United States Court of Appeals
For the First Circuit
Nos. 12-2227, 12-2228
PRUCO LIFE INSURANCE COMPANY,
Plaintiff, Appellee,
v.
WILMINGTON TRUST COMPANY, Trustee under the Paul E. L'Archevesque
Special Revocable Trust-2006; JAY L'ARCHEVESQUE, Co-Trustee under
the Paul E. L'Archevesque Special Revocable Trust-2006,
Defendants, Appellants.
APPEALS FROM THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF RHODE ISLAND
[Hon. William E. Smith, U.S. District Judge]
Before
Lynch, Chief Judge,
Torruella and Howard, Circuit Judges.
F. Warren Jacoby, with whom Cozen O'Connor, Mary Cavanagh
Dunn, and Blish & Cavanagh LLP were on brief, for appellant
Wilmington Trust Company.
Robert M. Duffy, with whom Stacey P. Nakasian and Duffy &
Sweeney, Ltd. were on brief, for appellant Jay L'Archevesque.
Laurie E. Foster, with whom Allyson N. Ho, Morgan, Lewis &
Bockius LLP, Robert C. Shindell, Angela L. Carr, and Taylor Duane
Barton & Gilman, LLP were on brief, for appellee.
June 28, 2013
LYNCH, Chief Judge. Wilmington Trust Company and Jay
L'Archevesque, co-trustees of the Paul E. L'Archevesque Special
Revocable Trust-2006, challenge the district court's grant of
summary judgment to Pruco Life Insurance Company on Pruco's claim
for a judgment of mutual rescission of a life insurance policy,
owned by the trust, on the life of Paul L'Archevesque.
This case turns on a limited set of material facts. Pruco
sought rescission of the policy after it discovered that the policy
application had contained material misrepresentations about the
health of the insured. It tendered to Wilmington a check in the
amount of the policy premiums paid (plus interest), along with a
letter clearly stating that the purpose of the check was to effect
rescission of the policy. Under the trust agreement, Wilmington
had ceded decisionmaking authority to Coventry Capital I LLC, a
premium financing company, which was acting as the servicing agent
for a bank that had taken a security interest in the policy.
Wilmington accordingly forwarded the check and the letter to
Coventry, and after three weeks of investigation and consultation
with in-house counsel, Coventry sent the check back to Wilmington
with instructions to cash it. Wilmington did so. At no time
before or since has anyone attempted to return the money to Pruco.
Under these circumstances, the district court concluded
that, as a matter of law, a mutual rescission had taken place, and
Pruco was entitled to a judgment declaring the policy void ab
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initio. In an effort to avoid this conclusion, Wilmington and Jay
L'Archevesque raise a series of arguments that attempt to obscure
the relevant facts. We reject these arguments and affirm the
district court's judgment.
I.
In the fall of 2005, on the advice of his accountant,
Paul L'Archevesque met with an insurance broker, Vincent
Passananti, to discuss purchasing a life insurance policy.
Passananti explained to Paul1 that he could purchase this insurance
using non-recourse premium financing: Paul would take a loan to pay
the premiums, and when the loan matured he could sell the policy on
the open market, using the proceeds to pay off the loan and
retaining any excess proceeds for himself. Paul testified that his
intention was to sell the policy after about two years.
To obtain the loan, Passananti submitted Paul's medical
records to Coventry, a company with which Passananti had a contract
to produce premium financing transactions. At least one of these
records noted that Paul had been experiencing some memory loss.
After conducting its own medical underwriting, Coventry approved
the premium financing on January 4, 2006, and arranged for a loan
through LaSalle Bank.
1
Since Jay and Paul L'Archevesque share the same last name,
this opinion will refer to them by their first names.
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Later that month, Paul created two trusts that would be
used to take out the premium finance loan and eventually hold the
life insurance policy. The first was the Paul E. L'Archevesque
Special Trust-2006, of which Jay was the sole trustee. The second
was the Paul E. L'Archevesque Special Revocable Trust-2006, of
which the first trust was the settlor and Jay and Wilmington were
co-trustees. Wilmington is a professional trust company that acts
as trustee for approximately 800 trusts in connection with
Coventry's premium finance loans. The two trusts and Wilmington
then entered into a supplement to the trust agreement, which
provided, inter alia, that Wilmington would create a sub-trust to
enter into the loan agreement with LaSalle.
The sub-trust agreement provided that Jay and Wilmington
would perform their duties as trustees at the direction of LaSalle
or its designees for the duration of the loan. The note and
security agreement between the sub-trust and LaSalle stated that
Coventry would act as LaSalle's servicing agent and confirmed that
Jay and Wilmington would follow Coventry's instructions until
LaSalle decided otherwise. Further, Jay and Paul each signed a
power of attorney designating Coventry as his attorney-in-fact for
purposes of, respectively, the sub-trust and the life insurance
policy.
Meanwhile, Passananti began making inquiries on Paul's
behalf to a number of life insurance companies, including Pruco.
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He sent an informal inquiry to Pruco on January 24, 2006. Pursuant
to a HIPAA authorization signed by Paul, Passananti also gathered
and sent Paul's medical records to Pruco and other insurers. The
parties vigorously contest which medical records were sent to Pruco
and when. It is at least common ground, however, that at no time
before or during its underwriting process did Pruco receive a copy
of an earlier letter from a neurologist to Paul's primary care
doctor, dated January 11, 2006, which stated that the neurologist
believed Paul had "[p]robable mild Alzheimer's disease" and that
Paul had been given a medication, Razadyne ER, used to treat
Alzheimer's disease. It is uncontested that Paul actually received
this medication. Further, the inquiry Passananti sent to Pruco
included a medical exam report that also did not mention memory
loss or Alzheimer's disease. While the records that Pruco
undisputedly received did show that Paul had at times complained of
depression and dizziness, they did not reflect any probable or
actual diagnoses that Pruco would consider "materially adverse"
health conditions. Alzheimer's disease or other forms of dementia
would have been considered material.
Based on the information it had received, Pruco issued a
tentative offer of life insurance, subject to the receipt of
additional items, including a formal application. On February 16,
2006, Paul, through Passananti, submitted an application to Pruco
for a $10 million life insurance policy (an amount that was later
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increased to $15 million). The application contained a number of
yes-or-no questions about the insured's medical history; Paul
instructed Passananti to "mark 'No' on everything." The parties do
not dispute that some of these "no" answers constituted
misrepresentations. Specifically, Paul answered "no" to the
question of whether he had "been diagnosed with or treated for
. . . any disorder of the brain or nervous system," even though he
had recently complained of memory problems and received a diagnosis
of "[p]robable mild Alzheimer's disease" along with medication to
treat that condition. He also answered "no" to the question of
whether he was "currently taking any prescription medications,"
even though he had been given the Razadyne.
On March 7, 2006, Pruco issued a $15 million policy on
Paul's life. The policy was issued to Jay as trustee of the
Special Trust-2006. Wilmington, as co-trustee of the Special
Revocable Trust-2006, was added as an owner and beneficiary of the
policy on March 21, 2006. LaSalle then took a security interest in
the policy as collateral for its premium finance loan.
Approximately a year and a half later, in the fall of
2007, Pruco received an inquiry from Coventry relating to the
policy. This inquiry suggested to Pruco that Paul intended to sell
the policy, which raised the underwriting manager's suspicion that
"something else was going on" with Paul's health. Pruco then
ordered Paul's updated medical records, which revealed the
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previously undisclosed information about Paul's memory loss,
"[p]robable mild Alzheimer's" diagnosis, and Razadyne prescription.
After reviewing the records, Pruco concluded that Paul had made
material misrepresentations about his health and that these
misrepresentations constituted grounds for rescinding the policy.
On February 5, 2008, Pruco sent Wilmington a letter and
a check for $845,964.60. Pruco also copied the letter to Paul, and
Jay learned about the letter from conversations with Paul's
financial advisors. The letter stated, in pertinent part:
We recently received information about
[Paul]'s medical history that was not
disclosed on the application for insurance
dated February 16, 2006 . . . . If we had
known this information at the time of
application, we would not have issued the
Policy. We are writing to inform you that the
Policy is not in force and is void as of the
Policy's contract date of March 7, 2006. We
have enclosed with this letter [Pruco]'s check
. . . payable to you in the amount of
$845,964.60 as the return of the total amount
of premiums, including interest, paid under
the Policy.
The letter went on to detail the representations Paul had made in
the application that were contradicted by the recently obtained
medical records, and it stated that Pruco was accordingly entitled
"to rescind the Policy on the grounds of material
misrepresentation."
As soon as it received the rescission letter, Wilmington
forwarded both the letter and the check to Coventry along with a
request for instructions. Coventry's in-house counsel then began
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assessing the situation, including by contacting Passananti and Jay
and by deliberating with another Coventry attorney and Coventry's
Chief Executive Officer. Coventry also already had in its
possession various medical records of Paul's that it had received
in the course of its underwriting process for the premium finance
loan. Coventry's corporate representative testified that the
company did not assume the truth of the statements in Pruco's
letter when deciding whether to agree to rescission, but rather
relied on the assessment of its in-house counsel.
On February 27, 2008, Coventry returned the check to
Wilmington with instructions to deposit it. The next day,
Wilmington deposited the check into the account of the Special
Revocable Trust-2006, then wired the funds from that account to
LaSalle Bank. At no time did Coventry, Wilmington, or Jay inform
Pruco that the Special Revocable Trust-2006 did not agree to
rescission or did not intend to accept rescission by depositing the
check.2
II.
Pruco filed a complaint in the Rhode Island federal
district court on February 29, 2008, invoking the court's diversity
jurisdiction. The complaint sought rescission of the policy and a
2
Wilmington and Jay later made such an assertion in their
pleadings in this litigation, but there is no record evidence to
indicate that either of them made any such statement to Pruco
contemporaneously with the receipt, investigation, or cashing of
the premium refund check.
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declaration that the policy was void ab initio, on the basis that
Paul had made material misstatements in his application, which
induced Pruco to issue the policy. Pruco later amended its
complaint to add a claim for a declaration that mutual rescission
had been effectuated by Wilmington's acceptance of the returned
premiums, as well as a claim for rescission for lack of an
insurable interest, based on the allegation that the true
beneficiary of the policy was a third-party investor with no
insurable interest in Paul's life. The first amended complaint
named Wilmington and Paul as defendants; Pruco amended its
complaint a second time to name Jay as a defendant. Paul later
filed a motion to dismiss the claims as to him on the ground that
he was not an owner or beneficiary of the policy. The district
court granted this motion on May 19, 2009.
After discovery, the parties cross-moved for summary
judgment.3 On September 7, 2012, the district court issued an
opinion and order granting summary judgment to Pruco on its claim
for mutual rescission and denying Wilmington's and Jay's motions
for summary judgment. Citing the seminal Rhode Island case on
mutual rescission, Klanian v. New York Life Insurance Co., 26 A.2d
608 (R.I. 1942), the district court determined that the undisputed
3
In its motion for summary judgment, Pruco offered to
stipulate to the dismissal of its claim for rescission based on
lack of an insurable interest. In its ruling on the summary
judgment motions, the district court did dismiss this count, and no
party challenges that ruling on appeal.
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facts compelled the conclusion that a mutual rescission had
occurred as a matter of law. Pruco had tendered the premium refund
check with a letter explicitly stating that the check was for the
purpose of rescission, using language common in mutual rescission
cases. Coventry had considered the offer for three weeks and then
directed Wilmington to cash the check, and Wilmington did so.
After cashing the check, no party had expressed any intention not
to rescind, and there had never been an offer to return the refund
to Pruco.
In the face of these facts, the district court held that
Wilmington's and Jay's mere assertions of their subjective intent
not to rescind were immaterial. The court also rejected the
argument that any agreement to rescind was invalid because Pruco
had, it was alleged, obtained the rescission by fraud. The
undisputed facts demonstrated that Coventry, a sophisticated party
in the insurance industry, had independently assessed the situation
and consulted with counsel, and had not assumed the truth of the
statements in Pruco's letter. As such, there was no genuine issue
of material fact as to whether Coventry had relied at all, let
alone justifiably relied, on Pruco's alleged misrepresentations.
Judgment on the district court's order entered on
September 10, 2012, and Wilmington and Jay each timely appealed.
Their appeals are consolidated before us.
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III.
Summary judgment is appropriate where "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). We review a district court's grant of summary judgment
de novo, "drawing all reasonable inferences in favor of the
non-moving party while ignoring 'conclusory allegations, improbable
inferences, and unsupported speculation.'" Sutliffe v. Epping Sch.
Dist., 584 F.3d 314, 325 (1st Cir. 2009) (quoting Sullivan v. City
of Springfield, 561 F.3d 7, 14 (1st Cir. 2009)). We may affirm on
any basis apparent in the record. Id. On an appeal from cross-
motions for summary judgment, the standard does not change; we view
each motion separately and draw all reasonable inferences in favor
of the respective non-moving party. See OneBeacon Am. Ins. Co. v.
Commercial Union Assurance Co. of Can., 684 F.3d 237, 241 (1st Cir.
2012).
On appeal, Wilmington and Jay offer different but often
overlapping arguments for overturning the district court's
decision. Wilmington first argues that the district court
misinterpreted Rhode Island law and improperly relied on out-of-
state law regarding the standard for mutual rescission. It then
argues that there are genuine issues of material fact concerning
whether Pruco made material misrepresentations in its rescission
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letter, which should have precluded summary judgment.4 Jay
likewise argues that there are genuine issues of material fact for
trial, but he frames his argument as addressing Pruco's allegedly
"bad faith" conduct, which Jay contends should equitably bar Pruco
from obtaining a rescission. We take each argument in turn.
A. Rhode Island Mutual Rescission Law
"Rescission is . . . [an] abrogation or undoing of [a
contract] from the beginning. It seeks to create a situation the
same as if no contract ever had existed." Dooley v. Stillson, 128
A. 217, 218 (R.I. 1925). In Klanian, the Rhode Island Supreme
Court stated that "[m]utual rescission rests upon intention; it
depends both upon the acts of the parties and the intention with
which those acts are done." 26 A.2d at 613. While the question of
intention to rescind is "ordinarily a question for the jury, . . .
it may become a question for the court where the facts are admitted
or clearly established." Id. Here, the facts surrounding the
cashing of the premium refund check were undisputed, with the only
difference among the parties being the appropriate inferences to
draw from those facts.
4
Wilmington also argues, in the alternative, that any
rescission was based on a mutual mistake of fact that renders the
agreement voidable. This argument appears to be premised on the
unsupported theory that Pruco itself was mistaken as to the alleged
falsity of the statements in the rescission letter. Besides being
unrelated to record evidence and making little sense, this argument
would fail for the same reasons explained below as to Wilmington's
assertion that Pruco deliberately made misrepresentations in the
rescission letter.
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As in Klanian, the insurance company here sent a letter
to the policyholder clearly stating its intent to rescind the
policy and including a check tendering the premiums paid, with
interest. See id. at 609-10. As in Klanian, the recipient here
cashed the check. See id. at 610. The Klanian court stated that
these facts raised a "reasonable inference" of mutual rescission.
Id. at 613. The difference between Klanian and this case is that,
in the former, the policyholder was illiterate and did not
understand the contents of the letter or the notation on the
tendered check. Id. at 610. When he learned what the letter said,
he immediately dictated a response letter to the insurer stating
that he had not intended to agree to rescission and offering to
return the refunded premiums. Id. Days later, his counsel sent
the insurer a check in the amount of the premiums. Id. Under
these circumstances, the court determined that there was a jury
question as to the policyholder's intent to rescind. Id. at 613.
Wilmington argues that Klanian stands for the proposition
that, if a party has an unexpressed, subjective intent not to
rescind, then that intent can defeat a claim of mutual rescission.
This is not an accurate reading. Indeed, the Klanian court stated
that, were it not for Klanian's prompt letter and attempt to return
the refund, there would have been "merit in the [insurer]'s
contention that there was nothing to go to the jury and that [the
insurer] was entitled to a direction of a verdict as a matter of
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law." Id.; see also Reccko v. Criss Cadillac Co., 551 A.2d 20, 21-
22 (R.I. 1988) (finding jury issue on intent to rescind where
plaintiff had sent letter to defendant stating that she was making
an "offer in mitigation of damages" that should not "be interpreted
as a[] . . . rescission"). The Klanian court also specifically
distinguished Klanian's situation from those in other cases holding
that a mutual rescission had occurred based on the tender and
cashing of a refund check, on the grounds that the other cases had
involved policyholders who waited a significant amount of time
before cashing the check and thereafter offered no evidence to
overcome the inference of an intent to rescind. See 26 A.2d at
612-13 (citing Kincaid v. N.Y. Life Ins. Co., 66 F.2d 268 (5th Cir.
1933); Warren v. N.Y. Life Ins. Co., 58 P.2d 1175 (N.M. 1936);
Peterson v. N.Y. Life Ins. Co., 240 N.W. 659 (Minn. 1932)).
Klanian never suggests that a party's unexpressed intentions,
evidenced by nothing more than that party's bare, post hoc
assertions, can overcome the inference of mutual rescission. Cf.
Newport Plaza Assocs. v. Durfee Attleboro Bank (In re Newport Plaza
Assocs.), 985 F.2d 640, 643-44, 646 (1st Cir. 1993) (noting that,
under Rhode Island law, "[c]ontracts ordinarily depend on objective
indicia of consent, not on a party's subjective expectations").
Here, of course, Wilmington did not take any actions
either before or after it cashed Pruco's refund check to indicate
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that it did not intend to agree to rescission.5 Wilmington does
not point to any record evidence showing that it ever expressed any
dissent to Coventry or to Pruco. Nor does it present any evidence
to support a finding that Coventry had any intent other than to
agree to rescission when it instructed Wilmington to cash the
check. Cf. Dooley, 128 A. at 218 ("An implied rescission is as
effective as an express one."). To this day, Wilmington has never
attempted to return the premiums to Pruco. These facts are
undisputed, and Wilmington's bare assertions are not enough to
overcome the reasonable inference that a mutual rescission took
place.
The out-of-state cases cited by the district court
support this result, and none of them are in conflict with Rhode
Island law. In fact, the case at which Wilmington aims the brunt
of its attack -- Avemco Insurance Co. v. Northern Colorado Air
Charter, Inc., 38 P.3d 555 (Colo. 2002) -- cites Klanian for the
very proposition that "in order to overcome the inference of
rescission, the insured must offer evidence, beyond a subjective
intent not to rescind, to rebut the acts of the insurer and the
5
That Wilmington was taking instructions from Coventry does
not change the situation. It is undisputed that Wilmington had
agreed to act at Coventry's direction for all matters relating to
the policy for as long as the premium finance loan was outstanding.
The fact that Coventry directed Wilmington to act in a manner that
Wilmington now claims was against its preferences has no effect on
the rescission analysis.
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insured." Id. at 563. Wilmington's argument that the district
court ignored Rhode Island law is without merit.
B. Relevance of Pruco's Alleged Misrepresentations
Wilmington next argues that, even if cashing the refund
check raises an inference of an agreement to rescind, there were
genuine issues of material fact that should have precluded the
conclusion, at the summary judgment stage, that such an agreement
was valid. Specifically, Wilmington argues that there were
material factual disputes as to whether Pruco made
misrepresentations in its rescission letter concerning what Pruco
knew about Paul's medical condition and the extent to which Pruco
had relied on the statements in Paul's application. Wilmington
suggests that Pruco made these misrepresentations in order to
fraudulently induce rescission; if so, Wilmington says, the
agreement to rescind is voidable.
As the district court correctly concluded, regardless of
whether the statements in the letter were accurate as to Pruco's
knowledge of Paul's medical condition, the undisputed facts reveal
that Coventry did not rely on these statements in reaching its
decision to consent to rescission. Coventry is a sophisticated
entity that had the advice of in-house counsel on this matter. The
decisionmaking process involved Coventry's CEO. Coventry had
possession of Paul's medical records and had performed its own
underwriting, so it had no need to rely on Pruco's characterization
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of the records; indeed, Coventry's representative explicitly
testified that it did not assume the truth of Pruco's statements.
Coventry contacted Passananti for additional information6 and
considered its options for approximately three weeks. Based on all
of its information and advice, Coventry decided to instruct
Wilmington to cash the check, and Wilmington was obligated to
follow that direction.
Under these circumstances, any dispute about the truth of
Pruco's statements in the letter cannot be considered material to
the outcome of this case. No reasonable jury could have concluded
that Coventry relied, let alone justifiably relied, on Pruco's
statements in reaching its decision to instruct Wilmington to cash
the check.
Nor is the issue of Pruco's reliance on the statements in
Paul's application material to the outcome here. Wilmington's
argument goes to Pruco's cause of action for unilateral rescission,
6
We reject the argument, advanced by both Wilmington and Jay,
that Passananti was acting as an "agent" of Pruco (and thus,
presumably, that he should be treated as part of the alleged
fraud). The record is clear that Passananti had contractual
relationships with both Pruco and Coventry but was an employee of
neither. Further, Passananti's non-exclusive contract with Pruco
only granted him the authority to "solicit, procure and submit
applications for Policies," along with limited related duties; he
was specifically barred from, inter alia, "mak[ing] representations
as an agent of [Pruco] in any manner or for any purpose except as
specifically authorized" by the contract. Neither Wilmington nor
Jay points to any record evidence showing that Passananti made any
statements to Coventry at Pruco's direction or request, or that any
statements Passananti made were "specifically authorized" by his
Pruco contract.
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which included an allegation that Pruco had relied on the truth of
the statements in the application when deciding whether to issue
the policy. Pruco's cause of action for mutual rescission did not
contain, nor was it required to contain, such an allegation. The
district court resolved the case on the mutual rescission count, as
do we.
Wilmington attempts to argue -- although not very clearly
-- that Pruco could not have obtained a mutual rescission if it was
not entitled to a unilateral rescission. But in Klanian, the Rhode
Island Supreme Court noted that the question of whether a party to
a contract has a valid right to rescind is relevant only "in the
case of a unilateral rescission claimed as of right by the
rescinding party," not "in a case of mutual rescission." 26 A.2d
at 613. The court expressly rejected the argument that there could
not have been a mutual rescission because the terms of the policy
would have prevented unilateral rescission (specifically, because
the contestable period had expired). See id.
This reasoning alone supports the district court's
decision, without needing to address the merits of Wilmington's
factual allegations. Even if the facts here are disputed, they are
not material. Once Coventry and Wilmington took the steps to
effect a mutual rescission, Pruco's independent right to rescind
ceased to be legally relevant.
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C. "Bad Faith"
Jay argues that there were genuine issues of material
fact for trial regarding whether Pruco's offer to rescind was made
in bad faith, and that if Pruco did act in bad faith, it would have
been equitably barred from obtaining the remedy of rescission. He
asserts that the district court erred in finding these arguments
irrelevant to the rescission analysis. We agree with the district
court.
First, many of Jay's arguments nominally based on "bad
faith" are functionally identical to Wilmington's arguments
concerning whether Pruco had a right to unilateral rescission.
Regardless of the label Jay places on these arguments, the result
is the same. As we have explained, the uncontested evidence shows
that Coventry did not rely on the statements in the rescission
letter when it considered whether to agree to rescission. Thus,
even if Jay were correct that there was a genuine factual dispute
as to whether Pruco acted in bad faith by making the statements in
the letter -- and we express no opinion on that point -- the
dispute would not be material. The same goes for Jay's allegations
that Pruco acted in bad faith by asserting that it had a right to
unilateral rescission. Whether or not Pruco believed in good faith
that it had such a right, the question is not material where mutual
rescission occurred as a matter of law.
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Second, Jay offers no Rhode Island law supporting his
theory that an insurer acts in "bad faith," and that any agreed-
upon mutual rescission is therefore void, if the insurer offers to
rescind an insurance contract when the insurer (allegedly) could
not have obtained unilateral rescission. The only authority Jay
cites for this proposition is a Minnesota case, based on Minnesota
precedent, which has never been cited by a Rhode Island court. See
Kilty v. Mut. of Omaha Ins. Co., 178 N.W.2d 734 (Minn. 1970). And
in any event, the case is distinguishable. In Kilty, the Minnesota
court noted that there was no evidence of misrepresentation in
connection with the insured's application, which raised a factual
question as to whether the insurer had "procur[ed] consent to the
rescission" by fraud or bad faith. Id. at 736. Here, by contrast,
Paul undisputedly misrepresented his medical history in his
application, and Coventry's agreement to the mutual rescission was
not induced by any of the allegedly bad-faith statements in the
rescission letter.7 Even if the Rhode Island courts were to
require an insurer to have a good-faith basis for believing that it
7
Moreover, the insurance company in Kilty did not seek a
declaration of rescission before the insured had made a claim for
benefits. See 178 N.W.2d at 736. Here, Pruco began investigating
the possibility of rescission not when a claim was made on the
policy, but when it received information suggesting that the policy
was designed to be sold on the open market. As Pruco's counsel
explained at oral argument, life insurance policies are more
valuable on the market when the insured has health problems,
because that means the buyer will likely recoup its investment
sooner.
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could obtain a unilateral rescission in order to make an offer for
mutual rescission (and we do not assume they would), no reasonable
jury could have concluded in this case that Pruco lacked even an
arguable basis for seeking rescission of the policy. Paul
admittedly made misrepresentations about his being diagnosed with
and treated for a degenerative brain disease, and the medical
records that Pruco received omitted any documentation of this fact.
Jay's reliance on general principles of equity is
unavailing under these circumstances. The implied covenant of good
faith and fair dealing and the "clean hands" doctrine simply are
not relevant here. Where it was Paul who originally misrepresented
his medical history in order to obtain a $15 million life insurance
policy, Jay cannot be heard to complain that Pruco came to court
with unclean hands.8
Finally, Jay argues that there is a genuine dispute of
material fact concerning whether Pruco acted in bad faith because
it did not attach Paul's application to the original policy, and
thus would not have been entitled to rescind based on any statement
in the application. There are at least three problems with this
8
Jay's argument based on Rhode Island statutory law is also
misplaced. As Jay himself admits, the statute he relies on, R.I.
Gen. Laws § 27-4-10, does not apply to claims for rescission made
by the insurer while the insured is alive. See Prudential Ins. Co.
of Am. v. Tanenbaum, 167 A. 147, 149-50 (R.I. 1933). Paul was
still alive when Pruco filed the instant suit. The fact that Pruco
sought rescission while Paul was alive, rather than after his
death, certainly is not evidence of bad faith.
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argument. First, Jay admitted in his answer to Pruco's second
amended complaint that the application was attached to the policy.9
"A party's assertion of fact in a pleading is a judicial admission
by which it normally is bound throughout the course of the
proceeding." Schott Motorcycle Supply, Inc. v. Am. Honda Motor
Co., 976 F.2d 58, 61 (1st Cir. 1992) (quoting Bellefonte Re Ins.
Co. v. Argonaut Ins. Co., 757 F.2d 523, 528 (2d Cir. 1985))
(internal quotation marks omitted). Second, Jay states that
Coventry is in possession of the original policy, so Coventry would
have had an opportunity during its three-week investigation to find
out whether the application was attached to the policy and to
decide what, if any, weight to give that fact in reaching its
decision to agree to rescission. Third, as explained above,
Klanian forecloses the argument that, in order for a mutual
rescission to be effective, a policy must by its terms authorize a
unilateral rescission. See 26 A.2d at 613. Thus, even if the
first two problems were not present, Jay's argument would be
legally irrelevant.
IV.
The judgment of the district court is affirmed.
9
Jay argues in his reply brief that his reference to an
"application" in his answer did not refer to the particular
application he now contends was absent. This is a strained reading
of the pleadings, and regardless, his general argument fails for
the additional reasons explained in the text.
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