Wilson v. Northwestern Mutual Insurance

603 F. Supp. 2d 705, 2009 U.S. Dist. LEXIS 44323, 2009 WL 782895
CourtDistrict Court, S.D. New York
DecidedMarch 26, 2009
Docket07 Civ 02790 (WGY)
StatusPublished
Cited by1 cases

This text of 603 F. Supp. 2d 705 (Wilson v. Northwestern Mutual Insurance) 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
Wilson v. Northwestern Mutual Insurance, 603 F. Supp. 2d 705, 2009 U.S. Dist. LEXIS 44323, 2009 WL 782895 (S.D.N.Y. 2009).

Opinion

Memorandum and Order

WILLIAM G. YOUNG, District Judge. 1

I. INTRODUCTION

Michelle Wilson (“Wilson”) brings this claim as the intended beneficiary of two life insurance policies between her late husband Kenneth Wilson (“Kenneth”) and defendant Northwestern Mutual Life Insurance Company (“Northwestern Mutual”), 2 seeking the proceeds of those policies. She alleges that Northwestern Mutual breached the policies by not paying proceeds, misled and deceived her, violated New York’s General Obligation and State Insurance Laws, and was negligent. She demands $500,000 as well as costs and attorneys’ fees. See First Amended Complaint [Doc. 19 Attach. 1].

The undisputed record shows that Kenneth cancelled the policies because of a $35 fee and unexpectedly died shortly thereafter. He was thirty-six years old and the father to two young children. Northwestern Mutual refused to pay the proceeds, concluding that the policy terminated before Kenneth’s death. On that ground, it now moves for summary judgment on Wilson’s breach of contract claim, and argues that it is entitled to summary judgment on her other claims as well. Wilson responds that for several reasons, Northwestern Mutual did not cancel the insurance policies properly.

A. Procedural Posture

After Wilson, on March 7, 2007, filed her complaint in the Supreme Court of New York, County of Westchester [Doc. No. 1 Attach. 1], Northwestern Mutual removed it to the United States District Court for the Southern District of New York on the basis of diversity jurisdiction. [Doc. No. 1], A number of motions followed, including Northwestern Mutual’s motion to dismiss Wilson’s demands for compensatory damages and attorneys fees [Doc. No. 3], Wilson’s motion for joinder and remand [Doe. No. 5], and Wilson’s motion to amend or correct the complaint [Doc. No. 7]. All were denied by Judge Brieant on May 18, 2007 after a hearing. [Doc. No. 13]. Wilson filed an amended complaint, dated May 23, 2007, sometime in late May or early June, 2007. [Doc. No. 14].

Northwestern Mutual moved for summary judgment on January 31, 2008, [Doc. No. 18] supported by a memorandum of law (“NM Mem.”) [Doc. No. 20], a Rule 56.1 statement (“NM Facts”) [Doc. No. 21], and several affidavits and exhibits. [Doc. No. 19]. Wilson moved for summary judgment on February 25, 2008, [Doc. No. 22], supported by a memorandum of law (“Wilson Mem.”) [Doc. No. 22 Attach. 1], Each party’s opposition and reply then followed: Northwestern’s opposition to Wilson’s motion on February 29, 2008 (“NM Opp’n”) [Doc. No. 25], Wilson’s opposition on the same day (“Wilson Opp’n”) [Doc. No. 27], Northwestern Mutual’s Reply on March 14, 2008 (“NM Reply”) [Doc. No. 28], and Wilson’s Reply on March 16, 2008 (“Wilson Reply”) [Doc. No. 30].

*707 On March 16, 2008, Wilson moved for leave to re-file her pleadings to conform with local rule 56.1, because she had failed to include a statement of facts or to reply to Northwestern Mutual’s statement of facts. [Doc. No. 31]. Judge Brieant heard oral argument on March 28, 2008, granted Wilson’s motion to amend, and scheduled further argument on the motions for summary judgment for May 23, 2008. Wilson filed her Rule 56.1 statement on April 28, 2008, (“Wilson Facts”) [Doc. No. 32], and submitted a reply to Northwestern Mutual’s statement the same day. [Doc. No. 33]. Northwestern responded on May 6, 2008. [Doc. No. 34].

The case was reassigned to this Court on December 1, 2008. [Doc. No. 36].

B. Undisputed Facts

On May 29, 2004, Northwestern Mutual issued two life insurance policies to Kenneth: a whole life policy (“Whole Life Policy”) with a face amount of $150,000, NM Facts at ¶ 1, and a term policy (“Term Policy”) in the amount of $350,000. NM Facts at ¶ 2; Wilson Facts ¶ 2. Kenneth elected to pay the premiums on a monthly basis from an Insurance Service Account (“ISA”), which was to be funded though electronic transfers from his bank account. NM Facts at 3; Wilson Facts ¶ 5; ISA PLUS Request form [Doc. No. 19, Attach 19]. Each policy provided for a grace period for late premium payments:

A grace period of 31 days will be allowed to pay a premium that is not paid on its due date. The policy will be in full force during this period. If the Insured dies during the grace period, any overdue premium will be paid from the proceeds of the policy.
If the premium is not paid within the grace period, the policy will terminate as of the due date....

See Whole Life Policy at § 4.1 [Doc. No. 19 Attach. 17]; Term Policy at § 3.4 [Doc. No. 19 Attach. 18]. See also NM Facts at ¶ 4; Wilson Facts ¶ 6. Each further provided for reinstatement of the policy more than thirty-one days after the end of the grace period upon submission of evidence of insurability and payment with interest of unpaid premiums. Whole Life Policy at § 4.4; Term Policy at § 4.

In 2004, the monthly premium payments on the Whole Life Policy were $203.92, and on the Term Policy, $20.93. See Prince Affidavit [Doc. No. 19 Attach. 16] at ¶ 12. Kenneth did not always pay on time. On four occasions between August 2004 and early 2005, electronic funds transfers to the ISA were rejected by Kenneth’s bank for insufficient funds and the ISA was closed. Prince Affidavit [Doc. 19 Attach. 16] at ¶¶ 11-18. On three of the occasions, Kenneth made a subsequent electronic funds transfer payment, the ISA was reopened, and the premiums were paid. Id.

On the fourth occasion, in March 15, 2005, the ISA again was closed due to lack of funds. At that time, the premiums had been paid to January 29, 2005. Prince Aff. at ¶ 18. The ISA was reopened on April 5, 2005 with an electronic funds transfer payment of $224.85, but payment of the premiums for the months of February, March, and April 2005 resulted in a negative balance in the ISA. Id. at 19. The payments for February and March were reversed on April 7, 2005, and on April 12, 2005, both policies were removed from the ISA and it was closed. 3 Id. at ¶¶ 19-21 & Ex. N. [Doc. 19 Attach. 21].

*708 This time, however, Kenneth did not merely pay the delinquent payments. Instead, on April 27, 2005, he called Northwestern Mutual, spoke with Melissa Nowak in the Policyowner Services Department, and asked to have the ISA reopened for only the Term Policy. 4 Getschman Affidavit [Doc. 19 Attach 23] at ¶ 4. He further asked that the premium for that policy be paid through December 29, 2005, and provided his bank account information for the one-time draft. Id. The ISA was reactivated, with the Term Policy only, on April 28, 2005. Prince Affidavit ¶ 22. On April 29, 2005, the ISA received an electronic funds payment of $215.60, covering the ten monthly periods from March 29 thru December 29,2005. Id. at ¶ 23.

What happened next is the crux of the case. On May 9, 2005, a premium adjustment of $35 resulted in a negative balance in Kenneth’s ISA.

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Related

Wilson v. Northwestern Mutual Insurance
625 F.3d 54 (Second Circuit, 2010)

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603 F. Supp. 2d 705, 2009 U.S. Dist. LEXIS 44323, 2009 WL 782895, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wilson-v-northwestern-mutual-insurance-nysd-2009.