Caira v. Zurich American Insurance Co.

CourtMassachusetts Appeals Court
DecidedApril 21, 2017
DocketAC 16-P-927
StatusPublished

This text of Caira v. Zurich American Insurance Co. (Caira v. Zurich American Insurance Co.) 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
Caira v. Zurich American Insurance Co., (Mass. Ct. App. 2017).

Opinion

NOTICE: All slip opinions and orders are subject to formal revision and are superseded by the advance sheets and bound volumes of the Official Reports. If you find a typographical error or other formal error, please notify the Reporter of Decisions, Supreme Judicial Court, John Adams Courthouse, 1 Pemberton Square, Suite 2500, Boston, MA, 02108-1750; (617) 557- 1030; SJCReporter@sjc.state.ma.us

16-P-927 Appeals Court

MICHAEL CAIRA vs. ZURICH AMERICAN INSURANCE CO.

No. 16-P-927.

Essex. February 2, 2017. - April 21, 2017.

Present: Grainger, Sullivan, & Lemire, JJ.

Motor Vehicle, Insurance. Insurance, Unfair act or practice, Settlement of claim. Consumer Protection Act, Unfair act or practice, Insurance. Practice, Civil, Consumer protection case, Summary judgment, Continuance, Discovery.

Civil action commenced in the Superior Court Department on April 9, 2015.

A motion for a continuance was heard by Timothy Q. Feeley, J., and the case was heard by him on a motion for summary judgment.

Mark T. Rumson (Paul F.X. Yasi also present) for the plaintiff. Jane A. Horne (Allen N. David also present) for the defendant.

LEMIRE, J. In this case, we consider whether a judge in

the Superior Court erred in granting summary judgment to Zurich

American Insurance Co. (Zurich) on a complaint alleging that 2

Zurich committed unfair claim settlement practices in violation

of G. L. c. 176D, § 3(9)(f), and G. L. c. 93A, § 2. We conclude

that Zurich did not violate these statutory provisions when it

conditioned the payment of its primary insurance policy limit on

a release of all claims against its insureds, notwithstanding

the availability of excess insurance. Accordingly, we affirm.

Background. Shortly after midnight on September 14, 2013,

Daniel Madigan-Fried was driving a rental car in Swampscott when

he was involved in a one-vehicle accident. The plaintiff,

Michael Caira, who was a passenger in the front seat, suffered

life-threatening injuries, and the two passengers in the back

seat sustained serious injuries. A few weeks before the

accident, Madigan-Fried had rented the vehicle in his capacity

as an employee of Groom Construction Co., Inc. (Groom). Zurich

had issued to Groom the primary commercial automobile insurance

policy that was in place at the time of the accident. The

bodily injury coverage under the policy was $1 million. In

addition, Groom had two excess insurance policies issued by

Starr Indemnity & Liability Company (Starr Indemnity) and

Navigators Insurance Company (collectively, excess insurers)

that provided coverage of $5 million each.1

1 "An insurance program involving a primary policy and one or more excess policies divides risk into distinct units and insures each unit individually. The individual insurers do not (absent a specific provision) act as coinsurers of the entirety 3

On October 29, 2013, Caira filed a complaint in the

Superior Court against Madigan-Fried and Groom, alleging

negligence.2 Caira claimed that excessive speed caused Madigan-

Fried to lose control of the vehicle and to crash into a granite

wall. Zurich undertook the defense of Madigan-Fried and Groom.

Between December 23, 2014, and July 15, 2015, thirteen

letters were exchanged between Caira and Zurich regarding the

settlement of Caira's negligence claims against Madigan-Fried

and Groom. In his initial demand letter dated December 23,

2014, written pursuant to G. L. c. 176D, § 3(9)(f) and (n),

Caira asserted that it was reasonably clear that Madigan-Fried

was liable for both the accident and the resulting damages

(which purportedly exceeded $1 million),3 and that Zurich had an

of the risk. Rather, each insurer contracts with the insured individually to cover a particular portion of the risk. . . . The layer of risk each insurer covers is defined and distinct." Allmerica Financial Corp. v. Certain Underwriters at Lloyd's, London, 449 Mass. 621, 629-630 (2007). 2 Caira's complaint was later consolidated with a complaint that had been filed by the two back seat passengers against Madigan-Fried and Groom. In May, 2015, Zurich settled the claims of the back seat passengers for a total of $230,000, thereby reducing Zurich's $1 million policy limit to $770,000. The back seat passengers executed general releases of Madigan- Fried and Groom. 3 On September 26, 2014, Madigan-Fried had pleaded guilty to one count of negligent operation of a motor vehicle in a related criminal proceeding. 4

obligation to tender a settlement to Caira.4 The letter stated

that in exchange for the $1 million insurance policy limit,

Caira would release Zurich from further claims of any kind.

This proposed settlement, however, did not include an offer to

release either Madigan-Fried or Groom because Caira intended to

continue litigating his claims for additional damages. Caira

stated, however, that if Zurich met his demand for the $1

million policy limit, he would enter into an agreement with

Madigan-Fried and Groom to seek recovery of any future judgments

only from one or both of the excess insurers. Caira demanded a

response within sixty days.

Zurich responded by electronic mail message (e-mail) dated

February 4, 2015, declining Caira's offer to release Zurich, but

not Madigan-Fried and Groom, from any additional claims in

exchange for the $1 million policy limit. Zurich stated that,

because discovery had just begun and because there had not yet

been any independent medical examinations, the matters of

liability and damages remained substantially unresolved. In

addition, Zurich stated that paying the policy limit without

receiving a release could expose Zurich to a claim of bad faith

by its insureds (Madigan-Fried and Groom), and could jeopardize

4 In his letter, Caira stated that the demands made pursuant to G. L. c. 176D, § 3(9)(f) and (n), were in no way intended to suggest that Zurich had already violated either of these statutory provisions. 5

any excess insurance coverage to which Madigan-Fried and Groom

might be entitled in the event that Zurich's policy was

exhausted.

In a subsequent demand letter dated February 10, 2015,

written pursuant to G. L. c. 93A, § 9(3), Caira asserted that

Zurich's failure to conduct a reasonable investigation and to

make an equitable offer of settlement constituted wilful and

knowing violations of G. L. c. 176D, § 3(9)(c), (d), and (f),

and per se violations of G. L. c. 93A, § 2. The letter

reiterated Caira's demand for Zurich's $1 million policy limit

in exchange for the partial resolution of Caira's claims against

Madigan-Fried and Groom. Caira stated that an untimely response

or an unreasonable offer of settlement would result in the

amendment of his complaint to include a claim for unfair claim

settlement practices against Zurich.

By letter dated February 13, 2015, Zurich responded that,

in reliance on Lazaris v. Metropolitan Property & Cas. Ins. Co.,

428 Mass. 502 (1998), it properly could condition the payment of

its policy limit on the receipt of a release of its insureds.

In Zurich's view, nothing in Lazaris or its progeny turned on

the existence or nonexistence of excess insurance. Assuming for

purposes of its response that liability was reasonably clear and

that Caira's damages exceeded the $1 million policy limit, 6

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