IN THE SUPREME COURT OF MISSISSIPPI
NO. 2005-CA-00048-SCT
UNITED AMERICAN INSURANCE COMPANY
v.
NATALIE MERRILL
DATE OF JUDGMENT: 01/05/2005
TRIAL JUDGE: HON. ROBERT G. EVANS
COURT FROM WHICH APPEALED: JASPER COUNTY CIRCUIT COURT
ATTORNEYS FOR APPELLANT: SAM STARNES THOMAS
EDDIE JACOB ABDEEN
WILLIAM J. BAXLEY
RANCE N. ULMER
FLOYD D. GAINES
ATTORNEYS FOR APPELLEE: CHRISTOPHER COLLINS VAN CLEAVE
CLYDE H. GUNN, III
JOHN LEONARD WALKER, JR.
PHILLIP J. BROOKINS
D. NEIL HARRIS, SR.
NATURE OF THE CASE: CIVIL - INSURANCE
DISPOSITION: AFFIRMED - 09/06/2007
MOTION FOR REHEARING FILED:
MANDATE ISSUED:
BEFORE WALLER, P.J., DICKINSON AND RANDOLPH, JJ.
RANDOLPH, JUSTICE, FOR THE COURT:
¶1. This appeal is brought by United American Insurance Company (“United”) after the
beneficiary of one its life insurance policies, Natalie Merrill (“Natalie”), filed suit against it
and its agent, resulting in a jury verdict against United.
¶2. On September 11, 1996, Natalie and her husband, Robert Merrill (“Robert”), residents
of Gautier, purchased a United life insurance policy through an agent, Fannie Triplett
(“Triplett”). The policy guaranteed the designated beneficiary, in this instance Natalie,
$5,000 upon the insured’s death, in this instance Robert. When Natalie did not receive the
promised benefits of this policy, she was forced to take out a loan to pay for Robert’s funeral.
In order to satisfy the loan obligation, Natalie, at age 71, was required to take a job at the
Boomtown Casino working the graveyard shift.
¶3. All premiums for the life insurance were timely paid. On May 20, 1997, Robert
suffered a fatal heart attack and died at his home. Natalie followed the procedures specified
by United for processing her claim for the promised benefits. United preliminarily denied
Natalie’s claim for policy benefits by correspondence first on December 4, 1997, and then
again on January 7, 2000, claiming the policy was void ab initio, based on alleged material
misrepresentations made by Robert during the application process.
¶4. Natalie filed suit on July 24, 2000, in the residence county of United’s agent, Triplett.
The Complaint named as defendants United, Triplett and unknown employees of United.
The Complaint averred the defendants engaged in numerous acts of fraud and negligence,
including, but not limited to: fraud in the inducement of the purchase of the policy, delay in
processing the claim, negligent failure to properly and timely investigate Natalie’s claim,
negligent training and supervision of United employees, negligent failure to provide a
reasonable basis for denying Natalie’s claim for benefits in relation to the insurance policy,
and finally, conscious, gross and reckless disregard for the rights of Natalie, including
attempting to use Natalie’s emotional instability and financial dire straits to induce her to
2
accept a return of premiums paid. The Complaint further averred that United and its agents,
including Triplett, committed the tort of outrage by engaging in behavior that would shock
the conscience of a reasonable person. Additionally, Natalie sought punitive damages as “the
misrepresentations, omissions and concealment of material facts were intentional and
deliberate and were part of a willful scheme or course of conduct.”
¶5. United removed the case to federal court claiming fraudulent joinder. Natalie filed a
Motion to Remand. The United States District Court for the Southern District of Mississippi,
Eastern Division, issued an Memorandum Opinion and Order granting Natalie’s Motion to
Remand based on United’s failure to demonstrate Triplett was fraudulently joined.
¶6. United filed its Answer and Defenses alleging that it acted in good faith at all times
regarding Natalie’s claim and that the life insrance policy was void ab initio because of
material misrepresentations Robert had made about his health. Further, United alleged
Natalie’s claim for punitive damages violated the United States and Mississippi
Constitutions.
¶7. Triplett filed an Answer and Cross-Complaint against United. Triplett averred that at
all times, she acted in the course and scope of her employment with United, and “would
show that her acts with regard to the sale of the United insurance products were at all times
in conformance with the instruction and training she was given by United.” Triplett further
denied she acted wrongfully or intentionally or with such reckless disregard as to entitle
Natalie to punitive damages from her.
¶8. In her cross-complaint, Triplett further averred that if she was found to be liable to
Natalie, then United would be liable to her, as all of her acts were in accordance with the
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training and supervision she received from United. Triplett alleged that United, through its
supervisory personnel, promoted and encouraged deceptive sales practices in order to
increase sales. Triplett additionally pleaded that United fraudulently conceals from its agents
material facts regarding United’s products and its deceptive sales practices. Triplett stated
that United “repeatedly enhances its sales figures and reaps enormous sums of profit at the
expense of the business and personal reputations of Triplett and other agents so recruited.”
Triplett claimed she suffered anxiety, worry, mental and emotional distress as a result of her
friends, family and community believing she misled them in her sales practices. Triplett
claimed she should be indemnified by United, as United had a duty to properly defend
Triplett as their agent. She stated the acts committed by United were intentional, willful and
grossly negligent and that she was entitled to compensatory and punitive damages, as well
as indemnification for her attorney’s fees and expenses.
¶9. United not only filed a Separate Answer and Defenses to Triplett’s cross-complaint,
but also filed a counterclaim against Triplett. United claimed it acted in good faith at all times
regarding Triplett and additionally, that her claims for punitive damages were in violation
of the United States and Mississippi Constitutions. In its counterclaim, United stated that if
it was determined by the court that Triplett was an agent for United, then Triplett was liable
for breach of fiduciary duty she owed to United. Triplett filed an Answer to United’s
counterclaim which reiterated the averments from her cross-complaint.
¶10. Trial was set for February 11, 2003. Discovery ensued, with United and Natalie each
continually and acrimoniously accusing the other of gross discovery violations, which will
be discussed infra.
4
¶11. On December 5, 2002, United filed a Motion for Withdrawal and Substitution of
Counsel. Natalie filed a Response in Opposition to this motion, saying it would cause an
unnecessary delay in trial. However, the motion was granted by the trial court.
¶12. On December 19, 2002, Natalie filed a Motion for Sanctions, and in the Alternative,
Motion to Compel United to fully respond to Natalie’s discovery requests. Further, Natalie
filed a Motion to Quash or in the Alternative, a Protective Order, as she believed United filed
improper medical records subpoenas. In its Response, United argued the terms of the policy
did not govern and/or restrict the medical records to which they were entitled, but that
Mississippi Rule of Civil Procedure 26(b)(1) did. A hearing took place on these motions and
the Motion for Sanctions was granted by the trial court.
¶13. United then filed a Motion for Continuance, which claimed discovery was delayed due
to the removal to federal court. This Motion was granted by the trial court and trial was reset
for May 19, 2003.
¶14. Subsequently, the parties agreed to delay trial a third time and chose a trial date of
October 13, 2003. On September 2, 2003, United filed a Motion for Leave to Amend its
Answer to the Complaint and Cross-Complaint. In its Motion, United pleaded that if allowed
to amend its Answer, it would assert new defenses, but that these amendments would not
unfairly surprise or prejudice Natalie or Triplett in any way.
¶15. United sought leave to amend its Answer to address the United States Supreme
Court’s decision regarding punitive damages in State Farm Mutual Auto Insurance v.
Campbell, 123 S.Ct. 1513, 538 U.S. 408, 155 L.Ed.2d 585 (2003) and to permit an additional
affirmative defenses against Natalie of accord and satisfaction, claiming Natalie cashed a
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check from United refunding premiums and further, that Natalie was not the real party in
interest and lacked standing to bring this claim. An additional defense asserted against
Triplett was that due to a scrivener’s error, United erred in replying to Triplett’s Requests for
Admission. Triplett and Natalie responded that the Motion to Amend, which was made
forty-five days before trial, was not timely and that they would suffer actual prejudice if
United were allowed to amend. However, the trial court granted United’s Motion to Amend.
¶16. United then filed a Motion for Continuance, claiming its experts were unable to attend
trial. A continuance was granted by the trial court and trial was reset for the fourth time for
December 29, 2003.
¶17. On December 8, 2003, United filed requests to issue eleven subpoenas. The next day,
United filed yet another Motion for Continuance due to the unavailability of a witness. On
December 11, 2003, the trial court heard the Motion for Continuance. Natalie claimed this
Motion for Continuance addressed only the unavailability of the expert and not the need for
the information from the eleven subpoenas which had been served. Natalie further claimed
that at the time of the hearing, she had not yet received notice of the service of the eleven
subpoenas. Continuance was granted due to the unavailability of the witness, and trial was
rescheduled for February 9, 2004, the fifth trial setting. Subsequently, after Natalie
discovered the issuance of the eleven subpoenas, on December 23, 2003, Natalie filed a
Motion to Quash, or in the Alternative, for a Protective Order.
¶18. Due to medical reasons of one of the counsel involved, the trial was again continued.
Trial was reset for August 2, 2004, the sixth trial date.
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¶19. On January 27, 2004, Triplett filed a Motion to Withdraw Certain Claims. Triplett
withdrew any allegation contained within her Cross-Complaint that dealt with her standing
in her community.
¶20. On July 20, 2004, United filed its Response to Natalie’s Motion to Quash the
documents received from the eleven subpoenas issued on December 8, 2003. Natalie alleged
that United made no effort to access the records and information from the subpoenas prior
to its Response on July 20, 2004.
¶21. On July 23, 2004, the trial court heard argument on Natalie’s Motion to Quash and
granted it, but allowed United to proffer the records currently in its possession.
¶22. On July 26, 2004, Natalie filed motions in limine and motions to strike and exclude
expert testimony based on United “trying, for the first time, after years of litigation, to offer
opinion testimony from several cardiologists about what they think Robert should have been
diagnosed with. . . .” Natalie argued to exclude any evidence of Robert’s previous health or
any evidence of medical information of which Robert was unaware. Natalie’s motions in
limine, motion to strike and motion to exclude were preliminarily denied, but the trial court
allowed that these motions could be renewed at the time of the witnesses’ testimony, during
their testimony and at the conclusion of their testimony.
¶23. Trial began on August 2 and ended on August 6, 2004. The trial was bifurcated, and
after the jury awarded compensatory damages, a separate hearing was conducted on punitive
damages. The verdicts of the jury were as follows:
1) For Natalie against United, $500,000 in compensatory damages.
2) For Triplett against United, $250,000 in compensatory damages.
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3) For Natalie against United for United’s bad faith breach of contract, $900,000
in punitive damages.
4) For Triplett against United, $900,000 in punitive damages.
On August 13, 2004, Natalie filed a Motion to Amend the Pleadings to Conform to the
Evidence and for Award of Attorney’s Fees. United responded and Natalie subsequently filed
a rebuttal to United’s Response. The trial judge included his ruling on these motions in the
Order of Final Judgment.
¶24. While not conceding Natalie was entitled to attorney’s fees and expenses, United
stipulated that the amount of attorney’s fees and expenses she submitted was reasonable. The
trial court ruled that Natalie was entitled to attorney’s fees and expenses and accepted that
the stipulated amount was reasonable.
¶25. The trial court entered judgment for Natalie on the jury verdict, plus attorney’s fees
and expenses and post-judgment interest on the total at 8% per annum. Judgment was entered
for Triplett on the jury verdict, plus post-judgment interest, also at 8% per annum on the
total.
¶26. On September 22, 2004, United filed a Motion for Judgment Notwithstanding the
Verdict, or in the Alternative, for New Trial or Remittiturs, to which Natalie and Triplett,
individually, filed responses. The trial court denied United’s Motion for Judgment
Notwithstanding the Verdict, as well as United’s Motion for New Trial. However, the trial
court granted the Motion for Remittitur for compensatory and punitive damages as to Natalie
and Triplett and for punitive damages as to Triplett.
¶27. The trial court found Triplett proved her attorney’s fees were $75,000. The trial court
found that she failed to prove any other damages and reduced her compensatory damages to
8
$75,000. Citing State Farm v. Campbell, the trial court calculated that nine times Triplett’s
compensatory damages was $675,000, and accordingly reduced Triplett’s punitive damages
award to $675,000.
¶28. Citing this Court’s decision in Stewart v. Gulf Guaranty Insurance Co., 846 So.2d
192 (Miss. 2002), the trial court analyzed the compensatory damage award to Natalie and
found it excessive in light of the overwhelming weight of the evidence. The court reduced
Natalie’s award of compensatory damages to $200,000. The trial court further found: “As
much deference as possible should be given to the jury’s verdict; since nine times Ms.
Merrill’s compensatory damages (after the remittitur) exceeds the punitive damage award set
by the jury, the punitive damage award to Ms. Merrill will stand as the jury determined.”
¶29. Natalie accepted the remittitur pursuant to Miss. Code Ann. Sect. 11-1-55 (Rev.
2002). Natalie accepted the remittitur for the sole purpose of facilitating a final judgment, but
did not waive her right to cross-appeal in the event United appealed the final judgment.
¶30. Subsequently, Triplett filed an Affidavit on Judgment Satisfaction, authorizing the
clerk of the circuit court to mark the judgment satisfied and canceled “as it pertains to relief
granted in favor of cross-claimant Fannie L. Triplett and against cross-defendant, United
American Insurance Company. . . .”
¶31. On January 5, 2005, the trial court entered a Judgment of Dismissal with Prejudice as
it pertained to Triplett’s claims. The judgment stated that all of Triplett’s claims against
United should be dismissed with all parties bearing their own costs.1
1
Triplett is not a party to this appeal.
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¶32. The trial court entered final judgment in favor of Natalie on January 5, 2005. The final
judgment recited that Natalie should recover from United: 1) $200,000 in compensatory
damages; 2) $900,000 in punitive damages; 3) $527,474.69 in attorney’s fees and expenses;
and 4) post-judgment interest of 8% per annum on the total judgment. It is from this
judgment that United appeals.
¶33. United presents the following issues for appeal:
I. Whether the trial court erred in failing to grant United’s
Directed Verdict Motion, Peremptory Instruction, and Motion
for Judgment Notwithstanding the Verdict.
II. Whether, alternatively, a new trial is in order because the trial
court erred in denying the use of medical records of Robert at
trial and in denying United’s Motions for a Mistrial or
Continuance; erred in instructing the jury; and erred in
evidentiary rulings.
III. Whether the trial court erred procedurally and substantively in
submitting to the jury any extracontractual/punitive damages
issues.
FACTS OF THE CASE
¶34. Robert Merrill was a veteran who was employed by the Pascagoula Port Authority as
a security guard until his death at age 68. Natalie testified Robert was in good health and
sprits until his death. Robert decided to obtain insurance for final or burial expenses. Robert
informed Natalie that Triplett would visit them at their home to sell them this insurance.
¶35. Triplett was an employee of Parker and Associates. Parker and Associates was an
affiliate of United, and Ken Parker was United’s General Agent for the State of Mississippi.
Parker and Associates sent out mailings and advertised on television and received calls from
the general public. A member of the public would telephone Parker and Associates to inquire
10
about insurance, and then Parker and Associates would send an agent to the inquirer’s home.
The agent recommended a certain type of insurance, and if the agent made the sale, the agent
receive his or her commission from Parker and Associates, as well as from the insurance
company, which in this case was United. If the agent did not make the sale, they received no
compensation. Gene Grimland (“Grimland”), United’s President of the General Agency and
Marketing Division, testified that Triplett had authority to talk to the Merrills, solicit the sale
of United’s policy and fill out the application on behalf of United.
¶36. Triplett testified she received little or no training to sell insurance. She stated that on
her first day, she went out with another agent and observed him, but on the second day, she
was on her own. Triplett testified she also attended a workshop at Parker and Associates,
which took place nine months after she began working for the company. United told her “to
push, push, push to bring money in.” Triplett testified that she was concerned that she was
allowed to “go out there just foot free and loose.”
¶37. On September 11, 1996, Triplett visited the Merrills at their home. Natalie testified
that Triplett recommended the United policy. United later issued a policy for $5,000
insurance on Robert’s life, with Natalie as the beneficiary. The insurance application
consisted of eight health-related questions, which were to be answered simply “yes” or “no.”
Grimland testified that this type of insurance is a very “liberal application,” and “that there
are a lot of diseases you can have and still be insured by this,” so the “prices are higher than
normal life insurance.”
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¶38. Natalie and Triplett both testified that Triplett asked Robert the questions which were
printed on the insurance application. Triplett read the questions to Robert and recorded his
answers. Triplett further testified no one ever explained to her what these questions meant.
¶39. The only writing by Robert on the form was his signature at the bottom of the
application. While they were going over the questions on the application, Natalie testified
that Robert told Triplett he had had heart bypass surgery in 1978 and 1979 and showed her
his scar from these surgeries. Natalie further testified that Robert told Triplett he still went
for checkups for his heart. Natalie testified that Triplett told Robert that these problems took
place so long ago that they did not matter, and that United inquired back only three years.
Therefore, to question six on the application, Robert responded “no.” 2 Triplett made no
notation on the application that Robert had disclosed past heart problems to her.
¶40. Triplett testified that she told the Merrills that if Robert were to die, Natalie would be
paid the policy benefit thirty days after she sent in the death certificate, because that is what
she was told by United. It was Triplett’s testimony she was instructed by United to tell
potential applicants that “someone always pays.” There was a two-year Incontestability
Clause contained within the policy which was later issued, in which United reserved the right
to deny claims on certain bases if the insured died within two years. Triplett testified she was
not told by United about an Incontestability Clause, nor did she relay any information about
it to the Merrills.
2
The specific question asked on the application: “Within the past three years, has
the proposed insured had or been treated for a heart attack, congestive heart failure,
stroke or been advised to have surgery for a heart condition or for any blood vessel
disease but not had such surgery.”
12
¶41. Based on the answers Robert provided her, Triplett marked “no” to each of the
medical questions contained on the application A representative for United, employed by
its parent, Globe Life Insurance, Sandra Whitaker (“Whitaker”), testified that if all questions
on the application were answered “no,” then United made no further request for additional
medical records or information at the time of application, and that United conducted no
underwriting before accepting an application. Whitaker stated, “We rely on the responses
provided on the application.”
¶42. United’s marketing materials for its policy stated, “Your Protection Can Never Be
Cancelled As Long As Premiums Are Paid On Time.” (Emphasis contained in original). The
Merrills timely paid each of their premiums. The premiums were $50 a month and Robert
authorized an automatic bank draft. However, in a discovery deposition it was determined
that United was drafting $54 a month rather than $50. $54 is the amount one would pay if
they were billed directly by mail. United claimed it was a mistake and that all premiums
were refunded in full.
¶43. On May 30, 1997, United received notice of Robert’s death in the form of a copy of
the death certificate, stating the cause of death to be a myocardial infarction due to
hypertension, a consequence of a history of bypass surgery. For more than eight months,
from May 30, 1997, until March 2, 1998, United collected Robert’s medical records. In the
interim, on September 22, 1997, United wrote a letter to Natalie stating it needed additional
time to review Robert’s medical records before it could process her claim.
¶44. By letter, Natalie authorized United to obtain Robert’s medical records for the
preceding five years. However, United sought and obtained records only from September
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of 1993 until September of 1996, the three years preceding the application. United
specifically inquired of Robert’s treating physicians if he had ever been treated for
congestive heart failure and each of these physicians answered “no.”
¶45. Notwithstanding the response of Robert’s physicians, United’s underwriting
department (none of whom have any medical training), its medical director and a
cardiologist, hired by United for trial who never treated Robert, concluded that Robert’s
death was the result of congestive heart failure. The medical director for United, Dr. Stanley
McCampbell (“Dr. McCampbell”), opined the medical records indicated Robert had
congestive heart failure. (Emphasis added). Dr. McCampbell conceded on cross-examination
that none of the records from Robert’s treating physicians included the words or contained
a diagnosis of “congestive heart failure.” He also testified that had he been treating a patient
with congestive heart failure, he would have written “congestive heart failure” in his medical
record. Dr. McCampbell, as well as Dr. Malcom Taylor, an expert separately retained by
United for trial, testified Robert’s records revealed he had been taking Lasix and Lanoxin,
which in Dr. Taylor’s words, are the “classic drug regimen” for congestive heart failure. Dr.
Eva Magiros, Robert’s cardiologist, and Dr. Robert Holbert, Robert’s treating physician,
whose records United obtained, disputed the opinions offered by the experts hired by United.
Both treating physicians testified they were not treating Robert for congestive heart failure.
Dr. Holbert further testified Robert was taking Lasix and Lanoxin to reduce his salt and water
balance, and not for treatment of congestive heart failure.
¶46. Vicky Lawrence (“Lawrence”), testifying on behalf of United, testified that nowhere
in the medical records contained in the claims file were the words “congestive heart failure”
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mentioned. Lawrence further testified that after reviewing the claims file several times, she
could not find any evidence that revealed any of the doctors told Robert he had congestive
heart failure. In addition, Natalie testified she was never advised that her husband was being
treated for congestive heart failure.
¶47. United’s denial was allegedly based on Robert’s answer of “no” to the application
question of whether he had been treated for congestive heart failure during the previous three
years, claiming Robert’s response was a material misrepresentation to United. Whitaker
stated the sole reason for denial of the claim was this alleged material misrepresentation.
¶48. An attorney for United had advised the life claims department to contact Triplett and
Natalie before formally denying the claim. On December 4, 1997, United sent a letter to
Natalie stating it had determined Robert had failed to disclose past medical history. United
asked Natalie to submit any comment on Robert’s medical history and advised that no further
action would be taken on the claim until she did. After receiving no response, United sent a
second letter to Natalie, reiterating its position and inviting comment from Natalie. Natalie
did not respond. At trial, Natalie testified she was too distraught to respond and in a “stoop”
after her husband’s death. United asserted it was unable to contact Triplett. Although United
had Triplett’s social security number, United asserted it did not have a correct address for
Triplett after she was terminated from the company for reasons not disclosed in the record.
United claimed it sent Triplett two letters.
¶49. Finally, on March 2, 1998, 278 days after Natalie’s claim was filed, and 286 days after
Robert’s death, United sent a letter to Natalie formally denying her claim and refunding the
premiums paid. Natalie later cashed this check. Natalie testified she was not aware that by
15
cashing the check she was waiving any claims, and she still believed United owed her the
policy proceeds. Natalie claimed since she had not received any money from United for such
a long period, she was not financially stable and needed the money so as not to get behind
on bills. The check was payable without any restrictions.
¶50. In November of 1999, United received a letter from Natalie addressed to Triplett
wherein Natalie inquired why her claim was denied. Due to United not having Triplett’s
current address, the letter was not forwarded to her. On December 9, 1999, Natalie wrote to
the president of United to ask why her claim was denied. Whitaker testified the president did
not personally see it, but that the letter was reviewed and filed in the Merrill claims file. On
January 7, 2000, United sent a letter in response to Natalie. The letter stated United had once
again reviewed Robert’s medical records and was denying the claim. However, Whitaker
testified that before this letter was sent, United made no effort to obtain any new medical
records or information.
¶51. At trial, Natalie testified that because of the denial of the claim, she was forced to take
out a loan to pay Robert’s burial expenses of $5,583.00. Natalie made payments of $136.82
a month on the loan, and at the time of trial had paid $369.47 in interest. She stated she paid
this loan for a period of forty-eight months. Natalie testified that it was necessary for her to
work to pay off the loan. Natalie, age 71 at the time of trial, worked the graveyard shift at the
Boomtown Casino from 11:30 p.m. to 7:30 a.m. Natalie testified she worked forty hours a
week at the casino. Natalie testified she was “under great stress” trying to pay her bills and
that she had seen a doctor because of “stress” and “nervousness.” Natalie testified she further
suffered anxiety when United sent two agents to her home after her claim had been denied
16
to tell her that her policy had lapsed due to unpaid premiums. Natalie testified it made “her
feel bad because they didn’t pay me in the first place, and then they come sending their men
to my door.” Natalie further testified this lawsuit caused her anxiety and was “upsetting her.”
ANALYSIS
I. Whether the trial court erred in failing to grant United’s Directed
Verdict Motion, Peremptory Instruction, and Motion for Judgment
Notwithstanding the Verdict.
¶52. “Our standard of review of a trial court’s grant of a J.N.O.V., a peremptory instruction
and a directed verdict is de novo. . . .” White v. Stewman, 932 So. 2d 27, 32 (Miss. 2006).
“In essence, judgments as a matter of law present both the trial court and appellate court with
the same question – whether the evidence, as applied to the elements of a party’s case, is
either so indisputable, or so deficient, that the necessity of a trier of fact has been obviated.”
Id.
¶53. United’s letter to Natalie on March 2, 1998, stated that since Natalie had not
responded to its previous correspondence, United was forced to rely on the medical
information it had, which showed Robert had congestive heart failure that was not disclosed
to United. However, the evidence revealed that this was a false statement. The letter stated,
“[W]e have no choice but to rely on the information contained in our file and take the
necessary steps to return all premiums paid for Mr. Merrill’s policy. Our check is enclosed.
Again, this action is necessary since we would have been unable to approve Mr. Merrill for
coverage under this plan. . . .”
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¶54. United did not assert the affirmative defense of accord and satisfaction in its original
Answer. United moved to include this defense in its Amended Answer, two years after its
original Answer was filed, three years after the suit was filed by Natalie, and six years after
Robert’s death. Nevertheless, the trial court allowed it over Natalie’s objection.
¶55. At the end of Natalie’s case, United moved for a directed verdict, which was denied
by the trial court. United argues that it should have been granted a directed verdict,
peremptory instruction, or JNOV, because Natalie cashed the refund check from United. It
is United’s contention that cashing the refund check represents mutual rescission and/or
accord and satisfaction of the claim. Natalie points out that United did not plead this defense
in its Answer; therefore this defense was waived.
¶56. When denying the directed verdict, the trial judge stated, “Though I am overruling in
toto the defendant’s Motion for JNOV. . . , I am concerned that the plaintiff might have some
Oglesbee problems.3 In such situations, though, I believe the defendant must affirmatively
show that the plaintiff knew she waived all her claims – if she did. We’ll see what the
Supreme Court says.”
¶57. This Court has defined the elements of accord and satisfaction as:
(1) Something of value offered in full satisfaction of a demand;
(2) accompanied by acts and declarations as amount to a condition that if the
thing offered is accepted, it is accepted in satisfaction;
(3) the party offered the thing of value is bound to understand that if he takes
it, he takes subject to such conditions; and
(4) the party actually does accept the item.
3
Oglesbee v. National Security Fire and Cas. Co., 788 F. Supp. 909 (S.D. Miss.
1992).
18
Medlin v. Hazlehurst Emergency Physicians, 889 So. 2d 496, 498 (Miss. 2004) (citations
omitted).
¶58. United unpersuasively argues that Natalie met all elements of this test, as she received
the check on March 2, 1998, and cashed the check on April 24, 1998. Even though United
presented no evidence that this check indicated it was for satisfaction of all claims, United
argued Natalie should have been aware this check was in satisfaction of her claim, as she had
knowledge the policy was being cancelled and that she further had knowledge she could
consult with an attorney.
¶59. Natalie argues she does not meet this Court’s requirements for accord and satisfaction.
Natalie contends she neither believed nor understood that cashing the check would serve as
release or waiver of her claim.
¶60. Neither the letter from United, nor the refund check, establish that the check was in
satisfaction of the claim. United did not converse with Natalie at any time before issuing the
check. Natalie testified she cashed the check because she was behind on her bills and she still
believed United owed her the money from the claim. Subsequent to cashing the check,
Natalie wrote the letters to Triplett and the President of United asking why her claim had not
been paid.
¶61. Additionally, Natalie argues contrary to United, that she did not consult a lawyer
before cashing the check. Whether Natalie consulted a lawyer about the consequences of
cashing the check is not made clear by the record. During trial Natalie was asked, “Do you
remember testifying at your deposition, Ms. Merrill, that you didn’t talk with anybody other
than your lawyers when you cashed that check?” Natalie answered, “Right.”
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¶62. Based on the record before this Court, it is clear Natalie did not intend, nor did she
fully understand cashing the check would constitute a waiver of her claim against United.
“As clearly required by the first three elements of a valid accord and satisfaction, there must
be a ‘meeting of the minds of the parties.’” Royer Homes of Miss., Inc. v. Chandeleur
Homes, Inc., 857 So.2d 748, 754 (Miss. 2003) (citations omitted). In the case sub judice,
there clearly was no “meeting of the minds” between Natalie and United. This Court further
held in Chandeleur, “[T]hat an obligee may execute a valid accord and satisfaction by
cashing checks which were offered as full satisfaction of a demand.” Id. (citations omitted).
In United’s correspondence to Natalie, there was no statement, or for that matter, any notice
that United intended the check to be full satisfaction of the demand. Furthermore, the letter
enclosed with check stated, “If you have information which you feel would materially affect
this decision . . . please let us know.” Thus, the letter encouraged a continuing dialogue
between Natalie and United, as opposed to declaring that acceptance of the premium refund
would satisfy the demand. See Medlin, 889 So. 2d at 498.
¶63. Additionally, the jury found that Natalie’s cashing of the check did not constitute
accord and satisfaction, and this Court has held, “[a] jury should be allowed to decide the
issue of whether a release was obtained in good faith and with the full understanding on the
plaintiff’s part of his legal rights.” Id. (citations omitted). The elements of a valid accord and
satisfaction and/or mutual rescission were not met, and the trial court did not err in denying
United’s directed verdict motion, peremptory instruction, and motion for judgment
notwithstanding the verdict.
20
II. Whether, alternatively, a new trial is in order because the trial
court erred in denying the use of medical records of Robert at trial
and in denying United’s Motions for a Mistrial or Continuance;
erred in instructing the jury; and erred in evidentiary rulings.
A. Did the trial court err when it denied United the use of certain
medical records at trial?
¶64. “Admission or suppression of evidence is within the discretion of the trial judge and
will not be reversed absent an abuse of that discretion.” Haggerty v. Foster, 838 So. 2d 948,
958 (Miss. 2002) (citations omitted). “Furthermore, where error involves the admission or
exclusion of evidence, this Court ‘will not reverse unless the error adversely affects a
substantial right of a party.’” Id.
¶65. In a pretrial hearing, the judge stated United was only to gather medical records for
“whatever the policy allowed them.” The policy application requested medical information
for the previous three years. The judge further stated, “I would say [gather] congestive heart
failure records for that three year period.”
¶66. Subsequently, United issued eleven subpoenas to medical providers. These subpoenas,
which sought additional records, were not issued until six years after United denied Natalie’s
claim. Natalie filed a Motion to Quash these eleven subpoenas.4 On July 23, 2004, a hearing
was held on Natalie’s Motion to Quash. The trial judge granted Natalie’s Motion to Quash,
but allowed United to make a proffer of the records in its possession.
4
Although this Motion was filed previous to the January 7, 2003, hearing, this
Motion was not heard until July of 2004.
21
¶67. United argues it was denied the use of these relevant medical records at trial. United
states the records that were not admitted into evidence would prove that Robert was treated
for congestive heart failure.
¶68. In its correspondence to Natalie, as well as through the depositions of its
representatives, United stated the reason for denial of the claim was that it “received medical
information indicating undisclosed medical history of congestive heart failure within the
three year period prior to application.” The medical records in the claims file were from
doctors whom Natalie disclosed to United at its request while it was investigating Natalie’s
claim. United asserts, and Natalie concedes, that it requested and was given authorization by
Natalie to obtain the medical records for five years. However, only records from the prior
three years were requested from these physicians before Natalie’s claim was denied.
Whitaker, United’s representative, testified the denial of Natalie’s claim was based on the
following, which was contained in Robert’s claim file: the medical records from Dr. Eva
Magiros, Dr. Robert Holbert and the Biloxi Medical Center. An employee of United, who
had no medical training, reviewed these medical records, none of which included a diagnosis
of “congestive heart failure.” Notwithstanding the absence of a diagnosis, this employee
decided Robert had had congestive heart failure within three years prior to his application
and forwarded the claim to United’s legal department and medical director for review.
¶69. As discussed infra, United’s medical director, Dr. McCampbell, opined that Robert’s
medical records indicated congestive heart failure. A thorough review of the record for any
substantiation of this conclusion by Dr. McCampbell cannot be found. Dr. McCampbell
never contacted Robert’s treating physicians, nor did he offer any reason, basis or fact to
22
support his opinion that Robert had been treated for or diagnosed with congestive heart
failure during the three-year period preceding application.
¶70. An insurance company must present an arguable, good-faith basis for denial of a
claim. See State Farm Ins. Co. v. Grimes, 722 So. 2d 637 (Miss. 1998); Standard Life Ins.
Co. v. Veal, 354 So. 2d 239 (Miss. 1977). The record before us is devoid of any such basis.
Every medical document for the three-year period preceding application contradicts the
opinion of Dr. McCampbell. Accordingly, there is no proof of a good-faith basis for denial.
Insurance companies are not free to employ medical directors who are in a position to
recommend arbitrary denials. A medical opinion put forth by a medical director, without
substantiation, is insufficient to deny a claim. Insurance companies must comply with the
mandate of this Court to demonstrate an arguable basis for denial.
¶71. Additionally, Natalie argues that certain records were properly excluded, as the denial
of the claim was based on whether Robert had congestive heart failure within the three years
prior to the application for insurance. Natalie states these additional, subpoened records were
not the medical records which were contained in Robert’s claim file and relied upon to deny
her claim.
¶72. The medical records at issue exceed the three-year time period which is stated on the
application. With one exception,5 the medical records not admitted by the trial court range
in date from May 1989 to September 1991, well before the 1996 application. The letter of
5
One of the subpoenas issued was to Dr. David Witty, who treated Robert on
December 16, 1994. None of the records from Dr. Witty stated Robert had congestive
heart failure.
23
denial to Natalie clearly stated the denial was based on evidence of congestive heart failure
from the medical records United possessed from the preceding three years. While this Court
is confronted with multiple issues in this appeal, the issue of the basis for the denial of
Natalie’s claim is the most pertinent to our ruling. The medical records excluded were not
utilized to deny Natalie’s claim, nor do they provide evidence Robert suffered from or was
treated for congestive heart failure from 1993 to 1996.
¶73. Evidence is always subject to the test of relevancy. In this case, the relevant records
are the records upon which denial was based. As this Court does not want to favor
suppression of discovery, we find the trial court erred in relying upon the policy period solely
to determine which records should be excluded. We find the conduct of United should have
been considered when determining which records were relevant. The relevancy of medical
records was evidenced by United’s pre-suit conduct. “An insurance company has exclusive
control over evaluation, processing and denial of claims.” Andrew Jackson Life Ins. Co. v.
Williams, 566 So. 2d 1172, 1189 (Miss. 1990). United requested authorization to obtain
records from the preceding five years, but this Court is befuddled by United’s complaints
about exclusion of the older records, given its decision to obtain only records from the
preceding three years. As this is a lawsuit based on the denial of Natalie’s claim, and United
chose to base its denial only on the preceding three years, then United must be satisfied to
use records from these three years to defend its denial.
¶74. At trial, United attempted to offer an alternative argument for denial of Natalie’s
claim. Even though United’s employee, Whitaker, testified that question six of the
application was the only issue, United attempted to create an additional basis for denial based
24
on application question eight at trial.6 In the medical records which were excluded, United
claimed there was information that Robert had been treated for cancer. A record dated
August 13, 1990, from Dr. David Witty stated a “carcinoid tumor” was found in Robert’s
small bowel. However, Natalie disputes this was cancer and stated the tumor(s) were polyps
which were removed from Robert’s colon during a colonoscopy. While the trial judge denied
United the use of these records, he reserved the right to reverse this ruling and allowed
United to retain an expert to define and explain “carcinoid tumor.” United failed to do so.
Additionally, United never sought medical records regarding cancer prior to its denial of
Natalie’s claim.
¶75. As United did not base its denial of the claim on question eight of the application, nor
did United utilize its opportunity to put on proof of carcinoid tumors at trial, the issue of the
exclusion of these records is moot.
¶76. No proof was put forth to support the denial of Natalie’s claim, nor were the excluded
records utilized in the decision to deny Natalie’s claim. While we find the trial court did not
employ the correct reasoning for the exclusion of these records, we find the records were
properly excluded from evidence.
B. Did the trial court err in instructing the jury?
¶77. United claims the trial judge erred in granting numerous instructions. Natalie argues
that “while, perhaps not perfect, the trial court’s instructions, taken as a whole, certainly do
not constitute reversible error.
6
Question eight states: “Within the past ten years, has the proposed insured been
diagnosed as having, or received treatment for internal cancer?” Robert answered “no.”
25
¶78. “When we review a claim of trial court error in granting or denying jury instructions,
we are required to read and consider all of the jury instructions together as a whole.” Burr
v. Mississippi Baptist Medical Center, 909 So. 2d 721, 726 (Miss. 2005) (citations omitted).
“No instruction should be taken out of context or read alone in isolation.” Id. Richardson
v. Norfolk & Southern Ry., 923 So. 2d 1002, 1010 (Miss. 2006) (citations omitted). “If all
instructions taken as a whole fairly, but not necessarily perfectly, announce the applicable
rules of law, no error results.” Milano v. State, 790 So. 2d 179, 185 (Miss. 2001).
Additionally, “with any granted jury instruction challenged on appeal, two questions are
necessarily implicated: Does the instruction contain a correct statement of the law?, and Is
the instruction warranted by the evidence?” Hill v. Dunaway, 487 So. 2d 807, 809 (Miss.
1986).
¶79. United claims that granting instructions P-9, P-10, and P-11 7 over its objections was
error and that these instructions were contrary to law and to the proof presented. Although
the instructions may have been contrary to United’s theory of the case, the instructions are
correct statements of the law and were supported by Natalie’s proof.
¶80. United also submitted P-11 would confuse a jury. P-11 instructed the jury that United
may be liable for actual damages for the actions of its agent. United asserts that the statement
in the policy which read, “We are not bound by any promise or representation made by an
7
Instruction P-9 primarily addressed the law of material misrepresentation, burden
of proof and imputed knowledge; Instruction P-10 addressed imputed knowledge; and
Instruction P-11 peremptorily instructed that Triplett was United’s agent.
26
agent or anyone else” exempted it from being held liable for the actions of Triplett when she
sold the policy to the Merrills.
¶81. Grimland stated Triplett had the authority to act on behalf of United. There is
sufficient proof to show Triplett was acting on behalf of United. Furthermore, according to
the law of this state, the policy language cannot limit the responsibility of United. “We and
other courts have held insurers to be bound by the actions of their agents acting within the
course and scope of apparent authority regardless of the policy’s actual terms.” American
Income Life Ins. v. Hollins, 830 So. 2d 1230, 1237 (Miss. 2002) (emphasis added).
Accordingly, Instructions P-9, P-10 and P-11 were properly given by the court.
¶82. United also submits that the granting of Instruction P-26 and the refusal of its
Instruction DUA-14 at the conclusion of the compensatory phase was error. Instruction P-26
stated, inter alia, that if the jury found United breached the contract, that the jury could
consider the mental pain, anxiety and emotional distress when determining the award.
Instruction DUA-14 stated the jury could not find for Natalie in any amount beyond
reasonable compensation for actual damages sustained, if any. This was covered by the other
instructions of the court.
¶83. At trial, United objected to P-26 asserting “Mississippi law. . . would not allow
recovery of mental anguish and emotional distress damages for breach of contract alone,
absent there being some additional element. . . .” Additionally, United argues this instruction
is violative of Miss. Code Ann. Sect. 11-1-65 and this Court’s recent decision in Hartford
Underwriter’s Insurance Co. v. Williams, 936 So.2d 888 (Miss. 2006).
27
¶84. Natalie argues that P-26 is proper under Mississippi law. Natalie asserts the trial was
bifurcated by agreement of the parties, and that the jury was not instructed that it could
consider punitive damages in the first, compensatory phase of the trial. The record supports
the granting of Instruction P-26. United’s reliance on Hartford is misplaced. In Southwest
Regional Medical Center v. Lawrence, this Court held:
This Court traditionally held that emotional distress and mental anguish
damages are not recoverable in a breach of contract case in the absence of a
finding of a separate independent intentional tort. (citations omitted).
In recent years this Court has moved away from this requirement.
...
In Universal Life Ins. Co. v. Veasley, 610 So. 2d 290 (Miss. 1992), we
applied this rule to breach of contract cases stating:
Some justices on this court have suggested that extra-contractual
damages ought be awarded in cases involving a failure to pay on an insurance
contract without an arguable reason even where the circumstances are not such
that punitive damages are proper.[citations omitted]. Applying the familiar tort
law principle that one is liable for the full measure of the reasonably
foreseeable consequences of her actions, it is entirely foreseeable by an insurer
that the failure to pay a valid claim through the negligence of its employees
should cause some adverse result to the one entitled to payment. Some anxiety
and emotional distress would ordinarily follow, especially in the area of life
insurance where the loss of a loved one is exacerbated by the attendant
financial effects of that loss. Additional inconvenience and expense, attorneys
fees and the like should be expected in an effort to have the oversight
corrected. It is no more than just that the injured party be compensated for
these injuries. Veasley, 610 So. 2d at 295.
Southwest Miss. Regional Medical Ctr. v. Lawrence, 684 So. 2d 1257,1269 (Miss. 1996).
¶85. Consistent with this Court’s holding in Stewart, 846 So. 2d at 200, Natalie presented
proper evidence for compensation of emotional distress. The grant of Instruction P-26 and
denial of Instruction DUA-14 were not error.
¶86. United further asserts the granting of Instruction P-21 was error. Instruction P-21
stated, inter alia, “If you find from a preponderance of the evidence that United American
28
failed to conduct a reasonably prompt and adequate investigation, and if you further find
from a preponderance of the evidence in this case that its failure, if any, caused the denial of
a valid claim, then your verdict may be for the plaintiff.” The duty of United to reasonably
investigate a claim is discussed supra. This instruction was properly supported by proof in
the record, as well as by this Court’s decision in Banker’s Life and Casualty Co. v.
Crenshaw, 483 So. 2d 254 (Miss. 1985).
¶87. United asserts the trial court further erred in changing the word “must” to the word
“may” in its Instructions DUA-7 and DUA-9. Other than because it was “fair” due to Natalie
changing the wording in two of her jury instructions, the judge did not give a reason for
changing the wording in these two instructions. While the instructions may not read
“perfectly” due to the change, they do follow the “applicable rule of law,” and therefore, do
not result in error. See Milano, 790 So. 2d 179 at 185 (Miss. 2001). Furthermore, as to
Instruction DUA-9, United did not object to changing the wording of this instruction and
therefore, may not raise the issue on appeal. “Where a party fails to make a contemporaneous
objection to a proposed jury instruction so that the trial court has an opportunity to cure the
defect, we are procedurally barred from considering arguments that the trial court erred in
submitting the instruction.” Nunnally v. R.J. Reynolds Tobacco Co., 869 So. 2d 373, 378
(Miss. 2004) (citing Haggerty v. Foster, 838 So. 2d 948, 954 (Miss. 2002)).
¶88. Finally, United asserts the trial court erred in failing to grant an ore tenus, unnumbered
instruction submitted by it, which stated:
If you find from a preponderance of the credible evidence that the defendant
United American tendered the refund of premium check and that Plaintiff
Natalie Merrill knew at the time of tender that the insurance company
29
defendant United American had no intention of paying the claim, and you find
from a preponderance of the credible evidence that Plaintiff Natalie Merrill
thereafter negotiated and cashed the check with knowledge that defendant
United American had tendered the check and that Plaintiff Natalie Merrill fully
understood that United American at the time had no intention of paying on the
policy, then your verdict shall be for defendant United American.
¶89. The trial judge ruled this instruction was covered “by the waiver and/or accord and
satisfaction instructions. So, this would merely be cumulative.” After reviewing DUA-9, the
given instruction on accord and satisfaction, the Court finds that the instruction at issue is
virtually identical to DUA-9 and would render the same result. DUA-9 gives the correct
statement of law pursuant to this Court’s decision in Medlin, 889 So. 2d at 498 (Miss. 2004).
The trial court correctly stated the giving of the instruction at issue would be cumulative.
¶90. Accordingly, we find that the instructions given by the trial court, taken as a whole,
were proper.
C. Did the trial court err in certain evidentiary rulings?
¶91. “Our well-established standard of review for the trial court's admission or suppression
of evidence, including expert testimony, is abuse of discretion. We give great deference to
the discretion of the trial judge.” Miss. Transp. Comm'n v. McLemore, 863 So. 2d 31, 34
(Miss. 2003). “Unless we conclude that the discretion was arbitrary and clearly erroneous,
amounting to an abuse of discretion, that decision will stand.” Tunica County v. Matthews,
926 So. 2d 209, 212-213 (Miss. 2006) (citations omitted).
¶92. After review of Natalie’s brief, the Court discovered that while offering pertinent cites
to the record, Natalie did not offer a single authority in her response to United’s argument
on erroneous evidentiary rulings. This omission was further recognized in United’s reply
30
brief. Due to Natalie’s failure to cite any legal authority, this Court is not bound to consider
her argument on this issue. “This issue is not properly before the Court pursuant to M.R.A.P
28(a)(6) which states that an argument in the appellate's brief ‘shall contain the contentions
of appellant with respect to the issue presented, and the reasons for those contentions, with
citations to the authorities, statutes, and parts of the record relied upon.’” Conley v. State,
790 So. 2d 773, 784 (Miss. 2001) (citation omitted). However, for informational purposes,
we will address the arguments on this issue.
¶93. United submits that the trial court should not have allowed the deposition testimony
of two employees of United, wherein they testified to United’s obligations regarding the
policy. United submits the following portions of testimony were allowed in error:
1) United employee, Sam Smith, testified that Robert could not make a
misrepresentation by signing the application if he had never been told
that he had been treated for congestive heart failure.
2) United employee, Sandra Whitaker, testified that the only
representation Robert made through the application was that the
statements and answers therein were full, complete and true to the best
of Robert’s knowledge, and that United did not require Robert to ask
his physicians whether he had any of the conditions listed on the
application.
¶94. United argues this testimony wrongfully placed the burden on it to show that Robert
made an intentional misrepresentation and that Smith was being asked to define material
misrepresentation under Mississippi law. Further, United argues this testimony shows United
was not entitled to cancel the policy unless it proved Robert knew he had congestive heart
failure. Upon ruling on United’s objection to this testimony, the trial judge stated that while
Natalie could not ask these witnesses’ opinions on misrepresentation under Mississippi law,
he was taking the answers of these witnesses “to be couched in terms of policies – insurance
31
policy, nomenclature, and the company definitions. . . .” The trial judge further ruled these
employees should be able to testify to language which their company drafted.
¶95. Although this Court has stated, “the interpretation of insurance policy language is a
question of law,” the trial judge was correct that this testimony merely spoke to Robert’s
agreement to the policy which United drafted. The testimony did not attempt to interpret the
actual language of the policy. The trial judge did not abuse his discretion in allowing this
testimony.
¶96. United further objected to the portion of testimony wherein Triplett was asked, “Do
you have an opinion about whether or not United American should have paid Ms. Merrill’s
claims?” Triplett answered, “I think they should have paid the lady.” At trial, United objected
that this was a legal conclusion and that Triplett should not be able “testify that we owe the
claim.” The trial judge overruled the objection and stated her answer was not a legal
conclusion, but a question of standards in the insurance business. The trial judge was correct
in his ruling. Triplett was correctly allowed to state her opinion on this matter pursuant to
Mississippi Rules of Evidence 701 and 704 and their Comments.
¶97. Additionally, United objected to the testimony of Triplett wherein she stated: 1) that
she did not tell the Merrills about any contestability clause in the policy; 2) that United did
not tell Triplett there was a contestability clause in the policy; and 3) that Triplett thought it
would have been important for the Merrills to know about the contestability clause in the
policy. United argues that knowledge of the contestability clause should have been imputed
to the Merrills as “it is the law that a person is bound by the contract, the documents that they
sign.” However, the Merrills did not have this information at the time they applied, as they
32
were not issued the policy simultaneously with their application. See Stephens v. Equitable
Life Assur. Soc. of the US, 850 So. 2d 78, 83 (Miss. 2003)). This might be true as applied
to the Merrills after they received the policy, but not as to Triplett. Triplett is an agent of
United and pursuant to this Court’s holding in Hollins, United is bound by Triplett acting
within the scope of her authority. See Hollins, 830 So. 2d at 1237. The trial judge did not
abuse his discretion by allowing this testimony.
¶98. United further asserts Triplett should not have been allowed to testify that she was told
by Parker and Associates that a claim would be paid in thirty days and that she relayed this
information to the Merrills. In its appellate brief and argument to the trial court, United
simply states there are relevance and hearsay violations pursuant to Mississippi Rules of
Evidence 401, 403, and 801, but fails to give any explanation as to why. United additionally
reiterates its argument that the terms and conditions of the policy were clear and that the
Merrills were subject to these terms. However, as an agent for United, United is bound by
the information Triplett gave regarding the policy. See Hollins, 830 So.2d at 1237. The trial
judge did not abuse his discretion by allowing this testimony.
¶99. Over the objection of United, Triplett was further allowed to testify: 1) that Parker
and Associates was involved in a dishonest scheme because she did not receive any training;
2) that she was allowed to go out “foot free and loose,” but was accountable when “things
happened;” and 3) that she was exploited and pushed to bring in money. United argues that
pursuant to M.R.E. 401 and 403, the value of this testimony was substantially outweighed
by the prejudice to United and that it was not relevant to the issues presented at trial. The
questions which elicited this testimony from Triplett were asked by counsel for United.
33
Although United argues Parker and Associates was responsible for training Triplett, Triplett
was an agent for United and it was responsible for her actions. The training of agents who
will solicit answers from prospective insureds which may result in material
misrepresentations, is pertinent to the resolution of the issues of this case and meets the
requirements of M.R.E. 701 and its comment. The trial judge did not abuse his discretion by
allowing the preceding testimony.
¶100. This Court has stated, “The reviewing court may reverse a case only if, ‘the admission
or exclusion of evidence. . . results in prejudice and harm or adversely affects a substantial
right of a party.’” Blake v. Clein, 903 So. 2d 710, 723 (Miss. 2005) (quoting K-Mart Corp.
v. Hardy, 735 So. 2d 975, 983 (Miss. 1999)). Accordingly, the trial judge did not abuse his
discretion when excluding these records.
III. Did the trial court err in submitting extracontractual/ punitive
damages to the jury?
¶101. “An abuse of discretion standard is used when this Court reviews the trial court’s
decision on whether a case warrants punitive damages to be considered by the trier of fact.”
Bradfield v. Schwartz, 936 So. 2d 931, 936 (Miss. 2006) (citations omitted).
As a general rule, exemplary or punitive damages are ‘added damages’ and are
in addition to the actual or compensatory damages due because of an injury or
wrong. The kind of wrongs to which punitive damages are applicable are
those, which besides the violation of a right or the actual damages sustained,
import insult, fraud, or oppression and not merely injuries, but injuries
inflicted in the spirit of wanton disregard for the rights of others.
Id. (citations omitted).
¶102. Pursuant to Miss. Code Ann. Sect. 11-1-65, this trial was bifurcated, and the trial
judge submitted the punitive damages issue to the jury after a finding for compensatory
34
damages. The jury awarded Natalie $900,000 in punitive damages. Citing State Farm
Automobile Insurance v. Campbell, 123 S.Ct. 1513, 538 U.S. 408, 155 L.Ed.2d 585 (2003),
the trial court found this award to be proper after remittitur, as this amount did not exceed
nine times Natalie’s compensatory damages, the guideline suggested in Campbell.
¶103. United argues the trial court erred in submitting the punitive damages issue to the jury
for two reasons. The first of these is that Natalie was denied her motion for directed verdict.
In its brief, United relies on this Court’s holding in State Farm Mutual Auto Insurance Co.
v. Grimes, wherein this Court held that after denial of a motion for directed verdict on a
contract claim, this denial “generally indicates that a punitive damage instruction should not
have been submitted.” State Farm Mut. Auto Ins. Co. v. Grimes, 722 So. 2d 637, 640 (Miss.
1998). Nevertheless, United failed to cite the very next sentence which held, “However, this
Court has, in recent cases, backed away from a blanket holding that a punitive damages
instruction should be not submitted to the jury if a directed verdict was denied on the
underlying contract.” Grimes further held, “This Court in [Dixie Insurance v.] Mooneyhan,
thus noted that a judge may validly conclude that an insurer lacked an arguable reason to
deny the claim and that it acted in bad faith notwithstanding the fact that he refused a
directed verdict on the underlying contract claim.” Id. at 640 (emphasis added).
Accordingly, United’s argument that the trial judge erred in submitting the punitive damages
issue to the jury due to the denial of the motion for directed verdict is without merit.
¶104. This Court has held,
The issue of punitive damages should not be submitted to the jury unless the
trial court determines that there are jury issues with regard to whether:
35
1) The insurer lacked an arguable or legitimate basis for denying the claim,
and,
2) The insurer committed a wilful or malicious wrong, or acted with gross and
reckless disregard for the insured’s rights.
Hollins, 830 So. 2d at 1239 (citations omitted).
¶105. In Windmon v. Marshall, this Court, citing Murphree v. Federal Insurance Co.,
held, “[I]f there is a finding that there was a reasonable arguable basis to deny the claim then
the [appellant] is not entitled to have the jury consider any bad faith award against the
insurance company.”Windmon v. Marshall, 926 So. 2d 867, 872 (Miss. 2006) (citing
Murphree v. Federal Ins. Co., 707 So. 2d 523, 529 (Miss. 1997)). United claims its arguable
basis for denial is the dispositive issue on which to decide that the trial court erred in its
decision to submit punitive/extracontractual damages to the jury.
¶106. “Where an insurance carrier denies or delays payment of a valid claim, punitive
damages will not lie if the carrier has a reasonable cause for such denial or delay.”
Murphree, 707 So. 2d at 529. United unpersuasively argues it had an arguable basis for
denying the claim. United submits that at trial, it showed that question six on the policy
should have been answered “yes” as to congestive heart failure. United submits it provided
proof of this through two cardiologists (one of whom was the medical director for United)
who testified, based on the medical records obtained by United, that Robert was treated for
congestive heart failure in the three years preceding the application. United argued that the
claim file showed Robert’s family doctor treated Robert for ischemic cardiomyopathy and
coronary artery disease, although neither condition is included in the application
questionaire.
36
¶107. Natalie argues, to the contrary, that United did not have an arguable basis for denying
the claim based on this Court’s holding in Williams. In Williams, the application form was
filled out by the agent for Andrew Jackson and the application did not include a heart
condition which Williams stated he disclosed to the agent. Further, Williams claimed the
agent misrepresented the provisions of the policy to him. See Williams, 566 So. 2d at 1187.
Williams held, “Such misrepresentations created a jury issue of whether Andrew Jackson’s
denial was arguable.” Id. Natalie asserts her facts are analogous to the facts in Williams
because Robert revealed to Triplett, who filled out the application, that he had had bypass
surgery and even showed her his scar. Further, Triplett failed to include this information on
Robert’s application. This Court has held, “We have not hesitated to allow jury consideration
of punitive damages in cases where an insurer denied a claim because of a material
misrepresentation made by an agent.” Lewis v. Equity Life, 637 So. 2d 183, 186 (Miss.
1994).
¶108. Natalie further disputes the evidence put forth by United to claim it had an arguable
basis for denial. Natalie submits that, although United’s medical director testified Robert’s
medical records indicated he had congestive heart failure, “none of the documents which it
based its denial on contained the words congestive heart failure, and that none of those
documents state anywhere, nor contain any evidence, that Mr. Merrill was told by a doctor
or anyone else that he had or had been treated for congestive heart failure.”
¶109. These arguments by the parties clearly presented a factual dispute for which a jury
determination was necessary and proper. “[W]here the parties dispute the existence and
legitimacy of the carrier’s reason for delay or denial, these issues are ones of material fact,
37
and the plaintiff is entitled to have a jury pass upon his claim for punitive damages if
reasonable minds could differ as to the legitimacy of the carrier’s reason.” Murphree, 707
So. 2d at 529 (citations omitted). Thus, the first requirement for submitting punitive damages
to the jury, pursuant to Hollins, was met. See Hollins, 830 So. 2d at 1239.
¶110. As to the second prong stated in Hollins, United provides only a citation and states
it did not act with gross negligence or reckless disregard for Natalie’s rights, but provides no
argument.
¶111. Natalie submits to this Court that United acted with gross negligence and reckless
disregard for her rights, as United did not conduct a proper investigation. Lewis held, “‘[T]he
denial of a claim without proper investigation may give rise to punitive damages.’” Lewis,
637 So. 2d at 187 (citing Crenshaw, 483 So. 2d at 276). “Proper investigation, the Crenshaw
court held, means obtaining ‘all available medical information relevant to [the
policyholder’s] claim.’” Id. (citing Crenshaw, 483 So. 2d at 272). United failed to undertake
a full investigation of Natalie’s claim until after it was denied. Furthermore, as recommended
by United’s legal department, United failed to obtain a statement from Triplett, as United
attempted to contact her only once by phone. Natalie also argues the delay of the claim
denial for 278 days shows negligence and reckless disregard for her rights. Lastly, Natalie
states United acted recklessly when it sent two representatives to her home to collect
premiums after her claim had been denied. Natalie stated it caused her to be upset when two
men from United knocked on her door and upon Natalie asking them to leave, they presented
to her a card from United which stated she still owed the $54.00 a month premiums.
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¶112. Natalie submits that the amount of damages awarded was proper. United argues that
extracontractual/punitive damages should not have been submitted to the jury at all.
However, United did not contest the amount of damages awarded, either in its pleadings, or
during oral argument before this Court.
¶113. Mississippi law recognizes four factors to be applied in determining the amount of
punitive damages:
1) The amount should punish the insurer and deter it from engaging in similar
actions in the future.
2) The amount should serve as a deterrent for others.
3) The amount should account for the insurer’s financial worth.
4) The amount should compensate the plaintiff for her public service in
holding the insurer accountable.
Williams, 566 So. 2d at 1190.
¶114. Natalie argues all elements have been met, that United should be punished for its
actions, and that this award will be for the public good. Natalie further states this award is
sufficient to punish United, and to deter it from taking similar actions, and that it
compensates her for her public service in holding United accountable. Further, United’s net
worth was shown to be $184,638,000 after having paid dividends to its parent company of
$128,000,000.
¶115. This award is less than five times the amount of compensatory damages and is less
than one-half of one percent of United’s net worth. Further, as stated by the trial judge in his
opinion, this award is consistent with this Court’s holding in Hollins, 830 So. 2d at 1241-42,
and with the holding of the United States Supreme Court in State Farm v. Campbell.
Campbell held, “[C]ourts must ensure that the measure of punishment is both reasonable and
39
proportionate to the amount of harm to the plaintiff and to the general damages recovered.”
State Farm Mut. Auto. Ins. Co. v. Campbell, 538 U.S. at 426.
¶116. “Measurement of the amount is solely fettered to the jury’s discretion.” Williams, 566
So. 2d at 1190. Furthermore, “We will disturb a jury verdict on appeal only if it ‘is so
contrary to the overwhelming weight of the evidence that to allow it to stand would sanction
an unconscionable injustice.’” Burr v. Miss. Baptist Med. Ctr., 909 So. 2d 721, 730 (Miss.
2005).
¶117. Additionally, “[w]here punitive damages are awarded by the jury, attorney’s fees are
justified. The reasonableness of an attorney's fee award is determined by reference to the
factors set forth in Rule 1.5 of the Mississippi Rules of Professional Conduct.” Miss. Power
& Light Co. v. Cook, 832 So. 2d 474, 486 (Miss. 2002) (internal citations omitted). The
attorney’s fees awarded to Natalie were reasonable, as stipulated by United, without waiving
its argument that attorney’s fees should not have been considered by the jury at all.
¶118. The final judgment comports with the law of this state and that of the United States,
and was supported by substantial evidence.
CONCLUSION
In the insurance context a special relationship arises out of the parties' unequal
bargaining power and the nature of insurance contracts which would allow
unscrupulous insurers to take advantage of their insureds' misfortunes in
bargaining for settlement or resolution of claims. In addition, without such a
cause of action insurers could arbitrarily deny coverage and delay payment of
a claim with no more penalty than interest on the amount owed. An insurance
company has exclusive control over evaluation, processing and denial of
claims. For these reasons, a duty is imposed that ‘[an] indemnity company is
held to that degree of care and diligence which a man of ordinary care and
prudence would exercise in the management of his own business.’
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Williams, 566 So. 2d at 1189 (Miss. 1990).
¶119. After review of the record and the evidence presented, the Court finds United failed
to meet the duties the law imposes. Finally, no errors occurred during trial which prejudiced
the rights of United.
¶120. Lastly, a duly empaneled jury rendered a verdict in this case. This Court has held,
“that the jury's verdict may be interfered with if it is found ‘arbitrary or unreasonable’ or
‘against the overwhelming weight of the evidence. . . .’” Crenshaw, 483 So. 2d at 278. The
verdict in this case meets neither of these descriptions and should be upheld.
¶121. AFFIRMED.
SMITH, C.J., WALLER AND DIAZ, P.JJ., EASLEY, CARLSON, GRAVES,
DICKINSON, AND LAMAR, JJ., CONCUR.
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United American Insurance Co. v. Natalie Merrill
Combined Opinion