Massachusetts Education & Government Ass'n Property & Casualty Self-Insurance Group, Inc. v. Town of Saugus

28 Mass. L. Rptr. 521
CourtMassachusetts Superior Court
DecidedJune 23, 2011
DocketNo. 0900979
StatusPublished

This text of 28 Mass. L. Rptr. 521 (Massachusetts Education & Government Ass'n Property & Casualty Self-Insurance Group, Inc. v. Town of Saugus) 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
Massachusetts Education & Government Ass'n Property & Casualty Self-Insurance Group, Inc. v. Town of Saugus, 28 Mass. L. Rptr. 521 (Mass. Ct. App. 2011).

Opinion

Kaplan, Mitchell H., J.

The plaintiff, Massachusetts Education and Government Association Property & Casualty Self-Insurance Group, Inc. (“MEGA”), brought this action against the defendant, Town of Saugus (“Saugus”), asserting claims for breach of contract and quantum meruit arising from unpaid worker’s compensation insurance premiums. Before the court is MEGA’s motion for summary judgment. For the following reasons, MEGA’s motion is DENIED, in part, and ALLOWED, in part.

FACTS

The following relevant facts are undisputed or viewed in the light most favorable to Saugus, the non-moving party.

Saugus purchased worker’s compensation insurance coverage from MEGA under Policy No. WC20-03211 (the “Policy”) for policy years running from July 1, 2003, through June 30, 2004; July 1, 2004, through June 30, 2005; July 1, 2005, through June 30, 2006; and July 1, 2006, through June 30, 2007 (this last year shall be referred to as the “2006 policy year”). Prior to each policy year, MEGA quoted an estimated premium to Saugus. The quote was based on an estimate of the number of Saugus employees in different rate classifications to be covered by the Policy multiplied by the applicable rates. At the conclusion of each policy year, MEGA obtained from Saugus a payroll audit to determine the actual number of employees in each class so that the actual premium for the policy year could be calculated. Based upon the annual payroll audit, MEGA would either issue a credit to Saugus if the actual premium was less than the estimated amount previously paid by Saugus or an invoice if the actual premium was greater than the estimated amount.

On or about May 1,2006, MEGA quoted a premium of $107,260 to Saugus for the 2006 policy year. This quote was based upon the payroll audit for the 2004 policy year (the year ending June 30, 2005), because that was the last audited year available. Prior to issuing the quote, MEGA sent Saugus a letter dated January 23, 2006, that stated in relevant part;

We will be using audited payroll figures for the year ended (sic) June 30, 2005. The enclosed worksheet details that information. If you want to update the payroll to minimize audit impact or you are aware of changes (increases or decreases) in your payroll you can note the preferred payroll figure in each class code and return the document to us.

According to MEGA, Saugus did not submit any new or additional information. (This point is discussed further, below.) The 2004 policy year payroll audit did not list an amount under the classification “school-professional.”

On June 19, 2006, Saugus appropriated $147,398.24 for worker’s compensation insurance for the 2006 policy year. After the close of the 2006 policy year, the annual payroll audit was completed. Based upon the results of that audit, the actual premium for that year was calculated to be $235,287. Saugus’s school department employees, who were not included in the estimate, but were included in the audit, accounted for $115,869 of the $128,027 increase from the premium quoted prior to the 2006 policy year.1 Saugus had submitted worker’s compensation claims to MEGA for school department employees for the 2006 policy year; and, by the end of December 2010, over $78,000 had already been paid by MEGA on these claims.

On or about November 5, 2007, MEGA sent Saugus an invoice for $128,027. To date, no payment has been made.

DISCUSSION

A. Summary Judgment Standard

Summary judgment is granted when there are no genuine issues of material fact and the moving parly is entitled to judgment as a matter of law. Mass.R.Civ.P. 56(c); Cassesso v. Comm’r of Corr., 390 Mass. 419, 422 (1983). To prevail on its summary judgment motion, the moving party must affirmatively demonstrate the absence of a triable issue, and that the summary judgment record entitles it to a judgment as a matter of law. Pederson v. Time, Inc., 404 Mass. 14, 16-17 (1989). “That some facts are in dispute will not necessarily defeat a motion for summary judgment. The point is that the disputed issue of fact must be material.” Carey v. New England Organ Bank, 446 Mass. 270, 278 (2006), quoting Beatty v. NP Corp., 31 Mass.App.Ct. 606, 607-08 (1991). “As to materiality, the substantive law will identify which facts are material.” Id. quoting Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986).

B. Breach of Contract

“To establish a breach of contract under Massachusetts law, the plaintiff must demonstrate that: (1) a valid, binding agreement exists; (2) the defendant breached the terms of the agreement; and (3) the [523]*523plaintiff suffered damages from the breach.” Brooks v. AIG Sun America Life Assur. Co., 480 F.3d 579, 586 (1st Cir. 2007), citing Michelson v. Digital Fin. Servs., 167 F.3d 715, 720 (1st Cir. 1999).

MEGA asserts that Saugus breached the contract for worker’s compensation insurance coverage for the 2006 policy year by failing to supply reasonably accurate payroll figures on which MEGA could calculate an estimated premium and then failing to pay the full amount due for the coverage provided after final audit. MEGA claims damages in the amount of $146,883.32, which represents the outstanding balance of $ 128,027 plus 12% interest from November 5, 2007. Saugus contends that any further payment of premium to MEGA would violate G.L.c. 44, §31, because the amount claimed exceeds the amount appropriated, and alleges that other than refusing to pay the final invoice, it committed no breach of contract.

General Laws c. 44, §31 provides, in pertinent part, that

[n]o department financed by municipal revenue, or in whole or in part by taxation, of any city or town, except Boston, shall incur a liability in excess of the appropriation made for the use of such department . . . [with an exception for certain emergency situations which is not material to the present case).

“The purpose of this statute is to provide central control over municipal spending and to limit the power of public officials to make contracts.” KVS Info. Sys., Inc. v. Tisbury, 753 F.Sup. 1020, 1023 (D.Mass. 1990), citing Lawrence v. Falzarano, 380 Mass. 18, 24 (1980) (Section 31 sets “rigid barriers against expenditures in excess of appropriations”). However, the statute has not been held to “shield a municipality from liability for its wrongful actions.” Thomas O’Connor & Co. v. Medford, 16 Mass.App.Ct. 10, 13 (1983).

“[A] contractor that does work pursuant to a contract that is covered by an appropriation and suffers damages, not contemplated or covered by the appropriation, due to the municipality’s breach of the contract ... is not barred from recovery.” Reynolds Bros. v. Norwood, 414 Mass. 295, 298 (1993). “There is, ... a distinction between claims under a contract and damages for a wrongful breach of that contract. While a contractor... cannot by labeling his claims a breach of contract unilaterally accrue expenses, some claims do fall outside the contract, and because of the municipality’s conduct constitute a ‘true breach.’ ” Thomas O'Connor, 16 Mass.App.Ct.

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Related

Anderson v. Liberty Lobby, Inc.
477 U.S. 242 (Supreme Court, 1986)
Michelson v. Digital Financial Services
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Brooks v. AIG SunAmerica Life Assurance Co.
480 F.3d 579 (First Circuit, 2007)
Pederson v. Time, Inc.
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Reynolds Bros. v. Town of Norwood
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Carey v. New England Organ Bank
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Bluebook (online)
28 Mass. L. Rptr. 521, Counsel Stack Legal Research, https://law.counselstack.com/opinion/massachusetts-education-government-assn-property-casualty-masssuperct-2011.