Dartmouth-Hitchcock Clinic v. United States Life Insurance Company in the City of New York ( 2002 )


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  •          [NOT FOR PUBLICATION - NOT TO BE CITED AS PRECEDENT]
    United States Court of Appeals
    For the First Circuit
    _________________
    No. 02-1097
    DARTMOUTH-HITCHCOCK CLINIC AND
    HITCHCOCK CLINIC, INC.,
    Plaintiffs, Appellants,
    v.
    UNITED STATES LIFE INSURANCE COMPANY
    IN THE CITY OF NEW YORK,
    Defendant, Appellee.
    ____________________
    APPEAL FROM THE UNITED STATES DISTRICT COURT
    FOR THE DISTRICT OF NEW HAMPSHIRE
    [Hon. Steven J. McAuliffe, U.S. District Judge]
    ____________________
    Before
    Torruella and Lipez, Circuit Judges,
    and Schwarzer,* Senior District Judge.
    ____________________
    Ronald L., Snow, with whom Jennifer A. Eber was on brief, for
    appellants.
    William C. Nystrom, with whom Irwin B. Schwartz, Robert R.
    Lucic and Elizabeth A. Bailey were on brief for appellee.
    ____________________
    July 29, 2002
    ____________________
    *
    The Honorable William W Schwarzer, Senior United States
    District Judge for the Northern District of California, sitting by
    designation.
    Per Curiam.
    I.
    Dartmouth-Hitchcock Clinic and Hitchcock Clinic, Inc.
    (Hitchcock)     brought   this     action    against     United   States     Life
    Insurance Company (USLife) for injunctive and other relief against
    cancellation     by   USLife     of    two   insurance    policies     covering
    Hitchcock’s employees.1        USLife moved for summary judgment on three
    grounds: that the policy gave USLife the absolute right to cancel
    the policy on any anniversary date after the first, that it was
    undisputed    that    USLife    gave   Hitchcock   no     assurances    to    the
    contrary, and that the policy prohibited the agents of USLife from
    changing the terms of the policy without written authorization from
    USLife and none had been given.
    Hitchcock opposed the summary judgment motion on three
    grounds: that whether USLife's agents had authority to vary the
    terms of the policy raised triable issues of fact, that as a matter
    of law the three-year rate guarantee from one such agent gave
    Hitchcock coverage for that period of time, and that as a matter of
    law the request for change of plan (extending the three-year rate
    guarantee) was binding on USLife.
    The district court granted USLife’s motion on the ground
    that the policy unambiguously reserved to USLife the right to
    1
    Because both policies contain identical terms and the
    district court and the parties treat them as a single policy, we do
    the same.
    -2-
    cancel   the   policy   on   any    anniversary     date    after   the   first
    notwithstanding the extension of a rate guarantee to Hitchcock.
    Hitchcock then moved for reconsideration under Federal Rule of
    Civil Procedure 59 on various grounds, none of which included an
    assertion that ambiguity in the policy raised a triable issue of
    fact.    The court denied the motion.
    Hitchcock now appeals from the judgment, contending for
    the first time that ambiguities in the policy raised disputed
    issues of fact entitling it to trial.          Hitchcock did not advance
    this contention in its opposition to USLife’s motion for summary
    judgment or in its motion for reconsideration.               Because of this
    failure and the absence of "extraordinary circumstances," which
    Hitchcock does not claim to exist, we affirm.              Clauson v. Smith,
    
    823 F.2d 660
    , 666 (1st Cir. 1987); see also Landrau-Romero v. Banco
    Popular de Puerto Rico, 
    212 F.3d 607
    , 612 (1st Cir. 2000); United
    States v. Zannino, 
    895 F.2d 1
    , 17 (1st Cir. 1990).2
    II.
    Our   affirmance    on    the    basis   of     our   long-standing
    forfeiture doctrine visits no prejudice on Hitchcock because its
    position is wholly without merit. USLife issued a group disability
    2
    Hitchcock also appeals from the district court’s denial of
    its Rule 56(f) motion. Fed. R. Civ. P. 56(f). It asserts error
    because of ambiguities in the policy. We reject the assertion both
    because it is barred by waiver, as noted above, and because
    Hitchcock cites us to no abuse of discretion. Pub. Serv. Co. of
    N.H. v. Hudson Light & Power, 
    938 F.2d 338
    , 346 (1st Cir. 1991).
    -3-
    insurance    policy     to    the   University       Physicians       Trust    (Trust).
    Hitchcock was one of a number of participating employers who had
    entered into agreements with the Trust, entitling it to selected
    coverage provided by the policy.                 The policy described available
    benefits and options, setting out general provisions, exclusions,
    and means by which coverage could be terminated.                   With respect to
    the latter, the policy provided that “USLife reserves the right to
    end this policy on any policy anniversary after the first.”                           The
    rights under the policy of each participating employer such as
    Hitchcock were further defined in discrete plans of insurance by
    which that employer obtained coverage under the policy.                               The
    particular        employer’s    plan      specifies     the     premium       for     that
    employer’s coverage and varies with the coverages elected.
    Hitchcock’s        dealings      with    respect     to    its     plan    of
    insurance were entirely with Medical Group Financial Services, Inc.
    (MGFS), the settlor and Trust administrator.                     It had no direct
    contact with USLife.           In December 1997, MGFS offered Hitchcock a
    new premium rate under its plan of insurance “guaranteed for three
    years,” to end on December 31, 2000.                On December 21, 1998, USLife
    notified MGFS that the policy would be canceled on the next
    anniversary date, July 1, 1999.
    We    agree     with   the    district     court    that     the       policy
    unambiguously gave USLife the right to cancel the policy on any
    anniversary date after the first.                 The rate guarantee, on which
    -4-
    Hitchcock would hang its hat, was the product of a wholly unrelated
    transaction, to wit, MGFS’s negotiation of rates with Hitchcock
    under the particular plan of insurance by which it secured coverage
    under the policy. The policy deals specifically with the effect of
    rate guarantees on USLife’s rights under the policy.   It provides
    that USLife may change a premium on the day following the rate
    guarantee date specified in an employer’s plan of insurance. Thus,
    the policy unambiguously spells out USLife’s obligation under the
    policy: it must provide coverage at the agreed-upon rate for the
    period of the rate guarantee unless it cancels the (entire) policy
    at the next anniversary date.    Given these specific provisions,
    nothing in the policy gives rise to an issue whether Hitchcock’s
    rate guarantee under its plan modified USLife’s right to terminate
    the policy.
    Affirmed.
    -5-
    

Document Info

Docket Number: 02-1097

Judges: Torruella, Lipez, Schwarzer

Filed Date: 7/29/2002

Precedential Status: Precedential

Modified Date: 11/5/2024