History
  • No items yet
midpage
Jacky L. Larson v. The Northwestern Mutual Life Insurance Company, CMInformation Specialists, Inc.
2014 Minn. LEXIS 570
| Minn. | 2014
Read the full case

Background

  • James Larson applied for and received a Northwestern Mutual life policy in 2008 after answering medical-history questions in a paramedical exam and a telephone interview; he identified a primary physician and a dermatologist but did not disclose a 2004–2005 cardiology consultation or a CAT angiogram, and denied chest pain within ten years.
  • Larson signed consent authorizing Northwestern Mutual to obtain his full medical chart; Northwestern Mutual requested seven years of records from Fairview Ridges Clinic’s records vendor, CMInformation.
  • CMInformation provided Fairview records but, following Fairview policy, withheld non-Fairview documents (including cardiology letters and the CAT angiogram report) because they were not part of Fairview’s chart under its internal release rules.
  • After James Larson died within the two-year contestability period, Northwestern Mutual discovered the withheld cardiology information, rescinded the policy under Minn. Stat. § 61A.11, and refunded premiums; beneficiary Jacky Larson sued Northwestern Mutual (breach/rescission) and CMInformation (violation of the Health Records Act).
  • The district court granted summary judgment to both defendants; the court of appeals affirmed. The Minnesota Supreme Court granted review to decide (1) whether § 61A.11 requires subjective intent to deceive to rescind and (2) whether § 144.298, subd. 2 creates a private cause of action for withholding records authorized by a patient’s consent.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether rescission under Minn. Stat. § 61A.11 requires proof of the insured's subjective intent to deceive Larson: § 61A.11 requires proof of actual intent to deceive; intent is critical Northwestern Mut.: only knowledge of material facts and failure to disclose is required (objective standard) Court: Subjective intent required; can be shown by direct proof or inferred from knowledge + nondisclosure
Whether insured's omissions (cardiology/CAT) were "willfully false or intentionally misleading" as a matter of law Larson: disputed intent — jury should decide Northwestern Mut.: omissions to specific questions are patently false; intent irrelevant; summary judgment proper Court: Genuine issue of material fact on intent; summary judgment for insurer reversed and remanded for trial
Whether Minn. Stat. § 144.298, subd. 2 creates a private cause of action for releasing fewer records than authorized Larson: withholding records that the patient consented to be released violates § 144.293(10)(c) and is an "unauthorized release" under § 144.298(2) CMInformation: § 144.298(2) only covers unauthorized disclosures (over‑release), not withholding Court: "Release" requires an actual disclosure; withholding authorized-but-unreleased records is not an "unauthorized release" actionable under § 144.298(2); summary judgment for CMInformation affirmed
Burden/standard for summary judgment on intent in rescission cases Larson: intent is factual and for jury Northwestern Mut.: evidence of knowing omission to specific questions suffices for summary judgment Court: Insurer bears burden to prove intent; only if evidence is conclusive may court decide intent as matter of law; here, not conclusive

Key Cases Cited

  • Schmidt v. Prudential Ins. Co. of Am., 190 Minn. 239, 251 N.W. 683 (statute makes intent "all important")
  • Roeder v. N. Am. Life Ins. Co., 259 Minn. 168, 106 N.W.2d 624 (willfully false denotes knowing concealment; conscious, premeditated falsification)
  • Howard v. Aid Ass'n for Lutherans, 272 N.W.2d 910 (Minn.) (distinguishes materiality from intent; materiality test does not eliminate intent inquiry)
  • Nielsen v. Mut. Serv. Cas. Ins. Co., 243 Minn. 246, 67 N.W.2d 457 (intent to deceive not to be found absent conclusive evidence)
  • Hammer v. Investors Life Ins. Co. of N. Am., 511 N.W.2d 6 (Minn.) (whether answers were willfully false is a question of fact)
Read the full case

Case Details

Case Name: Jacky L. Larson v. The Northwestern Mutual Life Insurance Company, CMInformation Specialists, Inc.
Court Name: Supreme Court of Minnesota
Date Published: Oct 22, 2014
Citation: 2014 Minn. LEXIS 570
Docket Number: A13-186
Court Abbreviation: Minn.