Ferragamo v. Chubb Life

CourtCourt of Appeals for the First Circuit
DecidedSeptember 3, 1996
Docket96-1065
StatusPublished

This text of Ferragamo v. Chubb Life (Ferragamo v. Chubb Life) is published on Counsel Stack Legal Research, covering Court of Appeals for the First Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ferragamo v. Chubb Life, (1st Cir. 1996).

Opinion

USCA1 Opinion



UNITED STATES COURT OF APPEALS
FOR THE FIRST CIRCUIT
____________________

No. 96-1065

PAUL FERRAGAMO,

Plaintiff - Appellant,

v.

CHUBB LIFE INSURANCE COMPANY OF AMERICA,

Defendant - Appellee.

____________________

APPEAL FROM THE UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF MASSACHUSETTS

[Hon. Morris E. Lasker, U.S. District Judge] ___________________

____________________

Before

Torruella, Chief Judge, ___________

Boudin, Circuit Judge, _____________

and Barbadoro,* District Judge. ______________

_____________________

Maria A. Luise, with whom Frank Mondano and Balliro & ________________ ______________ _________
Mondano were on brief for appellant. _______
Paul M. Sanford, with whom Medeiros Karmen & Sanford Inc. _______________ ________________________________
was on brief for appellee.

____________________

September 3, 1996
____________________

____________________

* Of the District of New Hampshire, sitting by designation.

Per Curiam. On December 14, 1981, appellant Paul Per Curiam ___________

Ferragamo ("Ferragamo") was insured by United Life and Accident

Insurance Company ("United Life") pursuant to a policy which

entitled Ferragamo to benefit payments in the event of his total

disability.2 At that time he owned and operated Northshore

Recycling, a scrap metal recycling business. Shortly thereafter,

Ferragamo submitted a claim for total disability benefits based

on an accident suffered while at work which caused severe

injuries to his left leg and ankle. As required by the policy,

he proceeded to file monthly reports regarding his injury.

Relying on these reports and the information contained therein

establishing that Ferragamo remained totally disabled and was not

working for pay or profit, appellee Chubb Life Insurance Company

of America ("Chubb"), United Life's successor, paid Ferragamo

total disability benefits of $2,400 per month from April 1982

until June 1993,3 as well as social insurance benefits of $750

per month over the initial five year period of his claim. Chubb

also waived the further payment of premiums pursuant to a policy

provision.

Although the monthly reports requested detailed

information from Ferragamo regarding the nature of any work

____________________

2 We present the facts in the light most favorable to the jury's
verdict. See, e.g., Coastal Fuels of P.R., Inc. v. Caribbean ___ ____ _____________________________ _________
Petroleum Corp., 79 F.3d 182, 186, petition for cert. filed, 65 _______________ _________________________
U.S.L.W. 3034 (July 2, 1996).

3 The disputed period is limited to the period after January
1988.

-2-

activities,4 he continuously represented that he was not working

or earning any income other than "investment income."5 During

the course of Ferragamo's eleven- year claimed disability, Chubb

attempted to verify the nature of his disability in a variety of

ways including telephone contacts, personal interviews, reviewing

his income tax returns, independent medical evaluations, and by

"spot-checks" of Ferragamo's activities by private investigators.

These efforts eventually revealed that, while Ferragamo was

claiming total disability, he was actually engaging in numerous

and varied physical and work activities, including playing

racquetball with his trial lawyer, signing public records under

oath to the effect that he was working as a builder, filing

federal income tax returns where he stated under oath that he

received significant profits from his real estate development

business, operating a construction company known as Ferragamo

Development which purchased, developed, and sold over $10,000,000

in real estate, and disclosing to various persons, including his

doctors, creditors, banks and various town officers, that he was

a self-employed real estate developer, contractor or builder

earning from $100,000 to $250,000 per year. To mention only some

of the discovered evidence, Ferragamo fully developed a
____________________

4 The inquiries included questions regarding his occupation and
duties, whether he was self-employed, whether he had returned to
work on either a part-time or full-time basis, what his daily
activities consisted of, the amount of his monthly income, and
whether he was partially or totally disabled.

5 Ferragamo signed each report below the statement that: "I
certify that the foregoing statements and answers are complete
and true to the best of my knowledge."

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$6,000,000 condominium complex in Swampscott, Massachusetts,

where he would be at the job site almost continuously each day

from 7:00-7:30 AM to 4:00-5:00 PM. He not only drove his pick-up

truck to work, but at times operated a front-end loader and

climbed down inside the newly dug foundation holes to check them

out. He was also fully active in all aspects of the planning,

financing, supervision and sale of this project.

In addition to the Swampscott condominium, during the

time of his alleged total disability Ferragamo also engaged in

various land transactions including those involving a 340 acre

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