Wood v. New York Life Insurance Co.

783 F.2d 990
Court of Appeals for the Eleventh Circuit·Decided March 3, 1986·No. Nos. 84-8136, 84-8184 and 84-8185·Published·Cited by 1 cases

Opinions

PER CURIAM:

Because these appeals are controlled by questions of Georgia law that were unsettled when the cases previously were considered by this court, the questions were certified by this court to the Supreme Court of Georgia. Wood v. New York Life Ins. Co., 758 F.2d 1459 (11th Cir.1985). Its appended response establishes that the judgments of the district court in all three cases were correct. Accordingly, they are

AFFIRMED.

APPENDIX

No. 42341.

In the Supreme Court of Georgia.

Decided: Dec. 4, 1985.

WOOD v. NEW YORK LIFE INSURANCE CO. et al.

BELL, Justice.

This case comes before us upon questions certified by the United States Court of Appeals for the Eleventh Circuit pursuant to Rule 36 of the Supreme Court of Georgia. See OCGA § 15-2-9. The following statement of facts and certified questions were submitted to us by the circuit court.

Statement of Facts

“On January 13, 1982, Kristofer Wood died at the age of twenty-two of respiratory failure resulting from his lifelong affliction with muscular dystrophy. Kristofer was first diagnosed as having muscular dystrophy around 1966 when he was six years old. In 1969 his father, Ross Wood, began taking out insurance on Kristofer’s life augmenting the coverage with increasing frequency during the five years immediately preceding Kristofer’s death. At Kristofer’s death, his father had accumulated policies from fifteen different insurance companies insuring Kristofer’s life in excess of $500,000.00. All the policy applications contained specific questions regarding long-term illnesses and treatment, however, Ross Wood never disclosed that Kristofer suffered from muscular dystrophy. These three cases arose after Ross Wood attempted to recover on the policies issued by New York Life, Connecticut General Life and Delaware American International Life. [Fn. omitted.] In all three cases, following cross-motions for summary judgment, the district court granted summary judgment in favor of the insurance companies.

“The three cases differ somewhat factually, however, they share many common elements and their resolutions are dependent upon the two questions certified below. In all three cases Ross Wood signed Kristofer’s name to the various applications for insurance. He asserts that he did so with Kristofer’s consent, an assertion accepted as fact for summary judgment purposes. Section 33-24-6(a) of the Georgia Code Annotated requires that an insured either sign the application for insurance or consent in writing to its issuance. [Fn. omitted.] The insurance companies assert that since Kristofer did not sign the application or consent to them in writing, they are void ab initio.”

“Ross Wood contends that § 33-24-6(a) is not applicable in these cases because the policies involved are ‘contract[s] of group life insurance’ and thus excepted from the statute’s requirements. Wood argues that several items in the record support this contention. First, the certificates of insurance issued by New York Life and Connecticut General state unequivocally on their faces that they are group policies. Second, an undated letter from the Administrator of the Connecticut General Group Life Plan notified Kristofer that he could increase his group coverage by signing and returning the letter to Connecticut General. Last, Wood points out that in her deposition Ms. Palma Cronk, who is a consultant for New York Life, responded affirmatively to the following question — T take it then that it [992] was a group insurance program as opposed to some other kind of insurance?’

“The insurance companies acknowledge the foregoing, however, they contend that the policies involved here are not the type of ‘true group’ policies which are intended to be excepted from the provisions of § 33-24-6(a). To support their contention they point out that the purpose of the requirement that an insured sign the application or consent in writing to its issuance is to protect the insured. The rule is designed to keep an individual from unknowingly becoming worth more dead than alive to a potential beneficiary. Group policies are excepted under § 33-24-6(a) because under a ‘true group’ policy the party who takes out the insurance cannot be the beneficiary. See Ga.Code Ann. § 33-27-1 (Supp.1984). The insurance companies argue that since the party taking out the insurance here, Ross Wood, could have been and was in fact the named beneficiary, the group policy exception should not be applicable. They assert that any other interpretation prevents the statute from accomplishing its goal — protection of the insured. After examining the certificates in question and analyzing the applicable Georgia law, the district court agreed with the insurance companies and concluded that the policies were ‘franchise’ rather than ‘true group’ policies and therefore held that § 33-24-6(a) was applicable. Since Kristofer had not signed the applications or consented to their issuance in writing, the court held that all the contracts were void ab initio.

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Wood v. New York Life Insurance Co., 783 F.2d 990 (11th Cir. 1986).

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