Elawyers Elawyers
Washington| Change

Mary G. Yang v. Farmers New World Life Ins., 17-1895 (2018)

Court: Court of Appeals for the Eighth Circuit Number: 17-1895 Visitors: 40
Filed: Aug. 03, 2018
Latest Update: Mar. 03, 2020
Summary: United States Court of Appeals For the Eighth Circuit _ No. 17-1895 _ Mary G. Yang lllllllllllllllllllllPlaintiff - Appellee v. Farmers New World Life Insurance Company lllllllllllllllllllllDefendant - Appellant _ Appeal from United States District Court for the District of Minnesota - Minneapolis _ Submitted: June 14, 2018 Filed: August 3, 2018 _ Before WOLLMAN, ARNOLD, and KELLY, Circuit Judges. _ ARNOLD, Circuit Judge. In May, 2003, Minnesota resident May Yang applied to Farmers New World Lif
More
                  United States Court of Appeals
                             For the Eighth Circuit
                         ___________________________

                                 No. 17-1895
                         ___________________________

                                    Mary G. Yang

                         lllllllllllllllllllllPlaintiff - Appellee

                                            v.

                   Farmers New World Life Insurance Company

                        lllllllllllllllllllllDefendant - Appellant
                                        ____________

                     Appeal from United States District Court
                    for the District of Minnesota - Minneapolis
                                   ____________

                              Submitted: June 14, 2018
                               Filed: August 3, 2018
                                   ____________

Before WOLLMAN, ARNOLD, and KELLY, Circuit Judges.
                         ____________

ARNOLD, Circuit Judge.

        In May, 2003, Minnesota resident May Yang applied to Farmers New World
Life Insurance Company for a life-insurance policy it sold only to people under age
sixty. In her application, Yang said she was born on July 11, 1943, and was thus fifty-
nine years old, providing a Laotian birth certificate as proof. Farmers issued her the
policy later that month under a contract containing the two provisions at issue in this
appeal. One provision states that Farmers "will not contest this policy after it has been
in force for two years . . . except for nonpayment of premiums." The other provides
that "[i]f the insured's age or sex was misstated, the amount payable will be that
which the premiums paid would have purchased at the correct age or sex."

       In 2014, Mary Yang ("Mary," to avoid confusion with the insured) filed a claim
with Farmers for the policy's $150,000 death benefit, asserting that she was Yang's
beneficiary and submitting as proof of Yang's demise a Laotian death certificate that,
like the birth certificate, stated that Yang was born in July, 1943. But when Farmers
verified Yang's social-security number, it learned the Social Security Administration
had a much earlier birth date for her (May 27, 1933), which would have made her
almost seventy years old when she applied for the policy and thus ineligible for it.
Invoking the policy's misstatement-of-age clause, Farmers refused to award Mary the
death benefit, but instead refunded Yang's premiums with interest.

        Mary sued Farmers in Minnesota state court, claiming that Farmers violated its
contract with Yang when it declined to award Mary the death benefit. She alleged that
Yang gave Farmers her real birth date in applying for the policy and, if she did not,
Farmers could not "rescind" the policy due to her misstatement of age. After Farmers
removed the case to federal district court, both parties moved for summary judgment.
In her motion, Mary argued that Yang was erroneously assigned May 27, 1933, as her
birth date when she immigrated to the United States and that her birth date was
actually July 11, 1943. In its cross-motion, Farmers argued Yang's birth date was May
27, 1933, since that date appears not only on all of her federal and state identification
documents (including her passport, certificate of naturalization, and Minnesota ID),
but also on her application to a different life-insurance company for a different policy.
Farmers also questioned the authenticity and reliability of the Laotian documents that
stated that Yang was born in 1943: When the beneficiary of her other policy applied
for its benefit, she submitted a different Laotian death certificate that reported that
Yang was eighty-one years old in 2014, placing the year of her birth in or around

                                          -2-
1933. The parties also disputed whether the incontestability provision in Yang's
policy precluded Farmers from even invoking the misstatement-of-age clause.

       Acknowledging that neither party had "focused" its arguments on the policy's
incontestability provision, the district court granted summary judgment to Mary and
denied it to Farmers on the ground that that provision barred Farmers from enforcing
the misstatement-of-age clause. The district court reasoned that if Farmers could
adjust Yang's age upwards by ten years under the misstatement clause, the policy's
death benefit would be reduced to zero since she would be ineligible for it; and so,
by invoking the misstatement clause, the district court held, "Farmers is effectively
challenging the validity of the Policy due to a misstatement in the application[,] . . .
a type of challenge the incontestability provision is designed to prohibit." The district
court did not identify the relief it was granting Mary, but we assume that its judgment
required Farmers to award her the policy's $150,000 benefit. Farmers appeals from
that judgment, and we reverse in part.

       Farmers asserts that the district court should have granted it summary judgment
rather than Mary. The parties agree that Minnesota law applies to this diversity action
for breach of an insurance contract. We review the district court's summary-judgment
decision, including its interpretation of the contract and state law, de novo. See
Welspun Pipes, Inc. v. Liberty Mut. Fire Ins. Co., 
891 F.3d 351
, 353 (8th Cir. 2018);
HIP, Inc. v. Hormel Foods Corp., 
888 F.3d 334
, 338 (8th Cir. 2018).

       Although Minnesota law requires every life-insurance policy issued in the state
to provide that it will be incontestable after two years, see Minn. Stat. § 61A.03(1)(c),
and that the "amount payable" under it "will be the amount the premium would have
purchased at the [insured's] correct age" if her age has been "understated," see 
id. § 61A.03(1)(e),
it appears that the Minnesota Supreme Court has not yet decided how
those provisions interact. We are not, however, without guidance from that court on
the matter. Because insurance policies are contracts, they are interpreted using general

                                          -3-
principles of contract law. Linn v. BCBSM, Inc., 
905 N.W.2d 497
, 504 (Minn. 2018).
It is a "basic rule" of contract law "that courts must interpret a contract so as to give
effect to all of its provisions." Metro. Airports Comm'n v. Noble, 
763 N.W.2d 639
,
645 (Minn. 2009). A policy will therefore not be construed in a manner that "entirely
neutralizes one provision . . . if the contract is susceptible of another construction
which gives effect to all its provisions and is consistent with the general intent" as
reflected in the policy as a whole. Eng'g & Constr. Innovations, Inc. v. L.H. Bolduc
Co., 
825 N.W.2d 695
, 705 (Minn. 2013). We conclude that the district court erred
when it interpreted the incontestability and misstatement clauses in Yang's policy in
a way that resulted in the former wholly neutralizing the latter.

       Since Farmers does not dispute the district court's ruling that Yang's policy was
incontestable, we assume that Farmers could no longer contest it. The question then
is whether Farmers contested the policy when it applied the policy's misstatement-of-
age clause to adjust the death benefit to zero dollars. But to state the question is to
answer it: Since the adjustment based on Yang's alleged misstatement of age occurred
under a term of her policy setting what "the amount payable will be," the adjustment
did not contest the policy, it enforced it. Nothing in the policy indicates that the
clause applies only where the policy is contestable or its adjustment reduces but does
not eliminate the benefit. The language of the clause is unambiguous about its scope.
It applies, without apparent exception, whenever the insured's age was misstated.

      Because the plain language of the misstatement-of-age clause admits of no
exception, we may not "rewrite, modify, or limit its effect by a strained construction."
Storms, Inc. v. Mathy Constr. Co., 
883 N.W.2d 772
, 776 (Minn. 2016). It is irrelevant
that adjusting the policy's benefits under the clause may result in their complete
elimination. So long as the elimination occurs pursuant to the policy's terms, it "is not
a contest of the validity of the insurance contract but instead is a recognition of its
terms." 29-178 Appleman on Insurance Law & Practice § 178.03[C][4] (2d ed. 2011).



                                          -4-
The district court erred in holding that the misstatement clause does not apply where,
as here, it might (or would) reduce the benefits of an incontestable policy to zero.

       Mary observes nonetheless that when Farmers decided that Yang was ineligible
for her policy, it did not simply adjust the benefits under her policy's misstatement-of-
age clause, it eliminated them. "If that is not a 'contest' of a policy," she asserts,
"nothing is." It appears that the district court, in granting summary judgment to Mary,
accepted a version of this argument, reasoning that since the age adjustment Farmers
advocated would take Yang "outside the scope of [her] policy altogether," the
adjustment was "effectively challenging" the policy instead of applying it. The
difficulty with that reasoning is that it is results-oriented. The test of whether an act
contests a policy is not the outcome it produces, but whether it reaches that outcome
by seeking to cancel the policy or to enforce it. See Yang v. Western-Southern Life
Assur. Co., 
713 F.3d 429
, 435 (8th Cir. 2013).

        The district court relied primarily on Amica Life Insurance Co. v. Barbor, 
488 F. Supp. 2d 750
(N.D. Ill. 2007), for its holding. In Amica, the court, applying Illinois
law, did not dispute that normally "the application of an age adjustment provision is
not a contest of the policy within an incontestability provision." 
Id. at 759.
The Amica
court ruled, however, that an age adjustment becomes a contest when it would not
merely diminish the policy's benefits, but "void them altogether." 
Id. Whatever the
merits of that ruling may be as a matter of Illinois law, it is wrong under Minnesota
law since the misstatement-of-age provision here—like the one in Amica, see 
id. at 753
n.2—admits of no distinctions based on the amount of benefits payable, if any,
following the age adjustment. See Storms, 
Inc., 883 N.W.2d at 776
. If it so happened
that an age adjustment could count as a contest of the policy, Minnesota law would
still require us to enforce it as an exception to the more general incontestability
provision. See Bank Midwest v. Lipetzky, 
674 N.W.2d 176
, 181 n.8 (Minn. 2004); see
also Kersten v. Minn. Mut. Life Ins. Co., 
608 N.W.2d 869
, 873 (Minn. 2000).



                                          -5-
       Mary also contends that Yang's representation of her age in the life-insurance
application is "valid and binding upon" Farmers under Minn. Stat. § 61A.11. But that
statute applies only if Yang's representation was not "willfully false or intentionally
misleading" and also if Farmers issued her the policy "without previous medical
examination." See Minn. Stat. § 61A.11. We cannot say on this record that § 61A.11
applies here as a matter of law: Farmers asserts that it examined Yang in conjunction
with issuing her policy, and a factfinder could reasonably infer that if she misstated
her birth year by a full decade on an application for insurance that she was otherwise
ineligible for, she was being willfully false or intentionally misleading.

       Mary contends as well that we should deem "the entirety of the misstatement
provision" in Yang's policy "void" since it covers misstatements of both age and sex,
whereas Minnesota law requires it to cover only misstatements of age. See Minn. Stat.
§ 61A.03(1)(e). This argument is spurious. Misstatements of sex are not at issue here.
Mary does not explain why parties to a policy, who may "contract as they desire," see
Pepper v. State Farm Mut. Auto. Ins. Co., 
813 N.W.2d 921
, 927 (Minn. 2012), may
not agree to a misstatement-of-sex provision. In any event, even if the misstatement
clause here conflicted with a statutory mandate, Minnesota law would not void it, but
sever its offending part so that it would provide "the level of coverage provided for
in the statute." See Brua v. Minn. Joint Underwriting Ass'n, 
778 N.W.2d 294
, 305
(Minn. 2010). There is no reason why Farmers may not enforce the clause.

       Although the plain language of the policy decides this case, we observe that the
district court's imposition of a limitation on the misstatement-of-age clause would
lead to perverse consequences. For example, if age adjustments were enforced under
a policy until they completely eliminated the payment of benefits, a beneficiary would
receive increasingly reduced benefits as the insured's misstatements of age became
more severe; but once the misstatement became so egregious that the beneficiary
should receive no benefits, the limitation would force the insurer to award her full
benefits instead. Under that rule, people seeking to defraud an insurer by understating

                                         -6-
the age of the insured would have a powerful incentive to direct the insured to buy
a policy she is ineligible for at her age. Nothing requires us to introduce that kind of
asymmetry into the life-insurance market.

       In holding that the policy's incontestability provision does not preclude an age
adjustment that eliminates the payment of benefits, we express no opinion on whether
the adjustment Farmers advocates would actually result in an elimination. The district
court assumed that it would since the age adjustment would make Yang ineligible for
her policy, but the misstatement-of-age clause provides only that "the amount payable
will be that which the premiums paid would have purchased at the correct age." The
district court might have been correct to assume that the amount payable post-
adjustment would be the benefits due under the insured's policy and premiums at her
age if she was eligible for the policy. But it is not apparent from the language of the
clause, which appears to derive from the statutory requirement set forth in Minn. Stat.
§ 61A.03(1)(e), that the amount payable is limited to the benefits available under the
policy the insured actually purchased if she was ineligible for it at her age. We leave
this matter to the district court to resolve, if it becomes necessary, on remand.

       Farmers maintains that the district court also erred in denying it summary
judgment on the ground that the record showed as a matter of law that Yang was born
in 1933. The record, however, was hardly univocal on that score. Although Farmers
recognizes that Mary presented "evidence . . . supporting the 1943 birth year," it
asserts that her evidence was "clearly contradicted" by its own, which included, it
further asserts, admissions by Yang that she was born in 1933. But the fact that Yang
apparently sometimes said she was born in 1933 does not resolve the dispute over her
birth date, it creates it. The district court therefore correctly held that "the conflicting
evidence in this case prohibits summary judgment" as to Yang's date of birth.




                                            -7-
      We affirm the district court's denial of summary judgment to Farmers, but
reverse its grant of summary judgment to Mary Yang and remand the case for further
proceedings.
                        ______________________________




                                       -8-

Source:  CourtListener

Can't find what you're looking for?

Post a free question on our public forum.
Ask a Question
Search for lawyers by practice areas.
Find a Lawyer