Filed: Oct. 04, 2007
Latest Update: Feb. 21, 2020
Summary: IN THE UNITED STATES COURT OF APPEALS FOR THE FIFTH CIRCUIT United States Court of Appeals Fifth Circuit FILED October 4, 2007 No. 06-30168 Charles R. Fulbruge III Clerk WALTER RICHARD HOUSE, JR. Plaintiffs - Counter-Defendants - Appellees v. AMERICAN UNITED LIFE INSURANCE COMPANY Defendant - Appellant - Cross-Appellee Appeal from the United States District Court for the Eastern District of Louisiana, New Orleans ON SUGGESTION FOR REHEARING AND REHEARING EN BANC Before REAVLEY, GARZA, and DENNIS
Summary: IN THE UNITED STATES COURT OF APPEALS FOR THE FIFTH CIRCUIT United States Court of Appeals Fifth Circuit FILED October 4, 2007 No. 06-30168 Charles R. Fulbruge III Clerk WALTER RICHARD HOUSE, JR. Plaintiffs - Counter-Defendants - Appellees v. AMERICAN UNITED LIFE INSURANCE COMPANY Defendant - Appellant - Cross-Appellee Appeal from the United States District Court for the Eastern District of Louisiana, New Orleans ON SUGGESTION FOR REHEARING AND REHEARING EN BANC Before REAVLEY, GARZA, and DENNIS,..
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IN THE UNITED STATES COURT OF APPEALS
FOR THE FIFTH CIRCUIT United States Court of Appeals
Fifth Circuit
FILED
October 4, 2007
No. 06-30168 Charles R. Fulbruge III
Clerk
WALTER RICHARD HOUSE, JR.
Plaintiffs - Counter-Defendants - Appellees
v.
AMERICAN UNITED LIFE INSURANCE COMPANY
Defendant - Appellant - Cross-Appellee
Appeal from the United States District Court for
the Eastern District of Louisiana, New Orleans
ON SUGGESTION FOR REHEARING
AND REHEARING EN BANC
Before REAVLEY, GARZA, and DENNIS, Circuit Judges.
PER CURIAM:
Treating the suggestion for rehearing en banc as a petition for panel
rehearing, it is ordered that the petition for panel rehearing is DENIED. No
member of the panel nor Judge in regular active service of this Court having
requested that the Court be polled on rehearing en banc (Federal Rules of
Appellate Procedure and Local Rule 35), the suggestion for Rehearing En Banc
is DENIED.
No. 06-30168
In his petition, House contends, among other things, that we erred when we concluded
that the benefits American United Life Insurance Co. was required to pay him for his partial
disability terminated in February 2002 when the policy was terminated. See House v. Am.
United Life Ins. Co., ___ F.3d ___,
2007 WL 2473310, at *9 (5th Cir. Sept. 4, 2007). House
argues that we should have examined his claim under LA. STAT. § 22:215(A)(1)(d), which
covers group health insurance policies specifically, instead of examining his claim under §
22:213(B)(7), which covers insurance policies generally. The result is the same, however,
under either section because the termination of the insurance policy did not prejudice any
benefits House had accrued under the policy. Compare LA. STAT. § 22:215(A)(1)(d) (noting
that the “modification, amendment, or cancellation” of a group health insurance policy “shall
be without prejudice to any claim for benefits accrued” and noting that benefits accrued
“shall be as defined and limited by the terms of the policy”) with § 22:213(B)(7) (noting that
the “cancellation” of the policy “shall be without prejudice to any claim for benefits accrued”
and noting that benefits accrued “shall be as defined and limited by the terms of the policy”).
The only benefit House accrued under the policy was the right to receive payment for his
partial disability until the policy was terminated. Thus, once the policy was terminated in
February 2002, by the policy’s terms, House was no longer entitled to payment for his partial
disability. Accordingly, the termination of the policy did not prejudice any benefit House
had accrued.
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No. 06-30168
DENNIS, Circuit Judge, dissenting from the denial of panel rehearing:
I respectfully dissent from the refusal to rehear this case for the reasons assigned in my
dissenting opinion.
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