Ransow v. Aetna Casualty & Surety Co.

1 Mass. L. Rptr. 350
CourtMassachusetts Superior Court
DecidedNovember 9, 1993
DocketNo. 88-3533
StatusPublished

This text of 1 Mass. L. Rptr. 350 (Ransow v. Aetna Casualty & Surety Co.) 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
Ransow v. Aetna Casualty & Surety Co., 1 Mass. L. Rptr. 350 (Mass. Ct. App. 1993).

Opinion

Grabau, J.

Plaintiffs, Robert C. Ransow and Ellen Ransow (“Ransows”), brought this civil action against defendant, Aetna Casualty and Surety Company (“Aetna”), alleging Aetna violated G.L.c. 93Aand G.L.c. 176D in its handling of the Ransows’ third-party insurance claims against Aetna’s insured, Robert Pegurri (“Pegurri”).

Count I of the Ransows’ complaint alleges that Aetna failed to offer a fair and equitable settlement upon receipt of the Ransows’ G.L.c. 93A demand letter and employed unfair arid or deceptive practices in its handling of Robert Ransow’s (“R. Ransow”) claims. Count II of the complaint alleges that Aetna failed to offer a fair and equitable settlement upon receipt of the Ransows’ G.L.c. 93A demand letter and employed unfair and or deceptive practices in its handling of Ellen Ransow’s (“E. Ransow”) claims. Both counts allege that Aetna acted in bad faith and that its acts were willful and knowing.

Aetna answered, denying liability and, more specifically, asserted that the Ransows failed to state a cause of action upon which relief can be granted under either G.L.c. 93A or G.L.c. 176D, failed to comply with the requirements of G.L.c. 93A, did not suffer damages recoverable under a G.L.c. 93A claim, and finally, that Aetna did tender a reasonable offer of settlement within the time limits of G.L.c. 93A.

PROCEDURAL BACKGROUND

This action arose as a result of the Ransows’ dissatisfaction with Aetna’s handling of the Ransows’ claim against Aetna’s insured, Pegurri. The underlying incident, which gave rise to the Ransows’ claim against Pegurri under his homeowner’s insurance policy, was the accidental shooting of R. Ransow by Pegurri, which occurred in Pegurri’s home on November 25, 1981. As a result of the shooting of Ransow by Pegurri, R. Ransow suffered severe injuries which resulted in his hospitalization, surgery, the removal of his spleen, as well as the permanent lodging of a bullet in his abdominal wall. The Ransows brought a civil action against Pegurri in Norfolk Superior Court (C.A. No. 135791) on February 17, 1982, alleging Pegurri’s negligence as the proximate cause of R. Ransow’s injuries and E. Ransow’s loss of consortium.

Despite settlement offers from both parties which fell within the policy limits, and two conciliation meetings conducted by a conciliator appointed by Norfolk Superior Court at which it was recommended that [351]*351Aetna settle "within the policy limits, the parties were unable to reach a settlement.1

The Ransows’ case against Pegurri went to trial in November 1988. The jury found in favor of R. Ransow and awarded him damages in the amount of $170,000.00 plus interest and costs, which resulted in a judgment of $310,686.39. E. Ransow was awarded $10,000.00 in damages. After calculating the interest and costs, E. Ransow received ajudgmentin the amount of $18,313.13. Execution was issued against Pegunri on January 10, 1989 for the above amounts. Aetna paid the Ransows $300,000.00 on December 19, 1988, representing the limit of Pegurri’s homeowner’s liability policy.

Prior to the Norfolk County jury trial, the Ransows brought the instant G.L.c. 93A action against Aetna, filing their complaint in Suffolk Superior Court on June 16, 1988.

After the Norfolk County jury trial, Pegunri brought an action in Suffolk Superior Court against Aetna (C.A. No. 89-0199) on January 13, 1989, alleging breach of contract, unfair claims settlement practices and bad faith, seeking damages against Aetna for the excess judgment. Pegurri then assigned his claim to the Ransows in exchange for the Ransows releasing Pegurri from personal liability for the remaining judgment. (Exhibit 3.) The Ransows sought to consolidate their previously filed G.L.c. 93A claim with Pegurri’s assigned claims and on March 3, 1989, a motion to consolidate the claims was allowed.

FINDINGS OF FACT

Based on all the evidence I find to be credible, drawing such fair inferences as I find to be reasonable, and resolving questions of credibility where they occur, I find the following material facts:

1. On November 25, 1981, Pegurri negligently shot and wounded R. Ransow in Pegurri’s home with a .22 caliber handgun owned by Pegurri.

2. As a result of injuries suffered in the shooting, R. Ransow was hospitalized at Norwood Hospital from November 25, 1981 through December 8, 1981.

3. As a result of the injuries suffered in the shooting, R. Ransow had his spleen removed, has extensive abdominal scarring, has a bullet permanently embedded in his abdominal wall and must permanently retain steel surgical clips in his abdomen.

4. As a result of his injuries and hospitalization, R. Ransow incurred medical bills totalling $17,068.00.

5. As a result of his injuries, R. Ransow suffered six weeks of total disability, followed by partial disability, and did not return to work until March 8, 1982. He then worked firm March 8, 1982 through May 28, 1982 as a car salesman for European Deliveries, Inc. of Cambridge, Massachusetts. R. Ransow left that position on May 29, 1982, suffering severe back pain as result of his injuries due to the gunshot. He returned to work on August 8, 1982, employed as a car salesman by Bezema Buick Corp. in Norwood, Massachusetts.

6. At the time of the shooting Pegurri was insured under an Aetna homeowners’ policy which carried a liability limit of $300,000.00. (Exhibit 5.)

7. On February 22, 1982, Aetna received notice that a claim had been filed by the Ransows against their insured, Pegurri, as the result of Pegurri’s shooting of R. Ransow, which occurred in Pegurri’s home. (Exhibit 4.)

8. Upon receipt of the Ransow v. Pegurri claim, on or about February 22, 1982, Aetna was aware that R. Ransow had undergone hospitalization and extensive surgery, suffered the loss of his spleen and visible scarring, and was claiming partial disability. (Exhibits 4 & 5.) Aetna was further aware that R. Ransow’s ad damnum, claim was for $400,000.00 and that E. Ransow’s ad damnum claim for loss of consortium was $50,000.00. (Exhibit 5.)

9. J. Walter Darling (“Darling”), the Ransows’ first attorney, filed the original complaint against Pegurri.

10. Aetna retained attorney Vincent P. Cahalane (“Cahalane”) of Sullivan, Cahalane and Doherty in Brockton, Massachusetts, to represent their insured, Pegurri, on the tort claim. (Exhibit 6.)

11. Aetna’s Brockton office handled the Ransow v. Pegurri claim. Claims were reviewed and administered through a hierarchical review structure. At the top of this claims-handling hierarchy were persons with the title of Claim Manager. The Claim Managers were the direct supervisors of the Assistant Claim Managers, who were the direct supervisors of Claim Unit Managers (a.k.a. Superintendents), who in turn were the direct supervisors of Claim Supervisors, who in turn supervised Claim Representatives. At regular intervals claims were reviewed and approved by supervisors.

12. On March 17, 1982, claim representative Donna Blakely (“Blakely”) dictated a “first regular report” on the claim, noting that the reserve on the Ransows’ claim was set at $20,000. This report documents Blakely’s knowledge that R. Ransow was shot in the stomach and was “admitted to Norwood Hospital on the date of the incident and released a few weeks later.” The report further indicates that Blakely had not yet received the doctor’s reports nor medical bills for her file. (Exhibit 5.)

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1 Mass. L. Rptr. 350, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ransow-v-aetna-casualty-surety-co-masssuperct-1993.