Galena v. Commerce Insurance

2001 Mass. App. Div. 222, 2001 Mass. App. Div. LEXIS 94
CourtMassachusetts District Court, Appellate Division
DecidedOctober 29, 2001
StatusPublished
Cited by7 cases

This text of 2001 Mass. App. Div. 222 (Galena v. Commerce Insurance) is published on Counsel Stack Legal Research, covering Massachusetts District Court, Appellate Division primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Galena v. Commerce Insurance, 2001 Mass. App. Div. 222, 2001 Mass. App. Div. LEXIS 94 (Mass. Ct. App. 2001).

Opinion

Greco, J.

This is a Dist/Mun. Cts. R A D. A, Rule 8A appeal by plaintiff Steven Galena (“Galena”) of the entry of summary judgment in favor of defendant Commerce Insurance Co. (“Commerce”) on Galena’s G.Lc. 90, §34M claim for Personal Injury Protection (“PIP”) payments for chiropractic services provided to Commerce’s insured. The basis of the summary judgment was that the insured had been in a motor vehicle accident and had entered into a settlement with the other motorist which covered all of his medical bills, including Galena’s.

There was no dispute as to the following: Derek Boyer (“Boyer”), Commerce’s insured, was involved in a two-car accident on March 12,1997. Six days later, he began treatment with Galena, a licensed chiropractor. On that same day, he assigned to Galena all rights he had to any PIP benefits to which he may have been entitled. Despite this assignment, Boyer personally made a claim for PIP benefits to Commerce, and had his attorney file a claim against both the other motorist and the owner of the car he was driving, which was insured by Premier Insurance. At Commerce’s request, Boyer underwent an independent medical examination on July 30, 1997. Following that examination, Commerce notified Galena that its investigation “reveal[ed] that [it was] only responsible for treatment through 07/30/1997.” It would appear that as of July 30, 1997, Commerce had paid $3,747.00 to Galena for Boyer’s chiropractic treatment Boyer continued to be treated by Galena after July 30,1997, and incurred $1,637.00 in bills for the additional services.

In support of its motion for summary judgment Commerce filed a memorandum of law with several attached documents, but did not file any affidavits. The materials filed would seem to indicate that in February of 1998, Boyer’s attorney wrote to Premier Insurance that Boyer would settle his claim against Premier’s insured for $13,500.00, an amount which was represented as including “all medical expenses incurred to date as a result of the accident” In that letter, Boyer’s attorney listed the injuries allegedly sustained, and noted that Boyer had incurred medical bills totaling, as of that date, $6,342.00, of which $5,677.00 was owed to Galena. Two months later, Boyer settled his claim against Premier’s insured for $7'500.00. As part of that settlement, Boyer executed a release whereby he discharged the driver and owner of the other car in the accident, Premier Insurance and “all other persons, firms and corporations from all claims and demands, rights and causes of action of any kind” which he had or would ever have “on account of or in any way growing out of both personal injuries and property damage “resulting or to resulf from the accident of March 12, 1997.

[223]*223In allowing Commerce’s motion for summary judgment, the trial judge noted: “After hearing and based upon the language of the parties’ release and settlement date 04/13/98, motion is allowed upon finding of no genuine issue of material fact to present to a fact finder for determination.”

1. While a party may move for summary judgment “with or without supporting affidavits,” Mass. R Civ. P., Rule 56(a), Commerce’s claim depended on the courts consideration of the various attachments to its memorandum. Those materials, however, “were not presented to the judge in a form appropriate for consideration” on such a motion. Roe v. Federal Ins. Co., 412 Mass. 43, 44-45 n.4 (1992). This was not a hearsay problem. The assignment, release and letters discussed above were not presented for the judge to consider the truth of the matters asserted within them (see Sanabia v. Travelers Ins. Co., 1999 Mass. App. Div. 46, 48), but only to determine that an assignment was made, a claim denied, a release given, etc. The more fundamental problem, however, was that there was no basis for the judge to conclude that the documents were what they purported to be. Galena had made no admission to that effect1 No affidavit was attached in which someone in a position to do so attested to the character of these items. They were not “[sjworn or certified copies.” See Rule 56(e). Accordingly, the trial court should not have considered them. Moreover, since the trial court clearly relied on them to grant summary judgment such error was not harmless.

2. Since we suspect that Commerce may be able to present the documents referred to above in appropriate form at any future hearing on a motion for summary judgment, we will address the merits of that motion, assuming that the documents are what they purport to be. In arguing that the trial court correctly awarded it summary judgment, Commerce claims that its insured (Galena’s patient) had released it from any further obligation to pay for his chiropractic care, and that, even if it was not so released, the insured’s claim has been satisfied through the settlement with Premier Insurance. Thus, the argument goes, Galena cannot be considered an unpaid party under the PIP statute, G.L.c. 90, §34M.

By the release signed on April 13, 1998, Boyer (Galena’s patient and Commerce’s insured) in effect released everybody in the world from any claim arising out of his accident However, by that time Boyer had already assigned his claim for PIP benefits to Galena. Therefore, this claim was not his to release on April 13,1998. See Friedberg v. Jablon, 287 Mass. 510, 513 (1934) (assignmentnot to enforce a judgment “divested [the assignor] of all interest” in the claim and pending action and “transferred it to” the assignee; assignor “thereafter was without power to do anything to affect that claim or action.”) Accordingly, Galena was not precluded from bringing a claim on his own behalf. See Ny v. Metropolitan Prop. & Cas. Ins. Co., 51 Mass. App. Ct. 471, 475 (2001) (“Section 34M implicitly authorizes the direct payment of medical expenses by the insurer to the provider; ‘any unpaid party’ — i.e., a provider — has standing to bring an action against the insurer by being ‘deemed a party to a contract with the insurer responsible for payment... of amounts ... due....’ (emphasis added). §34M, 4th par., 3d sentence.”). This is not a situation where a debtor who, without any notice of the assignment, pays the creditor and then finds itself being sued by the creditor’s assignee. See G.L.c. 106, §9-318(1) (a). Premier and its insured are [224]*224not being sued. This case involves an obligation, contractual in nature, between Galena and Commerce.

Even if the claim had not been assigned, we conclude that the release did not work to discharge a claim by Galena. In so doing, we agree with those jurisdictions that have held that “an automobile accident victim’s general release of a tortfeasor, in the absence of a specific provision which unequivocally includes PIP claims within the terms of the release, does not operate to release an automobile insurer from its obligation to pay PIP benefits to the injured victim.” Cingoranelli v. St. Paul Fire & Marine Ins. Co., 658 P.2d 863, 869 (Colo. 1983). In so holding, the Colorado Supreme Court focused on the different nature of the claims being made. Even though the claims “coincidental[ly]” arose out of the same event, the insured’s claim against the other motorist sounded in tort, while his claim against his PIP insurer sounded in contract Moreover, the following observation by the Colorado Court about that state’s statutory scheme would apply here:

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Bluebook (online)
2001 Mass. App. Div. 222, 2001 Mass. App. Div. LEXIS 94, Counsel Stack Legal Research, https://law.counselstack.com/opinion/galena-v-commerce-insurance-massdistctapp-2001.