New York Life Insurance Company v. Ortiz et al
Filing
55
MEMORANDUM AND ORDER adopting in part and rejecting in part 36 Report and Recommendations; granting in part and denying in part 14 Motion for Interpleader Relief; granting in part and denying in part 16 Motion for Summary Judgment; with respect to the interest rate issue, any interested party is invited to file amicus curiae briefs within ninety (90) days from the date of this Order. So Ordered by Chief Judge William E. Smith on 9/30/2015. (Jackson, Ryan)
UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF RHODE ISLAND
___________________________________
)
)
)
Plaintiff and
)
Counterclaim Defendant, )
)
v.
)
)
MASSIEL ORTIZ,
)
)
Defendant, Counterclaim )
Plaintiff, and
)
Cross-claim Defendant,
)
)
and
)
)
JULIA KLAH,
)
)
Defendant and
)
Cross-claim Plaintiff.
)
___________________________________)
NEW YORK LIFE INSURANCE COMPANY,
C.A. No. 14-74 S
MEMORANDUM AND ORDER
WILLIAM E. SMITH, Chief Judge.
This is an interpleader action brought by Plaintiff and
Counterclaim
Defendant
New
York
Life
Insurance
Company
(“New
York Life”), seeking to deposit the proceeds of a life insurance
policy into the registry of this Court.
Ortiz,
the
beneficiary
insured’s
under
the
former
policy,
Defendants are Massiel
girlfriend
and
Julia
and
Klah,
the
primary
the
insured’s
mother and the secondary beneficiary under the policy.
New York
Life filed a motion for interpleader relief (ECF No. 14) and a
motion for summary judgment on Ortiz’s counterclaims against it
for breach of contract, breach of the obligation of good faith
and fair dealing, negligence, misrepresentation/omission, badfaith claims settlement practices, unfair or defective consumer
practices, and attorneys’ fees for breach of contract (ECF No.
16.)
Magistrate Judge Patricia A. Sullivan issued a Report &
Recommendation (“R&R”), in which she recommended that the motion
for
summary
judgment
be
granted
and
that
the
motion
interpleader relief be granted in part and denied in part.
25-26, ECF No. 36.)
for
(R&R
New York Life and Ortiz have both filed
objections to aspects of the R&R.
(ECF Nos. 39, 41.)
This Court hereby ADOPTS the aspects of the R&R to which no
timely objection has been lodged. 1
1
Additionally, with respect to
These
aspects
include
Magistrate
Judge
Sullivan’s
recommendations that:
(1) New York Life is entitled to
interpleader relief (R&R 12, ECF No. 36); (2) New York Life’s
request for attorneys’ fees and that costs be denied (id. at 2425); (3) New York Life is entitled to summary judgment on
Ortiz’s counterclaim for unfair and deceptive trade practices
(id. at 20); (4) New York Life is entitled to injunctive relief
under 28 U.S.C. § 1335 (id. at 25); and (5) the provision of the
policy allowing for an additional amount of interest of 10% was
not triggered in this case (id. at 23).
This last aspect
requires brief elaboration.
In a document entitled “Defendant
Massiel Ortiz’s Cross-Objection Regarding Appropriate Interest
Payable Under the Insurance Policy and R.I. Statute,” Ortiz
purports to lodge an objection to this aspect of the R&R.
(Def.’s Resp. to Pl.’s Objection 12-15, ECF No. 43-1.) However,
this document was filed on November 17, 2014 – after the
November 6, 2014 deadline for filing objections to the R&R – and
Ortiz did not address this aspect of the R&R in her timely
objection (ECF No. 41). Therefore, by failing to object to this
aspect of the R&R in a timely fashion, Ortiz has waived her
2
the
aspects
of
the
R&R
to
which
the
parties
have
timely
objected, which this Court reviews de novo, see 28 U.S.C. §
636(b)(1), this Court ADOPTS IN PART and REJECTS IN PART the
R&R.
For the reasons discussed below, this Court ADOPTS the
R&R’s recommendation that New York Life is entitled to summary
judgment on Ortiz’s counterclaims for breach of contract, breach
of the obligation of good faith and fair dealing, negligence,
bad-faith claims settlement practices, and attorneys’ fees for
breach of contract, but REJECTS the R&R’s recommendation that
New
York
Life
is
misrepresentation
entitled
to
summary
counterclaim.
judgment
Accordingly,
New
on
York
Ortiz’s
Life’s
motion for summary judgment is GRANTED IN PART and DENIED IN
PART.
Finally,
this
Court
reserves
ruling
on
the
R&R’s
recommendation that R.I. Gen. Laws § 27-4-26 governs the rate of
interest that New York Life must pay on the policy proceeds
until expiration of the period for supplemental briefing set
forth herein.
New York Life’s motion for interpleader relief is
GRANTED IN PART and DENIED IN PART.
I.
New York Life’s Motion for Summary Judgment
The R&R provides a robust discussion of the factual and
procedural history of this case.
This Court will set forth only
objection, and this Court will not consider it.
72(d)(1).
3
See LR Cv
those
facts
necessary
to
put
Magistrate
Judge
Sullivan’s
treatment of Ortiz’s counterclaims (and Ortiz’s objections to
the
R&R’s
context. 2
G.
consideration
of
the
counterclaims)
into
proper
Less than four months after New York Life issued Shad
Kaydea,
Jr.
a
life
insurance
policy,
his
body
was
found
burning in a cemetery in Cranston, Rhode Island on March 20,
2013.
(Pl.’s Statement of Undisputed Facts (“SUF”) ¶¶ 1-2, 5,
ECF No. 18.)
Police determined that Kaydea was murdered, and an
investigation
ensued.
investigation,
policy.
(Id.
authorities
(Id. at ¶ 6.)
at
¶
5.)
contacted
New
As
York
part
Life
of
about
that
the
Sometime during mid-May 2013, police
informed New York Life that “the family members and beneficiary
[i.e.
Ortiz]
[were]
investigation.
listed
as
people
(Id. at ¶ 12.)
of
interest”
in
the
Police also requested to be
informed if and when New York Life paid the policy proceeds to a
beneficiary.
(Id.)
In January 2014, police informed New York
Life that the homicide investigation was still active and that
no one could be ruled out as a suspect.
Meanwhile,
beneficiary
on
under
April
the
29,
policy
2013,
–
2
(Id. at ¶ 23.)
Ortiz
submitted
–
a
the
claim
primary
for
the
Given the posture of this case, the facts must be viewed
in the light most favorable to Ortiz, the nonmovant, and all
reasonable inferences must be drawn in her favor. See TorrechHernandez v. Gen. Elec. Co., 519 F.3d 41, 46 (1st Cir. 2008).
4
insurance proceeds.
(Id. at ¶ 8.)
Because Kaydea died within
two years of the issuance of the policy, New York Life had the
right to contest the policy.
(Ins. Policy § 7.3, ECF No. 2-2.)
On
Life
May
2,
2013,
New
York
initiated
a
contestability
investigation, and it alerted Ortiz of this investigation in a
letter bearing the same date.
(Pl.’s SUF ¶¶ 9-10, ECF No. 18;
Def.’s Statement of Disputed Facts ¶ 9, ECF No. 25.)
letter
informed
Ortiz
that
this
investigation
obtaining copies of Kaydea’s medical records.
ECF No. 18.)
would
This
involve
(Pl.’s SUF ¶ 10,
Thereafter, New York Life “repeatedly informed”
Ortiz that it needed Kaydea’s medical records to complete the
investigation.
(Ortiz Aff. ¶ 13, ECF No. 21.)
Despite her
efforts to obtain Kaydea’s medical records – which caused Ortiz
to incur considerable attorneys’ fees and expenses and included
an
unsuccessful
attempt
to
be
appointed
Kaydea’s estate – Ortiz was unable to do so.
administrator
of
(Id. at ¶ 16.)
On January 8, 2014, Ortiz’s counsel sent New York Life a
letter in which he argued that, because Kaydea’s death was the
result of a homicide, Kaydea’s medical records were irrelevant
to New York Life’s contestability investigation.
(Excerpts of
New York Life’s Claim File, Part III, at 94, ECF No. 17-3.)
Ortiz’s counsel also requested that Ortiz be informed whether
New York Life had any other reasons, beyond the absence of the
5
medical records, why it had not yet paid the policy proceeds to
Ortiz.
(Id. at 93.)
Shortly after receiving this letter and
confirming with police that no one could be ruled out as a
suspect in the homicide investigation, New York Life concluded
its contestability investigation and determined that the policy
proceeds were payable.
New
York
Life
(Pl.’s SUF ¶¶ 23-24, ECF No. 18.)
filed
this
interpleader
action
in
early
February 2014, claiming that it has a reasonable fear of being
subjected to multiple litigation or liability because Ortiz may
be
an
ineligible
beneficiary
under
Rhode
Island’s
Slayer
Statute, R.I. Gen. Laws § 33-1.1-11(a), in the event that she is
implicated in Kaydea’s murder.
(Compl. ¶¶ 28-30, ECF No. 1.)
In that circumstance, Ortiz, even though the primary beneficiary
under the policy, would not be entitled to the policy proceeds;
instead, Klah, the secondary beneficiary, would be the proper
payee.
See R.I. Gen. Laws § 33-1.1-11(a).
Prior to filing its
complaint, New York Life never informed Ortiz that it believed
that the Slayer Statute might be applicable to this case; the
sole reason given to Ortiz for the refusal to pay her the policy
proceeds was her inability to secure Kaydea’s medical records.
(Def.’s Statement of Additional Undisputed Facts ¶¶ 30-31, ECF
No. 26.)
Ortiz counterclaimed against New York Life, alleging
breach of contract (Count One), breach of the obligation of good
6
faith and fair dealing (Count Two), negligence (Count Three),
“misrepresentation/omission”
(Count
Four),
bad-faith
claims
settlement practices (Count Five), unfair or deceptive consumer
practices (Count Six), and requesting attorneys’ fees for breach
of contract (Count Seven).
A.
(Answer & Countercl., ECF No. 2.)
Counts One, Two, Five, and Seven
Magistrate Judge Sullivan concluded that Counts One, Two,
Five, and Seven were all premised upon New York Life’s failure
to pay Ortiz the proceeds immediately upon receipt of her claim.
(R&R 16, ECF No. 36.)
Relying on Prudential Ins. Co. v. Hovis,
553 F.3d 258 (3d Cir. 2009), Magistrate Judge Sullivan reasoned
that the claims asserted in these counts were inconsistent with
interpleader relief and, therefore, barred as a matter of law.
(R&R 16, ECF No. 36.)
In her objection, Ortiz argues that
Magistrate Judge Sullivan erred because the claims asserted in
these counts “give rise to potential damages in excess of the
death benefit.”
(Def.’s Objection 9, ECF No. 41-1.)
This Court agrees with Magistrate Judge Sullivan that Hovis
mandates the entry of summary judgment in New York Life’s favor
on
Counts
One,
Two,
Five,
and
Seven
inconsistent with interpleader relief.
because
they
are
Under Hovis, 553 F.3d at
259, 265, a valid interpleader action shields the stakeholder –
New
York
Life,
in
this
case
–
7
from
further
liability
to
claimants to the stake – here, the policy proceeds – who have
asserted
counterclaims
against
the
stakeholder
where
(1)
the
stakeholder bears no blame for the existence of the ownership
controversy and (2) the counterclaims are directly related to
the stakeholder’s failure to resolve the underlying dispute in
favor of one of the claimants.
To permit such counterclaims in
these circumstances “would run counter to the very idea behind
the interpleader remedy – namely, that a ‘stakeholder [should]
not [be] obliged at his peril to determine which claimant has
the better claim.’”
Id. at 265 (quoting Bierman v. Marcus, 246
F.2d 200, 202 (3d Cir. 1957)).
As the Third Circuit explained
in Hovis, a stakeholder’s “failure to choose between the adverse
claimants (rather than bringing an interpleader action) cannot
itself be a breach of a legal duty.”
Id. at 265. 3
Magistrate Judge Sullivan correctly applied Hovis to the
claims asserted in Counts One, Two, and Seven, and to all but
one aspect of the claim asserted in Count Five.
There are no
facts indicating that New York Life bears any blame for the
existence
of
the
issue
of
whether
Ortiz
or
Klah
is
the
appropriate beneficiary, and the background allegations of the
3
In her objection, Ortiz does not argue that Hovis was
wrongly decided or should not be followed; instead, Ortiz argues
only that her counterclaims are not within the Hovis rule.
(Def.’s Objection 9, ECF No. 41-1.)
8
counterclaims
concern
New
proceeds. 4
4
and
York
the
allegations
Life’s
failure
contained
to
pay
in
Ortiz
these
counts
the
policy
(See Answer & Countercl. ¶¶ 14, 24, 26, 35, 38-39 49-
There is one slight exception for Count Five.
In that
count, Ortiz alleges that New York Life
engaged in unfair claims settlement practices by,
inter alia, misrepresenting to Ms. Ortiz policy
provisions
relating
to
coverage,
failing
to
acknowledge and act with reasonable promptness to Ms.
Ortiz’s
communications,
failing
to
implement
reasonable standards for the investigation of her
claim, failing to respond to Ms. Ortiz’s claim within
a timely manner, and failing to pay Ms. Ortiz’s claim
in a timely manner.
(Answer & Countercl. ¶ 50, ECF No. 2.)
Save for the
misrepresentation aspect of Count Five, Ortiz’s counterclaim for
each of these alleged unfair claims settlement practices is
precluded by Hovis.
Notwithstanding
Hovis’s
inapplicability
to
the
misrepresentation aspect of Count Five, New York Life is still
entitled to summary judgment on the entirety of that count.
Count Five is purportedly brought under R.I. Gen. Laws § 9-1-33
(see id. at ¶ 51), which provides a cause of action against an
insurer that “wrongfully and in bad faith refuse[s] to pay or
settle a claim . . . , or otherwise wrongfully and in bad faith
refuse[s] to timely perform its obligations under the contract
of insurance.”
R.I. Gen. Laws § 9-1-33(a).
However, because
New York Life seeks to deposit the policy proceeds into the
registry of this Court, there has been no “refus[al] to pay or
settle [Ortiz’s] claim.”
Id.
Moreover, “[b]efore a bad-faith
claim can even be considered, a plaintiff must prove that the
insurer breached its obligation under the insurance contract.”
Lamoureaux v. Merrimack Mut. Fire Ins. Co., 751 A.2d 1290, 1293
(R.I. 2000) (per curiam) (quoting Lewis v. Nationwide Mut. Ins.
Co., 742 A.2d 1207, 1209 (R.I. 2000)). Because New York Life is
entitled to summary judgment on Ortiz’s breach-of-contract
claim, Ortiz’s bad-faith claim must fail.
In her objection to the R&R, Ortiz appears to rely on a
statutory section other than § 9-1-33 for her bad-faith claim;
referring
to
that
claim
as
one
for
“unfair
settlement
practices,” she notes that “[m]isrepresenting to claimants and
9
50, ECF No. 2.)
At bottom, each of these claims “directly
relate[s]” to the interpleader action because they “concern [New
York Life’s] failure to resolve its investigation in [Ortiz’s]
favor and pay out the life insurance proceeds to [her].”
Hovis,
553 F.3d at 259, 264; see also Graziosi v. Metlife Investors USA
Ins. Co., No. 3:11-CV-80 (CAR), 2013 WL 592394, at *1-5 (M.D.
Ga. Feb. 14, 2013) (relying on Hovis to enter summary judgment
in favor of insurer on claims of breach of contract and badfaith
refusal
to
pay
insurance
proceeds
brought
by
the
plaintiff, who was the primary beneficiary and was alleged by
the
family
and
contingent
beneficiary
of
the
insured
to
be
insured relevant facts or policy provisions relating to coverage
at issue,” R.I. Gen. Laws § 27-9.1-4(a)(1), is a prohibited
practice under the Unfair Claims Settlement Practices Act (“the
Act”), id. §§ 27-9.1-1 to 27-9.1-9.
(See Def.’s Objection 11,
ECF No. 41-1.)
However, § 27-9.1-1 provides that “[n]othing
contained in [the Act] shall be construed to create or imply a
private cause of action for violation of this chapter.”
See
Great Am. E&S Ins. Co. v. End Zone Pub & Grill of Narragansett,
Inc., 45 A.3d 571, 575 (R.I. 2012) (holding that there is no
private right of action under the Act); Solomon v. Progressive
Cas. Ins. Co., 685 A.2d 1073, 1075 (R.I. 1996) (mem.) (same).
Although the Rhode Island Supreme Court has stated that,
notwithstanding § 27-9.1-1, the Act “set[s] forth the statutory
obligations imposed upon an insurer with respect to the handling
of claims and . . . evidence of any breach thereof may be
admissible in a civil action alleging bad faith,” Skaling v.
Aetna Ins. Co., 799 A.2d 997, 1012 n.8 (R.I. 2002), the only
bad-faith claim asserted by Ortiz in this action was brought
under R.I. Gen. Laws § 9-1-33(a), and, for reasons already
discussed, that claim must fail.
10
involved in the insured’s death, which would have implicated
Georgia’s Slayer Statute).
Ortiz’s objection to this aspect of the R&R – that Hovis is
inapplicable because the claims give rise to damages in excess
of the death benefit – misapprehends Hovis.
Where, as here, the
claims directly relate to the stakeholder’s failure to resolve
the dispute about the entitlement to the stake in favor of one
of
the
claimants,
counterclaims
Hovis
could
bars
the
potentially
liability in excess of the stake.
(rejecting
subjected
argument
the
that,
insurer
to
counterclaims,
expose
the
even
if
the
stakeholder
to
See Hovis, 553 F.3d at 264-65
because
liability
counterclaims
apart
from
would
its
have
duty
to
account for insurance proceeds, counterclaims were independent
of interpleader action); Amethyst Int’l, Inc. v. Duchess, Civil
Action No. 13-04287(FLW)(LHG), 2014 WL 683670, at *8 (D.N.J.
Feb. 20, 2014) (entering summary judgment under Hovis on claims
against insurer, even though claims sought “recovery in damages
that . . . could arguably be drawn from [insurer’s] own funds,
not
from
because
the
claims
Accordingly,
corpus
were
this
of
not
Court
the
disputed
independent
ADOPTS
11
the
of
insurance
[p]roceeds,”
interpleader
R&R’s
action).
recommendation
with
respect to Counts One, Two, Five, and Seven and GRANTS New York
Life’s motion for summary judgment on these counts. 5
B.
Negligence
Count Three, Ortiz’s counterclaim for negligence, requires
more
nuanced
allegations
distinct
treatment.
of
negligence
claims:
(1)
Close
reveals
negligence
examination
that
in
she
is
“failing
of
Ortiz’s
asserting
to
two
properly
investigate and pay the claim”; and (2) negligence in “demanding
irrelevant
obtain.”
information
that
was
impossible
for
(Answer & Countercl. ¶ 41, ECF No. 2.)
Ms.
Ortiz
to
Although this
Court agrees with Magistrate Judge Sullivan that New York Life
is
entitled
to
summary
judgment
on
each
distinct
claim
of
negligence, the reasons differ with respect to each claim.
The first distinct claim – that New York Life negligently
failed to properly investigate and pay Ortiz’s claim for the
policy proceeds – is barred by Hovis.
Just like Counts One,
Two, Five, and Seven, this component of Count Three directly
5
Magistrate Judge Sullivan also concluded, in the
alternative, that, even if Hovis was inapplicable to Counts One,
Two, and Seven, New York Life was still entitled to summary
judgment on these claims because each count failed to state a
claim.
(R&R 16 n.10, ECF No. 36.)
Because this Court grants
summary judgment for New York Life on these counts on the
grounds that these claims are inconsistent with interpleader
relief under Hovis, this alternative ground for summary judgment
need not be addressed.
12
relates to the interpleader action because it involves New York
Life’s failure to resolve its investigation in Ortiz’s favor and
pay out the policy proceeds to her.
See Hovis, 553 F.3d at 261,
265 (affirming entry of summary judgment on counterclaim against
insurer
for
negligence
in
failing
conduct
change-of-beneficiary
to
promptly
designation);
and
Graziosi,
properly
2013
WL
592394, at *3-5; cf. ReliaStar v. Life Ins. Co. v. Lormand,
Civil Action No. 3:10-CV-540, 2011 WL 900113, at *5 (E.D. Va.
March 11, 2011) (entering summary judgment under Hovis in favor
of insurer on counterclaim for violation of West Virginia Unfair
Claims
Settlement
Practices
Act,
which
was
premised
on
claimant’s allegation that insurer “violated the law by failing
to promptly investigate and act on her claims”).
Therefore,
Hovis entitles New York Life to summary judgment on this portion
of Ortiz’s negligence counterclaim.
The analysis is different for Ortiz’s second distinct claim
of
negligence.
Where
the
claim
against
the
insurer
is
independent from the insurer’s failure to resolve the dispute in
favor of one of the claimants, the claim survives under Hovis.
See Hovis, 553 F.3d at 259, 265.
Life
negligently
demanded
Ortiz’s claim that New York
irrelevant
impossible to obtain is such a claim.
information
that
was
The alleged harm for this
distinct negligence claim is different in kind from the harm
13
Ortiz suffered when New York Life failed to promptly pay the
policy
proceeds;
this
second
component
of
Ortiz’s
negligence
counterclaim seeks to recover for the expenses Ortiz incurred in
attempting to obtain the allegedly irrelevant medical records.
Additionally, the conduct alleged for this component of Count
Three – the demand for irrelevant records – is distinct from and
independent of the negligent conduct of failing to promptly pay
the policy proceeds.
However, even though this component of Ortiz’s negligence
counterclaim is not barred by Hovis, New York Life is still
entitled
to
summary
judgment
on
this
distinct
claim
because
Ortiz has failed to identify any facts that tend to show that
New York Life breached a duty of care owed to Ortiz.
Citing
R.I. Gen. Laws § 27-4-10, 6 Ortiz argues that there is a genuine
issue of material fact as to whether New York Life was justified
in seeking medical records in the first place because Kaydea’s
death was a homicide and the policy did not ask a question for
which a misrepresentation relating to a homicide could be given.
(Def.’s Objection 4-6, ECF No. 41-1.)
6
This Court disagrees.
This statute provides, in pertinent part, that “[n]o
misstatement made in procuring a policy of life insurance shall
be deemed material or render the policy void unless this matter
represented shall have actually contributed to the contingency
or event on which the policy is to become due and payable.”
R.I. Gen. Laws § 27-4-10.
14
Under
the
policy,
New
York
Life
retained
the
right
to
contest the policy if the insured died within two years of the
policy’s issuance.
(Ins. Policy § 7.3, ECF No. 2-2.)
As Ortiz
conceded during oral argument before Magistrate Judge Sullivan
(Hr’g Tr. 52:17-22, ECF No. 40), New York Life was entitled to
initiate a contestability investigation when Kaydea died less
than four months after the policy was issued.
completed
by
Kaydea
asked
whether
the
The application
applicant
had
been
recommended by a medical practitioner to undergo any diagnostic
procedures or tests within the last ninety days and whether the
applicant had been unable to work or attend school for a month,
or
been
admitted
to
a
medical
facility
for
consecutive days, within the last two years.
more
than
(Excerpts of New
York Life’s Claim File, Part I, at 3, ECF No. 17-1.)
Judge
Sullivan
although
an
questions,
terminal
correctly
applicant
the
illness
observed
might
applicant’s
that
that
give
is
negative
medical
would
it
have
five
Magistrate
possible
answers
records
required
might
an
to
that,
these
reveal
a
affirmative
response; furthermore, an applicant with such a terminal illness
might obtain life insurance and subsequently arrange his or her
own death.
(R&R 18, ECF No. 36.)
Upon receipt of a claim for
policy proceeds, an insurer would have no way of knowing whether
such a disqualifying misrepresentation has been made unless it
15
initiates
a
contestability
applicant’s medical records.
investigation
and
obtains
the
Indeed, the contractual right to
contest the policy within the specified contestability period
would mean little if the insurer was not permitted to confirm
that
no
disqualifying
Williston
on
misrepresentations
Contracts
§
49:94
(4th
were
made.
ed.)
Cf.
(“Within
16
the
contestability period, the company is free to contest liability
on its policy, including by bringing an action for rescission of
the policy.”).
Judge
Sullivan
Therefore, this Court agrees with Magistrate
that
New
York
Life
was
entitled
to
request
Kaydea’s medical records as part of its concededly appropriate
contestability investigation.
Ortiz
has
failed
to
articulate
how
New
York
Life
negligently breached a duty owed to Ortiz by reiterating the
request
for
Kaydea’s
entitled to make.
medical
records
that
it
was
initially
The sole argument advanced by Ortiz in this
regard appears to be that a jury may infer from the delay alone
that New York Life was using Ortiz’s inability to obtain the
medical records to stall long enough to find some other reason
to avoid paying her the policy proceeds.
6-8, 11-12, ECF No. 41-1.)
(See Def.’s Objection
But it is an unclear how this “ruse”
theory fits within the negligence rubric or how it tends to show
that
New
York
Life
“negligently[
16
]
demand[ed]
irrelevant
information.”
(Answer & Countercl. ¶ 41, ECF No. 2.)
event,
has
Ortiz
not
marshalled
any
facts
In any
supporting
her
negligent-stalling theory, if such a theory of negligence is
even
cognizable.
For
these
reasons,
this
Court
ADOPTS
Magistrate Judge Sullivan’s recommendation that New York Life be
granted summary judgment on Count Three, and New York Life’s
motion for summary judgment is GRANTED as to that count.
C.
Misrepresentation
Finally, with respect to the misrepresentation or omission
counterclaim asserted in Count Four, Magistrate Judge Sullivan
correctly determined that Hovis was inapplicable.
(R&R 16, ECF
No. 36); see J.G. Wentworth Originations, LLC v. Mobley, Civil
Action No. 11-cv-1406, 2012 WL 4922862, at *8 (D. Md. Oct. 12,
2012)
(concluding
that
counterclaim
misrepresentation was not barred by Hovis).
for
negligent
Additionally, she
recommended that New York Life was entitled to summary judgment
because New York Life was not required to disclose that a policy
beneficiary is a murder suspect and that Ortiz had identified no
facts
showing
that
New
York
Life
misrepresentation or omission.
committed
an
actionable
(R&R 19-20, ECF No. 36.)
In her
objection, Ortiz does not challenge Magistrate Judge Sullivan’s
conclusion
belief
that
that
New
Ortiz
York
may
Life
have
did
been
17
not
need
ineligible
to
for
disclose
the
its
policy
proceeds under R.I. Gen. Laws § 33-1.1-11, but she takes umbrage
with Magistrate Judge Sullivan’s determination that Ortiz failed
to show an actionable misrepresentation.
ECF No. 41-1.)
(Def.’s Objection 10,
After a careful review of the record, this Court
determines that genuine issues of material fact preclude summary
judgment on Ortiz’s misrepresentation claim.
Count
Four
asserts
misrepresentation.
both
intentional
and
negligent
(Answer & Countercl. ¶¶ 43-48, ECF No. 2.)
Under Rhode Island law, there are four elements of the tort of
negligent misrepresentation:
(1) a misrepresentation of a material fact; (2) the
representor must either know of the misrepresentation,
must make the misrepresentation without knowledge as
to
its
truth
or
falsity
or
must
make
the
representation under circumstances in which he [or
she] ought to have known of its falsity; (3) the
representor must intend the representation to induce
another to act on it; and (4) injury must result to
the party acting in justifiable reliance on the
misrepresentation.
Cruz v. DaimlerChrysler Motors Corp., 66 A.3d 446, 453 (R.I.
2013) (quoting Manchester v. Pereira, 926 A.2d 1005, 1012 (R.I.
2007)); see also Zarrella v. Minn. Mut. Life Ins. Co., 824 A.2d
1249,
1257
(R.I.
2003).
The
referred
to
tort
as
fraud
of
or
intentional
misrepresentation,
also
deceit,
has
similar elements.
See Francis v. Am. Bankers Life Assur. Co. of
Fla., 861 A.2d 1040, 1046 (R.I. 2004) (per curiam) (“To recover
18
on
this
claim,
plaintiff
had
the
burden
of
proving
that
defendant ‘in making the statement at issue, knew it to be false
and intended to deceive, thereby inducing [plaintiff] to rely on
the statements to [her] detriment.’”
459
A.2d
81,
84
(R.I.
1983)));
(quoting Katz v. Prete,
see
also
Guilbeault
v.
R.J.
Reynolds Tobacco Co., 84 F. Supp. 2d 263, 268 (D.R.I. 2000);
Halpert v. Rosenthal, 267 A.2d 730, 732-33 (R.I. 1970).
Contrary to New York Life’s assertion that “Ortiz has never
been able to point out a misrepresentation made to her in this
record”
(Pl.’s
Resp.
7,
ECF
No.
44),
Ortiz
avers
in
her
affidavit that “[New York Life] represented to both me and my
attorney
that
the
only
impediment
to
payment
of
the
insurance proceeds was Mr. Kaydea’s medical records.”
Aff. ¶ 25, ECF No. 21.) 7
7
life
(Ortiz
Because New York Life knew as of mid-
To be sure, the record is not entirely clear that this
representation actually occurred.
Immediately after this
averment is made, Ortiz’s affidavit cites, with a see signal,
two exhibits. A review of these exhibits (Exs. B & C to Ortiz
Aff., ECF Nos. 21-3, 21-4) did not reveal the alleged
representation. However, it is unclear whether the above-quoted
sentence merely represents Ortiz’s efforts to editorialize or
summarize the written correspondence contained in the exhibits,
on the one hand, or the cited exhibits are meant only to be
illustrative of New York Life’s statements, on the other hand.
This uncertainty is compounded by paragraph 11 of Ortiz’s
affidavit, which avers, “Based upon the statements made to me by
Tashema Hughes of New York Life, I believed Mr. Kaydea’s medical
records to be the only impediment to New York Life’s payment of
the policy benefits.” (Ortiz Aff. ¶ 11, ECF No. 21.) It is not
clear whether Ortiz formed this belief as a result of the
19
May 2013 that police had not ruled anyone out as a suspect and
that Ortiz was a person of interest (Pl.’s SUF ¶ 12, ECF No.
18), there are genuine issues of material fact as to whether
this representation was false and, if so, whether New York Life
knew or should have known that the representation was false at
the
time
the
statement
was
made.
Additionally,
there
is
a
genuine issue of material fact as to whether this representation
was material; whether a misrepresentation is “likely to affect
the conduct of a reasonable person,” Dudzik v. Leesona Corp.,
473
A.2d
762,
question.
766-67
New
York
(R.I.
Life’s
1984),
is
repeated
a
quintessential
requests
for
jury
Kaydea’s
medical records (see Exs. B & C to Ortiz Aff., ECF Nos. 21-3,
21-4) raise a genuine issue of material fact as to whether New
York Life intended for its representation to induce reliance on
Ortiz’s part.
as
to
whether
Finally, a genuine issue of material fact exists
the
injuries
Ortiz
allegedly
suffered
–
the
expense of hiring an attorney to assist in obtaining the medical
records
(Ortiz
Aff.
¶¶
12,
16,
ECF
No.
21)
–
constituted
written correspondence between Hughes and Ortiz that is included
in Exhibit B to her affidavit or whether Hughes made other oral
or written statements to Ortiz.
For present purposes, these
uncertainties must be resolved in Ortiz’s favor, and her sworn
statement that New York Life told her that the only impediment
to payment was the medical records must be taken as true.
20
justifiable reliance on the representation. 8
Because of the
existence of these genuine issues of material fact, New York
Life is not entitled to summary judgment on Count 4, and this
Court therefore REJECTS the R&R’s treatment of this count.
For
judgment
these
is
reasons,
GRANTED
New
with
York
respect
Life’s
to
motion
Counts
One,
for
summary
Two,
Three,
Five, Six, and Seven, and DENIED with respect to Count Four.
II.
Applicable Interest Rate Issue
Ortiz
and
New
York
Life
applicable to the policy proceeds.
dispute
the
interest
rate
Relying on R.I. Gen. Laws
§ 27-4-26, Ortiz argues that the applicable interest rate is
nine percent per annum. 9
(Def.’s Opp’n to Mot. for Interpleader
Relief 11-12, ECF No. 22.)
New York Life, by contrast, insists
that interest accrues on the policy proceeds at a rate of one
percent.
(Pl.’s Mot. for Interpleader Relief 10-11, ECF No.
8
In
her
objection,
Ortiz
identifies
two
other
misrepresentations made to her by New York Life.
(Def.’s
Objection 10, ECF No. 41-1.)
Because this Court finds that
genuine issues of material fact exist as to the alleged
misrepresentation mentioned above, it need not address these
additional misrepresentations.
9
Section 27-4-26 provides, in pertinent part, that:
An insurer of a life insurance contract . . . shall
pay to the beneficiary . . . interest on the proceeds
at the rate of nine percent (9%) per annum from the
date of the death of an insured . . . in connection
with a death claim on a life insurance policy . . . to
the date of payment and the interest shall be added to
and be a part of the total sum paid.
21
14.)
It contends that the policy specifies this interest rate
and, because the policy was approved by the Interstate Insurance
Product Regulation Commission (“Interstate Commission”) pursuant
to
the
Interstate
Insurance
Product
Regulations
Compact
(“Compact”), see R.I. Gen. Laws §§ 27-2.5-1 to 27-2.5-2, Section
27-4-26 is inapplicable.
(Pl.’s Mot. for Interpleader Relief
10-11,
her
ECF
determined
No.
14.)
that
In
Section
R&R,
27-4-26
Magistrate
controlled,
Judge
Sullivan
concluding
that
Section 27-4-26, a specific statute, prevailed over the Compact,
a conflicting general statute.
(R&R 22-23, ECF No. 36.)
York Life objects to this aspect of the R&R.
New
(Pl.’s Objection
3-10, ECF No. 39.)
This Court declines to decide this issue at this time.
New
York Life’s position that the combination of (1) the Compact,
(2) the applicable uniform standard that has been promulgated by
the Interstate Commission, and (3) the rate set by New York Life
for funds left on deposit mandates that the applicable interest
rate
is
one
percent
has
been
fully
and
capably
briefed
and
argued, both by New York Life and by the National Association of
Insurance
Commissioners,
as
amicus
curiae.
The
Court
fully
understands this position, and a literal reading of the Compact
and the applicable uniform standard appears to support it.
22
On the other hand, there are public-policy considerations
that may cut against New York Life’s argument.
Not only has the
General
state
Assembly
delegated
some
of
the
insurance
commissioner’s regulatory authority to the Interstate Commission
under the Compact, but also the Interstate Commission has, by
promulgating a uniform standard that directs that “[i]nterest
shall accrue at the rate or rates applicable to the policy for
funds
left
Schutter
on
deposit”
Aff.,
ECF
No.
(IIPRC-L-04-I
39-1),
§
3(G)(2)(b),
delegated
some
of
Ex.
A
its
to
own
regulatory authority to the insurance companies who submit life
insurance policies to the Interstate Commission.
General
Assembly
may
have
intended
the
first
Although the
delegation
by
enacting the Compact, it is unclear whether it anticipated the
second
serious
Life’s
delegation,
consumer
position,
and
this
protection
these
second
delegation
concerns.
And,
public-policy
may
unlike
considerations
implicate
New
York
have
not
been adequately briefed.
Compounding matters, although a version of the Compact has
been adopted in forty-three other jurisdictions, see Update on
the Interstate Ins. Compact, Interstate Ins. Prod. Reg. Comm’n,
available
at
http://www.naic.org/documents/protectingthefuture_interstate_ins
urance_compact.pdf (last visited Sept. 30, 2015), the parties
23
have
not
cited
–
and
the
Court
has
not
found
–
any
case
interpreting the Compact, let alone one addressing the issue
presented
by
convinces
the
this
Court
case.
that
This
it
dearth
should
not
of
authority
decide
this
further
question
until after it has received adequate briefing on both sides of
the issue.
Therefore, as set forth below, the Court will invite
supplemental briefing before ruling on the issue.
However, the delay occasioned by supplemental briefing of
the interest rate issue should not prevent New York Life from
depositing the principal amount of the policy proceeds into the
registry of this Court.
Therefore, New York Life is directed to
deposit $250,000.00 into the registry of this Court.
on
which
this
deposit
occurs
shall
constitute
“the
The date
date
of
payment” – either under the policy (see Ins. Policy § 6.1, ECF
No. 2-1) or under R.I. Gen. Laws § 27-4-26 (see Hogan v. Jackson
Nat’l Life Ins. Co., C.A. No. 14-340 S, Order 2-3, ECF No. 16).
Upon deposit of the principal amount, interest will no longer
accrue on the policy (see Ins. Policy § 6.1, ECF No. 2-1; see
also R.I. Gen. Laws § 27-4-26), although New York Life will
still be liable for depositing interest that accrued from the
date of Kaydea’s death until the date of the deposit of the
principal amount once the interest rate issue is resolved by the
Court.
24
III. Conclusion
The Court hereby ADOPTS all aspects of the R&R except with
respect
to
its
treatment
of
New
York
Life’s
entitlement
to
summary judgment on Ortiz’s counterclaim for misrepresentation
and the applicability of Section 27-4-26 to the interest rate on
the
policy
judgment
is
proceeds.
GRANTED
New
with
York
respect
Life’s
to
motion
Counts
for
One,
Two,
summary
Three,
Five, Six, and Seven and DENIED with respect to Count Four.
New
York Life’s motion for interpleader relief is GRANTED in all
respects
except
interest
rate
for
its
issue.
request
New
York
for
Life
attorneys’
is
fees
directed
to
and
the
deposit
$250,000.00 – the principal amount of the policy proceeds – into
the
registry
of
this
Court.
Finally,
with
respect
to
the
interest rate issue, any interested party is invited to file
amicus curiae briefs within ninety (90) days from the date of
this Order.
The clerk is directed to send this Order to the
Office of the Rhode Island Attorney General, the Rhode Island
Association for Justice, for possible filing of an amicus brief
on this issue.
IT IS SO ORDERED.
William E. Smith
Chief Judge
Date: September 30, 2015
25
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