Eldridge v. Unumprovident Corp.

17 Mass. L. Rptr. 89
CourtMassachusetts Superior Court
DecidedSeptember 16, 2003
DocketNo. 971294
StatusPublished

This text of 17 Mass. L. Rptr. 89 (Eldridge v. Unumprovident Corp.) is published on Counsel Stack Legal Research, covering Massachusetts Superior Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Eldridge v. Unumprovident Corp., 17 Mass. L. Rptr. 89 (Mass. Ct. App. 2003).

Opinion

Sanders, J.

This is a class action brought by two named plaintiffs representing several thousand insurance brokers challenging a decision by the defendants to change the method by which they paid broker commissions on certain disability insurance policies. Although a jury found in favor of the defendants on the plaintiffs’ breach of contract claim, this Court (Toomey, J.) concluded following a bench trial that the defendants had violated G.L.c. 93A. The matter is now before the Court seeking clarification of its Order dated September 6,2002 (15 Mass. L. Rptr. 220), specifically the method by which actual damages should be calculated. For the following reasons, I agree with defendants’ position in substantial part.

BACKGROUND

Plaintiffs represent a class of approximately 18,000 brokers who sold disability insurance products for defendant Paul Revere Life Insurance Company (“Paul Revere”). Paul Revere brokers are compensated on a commission basis. When they sell a new policy, they receive a “first year” commission, which has historically ranged from 50 to 75 percent of the premium received on the policy sold. For every subsequent year that the policy is renewed over the first ten years, the brokers receive a “renewal” commission, which is generally much lower, ranging from 5 to 15 percent of the policy premium.

The dispute in the instant case concerns commissions earned in connection with the exercise of certain options attached to disability insurance policies. These options enable the insured to increase his disability coverage after the initial purchase of a policy. There are three types of options. The principal one is the Automatic Increase Benefits option (“AIB”) which, once exercised, automatically increases both the amount of coverage and the premium at stated intervals, unless the insured declines the increase. The second type is the Future Income Option (“FIO”), which gives policy holders the option to increase coverage at designated intervals provided they give proof of increased earnings and pay an additional premium. The third option is a Guaranteed Coverage Increase option (“GCI”), which is available to companies administering a multi-life insurance plan for their employees. The GCI allows the companies to purchase additional amounts of disability coverage corresponding to increased levels of employee earnings.

Up until Januaiy 1995, Paul Revere paid its brokers a 50 percent “first year” commission upon the exercise of any of these three options. The parties have agreed that the exercise of the option was treated as “new business” even though it was in connection with a policy issued well before the exercise date. The 50 [114]*114percent first year commission was then followed by nine years of a 5 percent “renewal” commission. In its marketing and informational materials, Paul Revere trumpeted the benefits to the broker resulting from this arrangement. As the Court stated in its Findings of Fact on the 93A claim, the company “graphically depicted the sales of disability options as resulting in money literally falling out of trees.”1

In late 1994, Paul Revere, faced with a large financial shortfall, decided to make a change. Effective February 1, 1995, it created a separate category in its commission schedule for disability options. Although the standard first year rate for newly purchased policies remained at 50 percent, the “first year” commission rate on the exercise of disability options was reduced to 10 percent. At the same time, the renewal commissions for these options were increased from five to ten percent. Faced with an 80 percent reduction in their first year commissions for disability options, the brokers instituted this class action, claiming a breach of contract and a violation of G.L.c. 93A.

The breach of contract claim alleged a violation of the Broker Agreement that each plaintiff had with Paul Revere. The Broker Agreement permitted Paul Revere to adopt new schedules of commission rates, but further provided that “rates and conditions for the payment of first year and renewal commissions under any schedule may not be restricted or reduced for in-force policies." The claim, which was tried to a jury in April 2001, centered on the definition of an “in-force” policy. The plaintiffs contended that, because the options were exercised in connection with “in-force” policies, the commissions earned upon the exercise of those options could not be changed. Paul Revere contended that, because the exercise of the option was regarded as new business, it was permitted to change the commission rate for those options even though the option was exercised in connection with a policy purchased several years before. The juiy agreed with the defendants’ position, finding in response to a special question on the verdict slip that the defendants did not “breach the contracts with plaintiffs by paying commissions on the exercise of disability options under the commission schedule in effect when the option was exercised rather than the commission schedule in effect when the policy was issued.”

The 93A claim remained, however. Following a bench trial, this Court (Toomey, J.)2 concluded that the defendants’ conduct was nevertheless unfair and deceptive. Without questioning the jury’s decision, Judge Toomey concluded that “the change, without forewarning . . . constituted a disregard of ‘known contractual arrangements’ ” and was intended to achieve undeserved benefits for the company to the detriment of the brokers. See Ahern v. Scholz, 85 F.3d 799 (1st Cir. 1996), relying on Anthony’s Pier Four Inc. v. HBC, Associates, 411 Mass. 451 (1991). The Court found that the defendants had engaged in deceptive conduct by failing to tell brokers that the company “reserved the right to change the meaning of‘first year’ whenever it suited the company’s financial purposes ...” Finally, Judge Toomey concluded that the conduct of the defendants was a wilful and knowing violation of Chapter 93A, thus entitling plaintiffs to recover, pursuant to G.L.c. 93A §11, double the amount of actual damages. As to the amount of actual damages, the Court ordered the defendants to pay the plaintiffs “the difference between the amounts heretofore paid to plaintiffs by defendants and the amount to which plaintiffs are, in fairness, entitled, as determined by this court in these proceedings, to wit, 50% first year commissions upon the exercise of disability-options on policies issued prior to January 1, 1995.”

The matter is now before the Court for clarification of that Order.

DISCUSSION

One of defendants’ requests for clarification can be easily disposed of. This Court does not read Judge Toomey’s decision to apply only to AIBs and FIOs and not to GCIs. Although he made reference (in connection with his finding of deceptive conduct) to a 1991 memorandum authored by a Paul Revere employee which specifically discussed AIBs and FIOs (see Jury Trial Ex. 29), he did not limit his holding to only those two types of options. Indeed, in setting forth the context for his findings, he specifically referenced the types of options at issue (in footnote 3 of the decision), and expressly included GCIs. Nowhere in the opinion is there an indication that the Court distinguished between the different types of options, or found that defendants had engaged in wrongdoing only as to AIBs and FIOs. Whether the Court’s decision is supported by the evidence is for an appellate court to consider.

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Ahern v. Scholz
85 F.3d 774 (First Circuit, 1996)
Abrams v. Reynolds Metals Co.
166 N.E.2d 204 (Massachusetts Supreme Judicial Court, 1960)
Anthony's Pier Four, Inc. v. HBC ASSOCIATES
583 N.E.2d 806 (Massachusetts Supreme Judicial Court, 1991)
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Kattar v. Demoulas
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Eldridge v. Provident Companies
15 Mass. L. Rptr. 220 (Massachusetts Superior Court, 2002)
Naton v. Bank of California
649 F.2d 691 (Ninth Circuit, 1981)

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Bluebook (online)
17 Mass. L. Rptr. 89, Counsel Stack Legal Research, https://law.counselstack.com/opinion/eldridge-v-unumprovident-corp-masssuperct-2003.