RANDOLPH D. MOSS, United States District Judge.
These consolidated cases arise out of a dispute over the life insurance coverage of
Orchin brought suit against Great-West on behalf of the trust, alleging that Great-West breached contractual obligations and failed to comply with relevant laws in terminating the insurance and that it should have honored the reinstatement. Orchin v. Great-West Life & Annuity Insurance Co., No. 12-cv-01743, 2012 WL 5407553 (D.D.C. Oct. 26, 2012). In a separate action, Mrs. Gadaire brought similar claims against Great-West and additionally sued Orchin for missing the payments and causing the insurance to lapse. Gadaire v. Orchin, No. 13-cv-00055, 2013 WL 210484 (D.D.C. Jan. 14, 2013). The two cases were subsequently consolidated.
Three motions for summary judgment are now before the Court. In the first, Orchin seeks summary judgment against Great-West. Dkt. 29. In the second, Mrs. Gadaire seeks summary judgment on two of her three claims against Orchin. Dkt. 30. And in the third, Great-West seeks summary judgment against both Orchin and Mrs. Gadaire. Dkt. 31. For the reasons set forth below, the Court
Except as noted, the following facts are undisputed. In April 1975, Dr. Gadaire, a recent graduate of dental school, obtained insurance through an American Dental Association ("ADA") group term life insurance policy administered by Great-West. See Dkt. 29-1 (application for insurance), Dkt. 31-6 (certificate of insurance). His spouse, Elizabeth Gadaire, was designated as one of the insurance's beneficiaries. Dkt. 31-6 at 35. Payments were due twice a year, on July 1 and January 1. Id. at 11; Dkt. 31-7 ¶ 4. The certificate of insurance provided that "31 days are allowed to pay a premium in default.... If the premium is not paid by the end of the days of grace, the insured Member's insurance will terminate," Dkt. 31-6 at 11, and, in another provision, explained that "[t]he insurance of an insured Member will end on the earliest of the following: ... the 32nd day after the due date of any unpaid premium." Id. at 18.
In 1993, Dr. Gadaire transferred ownership of his life insurance to a trust he created, the Eugene C. Gadaire Insurance Trust ("Trust"). See Dkt. 29-4 at 7-17 (Trust Agreement). The Trust's sole beneficiary is Mrs. Gadaire. Dkt. 21 ¶ 15; see
Dkt. 29-4 at 5. Under the new arrangement, Dr. Gadaire remained the insured, but ownership of the insurance was transferred to the Trust.
The Trust Agreement provided that Orchin, as trustee, would make payments on the insurance. Dkt. 29-4 at 7. To fulfill that responsibility, whenever Orchin received a statement, he would call Mrs. Gadaire and tell her that a payment was due. Mrs. Gadaire would then deposit money in the Trust's checking account, and Orchin would write a check to Great-West. Dkt. 29-5 at 8.
From 1993 through the payment due January 1, 2009, Orchin made every semi-annual payment as required on behalf of the Trust. Dkt. 31-7 ¶ 4. Before payments were due, Great-West would mail a notice of payment due to Orchin's address of record, which was his home on 44th Street, NW, Washington, D.C. Id.; Dkt. 31-10 at 3. In April 2009, Orchin moved to a new home on Westover Place, NW, Washington, D.C. See Dkt. 26 ¶ 26; Dkt. 31-4 at 6. Before that, as a "temporary measure," he moved into an apartment in Bethesda, Maryland, while renovating the new home.
It is undisputed that no payment was made for the premium due on July 1, 2009. The coverage accordingly terminated on August 1, 2009. See Dkt. 31-10 at 3-5. The deadline for the next payment that would have been due — January 1, 2010 — also passed without Orchin or the Gadaires making a payment or contacting Great-West. See Dkt. 30-10 at 2-5; Dkt. 26 ¶ 33; Dkt. 31-7 ¶ 18.
Dr. Gadaire died suddenly on January 15, 2010. Dkt. 21 ¶ 25, Dkt. 26 ¶ 36; Dkt. 29-16; Dkt. 29-10 at 13. Three days later, Orchin — who was aware of Dr. Gadaire's death and realized that he had not made the most recent payment on the insurance — called Great-West. Dkt. 31-4 at 9-11. In that phone call, which was recorded,
Dkt. 31-4 at 2. Great-West representative Jan Guthrie explained that the insurance had been terminated, and she noted that the address in the system was 2831 44th Street, NW-Orchin's old address. Id. at 3. Orchin repeated that he was the trustee and stated that he needed "to reinstate the policy because there was a miscommunication on addresses," and he asked whether any notices "would have been sent out ... [b]ecause [he] didn't get anything." Id. Guthrie explained that "a bill would have been sent out in June for the July 1 renewal, and then since [Great-West] did not receive payment within that 31 day grace period, by the end of July, a
Guthrie explained that Dr. Gadaire's insurance could not be reinstated and that Dr. Gadaire would have to re-apply for life insurance. Id. In response, Orchin asked if he could talk to someone higher up and explained the situation. The parties debate what exactly Orchin said, as follows:
Dkt. 31-10 at 4. Guthrie agreed to ask a supervisor, Nancy Fix, to speak to Orchin. Id. at 5; see Dkt. 29-11 at 10.
Orchin then explained his dilemma to Fix, noting that in the last year he had "moved twice" and that he had not received a notice for the premium. Dkt. 31-10 at 5. He asked if there was any way that he could pay the back premiums and further stated that "I don't want them to know...." Id. Fix told Orchin that she would need to speak to a "higher manager." Id. She subsequently contacted manager Rochelle DeMills. Dkt. 29-11 at 11-12. DeMills testified at her deposition that she looked at Dr. Gadaire's "coverage history," reviewed his file "in full," and saw that he was a "long-standing participant" with a good payment history. Dkt 29-13 at 7. She then noticed that Dr. Gadaire had previously applied for further insurance and had been declined for health reasons and thus concluded that Dr. Gadaire would probably not be able to successfully re-apply for life insurance. Id. at 8. In light of Dr. Gadaire's status as a long-time customer, the fact that he would not be able to re-apply for insurance, and the fact that the trustee had made this mistake, DeMills decided to exercise her authority to reinstate the coverage. Id. at 8-9.
Fix called Orchin back and left a voicemail informing him that Great-West would "make a one-time exception just because this isn't, you know, [Dr. Gadaire's] doing" and explained that she would send a bill that afternoon. Dkt. 31-10 at 6. Great-West followed up with a written letter establishing that Great-West would make a "one time exception and reinstate Dr. Gadaire's Term Life coverage." Dkt. 29-17 at 2. The letter noted that the exception was "not to set precedence" and that Great-West would "require evidence of insurability with full medical underwriting if the policy lapses for non payment of future premiums." Id. Orchin paid the back premiums, and the insurance was reinstated. See Dkt. 29-18; Dkt. 29-21. During this course of these communications, Orchin never disclosed that Dr. Gadaire was deceased.
Great-West did not learn that Dr. Gadaire had died until Dr. Gadaire's former business partner, Dr. Tromblay, called several weeks later to report the death. See Dkt. 29-10 at 11-12. Dr. Tromblay incorrectly believed that he and Dr. Gadaire had obtained "buy/sell insurance" — that is, life insurance intended to provide surviving business partners with the funds needed to buy out a partner's share of the business upon death. Id.; see also Dkt. 31-7 ¶ 9. In fact, although Drs. Tromblay and Gadaire had applied for buy/sell insurance in 2007, the request was denied because Great-West concluded that Dr. Gadaire was uninsurable due to a heart
Upon investigating Dr. Gadaire's death, Great-West quickly became aware that he had died three days before the insurance was reinstated, id., and it denied Orchin's claim both on that basis and because Great-West employees concluded that Orchin had misled them. Id. ¶ 15. Great-West also sent a refund of the back-premiums that Orchin had paid in order to reinstate the insurance. Id.
In October 2012, Orchin brought suit against Great-West. Dkt. 1. Mrs. Gadaire brought suit against both Orchin and Great-West in January 2013, see Gadaire v. Orchin, No. 13-cv-0055 (Jan. 14, 2013), and the cases were consolidated shortly thereafter. The consolidated cases include two operative complaints. In Mrs. Gadaire's amended complaint, Dkt. 21, she asserts five counts against Great-West and three "alternative" counts against Orchin. The five counts against Great-West are each styled as breach of contract claims. Count I alleges that Great-West violated D.C.Code Section 31-4201, which sets forth notice requirement for "cancellation" of insurance policies, ¶¶ 36-47; Count II alleges that the insurance was in effect when Orchin filed a claim on behalf of the trust and that Great-West breached its contract by failing to tender proceeds, ¶¶ 48-52; Count III alleges that Great-West breached its "duty to maintain contact with its insured," ¶¶ 53-56; Count IV alleges that Great-West violated District of Columbia regulations requiring notice for cancellation of an insurance policy, ¶¶ 57-63; and Count V alleges that Great-West breached its contract by failing to provide notices to Dr. Gadaire (in addition to the notices sent to Orchin), ¶¶ 64-68. Mrs. Gadaire's "alternative" claims against Orchin include claims for negligence, ¶¶ 69-83; breach of contract, ¶¶ 83-90; and breach of fiduciary duty, ¶¶ 91-99. Orchin's amended complaint, Dkt. 26, asserts five counts against Great-West, which, as the parties agree, are materially the same as Mrs. Gadaire's claims against Great-West. See Dkt. 31-1 at 2 n.1. All three parties have now moved for summary judgment.
Because Mrs. Gadaire's claims against Orchin only arise if Great-West properly declined to pay the Trust the proceeds from the insurance, the Court will address Plaintiffs' claims against Great-West before turning to Mrs. Gadaire's separate claims against Orchin.
Plaintiffs claim that Great-West breached its contractual obligations and contravened District of Columbia law by failing to pay the $750,000 value of Dr. Gadaire's insurance to the Trust. Their allegations focus on two questions: (1) whether Great-West provided adequate notice before terminating Dr. Gadaire's insurance, and (2) assuming the insurance was properly terminated, whether Great-West's decision to reinstate the insurance bars Great-West from refusing the pay the insurance proceeds, even though Dr. Gadaire was already deceased when Great-West reinstated the insurance.
The first issue is whether the August 2009 termination of Dr. Gadaire's insurance coverage was effective. Plaintiffs contend that it was not because, in their view, Great-West failed to comply with specific notice requirements imposed by the District of Columbia Life Insurance Act, D.C.Code §§ 31-4201 et seq., and D.C. municipal regulations promulgated pursuant to that Act. See Dkt. 29-1 at 8-15. They contend that because Dr. Gadaire was a D.C. resident, the insurance certificate should be construed to incorporate the minimum requirements of D.C. law. Id.; see Dkt. 26 ¶¶ 60, 76; Dkt. 21 ¶¶ 44, 58. Great-West responds that pursuant to the express choice-of-law provision contained in the certificate of insurance, the law of Illinois law — not D.C. — governs all disputes arising out of the insurance contract and that the Court should, therefore, decline to construe the insurance to incorporate D.C. law.
In diversity cases like this one, "the law of the forum state supplies the applicable choice-of-law standard." Williams v. First Gov't Mortg. & Inv'rs Corp., 176 F.3d 497, 499 (D.C.Cir.1999). The Court thus applies D.C. choice of law rules. Under those rules, courts enforce express contractual choice of law provisions "`as long as there is some reasonable relationship with the state specified.'" Ekstrom v. Value Health, Inc., 68 F.3d 1391, 1394 (D.C.Cir.1995) (quoting Norris v. Norris, 419 A.2d 982, 984 (D.C.1980)); see also, e.g., Aneke v. Am. Exp. Travel Related Servs., Inc., 841 F.Supp.2d 368 (D.D.C.2012) (quoting this rule and applying Utah law where the defendant was based in Utah).
The D.C. Circuit has applied this choice of law rule in a case similar to this one. In
Here, Dr. Gadaire was insured under a certificate of insurance he purchased pursuant to a group policy sponsored by the American Dental Association. That certificate contains an express choice-of-law provision, which reads as follows:
Dkt. 31-6 at 25. Because the ADA is headquartered in Illinois, the contractual choice of law provision bears the same "reasonable relationship with the state specified" as the choice of law provision at issue in Whiting. 637 F.3d at 631. Thus, for the reasons given in Whiting, the provision must be enforced.
This conclusion is consistent with the unique nature of group insurance policies. As the Supreme Court has explained, parties to a group insurance plan intend that "everywhere it shall have the same meaning and give the same protection, and that inequalities and confusion liable to result from applications of diverse state laws shall be avoided." Boseman v. Connecticut Gen. Life Ins. Co., 301 U.S. 196, 206, 57 S.Ct. 686, 81 L.Ed. 1036 (1937) (enforcing choice of law provision in group life insurance policy). Choice of law provisions in group insurance plans promote uniformity. Moreover, because large employers and associations like the ADA have significantly more negotiating power than individuals, "[c]hoice-of-law provisions contained in group life insurance policies are... less likely [than those in individual insurance policies] to have a `take-it-or-leave-it' character," and courts are accordingly especially likely to enforce choice of law provisions in group plans. See Restatement (Second) of Conflict of Laws § 192, cmt. h (1971).
Plaintiffs attempt to avoid the plain language of the choice-of-law provision in several ways. First, they argue that the certificate of insurance "should be construed in accordance with both the law of Illinois and the law of the District of Columbia, and when in conflict or [when] Illinois law is silent on an issue, the law of the District of Columbia should prevail and govern." Dkt. 29-1 at 11 (emphasis added). Because Illinois has no laws that "directly address[ ] or conflict[ ] with" the D.C. Code provisions that form the basis for Plaintiff's claims, they argue, D.C. law controls. Id. In other words, Plaintiffs ask the Court to give effect to the choice of law provision only to the extent that Illinois law neatly overlaps with the law of the
Plaintiffs also argue that there is no "reasonable relationship" between the case and the state of Illinois. See Dkt. 39-2. But the question is not whether a particular case bears a sufficient nexus to the choice of law forum; rather, it is whether a "reasonable relationship exists" between the group policy and the choice of law forum. "Unlike individual insurance policies, rights against the insurer under a group policy are generally governed by the law of the state where the master policy was delivered." Karpenski v. Am. Gen. Life Cos., LLC, 999 F.Supp.2d 1235, 1242 (W.D.Wash.2014) (brackets and quotation marks omitted); see also, e.g., Boseman, 301 U.S. at 206, 57 S.Ct. 686; Whiting, 637 F.3d at 361; Miller v. Home Ins. Co., 605 S.W.2d 778, 780 (Mo.1980) (en banc); Restatement (Second) of Conflict of Laws § 192, cmt. h (1971). Indeed, in light of the strong interest in uniformity, the Restatement rule is that even in the absence of a choice-of-law provision, the location of a group policyholder — not of the insured individual or the litigation — governs disputes between individuals and insurance companies. See Restatement (Second) of Conflict of Laws § 192 cmt. h (1971).
Plaintiffs next argue that the choice of law provision in the group policy "must be balanced with the interests of the District of Columbia in protecting its residents from wrongful or deceptive acts of insurance companies." Dkt. 29-1 at 8. The D.C. Circuit, however, at least implicitly rejected just that approach in Whiting. In the underlying district court decision in that case, the court balanced Arizona's interests against D.C.'s interests to determine which jurisdiction's consumer protection laws applied, and it considered the choice-of-law provision as one factor in that analysis. Whiting v. AARP, 701 F.Supp.2d 21, 29 (D.D.C.2010).
Courts do, of course, decline to enforce contractual choice of law provisions that contravene a "`fundamental policy'" of a state with "`a materially greater interest than the chosen state.'" Restatement (Second) of Conflicts of Law § 187(2). Maryland common law — to which "D.C. law `commonly looks for guidance in the absence of its own precedents,'" Athridge v. Aetna Cas. & Sur. Co., 351 F.3d 1166, 1171 (D.C.Cir.2003) — recognizes this exception. See, e.g., Nat'l Glass, Inc. v. J.C. Penney Props., Inc., 336 Md. 606, 650 A.2d 246, 249 (Md.Ct.App.1994). But the exception does not apply whenever there is a mere difference in law; indeed, such a rule
Although it is possible that D.C. courts might, in some circumstances, decline to enforce state laws that are less protective of individual life insurance for public policy reasons, Plaintiffs have failed to show that such a departure from the ordinary rule is warranted here. First, given that the ADA, which negotiated the policy, is based in Illinois, and that Orchin is one of many insured individuals, it is not at all clear that the District of Columbia has a "materially greater interest" in this dispute than Illinois. Moreover, although Plaintiffs' claims are predicated on statutory and regulatory provisions that govern life insurance "policies" issued or delivered in D.C., a separate provision of the D.C. Life Insurance Act specifically provides that "the standard provisions required for individual life insurance policies shall not apply to group life insurance policies" that are delivered in the District. D.C.Code § 31-4711. In other words, it is not even clear that group insurance policies issued in D.C. would, in any event, be subject to the provisions upon which Plaintiffs rely.
Plaintiffs also mount several arguments against the termination of the insurance that are not exclusively predicated on D.C. law. They allege that when Dr. Gadaire assigned his insurance to the Trust and, as required, filed related paperwork with Great-West, he also submitted a copy of the Trust Agreement. See Dkt. 29-20.
This argument merits little discussion.
Finally, Plaintiffs' third claim alleges that Great-West breached an implied "duty to maintain contact with the insured" by failing to send "correspondence, notices, or premium statements" to Dr. Gadaire. Dkt. 26 at ¶¶ 68-72; Dkt. 21 ¶¶ 53-56. Great-West argues that nothing in the insurance contract imposed such a condition and that there is no evidence that anyone ever requested that Great-West send notices to Dr. Gadaire. Plaintiffs do not respond to this argument, but, instead, recharacterize the claim as one alleging that Great-West breached an implied duty of good faith and fair dealing by failing to notify Dr. Gadaire prior to cancelling the insurance, and they assert, without explanation, that the claim is not "ripe for summary judgment." Dkt. 39-2 at 5 (discussing California law on implied duties). Great-West argues that Plaintiffs are attempting, in effect, to amend their pleadings to state new claims. But even construing Plaintiffs' pleadings as alleging claims for breach of the duty of good faith and fair dealing, Claim III cannot stand. Plaintiffs' argument is not that Great-West acted in bad faith; rather, with no relevant authority, they ask the Court to read into the contract specific notice requirements that do not exist. Plaintiffs identify no evidence that anyone ever requested that Great-West send notices to anyone other than Dr. Orchin after Dr. Gadaire effected an "absolute assignment" to the Trust, Dkt. 31-7 ¶ 18, and Great-West's failure to provide such additional notice of its own accord is not indicative of bad faith or a lack of fair dealing in carrying out the duties that it actually had. Cf., e.g., Paul v. Howard Univ., 754 A.2d 297, 311 (D.C.2008). There is no basis to conclude that Great-West was "evad[ing] the spirit of the contract, willfully render[ing] imperfect performance, or interfer[ing] with performance by the other party." Id. Thus, even if pled, Plaintiffs would be unable to proceed on an implied covenant theory.
The Court, therefore, concludes that Plaintiffs' claims that Great-West violated D.C. law and breached the insurance contract or any other agreement by terminating Dr. Gadaire's insurance 31 days after a missed payment fail as a matter of law. Great-West is, accordingly, entitled to
Because the Court rejects Plaintiffs' contentions that the insurance was never validly terminated, the Court must next consider whether Great-West's subsequent decision to reinstate the coverage is enforceable. The parties do not dispute that at the time Great-West agreed to reinstate Dr. Gadaire's life insurance coverage, the company was unaware that Dr. Gadaire had died. Nor, with a few small exceptions, do the parties dispute the details of Orchin's communications with Great-West and the events that followed the reinstatement of Dr. Gadaire's insurance. Based on the largely undisputed facts, Great-West argues that the reinstatement of insurance is voidable under Illinois law because the insured loss occurred before the reinstatement and the insurance company was unaware of the loss, and that, in any event, Orchin fraudulently induced Great-West to reinstate the policy by misleading the company to believe that Dr. Gadaire was alive.
Under Illinois law, "[f]orfeiture of an insurance contract for nonpayment of premium is not favored in the law, and courts are prompt to seize upon circumstances which indicate a waiver of forfeiture" or lapse. Van Hulle v. State Farm Mut. Auto Ins. Co., 44 Ill.2d 227, 254 N.E.2d 457, 461 (1969). But, although Illinois courts are quick to impute knowledge of a loss to an insurance company and are prepared to find waiver of a lapse based on even modest indications of assent, some indicia of an insurance company's knowledge of an existing loss is required. The Illinois Supreme Court's decision in Van Hulle highlights how this line is drawn. In that case, an insured woman died in a car accident shortly after being informed that her insurance policy had lapsed but would be reinstated upon payment of a premium. Id. at 459. In the wreckage, her husband found an envelope with a signed check intended to reinstate the policy. Her insurance agent was informed of the loss and the already-signed check. Id. He explained that he could not accept the check, but that the check could be mailed directly to the insurance company's office and that the company could decide whether to accept it. Id. The agent then informed the claims office of the situation, and the insurance company subsequently deposited the check. The state Supreme Court concluded that the cashing of the check constituted a waiver of the lapse — but it repeatedly emphasized the importance of the insurance company's knowledge of the loss. See, e.g., id. at 460. The Court wrote, for example, that "[t]o imply the waiver of lapse the insurer must have knowledge of the intervening loss," id. at 460, and that "to constitute waiver an intent to get retroactive coverage must be communicated to the insurer," id. at 461. Relying on Van Hulle, other Illinois courts have both declined to find the waiver of a lapse where the insurance company lacked knowledge of the pre-existing loss, see Kelly v. Econ. Fire & Cas. Co., 196 Ill.App.3d 337, 142 Ill.Dec. 898, 553 N.E.2d 412, 414-15 (1990), and, although enforcing a policy, observed that "[i]n order to imply a waiver of lapse, the insurer must have knowledge of the intervening loss," Horace Mann Ins. Co. v. Brown, 13 Ill.App.3d 330, 300 N.E.2d 20, 23 (1973).
Courts in other jurisdictions have taken similar approaches. As the Court of Appeals for the Fourth Circuit observed in Southern States Life Ins. Co. v. Matthews, 205 F.2d 830, 832 (4th Cir.1953), "[i]t is firmly established that the acceptance of overdue premiums on a life insurance policy after death of the insured does not constitute a waiver of the delinquency, if the insurer has no knowledge of the death, since in such case there could obviously be no intentional relinquishment of a known right." See also Dehart v. Aetna Life Ins. Co., No. 42932, 1982 WL 2473, at *5 (Ohio Ct.App. July 15, 1982) ("[K]nowledge of an intervening loss of liability for payment has normally been held to be a prerequisite to waiver."); O'Connor v. Metro. Life Ins. Co., 121 Conn. 599, 186 A. 618, 622 (1936) ("The authorities generally agree that a waiver by reason of the receipt of overdue premiums does not arise where, at the time when that waiver is claimed to have occurred, the insured is dead but the insurer is ignorant of that fact.").
Here, there is no dispute that Great-West was unaware of Dr. Gadaire's death when it agreed to reinstate his insurance. Indeed, the company discussed the possibility that Dr. Gadaire might be required to reapply for the insurance and only agreed to the waiver so that Dr. Gadaire could avoid the otherwise required medical exam. See Dkt. 29-10 at 5; Dkt. 29-13 at 8. At the same time, it also warned Orchin that this was a one-time exception — a warning that clearly contemplated ongoing coverage. Dkt. 29-17 at 2. Plaintiffs argue that the "knowledge" requirement applies only to cases involving implied waivers, and that the waiver here was express. But the point of these cases is that an insurer's decision to reinstate insurance going forward does not equate to a decision to cover already-incurred losses. Given this rationale, there is no reason to conclude that express reinstatements should be treated differently than implied reinstatements for these purposes. The decision to insure a risk of possible loss in the future is of an entirely different nature than the decision to insure a loss that has already occurred. To paraphrase the Illinois Supreme Court, an insurance company cannot knowingly and intentionally relinquish a right to enforce a lapse in coverage — whether expressly or by implication — when it does not know that the insured loss has already occurred.
Plaintiffs also argue that the reinstatement should be enforced because Great-West knew that Dr. Gadaire was "uninsurable" for medical reasons when it reinstated the insurance. Dkt. 39-2 at 19. But there is a fundamental difference between agreeing to insure a living person whose health makes insurance riskier, and agreeing to insure the life of someone who is already deceased. Even taking into account the flexible approach warranted in determining whether an insurer waived its right to deny coverage for losses incurred
Great-West further argues that even if the reinstatement was not voidable solely for lack of knowledge, Orchin fraudulently induced Great-West to reinstate the insurance coverage. Although the task of demonstrating entitlement to summary judgment on a claim or defense of fraud is a daunting one, Great-West has made a compelling case that Orchin's failure to disclose to Great-West that Dr. Gadaire had died might well satisfy this demanding standard. Because the Court has already concluded that reinstatement was voidable because Great-West was unaware that the insured died before the insurance was reinstated, however, it is not necessary to reach this question. The Court, accordingly, declines to decide whether Great-West has demonstrated that it is entitled to summary judgment on this alternative theory.
This leaves Mrs. Gadaire's claims, as beneficiary of the Trust, against Orchin for allowing the insurance to lapse. She now seeks summary judgment on two of those three claims: Negligence (Count VI) and Breach of Fiduciary Duty (Count VIII). As an initial matter, the Court notes that, unlike the claims arising out of the insurance contract, the parties do not dispute that these claims are governed by District of Columbia law.
In relevant respects, Mrs. Gadaire alleges that Orchin's failure to update his address of record with Great-West "caus[ed] him not to receive either the Premium Notice or the Lapse Notice" and eventually resulted in the non-payment of the insurance premiums. Dkt. 30-1 at 11. Under District of Columbia law, a cause of action for negligence requires the existence of a duty of care owed by the defendant to the plaintiff and a breach of that duty that proximately causes harm to the plaintiff. Dist. of Columbia v. Harris, 770 A.2d 82, 87 (D.C.2001). The applicable standard of care is "ordinary care under all of the circumstances," and "the amount of care owed a plaintiff by a particular defendant is `a relative concept' that changes `according to circumstances.'" Sinai v. Polinger Co., 498 A.2d 520, 531 (D.C.1985). A cause of action for breach of fiduciary duty, in turn, requires that the defendant owed plaintiff a fiduciary duty; that the defendant breached that duty; and that the breach proximately caused harm to the plaintiff. See 3M Co. v. Boulter, 842 F.Supp.2d 85, 118-19 (D.D.C. 2012). D.C. also has specific laws regulating the conduct of trustees, including D.C.Code § 19-1308.09, which provides that "[a] trustee shall take reasonable steps to take control of and protect the trust property," and D.C.Code § 19-1310.02(a), which provides that "[a] trustee who commits a breach of trust is liable to the beneficiaries [for] ... the amount required to restore the value of the trust property."
Although a close question, the Court concludes that summary judgment is not warranted on the current record. It is undisputed that Orchin did not update his address of record with Great-West but that he submitted forms to the post office to have his mail forwarded. See Dkt. 37-10 at 58. Beyond that, however, the record says little about the timing and circumstances of Orchin's moves, the care that he exercised as Trustee, whether it
Orchin also raises a number of potential defenses. He argues, for example, that Mrs. Gadaire failed to provide him with the money required for payments; did not notify him that she had not provided the necessary funds for two insurance periods; failed to "institute any sort of calendar system" to track her obligation to provide the funds; and failed to notify Great-West that she was not receiving copies of premium notices. Dkt. 37 at 11-12. Although the undisputed evidence shows that, in the past, Orchin had notified Mrs. Gadaire when she should make payments into the Trust account to facilitate his payments to the insurer, Dkt. 29-5 at 8, Orchin apparently suggests that Mrs. Gadaire bore at least a portion of the responsibility for failing to notice that the insurance payments were not being made as required. Relatedly, Orchin also argues that his only duties were those defined in the Trust Agreement and that, because the Trust Agreement imposed only a duty to pay premiums if the Trust's account had sufficient funds, he cannot be held liable for the failure to make payments. See Dkt. 37 at 8-10.
In response to these defenses, Mrs. Gadaire contends that a beneficiary of a trust cannot be held contributorily negligent as a matter of law, relying on precedent from Colorado, New York, and Utah. Dkt. 43 at 11. At least some courts, however, have concluded that contributory negligence applies to actions for breach of fiduciary duty. See, e.g., Solutia Inc. v. FMC Corp., 456 F.Supp.2d 429, 452 (S.D.N.Y.2006) (discussing conflicting authorities under New York law). This issue, however, was only raised in a single paragraph on the last page of Mrs. Gadaire's reply brief, Dkt. 43 at 11, and that paragraph does not address whether the District of Columbia follows or would adopt this rule. Because the issue was raised in reply, moreover, Orchin has not had an opportunity to respond to the argument. Accordingly, the Court is not prepared to resolve this legal issue at this time and will instead allow the parties an opportunity to raise it at a later stage.
Although the Court recognizes that Mrs. Gadaire's arguments have considerable force, at least on the present record and in light of the briefing to date, Mrs. Gadaire has failed to demonstrate that there is no issue of fact for the jury. Accordingly, the Court will deny Mrs. Gadaire's motion for summary judgment. This denial, however, is without prejudice to Mrs. Gadaire filing
For the reasons given above, Great-West's motion for summary judgment, Dkt. 31, is