North Shore Chiropractic v. Norfolk & Dedham Group

2010 Mass. App. Div. 180, 2010 Mass. App. Div. LEXIS 52
CourtMassachusetts District Court, Appellate Division
DecidedAugust 19, 2010
StatusPublished
Cited by4 cases

This text of 2010 Mass. App. Div. 180 (North Shore Chiropractic v. Norfolk & Dedham Group) is published on Counsel Stack Legal Research, covering Massachusetts District Court, Appellate Division primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
North Shore Chiropractic v. Norfolk & Dedham Group, 2010 Mass. App. Div. 180, 2010 Mass. App. Div. LEXIS 52 (Mass. Ct. App. 2010).

Opinion

Coven, J.

Defendant Norfolk and Dedham Group (“Norfolk”) has appealed the judgment entered for plaintiff North Shore Chiropractic (“North Shore”) on its breach of contract, G.L.c. 90, §34M, and G.L.c. 93A and G.L.c. 176D claims arising from Norfolk’s refusal to pay Personal Injury Protection (“PIP”) benefits for chiropractic services rendered by North Shore to its patient, Israel Vega (“Vega”). After trial, the jury returned a verdict for North Shore on its breach of contract claim and awarded damages in the amount of $1,567.75. Having reserved judgment on North Shore’s G.L.c. 93A claim, the court then found for North Shore, and awarded double damages, plus attorneys fees and costs. Judgment was entered in the total amount of $19,474.72.

On appeal, Norfolk contends that the trial court committed numerous reversible errors of law, including: (1) excluding Norfolk’s fact witnesses; (2) failing to find that Vega himself breached the insurance policy contract when he provided Norfolk with a prejudicially late notice of his claim; (3) improperly awarding damages to North Shore pursuant to G.L.c. 93A; (4) failing to provide the jury with instructions on the impact of Vega’s noncooperation in filing his PIP application; (5) failing to dismiss [181]*181North Shore’s complaint when it did not introduce an actual insurance contract into evidence; and (6) denying Norfolk a fair trial.1

At trial, the court adopted North Shore’s proposed findings of fact and rulings of law.2 An appellate court will set aside such findings only if they are “unsupported by the trial evidence or tainted by error of law.” Sullivan v. Ross, 2002 Mass. App. Div. 60, quoting Macone Bros., Inc. v. Strauss, 1997 Mass. App. Div. 95, 96. Appellate courts may not disregard or set aside a trial judge’s findings unless they are, in fact, “clearly erroneous.” Mass. R. Civ. R, Rule 52 (c) .3 “If the trial judge makes one of several possible choices of what facts are supported by the evidence, the judge’s choice is not clearly erroneous.” W. Oliver Tripp Co. v. American Hoechst Corp., 34 Mass. App. Ct. 744, 751 (1993).

We summarize the findings of the judge, supplemented by the undisputed facts on the record. On November 10, 2004, Vega, seventeen years old at the time, was injured in an automobile accident. The vehicle in which Vega was a passenger was uninsured. Vega received medical treatment for those injuries, beginning December 1, 2004, from North Shore, a licensed chiropractic facility. The treatment ended on March 30, 2005, and the fees charged totaled $3,135.00.

At the time of the accident, Vega’s mother, Marta Vega, was insured by Norfolk through the standard Massachusetts automobile insurance policy, which provided additional coverage for her household members. Vega filed a claim with Norfolk for PIP benefits provided under the policy. Norfolk first received notice of the claim after Vega’s treatment had been completed. In a letter to Vega’s attorney dated [182]*182September 23,2005, Norfolk denied payment, claiming that, after “a thorough investigation and review of this loss,” it had determined that “Vega was not a household member” under his mother’s insurance policy at the time of the accident.

On March 18, 2008, counsel for North Shore sent a certified letter to Norfolk requesting payment of Vega’s outstanding medical expenses. By letter dated March 24, 2008, Norfolk informed North Shore’s counsel that Marta Vega’s policy did not provide PIP coverage for her son. North Shore’s counsel sent another certified letter on March 31,2008, requesting that Norfolk state with specificity the reasons why the PIP benefits were denied. Norfolk responded by letter, on or about April 3,2008, that PIP benefits had been denied because Vega “was not a household member of Marta Vega” at the time of the accident. This prompted North Shore’s counsel to send a certified letter on April 7,2008, informing Norfolk that it had not provided the requested detail as to the basis of its denial of Vega’s claim. Counsel requested that Norfolk specifically state why it thought that Vega, seventeen years old at the time of the accident, did not live with his mother. In response, on or about April 10, 2008, Norfolk replied that North Shore “most certainly did not ask [it] for ‘the specific reason[s] why [Norfolk] believes Vega was not a household member,”’ that Norfolk “hardly could have been more specific” in its response, and that North Shore’s “ever-escalating demands for information have become a game.” On May 2, 2008, North Shore brought a small claims action pursuant to G.L.c. 90, §34M, G.L.c. 93A, and G.L.c. 176D seeking damages of $2,000.00, plus court costs. Over North Shore’s opposition, Norfolk successfully moved to transfer the case from the small claims session to the regular civil docket, and filed its answer on July 25, 2008.

On August 12,2008, Norfolk, prompted by North Shore’s contention that Norfolk had not pleaded with particularity its defense of fraud in its answer, filed a motion to amend its answer subject to opposition procedure.4 A hearing on the motion was scheduled for August 27, 2008. Neither party appeared at the hearing, the motion was canceled, and Norfolk’s amended answer was never entered on the docket as having been allowed.

Norfolk meanwhile noticed the depositions of Vega and his mother to take place on August 18, 2008. North Shore moved to quash the deposition subpoenas on a number of grounds, including that “there [was] no reasonable likelihood that recovery will exceed $5,000 if North Shore prevails,” Mass. R Civ. R, Rule 30(a) (ii), and that Norfolk had already conducted a “thorough investigation.” North Shore’s [183]*183motion was denied. On September 9, 2008, Norfolk noticed the deposition of David Keimach, D.C. (“Keimach”), Vega’s treating chiropractor at North Shore. North Shore informed Norfolk that because Keimach no longer lived in the area, he would be unavailable for the deposition. Norfolk then expressed a willingness to conduct Keimach’s deposition by video conference and contended that North Shore had failed to respond to this suggestion. North Shore, in contrast, stated that Norfolk had failed to follow up or seek any relief from the court on the matter.5

On September 19,2008, in response to North Shore’s interrogatory regarding witnesses expected to testify at trial on behalf of the defendant, Norfolk stated that “[a] final determination as to witnesses, including expert witnesses, has not been made. Norfolk reserves the right to supplement this answer in accordance with Mass. R. Civ. R, Rule 26.” On October 20, 2008, North Shore, in response to Norfolk’s interrogatories regarding experts expected to testify at trial, listed Keimach. At a case management conference on January 9,2009, the court ordered “all discovery [to] be completed by March 13, 2009,” the date of the pretrial conference.

At the pretrial conference, Norfolk disclosed the names of two fact witnesses expected to testify on its behalf at trial. North Shore orally moved to strike Norfolk’s witnesses’ testimony on the ground that their identities had not been properly disclosed. The court allowed North Shore’s oral motion. Norfolk then, on March 20, 2009, supplemented its answers to North Shore’s interrogatories to include summaries of its two witnesses’ expected trial testimony, and moved the court to reconsider the striking of their testimony.

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Cite This Page — Counsel Stack

Bluebook (online)
2010 Mass. App. Div. 180, 2010 Mass. App. Div. LEXIS 52, Counsel Stack Legal Research, https://law.counselstack.com/opinion/north-shore-chiropractic-v-norfolk-dedham-group-massdistctapp-2010.