Rowe v. Hartford Accident & Indemnity Co.

3 Mass. Supp. 323
CourtMassachusetts District Court
DecidedMarch 3, 1982
DocketNo. 8712
StatusPublished

This text of 3 Mass. Supp. 323 (Rowe v. Hartford Accident & Indemnity Co.) is published on Counsel Stack Legal Research, covering Massachusetts District Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rowe v. Hartford Accident & Indemnity Co., 3 Mass. Supp. 323 (Mass. Ct. App. 1982).

Opinion

OPINION

lodrey, I.

This is an action of contract wherein the plaintiff, Robert Rowe, seeks to recover Personal Injury Protection Benefits (PIP) under G.L. c. 90; sec. 34M, the “No-Fault Statute”, so-called.

The answer of the defendant, Hartford. Accident and Indemnity Company, sometimes hereinafter referred to as “Hartford”, asserts that the underlying debt had been discharged and that the. plaintiff would be unjustly enriched by making a double recovery.

Hartford impleaded the Lowell General Hospital, claiming that the hospital would be unjustly enriched and should account for funds paid in behalf of the plaintiff.

The court found for the plaintiff in the sum of $2,000.00 and awarded attorney’s [324]*324fees to plaintiff’s counsel in the amount of $2,027.50. Additionally, the court found for the third-party defendant, Lowell General Hospital.

At the trial there was evidence tending to show the following, and pursuant to the insurance carrier's request for findings of fact, the trial judge allowed paragraphs one through thirteen, to wit:

“1. Prior to and including September 24, 1978, the defendant/third party plaintiff, Hartford Accident and Indemnity Company (hereinafter the “Hartford”) insured Brendan J. Kiernan by virtue of a Massachusetts Automobile Polity (hereinafter the “Policy”).

2. On or about September 24, 1978, Brendan J. Kiernan, while operating his vehicle insured by the Hartford, struck and injured the plaintiff, Robert A. Rowe (hereinafter “Rowe”), during such time as Rowe was a pedestrian.

3. As a result of his injuries, Rowe was admitted to thef adlities of the third-party defendant, Lowell General Hospital (hereinafter the “Hospital”) on September 24, 1978, and, thereafter, he was discharged on or about October 25, 1978.

4. As a result of this hospitalization, Rowe incurred reasonable and necessary medical expenses in the amount of $5,549.43.

5. During the period of Rowe’s hospitalization, the plaintiff’s father, David Rowe, Acting as father and agent of the plaintiff, Robert A. Rowe, executed a document, agredng that “I further agree to fully reimburse the hospital and physidans for any and all charges ■incurred during my treatment, and assign all insurance benefits to them ...”

6. As a result of his injury and hospitalization, Rowe, through his attorney, on or about October 31, 1978, made an application to the Hartford for Personal Injury Protection (herdnafter “PIP”) Benefits based on the medical expenses incurred by Rowe to the Hospital (but without documentation or specific proof as to the extent of the medical expenses).

7. By a draft check of the Hartford in the amount of $2,000.00 dated November 8, 1978, and made payable to “Lowell General Hospital for the account of Robert Rowe,” the PIP Benefits were paid directly to the Hospital by the Hartford.

8. The Hospital on or before November 13, 1978, endorsed the $2,000.00 check, hereinbefore described; and applied the proceeds thereof to credit the account of Rowe in that same amount, thereby reducing the outstanding medical expenses of $5,549.43 accordingly.

9. No later than November 20, 1978, the plaintiff, by and through his attorney, knew that the Hartford had paid the $2,000.00 PIP Benefits directly to the Hospital.

10. On or about November 28, 1978, the plaintiff, by and through his attorney, submitted to the Hartford an itemized statement of medical bills of the Hospital in the amount, of $5,549.43, and demanded that PIP Benefits in the amount of $2,000.00 be made directly to the plaintiff within thirty (30) days thereafter.

11. On or about December 13, 1978, the Hartford settled any potential tort liability issues arising out of the motor vehicle-pedestrian collision by tendering to the plaintiff the maximum liability coverage ($5,000.00) of the Policy.

12. The tort settlement, described above, is evidenced by a draft check of the Hartford, dated December 13, 1978, made payable to “Robert A. 'Rowe AND Attorney Max A. Stoller,” and containing the nomenclature “IN FULL SETTLEMENT OF ALL CLAIMS”.

13. No later than December 15, 1978, Rowe and his attorney each endorsed the $5,000.00 draft check, as' hereinbefore described and obtained the proceeds thereof.”

Additionally, at the trial there was further evidence tending to show the following:

a. Payment of the $2000.00 check by the insurance carrier directly to the Hospital was made by mistake;

[325]*325“1. The plaintiff is not entitled to recover as a matter of law since there was no credible evidence at trial that plaintiff sustained any damages that were attributable to the defendant’s conduct.
. 3. The judgment should be set aside because it would work a miscarriage of justice, to wit:
(a) the judgment allows a double recovery of the same benefit to the plaintiff.”

This motion was denied.

The defendant has claimed a report to this Division on a charge bf error in the trial court’s denial of its requests and the denial of its motion for a new trial. In our opinion the denial of the requests for rulings constituted reversible error and is dispositive of the appeal.

Requests 14, 15, and-16 were “warrant requests” and to deny them amounts to a ruling that the evidence as a matter of law requires a finding for the other party. Godfrey v. Caswell, 321 Mass. 161, 162 (1947).

Request 17 becomes immaterial in view of our decision.

G.L. c. 90, sec. 34M, commonly referred to as the “No-Fault Statute”, in essence provides for payment of medical expenses, á portion of lost wages not otherwise compensated and actual payments for certain non-income producing services performed by others on behalf of the injured person, all as arising out of personal injuries sustained in a motor vehicle accident occurring in th& Commonwealth. Martin and Hennessey, Automobile Law and Practice, sec. 1155,5, 12 Mass. Practice Series (1967).

A reading of the No-Fault Statute shows the intent to be to provide quick payment of PIP Benefits by carriers, and in the absence thereof, quick judicial resolution of any disputes. The report in this case clearly evidences that Hartford was not reluctant or unwilling to pay PIP benefits. To the contraiy, it paid the maximum coverage within three weeks after receiving documentation of the medical bills.

thereafter, the insurance carrier unsuccessfully attempted to order a stop payment of the draft; there was no evidence that the insurance carrier acted in bad faith at any time.

b. As to the remaining outstanding balance of the Hospital bill, $233.88 was paid by the plaintiff by a check in the same amount dated December 7, 1978; the Mass. Dept, of Public Welfare paid based on Welfare rates; other than the three sources of payment for the bill as already noted, the Hospital was never informed by the plaintiff of any other sources of available proceeds; upon receipt of the $2,000.00 PIP check the Hospital issued Releases of Lien to plaintiff’s counsel and the insurance carrier on December 7, 1978 and December 8, 1978, respectively.

At the close of the trial and before final arguments the defendant filed requests for rulings. The requests which are brought before us by this report and the judge’s rulings.thereon are as follows:

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Related

Godfrey v. Caswell
72 N.E.2d 402 (Massachusetts Supreme Judicial Court, 1947)

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Bluebook (online)
3 Mass. Supp. 323, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rowe-v-hartford-accident-indemnity-co-massdistct-1982.