Gaines v. Sargent Fletcher, Inc. Group Life Insurance Plan

How courts have described this case

Verbatim parenthetical descriptions written by other courts when citing this decision. Ranked by citation-network relevance.

• holding that an insurer waived its right to rely on evidence of insurability requirement as grounds for denial of benefits by receiving payments without “giving any indication” that the insured had failed to submit evidence of insurability
• holding that an insurer waived its right to rely on evidence of insurability requirement as grounds 12 for denial of benefits by receiving payments without “giving any indication” that 13 the insured had failed to submit evidence of insurability
• holding waiver did not expand the scope of the coverage it merely provided plaintiff with an available benefit for which he paid
• “under basic principles of contract law, impossibility generally excuses breach and renders the impossible contract term unenforceable”
• “Without any Plan language lending guidance to the contrary, . . . deductions and acceptances of premium payments certainly qualify as representations upon which Plaintiff could rely.”
• employer and insurer who “knew Plaintiff (and indeed many others

Source: CourtListener parenthetical corpus (CC0).