Milazzo v. Sentry Insurance

691 F. Supp. 517, 1987 U.S. Dist. LEXIS 13756, 1987 WL 47723
CourtDistrict Court, D. Massachusetts
DecidedNovember 6, 1987
DocketCiv. A. No. 86-3653-WD
StatusPublished
Cited by3 cases

This text of 691 F. Supp. 517 (Milazzo v. Sentry Insurance) is published on Counsel Stack Legal Research, covering District Court, D. Massachusetts primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Milazzo v. Sentry Insurance, 691 F. Supp. 517, 1987 U.S. Dist. LEXIS 13756, 1987 WL 47723 (D. Mass. 1987).

Opinion

MEMORANDUM

WOODLOCK, District Judge.

This diversity action is brought against Sentry Insurance, A Mutual Company (“Sentry”), by Barbara Milazzo, a passenger seriously injured in a 1977 automobile accident. Sentry was the liability insurer of Marianne Kane, the owner and driver of the car in which Ms. Milazzo was injured.

Ms. Milazzo seeks damages under the Massachusetts Consumer Protection Act, Mass.Gen.L. ch. 93A, and Mass.Gen.L. ch. 176D for Sentry’s alleged wrongful refusal to settle her claims and to defend its insured, Ms. Kane’s estate, in the underlying tort action that was brought by Ms. Milazzo.

Sentry has moved for summary judgment.

This case is ripe for summary judgment. Although the Plaintiff and Defendant sharply dispute the legal conclusions and implications that follow from the facts presented, there is no genuine dispute about those underlying facts.1 Indeed, as the Plaintiff concludes in his opposition to the motion for summary judgment, “this case turns on whether Sentry was entitled to renounce coverage under its guest occupant exclusion and thereby expose its insured to a huge excess judgment.” That question in this context is one of law.

I

The pleadings, affidavits, and exhibits present the undisputed facts. On October 21, 1977, Barbara Milazzo sustained severe head injuries when the car in which she was riding went off the road and overturned. The driver and owner of the car, Marianne Kane, was killed in the accident.

Kane was covered by a standard personal automobile insurance policy issued by Sentry, which provided for coverage of up to $5,000 per person for negligently caused injuries to others and $10,000 per accident. Kane’s policy afforded only compulsory bodily injury coverage2 and explicitly excluded “guest occupants,” an exclusion sanctioned by statute, Mass.Gen.L. ch. 90, § 34A. Under § 34A only three categories of riders — “persons responsible for operation of the vehicle with the owner’s consent,” “passengers for hire” and “employees” — are automatically exempt from the statutory exclusion of guest occupants. Kane declined to choose additional optional coverage for guest riders.

Sentry has repeatedly disclaimed coverage of Milazzo’s claims. Sentry’s initial disclaimer — a December 22, 1977, denial of coverage on grounds that the compulsory bodily injury benefits of Kane’s policy did not extend to Milazzo as a guest occupant —was in response to inquiry by Milazzo’s father. Sentry did pay Milazzo personal injury protection (PIP) benefits of $2,000 required by Massachusetts law. At that time Plaintiff did not raise any claim that [519]*519she was exempt from the guest occupant exclusion of Kane’s policy as a passenger for hire or as an employee.

Sentry reaffirmed its disclaimer of coverage to the Plaintiff twice (on March 30, 1978 and October 23, 1978) in the course of the following year in response to phone and written inquiries. Milazzo’s attorney submitted that the Plaintiff had not been a guest occupant at the time of the accident and was, therefore, entitled to coverage. Sentry refused to settle Milazzo’s claims for $5,000 even though Milazzo’s attorney suggested that the insurer’s refusal to do so exposed it to tort litigation for $1.5 million in damages and additional liability for unfair and deceptive insurance practices under Mass.Gen.L. ch. 176D, § 3.

Milazzo subsequently filed suit against John C. Crowley, the administrator of Kane’s estate, to recover damages for her injuries, Milazzo v. Crowley, Administrator of the Estate of Marianne Kane, No. 80-1780-N (D.Mass. filed Aug. 8, 1980). Plaintiff’s complaint in the Crowley action alleged that she was a passenger and not a guest occupant in Kane’s vehicle at the time of the accident.3

In response to Milazzo’s formal invocation of the passenger for hire exemption to the guest occupant exclusion of Kane’s policy, Sentry assumed the defense of Kane’s estate under a reservation of rights after advising Crowley to retain separate counsel for the estate to defend the action as well. Eleven months later, on July 20, 1981, Sentry formally withdrew from the defense of Kane’s estate, having concluded after discovery that Milazzo did not qualify for “passenger for hire” status and was, therefore, excluded from coverage under Kane’s policy as a guest occupant.

Two years later, in June of 1983, plaintiff again offered to settle her claim with Sentry for $5,000, this time supporting her claim to passenger status by an affidavit stating that Milazzo had accompanied Kane at the request of the latter to assist and protect her. Sentry again refused settlement on the grounds that no facts had been shown which made the passenger for hire exemption from guest occupant exclusion applicable to Milazzo.

In August 1983, Plaintiff was allowed a $2.5 million default judgment in Milazzo v. Crowley. 4 Because Kane’s estate is judgment proof, the Plaintiff has recovered nothing against the estate directly.

Plaintiff thereupon became assignee of all rights of the Kane estate against the insurer. She now brings the present action against Sentry alleging that the insurer’s purported refusal to investigate the accident fully, to settle Plaintiff’s claims within the policy limits and to defend its insured were unfair and deceptive acts under Mass. Gen.L. ch. 176D, § 3, and, therefore, in violation of ch. 93A.

II

Milazzo does not contend that Kane’s automobile insurance policy provided coverage for her under its express terms. Neither does she now pursue her various past assertions that she qualified for the § 34A passenger for hire exemption from the coverage exclusion of Kane’s policy. Instead the gravamen of Milazzo’s case is that Sentry wrongfully refused to settle and, subsequently, to defend the underlying tort action against its insured, when it did not and could not know to a certainty whether Milazzo qualified for coverage as either a passenger for hire or an employee.

The validity of Milazzo’s claims must be evaluated under Massachusetts statutory provisions, Mass.Gen.L.-ch. 176D, §§ 3(l)(f) and (9), which set standards for an insurer’s good faith duty to settle or defend liability claims, and Massachusetts case law, which defines the quantum of knowledge an insurer must have before it can [520]*520disclaim coverage of a claim or claimant as well as the procedures which an insurer must follow when settlement or defense is refused.

Mass.Gen.L. ch. 176D imposes a good faith duty on an insurer to settle and/or defend those insured by it against liability claims. Compliance with the good faith standard of ch. 176D, § 3(l)(f) requires that claims in which liability has become “reasonably clear” must be settled promptly and fairly. Section 3(9)(n) requires that a “reasonable” explanation of any disclaimer of coverage must be provided. The statutory language makes the reasonableness of an insurer’s decision the test for compliance. Good faith requires an insurer to consider what a policy holder’s “reasonable expectations” are, Murach v. Massachusetts Bonding and Ins. Co., 339 Mass. 184, 158 N.E.2d 338 (1959); Bond Brothers v. Robinson, 393 Mass. 546, 551, 471 N.E.2d 1332

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Cite This Page — Counsel Stack

Bluebook (online)
691 F. Supp. 517, 1987 U.S. Dist. LEXIS 13756, 1987 WL 47723, Counsel Stack Legal Research, https://law.counselstack.com/opinion/milazzo-v-sentry-insurance-mad-1987.