Shaheen v. Preferred Mutual Insurance

668 F. Supp. 716, 1987 U.S. Dist. LEXIS 7793
CourtDistrict Court, D. New Hampshire
DecidedJuly 30, 1987
Docket1:05-adr-00005
StatusPublished
Cited by11 cases

This text of 668 F. Supp. 716 (Shaheen v. Preferred Mutual Insurance) is published on Counsel Stack Legal Research, covering District Court, D. New Hampshire primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Shaheen v. Preferred Mutual Insurance, 668 F. Supp. 716, 1987 U.S. Dist. LEXIS 7793 (D.N.H. 1987).

Opinion

ORDER

DEVINE, Chief Judge.

In this action, plaintiffs William Shaheen, Patrick Cragin, PJ Pubs, and Shaheen Construction Company, Inc., bring suit against defendants Preferred Mutual Insurance Company (“Preferred”) and Utica Mutual Insurance Company (“Utica”) seeking compensatory and punitive damages for defendants’ alleged breach of contract and tortious handling of plaintiffs’ insurance claim. Plaintiffs also seek declaratory re *717 lief regarding defendants’ liability to them pursuant to their respective contracts of insurance. 1 This matter is presently before the Court on defendant Utica’s motion to dismiss and plaintiffs’ objection thereto.

In considering a motion to dismiss, the Court follows the established requirement that “the material facts alleged in the complaint are to be construed in the light most favorable to the plaintiff and taken as admitted, with dismissal to be ordered only if the plaintiff is not entitled to relief under any set of facts he could prove.” Chasan v. Village Dist. of Eastman, 572 F.Supp. 578, 579 (D.N.H.1983) (citations omitted), aff'd without opinion, 745 F.2d 43 (1st Cir.1984). In reviewing motions to dismiss, the Court’s focus is limited to the allegations contained in the complaint itself. Litton Indus. v. Colon, 587 F.2d 70, 74 (1st Cir.1978). The standard for granting a motion to dismiss is not the likelihood of success on the merits, but is whether plaintiff is entitled to offer evidence to support his claim. Scheuer v. Rhodes, 416 U.S. 232, 236, 94 S.Ct. 1683, 1686, 40 L.Ed.2d 90 (1974). The relevant facts as alleged by plaintiffs are as follows.

Plaintiffs Shaheen and Cragin own a parcel of land in York Beach, Maine, containing the Union Bluff Hotel and various appurtenant facilities (“Union Bluff”). The Union Bluff is leased to plaintiff PJ Pubs, and plaintiff Shaheen Construction Co., Inc., entered into a contract with Shaheen and Cragin to restore the Union Bluff. Plaintiffs Shaheen and Cragin obtained liability and fire casualty insurance on the Union Bluff through the Cotsibas Insurance Agency of Tilton, New Hampshire (“Cotsibas”). Their original insurance policy was issued by First State Insurance Company. In October 1986, at the initiative of Cotsibas, the First State Insurance Company policy was canceled and a policy covering the Union Bluff was issued by defendant Preferred. Unbeknownst to plaintiffs, Cotsibas had caused to be issued a builder’s risk policy in the name of Shaheen Construction Company, Inc., and incorrectly listed the location of the property as Rollinsford, New Hampshire.

On February 28, 1987, a fire occurred at the Union Bluff which completely destroyed the property. Plaintiffs made a claim under the Preferred policy, but on March 17, 1987, through an agent, George Heilshorn, Preferred informed plaintiffs that they were denying the claim based on Cotsibas’ incorrect description of the property on the policy application. At that point, plaintiffs submitted a claim to Utica, the liability insurance carrier for Cotsibas, through Utica’s adjuster, Bruce Connell. Although Mr. Connell initially advised plaintiffs that Utica would settle their claim within 30 days, no such settlement occurred, and this action was filed on May 6, 1987.

Utica has moved to dismiss this action on the basis that plaintiffs have no standing to maintain a direct action against Utica. For the following reasons, the Court agrees.

While plaintiffs’ complaint is not a model of clarity as to the causes of action it asserts against defendant, the Court discerns the following four alleged bases for maintenance of the action against Utica: (1) violation of New Hampshire Revised Statutes Annotated (“RSA”) 417:4 XV which details unfair claim settlement practices by insurers; (2) breach of Utica’s insurance contract with Cotsibas, which plaintiffs allege they can litigate as third-party beneficiaries to the contract; (3) tortious handling of plaintiffs’ claim submitted pursuant to the liability policy Utica issued to Cotsibas; and (4) declaratory relief in the form of a finding by the Court that Utica is liable to plaintiffs for the full amount of damages sustained as a result of the fire by virtue of its duty to insure Cotsibas. The Court will address each of these asserted causes of action seriatim.

1. Claim under RSA 417:4 XV

Plaintiffs allege that Utica’s actions in response to plaintiffs’ claim under the Cotsibas liability policy constitute unfair claim settlement practices in violation of *718 RSA 417:4 XV. Ignoring any deficiencies in alleging a violation of RSA 417:4 XV, 2 the Court finds that plaintiffs may not proceed with this claim. RSA 417 does not presently provide for a direct civil action for a violation of any of the unfair insurance trade practices listed therein. 3 Rather, aggrieved parties must first seek administrative relief from the insurance commissioner, and a finding of a violation of the statute by the commissioner is required prior to the institution of a civil action for damages. RSA 417:19. No such administrative finding of violation of RSA 417:4 XV by Utica having been made, plaintiffs’ claims pursuant to this statutory provision must be dismissed.

2. Breach of Contract Claim

Plaintiffs contend that Utica is liable to them for breach of its obligation of good faith and fair dealing under the liability insurance contract issued by Utica to Cotsibas. In Lawton v. Great Southwest Ins. Co., 118 N.H. 607, 392 A.2d 576 (1978), the New Hampshire Supreme Court recognized that allegations by an insured of bad faith and/or unfair dealing on the part of the insurer in the performance of an insurance contract state a claim for breach of contract. Id. at 612, 392 A.2d at 580. However, absent a determination of liability on the part of Cotsibas, the Court finds that plaintiffs may not maintain a direct action for breach of contract against Utica.

In general, a nonparty to a contract does not have a remedy for breach of the contract simply because performance of the contract would have made it possible for the nonparty to receive a pecuniary benefit. Pstragowski v. Metropolitan Life Ins. Co., 553 F.2d 1, 4-5 (1st Cir.1977). In the context of liability insurance contracts, the New Hampshire Supreme Court has held that “[ajbsent ... a judicial determination of the insured’s liability, the injured party may not proceed directly against the insurer.” Burke v. Fireman’s Fund Ins. Co., 120 N.H. 365, 367, 415 A.2d 677, 678 (1980). The rationale for this holding is aptly explained by the Maine Supreme Judicial Court as follows.

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Bluebook (online)
668 F. Supp. 716, 1987 U.S. Dist. LEXIS 7793, Counsel Stack Legal Research, https://law.counselstack.com/opinion/shaheen-v-preferred-mutual-insurance-nhd-1987.