Court Opinion

ID: 44138
Source: CourtListenerOpinion
Date Created: 2010-04-25 22:05:11+00
Date Added: 2024-06-11T17:17:09.679445
License: Public Domain

[DO NOT PUBLISH]

                  IN THE UNITED STATES COURT OF APPEALS

                            FOR THE ELEVENTH CIRCUIT
                                                                            FILED
                              ________________________ U.S. COURT OF APPEALS
                                                                      ELEVENTH CIRCUIT
                                                                           May 5, 2005
                                     No. 04-10849
                                                                       THOMAS K. KAHN
                                 Non-Argument Calendar                     CLERK
                               ________________________

                       D. C. Docket No. 02-00226-CV-2-WDO-5

JON A. NIXON, Trustee of the
Nixon Family Trust, dated
April 19, 2000,

                                                                          Plaintiff-Appellant,

                                            versus

LINCOLN NATIONAL INSURANCE COMPANY,

                                                                        Defendant-Appellee.

                               ________________________

                      Appeal from the United States District Court
                          for the Middle District of Georgia
                           _________________________

                                        (May 5, 2005)

Before BLACK, WILSON and STAPLETON*, Circuit Judges.
___________________________

       *Honorable Walter K. Stapleton, United States Circuit Judge for the Third Circuit, sitting
by designation.
PER CURIAM:

      This diversity action arises from a claim by plaintiff-appellant Jon A. Nixon

(“Nixon”), as trustee for the Nixon Family Trust, to proceeds from a life insurance

policy issued by Lincoln National Life Insurance Company (“Lincoln”) insuring

the life of Nixon’s mother, Iris Nixon (“Mrs. Nixon”). The district court granted

Lincoln’s motion for summary judgment. We review the district court’s order de

novo, resolving all factual disputes in favor of the non-moving party. Hickson

Corp. v. Northern Crossarm Co., Inc., 357 F.3d 1256, 1259-60 (11th Cir. 2004).

We vacate the order and remand for further proceedings.

      Because the parties are familiar with the facts, we relate them only as

necessary to explain our decision. In short, Lincoln issued a $4 million insurance

policy on Mrs. Nixon, who was eighty years old at the time. Nixon claims that

Lincoln’s agent, Lawrence Williford, did not meet with Mrs. Nixon, did not

witness her signature on the policy application, and did not present her with

application pages containing several health questions. Nevertheless, Williford

falsely certified that he had met with Mrs. Nixon and asked her the pertinent health

questions. Mrs. Nixon died from pancreatic cancer shortly after the policy was

issued.

      Nixon argues that Lincoln should be estopped from denying liability because

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Williford failed to ask relevant health questions. We agree that there is a genuine

issue of material fact on this issue. Id. at 1260. Georgia law is clear that “[i]n an

action on a contract of insurance, the insurance company is generally considered

estopped to deny liability on any matter arising out of the fraud, misconduct, or

negligence of an agent of the company. If either party must suffer from an

insurance agent’s mistake, it must be the insurance company, his principal.”

O’Kelly v. Southland Life Ins. Co., 305 S.E.2d 873, 875 (Ga. Ct. App. 1983)

(quoting Stillson v. Prudential Ins. Co., 42 S.E.2d 121, 124 (Ga. 1947).

       Lincoln claims that Mrs. Nixon had a duty to disclose her health issues, and

that it would not have issued the policy had it known the full extent of her illness.

To the extent that Lincoln claims that Mrs. Nixon’s failure to advise it of her health

problems constituted a material misrepresentation absolving it of liability under

Ga. Code Ann. § 33-24-7(b), it is for a jury to decide with whom the fault lies. See

Liberty Nat’l Life Ins. Co. v. Houk, 278 S.E.2d 120, 121-22 (Ga. Ct. App. 1981).1

       1
         Mrs. Nixon provided truthful information about her health to Lincoln in
December of 1999. She did not learn she had pancreatic cancer until April 28, 2000. A meeting
occurred on April 19, 2000 between Mr. and Mrs. Nixon, Williford and Frank Kenney (an
employee of Smith Barney’s estate and trust services area brought in by Lincoln to assist with
the making of policy offers to the Nixons). Jon Nixon testified in his deposition that during this
meeting, Kenney told Mrs. Nixon that the insurance policy agreed upon by the parties was “a
done deal,” that “the policy ha[d] been approved and everything [was] ready to go,” see R2-26-
Exh.D-1, p.16, that the policy would be effective February 23, 2000, and that she should write a
premium check for $38,953. There is thus evidence in the record from which a trier of fact
could find that Lincoln led Mrs. Nixon to believe on April 19 that the insurance on her life was
then in effect and that subsequent changes in her health, other than her death, were immaterial.

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      We agree with the district court, however, on Nixon’s claim that Lincoln

waived the misrepresentation defense by retaining the premium following

knowledge of the alleged misrepresentation. Lincoln was entitled to a reasonable

time to conduct an investigation into the contestability of the policy. Lincoln

conducted its investigation and rescinded the policy and returned the premiums

approximately four months after Mrs. Nixon’s death and only weeks after it

interviewed Nixon and Mrs. Nixon’s husband. In light of these circumstances, we

cannot conclude that Lincoln neglected its duty to “promptly move to have the

contract of insurance rescinded.” Florida Int’l Indem. Co. v. Osgood, 503 S.E.2d

371, 373 (Ga. Ct. App. 1998) (quoting Columbian Nat’l Life Ins. Co. v. Mulkey, 91

S.E. 106, 108 (Ga. 1916)). Accordingly, Lincoln did not waive its material

misrepresentation defense.

      For the reasons stated above, we vacate the district court’s order granting

summary judgment to Lincoln, and remand for further proceedings consistent with

this opinion.

      VACATED AND REMANDED.

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