Opinion · Ohio Supreme Court
Cope v. Metropolitan Life Insurance
Cope v. Metro. Life Ins., 82 Ohio St. 3d 426 (Ohio 1998)
- Type
- Opinion
- Court
- Ohio Supreme Court
- Jurisdiction
- Ohio
- Date
- 1998-07-29
- Topic
- general
permitting class action where plaintiff's claims were not based on agents' oral or affirmative misrepresentations but, rather, on allegations that defendant intentionally omitted material facts | finding predominance requirement for certification met and allowing an inference or presumption of reliance on a non-disclosure of a material fact | certifying class where gravamen of complaint was that defendant intentionally omitted certain state-mandated warnings from uniform sales material and class did not rely on oral or affirmative misrepresentations | noting "Courts generally find that [ ]the existence of common misrepresentations obviates the need to elicit individual testimony as to each element of a fraud or misrepresentation claim, especially where written misrepresentations or omissions are involved." | "a wide variety of claims may be established by common proof in cases involving similar form documents or the use of standardized procedures and practices" | predominance requirement satisfied in class certification request and allowing inference of reliance where there was nondisclosure of material fact | “the existence of common misrepresentations obviates the need to elicit individual testimony as to each element of a fraud or misrepresen tation claim, especially where written misrepresentations or omissions are involved” | insurer sold replacement life insurance policies falsely classified and charged as new policies
Citator
- Cited by
- 53 opinions
[This opinion has been published in Ohio Official Reports at82 Ohio St.3d 426
.]
COPE ET AL., APPELLANTS, v. METROPOLITAN LIFE INSURANCE COMPANY ET
AL., APPELLEES.
[Cite as Cope v. Metro. Life Ins. Co., 1998-Ohio-405
.]
Civil procedure—Class actions—Trial court abuses its discretion in denying class
certification on the basis that plaintiffs failed to satisfy Civ.R. 23(B)(3)’s
requirement of predominance and superiority when it fails to give adequate
consideration to whether the asserted claims are susceptible of class-wide
proof.
(No. 97-567—Submitted February 17, 1998—Decided July 29, 1998.)
APPEAL from the Court of Appeals for Columbiana County, No. 95-CO-46.
__________________
{¶ 1} This is an appeal from a decision affirming the trial court’s order
denying certification of a class action. The action was brought by plaintiffs-
appellants, Wayne A. Cope, Dallas G. Few, and Ronald W. Speidel, on behalf of
themselves and others similarly situated, against defendants-appellees,
Metropolitan Life Insurance Company and Metropolitan Life Insurance and
Annuity Company (“MetLife”), to challenge certain methods used in the
procurement of life insurance.
{¶ 2} Cope initially purchased life insurance from MetLife in 1971, and
purchased additional life insurance from MetLife in 1983, 1984, and 1991. MetLife
surrendered the cash value that had accumulated in Cope’s 1971 policy, and used
the money to fund or pay premiums on Cope’s 1983 policy. MetLife also
surrendered the accumulated cash value of Cope’s 1983 and 1984 policies, and used
the money to fund or pay premiums on Cope’s 1991 policy.
{¶ 3} Few purchased life insurance from MetLife in 1967, 1973, and 1990.
MetLife caused a dividend withdrawal from Few’s 1973 policy, and a loan to be
SUPREME COURT OF OHIO
taken from Few’s 1967 policy, and used the money and proceeds either to fund or
pay premiums on his 1990 policy. After Few became aware that MetLife was
taking value from his 1967 and 1973 policies to finance his 1990 policy, Few
requested MetLife to reinstate the cash value and dividends of his 1967 and 1973
policies. When MetLife refused, Few surrendered his 1990 policy.
{¶ 4} Speidel purchased life insurance from MetLife in 1987 and 1993.
MetLife twice partially cash-surrendered Speidel’s 1987 policy to fund or pay
premiums on his 1993 policy.
{¶ 5} In their amended complaint, appellants alleged that MetLife
improperly used the cash values, dividends, and interest that had accumulated in
their existing life insurance policies to finance their purchases of additional life
insurance. According to the complaint:
“Beginning in or about 1983, MetLife, through its agents, developed,
implemented and otherwise approved a widespread scheme to obtain higher
commissions and extra charges by selling existing MetLife policyholders policies
that were classified and/or charged as new policies when, in fact, they were
replacement policies and should have been classified and/or charged as such.”1
{¶ 6} The scheme, as summarized by appellants, worked as follows:
“Step 1: MetLife targeted its existing policyholders in Ohio using its
computerized records;
1. According to the complaint, MetLife’s commission structure was such that when a new life
insurance policy was sold, the selling agent receives a commission of fifty-five percent or more of
the new policy’s entire first-year premium, and ten percent of each premium paid thereafter.
However, when a replacement policy is sold, the agent receives a ten percent commission only on
the premiums paid in addition to that of the existing policy. In addition, the complaint states that:
“MetLife sells replacement policies at reduced costs in comparison to new policies.
MetLife charges for the sale of new policies are significantly higher than its charges for replacement
policies. MetLife’s charges for new policies may include a load charge, dump charge, expense
charge, surrender charge, an annual charge and other administrative charges. When a replacement
policy is sold, MetLife waives, reduces or does not charge some or all of these charges.”
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January Term, 1998
“Step 2: MetLife agents filled out policyholders’ applications and had them
execute applications for additional MetLife policies. The applications contained:
(1) a written statement by the insured that existing insurance was not to be replaced
and (2) a written statement by the agent that existing insurance was not to be
replaced and that the state mandated risk warnings were not provided. See [Ohio
Adm.Code] 3901-1-36(D) and (E);
“Step 3: Contrary to the policy application, a replacement transaction
involving existing policies took place that was known or should have been known
as such to MetLife and its agents; and
“Step 4: Despite the occurrence of the replacement transactions, a
‘complete policy’ disclosing the agreement to finance by replacement was not
delivered to Policyholders nor were the state-mandated risk warning disclosure
forms provided to Policyholders in connection with the replacement transactions in
direct violation of [Ohio Adm.Code] 3901-1-36 et seq.” (Emphasis sic.)
{¶ 7} Based on these underlying allegations, appellants presented the
following twelve claims for relief: (1) breach of contract, (2) contract entered upon
a mutual mistake of fact, (3) contract entered on a unilateral material mistake of
fact, (4) breach of fiduciary duty, (5) negligent supervision, (6) deceit by
concealment, (7) common-law nondisclosure, (8) breach of duty of good faith and
fair dealing, (9) violations of New York insurance law, (10) violations of New York
general business law, (11) violations of the Delaware Consumer Fraud Act, and
(12) prima facie tort.
{¶ 8} On May 1, 1995, appellants moved for class certification pursuant to
Civ.R. 23(A) and (B)(3). In their motion, appellant sought to have certified a class
consisting of:
“Ohio residents who were owners of existing life insurance or annuity
policies with [MetLife] from 1983 to the present and were sold subsequent policies
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that were classified and/or charged as new policies when, in fact, they were
replacement policies and should have been classified and/or charged as such.”
{¶ 9} On July 6, 1995, the trial court entered its order denying class
certification. The court found that all of the prerequisites of Civ.R. 23(A) had been
met, i.e., identifiable class, class membership, numerosity, commonality, typicality,
and adequacy of representation. However, the court found that appellants failed to
satisfy Civ.R. 23(B)(3)’s predominance and superiority requirements because “an
individual determination as to what the plaintiffs were told by their respective
agents will be crucial in determining liability.”
{¶ 10} The court of appeals affirmed the trial court’s order, finding that
“individualized proof” or “individualized scrutiny of each transaction” would be
necessary to determine each claim. According to the court of appeals:
“[M]ost of appellants’ claims relate to the intent or state of mind of the
insured or the agent, or to whether appellants and each member of the proposed
class [were] or [were] not given certain information. As the amended complaint is
drafted, we cannot fathom how appellants intended to prove their claims without
including oral testimony regarding each transaction.”
{¶ 11} The cause is now before this court pursuant to the allowance of a
discretionary appeal.
__________________
Murray & Murray and John T. Murray; McLaughlin, McNally & Carlin and
Clair M. Carlin; Specter, Specter, Evans & Manogue, P.C., Howard A. Specter,
David J. Manogue and Joseph N. Kravec, Jr.; Malakoff, Doyle & Finberg, P.C.,
Michael P. Malakoff and James M. Pietz, for appellants.
Porter, Wright, Morris & Arthur, Adele E. O’Conner, Patrick J. Smith and
Charles C. Warner; Yeagley, Roberts & Kirkland and Robert C. Roberts, for
appellees.
4
January Term, 1998
Waite, Schneider, Bayless & Chesley, Co., L.P.A., and Louise M. Roselle,
urging reversal for amicus curiae, Ohio Academy of Trial Lawyers.
Vorys, Sater, Seymour & Pease, F. James Foley and Richard M. Rolwing,
urging affirmance for amici curiae, Ohio Association of Life Underwriters and
Association of Ohio Life Insurance Companies.
Jones, Day, Reavis & Pogue, Stephen Goodman, Carol M. Stapleton and
Harry I. Johnson III, urging affirmance for amicus curiae, American Council of
Life Insurance.
__________________
ALICE ROBIE RESNICK, J.
{¶ 12} The issue presented is whether the trial court abused its discretion in
denying class certification on the basis that appellants failed to satisfy Civ.R.
23(B)(3)’s requirement of predominance and superiority.2 For the reasons that
follow, we hold that the trial court abused its discretion in failing to give adequate
consideration to whether the asserted claims are susceptible of class-wide proof,
thereby obviating the need for separate adjudications.
{¶ 13} Recently, the United States Supreme Court declared that
“[p]redominance is a test readily met in certain cases alleging consumer or
securities fraud or violations of the antitrust laws.” Amchem Prods., Inc. v. Windsor
(1997), 521 U.S. ___
, ___,117 S.Ct. 2231, 2250
,138 L.Ed.2d 689, 713
. As the Supreme Court of California explained in Vasquez v. Superior Court of San Joaquin Cty. (1971),4 Cal.3d 800, 808
,94 Cal.Rptr. 796, 800-801
,484 P.2d 964
, 968-969:
2. Civ.R. 23(B)(3) provides that an action may be maintained as a class action if, in addition to the
prerequisites of subdivision (A), “the court finds that the questions of law or fact common to the
members of the class predominate over any questions affecting only individual members, and that
a class action is superior to other available methods for the fair and efficient adjudication of the
controversy. The matters pertinent to the findings include: (a) the interest of members of the class
in individually controlling the prosecution or defense of separate actions; (b) the extent and nature
of any litigation concerning the controversy already commenced by or against members of the class;
(c) the desirability or undesirability of concentrating the litigation of the claims in the particular
forum; (d) the difficulties likely to be encountered in the management of a class action.”
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“Frequently numerous consumers are exposed to the same dubious practice
by the same seller so that proof of the prevalence of the practice as to one consumer
would provide proof for all. Individual actions by each of the defrauded consumers
is often impracticable because the amount of individual recovery would be
insufficient to justify bringing a separate action; thus an unscrupulous seller retains
the benefits of its wrongful conduct. A class action by consumers produces several
salutary by-products, including a therapeutic effect upon those sellers who indulge
in fraudulent practices, aid to legitimate business enterprises by curtailing
illegitimate competition, and avoidance to the judicial process of the burden of
multiple litigation involving identical claims. The benefit to the parties and the
courts would, in many circumstances, be substantial.”
{¶ 14} It is now well established that “a claim will meet the predominance
requirement when there exists generalized evidence which proves or disproves an
element on a simultaneous, class-wide basis, since such proof obviates the need to
examine each class member’s individual position.” Lockwood Motors, Inc. v. Gen.
Motors Corp. (D.Minn.1995), 162 F.R.D. 569, 580
.
{¶ 15} As explained in the 1966 Advisory Committee Notes to Fed.R.Civ.P.
23(b)(3):
“Subdivision (b)(3) encompasses those cases in which a class action would
achieve economies of time, effort, and expense, and promote uniformity of decision
as to persons similarly situated, without sacrificing procedural fairness or bringing
about other undesirable results. * * *
“The court is required to find, as a condition of holding that a class action
may be maintained under this subdivision, that the questions common to the class
predominate over the questions affecting individual members. It is only where this
predominance exists that economies can be achieved by means of the class-action
device. In this view, a fraud perpetrated on numerous persons by the use of similar
misrepresentations may be an appealing situation for a class action. * * * On the
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January Term, 1998
other hand, although having some common core, a fraud case may be unsuited for
treatment as a class action if there was material variation in the representations
made or in the kinds or degrees of reliance by the persons to whom they were
addressed.” (Emphasis added.)
{¶ 16} Courts generally find that the existence of common
misrepresentations obviates the need to elicit individual testimony as to each
element of a fraud or misrepresentation claim, especially where written
misrepresentations or omissions are involved. They recognize that when a common
fraud is perpetrated on a class of persons, those persons should be able to pursue an
avenue of proof that does not focus on questions affecting only individual members.
If a fraud was accomplished on a common basis, there is no valid reason why those
affected should be foreclosed from proving it on that basis. See Shields v. Lefta,
Inc. (N.D.Ill.1995), 888 F.Supp. 891, 893
; Murray v. Sevier (D.Kan.1994),156 F.R.D. 235, 248-249
; Davis v. Southern Bell Tel. & Tel. Co. (S.D.Fla.1994),158 F.R.D. 173, 176-179
; Mayo v. Sears, Roebuck & Co. (S.D.Ohio 1993),148 F.R.D. 576, 583
; Heastie v. Community Bank of Greater Peoria (N.D.Ill.1989),125 F.R.D. 669, 678
; Skalbania v. Simmons (Ind.App.1982),443 N.E.2d 352, 360
;Vasquez, supra.
{¶ 17} Courts also generally find that a wide variety of claims may be
established by common proof in cases involving similar form documents or the use
of standardized procedures and practices. Most recently, in Hamilton v. Ohio Sav.
Bank (1998), 82 Ohio St.3d 67, 77
,694 N.E.2d 442, 452
, plaintiffs brought an
action on behalf of themselves and others similarly situated to challenge certain
methods used to amortize their residential mortgage loans. We reversed the trial
court’s denial of class certification, and allowed the action to proceed on plaintiffs’
asserted common-law claims for breach of contract, fraud, conversion, waiver and
estoppel, and unjust enrichment, as well as a statutory claim for violations of the
Federal Truth in Lending Act, Section 1601 et seq., Title 15, U.S.Code.
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{¶ 18} In so doing, we explained as follows:
“In this case, the questions of law and fact which have already been shown
to be common to each respective subclass arise from identical or similar form
contracts. The gravamen of every complaint within each subclass is the same and
relates to the use of standardized procedures and practices. No individual has
attempted to institute a parallel action or to intervene in this action, and it is unlikely
that any new suits will be filed given the relatively small individual recoveries and
the massive duplication of time, effort and expense that would be involved. While
the class is numerically substantial, it is certainly not so large as to be unwieldy.
Class action treatment would eliminate any potential danger of varying or
inconsistent judgments, while providing a forum for the vindication of rights of
groups of people who individually would be without effective strength to litigate
their claims. This appears to present the classic case for treatment as a class action,
and cases involving similar claims or similar circumstances are routinely certified
as such. Am. Timber & Trading Co [v. First Natl. Bank of Oregon (C.A.9, 1982)],
690 F.2d 781
; Goldman v. First Natl. Bank of Chicago (C.A.7, 1976),532 F.2d 10
; Cobb [v. Monarch Finance Corp. (N.D.Ill.1995)],913 F.Supp. 1164
; Hickey [v. Great W. Mtge. Corp. (N.D.Ill.1994)],158 F.R.D. 603
; Mayo v. Sears, Roebuck & Co. (S.D.Ohio 1993),148 F.R.D. 576
; Kleiner [v. First Natl. Bank of Atlanta (N.D.Ga.1983)],97 F.R.D. 683
; Hughes v. Cardinal Fed. S. & L. Assn. (S.D.Ohio 1983),97 F.R.D. 653
; Ingram [v. Joe Conrad Chevrolet, Inc. (E.D.Ky.1981)],90 F.R.D. 129
; Kaminski v. Shawmut Credit Union (D.Mass.1976),416 F.Supp. 1119
; Perlman v. First Natl. Bank of Chicago (1973),15 Ill.App.3d 784
,305 N.E.2d 236
; Landau v. Chase Manhattan Bank, N.A. (S.D.N.Y.1973),367 F.Supp. 992
; Partain v. First Natl. Bank of Montgomery (M.D.Ala.1973),59 F.R.D. 56
; Cohen [v. Dist. of Columbia Natl. Bank (D.D.C.1972)],59 F.R.D. 84
; Eovaldi v. First Natl. Bank of Chicago (N.D.Ill.1972),57 F.R.D. 545
; Goebel v. First Fed. S. & L. Assn. of Racine (1978),83 Wis.2d 668
,266 N.W.2d 352
; Vickers v. Home Fed. S. & L.
8
January Term, 1998
Assn. of E. Rochester (1976), 87 Misc.2d 880
,386 N.Y.S.2d 291
, affirmed (1977),56 A.D.2d 62
,390 N.Y.S.2d 747
; Silverstein v. Shadow Lawn S. & L. Assn. (1968),51 N.J. 30
,237 A.2d 474
; 5 Moore’s Federal Practice [3 Ed.1997] at 23-251,
Section 23.47[5].”
{¶ 19} Also, claims based on an underlying scheme are particularly subject
to common proof. As the court in Murray, supra,
156 F.R.D. at 249
, explained:
“[I]t would be senseless to require each of the members * * *, numbering
over half a million, to individually assert their fraud claims against the defendants,
especially where a single ‘underlying scheme,’ rather than a variety of distinct
misrepresentations, is the fundamental basis for those claims. In re American
Continental/Lincoln S & L Sec. Litig. [D.Ariz.1992], 140 F.R.D. [425] at 431 (‘It
is the underlying scheme which demands attention. Each plaintiff is similarly
situated with respect to it, and it would be folly to force each bond purchaser to
prove the nucleus of the alleged fraud again and again.’).” See, also, Heastie, supra,
125 F.R.D. at 676, fn. 6
(“[I]f [plaintiff’s] legal theory is correct, and if she
can establish the existence of such a scheme—two questions that are common to
the class—liability to individual class members could be determined by an
examination of the various documents signed.).”
{¶ 20} In State ex rel. Metro. Life Ins. Co. v. Starcher (1996), 196 W.Va. 519
,474 S.E.2d 186
, the Supreme Court of West Virginia rejected MetLife’s
argument that “individual inquiry is necessary to ascertain the respective intentions
of each prospective class member concerning the funding of the additional policy
of insurance that they purchased,” and certified a class action brought against
MetLife identical to the one now before this court. In doing so, the court affirmed
that plaintiffs’ “common law claims are not based upon oral testimony but are
instead based upon proof of the standard form documents utilized by the defendant
[MetLife] in its processing of insurance applications and the issuance of life
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insurance policies and the standardized rules, procedures and conduct of the
defendant in handling these matters.” Id.,
196 W.Va. at 523
,474 S.E.2d at 190
.
{¶ 21} An identical case was also certified as a class action against MetLife
in California. Green v. Metro. Ins. & Annuity Co. (Apr. 30, 1997), Cal.Super.Ct.,
San Francisco County No. 969547, unreported, petition for review and application
for stay denied, Metro. Ins. & Annuity Co. v. San Francisco Cty. Sup. Ct. (Dec. 5,
1997), Cal. No. S065789, unreported.
{¶ 22} The courts below, however, found themselves unable to envision
how the claims of the entire class could be established at trial without separately
adjudicating the circumstances surrounding each class member’s purchase of
additional insurance. They reasoned that since appellants’ claims contained
allegations that they were not furnished certain information, they and the other class
members would necessarily have to present testimony as to what they were
separately told or not told by the agents with whom they respectively dealt.
{¶ 23} However, appellants’ claims are not based on any oral or affirmative
misrepresentations, or any other actionable conduct occurring during pre-
application sales negotiations.3 The gravamen of appellants’ complaint is that
MetLife engaged in a scheme to collect larger commissions and front-end load
3. In Starcher, the trial court had identified the relevant MetLife conduct as that occurring “ ‘at or
post-contracting.’ ” Id.,
196 W.Va. at 522-523
,474 S.E.2d at 189-190
, and fn. 7. In so doing, that court found it necessary to distinguish the trial court’s decision in this case on the basis that the plaintiffs in Starcher, unlike the plaintiffs in Cope, were not alleging “ ‘oral misrepresentations or any other actionable conduct prior to the time of contracting for life insurance.’ ” (Emphasis sic.)Id.,
196 W.Va. at 523
,474 S.E.2d at 190, fn. 7
. Apparently, the West Virginia court was under the
mistaken impression that appellants in this case had actually based their claims on pre-sales oral
misrepresentations. However, the trial court’s decision in the instant case makes clear that
“[p]laintiffs claim that this case is to be decided strictly on the standard written policy contracts, not
upon any oral misrepresentations of MetLife or its agents.” In any event, and regardless of the
interpretation accorded the trial court’s opinion, it is abundantly clear from the arguments and record
in this case that appellants’ claims are in no way based on oral misrepresentations or other pre-
application conduct, and thus are legally and factually indistinguishable from those in Starcher.
10
January Term, 1998
charges by intentionally omitting the state-mandated written disclosure warnings
when issuing replacement life insurance.
{¶ 24} Former Ohio Adm.Code 3901-1-36(E) (now 3901-6-05[E]) required
each agent to submit a signed statement as to whether replacement is or may be
involved in the transaction. Where replacement is involved, the agent must provide
the applicant a standardized written “Notice Regarding Replacement of Life
Insurance” and obtain a list of all existing life insurance to be replaced. With regard
to each appellant, the record contains a “Sales Representative’s Report,” which
indicates that the transaction is not a replacement and that no replacement forms
were completed. These reports, which are part of each contract and extant in
MetLife’s own records, provide objective written verification that the required
disclosures were not made. These standard documents could be used to establish
MetLife’s failure to distribute the mandated disclosure warnings, thereby obviating
the need for testimony as to what each class member was told or not told by agents
with whom they dealt.
{¶ 25} MetLife argues, however, that “[i]ndividual proof is needed to
determine the threshold question of whether any written replacement notice was
required.” According to MetLife, separate determinations would have to be made
as to whether the insured intended to reduce existing coverage and whether the
agent knew or should have known of the insured’s intent. We disagree.
{¶ 26} Ohio Adm.Code 3901-1-36(E)(1)(a) requires “[a] statement signed
by the applicant as to whether or not such insurance will replace existing life
insurance.” The relevant statutory provisions governing life insurance make clear
that anything pertaining to the issuance or delivery of life insurance in Ohio must
be incorporated into a single instrument, which shall constitute the entire contract
between the parties and serve as objective evidence of negotiations and notice of
all matters by which they are bound. R.C. 3911.04 and 3915.05(C); Pannunzio v.
Monumental Life Ins. Co. (1958), 168 Ohio St. 95
, 101,5 O.O.2d 356
, 359, 151
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N.E.2d 545, 549; Washington Fid. Natl. Ins. Co. v. Burton (1932), 287 U.S. 97
, 99- 100,53 S.Ct. 26, 27
,77 L.Ed. 196, 197-198
; Inter Ins. Exchange of the Chicago Motor Club v. Milwaukee Mut. Ins. Co. (1978),61 Ill.App.3d 928, 930
,18 Ill.Dec. 927, 930
,378 N.E.2d 391, 394
; Tannenbaum v. Provident Mut. Life Ins. Co. of Philadelphia (1976),53 A.D.2d 86, 103-105
,386 N.Y.S.2d 409, 420-422
, affirmed (1977),41 N.Y.2d 1087
,396 N.Y.S.2d 351
,364 N.E.2d 1122
. Accordingly, each
class member’s intent not to replace existing insurance could be established by his
or her Ohio Adm.Code 3901-1-36(E)(1)(a) statement, without any further evidence
of intent.
{¶ 27} The agent’s state of mind can also be established without individual
testimony. Under the Ohio Administrative Code, disclosure is triggered by
replacement. Former Ohio Adm.Code 3901-1-36(D)(1) defined “replacement” by
using a “known or should have known” standard with reference to the proposing
agent. This standard was specifically chosen to eliminate “the problem of proof of
the agent’s state of mind.” Model Regulation Service, Legislative History of NAIC
Proceedings on Replacement of Life Insurance and Annuities Model Regulation
(July 1994) 613-12, Section 2.
{¶ 28} In conducting an examination of MetLife’s replacement activities in
Pennsylvania, that state’s Deputy Insurance Commissioner explained that “[w]hen
an insurer engages in the replacement of its own insurance policies and annuities,
both the agent and the insurer have a clear understanding of replacement activity.”
Commonwealth of Pennsylvania, Insurance Department, Report of Market Conduct
Examination of the Metropolitan Life Ins. Co., New York, N.Y. as of December
27, 1993 (Feb. 11, 1994) 10, Section V. The record in this case includes evidence
of MetLife’s policies and procedures designed to track internal replacement
transactions. If appellants’ legal theory is correct, and if they can establish that
MetLife has or should have the general ability to track its own replacement activity,
it could be determined on a common, class-wide basis that MetLife’s agents knew
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January Term, 1998
or should have known that written disclosure warnings were required. Accordingly,
it cannot be concluded that such an inquiry would necessarily be individual in
nature.
{¶ 29} MetLife argues that “[t]he elements of Appellants’ claims, such as
falsity, reliance and causation, also require individual proof.” In support, MetLife
relies heavily on Simpson v. Prudential Ins. Co. of Am. (Aug. 8, 1994), Butler App.
No. CA93-09-173, unreported, 1994 WL 409656
, as did the court of appeals.
{¶ 30} In Simpson, the court concluded that plaintiffs’ own claims created
individual and disparate issues because they were based on alleged oral rather than
written misrepresentations. Similarly, other courts considering the reliance issue
have decided the certification question based on whether the alleged
misrepresentations were varied or oral as opposed to uniform or written. Compare,
e.g., Elliott v. ITT Corp. (N.D.Ill.1992), 150 F.R.D. 569, 583
, and Murray, supra,156 F.R.D. at 248-249
. Under this view, appellants’ claims present the classic case for treatment as a class action because they are based on written documents that uniformly indicate the omission of standard disclosure warnings. SeeDavis, supra, 158 F.R.D. at 176-178
.
{¶ 31} In Simpson, the court also relied on our decision in Schmidt v. Avco
Corp. (1984), 15 Ohio St.3d 310
, 15 OBR 439,473 N.E.2d 822
, for the proposition
that class certification is properly denied when claims require proof of inducement
and reliance. However, we explained in Hamilton as follows:
“Next, relying in part on our decision in Schmidt, supra,
15 Ohio St.3d 310
, 15 OBR 439,473 N.E.2d 822
, Ohio Savings argues that class certification is
properly denied where elements of inducement and reliance must be proven on an
individual basis. Thus, Ohio Savings concludes, the trial court properly rejected
class action treatment of appellants’ claims for fraud, waiver, estoppel and unjust
enrichment.
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“In Schmidt, plaintiffs claimed in part that they were entitled to
compensation from their former employer pursuant to a written separation pay
policy. In affirming the denial of certification, we agreed with the court of appeals
that ‘[i]f this claim is viewed as raising the doctrine of promissory estoppel, * * *
then the circumstances of each individual employee would need to be analyzed and
the elements of inducement and reliance would have to be proven with respect to
each individual member of the proposed class.’ Id.,
15 Ohio St.3d at 314
, 15 OBR at 443,473 N.E.2d at 825
.
“However, Schmidt did not purport to establish a rule that any claim
containing a necessary element of reliance is ipso facto excluded from class action
treatment. The drafters of Civ.R. 23 could easily have expressed such an exclusion
had that been their intent. Instead, the elements of inducement and reliance
defeated class certification in Schmidt ‘because the claims raised involve[d]
noncommon issues that are either inextricably entangled with common issues or are
too unwieldy to be handled adequately on a class action basis.’ (Emphasis added.)
Id.,
15 Ohio St.3d at 314
, 15 OBR at 442,473 N.E.2d at 825
.
“***
“ * * * [C]lass action treatment is appropriate where claims arise from
standardized forms or routinized procedures, notwithstanding the need to prove
reliance. * * *
“Moreover, the situation here is markedly different from that in Schmidt.
Unlike in Schmidt, proof of reliance will not require separate examination of each
prospective class member. Instead, proof of reliance in this case may be sufficiently
established by inference or presumption. * * * As explained by the Sixth Circuit
in Michaels Bldg. Co. [v. Ameritrust Co., N.A. (C.A.6, 1988)], 848 F.2d [674] 679,
fn. 8, ‘since plaintiffs knew that defendants’ loan statements offered a certain prime
rate (which allegedly misstated the true prime rate), this information, it must be
14
January Term, 1998
inferred, influenced plaintiffs’ decision to borrow money from those defendant
banks.’ ” (Citations omitted.) Id.,
82 Ohio St.3d at 83-84,694 N.E.2d at 456
.
{¶ 32} It is not necessary to establish inducement and reliance upon material
omissions by direct evidence. When there is nondisclosure of a material fact, courts
permit inferences or presumptions of inducement and reliance. Thus, cases
involving common omissions across the entire class are generally certified as class
actions, notwithstanding the need for each class member to prove these elements.
See Davis, supra,
158 F.R.D. at 176-177
;Murray, supra,
156 F.R.D. at 249, fn. 11
;Heastie, supra,
125 F.R.D. at 678
; Adams v. Little Missouri Minerals Assn. (N.D.1966),143 N.W.2d 659, 683
; 37 American Jurisprudence 2d (1968) 305, Fraud and Deceit, Section 228. See, also,Skalbania, supra,
443 N.E.2d at 360
;Vasquez, supra,
4 Cal.3d at 814-815
,94 Cal.Rptr. at 805
,484 P.2d at 972-973
.
{¶ 33} The drafters of the Model Regulation were concerned “over the
harmful and adverse effects upon policyholders and upon the life insurance industry
generally, of the increasing replacement of existing policies of life insurance. * *
* [O]rdinarily [replacement] is not in the interest of the insured.” The goal of the
task force appointed to review the regulation “was to require the disclosure of all
pertinent facts concerning the sale of new life insurance, including the status of the
policy subject to replacement. Timely disclosure was also made a priority.” Model
Regulation Service, Legislative History, supra, at 613-11, Section 1. Former Ohio
Adm.Code 3901-1-36(I)(1) provided:
“Failure to comply with the requirements of this rule shall constitute an
omission or incomplete comparison, which misrepresents the benefits, advantages,
conditions or terms of an insurance policy, for the purpose of inducing or intending
to induce a policyholder in any company to lapse, forfeit, change or surrender life
insurance.”
{¶ 34} Thus, if appellants can establish by common proof and/or form
documents that MetLife, through its agents, was required and failed to give the
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SUPREME COURT OF OHIO
mandated disclosure warnings, then at least an inference of inducement and reliance
would arise as to the entire class, thereby obviating the necessity for individual
proof on these issues.
{¶ 35} MetLife next argues that “[a]ppellants’ claims based on breach of
fiduciary duty cannot be proven without transaction specific proof.” Yet, a
substantial portion of MetLife’s argument is devoted to establishing the proposition
that the sale of life insurance does not create a fiduciary relationship between
insurance companies and policyholders as a matter of law. Of course, the question
whether a replacing insurer owes a fiduciary duty to the applicant to issue the
mandated disclosure warnings is a question going to the merits of the action, which
cannot be determined at the certification stage. Ojalvo v. Bd. of Trustees of Ohio
State Univ. (1984), 12 Ohio St.3d 230, 233
, 12 OBR 313, 316,466 N.E.2d 875, 877
;Skalbania, supra,
443 N.E.2d at 361
. However, the very argument that such
an issue can be determined on a class-wide basis as a matter of law stands
diametrically opposed to MetLife’s assertion that such issue necessarily requires
transaction-specific proof.
{¶ 36} In any event, the alleged circumstances surrounding each transaction
present a common fact situation—MetLife agents targeted existing MetLife
policyholders, sold them replacement insurance as new insurance, and intentionally
omitted the mandated disclosure warnings in violation of statutory and regulatory
provisions and MetLife’s own policies and procedures. If the jury finds that a
reasonable person under these circumstances would repose special confidence and
trust in MetLife to disclose material information, it may infer the existence of a
fiduciary duty across the entire class. See Logsdon v. Natl. City Bank (C.P.1991),
62 Ohio Misc.2d 449
, 461-462,601 N.E.2d 262, 270
;Vasquez, supra,
4 Cal.3d at 814
,94 Cal.Rptr. at 805
,484 P.2d at 973, fn. 9
. It may be that appellants “will not
be able to establish, factually or legally, that a fiduciary relationship exists. The
16
January Term, 1998
predominant common question is still, however, the conduct of the defendants, a
common question of fact.” Skalbania, supra,
443 N.E.2d at 361
.
{¶ 37} MetLife also argues that “[a]ppellants’ deposition testimony further
demonstrates the individual nature of their contract claims.” We disagree. The
testimony to which MetLife refers had nothing to do with appellants’ allegations,
but instead were responses to questions posed by MetLife’s counsel. At best, “the
responses of class members to those questions * * * represented not legal claims,
but unformed and unselfconsciously presented impressions. To determine what
legal claims plaintiffs allege, a judge must look not to defendant’s interrogatories
but to plaintiffs’ complaint.” Cox v. Am. Cast Iron Pipe Co. (C.A.11, 1986), 784 F.2d 1546, 1557
. As one court noted, “it is often the defendant, preferring not to be successfully sued by anyone, who supposedly undertakes to assist the court in determining whether a putative class should be certified. * * * [I]t is a bit like permitting a fox, although with a pious countenance, to take charge of the chicken house.” Eggleston v. Chicago Journeymen Plumbers’ Local Union No. 130, U.A. (C.A.7, 1981),657 F.2d 890, 895
.
{¶ 38} In light of all the foregoing, we conclude that the trial court abused
its discretion in denying class certification. Indeed, we cannot imagine a case more
suited for class action treatment than this one. This case involves the use of form
documents, standardized practices and procedures, common omissions spelled out
in written contracts, and allegations of a widespread scheme to circumvent statutory
and regulatory disclosure requirements, any one of which has been held to warrant
class action treatment. Courts in West Virginia and California have already
certified identical actions against MetLife, and the Insurance Commissioner in
Pennsylvania has found MetLife to have engaged in a pattern and practice of similar
replacement activity there.
{¶ 39} Accordingly, the judgment of the court of appeals is reversed, and
the cause is remanded to the trial court for further proceedings.
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SUPREME COURT OF OHIO
Judgment reversed
and cause remanded.
MOYER, C.J., DOUGLAS, F.E. SWEENEY, PFEIFER, COOK and LUNDBERG
STRATTON, JJ., concur.
__________________
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