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WEINBERG v. MINNESOTA MUTUAL LIFE INSURANCE COMPANY

August 27, 2003

LEE WEINBERG, PLAINTIFF, VS. MINNESOTA MUTUAL LIFE INSURANCE COMPANY, A PROFESSIONAL CORPORATION, DEFENDANT


The opinion of the court was delivered by: Charles Kocoras, District Judge

MEMORANDUM OPINION

This matter comes before the court on cross-motions for summary judgment. For the reasons set forth below, both motions are denied.

BACKGROUND

This case involves questions of coverage under an occupational disability insurance policy. Plaintiff Lee Weinberg ("Weinberg") began working at the Chicago Board of Trade ("CBOT") shortly after graduating from college. He was initially hired as a runner, and after a time he purchased a seat and began trading on the floor in 1981. During his time at the CBOT, Weinberg traded both as an employee trader, for companies, and as a "local" trader, using his own funds. [ Page 2]

On June 13, 1985, Defendant Minnesota Mutual Life Insurance Company ("Minnesota Life") issued Disability Income Policy No. 1-636-165Hto Weinberg. As used in the policy, "disability" or "disabled" means that "due to sickness or injury, you are unable to perform the substantial and material duties of your regular occupation." The policy defines sickness as a "disease or illness which is treated or diagnosed while [the] policy is in force," and regular occupation as "your occupation or profession, including your professionally recognized specialty." In order to be considered disabled, the insured must be under the care of a licensed physician. The policy has been in force since 1985, and Weinberg has paid all of his premiums.

In 1995, 1996, and 1997, Weinberg's time on the trading floor totaled 134 days, 99 days, and 2 days, respectively. Weinberg last traded on the floor of the CBOT in February 1997. He leased his seat to another trader in that same month. He made no attempt to collect benefits under the policy until July 1997, when he mailed a notice of claim to Minnesota Life. Despite the policy requirement that the insured be under the regular care of a physician for the disabling condition to qualify for benefits, Weinberg did not seek medical attention for his condition until September 1997. Since that time, Weinberg has been examined by several different doctors and managed his symptoms with various medications. In October 1997, he filed a claim for benefits, describing his disability as taking the form of headaches, ulcers, and anxiety. He [ Page 3]

claimed that his condition prevented him from trading on the floor of the CBOT because it compromised his concentration, ability to focus, and ability to make decisions. The claim form also stated that Weinberg was still working by trading at home.

Minnesota Life denied Weinberg's initial claim for benefits. In July 1998, Weinberg filed another claim that initiated a string of correspondence between the parties. Ultimately, in September 1999, Minnesota Life agreed to pay benefits for the year 1998. However, they denied benefits for any portion of 1997 as well as 1999 and years subsequent. In 2001, Weinberg filed suit seeking a declaratory judgment that he is entitled to benefits under the policy and alleging breach of contract by Minnesota Life.

The parties have now filed cross-motions for summary judgment, each contending that they are entitled to judgment as a matter of law on both counts of the complaint.

LEGAL STANDARD

Summary judgment is appropriate only if there is no genuine issue of material fact and the moving party is entitled to judgment as a matter of law. See Fed.R.Civ.P. 56(c); Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 247 (1986). In seeking a grant of summary judgment the moving party must identify "those portions of `the pleadings, [ Page 4]

depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any' which it believes demonstrate the absence of a genuine issue of material fact." Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986) (quoting Fed.R.Civ.P. 56(c)). This initial burden may be satisfied by presenting specific evidence on a particular issue or by pointing out "an absence of evidence to support the non-moving party's case." Celotex, 477 U.S. at 325. Once the movant has met this burden, the non-moving party cannot simply rest on the allegations in the pleadings, but "must set forth specific facts showing that there is a genuine issue for trial." Fed.R.Civ.P. 56(e). A "genuine issue" in the context of a motion for summary judgment is not simply a "metaphysical doubt as to the material facts," Matsushita Elec. Indus. Co., Ltd. v. Zenith Radio Corp., 475 U.S. 574, 586 (1986); rather, "[a] genuine issue exists when the evidence is such that a reasonable jury could find for the non-movant," Buscaglia v. United States, 25 F.3d 530, 534 (7th Cir. 1994). When reviewing the record we must draw all reasonable inferences in favor of the non-movant; however, "we are not required to draw every conceivable inference from the record-only those inferences that are reasonable." Bank Leumi Le-Israel, B.M. v. Lee, 928 F.2d 232, 236 (7th Cir. 1991).

When parties file cross motions for summary judgment, each motion must be assessed independently, and denial of one does not necessitate the grant of the other. [ Page 5]

M. Snower & Co. v. United States, 140 F.2d 367, 369 (7th Cir. 1944), Rather, each motion evidences only that the movant believes it is entitled to judgment as a matter of law on the issues within its motion and that trial is the appropriate course of action if the court disagrees with that assessment. Miller v. LeSea Broadcasting, Inc., 87 F.3d ...


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