Jackson National Life Insurance Company v. Sterling Crum ( 2022 )


Menu:
  • USCA11 Case: 20-11280     Date Filed: 02/04/2022    Page: 1 of 20
    [DO NOT PUBLISH]
    In the
    United States Court of Appeals
    For the Eleventh Circuit
    ____________________
    No. 20-11280
    ____________________
    JACKSON NATIONAL LIFE INSURANCE COMPANY,
    Plaintiff-Counter Defendant,
    Appellee,
    versus
    STERLING CRUM,
    Defendant-Counter Claimant,
    Appellant.
    ____________________
    Appeal from the United States District Court
    for the Northern District of Georgia
    D.C. Docket No. 1:17-cv-03857-WMR
    ____________________
    USCA11 Case: 20-11280             Date Filed: 02/04/2022         Page: 2 of 20
    2                          Opinion of the Court                        20-11280
    Before BRANCH, GRANT, and JULIE CARNES, Circuit Judges.
    JULIE CARNES, Circuit Judge:
    This case presents an issue of first impression regarding what
    constitutes an illegal wagering contract under Georgia insurance
    law. Plaintiff Jackson National Life Insurance Company issued a
    $500,000 life insurance policy to Kelly Couch after the latter falsely
    represented that he was not HIV positive. At the time, during the
    1990s, HIV-positive individuals had a greatly diminished life expec-
    tancy, which led to high demand for HIV-positive insureds willing
    to engage in viatical settlements. 1 Indeed, it seems clear that
    Couch obtained the policy for the sole purpose of selling it to a
    third-party buyer and pocketing the purchase price.
    Had Couch entered into a purchase agreement with a buyer
    at the time he applied for the policy, the policy clearly would have
    been void as an illegal wagering contract. He did not do that, how-
    ever. Instead, at some undetermined point before or after procure-
    ment of the policy, Couch began working with an intermediary—
    a brokerage agency specializing in viatical settlements—to find a
    buyer for his policy. Within eight months of the issuance of the
    policy, the agency found a willing purchaser in defendant Sterling
    1 A viatical settlement is an arrangement whereby a person, usually with a
    terminal illness, sells a life insurance policy to a third party for less than its
    mature value in order to obtain funds that the insured can use while alive.
    USCA11 Case: 20-11280            Date Filed: 02/04/2022        Page: 3 of 20
    20-11280                   Opinion of the Court                              3
    Crum. The premiums were paid through a premium reserve fund
    set up by the broker until after the two-year contestability period
    for the policy expired in 2001. 2 At that point, Defendant began di-
    rectly paying the policy premiums and he continued on for eight
    more years, finally letting the policy lapse in 2009.
    As it turned out, Couch had died in 2005, at a time when
    Defendant was still making payments on the policy. Eleven years
    later, in 2016, Defendant became aware that Couch had died. He
    then made a claim for the death benefit under Couch’s policy. De-
    clining payment of any death benefit to Defendant, Plaintiff filed
    this declaratory judgment action seeking a declaration that, under
    Georgia law, the policy was void ab initio as an illegal human life
    wagering contract and further that Defendant’s claim was barred
    by laches, given the eleven-year delay in making the claim.
    The district court conducted a bench trial and found that
    Couch took out the policy on his own life with the intent to sell the
    policy in the near future to one without an insurable interest. Ac-
    cordingly, the court concluded that the insurance policy was void
    and unenforceable as an illegal human life wagering contract under
    Georgia law. 3 Defendant appeals, arguing that Couch’s unilateral
    2 Under Georgia law, a life insurance company has two years to uncover any
    fraudulent representations made by the insured. After that point, the com-
    pany can no longer invalidate the policy based on the insured’s false represen-
    tations.
    3   The parties agree that Georgia law governs.
    USCA11 Case: 20-11280        Date Filed: 02/04/2022      Page: 4 of 20
    4                       Opinion of the Court                 20-11280
    intent to sell the policy is insufficient to declare the policy void ab
    initio. Rather, Defendant contends, Georgia law also requires the
    knowing and direct involvement of an identified third-party bene-
    ficiary at the time of the initial procurement of the policy before
    one can characterize the policy as an illegal human life wagering
    contract.
    Thus, the question before this Court is whether a life insur-
    ance policy is void ab initio if it is procured by an individual on his
    own life for the sole purpose of selling the policy to a third party
    without an insurable interest in the insured, but without the com-
    plicity of the ultimate purchaser at the time of procurement. Geor-
    gia caselaw does not definitively answer this question. Accord-
    ingly, certification to the Georgia Supreme Court is warranted pur-
    suant to O.C.G.A. § 15-2-9(a).
    I.     BACKGROUND
    A.     Factual Background
    In August 1998, Kelly Couch applied for a term life insurance
    policy with a $500,000 death benefit from Plaintiff. It is undisputed
    that Couch made several material misrepresentations in his appli-
    cation for the policy: (1) he used an incorrect Social Security num-
    ber, (2) he failed to disclose that he had filed for bankruptcy twice
    in the past seven years, and (3) he represented that he was a healthy
    32-year old man, when in fact he was HIV-positive. That Couch
    would seek such a large life insurance policy, absent any depend-
    ents who relied on his income, seems odd. Even odder is the fact
    USCA11 Case: 20-11280               Date Filed: 02/04/2022   Page: 5 of 20
    20-11280                     Opinion of the Court                       5
    that Couch, who had a troubled financial history involving two
    bankruptcy filings in seven years, would expend much needed cash
    on a life insurance policy for which there was no identified benefi-
    ciary. 4
    The answer to the “why” motivating Couch was the AIDS
    crisis, which, having begun in the 1980s, gave rise to a flourishing
    viatical settlement industry selling life insurance policies held by
    HIV-positive individuals. At first, most of these policies were
    clearly legitimate, as they typically involved an HIV-positive in-
    sured individual selling for a lump sum to a third party a policy he
    had acquired without fraudulent representations at a time when he
    was healthy. The third party could purchase for a fraction of its
    value a life insurance policy on a person whose life expectancy was
    quite short; the insured, dying of what was then a terminal and
    quick-acting disease, would then gain some needed cash in his final
    months. Eventually, however, the demand by viatical investors for
    HIV-positive insureds outstripped the supply of policies purchased
    non-fraudulently when an insured was healthy. Nevertheless, the
    ability to purchase for a fraction of its value a life insurance policy
    on a person likely to soon die remained too tempting a proposition
    to lie untapped by potential investors. Thus, some HIV-positive
    individuals began working with insurance brokers to market life
    insurance policies that the former had fraudulently procured after
    having received an HIV diagnosis. One scheme to effect this plan
    4   Couch listed his estate as his beneficiary.
    USCA11 Case: 20-11280          Date Filed: 02/04/2022      Page: 6 of 20
    6                        Opinion of the Court                   20-11280
    was “clean sheeting,” which involved the use of an imposter’s clean
    blood sample on behalf of an HIV-positive insurance applicant and
    which thereby enabled the applicant to fraudulently obtain a life
    insurance policy that could then be sold to a third party for profit.
    Couch had received two HIV-positive blood tests in the
    weeks surrounding his application for life insurance in 1998. 5 At
    that time, his life expectancy was 24-30 months, meaning that
    Plaintiff obviously would not have approved Couch’s application
    for a $500,000 life insurance policy had it known about his HIV-
    positive status. Not surprisingly, Couch omitted any information
    about his HIV diagnosis on his life insurance application and, pre-
    sumably by some fraudulent means, he provided a blood sample
    from an individual without HIV to Plaintiff during his application
    process.
    Unaware of Couch’s HIV-positive status or his bankruptcy
    filings, Plaintiff approved Couch’s application. After processing
    Couch’s application fee and an initial premium payment, both of
    which Couch paid using a check from his own bank account, Plain-
    tiff issued the policy at issue in this litigation in January 1999. The
    policy listed “Kelly Couch” as the insured, and it named Couch’s
    estate as the beneficiary. As required by Georgia law, the policy
    contained an incontestability clause stating:
    5 Moreover, prior to purchasing Couch’s policy, defendant Crum was pro-
    vided with a form from his broker indicating that Couch had been diagnosed
    with HIV as early as 1996.
    USCA11 Case: 20-11280       Date Filed: 02/04/2022     Page: 7 of 20
    20-11280               Opinion of the Court                        7
    During but not after the contestable period, [Plaintiff]
    can contest the validity of this policy or deny a claim
    for any misrepresentation or nondisclosure of a ma-
    terial fact in the application. The contestable period
    starts when the policy goes into force and ends when
    the policy has been in force during the insured’s life-
    time for 2 years from the policy date.
    There is no documentary evidence establishing exactly
    when Couch began working with Associates Trust, which was a
    viatical insurance broker that procured and sold insurance policies
    on the lives of HIV-positive insureds. That is, whether or not
    Couch and the broker’s interactions began before Couch at-
    tempted to procure the policy is unknown. We do know that
    within a few months after issuance of the policy to Couch in Janu-
    ary 1999, Associates Trust was working with Couch to sell the pol-
    icy. Specifically, by August 1999, Associates Trust was attempting
    to market the policy to the defendant in this case, Sterling Crump.
    At that time, defendant Crump, an experienced investor in the vi-
    atical settlement industry, was involved in a dispute with Associ-
    ates Trust over a viatical policy he had purchased in 1998 that had
    turned out to be invalid. Instead of refunding Defendant’s money,
    Associates Trust offered to transfer the Couch policy to Defendant.
    Before deciding whether to agree to this transfer, Defendant
    received a one-page summary from Associates Trust, which indi-
    cated that Couch had tested positive for HIV in 1996, that he had
    been issued the policy in question in January 1999, and that a recent
    USCA11 Case: 20-11280           Date Filed: 02/04/2022   Page: 8 of 20
    8                         Opinion of the Court               20-11280
    doctor’s review confirmed a life expectancy of only 24-30 months.
    Defendant accepted the agency’s offer to transfer the Couch policy
    to him and a Beneficiary/Ownership Change Form was submitted
    to Plaintiff in September 1999. In that Form, Couch requested that
    Plaintiff change the primary beneficiary of the policy from his es-
    tate to his “Friend” Sterling Crum, a characterization that was
    clearly untrue, as Couch had never met or spoken to Defendant.
    Indeed, as noted above, Defendant did not become aware of
    Couch’s death until eleven years after the latter’s demise.
    Plaintiff approved the change-of-beneficiary request on Sep-
    tember 22, 1999. Thereafter, Associates Trust arranged for pre-
    mium payments to be made through a “premium reserve ac-
    count,” which made it appear the payments were still coming di-
    rectly from Couch. 6 This arrangement continued until the insur-
    ance company’s two-year contestability period ended in January
    2001, after which time Defendant began making all premium pay-
    ments. Defendant continued making these premium payments for
    the next eight years, through 2009. Plaintiff never contested the
    policy while it was in force.
    Couch died on June 10, 2005. At that time, all policy premium pay-
    ments had been made and Defendant was the named beneficiary.
    Because he was unaware of Couch’s death, however, Defendant
    made no claim on the policy. Instead, Defendant continued mak-
    ing premium payments on the policy for nearly four years after
    6   The annual premium was $250 per year.
    USCA11 Case: 20-11280        Date Filed: 02/04/2022      Page: 9 of 20
    20-11280                Opinion of the Court                         9
    Couch’s death, until January 2009. Defendant then stopped mak-
    ing premium payments and let the policy lapse.
    In late 2016, Defendant learned that Couch had died eleven
    years earlier, at a time before the policy lapsed. Defendant submit-
    ted a claim to Plaintiff for the death benefit under the policy in Jan-
    uary 2017. Plaintiff refused to pay Defendant’s claim.
    B.     Procedural History
    After denying Defendant’s claim, Plaintiff filed this action
    seeking a declaratory judgment that the policy was void ab initio
    and unenforceable as an illegal human life wagering contract and
    for lack of an insurable interest. Defendant responded with a coun-
    terclaim seeking a declaration that the policy is valid and enforcea-
    ble and that he is entitled to the $500,000 death benefit, plus inter-
    est, in accordance with Georgia law and the terms of the policy.
    Following discovery, both parties moved for summary judgment.
    The district court denied both motions and the case proceeded to
    a bench trial.
    After the trial, the district court issued written findings of
    fact and conclusions of law. As relevant here, the court found that
    Couch had procured the policy on his own and that Defendant had
    not caused Couch to apply and pay for the policy nor was Defend-
    ant otherwise involved at the policy’s inception. Nevertheless, the
    court held that the policy was an illegal wagering contract because
    Couch procured the policy with the intent to sell it. In support of
    its conclusion that at the time he took out the policy, Couch was
    USCA11 Case: 20-11280        Date Filed: 02/04/2022     Page: 10 of 20
    10                      Opinion of the Court                 20-11280
    looking to offload the policy and obtain immediate cash, the court
    noted that: (1) Couch was an HIV-positive self-employed house
    cleaner making $85,000 annually, who had filed for bankruptcy
    twice during the preceding seven years, (2) he misrepresented his
    financial status and medical history during the application process,
    (3) he was unmarried and had no dependents when he applied for
    the policy, and (4) he quickly (within eight months) sold the policy
    after its inception. Based on this evidence, but again despite the
    absence of evidence indicating third-party involvement at the in-
    ception of the policy, the district court held that the policy was void
    ab initio and unenforceable as an illegal wagering contract because
    of Couch’s unilateral intent to sell it for profit. Having found the
    policy void, the district court declined to address Plaintiff’s laches
    argument.
    II.    STANDARD OF REVIEW
    On appeal from a judgment in a bench trial, we review the
    district court’s conclusions of law de novo. U.S. Commodity Fu-
    tures Trading Comm’n v. S. Trust Metals, Inc., 
    894 F.3d 1313
    , 1322
    (11th Cir. 2018). We also review de novo the district court’s inter-
    pretation of Georgia law and its application of the law to the facts.
    See 
    id.
     The district court’s findings of fact, on the other hand, are
    evaluated under the clear-error standard. 
    Id.
     “We will not find
    clear error unless our review of the record leaves us with the defi-
    nite and firm conviction that a mistake has been committed.” 
    Id. at 1322
     (quotation marks omitted).
    III.   DISCUSSION
    USCA11 Case: 20-11280        Date Filed: 02/04/2022     Page: 11 of 20
    20-11280                Opinion of the Court                        11
    A.     Parties’ Contentions
    Georgia caselaw provides that a life insurance policy
    deemed to constitute an illegal wagering contract is void ab initio.
    On appeal, defendant Crump argues that in holding that third-party
    involvement is not necessary to show an illegal wagering contract,
    the district court improperly interpreted Georgia insurance law.
    Specifically, Defendant argues, because Georgia law provided
    Couch an unlimited insurable interest in his own life, no life insur-
    ance that is “lawfully taken out” at its outset can ever constitute an
    illegal wagering contract. See O.C.G.A. § 33-24-3(b). And, Defend-
    ant continues, Couch’s policy was lawfully taken out at its incep-
    tion because no third party intending to wager on Couch’s life was
    involved in procuring that policy. Further, Georgia law permits an
    individual to subsequently sell a policy lawfully obtained to some-
    one who, like Defendant, does not have an insurable interest in the
    insured’s life. Thus, Defendant concludes, Couch’s unilateral in-
    tent at the time of the policy’s issuance to later sell that policy for
    profit to someone having no insurable interest is insufficient to
    deem the policy an illegal wagering contract void at issuance.
    Stated another way, absent an agreement at the time of issuance of
    a life insurance policy by an identified person to later purchase the
    policy, the policy cannot be characterized as an illegal wagering
    contract.
    Plaintiff responds that Georgia case law establishes that a
    policy is an illegal human life wager when an insured takes out that
    policy on his own life with the intent to enter into a wagering
    USCA11 Case: 20-11280        Date Filed: 02/04/2022     Page: 12 of 20
    12                      Opinion of the Court                 20-11280
    contract, regardless of whether a wagering third party was directly
    involved in procuring the policy. Plaintiff argues that Georgia law
    does not allow an insured to take out a life insurance policy on his
    or her own life when the insured’s sole intent is to sell that policy
    to a third party who is gambling on the insured’s quick demise.
    Plaintiff emphasizes that Georgia courts have long held that the va-
    lidity of a policy intended to benefit a person with no insurable in-
    terest requires the insured to have acted for himself, at his own ex-
    pense, and in good faith to promote the interest of that beneficiary.
    Plaintiff contends that, when interpreted properly, Georgia law
    precludes enforcement of a policy procured by the insured with an
    intent to sell it for profit to a third party who does not have an in-
    surable interest. According to Plaintiff, that the insured has manip-
    ulated the sequence of events to assure that the identity of that
    third party will not be known at the time the policy is procured
    should not render valid a policy that would have been invalid had
    the purchaser been earlier identified.
    B.     Georgia Caselaw Impacting the Question Whether
    Couch’s Life Insurance Policy is Void Ab Initio as an
    Illegal Wagering Contract
    The question here is whether an illegal human life wagering
    contract exists when a life insurance policy obtained by an individ-
    ual on his own life is procured with the intent to sell the policy to
    an as-yet unidentified third party and when the policy is in fact later
    sold to such a third party—even if no third party was involved at
    USCA11 Case: 20-11280           Date Filed: 02/04/2022       Page: 13 of 20
    20-11280                  Opinion of the Court                             13
    the time the policy was procured. The district court determined
    that Clements v. Terrell, 
    145 S.E. 78
     (Ga. 1928) controlled the res-
    olution of this question. Specifically, the court relied on Clements’
    statement in dictum that an insured has the ability to name any
    beneficiary he chooses for a life insurance policy only so long as the
    insured has no intent to enter into a wagering contract. Clements,
    145 S.E. at 79. Given this statement, the district court concluded
    that because the evidence demonstrated Couch’s intent to enter
    into a wagering contract at the time he procured the policy, it did
    not matter that the eventual third-party purchaser had not been in-
    volved in the actual procurement of the policy. Couch’s intent ren-
    dered the policy an unlawful wagering contract, and thus void ab
    initio.
    The dictum in Clements notwithstanding,7 there is no Geor-
    gia case authority that definitively addresses the present question.
    And much of the Georgia caselaw that pertains to the general sub-
    ject matter surrounding this issue is many decades old. Neverthe-
    less, an examination of that caselaw reveals a few foundational
    principles.
    7 The case on whose dictum the district court relied—Clements—did not fo-
    cus on the question whether the life insurance policy was a wagering contract.
    Instead, the question arising in Clements was twofold: whether a beneficiary
    who was named and described as the insured’s wife could collect on the policy
    when it turned out that she and the decedent were never legally married and
    whether the estate, as opposed to the insurance company, could make this
    challenge. Clements, 145 S.E. at 80–83.
    USCA11 Case: 20-11280           Date Filed: 02/04/2022         Page: 14 of 20
    14                         Opinion of the Court                      20-11280
    First, a person lacking an “insurable interest” 8 in the insured
    cannot unilaterally take out a life insurance policy on the insured,
    naming himself as a beneficiary, without the insured’s knowledge
    or consent. See Wood v. New York Life Ins. Co., 
    336 S.E.2d 806
    ,
    808–09 (1985). As Wood gently put it, a beneficiary who has no
    interest in the insured’s life might be tempted to “hasten by im-
    proper means the time when he will receive the benefits of the pol-
    icy.” See 
    id. at 809
    . Indeed, Georgia has codified the public policy
    interest in forbidding such contracts, with its insurance statute
    providing: “Any personal insurance contract procured or caused
    to be procured upon another individual is void unless the benefits
    under the contract are payable to the individual insured or such
    individual’s personal representative or to a person having, at the
    time when the contract was made, an insurable interest in the indi-
    vidual insured.” O.C.G.A. § 33-24-3(i).
    That statutory prohibition is not triggered here because all
    agree that Couch procured the policy on his own life without any
    assistance or prodding from Defendant. Further, the district court
    found insufficient proof that a third party, such as Associates Trust,
    was involved in Couch’s decision to obtain the policy. Yet, while a
    8 The Georgia insurance statute defines an “insurable interest” as “an interest
    based upon a reasonable expectation of pecuniary advantage through the con-
    tinued life, health, or bodily safety of another person and consequent loss by
    reason of such person’s death or disability or a substantial interest engendered
    by love and affection in the case of individuals closely related by blood or by
    law.” O.C.G.A. § 33-24-3(a). For example, a business partner, spouse, or child
    would likely be deemed to have an insurable interest in the insured.
    USCA11 Case: 20-11280       Date Filed: 02/04/2022    Page: 15 of 20
    20-11280               Opinion of the Court                       15
    stranger cannot take out a life insurance policy on the insured, the
    insured is not so limited and, as a general matter, has the right to
    name any beneficiary he chooses for a policy that the insured has
    himself procured. Specifically, Georgia law makes clear that “[a]n
    individual has an unlimited insurable interest in his or her own life
    . . . and may lawfully take out a policy of insurance on his or her
    own life . . . and have the policy made payable to whomsoever such
    individual pleases, regardless of whether the beneficiary designated
    has an insurable interest.” O.C.G.A. § 33-24-3(b) (emphasis added).
    This statute codifies long-standing Georgia case law. See Union
    Fraternal League v. Walton, 
    34 S.E. 317
     (Ga. 1899) (explaining that
    a valid contract of insurance cannot lawfully be taken on the life of
    another by one who has no insurable interest therein because it
    contravenes public policy, but that one having an insurable interest
    in his own life may lawfully procure insurance thereon for the ben-
    efit of any other person whose interest he desires to promote).
    But Georgia caselaw has also established an exception to the
    general rule allowing the insured to name whomever he wants as
    a beneficiary. That exception prohibits an individual from taking
    out a policy on his or her own life as part of a wagering contract.
    “The true rule . . . is that one may insure his life, and make the
    amount of the policy payable to whom he pleases, provided the
    contract is not made at the expense and for the benefit of the person
    designated as the beneficiary, as a cover for a mere wagering con-
    tract.” Walton, 
    34 S.E. 317
     at 320. In fact, Georgia statutory law
    deems wagering contracts unenforceable as contrary to public
    USCA11 Case: 20-11280            Date Filed: 02/04/2022         Page: 16 of 20
    16                         Opinion of the Court                       20-11280
    policy. O.C.G.A. § 13-8-2(a)(4). 9 Such policies are therefore void
    ab initio, as if the contract never existed. Wilson v. Progressive Life
    Ins. Co., 
    7 S.E.2d 44
    , 44–45 (Ga. Ct. App. 1940).
    Thus, despite an individual having an unlimited insurable in-
    terest in his own life pursuant to O.C.G.A. § 33-24-3(b), a policy
    procured by the putative insured on his own life for the benefit of
    one with no insurable interest can be assessed to determine
    whether the policy should be deemed void as a “wagering policy”
    or because it was assigned “by way of cover for a wager policy.”
    See Walton, 34 S.E. at 321; Rylander v. Allen, 
    125 Ga. 206
    , 
    53 S.E. 1032
    , 1034 (Ga. 1906); O.C.G.A. § 33-24-3(k).
    No Georgia case provides guidance on the question whether
    an illegal wagering contract exists when a terminally-ill insured has
    purchased a life insurance policy with the expectation that he will
    soon sell that policy to a speculator, but has purposely manipulated
    the timing of that sale to dodge any characterization of the transac-
    tion as being illegal. Specifically, here an insured diagnosed with a
    terminal illness procured a life insurance policy solely for the pur-
    pose of selling the policy for a profit—but he did so without, at least
    as far as the evidence shows, the immediate involvement of a third
    party. Within months of that procurement, and through the
    9 Section 13-8-2(a) provides that “[a] contract that is against the policy of the
    law cannot be enforced.” O.C.G.A. § 13-8-2(a). The statute provides a non-
    exclusive list of examples of such contracts, and it includes “[w]agering con-
    tracts.” Id. at § 13-8-2(a)(4).
    USCA11 Case: 20-11280       Date Filed: 02/04/2022     Page: 17 of 20
    20-11280               Opinion of the Court                        17
    auspices of a brokerage agency that matched sellers of life insur-
    ance policies with purchasers, the insured succeeded in selling the
    policy to a buyer. The policy was then assigned to the latter who
    was named the beneficiary and who then paid future premiums.
    Because Georgia caselaw concerning illegal life wagering contracts
    does not address the legal standard governing such facts, we find it
    necessary to certify this question to the Georgia Supreme Court, as
    set out below.
    IV.    Questions to be Certified to the Georgia Supreme Court
    Georgia law permits federal courts to certify questions of
    law to the Georgia Supreme Court when “there are no clear con-
    trolling precedents,” as to a question of law that is “determinative
    of the case”; the Georgia Supreme Court is authorized to answer
    such questions by written opinion. O.C.G.A. § 15-2-9(a). “Under
    our precedent, ‘we should certify questions to the state supreme
    court when we have substantial doubt regarding the status of state
    law.’” Whiteside v. GEICO Indem. Co., 
    977 F.3d 1014
    , 1018 (11th
    Cir. 2020), quoting Peoples Gas Sys. v. Posen Constr., Inc., 
    931 F.3d 1337
    , 1340 (11th Cir. 2019) (quotation marks omitted)). “Certifying
    questions is a useful tool ‘to avoid making unnecessary Erie
    ‘guesses’ and to offer the state court the opportunity to interpret or
    change existing law.’” 
    Id.,
     quoting CSX Transp., Inc. v. City of Gar-
    den City, 
    325 F.3d 1236
    , 1239 (11th Cir. 2003).
    We assume the following facts in this case:
    USCA11 Case: 20-11280          Date Filed: 02/04/2022       Page: 18 of 20
    18                       Opinion of the Court                    20-11280
    (1) An insured, diagnosed with a terminal illness that
    he failed to disclose, took out a policy on his own life
    for the purpose of selling the policy for profit to an
    individual whom the insured had not yet identified;
    (2) At an undetermined date, but at least within a few
    months of purchasing the policy, the insured con-
    tacted a viatical brokerage firm to market the policy;
    (3) The viatical firm marketed the policy, which was
    purchased during the two-year contestability pe-
    riod—and, specifically here, within eight months
    from the date of its issuance—by a buyer whom one
    could infer was on reasonable notice that the insured
    had likely procured the policy for the purpose of sell-
    ing it to a person with no insurable interest in the in-
    sured. 10
    As to the controlling legal standard, we seek guidance on the
    question whether a third party with no insurable interest must be
    involved in the procurement of the policy before it can be deemed
    an unlawful wagering contract. Given the above nucleus of facts,
    our questions are these.
    1.     When an insured has purchased a life insurance policy
    with the intent to sell the policy to a third party with no insurable
    10 Here, Defendant was aware that Couch had obtained a $500,000 policy after
    purportedly being diagnosed as HIV-positive and that he attempted to market
    his policy to a purchaser within a few months of its issuance.
    USCA11 Case: 20-11280            Date Filed: 02/04/2022         Page: 19 of 20
    20-11280                   Opinion of the Court                               19
    interest, must either the subsequent purchaser or an intermediary11
    be complicit in the procurement of the policy before the latter can
    be deemed to be an illegal wagering contract and thus void ab ini-
    tio?
    2.    If the answer to the above question is neither an ab-
    solute “Yes” or “No,” but instead is a response that a life insurance
    policy can sometimes be deemed to constitute an unlawful wager-
    ing contract even without the complicity of the described third
    party, then we respectively seek further guidance as to the circum-
    stances that determine when the policy is void ab initio and when
    it is not.
    In asking this question, “we do not intend to restrict the is-
    sues considered by the state court or to limit the state court’s dis-
    cretion in choosing how to frame or to answer these issues in the
    light of the facts of this case.’” Whiteside, 977 F.3d at 1022 (internal
    quotations omitted). “We ask broadly for the state court’s help in
    getting the state law right in this case.” Id. (internal quotations
    omitted).
    11 The Georgia Supreme Court’s answer concerning an intermediary has rel-
    evance to both the question whether the insurance policy was void ab initio
    and to Plaintiff’s laches defense, which defense the district court did not reach
    given its decision that the policy was void. Plaintiff’s laches defense is based
    on Defendant’s eleven-year delay in making his claim, which delay allegedly
    prejudiced Plaintiff’s ability to show the precise timing and scope of any in-
    volvement by Associates Trust in Couch’s procurement of the life insurance
    policy.
    USCA11 Case: 20-11280        Date Filed: 02/04/2022     Page: 20 of 20
    20                      Opinion of the Court                 20-11280
    To assist in consideration of the certified question, the entire
    record and the briefs of the parties shall be transmitted to the Geor-
    gia Supreme Court. Pruco Life Ins. Co. v. Wells Fargo Bank, N.A.,
    
    780 F.3d 1327
    , 1336–37 (11th Cir. 2015).
    QUESTION CERTIFIED.
    

Document Info

Docket Number: 20-11280

Filed Date: 2/4/2022

Precedential Status: Non-Precedential

Modified Date: 2/4/2022