Court Opinion

ID: 997327
Source: CourtListenerOpinion
Date Created: 2013-07-04 16:54:41.462788+00
Date Added: 2024-06-11T15:25:48.708075
License: Public Domain

UNPUBLISHED

UNITED STATES COURT OF APPEALS

FOR THE FOURTH CIRCUIT

CHRISTINA A. REYNOLDS,
Plaintiff-Appellant,

v.
                                                                  No. 98-1389
UNITED OF OMAHA LIFE INSURANCE
COMPANY,
Defendant-Appellee.

Appeal from the United States District Court
for the Eastern District of Virginia, at Alexandria.
Claude M. Hilton, Chief District Judge.
(CA-97-1050-A)

Argued: October 28, 1998

Decided: December 7, 1998

Before NIEMEYER and MICHAEL, Circuit Judges, and
BOYLE, Chief United States District Judge for the
Eastern District of North Carolina, sitting by designation.

_________________________________________________________________

Affirmed by unpublished per curiam opinion.

_________________________________________________________________

COUNSEL

ARGUED: J. Charles Curran, KIDWELL, KENT & CURRAN, Fair-
fax, Virginia, for Appellant. Robert William Hesselbacher, Jr.,
SEMMES, BOWEN & SEMMES, Baltimore, Maryland, for Appel-
lee. ON BRIEF: Harold Kent Kidwell, KIDWELL, KENT & CUR-
RAN, Fairfax, Virginia, for Appellant.

_________________________________________________________________
Unpublished opinions are not binding precedent in this circuit. See
Local Rule 36(c).

_________________________________________________________________

OPINION

PER CURIAM:

Christina A. Reynolds (Reynolds) appeals the district court's grant
of United of Omaha Life Insurance Company's motion for summary
judgment. The underlying claim was Reynolds' suit seeking benefits
under four life insurance policies issued by United of Omaha Life
Insurance Company (United) to her late father, James H. Powell.
United refused to pay benefits on these policies on the grounds that
Powell had deceived United when applying for the policies.

In May of 1995, Powell met with a United agent and applied for
a life insurance policy. In his application, Powell answered "no" to
questions asking whether he had received medical care for or had sei-
zures, convulsions, paralysis, stroke, mental disorder, emotional dis-
order, or brain disease in the past five years. He also answered "no"
to a question asking if he had been examined or received medical care
for any other mental or physical disorder or bodily injury in the past
five years. Powell also stated that he had not had or received medical
care for any respiratory disorder in the ten years prior to applying for
life insurance.

United also conducted a telephone interview with Powell, which
produced a report that was largely consistent with Powell's applica-
tion. United requested various medical records in May, and again in
August, of 1995. The information received in the medical records was
generally consistent with Powell's application. However, on August
24, 1995, United received a report which indicated that Powell had
told his doctor that "he was involved as a guard in the assassination
of President Kennedy in France(?)," and records indicated that Powell
had a history of hypertension and pneumonia. Meanwhile, Powell had
applied for a second life insurance policy from United, which was
issued on September 4, 1995, after an August 26, 1995 paramedical
inspection of Powell produced statements from Powell consistent with
his earlier applications.

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On October 1, 1995, Powell applied for two additional life insur-
ance policies from United. Based upon these applications, which were
virtually identical to Powell's earlier applications, United issued these
policies later in October 1995.

Powell died of respiratory arrest caused by multiple myeloma and
chronic obstructive lung disease on May 26, 1996. Reynolds made
demand for benefits under United's four insurance policies on Pow-
ell's life on July 10, 1996. On December 30, 1996, United informed
Reynolds that a claim investigation had revealed that Powell had been
treated for significant and long-standing mental health problems,
which were not disclosed on the insurance applications or revealed by
United's investigations. United went on to state that the four policies
in question would not have been issued to Powell had United been
aware of Powell's conditions and treatment at the time of application.
United declared the policies void from the date of inception, denied
Reynolds' claim, and issued a check refunding the premiums paid on
the policies.

Reynolds concedes that Powell, in spite of his statements made to
United, had a long history of serious mental illness (diagnosed as
either schizophrenia or bipolar disorder), and had been hospitalized
numerous times in the five years before applying for life insurance
from United, and as recently as July 1995. Reynolds also acknowl-
edges that the answers to some health questions on Powell's applica-
tions for life insurance were untrue as a matter of fact.

However, Reynolds argues that United should not have relied on
Powell's false statements to United. According to Reynolds, the
inconsistencies in the information United received should have put it
on notice of Powell's untrue statements. Reynolds points out that
Powell named a different treating physician on August 26, 1995 than
he had in earlier applications. Reynolds also points to the scrawled
statement in one of the Doctor's reports that United received stating
that Powell said he had been involved as a guard in"President Kenne-
dy's assassination in France(?)" The district court found that United
had no general duty to go beyond the face of Powell's statements to
determine that they were accurate. In making this finding, the district
court relied upon well established Virginia law. See Parkerson v. Fed-
eral Home Life Ins. Co., 797 F.Supp. 1308, 1315 (E.D. Va. 1992).

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Reynolds also argues that United was in possession of information
contradictory to that in Powell's applications, took no action, and thus
was estopped from relying on Powell's representations. Furthermore,
Reynolds states, as United had begun its own independent investiga-
tion, United was bound by what it should have discovered had it com-
pleted the investigation.

However, the district court found that the few discrepancies
between Powell's medical records and his applications and statements
were not sufficient to put United on notice. Certainly, United was
under no duty to investigate, as "it would be a strained result indeed
that would place the burden not on the applicant to reveal the truth,
but on the insurer to discover it." Rutherford v. John Hancock Life
Ins. Co., 562 F.2d 290, 294 (4th Cir. 1977).

Upon review of the briefs and the record, and after consideration
of oral arguments, we conclude that the district court was correct in
granting United's motion for summary judgment. Accordingly, we
affirm the judgment of the district court for the reasons stated in its
memorandum opinion. See Reynolds v. United of Omaha Life Ins.
Co., CA No. 97-1050-A (E.D.Va. February 9, 1998).

AFFIRMED

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