Utah Court of Appeals

Can insurance companies avoid liability through contractual prohibitions on agent conduct? Drew v. Pacific Life Insurance Company Explained

2019 UT App 125
No. 20160314-CA
July 18, 2019
Reversed

Summary

LaMar and LaRene Drew, elderly retirees, purchased $1.5 million life insurance policies based on misrepresentations by Pacific Life’s appointed producer that they could resell the policies on the secondary market for profit. When the secondary market sales failed, the Drews lost their premiums and home equity. The district court granted summary judgment to Pacific, finding no vicarious liability for the producer’s tortious conduct.

Analysis

The Utah Court of Appeals addressed a critical question about vicarious liability in the insurance context: whether an insurance company can avoid responsibility for an agent’s tortious conduct by including contractual prohibitions in the agency agreement.

Background and Facts

Pacific Life Insurance Company appointed R. Scott National, Inc. (RSN) as its producer, authorizing RSN to solicit and procure applications for Pacific’s insurance products. The agreement prohibited RSN from soliciting products that did not meet customers’ insurance needs. RSN employees convinced elderly retirees LaMar and LaRene Drew to purchase $1.5 million life insurance policies, falsely representing they could resell them on the secondary market for profit. When the secondary market sales failed, the Drews lost over $300,000 in premiums and much of their home equity through a reverse mortgage used to fund the premiums.

Key Legal Issues

The case presented two main issues: (1) whether an agency relationship existed between Pacific and RSN, and (2) whether RSN’s employees acted within the scope of their authority when making misrepresentations to the Drews. The district court assumed an agency relationship existed but granted summary judgment to Pacific, finding the employees acted outside their scope of authority.

Court’s Analysis and Holding

The Court of Appeals reversed, applying Utah’s Insurance Code and established agency principles. Under Utah Code § 31A-1-301(88), RSN’s employees were Pacific’s agents because they were compensated directly by Pacific. More significantly, the court held that making representations about policies, even prohibited ones, falls within the ordinary scope of solicitation activities. The court rejected Pacific’s argument that contractual prohibitions eliminated the scope of authority, noting that such a rule would allow principals to “eliminate vicarious liability through adroitly crafted contractual provisions.”

Practice Implications

This decision clarifies that insurance companies cannot escape vicarious liability merely by including contractual prohibitions in producer agreements. When agents engage in conduct that serves the principal’s interests—here, generating policy sales—even prohibited misrepresentations may fall within the scope of authority. The ruling reinforces that the scope of authority analysis focuses on whether the conduct is incidental to or necessary for accomplishing the agent’s authorized duties, not whether it violates specific contractual terms.

Original Opinion

Link to Original Case

Case Details

Case Name

Drew v. Pacific Life Insurance Company

Citation

2019 UT App 125

Court

Utah Court of Appeals

Case Number

No. 20160314-CA

Date Decided

July 18, 2019

Outcome

Reversed

Holding

Insurance companies are vicariously liable for the tortious misrepresentations of their appointed producers acting within the scope of their authority to solicit and procure insurance applications.

Standard of Review

Correctness for summary judgment

Practice Tip

When challenging vicarious liability in insurance cases, focus on whether the agent’s actions were truly outside the scope of authorized activities rather than merely prohibited by contract, as contractual prohibitions alone do not eliminate scope of authority.

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