Fernando v. Federal Insurance Co.

CourtDistrict Court, D. Massachusetts
DecidedMay 28, 2019
Docket1:18-cv-10504
StatusUnknown

This text of Fernando v. Federal Insurance Co. (Fernando v. Federal Insurance Co.) 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
Fernando v. Federal Insurance Co., (D. Mass. 2019).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF MASSACHUSETTS

ASHAN FERNANDO and MEGAN FERNANDO, Plaintiffs,

v. CIVIL ACTION NO. 18-10504-MBB

FEDERAL INSURANCE CO., and CHUBB GROUP OF INSURANCE COMPANIES d/b/a CHUBB PERSONAL INSURANCE d/b/a CHUBB MASTERPIECE INSURANCE, Defendants.

MEMORANDUM AND ORDER RE: PLAINTIFFS’ MOTION TO AMEND COMPLAINT (DOCKET ENTRY # 9)

May 28, 2019

BOWLER, U.S.M.J. Pending before this court is a motion to amend a complaint filed by plaintiffs Ashan Fernando and Megan Fernando (“plaintiffs”) under Fed. R. Civ. P. 15(a) (“Rule 15(a)”) to add three new defendants in lieu of defendants Chubb Group of Insurance Companies d/b/a Chubb Personal Insurance d/b/a Chubb Masterpiece Insurance. (Docket Entry # 9). Defendant Federal Insurance Company (“Federal”) and proposed defendants Chubb National Insurance Co. (“Chubb National”), the Chubb Corporation (“Chubb Corp.”), and Chubb Insurance Company of New Jersey (“Chubb New Jersey”) (collectively “proposed defendants”) oppose the motion. (Docket Entry ## 10, 14). After conducting a hearing, this court took the motion (Docket Entry # 9) under advisement. BACKGROUND

Like the original complaint, the proposed amended complaint alleges that Federal and the proposed defendants failed to “fulfill their obligations and to make payment of a covered claim under” a valuable articles insurance policy (“the Policy”) issued by Federal. (Docket Entry ## 1, 9-1). The Policy’s coverage encompassed loss by theft for itemized jewelry items insured under the Policy for December 11, 2015 to December 11, 2016 time period. (Docket Entry # 9-1). Because the parties rely on documents extrinsic to the Policy to support or refute the futility of the causes of action, it is helpful to outline the Policy’s provisions. The Policy itself states on two different pages that it consists of

a “Coverage Summary” and the “entire Masterpiece Policy.” (Docket Entry # 10, pp. 19, 22).1 More specifically, the “Introduction” defines the “Policy [as] “mean[ing] your entire Masterpiece Policy, including the Coverage Summary and any Mortgagee’s Coverage Summary.” (Docket Entry # 10, p. 22). The

1 Page numbers refer to the docketed page in the upper right- hand corner of a filing. same “Introduction” page in the Policy likewise states, “This is your Chubb Masterpiece Policy. Together with your Coverage Summary, it explains your coverages and other conditions of your insurance in detail.” (Docket Entry # 10, p. 22). The Policy also includes an “Itemized Articles” page, which lists various

items of jewelry covered under the Policy. (Docket Entry # 10, p. 20); (Docket Entry # 10, p. 23) (“[t]he amount of coverage . . . for each itemized article[] is shown in your Coverage Summary”).2 In light of the foregoing language in the Policy, the Policy includes the “Coverage Summary,” the “Itemized Articles,” and the “Introduction” followed by the language of Policy. (Docket Entry # 10, pp. 19-20, 22-40). In addition, a “Table of Contents” for the Policy confirms the contents of the Policy as the “Introduction,” a “Valuable Articles Coverage,” (presumably the “Itemized Articles” page), the “Policy Terms,” and a “Policy Information Notice.”3 (Docket Entry # 10, p. 21). Separate from the Policy, a cover letter from “Chubb

Personal Insurance” to plaintiffs states that, “This mailing contains information about your new insurance policy with Chubb.” (Docket Entry # 10, p. 12). The cover letter

2 During the Policy term and as reflected in a “Coverage Update” section, plaintiffs added two more itemized articles for an additional premium. (Docket Entry # 10, pp. 39-40). 3 Hence, the Policy also includes the “Important Notice” page. (Docket Entry # 10, p. 18). identifies and attaches various documents for plaintiffs to review including a “Premium Summary,” a “Privacy Notice,” and a “Premium Discount Summary.”4 (Docket Entry # 10, p. 12). The cover letter also includes language that describes “Chubb Group of Insurance Companies” as a “marketing name.” (Docket Entry #

10, p. 12). Viewing the above language defining the “Policy” as the “entire Masterpiece Policy” and the “Coverage Summary,” neither this cover letter (Docket Entry # 10, p. 12) nor another cover letter (Docket Entry # 10, p. 13) or the “Premium Summary,” the “Privacy Notice,” and the “Premium Discount Summary” form part of the actual Policy.5 (Docket Entry # 10, pp. 14-17). Turning to the facts surrounding the claim as set forth in the proposed amended complaint, plaintiffs’ house was burglarized on or about the evening of March 18, 2016, and several items of jewelry covered under the Policy were taken.

4 The parties rely on these filings to support their arguments regarding the futility or the plausibility of the claims in the proposed amended complaint, including the argument by Federal and the proposed defendants that the proposed defendants are not parties to the Policy. 5 That said, as explained below, even including these documents (the two cover letters, the “Premium Summary,” the “Privacy Notice,” and the “Premium Discount Summary”) as part of the Rule 15(a) record because they are either part of the Policy itself or are interlocking documents properly considered as a unified whole with the Policy, the language in these documents does not give rise to plausible claims in counts I and II against the proposed defendants. (Docket Entry # 9-1, p. 5, ¶ 23). Plaintiffs filed a police report with the local police and shortly thereafter filed a claim with “defendants”6 for the covered loss which has been “continuously denied.” (Docket Entry # 9-1, pp. 5-6). The police report recounts that video from a home security

system reflects that a “male subject in a grey sweatshirt is seen in the hall of the home” and describes a broken window used “to gain access to the home.” (Docket Entry # 9-1, p. 46). The police report denotes the missing items as “stolen” and the incident as “still under investigation.” (Docket Entry # 9-1, p. 46). The investigation by Federal and the proposed defendants “did not conclude with any information sufficient to deny the” claim. (Docket Entry # 9-1, p. 6, ¶ 33). Federal and the proposed defendants denied the claim for several reasons, including that a “jeweler who signed the Appraisals was prohibited by the conditions of his probation from engaging in the jewelry business.” (Docket Entry # 9-1, p.

7, ¶ 36). Upon information and belief, Federal and the proposed defendants attended a probation violation hearing for the jeweler to confirm that he “conducted the Appraisals.” (Docket

6 The proposed amended complaint defines “defendants” as “[t]he Chubb Entities and Federal.” (Docket Entry # 9-1, p. 3, ¶ 9). The “Chubb Entities” are defined as “Chubb Corp., Chubb National and Chubb New Jersey,” i.e., the proposed defendants. (Docket Entry # 9-1, p. 3, ¶ 8). Entry # 9-1, p. 7, ¶ 43). During the hearing, a different individual testified that he was the appraiser as opposed to the above-noted jeweler. (Docket Entry # 9-1, pp. 7-8). The court agreed inasmuch as it did not issue “a probation condition violation” against the jeweler for engaging in the jewelry

business. (Docket Entry # 9-1, pp. 7-8, ¶¶ 36, 44). Also upon information and belief, Federal and the proposed defendants had an affidavit from this individual “confirming that he, individually, performed the Appraisals.” (Docket Entry # 9-1, ¶ 42). On or about April 20, 2016, plaintiffs sent a formal demand letter ostensibly pursuant to section 11 of Massachusetts General Laws chapter 93A (“chapter 93A”) and Massachusetts General Laws chapter 176D (“chapter 176D”) to “defendants.”7 (Docket Entry # 9-1, pp. 6, 49-51).

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