Fafard Business Trust v. Travelers Casualty and Surety Company of America

CourtDistrict Court, D. Massachusetts
DecidedMarch 30, 2018
Docket4:16-cv-40070
StatusUnknown

This text of Fafard Business Trust v. Travelers Casualty and Surety Company of America (Fafard Business Trust v. Travelers Casualty and Surety Company of America) 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
Fafard Business Trust v. Travelers Casualty and Surety Company of America, (D. Mass. 2018).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF MASSACHUSETTS

____________________________________ ) FAFARD BUSINESS TRUST, ) HOWARD FAFARD, AS ) CIVIL ACTION SHAREHOLDER OF THE ) NO. 16-cv-40070-TSH FAFARD BUSINESS TRUST, and ) MADLYN FAFARD, AS ) SHAREHOLDER OF THE FAFARD ) BUSINESS TRUST ) ) Plaintiff, ) ) v. ) ) TRAVELERS CASUALTY AND ) SURETY COMPANY OF AMERICA ) ) Defendant ) ____________________________________

DECISION AND ORDER ON DEFENDANT’S MOTION FOR SUMMARY JUDGMENT (Docket No. 55)

March 30, 2018

HILLMAN, D.J. Background

This case arises out of a claim for coverage under the Wrap + Crime Policy (the “Policy”) issued by Travelers Casualty and Surety Company of America (“Travelers”) to Fafard Business Trust et al (collectively referred to as “Fafard”). Travelers made a payment to Fafard under the Policy as a result of an employee stealing money (the “Lussier Loss”). Approximately one year later, Fafard sought additional coverage under the Policy for the Lussier Loss, which Travelers denied giving rise to the present action. This Court denied Travelers motion to dismiss after determining that the “Claim,” as referred to in the Release and Assignment (the “Release”), could reasonably be interpreted as meaning Fafard’s claim for the Lussier Loss as a whole or under Insuring Agreement A.1 and I of the Policy. Because the applicability of the Release is a threshold issue to be decided by the

Court, limited discovery on this issue was permitted. After the discovery, Travelers filed the instant motion for summary judgment. The Court finds that the record before it establishes that Fafard submitted a claim under the entire Policy and that “Claim,” as referred to in the Release, unequivocally means Fafard’s request for coverage under the Policy, as a whole, for the Lussier Loss. I further find the Release to be enforceable barring the claims asserted in this entitling Travelers to summary judgment, as a matter of law. Facts

Travelers issued the Policy to Fafard, effective from November 1, 2013 through November 1, 2014. The Policy provided coverage under the following insuring agreements: (1) Insuring Agreement A.1 (Employee Theft); (2) Insuring Agreement A.2 (ERISA Fidelity); (3) Insuring Agreement B (Forgery or Altercation); (4) Insuring Agreement C (On Premises); (5) Insuring Agreement D (In Transit); (6) Insuring Agreement E (Money Orders and Counterfeit Money); (7) Insuring Agreement F (Computer Crime); (8) Insuring Agreement G (Funds Transfer Fraud); (9) Insuring Agreement I (Claim Expense).

Insuring Agreements A through G were all subject to a single loss limit of $500,000. Insuring Agreement I (Claim Expense) was subject to a single loss limit in the amount of $25,000. Condition B.7 of the Policy stated: [Fafard] must transfer to [Travelers] all [Fafard’s] rights of recovery against any person or organization for any loss [Fafard] sustained and for which [Travelers] has paid or settled. [Fafard] must also do everything necessary to secure those rights and do nothing after loss to impair them. (Doc. No. 56-1 p. 30). On February 19, 2014, Fafard discovered that an employee, Michael Lussier had stolen

funds (the “Lussier Loss”). On February 25, 2014, Fafard filed notice of a claim under the Policy. The following day, Travelers acknowledged the notice of a claim resulting from the Lussier Loss, assigned Nelda Cronin (“Cronin”) as the claim professional, and requested that they fill out and complete the proof of loss paperwork provided to them. Lewis LaClair, Fafard’s risk management consultant, was the “authority and expert” on Fafard’s insurance issues. (Doc. No. 56-1 p. 8 ¶¶ 2-8). Richard Terrill, Senior Vice President and Chief Financial Officer for Fafard, was responsible for all financial matters at the various Fafard entities. LaClair and Terrill discussed “steps [that] might be appropriate both to minimize the loss and to make sure [Fafard] didn’t jeopardize a recovery.” Id. LaClair then prepared the proof of loss paperwork with additional documents (collectively referred to as the “Partial Proof of Loss”)

with the information available at that time. Fafard completed all sections of the Partial Proof of Loss, which included multiple sections: Section I (to be completed for employee dishonesty and theft); Section II (to be completed for all other claims); and Section III (to be completed for all claims). In Section II Fafard checked off the box for forgery and the box for claim expenses. The total loss stated on the Partial Proof of Loss was $1,447,480, however Fafard informed Travelers that this was not the total amount of money lost as a result of the Lussier Loss.1 Fafard noted that it “submit[ted]

1 It was later determined that the actual total amount of the Lussier Loss was approximately $1,604,612. a [P]artial [P]roof of [L]oss concerning Michael R. Lussier’s employee dishonesty and related losses. It also request[ed] a further 180 days to complete its investigation of this loss and to provide a final proof of loss” unless “Travelers agree[d] that [Fafard’s] loss exceed[ed] the limits of insurance and that [Fafard is] not obligated to finish documenting all details of the loss.” (Doc.

No. 78-9, p.5). The Policy, along with one other one, was referenced in the Partial Proof of Loss as potentially applying to the Lussier Loss. Fafard requested “prompt review by Travelers and payment of the policy limits within 30 days.” Id. Terrill signed and submitted the Partial Proof of Loss to Travelers on April 30, 2014.2 LaClair testified that he understood there to be a distinction between employee dishonesty and forgery at the time he filled out the Partial Proof of Loss. (Doc. No. 78-4, p. 11 at ¶¶ 6-19). He also stated that his goal was to maximize recovery from Travelers with respect to the loss. (Doc. No. 78-4, p. 12 at ¶¶ 7-24). After being asked, “and all of those documents taken together as you indicate made a claim for coverage for – any and all coverage to which Fafard Business Trust was entitled under the policy with respect to the loss?” LaClair replied, “[t]hat

was the intent.” (Doc. No. 78-4, p. 35 at ¶¶ 6-10). On June 24, 2014, Cronin acknowledged receipt of Fafard’s Partial Proof of Loss in a letter (the “June 2014 Letter). Traveler’s informed Fafard that “[b]ased on our preliminary review of the Partial Proof of Loss and other documents provided thus far, we bring to your attention below certain provisions of the Policy which are pertinent in our effort to determine whether or not coverage applies under the Policy relative to your claim.” (Doc. No. 56-9, p. 2). Fafard was also informed that “[t]he information you have provided Travelers to date does not

2 It is undisputed that the Partial Proof of Loss was sent on April 30, 2014 however, it is dated April 17, 2014. provide sufficient documentation to establish a covered loss at this time. Accordingly, we will rely on Fafard Business Trust to provide additional information and documentary evidence in support of the claim.” (Doc. No. 56-9, p. 6). Travelers directed Fafard to Insuring Agreement A.1 (Employee Theft) informing them that Travelers had “quoted certain sections of the Policy for

[Fafard’s] convenience. Please understand that the entire policy is considered quoted herein by reference.” Id. The remaining insuring agreement were also listed. By August 2014, Travelers had recognized a claim under Insuring Agreement A.1 (Employee Dishonesty) and I (Claim Expenses). Prior to payment of the claim, Travelers requested that Fafard sign the Release. Both LaClair and Terrill reviewed the proposed release. Fafard subsequently requested that Travelers allow Fafard to control the recovery efforts up to $250,000 without reporting to Travelers. Travelers agreed and the Release was executed.

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Fafard Business Trust v. Travelers Casualty and Surety Company of America, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fafard-business-trust-v-travelers-casualty-and-surety-company-of-america-mad-2018.