No. 91-7809.United States Court of Appeals, Eleventh Circuit.
March 22, 1993.
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[EDITORS’ NOTE: THIS PAGE CONTAINS HEADNOTES. HEADNOTES ARE NOT AN OFFICIAL PRODUCT OF THE COURT, THEREFORE THEY ARE NOT DISPLAYED.]Page 1526
J. Mark Hart, Bert S. Nettles, Spain, Gillon, Grooms, Blan
Nettles, Birmingham, AL, for defendant-appellant.
Richard W. Whittaker, Joe S. Pittman, Pittman, Whittaker
Pittman, Enterprise, AL, for plaintiff-appellee.
Appeal from the United States District Court for the Middle District of Alabama.
Before BIRCH, Circuit Judge, JOHNSON, Senior Circuit Judge, and THOMAS[*] , Senior District Judge.
JOHNSON, Senior Circuit Judge:
[1] This case arises on appeal following a jury verdict in favor of the plaintiff-appellee Marija Wolff on her claims of fraudulent suppression and breach of contract against the defendant-appellant Allstate Life Insurance Co. (“Allstate”). The claims involved Allstate’s termination of and refusal to pay on an insurance policy issued on the life of Wolff’s husband. The district court entered judgment in accordance with the jury verdict, and Allstate now appeals. On appeal, Allstate claims that it was entitled to judgment notwithstanding the verdict (“JNOV”) on Wolff’s fraudulent suppression claim, and to a new trial on Wolff’s breach of contract claim. For the reasons that follow, we affirm the district court’s denial of Allstate’s motion for JNOV, but reverse the district court’s entry of judgment and remand the case for a new trial on both the fraudulent suppression and breach of contract claims.[2] I. STATEMENT OF THE CASE[3] A. Factual Background
[4] In December 1981, Marija Wolff and her husband, Dr. C. Robert Wolff, purchased a joint mortgage protection life insurance policy (“the 1981 policy”) in the amount of $100,000 from Allstate.[1] The 1981 policy
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provided for “decreasing term” coverage, under which the Wolffs would have life insurance coverage for fifteen years but the amount of coverage would decrease each year. At the end of the fifteenth year, the policy would terminate without value. To avoid this result, the policy also contained a limited right for either or both of the Wolffs to convert the insurance coverage into “whole life insurance.” The exercise of this option would afford the converting party permanent coverage in the amount of the face value of the policy at the time of conversion.
[5] In 1987, the Wolffs obtained a new mortgage in the amount of $180,000. Because of the increased mortgage debt, Dr. Wolff met with Allstate agent Frank Stinson to increase the couple’s life insurance protection. In February 1988, the Wolffs submitted an application to Allstate for a new policy which would provide $100,000 in whole life insurance on each of them. The Wolffs’ application instructed Allstate to terminate the 1981 policy if their application was accepted. [6] In March 1988, Allstate accepted Dr. Wolff’s application for coverage and issued a $100,000 policy (“the 1988 policy”) on his life. However, Allstate rejected Mrs. Wolff for coverage because of health problems discovered in her required medical examination. Stinson arranged for the Wolffs to amend their application to preserve the 1981 policy so that Mrs. Wolff would not be left without coverage. [7] On May 9, 1988, Stinson met with the Wolffs in their home to deliver Dr. Wolff’s new policy, to have the Wolffs sign the amended application preserving the 1981 policy coverage, and to determine how the Wolffs wished to respond to Allstate’s denial of Mrs. Wolff’s application for coverage. For most of the meeting, Stinson and Dr. Wolff conferred alone, but Mrs. Wolff was called into the room as the meeting concluded. In the presence of Stinson, Dr. Wolff explained to Mrs. Wolff the steps he felt they should take to obtain the desired amount of coverage. In the course of their conversation, the Wolffs agreed that Mrs. Wolff should exercise her right to convert her coverage under the 1981 policy (with its current face value of $77,000) into whole life insurance.[2] In addition, the Wolffs decided that they would continue Dr. Wolff’s decreasing term coverage under the 1981 policy to supplement his coverage under the 1988 policy. Stinson then provided Mrs. Wolff with the paperwork to authorize the conversion of her coverage under the 1981 policy.[3] [8] On May 15, 1988, Allstate approved the conversion of Mrs. Wolff’s coverage under the 1981 policy into a $77,000 whole life insurance policy. Ten days later, an Allstate underwriter terminated the 1981 policy in its entirety effective May 9, 1988.[4] Although Allstate sent the Wolffs a premium refund check on the 1981 policy, it did not send them any written statement notifying them that the 1981 policy had been canceled. Allstate proceeded to collect its premiums on the remaining policies by bank draft on the Wolffs’ joint bank account.[5]Page 1528
[9] In December 1988, Dr. Wolff died. Mrs. Wolff filed claims with Allstate for benefits under both the 1981 and 1988 policies. Allstate paid $100,000 under the 1988 policy, but denied benefits under the 1981 policy claiming that the policy had been canceled. This lawsuit followed. [10] B. Procedural History[12] II. ANALYSIS
[13] On appeal, Allstate challenges the district court’s denial of its motion for JNOV on the fraudulent suppression claim, A motion for JNOV challenges the sufficiency of the evidence and raises a question of law subject to de novo review. See Braswell v. ConAgra, Inc., 936 F.2d 1169, 1172 (11th Cir. 1991); Gregg v. U.S. Industries, Inc., 887 F.2d 1462, 1468 (11th Cir. 1989). In evaluating the district court’s denial of the motion:
[T]he Court should consider all of the evidence . . . with all reasonable inferences most favorable to the party opposed to the motion. If the facts and inferences point so strongly and overwhelmingly in favor of one party that the Court believes that reasonable men could not arrive at a contrary verdict, granting of the motion is proper. On the other hand, if there is substantial evidence opposed to the motion, that is, evidence of such quality and weight that reasonable and fair-minded men in the exercise of impartial judgment might reach different conclusions, the motion should be denied. . . .[14] Boeing Co. v. Shipman, 411 F.2d 365, 374 (5th Cir. 1969) (en banc). [15] In addition, Allstate challenges the district court’s denial of its motion for a new trial. In this motion, Allstate asserted that the jury’s verdict, finding both a breach of contract and fraudulent suppression, was factually inconsistent and therefore legally unsupportable under Alabama law. The district court’s denial of Allstate’s motion for a new trial is reviewable for a clear abuse of discretion. See Hessen v. Jaguar Cars, Inc., 915 F.2d 641, 644-45 (11th Cir. 1990). [16] A. The Fraudulent Suppression Claim
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the suppression and awarded Wolff $250,000 in damages. Allstate argues that it was entitled to JNOV on the claim because Wolff failed to establish the essential elements of a fraudulent suppression action under Alabama law.
[18] Fraudulent suppression actions in Alabama are governed by statutory authority:§ 6-5-102. Suppression of material facts.
[19] Ala. Code § 6-5-102 (1975). The Alabama Supreme Court has identified five essential elements of a fraudulent suppression claim: (1) a duty on the part of the defendant to disclose; (2) the defendant’s suppression of material facts; (3) the defendant’s knowledge of the facts and their materiality; (4) action by the plaintiff in reliance on the suppression; and (5) damages resulting from the reliance action. See Hardy v. Blue Cross and Blue Shield of Alabama, 585 So.2d 29, 32 (Ala. 1991). Allstate argues that Wolff failed to establish three of these factors: (1) a duty on its part to disclose the termination of Dr. Wolff’s insurance policy to Mrs. Wolff; (2) justifiable reliance by Mrs. Wolff on Allstate’s silence; and (3) proof of damages proximately caused by Wolff’s reliance on the suppression.Suppression of a material fact which the party is under an obligation to communicate constitutes fraud. The obligation to communicate may arise from the confidential relations of the parties or from the particular circumstances of the case.
[20] 1. Allstate’s Duty to Disclose
[21] Under Alabama law, a duty to disclose exists only if there are “confidential relations” or “particular circumstances” which give rise to an obligation to communicate. Ala. Code § 6-5-102 (1975). The duty to speak depends upon “the relation of the parties, the value of the particular fact, the relative knowledge of the parties, and other circumstances.” RNH, Inc. v. Beatty, 571 So.2d 1039, 1042 (Ala. 1990); Jim Short Ford Sales, Inc. v. Washington, 384 So.2d 83, 86 (Ala. 1980). “If a plaintiff offers evidence of special circumstances suggesting that the defendant should have disclosed certain material facts, then whether the defendant had a duty to communicate these facts is for the jury to determine.” Interstate Truck Leasing, Inc. v. Bender, 608 So.2d 716, 720 (Ala. 1992).
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in which no duty to speak could arise. Neither of these factors is sufficient to negate Allstate’s duty to disclose as a matter of law.
[24] Wolff’s status under the 1981 policy does not itself obviate Allstate’s duty to disclose. See Gillion v. Alabama Forestry Ass’n, 597 So.2d 1315, 1322 (Ala. 1992) (wife could maintain fraud action against insurance company on husband’s policy if she could show that fraud was committed on and relied upon by her) National States Ins. Co. v. Jones, 393 So.2d 1361, 1363-64[26] 2. Justifiable Reliance
[27] Allstate also argues that it was entitled to judgment as a matter of law on the fraudulent suppression claim because no reasonable jury could have found Wolff’s reliance on Allstate’s silence to be justified. According to Allstate, the 1981 policy by its terms informed the Wolffs that the policy would terminate upon conversion. Therefore, Wolff could not have relied on Allstate’s silence to assume the policy was still in force. In its “Conversion Privilege” section, the 1981 policy provided:
You may buy a new contract on one or each of the joint insureds’ lives at any time while:
1. All due payments have been made; and
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2. The amount of the death benefit in force is at least $5,000.
For each new contract you want, you must:
1. Give us a written app; and
2. Make the first payment for the new contract.
[28] Allstate Joint Decreasing Term Policy, at 6 (emphasis added). [29] Reliance is an essential element of a fraudulent suppression action. See Hardy, 585 So.2d at 32. The plaintiff must establish that her reliance was “justifiable” — i.e., that she did not “close [her] eyes to avoid the discovery of the truth.”First Bank of Boaz, 590 So.2d at 897 (applying “justifiable reliance” standard to claim of fraudulent suppression); Johnson v. State Farm Ins. Co., 587 So.2d 974, 979 (Ala. 1991) (adopting justifiable reliance standard for fraud actions). The determination of whether the plaintiff’s reliance was justifiable is generally a question of fact for the jury to decide. See AT T Information Systems, Inc. v. Cobb Pontiac-Cadillac, Inc., 553 So.2d 529, 532 (Ala. 1989). [30] Under Alabama law, written disclosures may defeat a claim of justifiable reliance. See McConico v. Corley, Moncus, and Bynum, P.C., 567 So.2d 863, 864 (Ala. 1990) (plaintiff’s reliance was not justifiable where all documents prepared by the defendant and signed by the plaintiff in connection with the transaction contradicted the plaintiff’s asserted belief). To defeat a claim for fraud as a matter of law, however, the written disclosure must be clearly discoverable on a review of the documents. See Alfa Mut. Ins. Co. v. Northington, 561 So.2d 1041, 1045-46 (Ala. 1990). [31] Under the circumstances of this case, we believe that Wolff’s reliance was properly submitted to the jury. Wolff testified that she believed that her conversion would result only in the termination of her coverage under the 1981 policy. The 1981 policy did not clearly disclose that the policy would automatically terminate in its entirety upon Wolff’s election to convert her coverage into a whole life policy. Significantly, the conversion privilege provisions provide that joint insureds may each elect to convert the policy and that the face amount and insurance plans among joint insureds need not be identical.[8] Wolff produced evidence to show that Allstate gave the that she and her husband intended to convert her coverage into whole life insurance while preserving Dr. Wolff’s coverage under the policy. Yet Allstate gave the Wolffs no indication that it would not carry out their wishes or that the 1981 policy coverage was not divisible.[9] We conclude that Wolff’s belief was not “so patently and obviously false that [she] must have closed [her] eyes to avoid discovery of the truth.” Hickox v. Stover, 551 So.2d 259, 263 (Ala. 1989) (quoting Southern States Ford, Inc. v. Proctor, 541 So.2d 1081, 1091-92 (Ala. 1989) (Hornsby, C.J., concurring specially)). Therefore, Allstate was not entitled to judgment as a matter of law on the fraudulent suppression claim on this basis.Each new contract will start on the date you sign the new app. This date is called `new start date’. This contract will stop at the end of the day prior to the new start date.
[32] 3. Damages Resulting from Wolff’s Reliance
[33] Under Alabama law, a plaintiff asserting a fraudulent suppression claim must establish damages which were proximately caused by the plaintiff’s reliance on the fraudulent suppression See Hardy, 585 So.2d at 32. Allstate argues that Wolff failed to establish this aspect of her
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claim because (1) Wolff did not show proximate cause because it was the terms of the 1981 policy, rather than Allstate’s fraudulent suppression, which led to Allstate’s termination of the policy and to Wolff’s damages, and (2) Wolff offered only speculative and conjectural evidence that she would have secured alternative insurance on her husband’s life if disclosure had been made. We reject both of these contentions.
[34] We find the evidence more than sufficient to support the jury’s finding of proximate cause. Under Alabama law, the jury is allowed broad discretion in determining whether an asserted injury is traceable to the defendant’s tortious conduct. See, e.g., Coosa Valley Bank v. Taylor-Holmes Indus. Supply, Inc., 420 So.2d 51, 54-55 (Ala. 1982). Contrary to Allstate’s assertions, Wolff’s asserted injuries were not premised on Allstate’s termination of the contract per se, but rather on Allstate’s failure to notify her of the termination. Whether the termination was proper or not, Wolff alleged that she could have protected herself from injury if only she had been told of Allstate’s plans. Once the jury found Wolff’s reliance on Allstate’s suppression to be justified, the jury was warranted in tracing Wolff’s mental anguish to the suppression. Therefore, we will not overturn the jury verdict on this basis. [35] We also reject Allstate’s argument that Wolff’s proof of damages was so speculative that the case should not have been submitted to the jury. Under Alabama law, the determination of damages is a question of fact for the jury to resolve. See Griggs v. Finley, 565 So.2d 154, 161 (Ala. 1990). In this case, Wolff testified that she would have procured substitute insurance on her husband’s life in an amount at least sufficient to cover the couple’s home mortgage if she had known of Allstate’s termination of the 1981 policy. A jury could find that Allstate’s continued suppression after its purported termination lulled Wolff into inaction by creating a false sense of security. See State Farm Mut. Auto. Ins. Co. v. Ling, 348 So.2d 472, 474-75Page 1533
the plaintiff seeks recission because of fraud in the inception of the contract. Based on recent authority from the Alabama Supreme Court, we conclude that the jury in this case did in fact return an inconsistent verdict which can have no effect under Alabama law. Therefore, Allstate is entitled to a new trial on both the fraud and breach of contract claims.
[38] Under Alabama law, plaintiffs may present alternative or inconsistent theories of liability to the jury, but juries are not permitted to return factually inconsistent verdicts. See National Security Fire and Cas. Co. v. Vintson, 414 So.2d 49, 51[40] Id. at 1009-10. [41] Thus, Jackson holds that the determinate factor in identifying inconsistent verdicts in fraud and breach of contract cases is whether the finding of fraud necessarily involved a finding that in fact no contract existed.[11] If the jury verdict finding fraud necessarily involved a finding that no contract existed, an accompanying verdict finding a breach of contract would inherently contradict the fraud verdict. See Vintson, 414 So.2d at 51; McKinnon, 356 So.2d at 607. [42] In this case, Wolff’s complaint alleged that Allstate breached its contract with Dr. Wolff when it failed to pay on a valid claim under the 1981 policy. Contrary to Wolff’s assertions,[12] the breach ofTo find in favor of Mrs. Jackson on the fraud count, the jury necessarily found that the policy was not in force at that time. However, to find in favor of Mrs. Jackson on the breach of contract count, the jury necessarily had to find that the policy was in force at the time of her husband’s death. These findings are factually inconsistent.
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contract claim was tried on the theory that Allstate’s purported termination of the 1981 policy was ineffective and that the contract remained in full force at Dr. Wolff’s death.[13]
In reaching its verdict for Wolff on the breach of contract claim, therefore, the jury necessarily found that the 1981 policy was in force at Dr. Wolff’s death and that Allstate’s purported termination of the policy was ineffective.
[44] III. CONCLUSION
[45] For the foregoing reasons, we AFFIRM the district court’s denial of Allstate’s motion for JNOV on Wolff’s fraudulent suppression claim. The district court’s entry of judgment, however, is VACATED as inconsistent under Alabama law and the case is REMANDED for a new trial on the breach of contract and fraudulent suppression claims.
If you want a new contract on each joint insured:
1. The face amounts do not have to be the same; and
2. The plans chosen do not have to be the same.
THE COURT: . . . Do you concede that they terminated the policy because of the conversion of Mrs. Wolff, conversion of her policy?
MR. WHITTAKER: No, sir. I don’t think they ever terminated this policy.
THE COURT: Which policy?
MR. WHITTAKER: In the 1981 policy. We have said they denied the claim for that reason. But we’re not admitting that there’s been any proper cancellation of that policy at all. In fact, the evidence is that the 290 was to cover both policy premiums. So I’m not here admitting that there’s been any cancellation of that 1981 policy whatsoever. That’s what part of the problems is.
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