Yue v. Conseco Life Insurance

282 F.R.D. 469, 2012 WL 1101275, 2012 U.S. Dist. LEXIS 46565
CourtDistrict Court, C.D. California
DecidedApril 2, 2012
DocketNo. CV 11-9506 AHM (SHx)
StatusPublished
Cited by8 cases

This text of 282 F.R.D. 469 (Yue v. Conseco Life Insurance) is published on Counsel Stack Legal Research, covering District Court, C.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Yue v. Conseco Life Insurance, 282 F.R.D. 469, 2012 WL 1101275, 2012 U.S. Dist. LEXIS 46565 (C.D. Cal. 2012).

Opinion

A. HOWARD MATZ, District Judge.

I. INTRODUCTION

For the second time, Plaintiff Celedonia X. Yue has brought a putative class action against Defendant Conseco Life Insurance Company for allegedly raising the monthly cost of insurance (“COI”) rates of a large group of policyholders. Plaintiff moves this Court to certify a California class and issue a preliminary injunction preventing Conseco from implementing the COI rate increase. For the following reasons, the Court GRANTS1 Plaintiffs Motion for Preliminary Injunction and Certification of California Class, contingent upon certain modifications [472]*472to the class definition and the appointment of a second class representative.

II. BACKGROUND

A. The Policies

The policies at issue in this action are Defendant’s Valulife and Valuterm universal life insurance policies (“the policies”). In September of 1995, Plaintiffs mother Ruth S. Yue became an insured under a Valulife policy and named Plaintiff as the beneficiary (“Yue policy”). The Yue policy permits the insurer to deduct a “cost of insurance charge” from the account each month (“monthly COI charge”). (Dillon Decl. II2, Exh. A, p. 9.) The monthly COI charge is determined by a formula that includes a monthly COI rate as one of its variables. (Id.) When the policies were initially issued, they were accompanied by a chart that reflected the monthly COI rates that applied to each policyholder (“COI rate chart”). (See id., p. 4.)

The Yue policy contains language that explains the circumstances under which the insurer can change monthly COI rates:

Current monthly cost of insurance rates will be determined by the Company based on its expectation as to future mortality experience. Any change in such rates will apply uniformly to all members of the same age, sex, and premium class.

(Id., p. 9.) The policies of the putative class members in this case have the same or substantially similar language. As to the merits, the crux of this dispute revolves around whether this language permits Defendant to raise COI rates even when the projected mortality rates, i.e., rates of death, of its policyholders have not increased.

B. Yue I and the 2002 COI Rate Increase

The Court considered this issue previously in Yue v. Conseco Life Ins. Co., 2011 WL 210943, at *2 (C.D.Cal. Jan. 19, 2011) (“Yue I”). In that case, Plaintiff brought a class action against Defendant for announcing in 2002 its intention to increase COI rates for Valulife and Valuterm policies.3 Evidence showed that the then-projected losses to Defendant for these policies were much higher than anticipated due to the fact that there were far fewer policy terminations than estimated by the initial policy designers.4 Id. at *2. Thus, even though there had been no increase in expected mortality rates, there was still an increase in the projected amount of death benefits that policyholders would claim because a much higher-than-expected number of policies were still in effect. Taking into account the losses created by the low rate of terminations, Defendant set the COI rates in these policies to increase in their 21st year, using a formula that would eliminate projected losses but not result in any profits for Defendant. Id. at *8. Defendant argued that the rate increase complied with the language of the policies because the phrase “expectation as to future mortality experience” permitted an insurer to increase COI rates based on the anticipated amount of death benefits it would have to pay. Id. at *9.

On January 19, 2011, this Court granted summary judgment in favor of Plaintiff in Yue I, holding that (1) the word “current” in the policy prohibited Defendant from implementing a COI rate increase that would be deferred until a future time, and (2) the phrase “expectation as to future mortality experience” meant “expectation of the ‘rate of mortality.’ ” Id. at *9. Under the Court’s interpretation, the policies prohibited Defendant from basing the COI rate on persisten-cy rates5 and the expected amount of death benefits. Id. Instead, Defendant could base COI rate increases only on the expected rate of deaths.

[473]*473C. The 2011 COI Rate Increase

In November of 2011, Defendant again changed the way it calculated the monthly COI rates of Valulife and Valuterm policies. This time, the change was effective immediately, but only until December 31, 2012, at which point Defendant would recalculate COI rates for the following year. The changes resulted in a COI rate increase for 94% of policyholders and a COI rate decrease for 6% of policyholders. (Prel. Inj. Opp. 4.) Defendant sent letters to affected policyholders in October of 2011 to notify them of this change and attached a new COI rate chart.

Previously, Conseco increased monthly COI rates by adjusting the rates reflected in the original COI rate charts. In other words, in the past, Conseco increased COI rates by multiplying the original COI rate chart for each policyholder by a certain percentage. Conseco’s new methodology, however, has no relationship to previous COI rates and dispenses with the original COI rate chart entirely. Conseco instead devised the new COI rates by dividing the policyholders into six classes based on their gender and policy premium class: (1) female nonsmokers, (2) male non-smokers, (3) female select policies, (4) male select policies, (5) female standard policies, and (6) male standard policies. (Turner Decl. ¶ 11.) It then calculated the expected mortality rate of each policyholder in those groups according to his or her age at the time of purchasing the policy and the age of his or her policy. (Turner Deck ¶ 12.) Plaintiffs mother, for example, is a female nonsmoker policyholder who was 70 years old at the time the policy was issued. The policy is now in its 17th year (she is 87). (Turner Deck ¶ 13.) Of female nonsmoker policyholders who purchased policies at age 70 and are now in their 17th year of the policy, 47.466 per 1000 of those policyholders are expected to die per year. (Turner Deck ¶ 13.) In other words, policyholders like Plaintiffs mother have an expected mortality rate of 47.466 per 1000.

After calculating the expected mortality rate of each policyholder, Conseco then set the annual COI rates for that policyholder to “match” the expected mortality rate. Plaintiff, for example, now has an annual COI rate of $47.466 per $1000 in policy coverage. Conseco divides the annual COI rate by 12 to get a monthly COI rate (for Plaintiff, $3.9555 per $1000 in policy coverage per month). The new COI rate chart reflects these monthly rates. (See Comph, Exh. A, p. 4, attached as Exhibit A to this Order.)

The new methodology has caused the COI rates, and consequently the COI charges, of most policyholders to increase. The monthly COI charge deducted from the accounts of the putative class members is now so high that the members must significantly increase their premium payments to maintain their accounts at the same level as before. In the case of Plaintiff, for example, to adjust to the new COI rate, she must increase her annual premium payment from $7,890 to $36,5176 per year. (Mot.

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282 F.R.D. 469, 2012 WL 1101275, 2012 U.S. Dist. LEXIS 46565, Counsel Stack Legal Research, https://law.counselstack.com/opinion/yue-v-conseco-life-insurance-cacd-2012.