Johnson v. American Modern Home Insurance Company

IN THE SUPERIOR COURT OF THE STATE OF DELAWARE
DON L. JOHNSON, : C.A. No. K20A-03-002 WLW
Plaintiff-below,
Appellant,
Vv.
AMERICAN MODERN HOME
INSURANCE COMPANY,
Defendant-below,
Appellee.
Submitted: October 2, 2020
Decided: January 26, 2021
ORDER
Upon an Appeal from the Decision
Of the Court of Common Pleas.
Affirmed.
Gary E. Junge, Esquire of Schmittinger & Rodriguez, P.A., Dover, Delaware;
attorney for Appellant.
William A. Crawford, Esquire and Michael P. Torrice, Esquire of Franklin &
Prokopik, Newark, Delaware; attorneys for Appellee.
WITHAM, R.J.
Don Johnson v. American Mod. Home Ins. Co.
C.A. No. K20A-03-002 WLW
January 26, 2021
Pending before the Court is an appeal filed by Appellant-Plaintiff Below,
Don Johnson (hereafter “Johnson”), seeking reversal of the March 6, 2020,
decision by the court below in favor of the Appellee-Defendant Below, American
Modern Home Ins. Co. (hereafter “AMHIC”). Johnson’s appeal is based on the
court below committing legal error. This Court has considered the briefs of both
parties, the decision of the court below, and affirms the court below.
Facts and Procedural Background
This case began when Johnson purchased insurance for a manufactured
home on March 11, 2016. The manufactured home was used by Johnson as rental
property, and on March 17, 2016, AMHIC issued an insurance policy to Johnson
for the home and backdated it to March 11, 2016. On April 18, 2016, the
manufactured home was burned to the extent of being declared a total loss. As a
result, on April 20, 2016, Johnson submitted a claim to AMHIC. AMHIC then
opened an investigation that resulted in denying Johnson's claim on October 18,
2016. AMHIC's explanation for the denial was that Johnson had misrepresented a
material fact when applying for insurance and that the policy would be rescinded
on those grounds.' Johnson filed his claim with the court below on March 2, 2017.
This matter came before the Court of Common Pleas for a bench trial on
June 10, 2019. Johnson testified that he applied for an insurance policy over the
phone with an insurance agent of Parris Patten Insurance Agency.” Johnson
1 Johnson v, American Modern Home Ins. Co., C.A. No. CPU5-17-000353 at n. 1 (Del. Com.
Pl. Mar. 6, 2020). Here the Court of Common Pleas cites to question number 5 on the
insurance application as the misrepresentation.
2 Def.'s Reply Brief at 3. The application process for AMHIC insurance was conducted by a
2
Don Johnson v. American Mod. Home Ins. Co.
C.A. No. K20A-03-002 WLW
January 26, 2021
testified that, when asked if he already had insurance on the manufactured home,
he did not. He further testified on direct examination and on cross-examination
that, when he came to the Parris Patten Insurance Agency office to sign the
application, he did not read through it and simply signed the application.
Through testimony, the question at issue pertains to whether Johnson had the
manufactured home insured before applying for insurance coverage from AMHIC.
The testimony indicates that an AMHIC policy would not be issued if the applicant
answered “yes” to the question regarded whether the “dwelling is currently
uninsured.”* At the time Johnson was asked about whether his property was
insured prior to applying for the AMHIC policy, he told the Parris Patten insurance
agent “yeah, I've got L & M.”° This was interpreted by the insurance agent to
mean that Johnson had a policy with a “local area broker.”®
Testimony of AMHIC's quality assurance employee revealed that there was
no reason to conduct a review of Johnson's application because his application did
“not cause an underwriting concern.”’ The quality assurance employee went on to
testify that had the question asking if the property was uninsured been marked
“yes” then the application would have been marked “do not submit in any case,”
meaning that the policy application for which Johnson sought would have been
third-party insurance vendor, Parris Patten.
Johnson, C.A. No. CPU5-17-000353 at 5 — 6.
Id. at 7-8.
Id. at 7.
Id.
Td. at 11.
aH un fb WwW
Don Johnson v. American Mod. Home Ins. Co.
C.A. No. K20A-03-002 WLW
January 26, 2021
denied.’ Finally, the quality assurance employee testified that knowing that a
dwelling has been uninsured for any length of time leading up to a policy
application with AMHIC is a material element in determining whether to issue the
policy.?
After the bench trial, the court below requested closing arguments in writing
from the parties. Johnson filed his closing arguments on July 9, 2019 and AMHIC
filed its closing arguments on August 7, 2019. On October 29, 2019, the court
below notified AMHIC that additional argument would be needed on the issue of
potential damages. AMHIC replied to that request on November 26, 2019. On
December 6, 2019, the court below considered the matter fully argued. The court
below issued its written decision on this matter on March 6, 2020 and Johnson
filed his Notice of Appeal with this Court on March 13, 2020.
Standard of Review
Superior Court Civil Rule 72(a) gives this Court jurisdiction over appeals
“from all commissions, boards, hearing officers under the Personnel Rules of Non-
Judicial Employees, or courts from which an appeal may at any time lie to the
Superior Court to be tried or heard on the record made below.”!? All appeals to
this Court “shall be heard and determined by the Superior Court from the record of
proceedings below.”'' This Court cannot substitute its judgment for that of the
8 Id.
9 Id. at 13.
10 Super. Ct. Civ. R. 72(a).
11 Super. Ct. Civ. R. 72(g).
Don Johnson yv. American Mod. Home Ins. Co.
C.A. No. K20A-03-002 WLW
January 26, 2021
court below if there is substantial evidence supporting the court below's findings.!*
All appeals based on questions of law are reviewed by this Court de novo."
Discussion
Delaware law permits insurers the ability to seek rescission of insurance
policies if information provided by the insured on the application for insurance is a
material misrepresentation that conceals risk to the insurer in accepting the
application.'* Each party, the insurer and the insured, “have a duty to deal with
each other with the utmost fairness...Accordingly, one seeking such insurance
coverage must disclose information concerning material [information] known to
the applicant in order for there to be an enforceable contract.”
The witness testimony before the court below indicates that Johnson
breached this duty to deal fairly with AMHIC because he had personal knowledge
of the material information, failed to ensure that that knowledge was made known
when finalizing his application, and that information was material in approving
Johnson's application for the insurance policy. Johnson argues in his opening brief
that AMHIC waived its right to rescission for misrepresentation because AMHIC
offered a “more generous term of cancellation.”'® Citing to Dickson-Witmer v.
Union Bankers Ins. Co., Johnson argues that, by including the words “to the best of
12 Jones v. Delaware Transit Corp., 2016 WL 594694 at *2 (Del. Super. 2016), citing Levitt v.
Bouvier, 287 A. 2d 671 at 673 (Del. 1972).
13 Jones, at *2.
14 18 Del. C. § 2711.
15 Dickson-Witmer v. Union Bankers Ins. Co., 1994 WL 164554 at *4 (Del. Super. April 27,
1994) quoting American Casualty Company of Reading, Pa. yv. Ford, 187 A. 2d 425 at 427
(Del. Ch. 1963).
16 Appellant's Opening Brief at 9.
Don Johnson v. American Mod. Home Ins. Co.
C.A. No. K20A-03-002 WLW
January 26, 2021
my knowledge and belief’ in the signature bloc on the application, AMHIC
“shifted the focus, in a determination of the truth or falsity of an applicant's
statement, from an inquiry into whether the facts asserted were true to whether, on
the basis of what he knew, the applicant believed them to be true.”!” It would
appear it is asserted that, when an insurer offers a less stringent burden on the
applicant in providing material information than allowed by statute, the insurer
cannot rely on the more rigid burden of the statute later to garner a rescission of the
policy.
AMHIC's response to Johnson's argument as based on Dickson-Witmer is to
distinguish the facts in that case from the facts in Johnson's by stating that “the
plaintiff in Dickson-Witmer contested a rescission that was based on an alleged
misrepresentation in an insurance policy that related to information unknown to the
plaintiff.”'* AMHIC points to Mulrooney v. Life Ins. Co. of the Southwest as the
decisive point. “The plaintiff in Mulrooney had the opportunity to review and sign
the application prior to the issuance of the policy; she failed to do so to her
detriment and, therefore, the misrepresentation was attributable to her based on her
signature.”!?. This Court finds the argument of AMHIC more persuasive.
The facts of Dickson-Witmer are not supportive of Johnson's case because
the information claimed to be material by the insurer in that case could not have
been known by the plaintiff based on the application questionnaire. In Dickson-
Witmer, the plaintiff seeking insurance was presented a question on his application
17 Id. citing Dickson-Witmer, 1994 WL 164554 at *4.
18 Appellee's Response Brief at 8.
19 Appellee's Response Brief at 9.
Don Johnson v. American Mod. Home Ins. Co.
C.A. No. K20A-03-002 WLW
January 26, 2021
that was ambiguous with respect to the knowledge of the plaintiff. It asked if “to
the best of your knowledge and belief (the same language in the present case), has
any person proposed to be insured ever had any indication, diagnosis, or treatment
of the nervous system, including grand mal or petit mal epilepsy, headaches,
paralysis, mental or emotional disorders, psychiatric treatment, fainting or
dizziness?”*° The plaintiff in Dickson-Witmer did not indicate that any of the listed
information pertained to him, and the Court accepted his argument writing, “A
literal reading of the questions would not give rise to information about counseling
from a social worker or therapist, or about experimental use of marijuana and
cocaine, or about the occasional thought of suicide. In its attempt to show that
these extraneous facts should have surfaced on the application form, the defendant
unfairly stretches these questions beyond the scope of their plain meaning.””! The
point in Dickson-Witmer is that when the questionnaire presents the applicant with
questions that are ambiguous in relation to the applicant's knowledge, the insurer
cannot claim that information to be material at a later date in an attempt to secure a
rescission.
The exact opposite is true in Mulrooney. There the application asked for the
person's height and the applicant gave a different height than what she actually
was. Her knowledge of her actual height was material because she was applying
for health insurance and her knowledge of her actual height was attributable to
20 Dickson-Witmer, 1994 WL 164554 at *4.
21 Id.Don Johnson v. American Mod. Home Ins. Co.
C.A. No. K20A-03-002 WLW
January 26, 2021
her.” The Court in Mulrooney went on to say that “[s]uffice it so say that the
Dickson-Witmer court expressly found there were no untrue statements in the
application, thus making its consideration of section 2711 dictum. More
importantly, it does not matter which standard is applied—strict liability or
“knowledge and belief”--if Mrs. Mulrooney's statement that she was 5 feet 8 was
attributable to her, it satisfies the “knowledge and belief” standard because she had
actual knowledge she was only between 5 feet 4 and 5 feet 5.”23 The Court in
Mulrooney was saying that the question was not ambiguous in relation to the
knowledge of the applicant because when presented with a question dealing with
your height, one either knows it or they do not. The same rationale is at play here
with Johnson. When presented with the question of whether he had insurance on
his manufactured home, he either knew he did or did not at the time he answered
the question.
Finally, Johnson had ample opportunity to ensure the accuracy of his
answers, and any attempts to argue that he was not walked through the answers on
the questionnaire by the Parris Patten agents prior to signing the application will
not be accepted. In Mulrooney, the Court there stated that “[i]ncluded in this duty
of 'utmost fairness! is a duty on the part of the applicant to insure (sic) that the
representations on the application are correct.”** Johnson's duty of fairness
included taking the initiative when presenting himself to sign the application in
22 Mulrooney v. Life Ins. Co. of the Southwest, 2014 WL 4407854 at *9 (Del. Super. Sept. 3,
2014).
23 Id.24 Id.Don Johnson vy. American Mod. Home Ins. Co.
C.A. No. K20A-03-002 WLW
January 26, 2021
checking to make sure that the answers he provided over the phone were accurate.
Johnson's own testimony indicated that he did not review the application before
signing it despite given the opportunity to do so.”
Johnson had the knowledge as to whether his property had insurance or not.
That knowledge was not divulged during his application for insurance from
AMHIC. That knowledge was material to AMHIC's decision to insure Johnson's
property. Finally, there was no doubt about what information was material to
AMHIC's decision to insure the property. AMHIC is statutorily entitled to
rescission of the contract. There is not substantial evidence on the record to
warrant overturning the court below. This Court finds no error as a matter of law.
Wherefore, because of the reasons stated above, this Court AFFIRMS the
Court of Common Pleas’ decision granting Defendant-Below/Appellee's rescission
of contract under 18 Del. C. § 2711.
IT IS SO ORDERED.
/s/_ William L. Witham, Jr.
Resident Judge
WLW/dmh
25 Johnson, C.A. No. CPU5-17-000353 at 5 — 6.
9