Rhodes v. AIG Domestic Claims, Inc.

961 N.E.2d 1067, 461 Mass. 486
CourtMassachusetts Supreme Judicial Court
DecidedFebruary 10, 2012
DocketSJC-10911
StatusPublished
Cited by63 cases

This text of 961 N.E.2d 1067 (Rhodes v. AIG Domestic Claims, Inc.) 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
Rhodes v. AIG Domestic Claims, Inc., 961 N.E.2d 1067, 461 Mass. 486 (Mass. 2012).

Opinion

Botsford, J.

The issues in this appeal relate to insurance claims settlement practices of a primary and an excess insurance carrier. Marcia Rhodes 3 received catastrophic injuries including permanent paraplegia when a tractor trailer hit the rear end of her car in January of 2002. She; her husband, Harold; and her daughter, Rebecca (collectively, plaintiffs or family) brought a tort action against, among others, the truck driver, his employer, and the company to which he was assigned by his employer, seeking damages for Marcia’s injuries and loss of consortium on the part of Harold and Rebecca. At trial, which took place in September of 2004, the plaintiffs secured a judgment of approximately $11.3 million. The plaintiffs had made settlement demands on the primary and excess insurers of the company to whom the track driver was assigned before the tort trial, but no settlement was forthcoming. Eight and one-half months after the jury’s verdicts and while the defendants’ appeals were pending, the insurers and the plaintiffs settled the tort action, and the appeals were withdrawn.

Before the settlement was reached in the tort action, the plaintiffs brought the present action against the two insurers under G. L. c. 93A, § 9, and G. L. c. 176D, § 3 (9) (/), for failing to effect a prompt, fair, and equitable settlement of the plaintiffs’ claims. Following a lengthy bench trial, a judge in the Superior Court determined that the primary insurer, Zurich American Insurance Company (Zurich), was not liable on the plaintiffs’ claims of unfair settlement practices, but that the excess insurer, National Union Fire Insurance Company of Pittsburgh, Pennsylvania (National Union), and more particularly *488 its claims administrator, the defendant AIG Domestic Claims, Inc. (AIGDC), 4 had engaged in wilful and knowing violations of G. L. c. 93A (c. 93A), and G. L. c. 176D (c. 176D), both before the trial in the tort action and after judgment entered in it. The judge, however, concluded that the plaintiffs could not recover for preverdict violations because they had not proved that the unfair or deceptive acts complained of before trial had caused them any “actual damages,” or injury. In connection with the postjudgment violation, the judge awarded damages — doubled because of the violation’s wilful and knowing character — based on the plaintiffs’ loss of use of the funds that they accepted in postjudgment settlement of their claims (i.e., interest on those funds).

The plaintiffs appealed to the Appeals Court. See Rhodes v. AIG Domestic Claims, Inc., 78 Mass. App. Ct. 299 (2010). Disagreeing with the trial judge, a divided panel of that court concluded that with respect to AIGDC’s preverdict conduct in the tort action, “the causal link between AIGDC’s unfair settlement practices and injury to the plaintiffs was sufficiently established” because AIGDC’s conduct deprived the plaintiffs of “the opportunity to engage in a timely settlement process,” “compound[ed] their frustrations and fears,” and “exacerbated] their losses.” Id. at 309, 310, 311. A majority of the panel further determined that the measure of damages for the preverdict violation should be the loss of use of the funds AIGDC had offered in settlement before the trial, reasoning that permitting insurers to limit their c. 93A and c. 176D liability to loss of use by making a reasonable, but tardy, offer was in keeping with c. 176D’s purpose of encouraging out-of-court settlements of insurance claims. 5 Id. at 312. The Appeals Court also awarded loss of use damages for AIGDC’s postjudgment violation. Id. at 315.

*489 The case is before us on the plaintiffs’ application for further appellate review. We conclude that the damages the plaintiffs are entitled to recover under c. 93A, § 9, on account of the defendants’ postjudgment violation of c. 93A, § 2, and c. 176D, § 3 (9) (/), must be based on the underlying judgment in the plaintiffs’ tort action, and not the loss of use of the sum ultimately included in AIGDC’s late-tendered settlement offer months after the jury’s verdicts. This conclusion makes it unnecessary to deter-mine whether AIGDC’s wilful and knowing violation of the applicable statutes before the verdicts in the tort case caused in-jury to the plaintiffs, because even if, as they argue, the plaintiffs did establish the requisite causal link between AIGDC’s prever-dict violations and injury and thereby are entitled to a multiple of the underlying tort judgment as damages, the plaintiffs may not recover that amount twice. We affirm the judge’s determination that Zurich did not violate c. 93A and c. 176D, and is not liable to the plaintiffs. 6

1. Background 7 a. The accident. There has never been a dis-pute that Marcia’s accident was caused by the negligence of the truck driver, with no contributory negligence on her part. The force of the eighteen-wheel truck’s crash into the back of Mar-cia’s car fractured her spinal cord, rendering her paraplegic, and broke several of her ribs. Marcia was hospitalized from the day of the accident, January 9, 2002, until April 16, 2002, after under-going spinal fusion surgery and two months of rehabilitation. Even after returning home, she could not move from her wheel-chair to her bed or the toilet on her own. In May, 2002, she had emergency surgery to remove her gall bladder due to gangrene and spent another three weeks recovering in a hospital. In Decem-ber, 2002, Marcia developed pressure sores and was bedridden for ten months, until October, 2003.

b. The tort action. Driver Logistic Services (DLS) had as-signed Carlo Zalewski, its employee, to drive the truck involved in the accident for GAP Building Corp. (GAF). The truck was *490 owned by Penske Truck Leasing Company (Penske) and leased to GAP. GAP held a $2 million primary automobile insurance policy with Zurich and a $50 million excess umbrella policy with National Union. AIGDC was National Union’s claims administrator and managed the plaintiffs’ excess insurance claim.

After investigation, on April 8, 2002, GAP’s third-party claims administrator, Crawford & Company (Crawford), informed GAP, Zurich, and AIGDC in writing that Zalewski clearly was liable for Marcia’s injuries and that his liability could be imputed to GAP. By July 3, 2002, GAP had determined that its policies with Zurich and National Union covered GAP, Zalewski, DLS, and Penske (collectively, GAP-insured defendants) for the accident.

On July 12, 2002, the plaintiffs filed their negligence action against the GAP-insured defendants in the Superior Court. On September 25, in a facsimile sent directly to David McIntosh, a claims director at Zurich, Crawford estimated the value of the case to be between $5 million and $10 million. 8 On November 21, Zalewski admitted to facts sufficient to support guilt on a criminal charge of operating negligently to endanger.

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Bluebook (online)
961 N.E.2d 1067, 461 Mass. 486, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rhodes-v-aig-domestic-claims-inc-mass-2012.