Opinion

Ware v. Columbus Life Insurance Company

Court
District Court, N.D. Alabama
Filed
Jan 26, 2023
Cited by
0 cases
Authority
More cited than 16.6%

reasoning also that “if it was necessary as a practical matter for the [plaintiffs] to check the bank statement” for purposes of ensuring payment, “that is not an onerous or unreasonable burden to place on them”

How later courts described this case

  • reasoning also that “if it was necessary as a practical matter for the [plaintiffs] to check the bank statement” for purposes of ensuring payment, “that is not an onerous or unreasonable burden to place on them”
  • noting that “Plaintiff cannot argue that her premium was unpaid because she was ‘unaware’”
  • answering this Court’s certified question
  • concerning agreement between parties for the purchase of the “Swiss Coin Collection,” specifically the ambiguity regarding the contents of the “Swiss Coin Collection,” where (1

Written by the judges who cited it.

The opinion

UNITED STATES DISTRICT COURT

NORTHERN DISTRICT OF ALABAMA

NORTHWESTERN DIVISION

PRESTON WARE and )

ERIC WARE, )

)

Plaintiffs, )

) Case No. 3:21-cv-1281-LCB

v. )

)

COLUMBUS LIFE INSURANCE )

COMPANY, )

)

Defendant. )

OPINION & ORDER

Plaintiffs Preston and Eric Ware—father and son, respectively—filed this

action in state court on August 20, 2021,1 and Defendant Columbus Life Insurance

Company timely filed its notice of removal here.2 In short, the Wares allege that by

terminating Preston’s life-insurance coverage, Columbus ran afoul of the parties’

agreement.3 Before the Court is Columbus’s Motion for Summary Judgment;4 for

the forthcoming reasons, the Court GRANTS the Motion in full and, accordingly,

DISMISSES this action with prejudice.

1 Circuit Court of Colbert County, Alabama, 10-CV-2021-900182. Doc. 1-1 at 2–7.

2 Doc. 1 (filed Sept. 23, 2021).

3 The Wares initially sought relief for breach of contract (Count I) and bad-faith cancellation

(Count II) but now concede that Count II has no basis in Alabama law and is due for adverse

summary judgment. Pls.’ Resp., Doc. 22 at 9.

4 Doc. 19; see also Def.’s Br., Doc. 21; Pls.’ Resp., Doc. 22; Def.’s Reply, Doc. 23.

I. FACTUAL BACKGROUND

The Wares base their claim for relief—and Columbus, its Motion—on the

following undisputed facts.

A. The Policy’s Terms

Columbus issued life-insurance policy CM2043958U to Preston Ware on June

11, 1986.5 The cost of coverage was, by the Policy’s terms, determined on a monthly

basis and was subject to upward variance in relation to Columbus’s “expectations as

to future mortality.”6 In other words, the requisite minimum for monthly premiums

increased with the passage of time.7 For this “Flexible Premium Adjustable” life-

insurance policy, Preston was able to “choose the amount and frequency of

[premium] payments.”8

The amount and frequency Preston selected for those payments had a direct

effect on what the Policy called “cash value.”9 “Cash value” was formulaically

defined10 within the Policy: On a given monthly “anniversary” date (here, the 11th

of each month), the Policy’s cash value equaled (1) “the cash value on the preceding

monthly anniversary day,”11 plus (2) “90 percent of all premiums (except the first)

5 Doc. 21-1 at 12.

6 Id. at 23.

7 Id. at 18, 23.

8 Id. at 12, 21.

9 Id. at 21.

10 Id. at 23.

11 Id. (including interest at a monthly compounding rate of 0.36748%).

received since the preceding monthly anniversary day,” minus (3) the next month’s

cost of insurance.12 Stated simply, the preceding anniversary date’s cash value,

coupled with 90% of all premiums (except the first) subsequently paid, was required

to be at least equal to the next month’s coverage cost.13 Insufficient cash value on a

monthly anniversary date triggered a 61-day “grace period,” during which the Policy

permitted retroactive cash-value rectification.14 Columbus also sent annual reports

indicating, among other things, the Policy’s cash value.15

The Wares typically paid monthly premiums by way of preauthorized

automatic withdrawal (“PAW”) from the checking account on file. An increase in

coverage costs unaccompanied by a corresponding PAW adjustment inherently

depleted the Policy’s cash value.16

The Policy set forth two absolute prerequisites for automatic termination

without value.17 The first was the insured’s failure to reestablish a sufficient cash

value for the duration of a grace period.18 The second was Columbus’s provision of

a “grace notice” via mail.19 Columbus would “not terminate [the] policy until 31

12 Id. Also deducted from (1) and (2) in the cash-value calculation above was a small monthly

expense charge, which has no bearing on this case. Id. at 12, 23.

13 Id. at 23.

14 Id. at 22–23.

15 Id. at 21 (Policy provision promising annual report); see also id. at 64–67, 92–95,

126–29 (annual reports).

16 Id. at 21.

17 Id. at 22.

18 Id.

19 Id. at 23.

days after” mailing notice to “the last known address” even if a 61-day grace period

had already run to completion.20

Between 2010 and 2015, Columbus sent six grace notices to Preston.21 Each

time, Preston remitted the minimum payments necessary to rectify the deficient cash

value and maintain coverage before automatic termination.22 In October 2015,

Preston directed all further Policy related correspondence to Eric’s residential

address (“Golfview address”).23

B. 2016 to 2018

On August 10, 2016, Columbus mailed a grace notice to the Golfview address

requesting payment of at least $21.46 by September 10th.24 The July 11 PAW had

been insufficient to maintain a cash value equaling or exceeding the cost of August’s

coverage and thus triggered a 61-day grace period.25 To that end—due to the increase

in coverage costs—the notice stated that the Wares’ $245.22 PAW was “not

sufficient to keep [the] policy in force,” that the insufficient PAWs had been

temporarily halted, and that, moving forward, a PAW of at least $261.46 was

20 Id. For example, if Columbus sent “grace notice” via mail on the 60th day of a 61-day grace

period, then Preston would have 31 days from the mailing of such notice (or, stated differently, 91

days from the grace period’s commencement) to rectify the deficient cash value.

21 Id. at 53–59.

22 Id. at 46–51.

23 Id. at 66.

24 Id. at 69–70.

25 See id. at 69.

necessary to maintain coverage at the current monthly rate.26 Columbus ultimately

received the minimum payment necessary to rectify the July 11 cash value before

the September 10 deadline.27 Thus, the July 11 grace period referenced in the August

10 notice did not lead to termination.

Despite rectifying the deficient July 11 cash value, the $21.46 premium did

nothing for the August 11 cash-value calculation, which restarted the 61-day timer.28

And because the Wares had paid nothing beyond $21.46 since the July PAW,29

Columbus sent to the Golfview address another grace notice on September 12,

2016.30 The September notice described the minimum payment necessary to prevent

lapse on October 13, 2016.31 Preston called Columbus to discuss the situation on

September 21, and Columbus’s employee explained, as did the August and

September notices, that the $245.22 PAWs were insufficient to maintain coverage

at the current rate.32 Nine days later, Columbus received the requested premium,

which retroactively established a satisfactory cash value for purposes of both the

August 11 and September 11 anniversary dates.33 The following month, Preston sent

26 Id.

27 Id. at 47.

28 See Telephone Tr. (July 3, 2018), id. at 102 (noting that Wares were behind on payments and

that payments were being attributed to “the month behind” due to insufficient cash value, in nearly

identical circumstances).

29 Id. at 46–47 (detailing premium-payment history).

30 Id. at 72–73.

31 Id. at 72. The September 2016 notice also mentioned temporary cessation of PAWs. Id.

32 See Telephone Tr. (Sept. 21, 2016), id. at 82.

33 See id. at 47.

Columbus a letter directing all future correspondence to Eric at a new address

(“Cottonwood address”) and also instructed deduction of all future PAWs from

Eric’s bank account.34

Columbus sent a grace notice to Eric at the Cottonwood address on July 11,

2018. The notice stated that coverage would lapse unless Columbus received

$318.72 within 31 days.35 Eric subsequently phoned Columbus about the notice; he

agreed to pay the requested premium and to increase future PAWs to $308.88—the

minimum amount necessary to keep the Policy afloat until coverage costs rose

again.36 Eric also updated his address (“Muscle Shoals address”).37

C. 2020 to Present

After receiving the Wares’ $308.88 PAW on June 9, 2020, Columbus mailed

its annual report to the Muscle Shoals address on June 11.38 The report showed that

the Policy had entered a grace period on June 11 in light of a deficient $21.71 cash

value.39 And though Columbus subsequently received the Wares’ $308.88 PAW on

34 Id. at 89–90.

35 Id. at 112.

36 Telephone Tr. (July 19, 2018), id. at 120–23. As did previous grace notices, the July 2018 notice

informed the Wares that PAWs had been discontinued and that a bare-minimum PAW increase

would suffice only for purposes of the current monthly coverage rate. Id. at 112.

37 Id. at 122.

38 Id. at 126; see also id. at 21 (Policy provision regarding annual report).

39 Id. at 126 (2020 Annual Report). Plaintiffs assert that according to the 2020 Annual Report, “on

May 11, 2020, the cash value stood at $21.71” but that Plaintiffs “are not in possession of the cash

value of the policy in June, July, or August 2020.” Pl.’s Br., Doc. 22 at 8. But the Report clearly

shows a $21.71 cash value “as of 6/11/2020.” Doc. 21-1 at 126. To the extent Plaintiffs

intentionally assert otherwise, they have created no genuine factual dispute for purposes of

summary judgment.

July 9,40 the monthly cost of coverage had increased such that the PAW fell short of

rectifying the June 11 cash value (i.e., of exiting the grace period).41 Columbus

accordingly mailed notice (“the Final Notice”) to the same address on July 13,

informing the Wares of the grace period’s commencement and of the temporary

pause on PAWs, which required increasing in order to keep pace with the updated

cost of coverage.42

In the Final Notice, Columbus demanded payment, by August 13, of at least

$394.27, the minimum necessary to avoid lapse—i.e., to retroactively establish

sufficient cash value for purposes of the foregone June and July anniversary dates.43

But Columbus received no such payment, so, as promised in the Final Notice,

coverage automatically terminated on August 13, 2020. The Wares do not dispute

Columbus’s mailing of the Final Notice but do allege that they never received it.44

II. LEGAL STANDARD

Summary judgment is “an integral part of the Federal Rules as a whole, which

are designed to secure the just, speedy and inexpensive determination of every

action.” Celotex Corp. v. Catrett, 477 U.S. 317, 327 (1986). To obtain summary

judgment, the movant must demonstrate that all material facts are undisputed and

40 Id. at 50.

41 See id. at 131; see also id. at 23 (providing formula for calculation of cash value).

42 Id. at 131.

43 Id.

44 Eric Ware Dep., Doc. 21-3 at 14–15; Pls.’ Br., Doc. 22 at 6; see also Doc. 21-2 at 10–14 (direct

evidence of delivery).

entitle him to a judgment on the merits. Anderson v. Liberty Lobby, Inc., 477 U.S.

242, 256 (1986). That burden requires the movant to point out portions of the record

or pleadings that justify summary judgment. FED. R. CIV. P. 56(a).

“[B]ut the plaintiff is not thereby relieved of his own burden of producing in

turn evidence that would support a jury verdict.” Liberty Lobby, 477 U.S. at 256. A

party’s opposition to summary judgment “may not rest upon the mere allegations or

denials of his pleading”; it “must set forth specific facts showing that there is a

genuine issue for trial.” Id. at 248 (citing FED. R. CIV. P. 56(e)). To that end, evidence

that “is merely colorable” or otherwise “is not significantly probative” cannot create

a jury question. Id. at 249 (citations omitted).

Applicable substantive law distinguishes the material from the immaterial. Id.

And there can be “no genuine issue as to any material fact” where the nonmovant is

unable, after adequate discovery, to “make a showing sufficient to establish the

existence of an element essential to [its] case” under the applicable substantive law.

Brown v. Crawford, 906 F.2d 667, 669 (11th Cir. 1990) (citations omitted).

Dispensing with just one legal element of the non-movant’s claim “necessarily

renders all other facts immaterial,” in which case “the plain language of Rule 56(c)

mandates the entry of summary judgment.” Celotex, 477 U.S. at 322.

The trial court’s inquiry turns upon “whether the evidence presents a sufficient

disagreement to require submission to the jury or whether it is so one-sided that one

party must prevail as a matter of law.” Liberty Lobby, 477 U.S. at 251–52. In

engaging with that inquiry, the court is “required to view the evidence and all factual

inferences therefrom in the light most favorable to [the nonmovant] and to resolve

all reasonable doubts about the facts in her favor.” Patterson v. Ga. Pac., LLC, 38

F.4th 1336, 1341 (11th Cir. 2022) (citation omitted). Should “conflicts arise between

the facts evidenced by the parties,” the court “must credit the nonmoving party’s

version.” Evans v. Stephens, 407 F.3d 1272, 1278 (11th Cir. 2005) (en banc) (citation

omitted).

III. DISCUSSION

General contract law45 governs insurance disputes. Pate v. Rollison Logging

Equip., Inc., 628 So.2d 337, 345 (Ala. 1993). And recovery on a claim for breach

requires the plaintiff to prove “(1) the existence of a valid contract binding the parties

in the action, (2) his own performance under the contract, (3) the defendant’s

nonperformance, and (4) damages.” Ex parte Coleman, 861 So.2d 1080, 1085 (Ala.

2003) (citation omitted).

Columbus’s quest for summary judgment demands demonstration, to the

exclusion of any reasonable factual dispute, that the Policy unambiguously

authorized its conduct. And the sole issue here is whether termination of Preston’s

45 The parties agree upon the application of Alabama law in this case. Def.’s Br., Doc. 20 at 15

n.4; Pls.’ Resp., Doc. 22 at 4.

life-insurance coverage amounted to nonperformance.46 For the forthcoming

reasons, the Court finds that Columbus complied with the Policy’s clear terms.

A. The Policy is not ambiguous.

Plaintiffs argue in their brief that the Policy is ambiguous. More specifically,

Plaintiffs state—in conclusory fashion47—that Columbus’s “actions and

representations” rendered the Policy’s language susceptible to more than one

objectively reasonable interpretation.48

Whether ambiguity exists, the “threshold issue” in contract litigation, “is for

the trial court to determine.” Cherokee Farms, Inc. v. Fireman’s Fund Ins. Co., 526

So.2d 871, 873 (Ala. 1988); accord Gen. Motors Acceptance Corp. v. Dubose, 834

So.2d 67, 72 (Ala. 2002) (per curiam). An objective affair, the trial court’s task is

wholly unaffected by the parties’ proffered interpretations. Twin City Fire Ins. Co.

v. Alfa Mut. Ins. Co., 817 So.2d 687, 692 (Ala. 2001) (“The fact that the parties

interpret the insurance policy differently does not make the insurance policy

ambiguous.”) (citation omitted). Notwithstanding any disagreement between the

parties, “[a]mbiguities will not be inserted, by strained and twisted reasoning, into

contracts where no such ambiguities exist.” Ala. Farm Bureau Mut. Cas. Ins. Co. v.

46 Doc. 20 at 15.

47 Doc. 22 at 5 (“Through its own actions and representations, the Defendant made the

interpretation and application of material provisions in its policy susceptible to more than one

interpretation and therefore ambiguous. For the purposes of summary judgment, those ambiguities

should be resolved in favor of the Wares and summary judgment denied.”)

48 Doc. 22 at 5.

Goodman, 188 So.2d 268, 270 (Ala. 1966) (citing Mich. Mut. Liab. Co. v. Carroll,

123 So.2d 920 (Ala. 1960)).

Instead, the court must “apply the common interpretation of the language

alleged to be ambiguous,” presuming all the while “that the parties intended what

the terms of the agreement clearly state. Porterfield v. Audubon Indem. Co., 856

So.2d 789, 799 (Ala. 2002) (citing Ala. Farm, 188 So.2d at 270); Dawkins v. Walker,

794 So.2d 333, 339 (Ala. 2001) (citations omitted). And if those intentions are

clearly ascertainable, there exists “no question of interpretation” for the court’s

resolution. Twin City Fire, 817 So.2d at 692 (citing Am. & Foreign Ins. Co. v. Tee

Jays Mfg. Co., 699 So.2d 1226 (Ala. 1997)); see also Dunlap v. Macke, 171 So. 721,

724 (Ala. 1937) (recalling “familiar law”). In those instances, “the construction of

the contract and its legal effect become questions of law for the court and, when

appropriate, may be decided by a summary judgment.” Reeves Cedarhurst Dev.

Corp. v. First Amfed Corp., 607 So.2d 184, 186 (Ala. 1992); cf. Kelmor, LLC v. Ala.

Dynamics, Inc., 20 So.3d 783, 790 (Ala. 2009) (noting that jury determines meaning

of language deemed ambiguous by trial court) (citation omitted).

Ambiguity does come, however, in either of two distinct flavors: patent or

latent. Jacoway v. Brittain, 360 So.2d 306, 308 (Ala. 1978).

i. Patent Ambiguity

While resolving the threshold issue in most cases—those concerning patent

ambiguity—the trial court “will not look beyond the ‘four corners of the

instrument.’” Gotlieb v. Klotzman, 369 So.2d 798, 800 (Ala. 1979) (citations

omitted); accord Kershaw v. Kershaw, 848 So.2d 942, 955 (Ala. 2002). The

presence of patent ambiguity hinges solely upon whether more than “one reasonable

meaning clearly emerges” from the instrument. See Dubose, 834 So.2d at 72

(quoting Sealing Equip. Prods. Co. v. Velarde, 644 So.2d 904, 908 (Ala. 1994)).

Here, the Policy presents no facial, or “patent,” ambiguity; that is, its terms

are not apparently susceptible to competing interpretations. The Policy contains a

formulaic calculation of “cash value.” In turn, the Policy articulates—by reference

to cash value—the requirements for maintenance of coverage and the prerequisites

for termination. The parties’ actions and beliefs have no bearing on the Court’s

determination about the presence of a patent ambiguity, and the Court is unable to

locate any unclear language in the Policy.

ii. Latent Ambiguity

To be sure, some written agreements contain what courts have termed “latent”

ambiguity or, in other words, contractual language that reads quite clearly but that

nonetheless reasonably lends itself to conflicting constructions in a particular case.

Thomas v. Principal Fin. Grp., 566 So.2d 735, 739 (Ala. 1990). This too presents a

question of law for the trial court, in answering which the court may consider parol

evidence to determine whether latent ambiguity permeates the parties’ agreement.

Mass Appraisal Servs., Inc. v. Carmichael, 404 So.2d 666, 673 (Ala. 1981). That is,

a court may look beyond the instrument—to surrounding factual context—for aid in

deciding whether the parties based entry into the agreement upon a material

provision that, despite its facial unambiguity, reasonably lent itself to disparate

application in the context of performance. Id.

No latent ambiguity exists here. The Wares merely allege that Columbus’s

“actions and representations” rendered the Policy’s clear language contextually

ambiguous. More specifically, the Wares attempt to persuade the Court that “cash

value” (defined by calculative formula in the Policy) and “grace notice” (of which

the Wares received nine from 2010-2018 and, each time, responded with appropriate

payment) are rendered ambiguous by the following conduct: (1) Columbus’s

willingness, stated in the July 13, 2020 Final Notice, to accept what the Wares call

a “technically late” August 13 premium; and (2) Columbus’s acceptance of the July

9 PAW and subsequent discontinuance of PAWs “without authorization,” as had

been done in each aforementioned grace period (and described in each grace notice,

including the Final Notice).

For starters, the Court does not accept the argument that Columbus’s

willingness to accept what Plaintiffs term a “technically late” policy-preserving

payment lends the Policy’s otherwise-clear text to conflicting application here. But

Plaintiffs’ argument for ambiguity on those grounds is not persuasive: The Policy

unequivocally forbade termination prior to 31 days from the mailing of a grace

notice. Columbus did not mail the Final Notice until July 13, 2020, so coverage

could terminate no sooner than August 13. By the Policy’s language, payment on or

before that date would not have been too “late” to prevent termination, though any

grace-period payment could perhaps be considered “late” in some colloquial sense.

Second, acceptance of the July 9 PAW preceded the July 11 cash-value

calculation, at which time the grace period had been running for over a month (and

following which Columbus mailed the Final Notice). As provided for in all

aforementioned grace notices, PAWs were halted upon issuance of the Final Notice.

Moreover, the parties’ decades-long history illustrates quite clearly that, contrary to

the Wares’ contention, Columbus acted customarily in pausing PAWs upon issuance

of written grace notice; had PAW cancellation rendered the Policy ambiguous, an

issue would almost certainly have arisen in years prior.

Nor does this case resemble, in any sense, the sort in which courts find that an

apparently unequivocal contractual provision actually substantiates disparate,

reasonable interpretations in context.49 Nothing here suggests that the parties held

reasonable yet fundamentally distinct understandings about a provision that

otherwise appears clear on its face. Plaintiffs’ singular, conclusory statement about

the Policy’s “subject[ion] to more than one interpretation” cannot persuade the Court

to insert additional criteria into a facially unambiguous Policy that, for the reasons

below, causes no confusion in application here.

The precise manner in which the Wares believe that the conduct here rendered

the plainly worded Policy nevertheless ambiguous remains a mystery. Their brief

49 A latent ambiguity “appears only as the result of extrinsic or collateral evidence showing that a

word, thought to have but one meaning, actually has two or more meanings.” Meyer v. Meyer, 952

So.2d 384, 392 (Ala. Civ. App. 2006) (quoting 11 Williston on Contracts § 33:40). Classic first-

year law school cases like Raffles v. Wichelhaus—the case of the two ships Peerless—illustrate

situations in which a latent ambiguity is said to exist. Id. (citation omitted). “It is when parties

agree to terms that reasonably appear to each [party] to be unequivocal but are not, cases like that

of the ship Peerless where the ambiguity is buried,” that a latent ambiguity emerges. Colfax

Envelope Corp. v. Loc. No. 458-3M Chi. Graphic Commc’ns, 20 F.3d 750, 754 (7th Cir. 1994)

(Posner, C.J.). In Raffles, 159 Eng. Rep. 375 (1864), the parties contracted for the shipment of

cotton by way of the ship “Peerless” but later found out that two ships bore the moniker and,

accordingly, that use of the seemingly unambiguous term actually resulted from a material

misunderstanding at the outset and became clear only in the context of performance. Id.; see also,

e.g., Smith v. Aikin, 75 Ala. 209, 210 (1883) (holding that contract for sawed lumber “at the price

of two dollars per thousand feet” contained latent ambiguity because two milling-industry methods

of measurement existed and rendered uncertain by which method the “thousand feet” were to be

measured); id. at 213 (“Is it two dollars per thousand feet of sawed lumber, or two dollars per

thousand feet of logs sawed into lumber?”); Oswald v. Allen, 417 F.2d 43, 45 (2d Cir. 1969)

(concerning agreement between parties for the purchase of the “Swiss Coin Collection,”

specifically the ambiguity regarding the contents of the “Swiss Coin Collection,” where (1) seller

showed buyer of that collection various Swiss coins before contracting, only some of which

belonged to the “Swiss Coin Collection” while others, despite Swiss origin, actually belonged to

the “Rarity Coin Collection”; (2) neither party realized that the purchaser (reasonably) believed

references to “Swiss coins” and “Swiss Coin Collection” to have included not all coins from

Switzerland but only a specific subset of the Swiss coins in seller’s inventory; and (3) to make

matters worse, the parties spoke different languages, a fact that played a large hand in the latent

ambiguity’s genesis).

simply does not allege specific facts in this regard. To be sure: Whether the Policy

barred termination on August 13 is a question of contractual construction, not

interpretation. But as for the threshold issue, the Court has been presented with no

argument or extrinsic evidence upon which it can plausibly base an ambiguity

finding.

B. Columbus did not breach the agreement.

Plaintiffs correctly contend that “where there is any doubt as to whether an

insurance policy provides coverage . . . courts must construe the policy language for

the benefit of the insured.”50 But “it is equally well settled that,” absent ambiguity,

“courts must enforce insurance contracts as written and cannot defeat” express terms

“by making a new contract for the parties.” St. Paul Mercury Ins. Co. v. Chilton-

Shelby Mental Health Ctr., 595 So.2d 1375, 1377 (Ala. 1992) (citation omitted).

And “only clauses which are uncertain”—that is, clauses the court has found unclear

as a matter of law—are “construed favorably to the insured.” Ala. Farm, 188 So.2d

at 270 (citations omitted).

In that vein, courts are forbidden to “refin[e] away the terms of a contract

expressed with sufficient clearness to convey the intent and meaning of the

contracting parties” or to otherwise “rewrite” or “distort” written agreements “under

50 Doc. 22 at 5 (citing St. Paul Mercury Uns. Co. v. Chilton-Shelby Mental Health Ctr., 595 So.2d

1375, 1377 (Ala. 1992)).

the guise of judicial construction.” Northam, 163 So. at 636 (citations omitted)

accord Ala. Farm, 188 So.2d at 270 (noting that courts have “no right to add

anything . . . or to take anything from” plainly written agreements).51 A court must

instead “take the words of an insurance policy as they are found in it.” Ala. Farm,

188 So.2d at 270 (citations omitted).

Insurers “have the same rights as individuals to limit their liability” by

“impos[ing] whatever conditions they please upon their obligations.” Id.; accord

Chilton-Shelby, 595 So.2d at 1377 (“[I]nsurers have the right to limit their liability

by writing policies with narrow coverage.”). And when an insurer establishes bounds

for its liability with “plain and unambiguous” policy language, “courts have no right

to stray into the mazes of conjecture or to search for an imaginary purpose.” Babcock

v. Smith, 234 So.2d 573, 562 (Ala. 1970) (quoting Hattemer v. State Tax Comm’n,

177 So. 156, 158 (Ala. 1937)). Perhaps most importantly, “[w]here an insurance

policy defines certain words or phrases, a court must defer to the definition provided

by the policy.” Twin City Fire, 817 So.2d at 692 (citing St. Paul Fire & Marine Ins.

Co. v. Edge Mem’l Hosp., 584 So.2d 1316 (Ala. 1991)).

This entire dispute concerns whether the Policy was in fact subject to

automatic cancellation by its own terms on August 13, 2020. If Plaintiffs failed to

51 first citing Life & Cas. Ins. Co. v. Whitehurst, 148 So. 164 (1933); and then citing Shinn v. Fam.

Rsrv. Ins. Co., 33 So.2d 741 (Ala. App. 1947).

meet the requirements for maintenance of coverage and Columbus complied with all

Policy prerequisites before coverage terminated, then Columbus is due summary

judgment.

The Wares allege that that the parties’ history indicates “that simply calling

the Wares to tell them that they were discontinuing [PAWs] would have led to a

swift resolution of the issue.”52 But two specific prerequisites—grace period and

notice—existed with respect to termination for insufficient cash value. Nothing in

the Policy required Columbus, atop both a 61-day grace period and 31-day written

notice, to attempt additional notification of looming termination. The Court will not

retroactively impose upon Columbus additional duties not found within the Policy’s

four corners. Columbus did not terminate coverage prior to the passage of both 61

days from entry into a grace period and 31 days from provision of a grace notice.

And nothing in the Policy forbade Columbus from temporarily discontinuing

PAWs. This Court’s refusal to find breach on those grounds is not novel. In Haupt

v. Midland National Life Insurance Co., the Alabama Supreme Court held that the

insured’s failure to pay premiums required by the policy was not excused by PAW

failure. 567 So.2d 1319, 1321 (Ala. 1990) (noting that the plaintiff’s “choice of the

automatic withdrawal payment should not and cannot relieve him of his duty to remit

his premium payment”). “To be sure,” the court noted, “the general rule in Alabama

52 Doc. 22 at 6.

is that failure to pay the premium on a life insurance contract does not of itself forfeit

the contract.” Id. (citing Grimes v. Liberty Nat’l Life Ins. Co., 551 So.2d 329, 322

(Ala. 1989)). If, however, “that failure to pay the premium causes the contract to

end, then the insured is contractually bound either to pay the premiums or lose the

coverage.” Id. (citing Grimes, 551 So.2d at 322). In so holding, the court reasoned

that allowing the plaintiff “to accept the benefits of the policy without paying the

premiums would allow [the plaintiff] to receive the benefit of the bargain at no cost.”

Id. (reasoning also that “if it was necessary as a practical matter for the [plaintiffs]

to check the bank statement” for purposes of ensuring payment, “that is not an

onerous or unreasonable burden to place on them”); see also Floyd v. Allstate Ins.

Co., 989 F. Supp. 1435, 1440 (M.D. Ala. 1998) (noting that “Plaintiff cannot argue

that her premium was unpaid because she was ‘unaware’”).

As previously discussed, the Policy provided for automatic termination upon

failure to remit payment that the Policy deemed both sufficient in quantity and timely

in nature. Plaintiffs’ failure to pay did not itself justify termination of coverage, but

the Policy’s language did. As such, Plaintiffs cannot argue that termination for

nonpayment was improper because they were unaware of the discontinued PAWs.

Moreover, Plaintiffs’ allegedly never having received the Final Notice cannot

save them from summary judgment. Alabama law precludes Plaintiffs from crafting

a jury question in this case by mere denial of receipt, without more and without

disputing the authenticity of Defendant’s direct evidence53 of delivery. Sisson v.

State Farm Fire & Cas. Co., 824 So.2d 708, 710–11 (Ala. 2001) (answering this

Court’s certified question). “Where proof of mailing of a notice under an insurance

policy is established by evidence of a definite and specific character,” summary

judgment is not improper “if the only countervailing evidence is the insured’s denial

of receipt.” Id. at 710; cf. Ex parte Alfa Mut. Gen. Ins. Co., 742 So.2d 182 (Ala.

1999) (finding fact issue from denial where only proof of mailing came from

testimony of insurer’s employee). See also Alfa Mut., 742 So.2d at 187 (requiring

proof “of a definite and specific character”); Am. Interstate Ins. Co. v. Kelley, 797

So.2d 479, 482 (Ala. Civ. App. 2000) (same). “If the United States District Court is

satisfied as to the existence of an authentic certificate that could have been issued

only by the United States Postal Service54 and not created by employees of [the

insurer] . . . the insured’s denial of receipt of a notice of policy cancellation or

nonrenewal does not create an issue of fact as to the mailing of the notice.” Sisson,

824 So.2d at 711. Here, Defendant has provided ample, objective proof.55 And like

in Sisson, the Wares do not dispute the proof-of-delivery’s authenticity. 824 So.2d

53 Doc. 21-2 at 10–14.

54 That Defendant’s proof of delivery comes from United Mail (which provides sorting services

before placement of mail into USPS) is no reason to distinguish the case from Sisson. Unlike Alfa

Mutual, supra, where the proof of mailing came only from the testimony of insurer’s employee,

Columbus’s evidence is both direct and objective.

55 See Doc. 21-2 at 10–14.

at 708; see also Sullivan v. E. Health Sys., Inc., 953 So.2d 355, 360 n.6 (reaching

conclusion on other grounds but nonetheless recognizing Sisson in dicta).

In sum, Columbus has demonstrated the nonexistence of any reasonable

factual basis for arguing that termination of the Wares’ coverage contravened the

Policy’s unambiguous terms. Columbus permitted the requisite grace period and

issued the requisite grace notice, and the Policy terminated automatically—by its

own terms—upon Plaintiffs’ failure to rectify the deficient cash value.

IV. CONCLUSION

Having construed all reasonable factual disputes in Plaintiffs’ favor but

nonetheless found that Columbus’s conduct in no way ran afoul of the Policy’s

unambiguous terms, the Court finds that Plaintiffs are unable to survive summary

judgment here. The Court accordingly GRANTS Columbus’s Motion for Summary

Judgment (Doc. 19) and DISMISSES Counts I and U with prejudice.

DONE and ORDERED January 26, 2023.

th Sh

LILES C. BURKE

UNITED STATES DISTRICT JUDGE

21

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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