Murphy v. National Union Fire Insurance

15 Mass. L. Rptr. 751
CourtMassachusetts Superior Court
DecidedFebruary 6, 2003
DocketNo. 0101685
StatusPublished

This text of 15 Mass. L. Rptr. 751 (Murphy v. National Union Fire 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
Murphy v. National Union Fire Insurance, 15 Mass. L. Rptr. 751 (Mass. Ct. App. 2003).

Opinion

Fabricant, J.

INTRODUCTION

This action presents claims under G.L.c. 93A and c. 176D arising from the defendants’ handling of the plaintiffs’ claims for underinsured motorist benefits. Presently before the Court are the plaintiffs’ motion for partial summary judgment as to liability of each defendant, and cross motions of two defendants for summary judgment. For the reasons that will be explained, the plaintiffs’ motion will be denied, defendant Jim Beam Brands Worldwide, Inc.’s (“Jim Beam”) cross motion will be allowed, defendant Gallagher Bassett Services, Inc.’s (“Gallagher Bassett”) cross motion be allowed in part and denied in part, and summary judgment will be entered against the plaintiffs as to certain of the claims against defendant National Union Fire Insurance Company (“National Union”).

BACKGROUND1

The plaintiff Kenneth Murphy was an employee of defendant Jim Beam. In the course of his employment, he drove an automobile that was registered in Massachusetts and leased by Jim Beam from an entity known as Emkay, Inc. On September 1, 1994, while driving that vehicle in the course of his employment, Murphy was involved in a collision with another vehicle. Murphy received workers compensation benefits for his medical expenses and lost wages, and brought a personal injury action against the other driver. His wife, Donna Murphy, brought a claim for loss of consortium.

The other driver’s insurance coverage for the occurrence was limited to $100,000. In May of 1997, the plaintiffs settled their claims against the other driver for his policy limit, allocating $50,000 to each of them. They then sought to recover their remaining damages from underinsured motorist coverage under a motor vehicle endorsement to a comprehensive general liability insurance policy issued by the defendant National Union to Jim Beam’s parent company, American Brands,' Inc. Gallagher Bassett administered the plaintiffs’ claims under a contract with National Union’s parent entity, AIG Risk Management, Inc. (“AIG”), to provide claims administration and adjustment services. That contract referred to Jim Beam as a “client” of AIG.

The insurance policy addresses the topic of under-insured motorist coverage only in a two-page endorse[752]*752ment setting forth liability limits for various types of coverage. The endorsement states limits of two million dollars per person and per occurrence for “Automobile liability,” and states the same limit “per accident” for “Uninsured/Underinsured Motorist.” As to “Personal Injury Protection,” the endorsement states “minimum limits as required by state statute.” Other than stating these policy limits, the endorsement states no terms or conditions of the underinsured motorist coverage, nor does any other part of the policy state any terms or conditions of underinsured motorist coverage. A separate endorsement to the policy gives the insured— Jim Beam, for this purpose — a self-insured retention of $250,000 “for all lines, per occurrence.”

The parties did not reach agreement on the value of the plaintiffs’ claims, and in August of 2000 the plaintiffs demanded arbitration.2 National Union agreed, and the plaintiffs and National Union entered into an arbitration agreement providing that the arbitration panel would decide the total amount of the plaintiffs’ damages, without regard to any amount already received, and that the settlement with the other driver would then be deducted from the award. After depositions, the case proceeded to an evidentiary hearing before a panel of three arbitrators beginning in May of 2001. On July 9, 2001 the panel awarded a total of $1,610,000 to the two plaintiffs, $1,260,000 to Kenneth Murphy and $350,000 to Donna Murphy. On August 6, 2001, Gallagher Bassett paid the Murphys $1,510,000, the amount of the award less the $100,000 previously received on behalf of the under-insured motorist.

The plaintiffs brought this action in October of 2001, and amended their complaint in June of 2002. The plaintiffs allege that each of the defendants committed various wrongs in the course of handling the plaintiffs’ claims. The wrongs claimed fall into two general categories: first, the plaintiffs claim that the defendants committed various practices prohibited by G.L.c. 176D, §3(9), particularly by failing to make a reasonable offer to settle the claims. Second, the plaintiffs allege that the defendants refused to provide the plaintiffs with a copy of the policy, and misrepresented its terms. The particular misrepresentations claimed relate to whether the policy included standard Massachusetts underinsured motorist coverage provisions, particularly provisions for arbitration and for offset of amounts collected from the underinsured motorist; the plaintiffs contend that the defendants falsely represented that the policy contained these terms, although it did not. As a result, the plaintiffs allege, they were misled into requesting arbitration, rather than pressing their right to jury trial,3 and were also misled into agreeing to offset the amount previously collected.

These contentions are set forth in the ten-count amended complaint, as follows. Counts I, II, and III allege, with respect to the three defendants respectively, that each defendant violated G.L.c. 93A and c. 176D by “failing to effectuate prompt, fair and equitable settlement of the Plaintiffs’ claims as liability was undeniably clear,” by “compelling the plaintiffs as insureds to institute litigation to recover amounts due by offering substantially less than the amounts ultimately recovered,” and by “failing to conduct a reasonable investigation.”4 Counts IV, V, and VI allege, with respect to the three defendants respectively, that each defendant violated G.L.c. 93A and c. 176D by “misrepresenting pertinent facts or insurance policy provisions relating to the coverages at issue.” Counts VII, VIII, and IX allege, with respect to the three defendants respectively, that each defendant violated G.L.c. 93A and c. 176D by “misrepresenting the insurance policy providing underinsured motorist benefits to the plaintiffs through making or causing to be made statements which misrepresent the benefits, advantages, conditions, or terms of said insurance policy.” Finally, Count X alleges that National Union violated G.L.c. 93A and c. 176D in that it “misrepresented that its policy provisions contained standard terms and conditions that required that the Plaintiffs’ $100,000 settlement with the third-party tortfeasor be deducted from the Arbitration Award,” that as a result of such misrepresentation the parties’ arbitration agreement provided for offset, and as a result, National Union was unjustly enriched by $100,000.

DISCUSSION

The plaintiffs now move for summary judgment as to liability on all counts of the complaint, as against all defendants. They contend that the undisputed facts, as reflected in their evidentiary submissions, establish beyond any genuine dispute both the unreasonableness of the defendants’ settlement posture, and the defendants’ alleged misrepresentations of the policy terms. In considering this contention, the Court has reviewed the evidentiary materials submitted by all parties in the light most favorable to the defendants. Considered in this light, those materials establish the existence of genuine factual disputes. Accordingly, the Court cannot conclude that the plaintiffs are entitled to judgment as a matter of law as to any of the claims.

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Bluebook (online)
15 Mass. L. Rptr. 751, Counsel Stack Legal Research, https://law.counselstack.com/opinion/murphy-v-national-union-fire-insurance-masssuperct-2003.