Beals v. Commercial Union Insurance

808 N.E.2d 824, 61 Mass. App. Ct. 189, 2004 Mass. App. LEXIS 533
CourtMassachusetts Appeals Court
DecidedMay 19, 2004
DocketNo. 00-P-1840
StatusPublished
Cited by9 cases

This text of 808 N.E.2d 824 (Beals v. Commercial Union Insurance) is published on Counsel Stack Legal Research, covering Massachusetts Appeals Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Beals v. Commercial Union Insurance, 808 N.E.2d 824, 61 Mass. App. Ct. 189, 2004 Mass. App. LEXIS 533 (Mass. Ct. App. 2004).

Opinion

Perretta, J.

This appeal presents the question whether principles of res judicata entitle Commercial Union Insurance Company (Commercial) to summary judgment on Cora Beals’s complaint seeking compensatory damages and counsel fees on the basis of allegations that Commercial had refused to consider [190]*190and to pay her underinsurance claim fairly and promptly and instead forced her to proceed to arbitration. A Superior Court judge allowed Commercial’s summary judgment motion on the ground that because Beals could have and should have amended her complaint for arbitration to include her present allegations of Commercial’s bad faith refusal to settle her underinsurance claim, she was barred from bringing the present action. Because we conclude that Beals was not required to submit her allegations of Commercial’s bad faith to the arbitrator deciding her underinsurance claim, we reverse the judgment.

1. Background. We set out the chronology of events giving rise to the controversy. On May 19, 1988, Beals was hurt in an automobile accident. Both she and the driver of the car in which she was a passenger were insured by Commercial. Three years later, after submitting records of her medical treatment and substantial expenses to Commercial, undergoing a physical examination by Commercial’s doctor, and incurring legal expenses, Beals brought suit against the driver of the vehicle in which she was a passenger. In October, 1992, a “mock” jury trial was held in Superior Court on this action. The jury returned a nonbinding award of $150,000 in favor of Beals. Five months later, in March of 1993, Commercial sent Beals a check in the amount of the limit of the driver’s policy, $100,000. Beals accepted the check in settlement of her claim against the driver. In doing so, she reserved her right to make a claim against Commercial for underinsurance benefits under her own policy.

Thereafter, on April 28, 1993, and April 29, 1994, Beals underwent two surgical procedures and incurred additional medical expenses. Her treating physician was of the opinion that these procedures were related to the 1988 accident. In May, 1994, Beals brought a complaint against Commercial pursuant to G. L. c. 175, § 111D, requesting arbitration on her claim for underinsurance benefits.2

On August 25, 1995, after numerous settlement discussions [191]*191and a physical examination of Beals by Commercial’s physician, who could not “causally relate” her injuries, Commercial offered to settle Beals’s underinsurance claim for $15,000, an amount that would leave her $35,000 short in light of the jury’s 1992 nonbinding verdict that she was entitled to $150,000 in damages as a result of the 1988 accident.

Although Beals rejected this offer of $15,000, she sought to continue negotiations with Commercial. Commercial, however, refused to do so and stated that it would not meet with her unless she agreed to mediate her claim at the equal expense of both. Beals declined to participate in mediation on the stated basis of the cost involved when considered in the light of her current living expenses as well as the expenses that she had incurred in recovering against the driver.

Trial before the arbitrator began on February 6, 1997. Two months later, on April 7, 1997, the arbitrator awarded Beals $204,000 on account of the 1988 accident, to be offset by the amount that she had previously received from Commercial on its policy with the driver. Nine days later, Commercial forwarded a check to Beals in the amount of $100,000, the limit of her underinsurance policy. The check and the letter accompanying it stated that it was a full and final payment of all of Beals’s claims.

On April 24, 1997, Beals wrote to Commercial requesting that she be allowed to cash the check while reserving her rights to seek interest on the award, of about $35,000, and to pursue claims for damages on the basis of Commercial’s alleged refusal to make a prompt and reasonable offer of settlement on her underinsurance claim as required by G. L. c. 93A and G. L. c. 176D. It appears from this letter that these issues had been the topic of numerous telephone conversations between the parties’ attorneys. In this letter, Beals also offered to settle all claims against Commercial for $135,000, that is, the amount awarded by the arbitrator with interest on that award. Beals also advised Commercial in this letter that should Commercial refuse to accept her offer, then she and Commercial should proceed on her motion to confirm the arbitrator’s award. There is nothing in the record before us to indicate Commercial’s response, if any, to the letter. We infer from the fact that the arbitrator’s [192]*192award was confirmed by a Superior Court judge on December 15, 1997, that Commercial refused to respond to the letter or to make an acceptable offer of settlement. In confirming the arbitrator’s award, the judge also ordered that Commercial pay interest in the amount of $35,806, that is, interest on the arbitrator’s award computed from the date Beals filed her complaint for arbitration on May 18, 1994. Commercial appealed the judgment,3 and on June 15, 1999, in an unpublished decision we struck the provision for preaward interest but otherwise affirmed the judge’s confirmation of the arbitrator’s award. See Beals v. Commercial Union Ins. Co., 47 Mass. App. Ct. 1104 (1999).

In the meantime, however, on June 8, 1999, that is, a week prior to our decision on Commercial’s appeal, Beals’s attorney wrote a “formal demand letter” to Commercial pursuant to G. L. c. 93A, § 9(3). In this six-page letter, Beals chronicled the history of her settlement attempts on her underinsurance claim, described those acts by Commercial that she alleged to be in violation of G. L. c. 93A and G. L. c. 176D, § 3(9)(f), (g), and made an offer of settlement in the amount of $90,000, that is, $85,000 in compensatory damages and $5,000 in attorney’s fees. Beals advised Commercial that her claims were based upon the facts that Commercial had failed to make a prompt and fair settlement after its liability had become reasonably clear and, instead, had forced her to litigate her underinsurance claim by offering her $15,000, an amount substantially less than the amount of damages determined first by an advisory jury and then by an arbitrator.

By letter dated July 8, 1999, that is, about three weeks after the date of our decision in Beals v. Commercial Union Ins. Co., supra, and exactly thirty days after Beals’s demand letter, Commercial rejected Beals’s demand for settlement. In this letter, Commercial detailed its reasons for its refusal to settle, including the assertion that Beals’s letter did not sufficiently “comply [193]*193with the requirements” of a demand letter making a claim for relief under G. L. c. 93A, and contended that Commercial’s actions were based upon its right to question its liability and the amount of damages sustained.

Beals then brought the complaint now before us on August 24, 1999, alleging breach of contract (her insurance policy), breach of the implied covenant of good faith and fair dealing, and unfair claim and settlement practices in violation of G. L. c. 93A, § 9, and G. L. c. 176D, § 3(9)(f), (g)4 We refer collectively to her claims as “bad faith claims.” Commercial answered the complaint and, about seven months later, sought summary judgment.

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Bluebook (online)
808 N.E.2d 824, 61 Mass. App. Ct. 189, 2004 Mass. App. LEXIS 533, Counsel Stack Legal Research, https://law.counselstack.com/opinion/beals-v-commercial-union-insurance-massappct-2004.