Rhodes v. AIG Domestic Claims, Inc.

24 Mass. L. Rptr. 142
CourtMassachusetts Superior Court
DecidedJune 4, 2008
DocketNo. 051360BLS1
StatusPublished

This text of 24 Mass. L. Rptr. 142 (Rhodes v. AIG Domestic Claims, Inc.) 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
Rhodes v. AIG Domestic Claims, Inc., 24 Mass. L. Rptr. 142 (Mass. Ct. App. 2008).

Opinion

Gants, Ralph D., J.

The plaintiffs, Marcia Rhodes, Harold Rhodes, and Rebecca Rhodes (collectively, “the Rhodeses”), have filed this action against the defendants AIG Domestic Claims, Inc., formerly known as AIG Technical Services (“AIGDC”), National Union Fire Insurance Company of Pittsburgh, PA (“National Union”), and Zurich American Insurance Company (“Zurich”), alleging that these insurers violated G.L.c. 176D, §3(9)(f) (and, in turn, G.L.c. 93A) by failing to effectuate a prompt, fair, and equitable settlement of a tort claim in which liability was reasonably clear. This Court conducted a 16-day bench trial between February 5, 2007 and March 31, 2007, followed by extensive briefing. Based on the testimony at trial and the exhibits admitted into evidence, viewed in light of the governing law, this Court makes the following findings of fact and conclusions of law.

FINDINGS OF FACT

In the early afternoon of January 9, 2002, Professional Tree Service was grinding tree stumps off Route 109 in Medway and had retained a Medway patrolman on paid detail to stop one lane of traffic at a time to protect the safely of its tree service truck and employee. The police officer stopped a Toyota driven by Marcia Rhodes, then 46 years old. After she came to a full stop, an 18-wheel trailer truck driven by Carlo Zalewski struck the rear of Ms. Rhodes’s car and pushed it off the road down an embankment. The tractor-trailer had struck her car with such force that the trunk had been pushed into the back seat of the vehicle. Ms. Rhodes was conscious when the police officer ran over to her aid, but she had lost all feeling below her waist. As a result of the traffic accident, she suffered, among other injuries, a fractured spinal cord at T-12 and broken ribs. The accident left her a paraplegic, unable to walk.

Zalewski at the time of the accident was employed by Driver Logistic Services (“DLS”), and had been assigned by DLS to drive the truck for GAF Building Corp. (“GAF”). GAF had leased the truck from its owner, Penske Truck Leasing Co. (“Penske”).

At the time of the accident, GAF had a $2 million primary automobile insurance policy with Zurich, and a $50 million excess umbrella policy with National Union. Under the Zurich Policy, GAF had a self-insured retention of $250,000 per claim, including defense costs, and retained the authority to approve payments up to that amount. Zurich had to approve any settlement of a claim that involved payment of more than $100,000. GAF had retained Crawford & Company (“Crawford”) as its Third Party Administrator (“TPA”) to adjust its claims and Zurich also entered into a Third Party Administrator Agreement with Crawford to adjust its GAF claims. As Zurich’s TPA for GAF claims, Crawford provided various adjustment services, including accepting and acknowledging proofs of loss, maintaining claims files, investigating all reported claims and evaluating their merits, proposing Claim Reserve guidelines, and retaining attorneys approved by Zurich to defend claims.

Crawford received notice of the claim arising from the January 9, 2002 accident involving Ms. Rhodes that same day. On January 30, 2002, John Chaney, a Senior Liability Adjuster for Crawford, issued what he characterized as his First Full Formal Report regarding the accident. Chaney classified the claim as “catastrophic,” and therefore declared that it will be reportable to both GAF and Zurich. Chaney had interviewed Zalewski by telephone on January 10, 2002, and reported that Zalewski said that he was descending a long gradual hill on Route 109, traveling roughly at the speed limit of 35 miles per hour when a car “popped out” of an intersecting street, causing him to go to his brake “vigorously.” When he saw that this car had passed, he put his foot to the gas pedal, returned his eyes from that car to the road ahead, and saw Rhodes’s car only 20-30 feet ahead. He put on his brakes, but they locked and he had too little space to stop. He said he saw no warning signs of work being done near the area of the accident. He was cited criminally for Operating Negligently to Endanger, and taken for drug and alcohol tests. The alcohol test was negative. The drug test had yet to be processed, but Zalewski denied that drugs or alcohol played any role in the accident. He said he was unaware of any defects in his truck. The police report confirmed his account, but noted that a truck traveling downhill in Zalewski’s direction on Route 109 to the accident scene would have had 800 feet of straight, clear visibility. The police report also noted that the truck had one inoperative brake, but this was not deemed a factor in the accident.

As to damages, Chaney wrote that he was not fully aware of the extent of Ms. Rhodes’s injuries, “except that we know she remains in life threatening condition at UMass Medical Center, is paralyzed, [and] suffers currently from pneumonia and pancreatic infection.” He opined that the case “will carry a high value” but that it was premature to estimate the ultimate exposure.

Chaney noted that Ms. Rhodes had retained counsel, attorney Frederick Pritzker of the law firm of Brown Rudnick Freed & Gesmer, P.C. At GAF’s suggestion, Crawford retained the law firm of Nixon Peabody, LLP to represent GAF. Chaney asked GAF to notify the excess carrier (National Union), which it did. Chaney provided a copy of this report to the Vice President for Risk Management at GAF, the attorney at Nixon Peabody representing GAF, and Zurich at its corporate headquarters in Shaumberg, Illinois.

While this Court has no doubt that Chaney indeed did send his First Full Formal Report to Zurich’s headquarters, the Report appears not to have found its way to any of Zurich’s claims representatives, probably because Zurich had not earlier been notified of the claim and had established no claims file to which it could be sent. AIGDC, which served as the claims administrator for National Union and, for all practical purposes, managed National Union’s excess insur-[144]*144anee claims, received a copy of this Report on February 4, 2002 because GAF’s broker gave written notice to AIGDC of the claim on that date, enclosing both the Report and the police report.1

Chaney’s next transmittal to GAF was on April 8, 2002, with copies sent to AIGDC and Zurich’s postal box.2 Chaney noted that Zalewski was clearly liable for Ms. Rhodes’s injuries due to his lack of attention and he opined that Zalewski’s liability may be imputed to GAF.3 He foresaw the possibility of contribution from Penske for faulty maintenance (although he noted that this did not cause the accident), and from Professional Tree Service and the Town of Medway for not having placed warning signs and for poorly managing traffic. He awaited the legal opinion of defense counsel as to the potential for contribution from other possible tortfeasors. He recommended that the policy limits of $2 million be put in reserve. However, no reserve was yet put in place because only Zurich had the authority to set a reserve of greater than $ 100,000, and no one at Zurich yet knew of this claim.

The next day, on April 9, 2002, Tracey Kelley, whose unusual title at AIGDC was “Complex Director” (which at AIGDC effectively meant that she was assigned complex claims, defined as claims with a potential value of more then one million dollars), wrote Chaney to inform him that she was handling the excess claim on behalf of AIGDC.

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

Related

Guity v. COMMERCE INSURANCE CO.
631 N.E.2d 75 (Massachusetts Appeals Court, 1994)
Leardi v. Brown
474 N.E.2d 1094 (Massachusetts Supreme Judicial Court, 1985)
Haddad v. Gonzalez
576 N.E.2d 658 (Massachusetts Supreme Judicial Court, 1991)
Calimlim v. Foreign Car Center, Inc.
467 N.E.2d 443 (Massachusetts Supreme Judicial Court, 1984)
Bertassi v. Allstate Insurance
522 N.E.2d 949 (Massachusetts Supreme Judicial Court, 1988)
Trempe v. Aetna Casualty & Surety Co.
480 N.E.2d 670 (Massachusetts Appeals Court, 1985)
DiMarzo v. American Mutual Insurance
449 N.E.2d 1189 (Massachusetts Supreme Judicial Court, 1983)
Kohl v. Silver Lake Motors, Inc.
343 N.E.2d 375 (Massachusetts Supreme Judicial Court, 1976)
Schwartz v. Rose
634 N.E.2d 105 (Massachusetts Supreme Judicial Court, 1994)
Clegg v. Butler
424 Mass. 413 (Massachusetts Supreme Judicial Court, 1997)
Kapp v. Arbella Mutual Insurance
689 N.E.2d 1347 (Massachusetts Supreme Judicial Court, 1998)
Hopkins v. Liberty Mutual Insurance
750 N.E.2d 943 (Massachusetts Supreme Judicial Court, 2001)
R.W. Granger & Sons, Inc. v. J & S Insulation, Inc.
435 Mass. 66 (Massachusetts Supreme Judicial Court, 2001)
Bobick v. United States Fidelity & Guaranty Co.
790 N.E.2d 653 (Massachusetts Supreme Judicial Court, 2003)
Hershenow v. Enterprise Rent-A-Car Co.
445 Mass. 790 (Massachusetts Supreme Judicial Court, 2006)
Wallace v. American Manufacturers Mutual Insurance
494 N.E.2d 35 (Massachusetts Appeals Court, 1986)
Yeagle v. Aetna Casualty & Surety Co.
679 N.E.2d 248 (Massachusetts Appeals Court, 1997)
Metropolitan Property & Casualty Insurance v. Choukas
711 N.E.2d 933 (Massachusetts Appeals Court, 1999)
O'Leary-Alison v. Metropolitan Property & Casualty Insurance
752 N.E.2d 795 (Massachusetts Appeals Court, 2001)

Cite This Page — Counsel Stack

Bluebook (online)
24 Mass. L. Rptr. 142, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rhodes-v-aig-domestic-claims-inc-masssuperct-2008.