Fidelity & Guaranty Life Insurance Company v. Patricia Dupree Brooks

Case: 14-11546 Date Filed: 09/18/2014 Page: 1 of 8
[DO NOT PUBLISH]
IN THE UNITED STATES COURT OF APPEALS
FOR THE ELEVENTH CIRCUIT
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No. 14-11546
Non-Argument Calendar
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D. C. Docket No. 4:12-cv-00230-HLM
FIDELITY & GUARANTY LIFE INSURANCE COMPANY,
f.k.a. OM Financial Insurance Company,
Plaintiff - Counter Defendant – Appellee,
versus
PATRICIA DUPREE BROOKS,
a.k.a. Pat Brooks-Dupree,
Defendant - Cross Claimant -
Counter Claimant - Cross Defendant -
Appellant,
CARLA RICHELLE KEITH BARTON,
RICHARD C. KEITH, JR.,
Defendants - Cross Defendants -
Cross Claimants,
OWEN FUNERAL HOME,
Defendant.
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Appeal from the United States District Court
for the Northern District of Georgia
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(September 18, 2014)
Before TJOFLAT, ANDERSON, and DUBINA, Circuit Judges.
PER CURIAM:
Appellant, Patricia Dupree Brooks (“Brooks”), appeals the district court’s
order granting summary judgment to Fidelity & Guaranty Life Insurance Company
(“Fidelity”), on Fidelity’s declaratory judgment action regarding its obligation
under a life insurance policy accidental death rider provision. We affirm.
I. BACKGROUND
On December 11, 2000, Fidelity issued a term life insurance policy to
Richard Keith (“Keith”), which contains a rider that provides an accidental death
benefit of $250,000. The rider provides in relevant part that the insurer will pay
the rider’s benefit to the beneficiary of the policy “if the insured’s death occurs . . .
[d]irectly and independently of all other causes as a result of accidental bodily
injury.” [R. Doc. 118-2.] The rider excludes benefits if “death results directly or
indirectly from . . . suicide . . . [or the v]oluntary taking of drugs, narcotics,
barbiturates, and sedatives, unless, as prescribed by a physician.” [Id.]
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On May 15, 2012, Keith purchased a 90-day supply of zolpidem, 10 mg.,
that his treating physician, Dr. Lee Battle, prescribed. The prescription directed
Keith to take one zolpidem per day at bedtime, for sleep. On June 14, 2012, Keith
filled a prescription from Dr. Battle for a 90-day supply of tramadol, 2.75 mg.
This prescription directed Keith to take one tablet every six to eight hours, as
needed for pain. Keith died between 10:00 p.m. on July 22, 2013, and 9:45 a.m. on
July 23, 2013. Brooks found Keith inside his garage with the car’s engine running.
The county coroner conducted an autopsy of Keith, and as part of the
autopsy, the coroner obtained blood samples from Keith and had those samples
analyzed in a laboratory for the presence of narcotics. The autopsy reports that
Keith’s cause of death was “automobile exhaust inhalation” and lists the manner of
death as “suicide.” [Id.] The death certificate indicates the same cause and manner
of death. The toxicology report indicates that Keith’s blood tested positive for
tramadol, 2.8 mg. and for zolpidem, 3.0 mg. These levels exceed therapeutic
dosages. According to Fidelity, these levels were ten times the prescribed dosages.
Robert Bennett, Ph.D., Brook’s expert, testified that post-mortem
redistribution could have skewed the toxicology levels found at autopsy; however,
he did not dispute that Keith failed to take the medicines as prescribed. Fidelity’s
expert, Dr. Stephen Munday, agreed, but opined that no post-mortem redistribution
could account for Keith’s toxicology levels being 10 times the prescribed dosages
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for such medications. Dr. Munday further opined that Keith’s over-dosage led to
substantial central nervous system depression and contributed to his ultimate death
by carbon monoxide poisoning. [Id.] Dr. Battle agreed with Dr. Munday that the
over-dosage contributed to Keith’s death.
In October 2012, Fidelity filed a two-count complaint against Brooks, Owen
Funeral Home, and Keith’s surviving children. In Count One, Fidelity sought to
interplead the $250,000 life insurance death benefit under the policy to resolve the
various competing death benefit claims of Brooks, the funeral home, and the
insured’s children. In Count Two, Fidelity sought a declaratory judgment holding
that Fidelity did not owe a benefit under the policy’s accidental death benefit rider.
The district court approved a consent final order presented by the parties and
dismissed the insured’s children and the funeral home from the action.
Subsequently, Fidelity filed a motion for summary judgment as to Count Two, and
Brooks filed a response and also filed a motion for partial summary judgment.
Fidelity responded to Brooks’s motion, but Brooks did not file a reply. In March
2014, the district court entered a final order denying Brooks’s motion and granting
summary judgment in favor of Fidelity. Brooks then perfected this appeal.
II. ISSUE
Whether the district court erred in granting summary judgment to Fidelity on
its declaratory judgment action.
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III. DISCUSSION
On appeal, Brooks contends that the policy’s exclusion is ambiguous and,
therefore, the district court erred in granting summary judgment to Fidelity. We
review de novo the district court’s grant of summary judgment, and we apply the
same legal standards that guided the district court’s decision. Giddens v. Equitable
Life Assurance Soc’y of the United States, 445 F.3d 1286, 1292 n. 4 (11th Cir.
2006).
Georgia law provides that “[t]he construction of a contract is a matter of law
for the court.” OCGA § 13-2-1. “Under Georgia law, the rights of the parties to an
insurance policy should not be expanded beyond the terms of the policy.”
Giddens, 445 F.3d at 1297. A court construing an insurance policy must attempt
“to ascertain the intention of the parties by looking to the insurance contract as a
whole.” Ryan v. State Farm Mut. Auto. Ins. Co., 261 Ga. 869, 872, 413 S.E.2d
705, 707 (Ga. 1992). In determining the intention of the parties and applying the
rules of construction to an insurance contract, the court should give a term or
phrase in the contract its ordinary and common meaning. Claussen v. Aetna Cas.
& Surety Co., 259 Ga. 333, 334, 380 S.E.2d 686, 687‒88 (Ga. 1989). “Where the
language of the contract is unambiguous and only one reasonable interpretation is
possible, the contract must be enforced as written.” Giddens, 445 F.3d at 1297.
However, if the language of the contract is ambiguous, the court must construe the
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language in favor of the insured and against the insurer. Id. “A word or phrase is
ambiguous when it is of uncertain meaning and may be fairly understood in more
ways than one.” Barnes v. Greater Ga. Life Ins. Co., 243 Ga. App. 149, 150, 530
S.E.2d 748, 750 (Ga. App. 2000).
Brooks contends that the language in the policy, “unless, as prescribed by a
physician,” is ambiguous because it could mean either taking medication that has
been prescribed by a doctor, or taking medication in the amount which the doctor
prescribed. Brooks asserts that, in order to support Fidelity’s interpretation, the
word “taken” should be added to the language, and to support her interpretation,
phrases such as “such drug” or “such medication” should be supplied, so that the
ambiguous clause states “unless such medication as prescribed by a physician.”
Brooks relies on Edwards v. Monumental Life Ins. Co., 812 F. Supp. 2d 1263 (D.
Kan. 2011), to support her position.
We agree with the district court that there is no ambiguity in the policy’s
death rider exclusion. The exclusion provides, in relevant part, that no benefit will
be paid for death which results directly or indirectly from the voluntary taking of
drugs, narcotics, barbiturates, or sedatives, unless, as prescribed by a physician.
The term, “as prescribed by a physician,” is capable of only one reasonable
meaning: that the drug must be both prescribed by a physician and taken as
directed by the instructions on the prescription. The language cannot fairly be
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understood in any different way. See Barnes, supra. Contrary to Brooks’s
argument, the district court did not err in failing to add words or phrases to the
language of the exclusionary provision because the language was not ambiguous.
When there is no ambiguity and only one reasonable interpretation of the contract
is possible, the court must enforce the contract as written. See Giddens, 445 F.3d
at 1297.
Moreover, Brooks’s reliance on Edwards is misplaced. The policy language
in Edwards provided that the insurer would deny benefits to an insured for “a Loss
which is caused by, results from, or contributed to by . . . taking of any drug,
medication, narcotic or hallucinogen,” 812 F. Supp. 2d at 1271, differs from the
policy language at issue here. Furthermore, the Edwards court relied on circuit
precedent for its conclusion. Id. at 1273. Although the district court in Edwards
found the policy language ambiguous under Kansas law, the district court in this
case found that under Georgia law of contract interpretation, the Fidelity policy
death rider exclusion is not ambiguous. Brooks does not present a cogent
argument that the district court erred under Georgia law in its interpretation. Thus,
we conclude that the district court’s interpretation in the present case was correct.
IV. CONCLUSION
Under the clear and unambiguous language in Fidelity’s insurance policy
death rider exclusion, we conclude that the district court correctly found that there
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is no coverage under the policy’s accidental death benefit rider. Accordingly, we
affirm the district court’s order granting summary judgment to Fidelity.
AFFIRMED.
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