Snape v. Lincoln Benefit Life ( 2002 )


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  •                IN THE UNITED STATES COURT OF APPEALS
    FOR THE FIFTH CIRCUIT
    No. 01-40784
    Summary Calendar
    STEPHANIE SNAPE, Individually,
    As Next Friend for Cornelius James
    Snape IV and as Representative of
    the Estate of Cornelius James Snape
    III, on behalf of Cornelius James
    Snape,
    Plaintiff-Appellant,
    versus
    LINCOLN BENEFIT LIFE COMPANY; ET AL,
    Defendants
    LINCOLN BENEFIT LIFE COMPANY; POE &
    BROWN INC.; SCOTT HENRY; CIGNA
    FINANCIAL ADVISORS INC.; SAGEMARK
    CONSULTING INC.,
    Defendants-Appellees.
    __________________________________________________
    Appeal from the United States District Court
    for the Eastern District of Texas
    (No. 4:99-CV-236)
    ________________________________________________
    April 8, 2002
    Before DAVIS, BENAVIDES, and CLEMENT, Circuit Judges.
    PER CURIAM:*
    *
    Pursuant to 5TH CIR. R. 47.5, the court has determined
    that this opinion should not be published and is not precedent
    except under the limited circumstances set forth in 5TH CIR.
    R. 47.5.4.
    Cornelius James Snape III (“Neal Snape”) died in an automobile
    accident with a drunk driver on September 20, 1997.                    Prior to his
    death, Neal Snape had been in the process of finalizing a life
    insurance policy with Lincoln Benefit Life Company (“Lincoln”) to
    benefit his wife, with his son named as contingent beneficiary.
    The policy was to take effect on September 22, 1997.                       At the time
    of his death Snape had paid no premiums on the policy and had yet
    to receive the policy.
    After    Lincoln      denied    her     claims     for   benefits,    appellant
    Stephanie Snape filed negligence and Texas Insurance Code violation
    claims in her individual capacity, as well as on behalf of her
    minor son, Cornelius James Snape IV, and the estate of her deceased
    husband, Neal Snape, involving the application for life insurance
    that Neal Snape submitted to Lincoln through Scott Henry (“Henry”).
    Henry is employed by defendant Poe & Brown, Inc. as a sales agent
    in the employee benefits group.                 Henry consulted with John Van
    Veldhuizen, an employee of defendant Cigna Financial Services
    (“Cigna”),     which       is   now   known     as   Sagemark     Consulting,      Inc.
    (“Sagemark”).
    Lincoln notified Henry that the life insurance policy was
    approved on August 26, 1997.                On August 26, 1997, Lincoln also
    notified Henry that it was suspending processing of the policy
    until Henry fulfilled its internal agent appointment procedures.
    The   policy    was    suspended      sixteen        days   while   Henry    obtained
    appointment.          On   September     11,     1997,      the   policy    went   into
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    processing.     If the policy had not been suspended, the effective
    date of the policy would have been September 7, 1997, before Neal
    Snape’s death.
    On September 15, 1997, Lincoln sent Henry written notice of
    the amount of the premium payment he was to collect to put the
    policy in effect and notified him that the policy had an effective
    date of September 22, 1997.          Henry was also notified by Van
    Veldhuizen’s office on September 19, 1997, that a premium needed to
    be collected.    Henry was advised on September 19, 1997, that the
    physical policy was in the mail to him.
    By memorandum opinion dated March 28, 2001, the district court
    partially adopted the magistrate judge’s report; granted motions
    for summary judgment by Poe & Brown and Henry, Lincoln, and
    Sagemark and Cigna; dismissed appellant’s case with prejudice; and
    dismissed Cornelius James Snape IV with prejudice.              Appellant
    appeals   the   district   court’s   grants   of   summary   judgment   and
    dismissal of appellant’s claims.          Snape further claims that the
    district court abused its discretion when it denied her leave to
    amend her complaint to add claims allegedly developed during the
    discovery process.
    This court reviews grants of summary judgment de novo. Harken
    Exploration Co. v. Sphere Drake Ins. PLC, 
    261 F.3d 466
    , 470 (5th
    Cir. 2001).     Summary judgment is proper if there is no genuine
    issue as to any material fact.           Fed. R. Civ. P. 56(c); Celotex
    3
    Corp. v. Cartrett, 
    477 U.S. 317
    , 322 (1986).               A genuine issue of
    fact exists only “if the evidence is such that a reasonable jury
    could return a verdict for the non-moving party.”                Anderson v.
    Liberty Lobby, Inc., 
    477 U.S. 242
    , 248 (1986).
    Defendants owed no duty to Snape that would support the
    negligence claims.     An insurer and its agent have no duty to give
    an insured notice of a premium, to give notice that a policy has
    expired, to inform an insured of the status of a policy, or to
    ensure that coverage is in effect through payment of a premium.
    Shindler v. Mid-Continent Life Ins. Co., 
    768 S.W.2d 331
    , 333 (Tex.
    App. 1989); Macintire v. Armed Forces Benefit Ass’n, 
    27 S.W.3d 85
    (Tex. App. 2000).
    Appellant      also    brought       suit   against     defendants     for
    misrepresentation pursuant to Article 21.21 § 4(11) of the Texas
    Insurance   Code,   which   prohibits      unfair   or   deceptive   acts   or
    practice in the business of insurance.           Even where the insurer or
    its agent has made statements that could be misleading, “[a]n
    insured will be deemed to know the contents of the contract he
    makes.” Shindler, 
    768 S.W.2d at
    334 (citing Standard Accident Ins.
    Co. v. Employers Cas. Co., 
    419 S.W.2d 429
    , 432 (Tex. App. 1967)).
    The policy application provides that “no insurance will start by
    reason of the application until the policy is delivered and the
    first payment is accepted by Lincoln Benefit Life.              In this case,
    the insurance will start on the date shown in the policy.”                  The
    4
    policy application further provides that “each person who signs
    below acknowledges        that     he   or       she    read   and    understands     this
    Application.”      Neal Snape signed the policy application.                       “A claim
    for misrepresentation can not stand when the party asserting the
    claim is       legally   charged    with         knowledge     of    the    true   facts.”
    Shindler, 
    768 S.W.2d at
    334 (citing Sutton v. Grogan Supply Co.,
    Lumber Division, 
    477 S.W.2d 930
    , 935 (Tex. App. 1972)).
    Further, Texas follows the rule that where a policy provides
    that    life    insurance    shall      not        be    in    force       until   certain
    considerations are satisfied, fulfillment of these conditions is
    essential for a valid contract.                  Roberts v. Mass. Indem. & Life
    Ins. Co., 
    713 S.W.2d 159
     (Tex. App. 1986).                     There was no contract
    between Lincoln and Neal Snape.                  Neal Snape had made no payments
    and had not even received the policy.
    Regarding appellant’s claim that Henry had a duty to inform
    Neal Snape that he would need to go through processing to become an
    agent of Lincoln, Henry was licensed by the State of Texas to sell
    life insurance for any life insurance company.                       When the time came
    for Henry to complete Lincoln’s internal procedures and become
    “appointed,” he did so with ease in about two weeks.                        Lincoln never
    withdrew Henry’s authority nor does appellant aver a failure by
    Henry to obtain the requisite authority from the state.                                See
    generally Armstrong v. Tidelands Life Ins. Co., 
    466 S.W.2d 407
    (Tex. App. 1971); Woods v. William M. Mercer, Inc., 
    769 S.W.2d 515
    ,
    5
    518-19 (Tex. 1988).
    This court reviews denial of a motion for leave to amend for
    abuse of discretion.   Addington v. Mutual Ins. Co., 
    650 F.2d 663
    ,
    666 (5th Cir. 1981).   Leave to amend “shall be freely given when
    justice so requires,” Fed. R. Civ. P. 15(a), but “leave to amend is
    not automatic.” Avatar Exploration, Inc. v. Chevron, U.S.A., Inc.,
    
    933 F.2d 314
    , 320 (5th Cir. 1991).   Reason for the denial need only
    be apparent from the record.   Foman v. Davis, 
    371 U.S. 178
    , 182
    (1962). Reasons for denying the leave to amend here are “ample and
    obvious.” Rhodes v. Amarillo Hosp. Dist., 
    654 F.2d 1148
    , 1154 (5th
    Cir. 1981). The record supports denying leave to amend because the
    motion was untimely, presented without full disclosure to the
    court, prejudicial to the defendants, or futile.       The district
    court was within its discretion to deny leave.
    The judgment of the district court is AFFIRMED.
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