Lord v. Commercial Union Insurance

801 N.E.2d 303, 60 Mass. App. Ct. 309, 2004 Mass. App. LEXIS 16
CourtMassachusetts Appeals Court
DecidedJanuary 8, 2004
DocketNo. 00-P-1655
StatusPublished
Cited by36 cases

This text of 801 N.E.2d 303 (Lord v. Commercial Union Insurance) is published on Counsel Stack Legal Research, covering Massachusetts Appeals Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lord v. Commercial Union Insurance, 801 N.E.2d 303, 60 Mass. App. Ct. 309, 2004 Mass. App. LEXIS 16 (Mass. Ct. App. 2004).

Opinion

Cowin, J.

We consider cross appeals from a judgment of the Superior Court awarding the plaintiff $25, together with attorney’s fees of $9,000 and costs of $2,170, following the judge’s determination that the defendant, an insurer of used automobiles with respect to property damage, had violated G. L. c. 93 A, § 2, by failing to give the plaintiff timely notice that his coverage had been suspended because the insured vehicle had not been inspected within seven days of the effective date of the policy. The plaintiff challenges the refusal of both a motion judge and the trial judge to certify the case as a class action; the denial of his prayer for a permanent injunction; and the amount of attorney’s fees awarded. The defendant asserts that it was error to determine that it had violated applicable notice requirements; even assuming there was such a violation, the violation was not the cause of the plaintiff’s loss; and the plaintiff’s claim on the subject should not have been entertained in any event because it was not set forth in the plaintiff’s demand letter submitted pursuant to G. L. c. 93A, § 9.

We conclude that the trial judge correctly decided that the defendant violated a legal obligation to give timely notice of the suspension of the plaintiff’s property damage coverage. An alleged defect in the c. 93A demand letter, if any, was apparently not brought to the attention of the trial judge, and accordingly, any defense based thereon was waived. However, we agree with the defendant that the finding that absence of notice was not the cause of the plaintiff’s loss precludes the award of $25 in damages. Because the violation did not cause injury to the plaintiff, he therefore failed in his c. 93A claim, and there should have been no award of attorney’s fees. The trial judge was [311]*311justified in denying injunctive relief. There was no abuse of discretion with respect to the denial of class certification. Accordingly, the judgments must be reversed, and judgments shall enter for the defendant.

1. Background. There is no dispute regarding the underlying material facts or the relevant prior proceedings. The plaintiff obtained from the defendant property damage and other insurance coverage with respect to a 1986 Nissan automobile. He failed to pay a premium that was due November 5, 1991. Pursuant to a policy of the defendant in effect at that time, the plaintiff’s property damage policy was placed “in suspension.” On November 14, 1991, the plaintiff transferred the policy to a used 1987 Nissan. Pursuant to G. L. c. 175, § 113S, and 211 Code Mass. Regs. §§ 94.00 (1993), the plaintiff was required to have the 1987 Nissan inspected by a representative of the insurer within seven days after the effective date of coverage (i.e., by November 21, 1991). The plaintiff signed an acknowledgment of this obligation.

On November 18, 1991, the defendant sent to the plaintiff written notice that the policy would be canceled for nonpayment of the premium due November 5, 1991, such cancellation to be effective December 12, 1991, unless the plaintiff paid the premium by that date. By November 21, 1991, however, the plaintiff had not obtained the required pre-insurance inspection, and, pursuant to the applicable regulátion, the defendant, on November 22, 1991, suspended coverage. When physical damage coverage is suspended for this reason, 211 Code Mass. Regs. § 94.09(2) (1993) requires that the insurer “shall, between the 21st and 30th calendar day after the effective date of the coverage, mail to the applicant... a prescribed NOTICE OF SUSPENSION OF PHYSICAL DAMAGE COVERAGE.” Because the transferred coverage took effect November 14, 1991, the notice of suspension in this case should have been sent between December 5, 1991, and December 14, 1991. Ordinarily, such notice would have been sent on December 13, 1991, it being the defendant’s practice to send the notice on the twenty-ninth day after the policy’s effective date. However, in the present case, that notice was not sent because of the defendant’s practice of sending no additional notices of any [312]*312kind once a policy had been placed “in suspension.” Consequently, while the plaintiff had notice that his policy would be canceled altogether if the premium were not paid by December 12, 1991, he received no additional notice, other than the original document (acknowledged by him) disclosing that an inspection within seven days was required and that failure to obtain a timely inspection would also result in a suspension of coverage.

On December 10, 1991, the plaintiff forwarded the overdue premium to the defendant. On December 13, 1991, the defendant deposited the plaintiff’s check and forwarded to the plaintiff two notices: a notice of cancellation of coverage effective December 12, 1991, for nonpayment of the premium and a notice of reinstatement of coverage.3 On December 19, 1991, the plaintiff’s 1987 Nissan sustained property damage of $3,000 in an accident. The plaintiff notified his insurance agent of the accident on the same date, also informing the agent that he had not had the vehicle inspected prior thereto. On December 22, 1991, the defendant forwarded to the plaintiff a notice that physical damage coverage on the 1987 Nissan had been suspended effective November 22, 1991, for failure to comply with the inspection requirement. When the plaintiff subsequently asserted a claim for the property damage sustained by the vehicle, the defendant rejected the claim on the ground that the insurance was not in effect at the time the accident occurred.

The plaintiff thereafter mailed to the defendant a “written demand for relief” pursuant to G. L. c. 93A, § 9(3). The demand letter alleged the commission by the defendant of four unfair or deceptive acts or practices, specifically: (1) the defendant’s refusal to pay for the property damage to the plaintiff’s motor vehicle; (2) the retroactive cancellation of physical damage and collision coverage; (3) the sending of the notice of cancellation on a Sunday; and (4) fraudulently representing to the plaintiff that physical damage and collision coverage had been reinstated following payment of the overdue premium. When the defendant declined to settle, the plaintiff commenced an action in the District Court department alleging [313]*313both breach of contract and violations of G. L. c. 93A and G. L. c. 176D.4 In a separate action in the Superior Court, the plaintiff sought declaratory and injunctive relief, as well as damages, on behalf of a class consisting of allegedly similarly situated policy holders negatively affected by the defendant’s practices regarding the sending of notices under 211 Code Mass. Regs. § 94.09(2).

By order of the chief justice for administration and management, the District Court case was transferred to the Superior Court, and the cases were consolidated for trial. The plaintiff’s request for class certification was denied; the judge, however, did permit the matter to proceed as a “test case.” See Carpenter v. Suffolk Franklin Sav. Bank, 370 Mass. 314, 322 (1976).5 The case was then tried before a second judge and a jury, with the plaintiff’s claim for breach of contract being presented to the jury, while his claims under G. L. c. 93A and G. L. c. 176D were tried to the judge. The jury answered in the negative a special question as follows: “Was [the plaintiff’s] failure to have the 1987 motor vehicle inspected prior to the accident of December 19, 1991, due to the fault of the insurer?” Acting on the claims under G. L. c. 93A and G. L. c.

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Cite This Page — Counsel Stack

Bluebook (online)
801 N.E.2d 303, 60 Mass. App. Ct. 309, 2004 Mass. App. LEXIS 16, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lord-v-commercial-union-insurance-massappct-2004.