Molea v. Aetna Insurance

95 N.E.2d 749, 326 Mass. 542
CourtMassachusetts Supreme Judicial Court
DecidedDecember 5, 1950
StatusPublished
Cited by14 cases

This text of 95 N.E.2d 749 (Molea v. Aetna 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
Molea v. Aetna Insurance, 95 N.E.2d 749, 326 Mass. 542 (Mass. 1950).

Opinion

Counihan, J.

These are eight actions of contract in which the plaintiffs seek to recover on separate policies of fire insurance in Massachusetts standard form. Seven of these policies covered personal property, and one, issued by the Granite State Fire Insurance Company of Portsmouth, New Hampshire, hereinafter called the Granite company, covered the building which contained the personal property. The actions were tried to a jury. At the close of the testimony all of the defendants filed motions for directed verdicts which were allowed by the judge. The actions are here upon the plaintiffs’ exceptions to the allowance of these motions.

The policies all contained the standard provisions of G. L. (Ter. Ed.) c. 175, § 99, as amended, which so far as pertinent are, “In case of any loss or damage under this policy, a Statement in writing, signed and sworn to by the insured, shall be forthwith rendered to the company, setting forth the value of the property insured, the interest of the insured therein, all other insurance thereon in detail, the purposes for which and the persons by whom the building insured, or containing the property insured, was used, and the time at which and manner in which the fire originated, so far as known to the insured. The company may also examine the books of account and vouchers of the insured, and make extracts from the same. In case of any loss or damage, the company, within sixty days after the insured shall have submitted a statement, as provided in the preceding clause, shall . . . pay the amount for which it shall be hable, which amount, if not agreed upon, shah be ascertained by award of referees as hereinafter provided, . . . with interest thereon from the time when the loss.shall become payable, as above provided. ... In case of loss under this policy *544 and a failure of the parties to agree as to the amount of loss, it is mutually agreed that the amount of such loss shall be referred to three disinterested men . . . and such reference, unless waived by the parties, shall be a condition precedent to any right of action ... to recover for such loss.”

Section 100 of c. 175 provides for the mechanics for such reference, and imposes on the insured the burden of making a written demand on the company for the reference of the amount of loss to three referees, if the parties fail to agree as to thd amount of loss. Section 102 of c. 175, as amended, provides that in certain circumstances lack of sworn statement of loss shall not be taken advantage of by the company and in these circumstances extends the sixty day period referred to in § 99, as amended.

It is agreed that no written demand for a reference was ever made by the insured and that no reference to three disinterested referees was ever had.

In each case the defendant relied on the absence of a request for a reference as a bar to recovery. The Granite company set up, as additional defences, the absence of any evidence on which the jury could determine the loss under its policy and the failure of the insured to file with it a sworn statement of loss. The plaintiffs in each case relied upon a waiver of the terms of the policy requiring a reference to arbitrators.

Other grounds have been suggested for permitting or denying recovery on these policies, but we believe that the real issue before us is whether or not the plaintiffs have proved the waiver of or excuse from compliance with the provision for reference because of their contention that an agent of the companies impliedly agreed upon the amount of loss.

The evidence on this issue is in substance the following: The fire occurred on November 27, 1944, in the factory of the plaintiffs at 241 West Water Street, Rockland, where they were engaged in manufacturing shoe ornaments. The plaintiffs at once notified an agent of the seven companies which covered the personal property loss. No written notice *545 of the fire was ever given by the plaintiffs to the Granite company. Immediately thereafter an attorney for the plaintiffs had a detailed inventory and appraisal of the personal property made by one Beals, a fire insurance appraiser. Within two days after the fire an agent of the seven companies, one Stratton, was at the scene of the fire. On December 18, 1944, in the presence of Stratton and the attorney for the plaintiffs, the plaintiffs and their appraiser signed the inventory and appraisal prepared by Beals. The plaintiffs, the attorney for the plaintiffs, and Beals all testified that this inventory was intended as an appraisal or physical inventory of items of personal property in the premises just prior to the fire to be used as a basis for adjustment and not as a proof of loss. This inventory showed that the plaintiffs had personal property on the premises valued at $28,424.19. Another inventory and appraisal was made for the plaintiffs by two disinterested persons, showing the value of the personal property to be $27,205.38, and a total loss caused by the fire of $26,708.65. There was no evidence that any agent of the Granite company ever went to the scene of the fire for the purpose of investigating, estimating or appraising any loss under its policy. Stratton and the attorney for the plaintiffs had several telephone talks after the meeting of December 18. Stratton also talked with an agent of the State fire marshal’s office in the basement of the insured premises a day or two after the fire. He also went to the office of the district attorney and testified at two criminal trials involving these plaintiffs on account of this fire. Two appraisers for the seven companies, one Glagovsky and one Brady, went to the premises and appraised the personal property. One Solomon, a certified public accountant, examined the books of the plaintiffs and made excerpts from them for the seven companies. He and Glagovsky also testified at the criminal trials for the Commonwealth.

Brady “spot checked” Beals’s inventory on the plaintiffs’ premises and found everything to be as stated in the inventory. No sworn statement of loss was ever requested *546 of the plaintiffs by any of the companies. Notwithstanding this the attorney for the plaintiffs on April 25, 1945, sent to each of the seven companies a sworn statement of loss in form substantially as provided by § 99 of c. 175, as amended.

The receipt of these statements was acknowledged by Stratton in a letter to the plaintiffs dated June 4, 1945, but the proofs of loss were rejected as being incomplete and not in accordance with the facts, and for other reasons to be made known later at the proper time and place. The letter further stated that, as an adjuster, Stratton had no authority to admit or deny liability or to waive any of the. terms, stipulations,. or conditions of the policies, but on the contrary insisted upon a full and strict compliance with them. No sworn statement of loss was ever sent to the Granite company. The Granite company paid a mortgagee named in its policy, which made claim, the sum of $712.50 to cover the mortgagee’s loss. It appeared that the plaintiffs were indicted and tried in the Superior Court for setting fire to the insured property, and convicted and sentenced. The records of the convictions and sentences were admitted by the judge solely for the purpose of impeaching the credibility of the plaintiffs.

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Bluebook (online)
95 N.E.2d 749, 326 Mass. 542, Counsel Stack Legal Research, https://law.counselstack.com/opinion/molea-v-aetna-insurance-mass-1950.