Igielski et al v. RiverSource Life Insurance Company
Filing
29
ORDER denying pltfs' 6 Motion for Partial Summary Judgment; granting in part and denying in part dft's 17 Motion for Summary Judgment; parties to meet and confer within 14 days, pltfs to file joint status report within 7 days of parties' conference by Judge Richard A Jones.(RS)
HONORABLE RICHARD A. JONES
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UNITED STATES DISTRICT COURT
WESTERN DISTRICT OF WASHINGTON
AT SEATTLE
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TIMOTHY IGIELSKI, et al.,
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Plaintiffs,
CASE NO. C15-313RAJ
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v.
ORDER
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RIVERSOURCE LIFE INSURANCE
COMPANY,
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Defendant.
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I.
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This matter comes before the Court on Plaintiffs Timothy (“Timothy”) 1 and
Christopher (“Christopher”) Igielski’s (“Plaintiffs”) Motion for Summary Judgment (Dkt.
# 6) and Defendant RiverSource Life Insurance Company’s (“Defendant”) Motion for
Summary Judgment (Dkt. # 17). Plaintiffs seek summary judgment solely on their claim
for breach of contract while Defendant brings summary judgment as to all of Plaintiffs’
claims.
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INTRODUCTION
This case involves the Plaintiffs’ claims against Defendant relating to Defendant’s
refusal to pay the benefits on two life insurance policies on their father, Robert Igielski
(“Robert”). For the reasons set forth below, the Court DENIES Plaintiffs’ Motion and
GRANTS in part and DENIES in part Defendant’s Motion.
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1
The Court refers to the Igielskis by their first names solely for purposes of clarity – it means no
disrespect to the Plaintiffs.
ORDER – 1
II.
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BACKGROUND
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a. General Factual Background
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Plaintiffs are the beneficiaries of two Flexible Premium Variable Life Insurance
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policies issued by Defendant’s predecessor, IDS Life Insurance Company. 2 See Dkt. # 4
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(“Compl.”) ¶¶ 3.1-3.3; Dkt. # 10 (Skillings Decl.) ¶ 4. 3 The Plaintiffs are brothers and
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the sons of Robert. See Dkt. # 7 (Timothy Decl.) ¶ 4. The Policies were applied for in
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December 1991 and have a “Policy Date” of March 4, 1992. See Dkt. # 17-3 (Skillings
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Decl.) Ex. 2 at 14; Dkt. # 17-4 (Skillings Decl.) Ex. 4 at 2. At some point – Plaintiffs
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claim in 1993 – Robert became incapacitated. See Dkt. # 17-4 (Skillings Decl.) Ex. 6. 4
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As such, Ruby Igielski, Robert’s spouse, was appointed as his limited guardian and held
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his General-Durable Power of Attorney. Id.
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b. The Life Insurance Policies
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i. The “Insured,” “Owners,” and “Beneficiaries” of the Policies
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Both the 6004 Policy and the 2004 Policy list Robert as the “Insured.” See Dkt. #
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17-3 (Skillings Decl.) Ex. 2 at 14; Dkt. # 17-4 (Skillings Decl.) Ex. 4 at 2. The
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application for the 6004 Policy also lists “Robert J. Igielski” as the “Insured” and
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“Timothy J. Igielski” as the “Owner” and beneficiary. See Dkt. # 17-3 (Skillings Decl.)
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Ex. 1 at 2-4. The application for the 2004 Policy lists “Robert J. Igielski” as the
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“Insured” and “Christopher T. Igielski” as the “Owner” and beneficiary. Id. Ex. 3 at 38-
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40.
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The policies bear the Policy Nos. 0909 0285 3123 6 004 (the “6004 Policy”) and 0909 0285
3139 2 004 (the “2004 Policy”). Compl. ¶ 3.1.
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For future reference, the Court directs the Parties to consult this Court’s procedures for
preparing courtesy copies. When the aggregate submission to this Court exceeds 50 pages, a
paper copy “with tabs or other organizing aids as necessary” should be delivered to the Clerk’s
office. See Hon. Richard A. Jones, General Motions Practice located at:
http://www.wawd.uscourts.gov/sites/wawd/files/JonesGeneralMotionsPractice.pdf. No such tabs
or other organizational aids accompany Defendant’s filings.
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Plaintiffs assert that Robert suffered a stroke in 1993, which caused his incapacity. See Dkt. #
25 at 9.
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ORDER – 2
ii. The Terms of the Policies
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The terms of both Policies are largely identical. The Policies call for payment of
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the policy proceeds upon either maturity of the policy or proof of the insured’s death
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during the policy term. See Dkt. # 17-3 (Skillings Decl.) Ex. 2 at 14. The Policies are
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governed by the Washington law. See id. at 21 (indicating law of the state in which
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policy was delivered governs the contract).
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The Policies also provided certain other, relevant terms, such as:
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When will the policy become incontestable?
After this policy has been in force during the insured’s lifetime for two
years from the policy date, we 5 cannot contest the policy except for
nonpayment of premiums.
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Id.
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The Policies clarify that they may terminate upon the earliest of five separate
events occurring:
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1. the date you 6 request that coverage ends; or
2. the date you surrender the policy in full; or
3. the end of the grace period; or
4. the death of the insured; or
5. the maturity date
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Id. at 22.
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As the Policies clarify, a “grace period” for paying premiums exists. Id. at 25. As
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the Policies explain:
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Yes. If on a monthly date, the cash surrender value is less than the monthly
deduction for the policy month following such monthly date, a grace period
of 61 days will begin. (The monthly deduction is described in the Policy
Values section.) The grace period will give you time to pay a premium
sufficient to continue your coverage. We will mail, to your last known
address, a notice as to the premium needed so that the estimated cash
surrender value will be sufficient to cover the next three monthly
deductions.
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The Policies define “we, our, us” as “IDS Life Insurance Company,” Defendant’s predecessor.
See Dkt. # 17-3 (Skillings Decl.) Ex. 2 at 20.
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The Policies define “you” and “your” as “[t]he owner of this policy.” See Dkt. # 17-3
(Skillings Decl.) Ex. 2 at 20.
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ORDER – 3
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If such premium is not paid within the grace period, all coverage under this
policy will terminate without value at the end of the 61-day grace period.
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Id. at 25.
iii. The Addresses of the Policies
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The application forms for both policies ask only for the address of the “owner” of
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the policy. See Dkt. # 17-3 (Skillings Decl.) Ex. 1 at 3, Ex. 3 at 39. Thus, the application
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for the 6004 Policy lists a mailing address for Timothy at 19733 38th Pl. S., SeaTac, WA
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(see id. Ex. 1 at 3) and a mailing address for Christopher at 31214 55th Ave. S., Auburn,
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WA (see id. Ex. 3 at 39). The only other address in the application form itself is for the
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address of the insured’s primary care physician. See id. Ex. 1 at 6, Ex. 3 at 42; see also
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Dkt. # 17-1 (Skillings Decl.) ¶¶ 9-10. Nevertheless, Robert provided his address – the
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same 31214 55th Ave. S. address as Christopher’s – on a medical form provided as part
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of the underwriting process. See Dkt. # 17-4 (Skillings Decl.) ¶ 9, Ex. 5 at 26.
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Defendant asserts that it has never received any formal request for or notification of a
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change of address for Robert. See Dkt. # 17-1 (Skillings Decl.) ¶ 10.
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Both Christopher and Timothy sent in change of address forms over the years.
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Christopher sent a “Client Data Update Form” to Defendant dated March 20,
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2000, requesting a change of address from the original 31214 55th Ave. S., Auburn
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address to P.O. Box 25290, Federal Way, WA. See Dkt. # 17-4 (Skillings Decl.) Ex. 7 at
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34. Christopher later sent a letter dated May 22, 2002 requesting a change of address
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from the post-office box to 1127 NW Irving St., Portland, OR. Id. Ex. 8 at 36. Finally,
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Christopher sent Defendant a “Client Address and Phone Number Update Form” dated
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March 19, 2004, which listed a new permanent residence address – 4324 S. 284th St.,
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Auburn, WA – and a mailing address at P.O. Box 24568, Federal Way, WA. Id. Ex. 9 at
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38. The form indicated that the post-office box mailing address applied to all accounts.
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Id. Finally, it appears that sometime in 2013 Christopher again notified defendant of a
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change of address, requesting all future correspondence be sent to 2600 Fairview Ave. E.
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Slip 8, Seattle WA. See Dkt. # 17-2 (Skillings Decl.) ¶ 16.
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ORDER – 4
1
Timothy likewise sent in several change of address forms. In February 2000, he
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sent in a “Client Data Update Form” requesting a change of address from 4324 S. 284th
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St., Auburn, WA to 4666 S. 170th St., SeaTac, WA. 7 See Dkt. # 17-4 (Skillings Decl.)
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Ex. 10 at 40. In September 2001, Timothy moved but failed to provide Defendant with a
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change of address form, causing it to send two letters regarding returned mail. See Dkt. #
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17-2 (Skillings Decl.) ¶ 18, Ex. 11 at 42-43. Defendant began sending mail to 4127 S.
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280th St., Auburn, WA, the address they were given by the United States Postal Service,
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without incident until June 2005, when Timothy sent a “Client Address and Phone
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Number Update Form” requesting a change to 2214 S. 308th St., Federal Way, WA for
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all accounts. See Dkt. # 17-4 (Skillings Decl.) Ex. 12 at 46.
iv. The Notices of Policy Lapses for Nonpayment
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Defendant has previously sent letters to Plaintiffs regarding the nonpayment of
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insurance premiums.
1.
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The 2010 Lapses
Beginning in September 2010, Defendant began sending Timothy letters regarding
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insufficient payment of premiums on the 6004 Policy. See Dkt. # 17-4 (Skillings Decl.)
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Ex. 13 at 48. These letters were each sent to the 2214 S. 308th St., Federal Way address
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indicated in Timothy’s last change of address. See id. Ex. 13 at 48, Ex. 14 at 51, Ex. 15
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at 53, Ex. 16 at 55. Defendant sent follow up letters in November 2010 (see id. Ex. 14 at
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51), December 2010 (see id. Ex. 15 at 53) and February 2011 (see id. Ex. 16 at 55). Each
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of these letters indicated that the premium payments Defendant had been receiving was
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insufficient to cover the minimum premium and that during the grace period, the policy
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apparently had been paid from its cash surrender value. See id. Ex. 15 at 53. By
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December 2010, however, the cash surrender value had apparently run out and full
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payments were required. See id. Accordingly, the letters requested payments to bring the
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It is unclear how or when Timothy’s address changed from the 19733 38th Pl. S., SeaTac, WA
address given on the December 1991 application (see Dkt. # 17-3 (Skillings Decl.) Ex. 1 at 3) to
the 4324 S. 284th St., Auburn, WA address given by Timothy in 2000.
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ORDER – 5
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policy up to date and indicated that failure to pay would cause the policy to lapse. See id.
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Timothy sent payments after both the December 2010 and February 2011 letters,
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ultimately covering the entire payment needed. See Dkt. # 17-2 (Skillings Decl.) ¶ 23.
Similar notices were sent to Christopher in relation to the 2004 Policy starting in
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October 2010. See Dkt. # 17-4 (Skillings Decl.) Ex. 17 at 58. Another letter was sent in
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December 2010. See id. Ex. 18 at 60. These letters were sent to the P.O. Box 24568,
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Federal Way address indicated in Christopher’s change of address form from March
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2004. See id. Ex. 17 at 58, Ex. 18 at 60. Both letters indicated that the policy had been
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paying insurance costs from its cash surrender value, but that that was insufficient to
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continue paying premiums. See id. Ex. 17 at 58. As such, the letters requested payments
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to bring the premiums current and indicated that the policy would lapse if Defendant did
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not receive payment. Id. Christopher apparently made payments on both letters,
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ultimately bringing the policy current. See Dkt. # 17-2 (Skillings Decl.) ¶¶ 25, 27.
2.
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In 2013, Defendant once again sent out notices regarding the nonpayment of
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The 2013 Lapses
premiums on the Policies.
The 6004 Policy entered into its grace period for nonpayment of premiums on
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May 4, 2013. 8 See id. ¶ 38. A check dated May 15, 2013 from a Charles Schwab
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account was then sent, bearing the notation “FBO TIMOTHY IGIELSKI.” See Dkt. #
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17-5 (Skillings Decl.) Ex. 27 at 24. This amount was insufficient to pay the full amount
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of the past premiums owed. See Dkt. # 17-2 (Skillings Decl.) ¶ 38. As a result, in June
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2013, Defendant once again sent a notice to Timothy stating that the premium payments
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it was receiving were insufficient to cover the minimum premiums on the 6004 Policy.
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See Dkt. # 17-5 (Skillings Decl.) Ex. 28 at 27. On a letter dated the same day, Defendant
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also sent a notice enclosing certain information regarding alternatives to lapse or
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It is unclear whether Defendant sent a notice to Timothy that the 6004 Policy had entered into
its grace period.
ORDER – 6
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surrender. See id. Ex. 29 at 30-33. Both of these letters were addressed to the 2214 S.
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308th St., Federal Way address. See id.
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On July 6, 2013, the 6004 Policy lapsed. See Dkt. # 17-2 (Skillings Decl.) ¶ 41.
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Defendant sent Timothy a letter reflecting this dated July 9, 2013, stating that it had not
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received a premium payment within the grace period, meaning that the 6004 Policy had
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terminated. See Dkt. # 17-5 (Skillings Decl.) Ex. 30 at 35. It also stated that Timothy
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could reapply for coverage if the 6004 Policy had a reinstatement provision. Id. This
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letter was sent to the 2214 S. 308th St., Federal Way address. Id.
In Christopher’s case, the 2004 Policy entered into its grace period 9 on May 4,
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2013. 10 See Dkt. # 17-2 (Skillings Decl.) ¶ 29. Defendant sent a letter dated July 8, 2013
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stating that the payments it was receiving were insufficient to pay the minimum
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premiums on the 2004 Policy. See Dkt. # 17-5 (Skillings Decl.) Ex. 20 at 2. On a letter
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dated the same day, Defendant enclosed information regarding alternatives to lapse or
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surrender. See id. Ex. 21 at 5-8. Both letters were addressed to Robert rather than
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Christopher and both were sent to Christopher’s 2600 Fairview Ave. E. Slip 8, Seattle
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address. See id. at 2-8.
Christopher did not respond to Defendant’s letters, causing the 2004 Policy to
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lapse on August 8, 2013. See Dkt. # 17-2 (Skillings Decl.) ¶ 32. As such, Defendant sent
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a letter dated August 9, 2013 – this time addressed to Christopher at the 2600 Fairview
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Ave. E. Slip 8, Seattle address – stating that it had not received a premium payment for
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the 2004 Policy before the grace period expired and that the 2004 Policy had lapsed. See
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Dkt. # 17-5 (Skillings Decl.) Ex. 22 at 10.
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It is unclear whether Defendant sent Christopher a notice indicating that the 2004 Policy had
entered into its grace period.
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Christopher apparently sent a check dated March 15, 2013 that was insufficient to pay the full
amount of the past premiums owed. See Dkt. # 17-2 (Skillings Decl.) ¶ 29. The attached
exhibit, however, bears the notation “FBO TIMOTHY IGIELSKI” and is a copy of the check
attached as exhibit 27. See Dkt. # 17-4 (Skillings Decl.) Ex. 19 at 63.
ORDER – 7
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c. Robert’s Death And Plaintiffs’ Efforts to Claim the Policies’ Benefits
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Robert passed away on August 10, 2013. See Dkt. # 17-1 (Tucker Decl.) Ex. 1 at
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4; Dkt. # 7 (Timothy Decl.) ¶ 4. Plaintiffs first sought to claim the Policies’ benefits by
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contacting Lori Cousineau, their Ameriprise agent, via email on September 23, 2013. See
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Dkt. # 17-1 (Tucker Decl.) Ex. 2 at 6-7.
In a follow up email, Christopher indicated that he had just discovered that the
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Policies had become inactive. 11 See id. at 6. Both Christopher and Timothy sent checks
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to Defendant dated September 25, 2013 for $14,685.77 and $14,574.44, respectively. See
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Dkt. # 17-5 (Skillings Decl.) Ex. 23 at 13-14, Ex. 31 at 38-39. In letters dated September
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30, 2013 and October 2, 2013 addressed to Timothy (at the 2214 S. 308th St., Federal
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Way address) and Robert (at the 2600 Fairview Ave. E. Slip 8, Seattle address),
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respectively, Defendant stated that it had received the checks but that it could not apply
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those payments unless the Policies were reinstated, but that reinstatement could be
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requested. See id. Ex. 24 at 16-17, Ex. 32 at 41-42. In follow up letters dated October
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14, 2013 and October 18, 2013, this time addressed to Christopher (again at the 2600
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Fairview Ave. E. Slip 8, Seattle address) and Timothy (at the 2214 S. 308th St., Federal
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Way address), Defendant stated that reinstatement was not an option because Robert had
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passed away. See id. at Ex. 25 at 19, Ex. 33 at 44.
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d. Correspondence Between Defendant and Plaintiffs’ Counsel
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The Parties continued to correspond on the issue, and by early January 2014,
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Plaintiffs retained counsel to pursue their claims. See id. Ex. 26 at 21-22, Ex. 34 at 46,
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Ex. 35 at 48, Ex. 36 at 50. Counsel for Timothy requested that Defendant submit proof
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of sending the required notices to him in writing via a letter dated January 4, 2014. See
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id. Ex. 36 at 50. Defendant sent a response enclosing those responses on January 27,
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2014. Id. Ex. 37 at 53.
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Although Ms. Cousineau’s emails state that both Christopher and Timothy received the notices
regarding the missed premium payments, those statements are hearsay not within any exception.
Fed. R. Evid. 801 & 802.
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ORDER – 8
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Months later, counsel representing both Plaintiffs sent a letter dated October 8,
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2014 to Defendant, informing Defendant that they had been retained in the matter and
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requesting copies of the Policies and any correspondence exchanged between the Parties.
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See id. Ex. 38 at 55. A follow up letter was sent dated November 3, 2014, invoking the
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Washington Insurance Fair Conduct Act (“IFCA”). See id. Ex. 39 at 57. Another letter
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was sent on December 9, 2014, arguing that notice must have been mailed to Robert
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under RCW 48.19.290 and demanding immediate payment of all benefit proceeds with
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interest and attorneys’ fees. See id. Ex. 40 at 59-60. Finally, later that month, Plaintiffs’
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counsel formally gave notice through the Washington Office of the Commissioner of
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their claim. Id. Ex. 41 at 62-63. Defendant responded to counsel’s letters on January 30,
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2015. Id. Ex. 42 at 65.
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This suit followed, with Plaintiffs alleging claims for breach of contract, bad faith,
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negligence, and for violations of the IFCA and Consumer Protection Act (“CPA”). See
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Compl. ¶¶ 4.1-8.5. The basis for these claims appears – at least according to the
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Complaint – to be based primarily on Defendant’s failure to deliver notice of cancellation
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to Robert prior to August 10, 2013 and to distribute benefit proceeds. See id. ¶¶ 3.6-3.7.
III.
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LEGAL STANDARD
Summary judgment is appropriate if there is no genuine dispute as to any material
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fact and the moving party is entitled to judgment as a matter of law. Fed. R. Civ. P.
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56(a). The moving party bears the initial burden of demonstrating the absence of a
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genuine issue of material fact. Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986).
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Where the moving party will have the burden of proof at trial, it must affirmatively
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demonstrate that no reasonable trier of fact could find other than for the moving party.
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Soremekun v. Thrifty Payless, Inc., 509 F.3d 978, 984 (9th Cir. 2007). On an issue where
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the nonmoving party will bear the burden of proof at trial, the moving party can prevail
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merely by pointing out to the district court that there is an absence of evidence to support
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the non-moving party’s case. Celotex Corp., 477 U.S. at 325. If the moving party meets
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ORDER – 9
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the initial burden, the opposing party must set forth specific facts showing that there is a
2
genuine issue of fact for trial in order to defeat the motion. Anderson v. Liberty Lobby,
3
Inc., 477 U.S. 242, 250 (1986). The court must view the evidence in the light most
4
favorable to the nonmoving party and draw all reasonable inferences in that party’s favor.
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Reeves v. Sanderson Plumbing Prods., 530 U.S. 133, 150-51 (2000).
IV.
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ANALYSIS
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a. Evidentiary Issues
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Before proceeding to the merits of the underlying motions, the Court believes it
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must address an issue that is unfortunately not addressed by the Parties: some of the
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evidence presented to this Court contains evidence that could well be inadmissible for
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this Court’s consideration. It is, of course, hornbook law that a court can only consider
12
admissible evidence on a motion for summary judgment. Orr v. Bank of Am., NT & SA,
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285 F.3d 764, 773 (9th Cir. 2002).
For example, Plaintiffs seek to introduce the contents of an October 23, 2013 letter
14
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from Christopher to Defendant’s employee, George Tsafaridis, as fact by having
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Christopher simply declare them as “true and accurate and [] based on personal
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knowledge.” See Dkt. # 25 at 8-9 n.2. But the statements contained in the letter are
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hearsay not within any exception, 12 regardless of whether Christopher affirms their
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accuracy. See Fed. R. Evid. 801 & 802; see also United States v. Castro-Cabrera, 534 F.
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Supp. 2d 1156, 1162 (C.D. Cal. 2008) (holding that a party may not “not offer his own
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statements as party admissions, as only statements offered against a party-opponent are
22
admissible under Federal Rule of Evidence 801(d)(2)”). The vast majority of
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Defendant’s documentary evidence, in contrast, likely qualifies for the business records
24
12
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Defendant at least alludes to an objection, suggesting that Christopher’s statement is
unsubstantiated. See Dkt. # 27 at 9 n.1. Presumably, this objection would be to Christopher’s
lack of personal knowledge of these payments (see Fed. R. Evid. 602), which may have
substantial merit as the Policies themselves indicate that the “Initial Premium” on the Policies
was $827.50 per month in 1992 (see Dkt. # 17-3 (Skillings Decl.) Ex. 2 at 13, Dkt. # 17-4
(Skillings Decl.) Ex. 4 at 4).
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ORDER – 10
25
26
1
exception (see Fed. R. Evid. 803(6)) given that Defendant’s custodian has testified as to
2
their provenance (see Dkt. # 17-2 (Skillings Decl.) ¶¶ 2-3).
The Court will not second guess the Parties’ apparent decision to seemingly not
3
4
object to any evidence (including, apparently, the letters entitled “Notice of Cancellation
5
and Refund” previously subject to a motion to strike). See Dkt. # 22 at 7. Instead,
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because the Court does not rely upon the evidence it finds questionable, it declines to rule
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as to their admissibility at this juncture. Cf. Amini Innovation Corp. v. McFerran Home
8
Furnishings, Inc., 68 F. Supp. 3d 1170, 1172-73 (C.D. Cal. 2014) (declining to address
9
evidentiary issues on summary judgment because the court did not rely on evidence
10
subject to objection).
b. Plaintiffs’ Breach of Contract Claim
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i. Application of RCW 48.18.290
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After much ink has been spilled, the Parties’ arguments remain squarely focused
13
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on the proper application of RCW 48.18.290 (though Plaintiffs raise several other issues
15
in connection with their other claims in opposition to Defendant’s Motion). 13 That
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statute, in pertinent part, reads:
(1) Cancellation by the insurer of any policy which by its terms is
cancellable at the option of the insurer, or of any binder based on such
policy which does not contain a clearly stated expiration date, may be
effected as to any interest only upon compliance with the following:
...
(c) If an insurer cancels a policy described under (a) or (b) of this
subsection for nonpayment of premium, the insurer must deliver or mail the
cancellation notice to the named insured at least ten days before the
effective date of the cancellation.
...
(5) This section shall not apply to contracts of life or disability insurance
without provision for cancellation prior to the date to which premiums have
been paid, or to contracts of insurance procured under the provisions of
chapter 48.15 RCW.
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RCW § 48.18.290.
13
27
Indeed, much of the reason this Court renoted the two motions for summary judgment for the
same date was because of its understanding that the application and interpretation of RCW
48.18.290 would be the sole focus of the Parties’ briefs. See Dkt. # 23 at 4.
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ORDER – 11
1
Before determining whether a genuine issue exists as to whether Defendant sent
2
notices complying with the policy to Robert, the Court must determine whether the
3
Policies are even subject to these statutory notice requirements. As is clear, RCW
4
48.18.290 expressly does not apply to “contracts of life or disability insurance without
5
provision for cancellation prior to the date to which premiums have been paid.” RCW §
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48.18.290(5).
7
Defendant contends that the Policies fall under this exception. See Dkt. # 17 at 14.
8
The Court agrees. The plain language of the exception provides that the notice
9
requirements contained in RCW § 48.18.290 do not apply to life insurance policies that
10
11
cannot be cancelled prior to the last day for which premiums have been paid.
In interpreting a similar contract, the court in Graham-Bingham Irrevocable Trust
12
v. John Hancock Life Ins. Co. USA, held that a life insurance policy fell under the
13
exception when the only section governing termination allowed it “for only non-payment
14
of a premium, surrender of the Policy by the insured, or death of the insured.” 827 F.
15
Supp. 2d 1275, 1282 (W.D. Wash. 2011). In that case, there similarly was a difference
16
between the “named insured” and “owner” of the policy – specifically, the insured was an
17
individual while the owner was a trust. See id. at 1278-79. The trust arranged for a third
18
party, Trudeau, to pay the premiums on the policy, but the check presented was
19
dishonored for insufficient funds. Id. at 1278. The insurer thus declared the policy
20
lapsed, but apparently only after finally linking the dishonored check to the policy
21
months later. Id. at 1278-79, 1280. Upon discovery, the insurer sent a lapse notice to the
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trust. Id. at 1280. There is no indication that notice was ever given to the insured.
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The court held that RCW 48.18.290’s notice provisions did not apply to the life
24
insurance policy in question because it was exempt under RCW 48.18.290(5). Id. at
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1282. Specifically, the court noted that there was no provision in the policy that would
26
permit the insurer to cancel the policy, except for nonpayment of premiums. See id. As
27
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ORDER – 12
1
such, the court rejected the trust’s effort to bring a standalone claim for violation of the
2
notice provisions. Id.
3
The situation in Graham-Bingham Irrevocable Trust is practically identical to the
4
situation here. Here, the Policies explicitly state that “[a]fter this policy has been in force
5
during the insured’s lifetime for two years from the policy date” – the policy date on both
6
Policies is March 4, 1992 – “[Defendant] cannot contest the policy except for
7
nonpayment of premiums.” Dkt. # 17-3 (Skillings Decl.) Ex. 2 at 21. In other words, by
8
the express terms of the Policies, by March 4, 1994, Defendant could not contest the
9
Policies for any reason except for nonpayment of premiums, squarely bringing it within
10
the confines of RCW 48.18.290(5). Perhaps to emphasize the point, the Policies specify
11
the few specific situations where they could terminate: only when the owners of the
12
policy request or surrender the policy, the end of the grace period for nonpayment of
13
premiums, the insured dies, or the maturity date is reached. See Dkt. # 17-3 (Skillings
14
Decl.) Ex. 2 at 22.
15
Plaintiffs insist that a provision in the Policies permitting Plaintiffs to cancel the
16
Policies takes them out of the exception. See Dkt. # 25 at 13. Specifically, Plaintiffs
17
point out that documents entitled “Notice of Cancellation and Refund” provided with the
18
Policies permitted Plaintiffs to “return [their] policy for surrender at any time and to
19
receive, in cash, the cash surrender value of [their] policy at the time of surrender.” See
20
Dkt. # 19-1 (Feldman Decl.) Ex. 1 at 23-24, 77-78. The Policies also attached documents
21
entitled “Notice of Withdrawal Right” which permitted Plaintiffs to “return [their] policy
22
for cancellation, and receive a full refund of all premiums paid, at any time within 10
23
days from delivery of the policy or 45 days from the date the application was signed,
24
whichever is later.” See id. at 25, 79. Plaintiffs therefore assert that “RCW 48.18.290(5)
25
does not focus solely on whether the insurer is able to cancel the policy,” and that
26
Defendant was therefore required to provide a notice of cancellation to Robert ten days
27
prior to the termination of the Policies. See Dkt. # 25 at 13-14.
28
ORDER – 13
The Court disagrees. RCW 48.18.290 is entitled “Cancellation by insurer.” 14 It
1
2
would be rather incongruous to interpret any part of that section referring to “provision to
3
cancellation” as applying to both the insurer and the owner or insured. But more to the
4
point, giving full effect to Plaintiffs’ interpretation would render whole requirements
5
from other statutes superfluous. RCW 48.76.020 requires that all life insurance policies
6
must contain a provision allowing the owner to surrender the policy. Likewise, RCW
7
48.23.020 and 48.23.050 require every life insurance policy, with a few exceptions, to
8
contain a provision stating that the policy will “be incontestable after it has been in force
9
for during the lifetime of the insured for a period of two years from its date of issue.” 15 If
10
life insurance policies containing provisions permitting cancellation by the policy owners
11
did not qualify for the exception in RCW 48.18.290(5), then no life insurance policy
12
could qualify.
“When two statutes appear to conflict, the rules of construction direct the court to,
13
14
if possible, reconcile them so as to give effect to both provisions.” Bailey v. State, 191
15
P.3d 1285, 1291 (Wash. Ct. App. 2008) (citing King v. Dep’t of Social & Health Servs.,
16
756 P.2d 1303, 1307 (Wash. 1988)); see also Ledezma-Galicia v. Holder, 636 F.3d 1059,
17
1070 (9th Cir. 2010) (quoting Radzanower v. Touche Ross & Co., 426 U.S. 148, 155
18
(1976) (“‘when two statutes are capable of co-existence, it is the duty of the courts ... to
19
regard each as effective.’”). The more natural reading, then, of RCW 48.18.290(5) is that
20
a “provision for cancellation” refers only to provisions for cancellation by the insurer, not
21
to mandatory provisions for “cancellation” by the owners of the policy. This makes
22
sense, given that numerous courts have held that “[t]he term ‘cancellation’ refers to a
23
unilateral act of the insurer terminating coverage during the policy term.” Johnson v.
24
14
25
26
27
28
Courts are often instructed that “the title of a statute or section can aid in resolving an
ambiguity in the legislation’s text.” See I.N.S. v. Nat’l Ctr. For Immigrants’ Rights, Inc., 502
U.S. 183, 189 (1991) (citing Mead Corp. v. Tilley, 490 U.S. 714, 723; FTC v. Mandel Bros., Inc.,
359 U.S. 385, 388-89 (1959)); State v. Lundell, 503 P.2d 774, 775-76 (Wash. Ct. App. 1972).
15
RCW 48.23.380 also requires every policy to have a notice informing policy owners of their
right to return the policy within 10 days of receipt for a refund of the premium paid.
ORDER – 14
1
Safeco Ins. Co. of Am., 316 P.3d 1054, 1060 (Wash. Ct. App. 2013) (quoting Safeco Ins.
2
Co. v. Irish, 681 P.2d 1294, 1296 (Wash. Ct. App. 1984)) (emphasis added).
Under the terms of the Policies, when the policy entered its grace period,
3
4
Defendant was required to “mail, to your last known address, a notice as to the premium
5
needed so that the estimated cash surrender value will be sufficient to cover the next three
6
monthly deductions.” See Dkt. # 17-3 (Skillings Decl.) Ex. 2 at 25. There is no genuine
7
dispute of material fact that Defendant mailed notices to both Plaintiffs at their last
8
known addresses, thereby satisfying this term. See Dkt. # 17-5 (Skillings Decl.) Ex. 20 at
9
2, Ex. 28 at 27.
ii. Whether Genuine Issues Exist As To the Breach of Contract Claim 16
10
Plaintiffs argue that even if summary judgment is granted in Defendant’s favor on
11
12
the proper application of RCW 48.18.290, summary judgment should be denied as to
13
their breach of contract claim because, they contend, factual issues remain concerning
14
nonpayment. See Dkt. # 25 at 17.
Plaintiffs contend that the evidence they present creates a genuine issue of material
15
16
fact regarding whether any nonpayment was caused by Plaintiffs or by Defendant or its
17
service provider. See id. They cite, extensively, to Christopher’s letter to Mr. Tsafaridis
18
as proof that they paid or that their parents had “other Ameriprise account(s) that could
19
have paid any insurance payments owing.” See id. (quoting Dkt. # 19 (Feldman Decl.)
20
Ex. 1 at 5). As discussed, supra, those statements are hearsay not within any exception
21
16
22
23
24
25
26
27
28
Defendant correctly argues that generally, parties may not assert new theories at the last
minute to avoid summary judgment. See Mintz v. Mark Bartelstein & Assocs. Inc., 906 F. Supp.
2d 1017, 1037 (C.D. Cal. 2012) (citing Coleman v. Quaker Oats Co., 232 F.3d 1271, 1294 (9th
Cir. 2000)); cf. Amaker v. King Cnty., 479 F. Supp. 2d 1151, 1157 (W.D. Wash. 2007). And
Defendant correctly points out that several of the theories Plaintiffs now assert are not contained
in their Complaint.
In part, the reasoning behind this principle is that allowing a plaintiff to “oppose summary
judgment based on a new theory of liability . . . would essentially blind side the defendant with a
new legal issue after the bulk of discovery has been completed.” Ortiz v. Lopez, 688 F. Supp. 2d
1072, 1082 (E.D. Cal. 2010) (citing Coleman, 232 F.3d at 1292-93). Those concerns are less
apparent here, where little discovery has taken place. As such, the Court declines to preclude
Plaintiffs’ arguments solely on these procedural grounds.
ORDER – 15
1
and do not create a genuine issue for purposes of summary judgment. See Orr, 285 F.3d
2
at 773.
3
Finally, Plaintiffs request that the Court defer ruling on or simply deny
4
Defendant’s Motion on this issue at this time because they have not had adequate time to
5
conduct discovery. See Dkt. # 25 at 18. Under Federal Rule of Civil Procedure 56(d),
6
“[i]f a nonmovant shows by affidavit or declaration that, for specified reasons, it cannot
7
present facts essential to justify its opposition, the court may: (1) defer considering the
8
motion or deny it; (2) allow additional time to obtain affidavits or declarations or to take
9
discovery; or (3) issue any other appropriate order.” See also Family Home & Fin. Ctr.,
10
Inc. v. Fed. Home Loan Mortgage Corp., 525 F.3d 822, 827 (9th Cir. 2008). Generally
11
speaking, “[t]he requesting party must show: (1) it has set forth in affidavit form the
12
specific facts it hopes to elicit from further discovery; (2) the facts sought exist; and (3)
13
the sought-after facts are essential to oppose summary judgment.” Family Home & Fin.
14
Ctr., Inc., 525 F.3d at 827 (citing Cal. On behalf of Cal. Dep’t of Toxic Substances
15
Control v. Campbell, 138 F.3d 772, 779 (9th Cir. 1998)).
16
Plaintiffs provided affidavits in support of their Motion to Continue RiverSource’s
17
Summary Judgment Motion Under Rule 56(d). See Dkt. # 18. Plaintiffs contend that
18
they need additional discovery regarding whether they or their parents failed to pay the
19
policy premiums, whether Defendant correctly determined premium amounts, whether
20
nonpayment was caused by Defendant or its service provider, and whether other accounts
21
were available to pay the premiums. See Dkt. # 25 at 18. They also provide some
22
examples of the discovery requests they propounded on Defendant. See Dkt. # 19-2
23
(Feldman Decl.) Ex. 3 at 9-17.
24
The Court expresses some doubt as to Plaintiffs’ justification for additional
25
discovery. For example, without proof that the Plaintiffs’ parents gave explicit
26
authorization for any transfers from their other accounts to pay for their life insurance
27
premiums, any agent of Defendant making such an unauthorized transfer could
28
ORDER – 16
1
potentially be liable for bank fraud. See 18 U.S.C. § 1344. Alternatively, it seems
2
eminently clear that Plaintiffs would have equal, if not better, access to their (and their
3
parents’) payment records on the Policies. Nevertheless, in the interests of justice, the
4
Court finds that Plaintiffs have provided sufficient justification for additional discovery
5
on this claim. As such, the Court will DENY Defendant’s Motion and grant additional
6
discovery at this time.
7
c. Whether Genuine Issues of Material Fact Exist As to Plaintiffs’ Other Claims
8
In addition to their claim for breach of contract, Plaintiffs also bring claims for bad
9
faith, negligence, and for violations of the IFCA and CPA. Defendant has requested
10
summary judgment on those claims by virtue of the Court’s ruling on the proper
11
application of RCW 48.18.290. See Dkt. # 17 at 22-28. Plaintiffs argue that factual
12
issues exist as to those claims to preclude summary judgment or that they have
13
substantial justification for seeking additional discovery on those claims. See Dkt. # 25 at
14
18-29.
15
Excluding Plaintiffs’ arguments relying upon their interpretation of RCW
16
48.18.290(1)(c), Plaintiffs aver that Defendant violated the IFCA and committed bad
17
faith by: (1) failing to conduct a reasonable investigation as to alleged payment issues
18
from their financial advisors, and (2) by failing to promptly respond to letters from
19
Plaintiffs and their counsel beginning in October 2013. See Dkt. # 25 at 21-23. They
20
argue that factual issues exist as to their CPA and negligence claims regarding: (1)
21
Defendant’s failure to conduct a reasonable investigation, (2) whether the cumulative
22
premiums paid equal or exceed the policy benefits, and (3) whether Defendant exercised
23
ordinary care in denying Plaintiffs’ claim for benefits under the Policies. See id. at 23-25.
24
The Court expresses some doubts as to these arguments. Plaintiffs cite their own
25
letters to show that payment issues arose (see id. at 21), but those statements are hearsay
26
not within any exception (see Fed. R. Evid. 801 & 802). Their argument that
27
Defendant’s single statement that it was “not aware of any alleged payment error between
28
ORDER – 17
1
your parents and their financial advisors” constitutes a failure to conduct a reasonable
2
investigation (see Dkt. # 17-5 (Skillings Decl.) Ex. 35 at 48) requires a rather tortured
3
reading of Defendant’s letter. Additionally, it is unclear why Defendant should have
4
been obligated to investigate payment irregularities from Plaintiffs’ financial advisors,
5
Charles Schwab, not Ameriprise (or some other entity affiliated with Defendant). See id.
6
Ex. 27 at 24 (evidence payment from Charles Schwab); Dkt. # 17-1 (Tucker Decl.) Ex. 2
7
at 6 (“These premium payments had been set up as auto-pay items through Schwab. We
8
are still trying to figure out what happened there.”).
Nevertheless, the Court finds that Plaintiffs have presented sufficient justification
9
10
to warrant additional discovery on these claims. Access to the Defendant’s claims files
11
may shed additional light on the process by which Defendant denied Plaintiffs’ claims,
12
including a fuller accounting of Plaintiffs’ payments (or non-payments, as it were),
13
though Plaintiffs certainly already have access to evidence of their own payments.
14
Defendant’s claims files may also reveal information regarding Defendant’s claims
15
handling processes and whether they conducted a reasonable investigation into Plaintiffs’
16
claims.
17
///
18
///
19
///
20
21
22
23
24
25
26
27
28
ORDER – 18
V.
1
2
CONCLUSION
For the reasons stated above, the Court DENIES Plaintiffs’ Motion for Partial
3
Summary Judgment (Dkt. # 6), and GRANTS in part and DENIES in part Defendant’s
4
Motion for Summary Judgment (Dkt. # 17). The Parties are HEREBY ORDERED to
5
meet and confer within fourteen (14) days of this Order to discuss a proposed case
6
schedule, with Plaintiffs to file a joint status report reflecting the joint status report topics
7
listed in the Court’s previous Order (Dkt. # 8) not to exceed seven (7) pages within
8
seven (7) days of the Parties’ conference. The Court’s previous Order staying discovery
9
is lifted. See Dkt. # 23.
10
11
DATED this 30th day of November, 2015.
12
14
A
15
The Honorable Richard A. Jones
United States District Court
13
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25
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ORDER – 19
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