Bohn v. Vermont Mutual Insurance

922 F. Supp. 2d 138, 2013 WL 275576, 2013 U.S. Dist. LEXIS 8961
CourtDistrict Court, D. Massachusetts
DecidedJanuary 22, 2013
DocketCivil Case No. 10-30078-NMG
StatusPublished
Cited by3 cases

This text of 922 F. Supp. 2d 138 (Bohn v. Vermont Mutual Insurance) is published on Counsel Stack Legal Research, covering District Court, D. Massachusetts primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bohn v. Vermont Mutual Insurance, 922 F. Supp. 2d 138, 2013 WL 275576, 2013 U.S. Dist. LEXIS 8961 (D. Mass. 2013).

Opinion

MEMORANDUM OF DECISION

GORTON, District Judge.

This action involves claims under M.G.L.c. 93A and 176D. Plaintiff Donald Bohn (“Bohn”) alleges that defendant Vermont Mutual Insurance Company (“Ver[141]*141mont Mutual”) violated M.G.L.C. 176D when it failed to settle plaintiffs claim after liability became reasonably clear.

The Court presided over a three-day bench trial in early January, 2013. The Court now publishes its findings of fact and conclusions of law pursuant to Fed. R.Civ.P. 52(a).

I.Findings of Fact

A.Parties and their Employees

1. Plaintiff is a resident of the State of Connecticut.

2. Defendant Vermont Mutual is a corporation duly organized under the laws of the State of Vermont and has a principal place of business in Montpelier, Vermont.

3. At all relevant times, Drueilla Gillespie (“Gillespie”) was a Claims Specialist for Vermont Mutual. Gillespie worked out of her home located in Haverhill, Massachusetts, where she has a computer and telephone line provided to her by Vermont Mutual for her business use.

4. At all relevant times, Bruce Kelly (“Kelly”) was the Casualty Program Manager for Vermont Mutual and served as Gillespie’s supervisor. He also has a law degree and is admitted to practice law in Vermont and New York.

5. At all relevant times, John and Donna Giardina were married, resided in Pitts-field, Massachusetts and owned a building which they rented to residential and commercial tenants on Railroad Street in Great Barrington, Massachusetts (“the Railroad Street Property”).

6. At all relevant times, Vermont Mutual insured Mr. and Mrs. Giardina through a policy on the Railroad Street Property that afforded coverage for claims of bodily injury in the amount of $500,000 and for medical payments in the amount of $5,000.

B. Plaintiffs Injury on January 11, 2006

7. On January 11, 2006, Bohn and his friend, Ausra Ragauskaite (“Ragauskaite”), traveled from Lakefield, Connecticut to Great Barrington, Massachusetts to watch a movie. At approximately 7:00 P.M., Ragauskaite’s car became stuck due to icy conditions while attempting to park in a lot next to the Railroad Street Property that was also owned by the Giardinas.

8. Bohn suffered a tri-malleolar fracture to his left ankle after he got out of the vehicle to see if he could help push it free and fell on the snow and ice.

C. Defendant’s Investigation of Plaintiffs Claim

9. Defendant first learned of plaintiffs injury by letter dated February 14, 2006 from plaintiffs counsel, Attorney John Weingold.

10. On that same day, Gillespie retained the services of Paul Rench, an independent claims adjuster based in Dalton, Massachusetts, and instructed him to conduct a “full investigation” of the accident. At that time, Rench had investigated personal injury and property damage claims for 38 years and had investigated claims on behalf of Vermont Mutual in Berkshire County, Massachusetts since 1985.

11. Rench first spoke with Attorney Weingold on February 16, 2006. At that time, Attorney Weingold had not yet met with Bohn.

12. Although he did not know the exact location where Bohn suffered his injury, Attorney Weingold told Rench that: a) Bohn had slipped and fallen in a “parking lot” next to the Railroad Street Property, b) the ice was thick and had ruts left by tire tracks, and c) photographs of the scene were taken the following day.

[142]*14213. Regarding Bohn’s injury, Weingold stated that: a) Bohn sustained a lower leg fracture as a result of the fall, b) he had been treated at the Sharon Hospital in Sharon, Connecticut before being transferred to Westchester Hospital in Westchester, New York for his first surgery, and c) he would need a second surgery.

14. At that time, Attorney Weingold incorrectly identified the date of the injury as January 12, 2006 and incorrectly identified Bohn’s friend as “Ursula,” rather than “Ausra,” and did not provide her last name.

15. Rench requested that Weingold provide him with copies of the photographs, medical records and permission to interview Bohn.

16. Also on February 16, 2006, Rench learned from Mr. Giardina that the Town owned the adjacent parking lot.

17. By letter dated March 24, 2006, Rench notified Vermont Mutual that: a) plaintiff had suffered a tri-malleolar fracture, b) plaintiff was 61 years old at the time of the fall and retired, c) despite making a second request for them, Rench had not yet received photographs of the accident scene, but d) he had obtained a drawing of the parking lots from the Town of Great Barrington and weather records for the area and had requested reports from the police and fire departments for January 11, 2006.

18. On April 11, 2006 Rench met with Mr. Giardina and took photographs of the Giardinas’ lot. Rench learned that: a) the Giardinas only owned part of the lot next to the Railroad Street Property, b) the Giardinas’ tenants and the public were not prohibited from parking there, c) there were no signs prohibiting parking, and d) the lot was not plowed or sanded during winter months. Rench provided a summary of this information to Gillespie by letter dated April 26, 2006.

19. By letter dated May 2, 2006 Attorney Weingold sent Rench copies of photographs that he “believe[dj” Ragauskaite took the day after the accident, including one that supposedly showed the location where Bohn fell but that he would “confirm that fact.” He claimed that the lot looked “more like a skating rink.”

20. Also by that letter, Attorney Weingold first inquired about the policy limits on the Giardina’s insurance policy. Shortly thereafter, Rench informed him that those limits were $500,000 for liability and $5,000 for medical payments.

21. Attorney Weingold also stated that “Ms. Rataufaaite” [sic] lived in Lakeville, Connecticut and could identify the location of the accident but he did not provide her address or telephone number.

22. Rench forwarded all of the reported information to Gillespie by letter dated May 4, 2006. He also noted that: a) Attorney Weingold did not typically permit insurers to take statements from his clients, although he would “consider” that request, and b) after failing to obtain her phone number, Rench attempted to contact an “Ausra Rataufaaite” by sending a letter addressed to her in Lakeville, Connecticut on May 4, 2006.

23. Ragauskaite received Rench’s letter and contacted him. Rench took her statement on June 6, 2006, in which Ragauskaite said that: a) the lot was extremely icy and untreated, b) her vehicle became stuck while she attempted to drive out of the lot, c) Bohn attempted to push the car from the rear, then walked around to the driver’s side of the car to make a second attempt, d) she did not see him fall but discovered him on the ground after opening her door, and e) she returned to photograph the accident scene on the fol[143]*143lowing day, noting that the area was “bumpy and uneven.”

24. On June 30, 2006, Kelly, who had been monitoring the progress of the claim since sometime in March, 2006, noted in the company’s “claim log” that he was “not liking the way this one is shaping up”.

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Bluebook (online)
922 F. Supp. 2d 138, 2013 WL 275576, 2013 U.S. Dist. LEXIS 8961, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bohn-v-vermont-mutual-insurance-mad-2013.