Gillis v. Benefit Trust Life Ins. Co.

• Decision Date: 17 July 1992
• Citation: 601 So.2d 951
• Parties: William C. GILLIS v. BENEFIT TRUST LIFE INSURANCE COMPANY. 1910382.
• Court: Alabama Supreme Court

Page 951

601 So.2d 951

William C. GILLIS v. BENEFIT TRUST LIFE INSURANCE COMPANY.

1910382.

Supreme Court of Alabama.

July 17, 1992.

James P. Rea of Hogan, Smith, Alspaugh, Samples & Pratt, P.C., Birmingham, for appellant.

Frank C. Wilson III and Harry W. Gamble, Jr. of Gamble, Gamble, Calame & Wilson, Selma, for appellee.

KENNEDY, Justice.

The plaintiff, William C. Gillis, appeals from a summary judgment in favor of the defendant, Benefit Trust Life Insurance Company.

On March 16, 1987, Gillis and his wife, Nellie Gillis, applied for health insurance with the defendant. As part of the application process, Gillis requested the "Check-o-matic" payment plan. The Check-o-matic plan allowed Benefit Trust to withdraw preauthorized checks from Gillis's checking account to cover the insurance premiums on the policy for him and his wife. ¹ The monthly premium for the policy was $239.85.

On July 31, 1988, Mrs. Gillis died. Before her death, Gillis had made several health insurance claims for Mrs. Gillis. On August 24, 1988, Benefit Trust acknowledged the death of Mrs. Gillis and denied coverage for any claims made on her behalf under the policy. In a letter to Gillis, Benefit Trust stated that it would:

"Amend the policy by the deletion of [Mrs. Gillis] as a covered member and refund all premium paid on behalf of the deleted person less any past claim payments that may have been made, if any. The policy will be continued for all other listed family members and the premium rate on the policy will be changed to that shown on the enclosed amendment."

Or in the alternative, Benefit Trust would:

"Rescind the entire policy with a refund of all premium paid for all listed family members."

Benefit Trust stated that Gillis must choose between the amendment or the rescission within 20 days of August 24, 1988, or else Benefit Trust would rescind the entire policy. It is undisputed that Benefit Trust continued to draw checks on Gillis's checking account until December 1988.

On August 30, 1988, Gillis sued Benefit Trust, alleging breach of contract, fraud, misrepresentation, bad faith, breach of duty to pay, outrage, and failure to pay insurance claims. All of these claims were related to Benefit Trust's alleged failure to pay health insurance claims for Mrs. Gillis. The trial court entered a summary judgment in favor of Benefit Trust on all the claims. Gillis then moved to amend his complaint to include a claim of conversion; the trial court granted that motion, but then entered a summary judgment for the defendant on that claim. Gillis appeals from the summary judgment on the conversion claim.

A summary judgment is appropriate only when the moving party shows "that there is no genuine issue of material fact and that the moving party is entitled to a judgment as a matter of law." Rule 56(c), A.R.Civ.P. Once the moving party has made a prima facie showing that there is no genuine issue of material fact, the nonmoving party must rebut that showing by presenting substantial...