Scott v. Commerce Insurance

816 N.E.2d 1224, 62 Mass. App. Ct. 416, 2004 Mass. App. LEXIS 1251
CourtMassachusetts Appeals Court
DecidedNovember 3, 2004
DocketNo. 03-P-717
StatusPublished
Cited by1 cases

This text of 816 N.E.2d 1224 (Scott v. Commerce 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
Scott v. Commerce Insurance, 816 N.E.2d 1224, 62 Mass. App. Ct. 416, 2004 Mass. App. LEXIS 1251 (Mass. Ct. App. 2004).

Opinion

Brown, J.

Commerce Insurance Company (Commerce) appeals a Superior Court judgment that confirmed an arbitration award in favor of its insured, Charles Scott. We conclude it was error to confirm the award and reverse the judgment entered below to that effect.

1. Background. On the evening of May 14, 2000, Scott had been jogging in the vicinity of Franklin Park in Boston when he was struck by an unidentified motor vehicle. Apart from his serious injuries, he also incurred medical expenses in excess of $88,000. On June 14, 2000, Scott made claim under his automobile insurance policy issued by Commerce, and sought recovery of personal injury protection (PIP) and uninsured [417]*417motorist benefits (G. L. c. 175, § 113L), as well as medical payments arising from the incident.1

Upon investigation, Commerce found reason to doubt the veracity of Scott’s account of the incident and denied his insurance claim. Because Scott apparently made statements after his hospitalization, which indicated he had been a victim of a violent assault and battery, Commerce was of a view that Scott had changed his story once he was made aware there would be no recovery in the absence of a motor vehicle accident. With the parties at an impasse as to liability, they referred this dispute to an arbitrator, a procedure that was mandated by the insurance contract.2

a. Arbitration. By written agreement dated August 31, 2001, Scott and Commerce agreed to use the services of a retired judge as the arbitrator. The key issue before the arbitrator was that of liability. Scott maintained he had been the victim of a hit and run motor vehicle accident. In casting doubt as to that claim, Commerce pointed to Scott’s own statements, made soon after the event, suggesting (as mentioned above) he had been injured as a result of an assault and robbery.

An arbitration proceeding was held on August 31, 2001. On all the evidence, the arbitrator determined Scott had been “struck by an unidentified motor vehicle after jogging in Franklin Park sometime around midnight on May 14, 2000.” The arbitrator found it credible that Scott went out jogging at that late hour to relieve stress resulting from a recent death in his family. Also, the arbitrator deemed it “understandable” that [418]*418Scott may have initially believed he had been robbed, in light of his injuries and the fact that his money and personal effects were missing.3 The arbitrator concluded Scott’s inconsistent and confused accounts of the events were the product of his trauma and medication. The arbitrator determined Scott was entitled to recover from the hit-and-run driver damages in the amount of $112,600.4 The parties do not suggest the arbitration decision was anything but final as to the dispute at hand.

After the arbitrator announced his decision and rendered his award, Commerce tendered to Scott’s counsel separate checks for payment of insurance benefits amounting to $38,000, the sum total of its liability based on the contract’s policy limits.5 Scott’s counsel followed this up with a written demand of Commerce to pay the entire arbitration award, a request that apparently went unheeded.

b. Superior Court proceedings. Nearly one year after the arbitration had concluded, Scott commenced an action in Superior Court, seeking an order confirming the award. Commerce opposed that effort and lodged its own counterclaim, alleging the award was invalid to the extent it had exceeded the parties’ agreed-to policy limits. Commerce moved to modify the arbitration award along the lines mentioned.6

Acting on the parties’ cross motions for judgment on the pleadings, a judge found in favor of Scott, ruling Commerce was barred from seeking an order to vacate or modify the award due to its failure to apply for such relief within the time [419]*419prescribed by G. L. c. 251.7 In denying Commerce’s motion, which had been filed more than twelve months after the date of the award’s issuance, the judge observed: “If [Commerce’s] defenses were of such vital importance to it, [Commerce] nevertheless had an opportunity to raise them in the manner contemplated by statute.”

2. Discussion. Commerce makes no argument that the arbitration decision or award was tainted by fraud or other procedural irregularity. It does claim, however, that the arbitrator exceeded his authority by awarding damages in excess of the policy limits of the contract. “An arbitrator exceeds his authority by granting relief beyond the scope of the arbitration agreement ... by awarding relief beyond that which the parties bound themselves . . . or by awarding relief prohibited by law.” Plymouth-Carver Regional Sch. Dist. v. J. Farmer & Co., 407 Mass. 1006, 1007 (1990). See Lawrence v. Falzarano, 380 Mass. 18, 28 (1980); School Comm. of Hanover v. Hanover Teachers Assn., 435 Mass. 736, 740 (2002).

We do not agree the arbitrator exceeded his authority to the extent his decision, and the award rendered by him, is limited to the measure of damages Scott was entitled to recover from the unidentified tortfeasor. Nonetheless, it does not follow that the arbitration award, resolving the liability question in Scott’s favor so as to declare that the incident was an insurable event, can be construed as an order compelling Commerce to pay Scott $112,600, which obviously exceeds what Commerce was bound to pay Scott for an insurable accident based on the [420]*420governing terms and applicable policy limits of the parties’ insurance contract.

Mindful of G. L. c. 251’s requirements and guided by decisional law interpreting our domestic arbitration statute, we reverse the Superior Court judgment confirming the arbitration award, on the narrow ground that once Commerce tendered the full amount of its insurance benefit obligation to Scott (i.e., $38,000), any action by Scott to confirm the award was moot.8

As stated, the arbitration resolved the liability issue (in favor of Scott) and assessed the amount of damages for which the unidentified hit-and-run driver would have been liable (i.e., $112,600): G. L. c. 175, § 111D. See Aetna Cas. & Sur. Co. v. Poirier, 371 Mass. 257, 259-260 (1976); Allstate Ins. Co. v. Harris, 26 Mass. App. Ct. 1017, 1019 (1989).

It was not within the arbitrator’s authority to take up any question as to coverage under the insurance policy, for that was a matter (absent an explicit agreement by the parties authorizing such) for a court to decide. See Royal Indem. Co. v. Blakely, 372 Mass. 86, 87 n.2 (1977); Spaneas v. Travelers Indem. Co., 423 Mass. 352, 354 (1996); M. O’Connor Contr., Inc. v. Brockton, 61 Mass. App. Ct. 278, 282 (2004). “Here, no determination of policy coverage was requested of the arbitrator, or was required to be made by him.” Allstate Ins. Co. v. Harris, 26 Mass. App. Ct. at 1019 (citation omitted).

The arbitrator properly did not (nor was he authorized to) order Commerce to pay the award itself; he simply determined [421]*421the extent of the uninsured driver’s liability for the hit-and-run accident. See Aetna Cas. & Sur. Co. v. Poirier, 371 Mass. at 259-260; Royal Indem. Co.

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Bluebook (online)
816 N.E.2d 1224, 62 Mass. App. Ct. 416, 2004 Mass. App. LEXIS 1251, Counsel Stack Legal Research, https://law.counselstack.com/opinion/scott-v-commerce-insurance-massappct-2004.