Day v. Kerkorian

814 N.E.2d 745, 61 Mass. App. Ct. 804, 2004 Mass. App. LEXIS 999
CourtMassachusetts Appeals Court
DecidedSeptember 10, 2004
DocketNo. 01-P-1450
StatusPublished
Cited by27 cases

This text of 814 N.E.2d 745 (Day v. Kerkorian) 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
Day v. Kerkorian, 814 N.E.2d 745, 61 Mass. App. Ct. 804, 2004 Mass. App. LEXIS 999 (Mass. Ct. App. 2004).

Opinion

Cowin, J.

The plaintiff, the beneficiary of a disability insurance policy issued by a predecessor of Massachusetts Mutual Life Insurance Company (insurer), prevailed in a prior proceeding (Day I) in the Superior Court on the insurer’s prayer for a declaratory judgment as to whether benefits were due under the policy. The plaintiff failed to recover in that case both on his counterclaim for breach of contract against the insurer and on his counterclaim that the insurer had committed unfair acts or practices in violation of G. L. c. 93A. Subsequently, the plaintiff commenced the present action (Day II) in the Superior Court [805]*805wherein he asserts claims against the defendant Gregory Kerkorian, the agent who had sold him the policy in question, for tortious interference with contractual relations and violation of G. L. c. 93A.1 A judge dismissed the claims against Kerkorian on the ground of issue preclusion, and the plaintiff appealed. Because we conclude that the issues underlying the plaintiff’s present tortious interference and G. L. c. 93A claims against Kerkorian were not adjudicated in Day I, see Alba v. Raytheon Co., 441 Mass. 836, 841-842 (2004), we reverse.

1. Background. We inquire into the underlying events, as well as the proceedings in Day I, to determine whether, under prevailing principles, the judge was justified in declining to permit the plaintiff to press his claims in the present case. It is agreed that the plaintiff, a chiropractor, first acquired disability coverage through Kerkorian, then an agent of Connecticut Mutual Life Insurance Company (Connecticut Mutual), in 1987.2 In 1992, the plaintiff, using a different agent, purchased another disability policy from New York Life Insurance Company (New York Life). In 1995, the plaintiff wanted to replace the 1992 New York Life policy, and sought out Kerkorian to acquire new coverage for him. Kerkorian obtained a new disability policy from Connecticut Mutual, and assisted the plaintiff with the process of completing the required application. It was a requirement of Connecticut Mutual at the time that the 1995 policy would be effective only on the condition that the 1992 New York Life policy be canceled within a specified period. The parties dispute whether Kerkorian made this known to the plaintiff at the time that the plaintiff signed the application (Kerkorian’s position), or whether Kerkorian added a reference to the requirement to the application after its execution by the plaintiff and without the plaintiff’s knowledge (the plaintiff’s position).

The 1995 policy was issued on December 15, 1995. The parties dispute whether Kerkorian delivered the policy to the plaintiff or retained it in his own files. In either event, an unsigned “amendment to pending application” attached to the [806]*806policy stated: “Coverage with New York Life will be permanently discontinued effective within 60 days from the issue date of this policy.” Subsequently, well after a period of sixty days from the policy’s issuance had expired, Connecticut Mutual brought to Kerkorian’s attention the fact that the amendment had not been signed by the insured; Kerkorian forwarded a copy to the plaintiff, and the plaintiff signed the copy without reading it.

While the parties dispute who was responsible for canceling the New York Life policy, they agree that the policy was in fact never canceled. Premiums thereon continued to be paid by means of automatic withdrawals from the plaintiff’s office checking account. The plaintiff also continued to pay, and the insurer accepted, premiums on the 1995 policy. Those premiums were also paid by means of automatic withdrawals from the plaintiffs business account. On or about December 14, 1996, the plaintiff suffered a series of strokes that rendered him totally and permanently disabled. Asserting that cancellation of the New York Life policy was a condition precedent to recovery under the 1995 policy, the insurer refused to make any payment on the plaintiff’s disability claim,3 instead commencing Day I by means of a complaint for declaratory judgment.4

As indicated, in Day I, the plaintiff counterclaimed against the insurer, seeking a declaration that he was entitled to benefits under the 1995 policy, as well as damages for breach of contract and violation of G. L. c. 93A. He did not attempt to join Kerkorian (the defendant in the present proceeding) as a party. With respect to the c. 93A allegations set forth in his first amended answer and counterclaim, the plaintiff asserted that “MassMutual’s acts and conduct as described above constitute violations of G. L. c. 176D, §§ (9)(a), (9)(b), (9)(c) and (9)(f),[5] and constitute unfair or deceptive acts or practices under G. L. [807]*807c. 93A.” The counterclaim stated further: “More specifically, MassMutual violated G. L. c. 176D, §§ (9)(a) and (9)(f) when it (i) falsely alleged that Kerkorian did not take responsibility for cancelling the New York Life policy and that it did not know that the New York Life policy remained in effect during the year that it accepted Day’s premiums without objection, and (ii) used those false allegations to deny its obligation to pay Day the benefits due him under policy number 6013853 .... MassMutual violated G. L. c. 176D, §§ (9)(b) and (9)(c) when it knowingly converted money from Day’s business checking account.”

Following a nonjury trial, a Superior Court judge found in part that the provision requiring cancellation of the New York Life policy was not a part of the original application signed by the plaintiff, and had not been brought to the plaintiff’s attention at that time. Rather, the provision in question was added thereafter. In addition, the judge found that Kerkorian did not deliver the policy to the plaintiff, but instead retained it in his own files. The judge refused to credit Kerkorian’s testimony that he had instructed the plaintiff to cancel the earlier policy either by calling New York Life himself, or by discontinuing premium payments, and found instead that the plaintiff assumed that that policy would be canceled by Kerkorian (given that the plaintiff had contacted Kerkorian for the specific purpose of replacing the New York Life coverage). The judge found further that, following his receipt of a letter from New York Life in January, 1996, regarding that policy, the plaintiff inquired of Kerkorian’s office whether the policy had in fact been canceled and was told that “he was all set.” Accordingly, the plaintiff assumed that subsequent correspondence from New York Life was “junk mail,” and discarded it without looking at the contents.

On the basis of those findings, the judge in Day I concluded that the failure to cancel the New York Life policy did not reheve the insurer of its obligations under the 1995 policy. He ruled further that because the insured would recover under the 1995 policy, he had incurred no contract damages, and consequently could not prevail on his breach of contract claim. With respect to the allegations of the counterclaim under G. L. [808]*808c. 93A, the judge addressed only the provisions of G. L. c. 175, § 181; G. L. c. 176D, § 3(1)(f); and 211 Code Mass. Regs. § 42.23 (1986). Those provisions relate essentially to misrepresentations “for the purpose of inducing or tending to induce the lapse, forfeiture, exchange, conversion, or surrender of any insurance policy.” G. L. c. 176D, § 3(1)(f).

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Bluebook (online)
814 N.E.2d 745, 61 Mass. App. Ct. 804, 2004 Mass. App. LEXIS 999, Counsel Stack Legal Research, https://law.counselstack.com/opinion/day-v-kerkorian-massappct-2004.