totally Disabled or have a Total Disability if due to Injury or Sickness: (a) you are not able to do the duties of any occupation which you may reasonably be expected to engage in because of education, training, or experience; and (b) you are under a Physician’s care. You do not need to be under a Physician’s care on a regular basis if you can show that further recovery is not expected for you.

(Dkt. 1-2 at 47, Policy 2). The Disability Policies include the following terms regarding the claim process for an insured to provide the requisite proof of disability for a claim for benefits: Notice of Claim: You must give us written notice of a claim within 180 days after an Injury or Sickness, or as soon as you reasonably can. Notice must be sent to our home office or to one of our agents. Claim Forms Within 10 working days after we get your notice, we will send you claim forms. If we do not, you can send us your own written proof of Disability. You must show the kind and extent of your Injury or Sickness and the Disability that has occurred.

(Dkt. 1-2 at 27, Policy 1); (Dkt. 1-2 at 49, Policy 2) (containing a nearly identical statement, deviating only where it refers to “Total Disability” rather than “Disability”). The deviation between the terms of the Disability Policies is more pronounced in the respective Proof of Loss sections. Policy 1 provides the following terms:

Proof of Loss You must send us proof of Disability: (a) within one year of your Injury or Sickness; and (b) within 90 days after any time for which income is to be paid. Your claim will not be reduced or denied if you could not reasonably give proof on time. But, in that case, you should send proof as soon as you reasonably can do so. You do not have to send proof of Disability as long as you do not have legal capacity to do so. We can require proof of your loss of Earnings. Such proof can include copies of your federal income tax returns.

(Dkt. 1-2 at 27, Policy 1). Whereas, Policy 2 provides the following terms: Proof of Loss Written proof of loss must be sent to us within 90 days after the end of a period for which we are liable. If that is not reasonably possible, your claim will not be affected. But, unless you are legally incapacitated, written proof must be given within one year after the 90 days. We will require proof of your loss of Earnings. Such proof can include but is not limited to copies of your federal income tax returns

(Dkt. 1-2 at 49, Policy 2). b. Life Insurance Policy The Life Insurance Policy benefit provides that, upon the notice of a claim for disability and proof of disability, the plan will convert from a term to a whole life plan, and premiums will be waived. (Dkt. 1-2 at 76, Life Insurance Policy); (Dkt. 1-2 at 81–82, Life Insurance Policy, Waiver of Premium for Total Disability Rider). The Life Insurance Policy provides that the insured must give notice of a claim for disability during the time they are disabled, and proof of disability within six months of the notice of disability claim. Id. at 82. It also describes the requisite proof of disability that an insured must provide: We will send you the required forms for proof of Disability. If we don’t, you may give proof in any fair way. As part of proof, we may require that you be examined by a doctor of our choice. We will pay for this. After your claim has been approved, we may ask for proof that you are still Disabled before we waive more premiums. We may ask for that proof at any time. . . . If we do not get proof of Disability within the required time, premiums will not be waived. No waiver will be made after we ask for proof which is not given.

Id.

2. The Handling of Stano’s Claim On August 9, 2007, Stano was diagnosed with bilateral keratoconus, an eye condition that progressively worsened until March 8, 2019, when he claims he became unable to perform reconstructive foot surgery because his vision failed him. (Dkt. 1-2 at ¶¶ 28–31). On April 25, 2019, Stano’s eye condition was diagnosed as “permanent and fixed,” and he was thereafter restricted from performing further surgeries by his physician due to the condition. Id. at ¶ 32.

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William S. Stano v. AuguStar Life Assurance Corporation, Counsel Stack Legal Research, https://law.counselstack.com/opinion/william-s-stano-v-augustar-life-assurance-corporation-idd-2026.