Pierce v. Metropolitan Life InsurancePierce v. Metropolitan Life Insurance
ORDER
On August 20, 2003, Annе “Juni” Pierce filed suit against her insurer, MetLife, alleging that it had wrongfully stopped making its monthly disability benefit payments to her as of July 10,1999. Given the more than three years between these two dates, MetLife has moved to dismiss the action on statute of limitations grounds. Pierce objects under alternative theories: first, that MetLife’s cessation of its monthly benefit payment causes her claim to re-accrue each month the payment was withheld, and second, that MetLife’s lack of responsiveness to her correspondence in the wakе of the termination of her benefits tolled the running of the statute.
Background
The facts set forth in Pierce’s complaint are as follows. She became disabled on
In opposing MetLife’s motion to dismiss, Pierce submitted an affidavit which contains the following additional facts. After the payments from MetLife stopped, Pierce exercised her right under the policy to appeal the denial of further benefits. In a letter dated July 19, 1999, MetLife informed Pierce that her appeal had been denied. The letter stated that “no further administrative appeals are available to you concerning your disability benefit” and advised Piercе to consult the information concerning her rights set forth in the summary plan description if she wished to pursue the matter further.
After the denial of her appeal, Pierce attempted to contact MetLife for an explanation of its reason for cutting off her benefits. Her efforts in this regard consisted largely of a series of letters sent to the insurer between January 18, 2000, and December 10, 2002. While Pierce’s correspondence primarily takes issue with Met-Life’s stated reasons for denying her appeal, she also makes repeated requests for a response and references to the fact that one has not been forthcoming. In a letter of February 3, 2001, Pierce cites to a television news program about
how insurance companies terminate benefits they are obligated to pay.... The insurance companies do not even reply to repeated requests for fair play. They just do not communicate with the person who has been denied benefits, hoping that person will give up. The only choice the person has is tо hire a lawyer.
Most of Pierce’s subsequent letters express an intention to hire a lawyer or go to court if MetLife does not restore her benefits.
Pierce does not claim that MetLife ever responded to any of her correspondence. Instead, she asserts that she “was never advised by MetLife that any statute of limitations was running” and that she was thereby “tricked into believing that [she] was in no danger of waiving any legal rights by MetLife’s silence” even though she “had specifically asked for guidance from the trustees of the benefit рlan on whether [she] needed a lawyer.” Pierce ultimately retained counsel and commenced suit against MetLife in Hillsbor-ough County Superior Court on August 20, 2003. MetLife removed the case to this court on diversity grounds.
Standard of Review
Pierce relies on materials beyond the complaint, including her affidavit and a number of attached documents, in opposing MetLife’s motion to dismiss. In its reply brief, MetLife has availed itself of the opportunity to respond to these materials. Accordingly, the court will treat MetLife’s motion to dismiss as a motion for summary judgment, cоnsidering
The court may grant a motion for summary judgment only if the “pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter of law.” Fed.R.Civ.P. 56(c). The party seeking summary judgment bears the initial burden of establishing the lack of a genuine issue of material fact.
See Celotex Corp. v. Catrett,
Discussion
The parties agree that the statute of limitations issues presented by this case should be resolved under New Hampshire law.
1
The New Hampshire statute of limitations generally requires an action to be commenced within three years of the act or omission of which the plaintiff complains. N.H.Rev.Stat. Ann. § 508:4,1. The limitations period on a contract action begins running at the time of the alleged breach.
Coyle v. Battles,
Pierce does not dispute that more than three years elapsed between when MetLife rejected her claim for continued disability benefits — either by stopping its monthly payments to her or by denying her appeal of that decision — and the commencement of this suit. She argues instead that her claim did not accrue upon the occurrence of either of these events because “MetLife breaches its contract each month when it fails to provide [her] with monthly benefits while [she] suffers an ongoing disability,” continually resetting the statute of limitations clock.
New Hampshire follows the “universal rule that when an obligation is to be paid in installments the statute of limitations runs only against each installment as it becomes due .... ”
Gen. Theraphysical, Inc. v. Dupuis,
In essence, this rule treats each missed or otherwise deficient payment as
The parties agree that the New Hampshire Supreme Court has never considered whether the payment of insurance benefits on a regular basis constitutes an “obligation to be paid in installments” so that the date of еach payment commences a separate limitations period. As a federal tribunal exercising diversity jurisdiction over the plaintiffs’ state law claim, this court must predict that court’s future course on this issue.
See FDIC v. Ogden Corp.,
“Courts hаve used the ‘installment contract’ approach in a variety of situations.”
Metromedia Co. v. Hartz Mountain Assocs.,
Relatedly, courts have followed the installment contract approach in the case of an employer’s obligation to make regular contributions to an employee benefit plan.
See Bettis v. Potosi R-III Sch. Dist.,
Moreover, a number of courts have expressly held that the statute of limitations on a claim arising out of a disability insurer’s cessation of regular benefit payments runs separately as to each payment.
See Everhart v. State Life Ins. Co.,
MetLife argues that the rule set forth in the cases from these other jurisdictions conflicts with existing New Hampshire law, under which the statute of limitations starts running “when [an] insurer reject[s] the insured’s claim for benefits.” MetLife relies on
Metro. Prop. & Liab. Ins. Co. v. Walker,
MetLife also relies on the decisions of two federal courts of appeal which refused to treat an insurer’s cessation of regular disability payments as the breach of an installment contract for limitations purposes.
See Lang v. Aetna Life Ins. Co.,
In light of the depth of authority holding that a separate limitations period on an insured’s claim to recover unpaid disability benefits runs from each missed payment, however, the court does not find these contrary decisions persuasive in determining New Hampshire law on this issue.
4
The court in
Dinerstein,
applying Florida law to determine when the plaintiffs claim to reсover allegedly underpaid disability benefits accrued, declined to treat the policy as an installment contract, holding instead that the limitations period commenced when the insurer made the first of its monthly payments in the reduced amount.
Application of the installment contract rule, however, does not depend on the presence of a dispute over whether the periodic payments were “owed in the first place.” Courts have routinely treated the failure to make payments according to an agreed-upon schedule as the breach of an installment contract notwithstanding the defendant’s position that it had no liability for
any
of those installments.
See, e.g., Jackson,
As these authorities suggest, nearly every action seeking to recover on á contract calling for periodic performances has its genesis at the point where the defendant stops rendering those performances
This court also considers Lang unpersuasive. There, the court rejected the insured’s characterization of her policy as an installment contract because under that theory
her claim would have an indefinite lifespan. Such a result would undermine the overriding purpose of a statute of limitations. Time limits are essential to promote justice by preventing surprises through the revival of claims that have been allowed to slumber until evidence has been lost, memories have faded, and witnesses have disappeared.
As аn initial matter, the court’s statement that the installment contract approach gives an insured’s claim for unpaid disability benefits “an indefinite lifespan” is not correct. To the contrary, the approach limits the insured’s recovery to those individual payments as to which suit was brought before the limitations period expired.
See, e.g., Everhart,
The
Lang
court also reached its assessment that the installment contract rule “would undermine the overriding purpose of a statute of limitations” without accounting for the fact that, despite such occasional criticism by litigants seeking to avoid it, the rule has become “universal.”
Gen. Theraphysical,
In any event, regardless of the merits of the Lang court’s view as to the wisdom of the installment contract approach, this court is not free to disregard that approach in light of Gen. Theraphysieal. Indeed, the Lang court’s criticism of treating a disability insurance policy as an installment contract for limitations purposes, i.e., the limitations period potentially extends well beyond the defendant’s rejection of the plaintiffs right to continued payments, is equally applicable to treating any agreement as an installment contract for limitations purposes. 6 The New Hampshire Supreme Court was presumably aware of that criticism when it decided Gen. Thera-physieal, but nevertheless chose to follow the installment contract rule there. Furthermore, Gen. Theraphysieal contains no indication that New Hampshire would refrain from following the installment contract rule in cases arising out of disability insurance policies and neither MetLife nor the authorities it cites offer any compelling reason to do so.
Accordingly, the court сoncludes that New Hampshire would treat an insurer’s cessation of regular disability payments as the breach of an installment contract for statute of limitations purposes. A separate limitations period therefore runs as to each of the monthly payments which Met-Life withheld from Pierce, beginning with the disbursement due in July of 1999. Because Pierce did not commence this action until August 20, 2003, however, she can recover only for those payments which would have come due within the preceding three-year period. The statute of limitations bars her claim to each of those payments allegedly due during the period beginning on July 10, 1999, and ending on August 19, 2000.
See Gen. Theraphysical,
Pierce, however, contends that the reach of the statute of limitations should not extend to any of the payments withheld by MetLife. She argues that equitable tolling should apply because she completely relied upon MetLife for “knowledge ... about the appeals process and requirements for further legal action by its beneficiaries” and that Met-Life had a “fiduciary duty to advise her of any statute of limitations issues.”
“Conduct of a nature giving rise to an equitable estoppel may be sufficient to toll the running” of a statute of limitations under New Hampshire law.
Guerin v. N.H. Catholic Charities, Inc.,
120 N.H.
Pierce does not claim that MetLife fraudulently concealed the fact that her benefits had been terminated.
Cf. Lakeman v. LaFrance,
Instead, Pierce argues that estoppel should apply because MetLife provided “no assistance or warning that there was any statute of limitations that was going to expire.” New Hampshire recognizes that “[u]nder certain circumstances, an estoppel may arise from silence or inaction as oрposed to an actual misrepresentation. This form of estoppel, however, is limited to situations where the silent party has knowledge and a duty to make disclosure.”
Guri v. Guri,
MetLife contends that it had no duty to advise Pierce that the limitations period was running on her claim for unpaid benefits. Although the New Hampshire Supreme Court has yet to consider this argument directly, it has refused to extend an insurer’s duty to its insured beyond the obligation to handle third-party claims with reasonable care.
Lawton v. Great Southwest Fire Ins. Co.,
In the absence of any contrary authority or argument from Pierce, the court concludes that MetLife’s lack of responsiveness to Pierce’s correspondence regarding its denial of continued benefits does not preclude MetLife from asserting the statute of limitations.
7
See LaChapelle v.
Conclusion
For the foregoing reasons, MetLife’s motion to dismiss (document no. 7) is GRANTED to the extent it seeks dismissal of that portion of Pierce’s claim which arises out of payments allegedly due under the policy before August 19, 2000. The motion is otherwise DENIED. Pursuant to Fed.R.Civ.P. 15(a), MetLife shall file a response to the complaint within ten days оf the date of this order.
SO ORDERED.
Notes
.
Although the parties’ submissions suggest that Pierce received her disability insurance through an employee benefit plan, neither argues that the Employee Retirement Income Security Act, 29 U.S.C. § 1001 et seq., has any effect on the outcome of this motion.
Cf. Bennett v. Federated Mut. Ins. Co.,
. In the interest of clarity, the court will refer to the principle described in these and like authorities as the ''installment contract” rule. Although Pierce refers to the rule as the "continuing violation” doctrine, that term is generally used to denote a concept of tolling applied to employment discrimination claims.
See generally Provencher
v. CVS
Pharmacy,
. MetLife also argues that this court's decision in
Rochester Lincoln-Mercury, Inc. v. Ford Motor Co.,
. A number of these cases simply reject the rule out of hand without any accompanying analysis of its wisdom or lack thereof.
See, e.g., Wetzel,
. The Supreme Court's holding in
Bay Area Laundry
gives the court further pause in relying on
Lang
and
Dinerstein,
which did not consider the case in rejecting the installment contract approach.
Cf. Nicholas,
. For example, a lessee might agree to make a payment of $1,000 each month over the ten-year term of an equipment lease, but stop making those payments after one year, notifying the lessor that the equipment no longer performs as warranted. Under the rule followed in Gen. Theraphysieal, the lessor is entitled to wait until the three-year anniversary of the date the last payment was due under the lease — twelve years from when the lessor stopped making payments — to recover the amount of that final payment. By that point, it is likely that evidence will have been lost, memories will have faded, and witnesses will have disappeared as to the merits of the lessor’s claim, which presumably would depend on whether the equipment was, in fact, defective. In addition, the lessee is likely to be surprised by the lawsuit after having heard nothing from the lessor on the subject for more than a decade. (Of course, these disadvantages are mitigated by the fact that the lessor's claim is limited to the amount of the very last payment, or $1,000.) Despite the seeming undesirability of such a result, it is permitted by the installment contract rule, which has become widely accepted nonetheless, including by the New Hampshire Supreme Court.
. Pierce relies on a United States Supreme Court case noting that equitable tolling has