Fitzgerald v. Commerce Insurance

31 Mass. L. Rptr. 372
CourtMassachusetts Superior Court
DecidedAugust 8, 2013
DocketNo. NOCV201200011
StatusPublished

This text of 31 Mass. L. Rptr. 372 (Fitzgerald v. Commerce Insurance) 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
Fitzgerald v. Commerce Insurance, 31 Mass. L. Rptr. 372 (Mass. Ct. App. 2013).

Opinion

Brady, Patrick F., J.

On June 26, 2010, Kevin M. Fitzgerald was struck by a motor vehicle driven by Alexsandro Ferreira and owned by Marcio Alves DeO-liveira while on a bicycle on Washington Street in Norwood, Massachusetts. The vehicle was insured by Commerce Insurance Company (Commerce). Fitzgerald sustained serious injuries in the collision. The driver, Ferreira, was unlicensed.

Mr. Fitzgerald, through his attorney, submitted a claim to Commerce on or about July 3, 2010. Commerce promptly commenced an investigation. For reasons hereinafter set forth, Commerce declined coverage for the optional limits ($100,000) purchased by the vehicle owner, but offered the compulsory coverage required under part one of the policy ($20,000). Fitzgerald declined the offer. In January 3, 2012 he commenced an action against Commerce under G.L.c. 93A for unfair and deceptive claims practices for, essentially, failing to effectuate a fair and reasonable settlement after liability had become reasonably clear.

On February 27,2012 Commerce filed a declaratory judgment action in the Worcester Superior Court seeking a declaration that it was not required to defend and indemnify Mr. DeOliveira or Mr. Ferreira beyond the limits of compulsory coverage. DeOliveira and Ferreira were served “last and usual,” did not answer, and were defaulted. Fitzgerald was included as a party to the declaratory judgment action and he answered and defended. The declaratory judgment action was transferred to Norfolk County and consolidated with Fitzgerald’s c.93A action for trial.

I heard the case, jury waived, from July 30 to August 1, 2013. On the credible evidence before me, I now find and rule as follows.

1. On receipt and review of the file Commerce assigned the investigation to its Special Investigations Unit (S.I.U.). An S.I.U. Investigator, Joshua Bender, was assigned to interview and take statements from DeOliveira and Ferreira. The police report reflected that the driver, Ferreira, was unlicensed. In addition, Commerce noted that DeOliveira had insured 3 vehicles on the policy without listing any additional drivers. This at least raised an issue of whether proper parties were using the insured vehicles because “regular users” must be listed by the insured and additional premiums paid. Finally, the insured had presented a Brazilian license which Commerce determined should be investigated further.

2. The investigator, Mr. Bender, made several efforts to locate and interview DeOliveira and Ferreira without success. (See Exhibit 15.) On July 2, 2010 Bender called DeOliveira at the number listed in the file and was unable to leave a voice message. On July 7 he canvassed 688 Washington Street, Walpole, the address given by the insured, and was unable to observe any of the 3 insured vehicles on or near the premises. On the same day he canvassed 252 Washington Street, Norwood, where Ferreira lived, and observed the insured vehicle allegedly involved in the accident, a Chevrolet Geo Prism, parked on the premises. The Geo [373]*373Prism then had no plates, but Bender was able to confirm that it was the insured vehicle by the VIN. On July 12, 2010 Mr. Bender was able to reach an unidentified male who said that DeOliveira had given him the phone. This individual said that he would tell the insured to call Bender. On July 13, 2010, Bender received a call from a man identifying himself as Alexsandro Ferreira who indicated that the listed number of the insured was his. He then provided Bender with the insured’s listed phone number. Bender attempted to arrange a recorded statement with Ferreira, but he declined the request as he was “too busy.” From July 15 to July21 Bender knocked on the insured’s door several times and received no answer. Bender never observed any of the insured vehicles parked on the premises in Walpole. OnJuly27,2010 Bender was able to speak with a person identifying himself as the insured who refused to meet with him for a statement. This person, who spoke and understood English, told Bender to call his attorney, Paul Mora. Bender left messages with attorney Mora on 2 occasions.

On August 9, 2010 Bender was able to speak with attorney Mora, who said that he had not received any payments from DeOliveira or Ferreira so that he had not taken them on as clients. In any event, Mora gave Bender his permission to set up statements with them. Also on August 9,2010, Commerce wrote to DeOliveira and Ferreira warning them of the consequences under the policy of a failure to cooperate.

In August 19, 2010 Bender noted in the file that he had not heard from Ferreira, DeOliveira or attorney Mora and submitted his final report.

3.As indicated, the insured submitted a Brazilian driver’s license when he applied for insurance through the Kunevich & Lau insurance agency on August 10, 2009. The policy was assigned to Commerce through the Massachusetts assigned risk pool. Of interest to this case, the Brazilian license contained a so-called CPF number of. 011.481.191-91. In Brazil this number is equivalent to a person’s Social Security number in the United States. The license also carried an expiration date of January 2013. The agency sent a copy of the license (the original having been retained by the insured) for initial validation to Commerce. In accordance with its usual practice a Commerce employee, René Kinney-Petrelli, checked the license against exemplar licenses in an international book of drivers licenses and noted no apparent irregularily. Ms. Kinney-PetreUi also check the Massachusetts Registry of motor vehicles to determine whether the insured may have been in violation of the requirement that a person may drive on a foreign license in Massachusetts, but only for one year from time of arrival. Likewise the search of the Registry of Motor Vehicles database revealed no issues. Commerce did not utilize any Brazilian investigator or access any Brazilian websites to further investigate the validity of the license. The policy issued by Commerce was effective as of August 10, 2009, and carried $100,000/$300,000 optional limits.

4. Following the accident Commerce referred the case to private investigator Charles McLaughlin, who had experience and expertise investigating foreign drivers’ licenses. Forged or falsified foreign drivers’ licenses are a relatively common problem. McLaughin himself had investigated over 500 Brazilian driver’s licenses, and was familiar with the system in that country. Using a website for Brazilian motor vehicle licenses, called by its acronym DETRAN, McLaughlin was able to confirm that a person with the same name as provided by the insured, Marcio Alves DeOliveira, did have a record of being licensed in Brazil. Inputting the registration number on the copy of the license provided to him by Commerce turned up driver information concerning the Brazilian Mr. DeOliveira.

McLaughlin noted 2 irregularities in the license provided to him. The CPF on DeOliveira reflected in the DETRAN database was 811.481.191-91. The CPF on the copy of the insured’s license was 011.481.191-91. McL-aughin then went to the website for the Brazilian Ministry of Finance and ran both of the CPF numbers. The number on the license, 011 .481.191-91, did not associate with any name. The CPF number 811.481.191-91 came back to Marcio Alves DeOliveira. I conclude from McLaughlin’s findings that the person calling himself Marcio Alves DeOliveira when he applied for insurance with the agency on August 10, 2009 presented a license which contained a false CPF number.

The second irregularity in the driver’s license presented to the agency and to Commerce which Mr.

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§ 186
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Cite This Page — Counsel Stack

Bluebook (online)
31 Mass. L. Rptr. 372, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fitzgerald-v-commerce-insurance-masssuperct-2013.