Matzer v. Seaco Insurance

9 Mass. L. Rptr. 41
CourtMassachusetts Superior Court
DecidedAugust 15, 1998
DocketNo. 960498B
StatusPublished

This text of 9 Mass. L. Rptr. 41 (Matzer v. Seaco 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
Matzer v. Seaco Insurance, 9 Mass. L. Rptr. 41 (Mass. Ct. App. 1998).

Opinion

Hinkle, J.

Plaintiffs challenge defendant’s refusal to pay, under an insurance policy it issued to plaintiffs, damages associated with the carbon-monoxide contamination of plaintiffs’ apartment building. Plaintiffs assert that defendant breached its contract and vio[42]*42lated G.L.c. 93Aand c. 176D. Both parties have moved for partial summary judgment. For the reasons set out below, plaintiffs’ motion is allowed in part and denied in part, and defendant’s motion is denied.

BACKGROUND

The following facts are undisputed unless otherwise noted. At all relevant times, plaintiffs Joseph and Alexander Matzner (“the Matzners”) owned an apartment building at 270 Clarendon Street, Boston (“the Building”), and were insured by a “Businessowners” insurance policy (“the Policy") issued by defendant SEACO Insurance Company (“SEACO”). The Policy’s “Businessowners Special Property Coverage Form” (“the Form”), on which the Matzners rely for coverage, states that:

We will pay for direct physical loss of or damage to Covered Property at the premises described in the Declarations caused by or resulting from any Covered Cause of Loss.

The Form defines “Covered Cause of Loss” as:

RISKS OF DIRECT PHYSICAL LOSS unless the loss is [excluded or limited in subsequent sections of the Form].

The Form does not define either the term “direct physical loss ... or damage” or the term “RISKS OF DIRECT PHYSICAL LOSS.”

In addition to explaining what is covered, the Form contains several relevant exclusions, discussed below as necessary.

The parties’ dispute over the scope of coverage arises from events beginning February 10,1995, when a tenant in Unit #4 of the Building called the Boston Fire Department because the unit’s carbon-monoxide detector had sounded. The Fire Department arrived, measured a high level of carbon monoxide,2 and directed the tenants to leave the unit.3 Mr. Matzner contacted his heating service, which in turn contacted a chimney-sweep service. Employees of both services came to the building and reviewed the condition of the building’s chimney. One or both concluded that the carbon monoxide buildup was due to “some sections of old round galvanized pipe” that had “wedged [their] way into the top of and were blocking the chimney. As of the filing of the summary-judgment motions, the parties had not discovered how the pipe found its way into the chimney.

The chimney-sweep service removed the piping; however, the alarm in Unit #4 sounded again the next day. The chimney-sweep service returned and cleaned and tested the chimney again. Consultations among the chimney-sweep service, a building inspector and the plaintiffs’ heating company yielded the suggestion that the chimney be lined and an exhaust fan installed on its top, both of which were done.

By telephone and by letter dated April 3, 1995, Mr. Matzner contacted the agent through whom he had purchased the Policy and requested reimbursement under the Policy for expenses associated with the carbon-monoxide contamination. By facsimile dated April 18, 1995, the agency transmitted Mr. Matzner’s letter to SEACO.

SEACO hired an adjuster to assess the merits of plaintiffs’ claim. The adjuster investigated the claim (meeting with Mr. Matzner, contacting the chimney-sweep service and possibly viewing the Building) and consulted with SEACO Senior Property Examiner Jack Warren. Ultimately, Warren directed the adjuster to deny the claim. By letter dated May 23, 1995, the adjuster notified Mr. Matzner of SEACO’s decision. The letter explains that coverage is precluded by the “Pollution" and the “Ordinance or Law” exclusions.

The Matzners in turn hired a different adjuster to re-evaluate their claim. By letter dated June 26, 1995, their adjuster requested that SEACO reverse its decision;4 tire adjuster cited, among other things, two recent extrajurisdictional cases that he felt supported the Matzners’ position. By letter dated September 26, 1995, Warren notified the agency through whom the Matzners had purchased the Policy that, after review of the Matzners’ adjuster’s letter by SEACO’s counsel, SEACO had decided to maintain its position denying coverage.

Counsel for plaintiffs sent SEACO a letter dated December 6, 1995, demanding settlement of plaintiffs’ claim under G.L.c. 93A. The summaiy-judgment record includes a letter dated December 14, 1995, from SEACO’s counsel to plaintiffs’ counsel, responding to the demand letter and restating SEACO’s decision to deny coverage for the claim.5 By letter dated April 3, 1996, plaintiffs’ counsel notified SEACO of additional expenses incurred by the Matzners and again demanded settlement under G.L.c. 93A. By letter dated May 1, 1996, SEACO declined to change its position.

DISCUSSION

I. Summary Judgment Standard

This Court grants summary judgment where there are no genuine issues of material fact and where the summary judgment record entitles the moving party to judgment as a matter of law. Cassesso v. Commissioner of Correction, 390 Mass. 419, 422 (1983); Community Nat'l Bank v. Dawes, 369 Mass. 550, 553 (1976); Mass.R.Civ.P. 56(c), 365 Mass. 824 (1974). The moving party bears the burden of affirmatively demonstrating the absence of a triable issue and that the summary judgment record entitles the moving party to judgment as a matter of law. Pederson v. Time, Inc., 404 Mass. 14, 16-17 (1989). Where, as here, both parties have moved for summary judgment, and “in essence there is no real dispute as to the salient facts or if only a question of law is involved,” summary judgment shall be granted to the party entitled to judgment as a matter of law. Cassesso, 390 Mass. at 422, quoting Community Nat’l Bank v. Dawes, supra.

[43]*43II. Coverage

A. Principles of Policy Interpretation

The interpretation of an insurance contract is generally a question of law. Cody v. Connecticut General Life Insurance Co., 387 Mass. 142, 146 (1982). Interpretation is governed by familiar rules of construction. “(W]hen construing language in an insurance policy, ‘[a court] consider[s] what an objectively reasonable insured, reading the relevant policy language, would expect to be covered.’ ” Western Alliance Ins. Co. v. Gill, 426 Mass. 115, 117 (1997), quoting Atlantic Mut. Ins. Co. v. McFadden, 413 Mass. 90, 92 (1992), quoting Hazen Paper Co. v. United States Fid. & Guar. Co., 407 Mass. 689, 700 (1990). If there is no ambiguity in the policy language, the Court “construe[s ] the words of the policy in their usual and ordinary sense,” Citation Ins. Co. v. Gomez, 426 Mass. 379, 381 (1998), quoting Hakim v. Massachusetts Insurers’ Insolvency Fund, 424 Mass. 275, 280 (1997), citing Cody, 387 Mass. at 146. “When the language of an insurance contract is ambiguous,” however, the Court “ interprets ] it in the way most favorable to the insured.” Citation Ins. Co., 426 Mass. at 381, citing Hakim, 424 Mass. at 281-82. “However, an ambiguity is not created simply because a controversy exists between the parties, each favoring an interpretation contrary to the other.” Citation Ins. Co., 426 Mass. at 381, quoting Lumbermens Mut. Cas. Co. v. Offices Unlimited, Inc., 419 Mass. 462, 466 (1995), citing

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