NOT PRECEDENTIAL
UNITED STATES COURT OF APPEALS
FOR THE THIRD CIRCUIT
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No. 11-1960
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TRANSAMERICA OCCIDENTAL LIFE INSURANCE COMPANY
v.
TOTAL SYSTEMS INC; TOTSYS INC,
Appellants
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On Appeal from the United States District Court
for the District of New Jersey
(D.C. No. 08-cv-01323)
District Judge: Honorable Dennis M. Cavanaugh
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Submitted Under Third Circuit LAR 34.1(a)
February 11, 2013
Before: HARDIMAN, and ALDISERT, Circuit Judges
and STARK *, District Judge
(Filed: February 13, 2013 )
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OPINION OF THE COURT
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*
The Honorable Leonard P. Stark, District Judge for the United States District Court
for the District of Delaware, sitting by designation.
HARDIMAN, Circuit Judge.
Total Systems, Inc. and Totsys, Inc. (collectively, Total Systems) appeal the
District Court‘s summary judgment in favor of Transamerica Life Insurance Company.
We will affirm.
I
Because we write for the parties, who are well acquainted with the case, we recite
only the facts and procedural history essential to our decision.
The owners of Total Systems—Daniel Devine and Robert Hendrickson—applied
for life insurance in December 1999. Their agent, JB Hanauer, transmitted the
applications to Transamerica through the Selario Agency, an independent insurance
agency.
In June 2000, Transamerica approved Devine‘s application and issued him a life
insurance policy with annual premiums of $2,390 and a benefit of $2,000,000. Although
Transamerica also approved Hendrickson‘s application, he began taking flying lessons in
August 2000. After learning this, Selario sent Transamerica a fax stating: ―Please reissue
with Aviation Exclusion. Insured started flying lessons Aug. 1, 2000 therefore we need
the policy reissued with the Exclusion.‖ (App. 54.) Selario also attached a Sports and
Avocation Questionnaire, on which Hendrickson indicated that he had started taking
flying lessons as a recreational pilot.
Transamerica quoted Hendrickson an annual premium of $2,700 for a $2,000,000
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life insurance policy, which excluded coverage for death ―as a result of operating, riding
in or descending from any kind of aircraft while the Insured is a crew member of that
aircraft.‖ (App. 55–56.) In case of such a death, Transamerica would remit only the
premiums Hendrickson had already paid, with interest. Hendrickson‘s premiums were
higher than Devine‘s because his policy was issued at 2000, rather than 1999, rates.
Transamerica also informed Selario that coverage without the aviation exclusion would
have cost $3.50 per $1,000 of coverage, or $7,000 annually for the $2,000,000 of
coverage.
On August 30, 2000, JB Hanauer told Selario to ―do the exclusion rider.‖ (App.
206.) Almost two weeks later, however, JB Hanauer told Selario that Hendrickson
―doesn‘t want any policy.‖ (App. 208.) On September 28, JB Hanauer sent another email
to Selario stating that ―[Hendrickson]‘s back and wants to reopen and place the policy
‗with the aviation exclusion.‘‖ (App. 210.)
In October 2000, Hendrickson submitted a new application for life insurance in
which he answered ―yes‖ to the question whether he intended to fly an aircraft or had
flown an aircraft in the past two years. In the remarks section of the application,
Hendrickson wrote: ―Issue w/ Aviation Exclusion.‖ (App. 122.) JB Hanauer faxed the
application to Selario and Transamerica, with instructions to ―[r]eissue w/ Aviation
Exclusion.‖ (App. 204.)
There is no dispute that Transamerica issued a life insurance policy to
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Hendrickson, although the parties disagree as to whether it contained an aviation
exclusion. Neither party produced the original insurance policy, but Transamerica
presented in the District Court a Life Policy Invoice that refers to an ―AVTN EXCLSN.‖
(App. 135.) A Transamerica Operations Manager averred that every time the company
issued a policy, a Life Policy Invoice would be generated automatically, and would be a
―precise record of each of the forms, amendments and riders contained within the
referenced policy.‖ (App. 48–49.)
In August 2007, Hendrickson died while piloting a private airplane. On November
5, 2007, Transamerica claims examiner Kim Melsha paid $2,003,888.36 in death benefits
to Total Systems. According to Melsha, she did not think to check the insurance policy
for an aviation exclusion before paying the claim because she had never encountered such
an exclusion before. After paying Total Systems, Transamerica submitted a claim to its
reinsurers, who alerted Transamerica to its potential mistake. On January 2, 2008,
Melsha sent Devine a letter requesting that Total Systems return $1,978,418.11 to
Transamerica. After Devine refused, Transamerica filed suit in the District Court to
recover the alleged overpayment.
The parties filed cross motions for summary judgment, with each claiming that no
material facts were in dispute and that they were entitled to judgment as a matter of law.
The District Court denied Total Systems‘s motion for summary judgment, granted
Transamerica‘s motion, and ordered Total Systems to return $1,978,418.11. Total
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Systems filed this timely appeal, in which it argues, contrary to its position in the District
Court, that material issues of fact exist such that summary judgment was improper.
II1
We review de novo the District Court‘s summary judgment. Slagle v. Cnty. of
Clarion, 435 F.3d 262, 263 (3d Cir. 2006). Summary judgment should be granted ―if the
movant shows that there is no genuine dispute as to any material fact and the movant is
entitled to judgment as a matter of law.‖ Fed. R. Civ. P. 56(a). A genuine dispute about
any material fact exists ―if the evidence is such that a reasonable jury could return a
verdict for the nonmoving party.‖ Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248
(1986). To defeat a motion for summary judgment, the nonmoving party must show that
there is more than merely ―a scintilla of evidence‖ supporting his position, id. at 252, or
―some metaphysical doubt as to the material facts,‖ Matsushita Elec. Indus. Co., Ltd. v.
Zenith Radio Corp., 475 U.S. 574, 586 (1986). In addition, a nonmoving party may not
rely on ―unsupported allegations in his memorand[a] and pleadings . . . to repel summary
judgment,‖ Schoch v. First Fidelity Bancorporation, 912 F.2d 654, 657 (3d Cir. 1990),
because the purpose of Rule 56 ―is not to replace conclusory allegations of the complaint
or answer with conclusory allegations of an affidavit,‖ Lujan v. Nat’l Wildlife Fed’n, 497
U.S. 871, 888 (1990); see also Fed. R. Civ. P. 56(e) (―If a party fails to properly support
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The District Court exercised subject matter jurisdiction pursuant to 28 U.S.C.
§ 1332. We have jurisdiction over the appeal under 28 U.S.C. § 1291.
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an assertion of fact . . . the court may . . . consider the fact undisputed for purposes of the
motion.‖).
To be entitled to recover its payment, Transamerica must demonstrate that
Hendrickson‘s death was not covered by his insurance policy, and that a restitution order
would not unduly prejudice Total Systems. See Great Am. Ins. Co. v. Yellen, 156 A.2d
36, 39 (N.J. Super. Ct. App. Div. 1960).
III
A
Based upon our review of the record, we agree with the District Court that there is
no genuine issue of material fact as to whether Hendrickson‘s policy contained an
aviation exclusion. When Hendrickson began taking flying lessons in August 2000,
Selario sent Transamerica a fax stating that Hendrickson ―started flying lessons Aug. 1,
2000[;] therefore we need the policy reissued with the Exclusion.‖ In September,
Hendrickson‘s broker sent an email to Transamerica stating that ―[Hendrickson]‘s back
and wants to reopen and place the policy ‗with the aviation exclusion.‘‖ In October,
Hendrickson submitted an application for life insurance to Transamerica, in which he
handwrote: ―Issue w/ Aviation Exclusion.‖ When his agent faxed the application to
Transamerica, the cover sheet contained instructions to ―[r]eissue w/ Aviation Exclusion.‖
Finally, the Life Policy Invoice, the only contemporaneous record of Hendrickson‘s
policy, mentions an ―AVTN EXCLSN‖ in its memo line.
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In an effort to rebut this evidence, Total Systems offers only the deposition
testimony of Devine and Anthony DaCruz, an insurance agent at JB Hanauer. We agree
with the District Court that this testimony does not rebut Transamerica‘s documentary
evidence. Devine testified that he did not know whether Hendrickson ever considered
purchasing a policy with an aviation exclusion. When confronted with Hendrickson‘s
application, Devine opined that the statement ―Issue w/ Aviation Exclusion‖ meant that
Hendrickson ―ha[d] an issue with the aviation exclusion.‖ Devine also admitted that the
Life Policy Invoice referred to an ―AVTN EXCLSN‖ and testified that he did not know
whether he or Hendrickson had ever received the original policy.
Likewise, DaCruz testified based on his ―recollection‖ that he ―was under the
impression that if Bob died in a plane crash, there was a payment to be made.‖ When
confronted with Transamerica‘s documentary evidence, DaCruz admitted that the
September email and the October fax suggested that Hendrickson was seeking a policy
with an aviation exclusion.
The deposition testimony offered by Total Systems cannot defeat a motion for
summary judgment when viewed in the light of the documentary evidence contradicting
it. See Ben-Kotel v. Howard Univ., 319 F.3d 532, 536 (D.C. Cir. 2003) (summary
judgment proper where two business records stating that an employee was hired in 1998
were contradicted only by vague deposition testimony that employee was hired in 1999);
see also Schoch, 912 F.2d at 657 (defendant‘s motion for summary judgment granted
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because plaintiff‘s memorandum in opposition contained ―only contentions not supported
by verified or documented materials‖). Accordingly, summary judgment was proper.
B
Total Systems next argues that Transamerica‘s documentary evidence was barred
by the Best Evidence Rule, codified as Federal Rule of Evidence 1002. Under that rule,
―[a]n original writing . . . is required in order to prove its content unless these rules . . .
provide[] otherwise.‖ Fed. R. Evid. 1002. However, ―[a]n original is not required and
other evidence of the content of a writing . . . is admissible if . . . all the originals are lost
or destroyed, and not by the proponent acting in bad faith.‖ Fed. R. Evid. 1004.
In this case, the original insurance policy, which was issued to Hendrickson, was
never produced in the District Court. There is no evidence that Transamerica failed to
retain a duplicate original in bad faith. Therefore, Transamerica was permitted to
introduce secondary evidence of the policy terms. See Bituminous Cas. Corp. v. Vacuum
Tanks, Inc., 975 F.2d 1130, 1132 (5th Cir. 1992) (―Where the actual [insurance] policy is
not available, the terms of the contract can also be shown by secondary evidence. . . . This
type of secondary evidence is admissible under Federal Rule of Evidence 1004 as long as
the original contract has not been destroyed or lost in bad faith.‖).
C
We also disagree with Total Systems‘s claim that there is a genuine issue of
material fact as to whether it would be unduly prejudiced by a restitution order. Under
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New Jersey law, ―one who has paid money under a mistake of fact but for which payment
would not have been made may have restitution from the payee notwithstanding that the
mistake was unilateral and a consequence of the payor‘s negligence, providing, however,
that such restitution will not prejudice the payee.‖ Great Am. Ins. Co., 156 A.2d at 39.
To show prejudice, a payee must show that:
[T]he payee‘s change in circumstances [is] detrimental to the payee, material
and irrevocable and such that the payee cannot be placed in the status quo. . . .
For example, the payee is not required to make restitution, if, by reason of the
mistaken payment, he has assumed liabilities and obligations that he would not
otherwise have assumed.
PaineWebber, Inc. v. Levy, 680 A.2d 798, 799 (N.J. Super. Ct. Law Div. 1995) (citations
omitted). However, a payee cannot show prejudice merely by showing that he used the
money to cover ordinary living expenses or pay preexisting debts, or that he failed to
retain the overpayment. Id.
In this case, the only evidence of prejudice that Total Systems presented was
Devine‘s own affidavit. Devine‘s affidavit states that, after receiving the insurance funds,
he spent money on working capital, a new lease, new employees and their associated
expenses, new hardware, travel and lodging expenses, a company car, and litigation
expenses. However, Total Systems has provided no evidence that document whether
these expenses were extraordinary, when they occurred, or whether they were incurred in
good-faith reliance on Transamerica‘s overpayment. Because the purpose of Rule 56 ―is
not to replace conclusory allegations of the complaint or answer with conclusory
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allegations of an affidavit,‖ Lujan, 497 U.S. at 888, Devine‘s bare-bones affidavit is
insufficient to defeat summary judgment on the issue of prejudice. This is particularly
true here because Total Systems rebuffed Transamerica‘s discovery requests on this issue
by asserting irrelevance and confidentiality.
For the reasons stated, we agree with the District Court that Total Systems failed to
carry its burden to produce specific facts showing a genuine issue of material fact with
respect to prejudice. See Jersey Cent. Power & Light Co. v. Lacey Twp., 772 F.2d 1103,
1109 (3d Cir. 1985).
D
Finally, Total Systems argues in passing that Transamerica‘s mistaken payment
constituted a waiver of its contractual rights. We disagree. In the absence of reasonable,
detrimental reliance by an insured, ―a loss which is not within the coverage of a policy
cannot be brought within such coverage by invoking the principles of waiver or estoppel.‖
Greenberg & Covitz v. Nat’l Union Fire Ins. Co. of Pittsburgh, 711 A.2d 909, 915–16
(N.J. Super. Ct. App. Div. 1998) (citation omitted), modified on other grounds by
Greenberg & Covitz v. Nat’l Union Fire Ins. Co., 735 A.2d 569 (N.J. 1999). Because
Hendrickson‘s insurance policy did not cover the accident that took his life and because
Total Systems has provided no evidence of detrimental reliance beyond Devine‘s
unsupported affidavit, Transamerica‘s recovery is not barred by waiver.
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IV
For the foregoing reasons, we will affirm the judgment of the District Court.
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