Reynolds v. United of Omaha ( 1998 )


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  • UNPUBLISHED
    UNITED STATES COURT OF APPEALS
    FOR THE FOURTH CIRCUIT
    CHRISTINA A. REYNOLDS,
    Plaintiff-Appellant,
    v.
    No. 98-1389
    UNITED OF OMAHA LIFE INSURANCE
    COMPANY,
    Defendant-Appellee.
    Appeal from the United States District Court
    for the Eastern District of Virginia, at Alexandria.
    Claude M. Hilton, Chief District Judge.
    (CA-97-1050-A)
    Argued: October 28, 1998
    Decided: December 7, 1998
    Before NIEMEYER and MICHAEL, Circuit Judges, and
    BOYLE, Chief United States District Judge for the
    Eastern District of North Carolina, sitting by designation.
    _________________________________________________________________
    Affirmed by unpublished per curiam opinion.
    _________________________________________________________________
    COUNSEL
    ARGUED: J. Charles Curran, KIDWELL, KENT & CURRAN, Fair-
    fax, Virginia, for Appellant. Robert William Hesselbacher, Jr.,
    SEMMES, BOWEN & SEMMES, Baltimore, Maryland, for Appel-
    lee. ON BRIEF: Harold Kent Kidwell, KIDWELL, KENT & CUR-
    RAN, Fairfax, Virginia, for Appellant.
    _________________________________________________________________
    Unpublished opinions are not binding precedent in this circuit. See
    Local Rule 36(c).
    _________________________________________________________________
    OPINION
    PER CURIAM:
    Christina A. Reynolds (Reynolds) appeals the district court's grant
    of United of Omaha Life Insurance Company's motion for summary
    judgment. The underlying claim was Reynolds' suit seeking benefits
    under four life insurance policies issued by United of Omaha Life
    Insurance Company (United) to her late father, James H. Powell.
    United refused to pay benefits on these policies on the grounds that
    Powell had deceived United when applying for the policies.
    In May of 1995, Powell met with a United agent and applied for
    a life insurance policy. In his application, Powell answered "no" to
    questions asking whether he had received medical care for or had sei-
    zures, convulsions, paralysis, stroke, mental disorder, emotional dis-
    order, or brain disease in the past five years. He also answered "no"
    to a question asking if he had been examined or received medical care
    for any other mental or physical disorder or bodily injury in the past
    five years. Powell also stated that he had not had or received medical
    care for any respiratory disorder in the ten years prior to applying for
    life insurance.
    United also conducted a telephone interview with Powell, which
    produced a report that was largely consistent with Powell's applica-
    tion. United requested various medical records in May, and again in
    August, of 1995. The information received in the medical records was
    generally consistent with Powell's application. However, on August
    24, 1995, United received a report which indicated that Powell had
    told his doctor that "he was involved as a guard in the assassination
    of President Kennedy in France(?)," and records indicated that Powell
    had a history of hypertension and pneumonia. Meanwhile, Powell had
    applied for a second life insurance policy from United, which was
    issued on September 4, 1995, after an August 26, 1995 paramedical
    inspection of Powell produced statements from Powell consistent with
    his earlier applications.
    2
    On October 1, 1995, Powell applied for two additional life insur-
    ance policies from United. Based upon these applications, which were
    virtually identical to Powell's earlier applications, United issued these
    policies later in October 1995.
    Powell died of respiratory arrest caused by multiple myeloma and
    chronic obstructive lung disease on May 26, 1996. Reynolds made
    demand for benefits under United's four insurance policies on Pow-
    ell's life on July 10, 1996. On December 30, 1996, United informed
    Reynolds that a claim investigation had revealed that Powell had been
    treated for significant and long-standing mental health problems,
    which were not disclosed on the insurance applications or revealed by
    United's investigations. United went on to state that the four policies
    in question would not have been issued to Powell had United been
    aware of Powell's conditions and treatment at the time of application.
    United declared the policies void from the date of inception, denied
    Reynolds' claim, and issued a check refunding the premiums paid on
    the policies.
    Reynolds concedes that Powell, in spite of his statements made to
    United, had a long history of serious mental illness (diagnosed as
    either schizophrenia or bipolar disorder), and had been hospitalized
    numerous times in the five years before applying for life insurance
    from United, and as recently as July 1995. Reynolds also acknowl-
    edges that the answers to some health questions on Powell's applica-
    tions for life insurance were untrue as a matter of fact.
    However, Reynolds argues that United should not have relied on
    Powell's false statements to United. According to Reynolds, the
    inconsistencies in the information United received should have put it
    on notice of Powell's untrue statements. Reynolds points out that
    Powell named a different treating physician on August 26, 1995 than
    he had in earlier applications. Reynolds also points to the scrawled
    statement in one of the Doctor's reports that United received stating
    that Powell said he had been involved as a guard in"President Kenne-
    dy's assassination in France(?)" The district court found that United
    had no general duty to go beyond the face of Powell's statements to
    determine that they were accurate. In making this finding, the district
    court relied upon well established Virginia law. See Parkerson v. Fed-
    eral Home Life Ins. Co., 
    797 F.Supp. 1308
    , 1315 (E.D. Va. 1992).
    3
    Reynolds also argues that United was in possession of information
    contradictory to that in Powell's applications, took no action, and thus
    was estopped from relying on Powell's representations. Furthermore,
    Reynolds states, as United had begun its own independent investiga-
    tion, United was bound by what it should have discovered had it com-
    pleted the investigation.
    However, the district court found that the few discrepancies
    between Powell's medical records and his applications and statements
    were not sufficient to put United on notice. Certainly, United was
    under no duty to investigate, as "it would be a strained result indeed
    that would place the burden not on the applicant to reveal the truth,
    but on the insurer to discover it." Rutherford v. John Hancock Life
    Ins. Co., 
    562 F.2d 290
    , 294 (4th Cir. 1977).
    Upon review of the briefs and the record, and after consideration
    of oral arguments, we conclude that the district court was correct in
    granting United's motion for summary judgment. Accordingly, we
    affirm the judgment of the district court for the reasons stated in its
    memorandum opinion. See Reynolds v. United of Omaha Life Ins.
    Co., CA No. 97-1050-A (E.D.Va. February 9, 1998).
    AFFIRMED
    4
    

Document Info

Docket Number: 98-1389

Filed Date: 12/7/1998

Precedential Status: Non-Precedential

Modified Date: 4/17/2021