Rosebrooks v. National General Insurance

434 N.E.2d 675, 13 Mass. App. Ct. 1049, 1982 Mass. App. LEXIS 1306
CourtMassachusetts Appeals Court
DecidedApril 30, 1982
StatusPublished
Cited by11 cases

This text of 434 N.E.2d 675 (Rosebrooks v. National General Insurance) is published on Counsel Stack Legal Research, covering Massachusetts Appeals Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rosebrooks v. National General Insurance, 434 N.E.2d 675, 13 Mass. App. Ct. 1049, 1982 Mass. App. LEXIS 1306 (Mass. Ct. App. 1982).

Opinion

Mrs. Lois L. Rosebrooks, wife of George L. Rosebrooks, the insured owner of an automobile, left a restaurant in Webster after lunch with her husband and others and walked toward the insured automobile. She reached the right rear of the vehicle, put her right hand on it, and began walking around it toward the rear door on the driver’s (i.e., the left) side which she intended to enter. “Just as she got around the rear of the . . . [automobile], she lost her footing on a patch of ice and fell, injuring herself.” Her “right hand was on the vehicle when she . . . fell.” She then was about two to three feet from the door handle which she never reached. She had gone to the restaurant in the vehicle and intended, with the permission of the named insured, to depart in it. Within two years, she incurred necessary medical expenses of more than $7,000. If she is entitled to recover, it is stipulated that her damages are $7,000. The parties agree that the sole issue is whether Mrs. Rosebrooks was injured as the result (as the following terms are used in the policy) of an “accident” while “occupying” the vehicle, in a manner which would entitle her to “personal injury protection” or “medical payments benefits.”

The case was heard by a Superior Court judge, sitting without a jury, on a statement of agreed facts. The trial judge ruled that Mrs. Rose-brooks was not entitled to recover. From a judgment for the insurance company, she has appealed.

The insurance policy was written in a new “simplified” form approved by the Commissioner of Insurance. Under the heading “Our Agreement,” it is stated that “[b]ecause this is an auto policy, it only covers accidents . . . which result from the ownership, maintenance or use of autos” (emphasis supplied). Under part 2, “personal injury protection” or “PIP” coverage, the insurer agrees to pay “Medical Expenses” which have been incurred by “people injured ... in auto accidents” (emphasis supplied). PIP benefits are to be paid to “any . . . person . . . injured while occupying your [the insured’s] auto with your consent” (emphasis supplied). The term “occupying” is defined as “in, upon, entering into, or getting out of” the insured vehicle. “Accident” is defined as “an unexpected, unintended event that causes bodily injury . . . arising out of the . . . use of an auto.” See, as to some of these policy terms, G. L. c. 90, § 34A.

The trial judge interpreted § 34A, as amended in 1970 to provide for “no fault” insurance (see St. 1970, c. 670, §§ 1, 2), as covering “substan[1050]*1050tially the same accidents . . . previously . . . the subject of” c. 90, viz., those “arising out of the ownership, maintenance or use of an automobile.” This interpretation of the Commissioner of Insurance, indicated by the language of the policy, he said, is entitled to weight in determining the meaning of the statute. See Lowell Gas Co. v. Commissioner of Corps. & Taxn., 377 Mass. 255, 262 (1979). The judge found it unnecessary to rule whether Mrs. Rosebrooks was “in, upon, [or] entering into” the vehicle because the “accident did not arise out of the . . . use of the insured vehicle . . . and was not an ‘auto accident.’” The injury to Mrs. Rosebrooks, he concluded, was not one which “by . . . ordinary [English] usage . . . would be described as an ‘auto accident’ ” and “there was no causal relationship between . . . [Mrs. Rosebrooks’s] ‘use’ of the vehicle and her injury,” citing LaPointe v. Shelby Mut. Ins. Co., 361 Mass. 558, 562-564 (1972), and Liberty Mut. Ins. Co. v. Agrippino, 375 Mass. 108, 113-114 (1978), which in turn relied in part upon Travelers Ins. Co. v. Safeguard Ins. Co., 346 Mass. 622, 624 (1964). In that case, a grocery delivery boy by accident shut the door of an automobile upon the fingers of its owner who was waiting to enter the vehicle as soon as the groceries had been placed inside. There it was held (at 624) that any “use” of the vehicle by the boy “was too casual and too remote from the operation of the vehicle to qualify . . . [the grocery boy] as an insured” under the motor vehicle policy. Compare the circumstances considered in Blair v. Boston Elev. Ry., 310 Mass. 1, 4 (1941).

Mrs. Rosebrooks contends that the judge’s ruling as to the policy term “use” of an automobile is unduly narrow, and gives too little weight to her own intention eventually to enter the vehicle although when hurt she was using it “as a crutch or cane to assist walking” toward it but without reaching its door. The cases elsewhere are by no means uniform. See 12 Anderson, Couch’s Cyclopedia of Insurance Law §§ 45:53, 45:54, 45:56, 45:57, 45:68, & 45:74 (rev. 2d ed. 1981); 8 Blashfield, Automobile Law and Practice § 319.16 (3d ed. 1966); Annot., 42 A.L.R. 3d 501 (1972). See also 6B Appleman, Insurance Law and Practice § 4322 (1979). We perceive no consistent guidance in the relevant decisions of courts outside of Massachusetts, many of which are listed in the Annex of this opinion, infra. A majority of the panel inclines to the view that the trial judge ruled correctly that this was not an “auto accident” (a) because it had no causal relationship to any operation of the vehicle in the immediate past (in that neither another automobile nor the insured vehicle was directly involved), and (b) because entering the automobile had not begun. In any event, the whole panel is in agreement on the limited ground that Mrs. Rose-brooks, when injured, was not “in . . . entering ... or getting out of” the insured vehicle; nor was she “upon” the vehicle in any real sense.

Judgment affirmed.

[1051]*1051ANNEX

Among cases which deny recovery in generally comparable situations are Menchaca v. Farmers Ins. Exch., 59 Cal. App. 3d 117, 128-129 (1976), woman merely approaching vehicle with intention of entering it; Ross v. Protective Indem. Co., 135 Conn. 150 (1948), plaintiff struck by automobile while standing behind insured vehicle; Carta v. Providence Wash. Indem. Co., 143 Conn. 372, 374-377 (1956), plaintiff, after alighting from a motor vehicle, started walking away but observed the vehicle rolling downhill toward her, and was injured while trying to avoid it; Thomas v. Travelers Ins. Co., 54 App.Div.2d 608 (N.Y. 1976), plaintiff, crossing street from a restaurant to his vehicle, was close to it (and may have had his hand upon the door handle) when struck by another automobile, was held to be a pedestrian, and not engaged in operating his automobile; Jarvis v. Pennsylvania Threshermen & Farmers’ Mut. Cas. Ins. Co., 244 N.C. 691, 692 (1956), deceased when hit by automobile was in the highway approaching his own truck; Lautenschleger v. Royal Indem. Co., 15 N.C. App. 579, 580 (1972), plaintiff parked her automobile in a service station, then while walking toward the rear of the automobile she slipped and fell into a grease pit; Hollingworth v. American Guar & Liab. Ins. Co., 105 R.I. 693, 695-696 (1969), plaintiff, hit in a service station by a vehicle not his own, was not “occupying” that vehicle; Bowlin v. State Farm Mut. Auto. Ins. Co., 46 Tenn. App. 260, 262 (1959), plaintiff suffered back injury while pushing his truck; Ferguson v. Aetna Cas. & Sur. Co., 369 S.W.2d 844, 845-846 (Tex. Civ. App.

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Bluebook (online)
434 N.E.2d 675, 13 Mass. App. Ct. 1049, 1982 Mass. App. LEXIS 1306, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rosebrooks-v-national-general-insurance-massappct-1982.