Pimentel v. Amguard Insurance Company

CourtDistrict Court, D. Massachusetts
DecidedOctober 23, 2024
Docket1:23-cv-11005
StatusUnknown

This text of Pimentel v. Amguard Insurance Company (Pimentel v. Amguard Insurance Company) 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
Pimentel v. Amguard Insurance Company, (D. Mass. 2024).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF MASSACHUSETTS

_______________________________________ ) AWILDA PIMENTEL, ) ) Plaintiff, ) ) Civil Action No. v. ) 23-11005-FDS ) AMGUARD INSURANCE COMPANY, ) ) Defendant. ) _______________________________________)

MEMORANDUM AND ORDER ON CROSS-MOTIONS FOR SUMMARY JUDGMENT

SAYLOR, C.J. This is an action for declaratory judgment, breach of contract, and violation of Mass. Gen. Laws ch. 93A, arising out of a dispute over a homeowner’s insurance coverage. Jurisdiction is based on diversity of citizenship. Plaintiff Awilda Pimentel purchased a new home on June 28, 2022. The same day, she purchased a homeowner’s policy from defendant AmGuard Insurance Company. The policy took effect on June 28, and included coverage for fire losses. On July 22, 2022, less than a month later—and before she had moved in—a fire significantly damaged the structure. The standard homeowner’s insurance policy used by AmGuard provides that coverage applies to the “residence premises,” defined in substance as the “dwelling where you reside.” An endorsement to the policy amended that definition to the “dwelling where you reside . . . on the inception date of the policy period.” It is undisputed that the “inception date” of the policy was June 28, and that the fire occurred on July 22. Nonetheless, AmGuard denied Pimentel’s insurance claim. It did so on the ground that she did not “reside on” the premises at the time of the fire. Pimentel had owned the property for only 24 days when the fire occurred; she had not yet moved in any furniture and had not yet spent the night there. According to AmGuard, as a result, coverage never attached to the structure. Put another way, AmGuard’s position is that coverage is not available unless and until

the new homeowner physically occupies the structure and sets up a household. There are, however, multiple problems with that position. To begin, the policy does not actually say what AmGuard claims that it says. Again, the policy states that coverage applies to the dwelling where Pimentel “reside[d]” on the “inception date of the policy period,” not the date that she moved her belongings in and set up a household. That “inception date” was June 28. AmGuard’s position ignores the “inception date” language entirely. AmGuard’s position also conflicts with the vacancy exclusion provision of the policy. That provision excludes coverage if the property is vacant for more than 60 consecutive days. That means, in practice, that a new homeowner has 60 days from the date of the purchase to

move in before the vacancy exclusion applies. But AmGuard’s position renders that a nullity; it contends that because Pimentel’s property was still vacant 24 days after purchase, she did not yet “reside” in it, and therefore coverage never attached. AmGuard’s position has substantial adverse consequences for purchasers of homes in Massachusetts. Among other things, it means there is never insurance coverage between the day of the closing (that is, the moment the new house is purchased) and the day the new owner actually moves in (which is not normally the same day as the closing). It is fair to say that no reasonable purchaser of a new homeowner’s policy would anticipate that gaping hole in her insurance coverage. In any event, the critical question is what it means to “reside” in a property on the “inception date.” The term “reside” is not defined anywhere in the policy. One possible way to interpret that language is to read it literally—that is, to conclude that Pimentel was required to set up a household on June 28, the very day she closed on the property, or coverage would never

attach. That would lead to a number of absurd consequences, as explained below. There is, however, a sensible way to interpret the policy language. That is to conclude that the policy covered the dwelling beginning on June 28—provided that Pimentel purchased the property as her residence, not as a commercial, investment, rental, or vacation property, and further provided that if it was still vacant more than 60 days later, coverage would be excluded. At the very least, the meaning of the policy is ambiguous, and that ambiguity must be construed against the insurer and in favor of the homeowner. That means that Pimentel—who clearly purchased the property as her residence—had coverage effective on the inception date of June 28, and that the coverage was still in place as of July 22. Both Pimentel and AmGuard have moved for summary judgment in their favor as to

liability. For the reasons set forth below, the Court will find for Pimentel and against AmGuard as to all claims. I. Background The following facts are undisputed unless otherwise noted. A. Factual Background On June 28, 2022, Awilda Pimentel purchased a house at 23 Redgate Drive in Methuen, Massachusetts, after living for many years at another property in Methuen. (Am. Compl. ¶ 1, 3; ECF 30 at 7). That same day, she filed a homestead declaration pursuant to Mass. Gen. Laws ch. 188 § 3, attesting that she “own[s] the home” at 23 Redgate Drive and “occup[ies] or intend[s] to occupy the home as [her] principal residence.” (ECF 34 Ex. A at 1). Also on June 28, 2022, Pimentel purchased a homeowner’s insurance policy from AmGuard Insurance Company to cover the property at 23 Redgate Drive. (ECF 30 at 1). Coverage under the policy was for a period of one year beginning on June 28. (Id. at 2). The policy provided up to $300,000 in coverage for property damage from all causes not

otherwise excluded. (Am. Compl. Ex. 1 at 13, 28). That coverage applied to “[t]he dwelling on the ‘residence premises’ shown in the Declarations.” (Id. at 22). The policy’s Declarations listed the “residence premises” as “23 Redgate Dr., Methuen, MA.” (Id. at 13). The main body of the policy defined “residence premises” as “[t]he one-family dwelling where you reside . . . and which is shown as the ‘residence premises’ in the Declarations.” (Id. at 21). However, the Residence Premises Definition Endorsement, included at the end of the policy, replaced that definition of “residence premises” to “[t]he one-family dwelling where you reside; . . . on the inception date of the policy period shown in the Declarations and which is shown as the ‘residence premises’ in the Declarations.” (Id. at 56). The policy did not define the term “reside.” (Id. Ex. 1).

The policy also included a provision excluding coverage for any fire loss sustained “while a described building is vacant, whether intended for occupancy by owner or tenant, beyond a period of 60 consecutive days.” (Id. at 46). That provision tracked the language of the standard insurance policy mandated by statute. See Mass. Gen. Laws ch. 175 § 99. Between June 28 and July 22, 2022, Pimentel never stayed overnight at the house. (ECF 30 Ex. B at 1-2). She did not move any living room or bedroom furniture into it. (ECF 32 Ex. 1 at 2, 3). She did, however, move in some boxes, put some items in the refrigerator, and stocked cleaning supplies. (ECF 32 Ex. 1 at 4; 33 at 2). Each day, she would visit and perform some cleaning. (ECF 30 Ex. B at 2). She removed some trim from the pantry door. (ECF 30 Ex. C at 3-4). She planned to do some painting, although the parties contest whether she undertook larger-scale renovations that would have rendered the house uninhabitable. (ECF 30 at 4; 32 at 5-6; 33 at 2). On July 22, 2022, a fire substantially damaged the house. (ECF 30 at 2-3). The

estimated costs of repair totaled $318,767. (Am. Compl. Ex. 3 at 21). That exceeded the maximum value of the dwelling coverage, which was $300,000. (Id. Ex. 1 at 13, 28). Pimentel notified AmGuard of the loss on July 25, 2022. (ECF 30 at 4).

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Anderson v. Liberty Lobby, Inc.
477 U.S. 242 (Supreme Court, 1986)
Milissa Garside v. Osco Drug, Inc.
895 F.2d 46 (First Circuit, 1990)
Samuel Mesnick v. General Electric Company
950 F.2d 816 (First Circuit, 1991)
Patrick J. O'COnnOr v. Robert W. Steeves
994 F.2d 905 (First Circuit, 1993)
Shapiro v. American Home Assurance Co.
616 F. Supp. 906 (D. Massachusetts, 1985)
Guity v. COMMERCE INSURANCE CO.
631 N.E.2d 75 (Massachusetts Appeals Court, 1994)
PMP Associates, Inc. v. Globe Newspaper Co.
321 N.E.2d 915 (Massachusetts Supreme Judicial Court, 1975)
August A. Busch & Co. of Massachusetts, Inc. v. Liberty Mutual Insurance
158 N.E.2d 351 (Massachusetts Supreme Judicial Court, 1959)
Boston Symphony Orchestra, Inc. v. Commercial Union Insurance
545 N.E.2d 1156 (Massachusetts Supreme Judicial Court, 1989)
Surrey v. Lumbermens Mutual Casualty Co.
424 N.E.2d 234 (Massachusetts Supreme Judicial Court, 1981)
AIG Property Casualty Co. v. Cosby
892 F.3d 25 (First Circuit, 2018)
Pappas Enterprises, Inc. v. Commerce & Industry Insurance
422 Mass. 80 (Massachusetts Supreme Judicial Court, 1996)
Norfolk & Dedham Mutual Fire Insurance v. Quane
442 Mass. 704 (Massachusetts Supreme Judicial Court, 2004)
Boston Gas Co. v. Century Indemnity Co.
454 Mass. 337 (Massachusetts Supreme Judicial Court, 2009)
Boazova v. Safety Insurance
968 N.E.2d 385 (Massachusetts Supreme Judicial Court, 2012)
Wallace v. American Manufacturers Mutual Insurance
494 N.E.2d 35 (Massachusetts Appeals Court, 1986)

Cite This Page — Counsel Stack

Bluebook (online)
Pimentel v. Amguard Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pimentel-v-amguard-insurance-company-mad-2024.