Massachusetts Insurers Insolvency Fund v. Safety Insurance

787 N.E.2d 555, 439 Mass. 309, 2003 Mass. LEXIS 358
CourtMassachusetts Supreme Judicial Court
DecidedMay 2, 2003
StatusPublished
Cited by11 cases

This text of 787 N.E.2d 555 (Massachusetts Insurers Insolvency Fund v. Safety Insurance) is published on Counsel Stack Legal Research, covering Massachusetts Supreme Judicial Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Massachusetts Insurers Insolvency Fund v. Safety Insurance, 787 N.E.2d 555, 439 Mass. 309, 2003 Mass. LEXIS 358 (Mass. 2003).

Opinion

Cowin, J.

Safety Insurance Company (Safety) appeals from the grant of summary judgment to the plaintiff, the Massachusetts Insurers Insolvency Fund (Fund). On cross motions for summary judgment, a judge in the Superior Court decided that Safety was required to pay to its policyholder uninsured motor vehicle benefits because the operator of the vehicle that struck him was uninsured, even though the owner of that vehicle carried insurance. Safety appealed and we granted its application for direct appellate review. We reverse.

1. Background. These facts are not disputed. On August 9, [310]*3101999, Nichole Bruton, driving a U-Haul truck, struck Nigel Seale’s parked vehicle, injuring Seale, who was sitting in his vehicle. We proceed on the premise that Bruton was legally responsible for the accident.1 The U-Haul truck was owned by a third party and, at the time of the accident, was insured by Republic Western Insurance Company (Republic Western). This policy provided coverage for bodily injury for which operators of the U-Haul truck were legally responsible, to a limit of $20,000 a person. Bruton held a policy issued by Trust Insurance Company (Trust), which contained optional bodily injury liability coverage for causing bodily injury while driving a third party’s vehicle, to a limit of $20,000 a person. Seale was insured under an automobile policy issued by Safety. This policy (sixth edition standard Massachusetts automobile insurance policy) provided uninsured motor vehicle (UM) coverage to a limit of $20,000 a person.

Seale first pursued the insurance of the U-Haul truck’s owner, and demanded from Republic Western payment of the limit of that policy; Republic Western agreed to pay. Seale then pursued the insurance of Bruton, the operator, and demanded from Trust payment of the limit of the Trust policy. Trust, however, was subsequently adjudged to be insolvent by this court, effective August 2, 2000. By reason of G. L. c. 175D, the Fund became obligated to pay certain “covered claims”2 under the Trust policy, subject to certain restrictions in the Fund’s statute, G. L. c. 175D. See Clark Equip. Co. v. Massachusetts Insurers Insolvency Fund, 423 Mass. 165, 166-167 (1996). Seale therefore demanded payment from the Fund of the bodily injury claims that would have been covered under the Trust policy.

The Fund rejected Seale’s claim. It reasoned as follows. The [311]*311exhaustion provision of G. L. c. 175D, § 9,* *3 requires that claimants look first to available coverage provided by solvent insurers before resorting to the Fund (which stands in place of the insolvent carrier). Vokey v. Massachusetts Insurers Insolvency Fund, 381 Mass. 386, 389-390 (1980). Under the Safety policy, a vehicle responsible for an accident that is insured by an insolvent insurer is treated as “uninsured,” triggering UM coverage. Because Trust was insolvent, the Fund reasoned, Seale was able to recover UM benefits under the Safety policy, and was required to do so by G. L. c. 175D, § 9. This, the Fund claimed, reduced the Fund’s liability to zero, because of the second sentence of § 9, which states a rule of nonduplication of recovery. See Vokey v. Massachusetts Insurers Insolvency Fund, supra at 390. Because the Safety policy’s UM limit was the same as Trust’s optional bodily injury liability limit ($20,000), the Fund claimed it had no obligation to pay.

Seale then made demand on Safety for UM benefits. Safety denied coverage, stating that, because Republic Western insured the U-Haul truck and was not insolvent, UM benefits did not obtain.

The Fund then filed a complaint for a declaratory judgment under G. L. c. 231 A, seeking declarations to the effect that UM coverage is available under the Safety policy and that the Fund has no obligation to pay. Safety counterclaimed, seeking a declaration that no UM coverage is available to Seale.4 The Fund and Safety filed cross motions for summary judgment.5 The judge allowed the Fund’s motion and denied Safety’s. The judge reasoned that UM benefits are available if either the owner or operator legally responsible is uninsured, and Bruton is treated as uninsured because of Trust’s insolvency. Thus, ac[312]*312cording to the judge, UM coverage was available and the Fund’s liability is reduced to zero by the set-off provision in G. L. c. 175D, § 9.

2. Discussion. The issue in this case is whether an injured party is entitled to UM benefits under his automobile insurance policy when the vehicle that caused the accident is insured by the owner, but the operator of that vehicle is not separately insured.6 See Cody v. Connecticut Gen. Life Ins. Co., 387 Mass. 142, 146 (1982) (responsibility for construing language of insurance policy is for trial judge and reviewing court).

The policy at issue is the standard policy. Its language is controlled by the Commissioner of Insurance. Thus, the UM provision is not construed against the insurance company, but in conformity with the statute, G. L. c. 175, § 113L, which dictates its content. Murphy v. Safety Ins. Co., 429 Mass. 517, 522 n.6 (1999). We interpret the policy according to the “fair meaning of the language used, as applied to the subject matter.” Davis v. Allstate Ins. Co., 434 Mass. 174, 179 (2001), quoting Bilodeau v. Lumbermens Mut. Cas. Co., 392 Mass. 537, 541 (1984). The UM provision in the Safety policy (Part 3), states, in relevant part:

“Part 3. Bodily Injury Caused By An Uninsured Auto
“Sometimes an owner or operator of an auto legally responsible for an accident is uninsured. Some accidents involve unidentified hit-and-run autos. Under this Part, we will pay damages for bodily injury to people injured or killed in certain accidents caused by uninsured or hit-and-run autos. We will pay only if the injured person is legally entitled to recover from' the owner or operator of the uninsured or hit-and-run auto. . . . Sometimes the company insuring the auto responsible for an accident will . . . become insolvent. We consider such an auto to be uninsured for purposes of this Part. . . .”

The portion of the statute requiring UM coverage, G. L. c. 175, § 113L (1), states, in relevant part:

[313]*313“No policy shall be issued or delivered . . . unless [it] provides coverage [in stated amounts] under provisions approved by the insurance commissioner, for the protection of persons insured thereunder who are legally entitled to recover damages from owners or operators of uninsured motor vehicles . . . and . . . such coverage shall include an insured motor vehicle where the liability insurer thereof [is insolvent].”

We conclude that both the statute and the Safety policy contemplate that UM benefits apply only when the motor vehicle is uninsured. Under the statute, UM benefits must be provided when (1) the insured is legally entitled to recover damages for certain injuries from the owner or operator of a motor vehicle and (2) the motor vehicle responsible for the accident is uninsured.

The judge erred when he construed the word “uninsured” to modify “owner or operator.” It describes the vehicle. Section 113L refers unambiguously to “uninsured motor vehicles” and “insured

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Bluebook (online)
787 N.E.2d 555, 439 Mass. 309, 2003 Mass. LEXIS 358, Counsel Stack Legal Research, https://law.counselstack.com/opinion/massachusetts-insurers-insolvency-fund-v-safety-insurance-mass-2003.