Estrada v. Progressive Direct Insurance

53 F. Supp. 3d 484, 2014 U.S. Dist. LEXIS 149019, 2014 WL 5323422
CourtDistrict Court, D. Massachusetts
DecidedOctober 20, 2014
DocketCivil No. 12-30020-FDS
StatusPublished
Cited by9 cases

This text of 53 F. Supp. 3d 484 (Estrada v. Progressive Direct 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
Estrada v. Progressive Direct Insurance, 53 F. Supp. 3d 484, 2014 U.S. Dist. LEXIS 149019, 2014 WL 5323422 (D. Mass. 2014).

Opinion

MEMORANDUM AND ORDER ON DEFENDANT’S MOTIONS FOR SUMMARY JUDGMENT

SAYLOR, District Judge.

This is a putative class action alleging unfair and deceptive practices in the online sale of automobile-insurance policies. [486]*486Plaintiffs Wanda Estrada, Walter Estrada, J.E., Natalie Estrada, Carmen Badillo, and Jose Burgos purchased automobile insurance from defendant Progressive Direct Insurance Company.1 Plaintiffs were all denied personal-injury-protection (“PIP”) benefits by defendant after they were involved in automobile accidents because they purchased insurance policies with an $8,000 PIP deductible. Plaintiffs have brought suit against Progressive, contending that they only purchased policies with a deductible because of defendant’s unfair and deceptive practices. The complaint alleges violations of Mass. Gen. Laws chapters 98A, 176D, and 175. Jurisdiction is based on diversity of citizenship.

Defendant has filed two motions for summary judgment: one against plaintiffs who purchased their insurance by telephone and one against plaintiffs who purchased their insurance through defendant’s website.2

For the following reasons, the motion for summary judgment against the telephone plaintiffs will be granted, and the motion for summary judgment against the website plaintiffs will be granted in part and denied in part.

I. Background

A. Factual Background

1. Personal-Injury-Protection Insurance

In 1971, Massachusetts instituted no-fault automobile insurance. The purpose of the new scheme was “to reduce the number of small motor vehicle tort cases being entered in the courts of the Commonwealth, to provide a prompt, inexpensive means of reimbursing claimants for out-of-pocket expenses, and to address the high cost of motor vehicle insurance in the Commonwealth.” Flanagan v. Liberty Mut. Ins. Co., 383 Mass. 195, 198, 417 N.E.2d 1216 (1981).

As a part of the statutory scheme, every automobile insurance policy in Massachusetts must provide PIP coverage. Mass. Gen. Laws ch. 90, § 34M.

Under [Mass. Gen. Laws ch.] 90, § 34A, three types of PIP benefits are available: (1) medical-related expenses, (2) seventy-five per cent of actual lost wages, and (3) replacement, services, that is, payments to someone outside of the household who has been hired to perform ordinary and necessary services that “the injured person would have performed not for income but for the benefit of his ... household.”

Creswell v. Medical West Comm. Health Plan, Inc., 419 Mass. 327, 328-29, 644 N.E.2d 970 (1995) (alterations in original) (quoting Mass. Gen. Laws ch. 90, § 34A). The statute requires insurers to offer at least $8,000 in PIP benefits. Mass. Gen. Laws ch. 90, § 34A.3

If an insured party has health insurance, “the automobile insurer [is] ... responsible for the first $2,000 of medical-related expenses, after which the injured party’s health insurer, if any, would cover the expenses. Additional medical-related ex[487]*487penses not covered by the health insurer [are] paid by the PIP carrier up to $8,000.” Creswell, 419 Mass. at 330, 644 N.E.2d 970. Other PIP benefits, such as benefits for lost wages and replacement services, are payable by the PIP insurer up to $8,000 whether or not the insured has health insurance. See Mass. Gen. Laws ch. 90, § 34A.

Under the statute, “[e]very owner, registrant, operator, or occupant of a motor vehicle to which [PIP] benefits apply,” is

made exempt from tort liability for damages because of bodily injury, sickness, disease or death arising out of the ownership, maintenance or use of such motor vehicle to the extent that the injured party is, or would be had he or someone for him not purchased a deductible authorized by this section, entitled to recover under those provisions of a motor vehicle liability policy or bond that provide [PIP] benefits or from the insurer assigned.

Id. Put differently, “the accident victim loses his right to recover in tort to the extent he is eligible for [PIP] benefits.” Pinnick v. Cleary, 360 Mass. 1, 8, 271 N.E.2d 592 (1971).

The statute allows the insured to select a PIP “deductible” of $100, $250, $500, $1,000, $2,000, $4,000, or $8,000. Mass. Gen. Laws ch. 90, § 34M. That deductible reduces the amount of PIP coverage a person receives. Id. For example, a person, who selects a deductible of $8,000 receives no PIP coverage at all. See Commerce Ins. Co. v. Scarcella, 8 Mass.L.Rptr. 465, 1998 WL 296891 at *1 (Mass.Super.Ct. Jun. 3,1998) (“At the time Scarcella purchased the policy from Commerce, he chose a deductible of $8,000, thereby waiving the entirety of his PIP coverage. ...”); Mallegol v. Divino, 2007 Mass.App.Div. 62, 2007 WL 1412822 at *1 (Mass.Dist.Ct.2007) (“[B]y virtue of the plaintiffs election of a deductible of $4,000.00 only $4,000.00 of the medical bills were paid by his insurer.... ”).

An accident victim who has a PIP deductible has “no right to claim or to recover any amount so deducted from any owner, registrant, operator or occupant of a motor vehicle ... who is made exempt from tort liability by this section.” Mass. Gen. Laws ch. 90, § 34M. As a practical matter, that means that a tortfeasor who causes an automobile accident is immune from liability for $8,000 in damages covered by PIP, even if the accident victim received less than $8,000 because of his or her PIP deductible. See Mallegol, 2007 Mass.App.Div. 62, 2007 WL 1412822 at *1-2 (“We think it plain that the tortfeasor is entitled to an off-set up to the maximum of $8,000.00 for medical expenses resulting from an accident, regardless of any deductible chosen by the policyholder.”). For example, an individual with a $4,000 PIP deductible would receive up to $4,000 in PIP benefits and would have his or her maximum tort recovery limited by $8,000. See id. An individual with a $8,000 deductible would receive no PIP benefits and would also have his or her maximum tort recovery limited by $8,000. See Scarcella, 8 Mass.L.Rptr. 465,1998 WL 296891 at *1.

2. Progressive Enters the Massachusetts Insurance Market

Progressive Direct Insurance Company has been selling automobile insurance since 1937. (Def. SMF ¶3). In 1997, it became the first insurer to sell automobile insurance online. (Id. ¶ 5). By 2007, it sold insurance in every state in the United States except Massachusetts. (Id. ¶ 4).

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53 F. Supp. 3d 484, 2014 U.S. Dist. LEXIS 149019, 2014 WL 5323422, Counsel Stack Legal Research, https://law.counselstack.com/opinion/estrada-v-progressive-direct-insurance-mad-2014.