Tyler v. Safety Insurance

14 Mass. L. Rptr. 585
CourtMassachusetts Superior Court
DecidedApril 30, 2002
DocketNo. 9903024
StatusPublished

This text of 14 Mass. L. Rptr. 585 (Tyler v. Safety Insurance) 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
Tyler v. Safety Insurance, 14 Mass. L. Rptr. 585 (Mass. Ct. App. 2002).

Opinion

Quinlan. J.

The plaintiff Paul W. Tyler brings this action against the defendant Safety Insurance Company alleging Safety engaged in unfair claim settlement practices in violation of G.L.c. 176D and G.L.c. 93A. The matter was tried without a jury.

Findings of Fact

Based upon the credible evidence and inferences drawn therefrom, the court makes the following findings of fact.

On November 10, 1998 at approximately 3:50 p.m., there was a head-on collision on Great Road in Stow, Massachusetts. Doris C. Goldman, then aged sixty-seven, was driving her vehicle in the westbound lane when she crossed over the center line of the roadway into the oncoming lane of traffic, striking the vehicle driven by the plaintiff Paul W. Tyler, also aged sixty-seven. A third vehicle operated by Elio Nascimento was traveling behind the Tyler vehicle and hit that vehicle in the rear. Both the Tyler and Goldman vehicles were totaled. Both Mrs. Goldman and Tyler sustained serious visible injuries as a result of the collision. Mrs. Goldman was unconscious. Due to the severity of her injuries, she was air-lifted to U Mass Medical Center in Worcester. Tyler was taken to Emerson Hospital in Concord.

An eyewitness described the accident as follows: “You know how when you are following behind someone and they cross over the center line for a just second and get back in the right lane? Well, this car just kept going into the other lane. It was like a dream.” Witnesses reported the speed of the Goldman vehicle to be within the permissible limit of 35 miles per hours. The Goldman vehicle was estimated to be traveling between 30-35 miles per hour. The witnesses did not see Mrs. Goldman apply her brakes. Stow Police responding to the scene of the accident attended to the victims until medical assistance arrived, took witness statements and ultimately issued a citation to Mrs. Goldman for failure to stay to the right. The plaintiff said that before the collision he made eye contact with Mrs. Goldman.

The Goldman vehicle was insured by Safety Insurance Company. The policy number was 996171 and the bodily injury coverage was $250,000-8500,000. Safety learned of the accident within twenty-four hours. David Jaworski was assigned to investigate the claim. Jaworski reported to Stephen C. Touchette to Richard Guinan. By November 12th Safety had spoken with the investigating officer and with Ernest Goldman, Mrs. Goldman’s husband, and had obtained a copy of the police report. Safety learned that Mrs. Goldman remained in critical condition with head and [586]*586chest injuries and she had not regained consciousness. Mr. Goldman reported that he heard that his wife had crossed the center line and had a head-on collision with the Tyler vehicle and that the Tyler vehicle had been rear-ended by the Nascimento vehicle.

By memo dated November 25, 1998, Jaworski issued a referral memo to Guinan concerning his investigation. He characterized the issue of liability as "unfavorable” based upon his investigation, the police report, photographs of the scene and witness statements. Jaworski stated that it “appeared that most of the factual investigation has been completed . . .” Jaworski stated he would try to determine whether Mrs. Goldman had any medical condition which may have contributed to the loss. Guinan responded by memo dated December 2, 1998. He seemed to adopt Jaworski’s characterization of liability as unfavorable. In that memo to Jaworski, Guinan stated,

Why the insured operator veered into the oncoming lane needs to be addressed. When the loss occurred, the insured was returning from visiting a friend at Framingham prison. Did the visit prompt an emotional response in the insured? When Ernest Goldman stated his wife had no prior medical problems that would explain why his wife veered from her lane, did he think of every (diabetes, epilepsy, cold medicine, etc.) Please revisit this issue with the insured /her husband.

Guinan directed Jaworski to obtain authorization to obtain Mrs. Goldman’s medical records and to determine “whether there was a medical emergency which led to this loss.”

Since Mrs. Goldman remained unconscious, it was necessary to appoint a temporary guardian to handle her affairs. Mr. Goldman’s appointment as a temporary guardian was approved by the Probate and Family Court on December 28, 1998. That guardianship was ordered extended on March 23, 1999 to expire on June 22,1999.

By November 19th Jaworski had contacted and spoken with Tyler. By December 7th Safety had learned that Tyler was represented by Neil Rossman. Attorney Rossman confirmed his representation by letter dated December 10, 1998. In their early discussions, Attorney Rossman informed Jaworski that he hoped to settle this claim without the necessity of filing suit. Jaworski advised Rossman that Touchette would be the adjuster handling the claim. Touchette received Rossman’s representation letter on December 15th. Touchette responded to Rossman’s letter on December 15th, advising Rossman of the coverage limits available on the Goldman policy. In doing so, Touchette cautioned that Safety was neither admitting liability on Tyler’s claim nor waiving any terms of the policy.

By December 15, 1998, Safety was aware that Tyler’s injury to his mouth was very serious. Consequently, Touchette requested that Rossman provide copies of Tyler’s medical bills, records and reports as well as documentation of lost wages and any accident reports or photographs.

On January 13, 1999, Rossman told Touchette that he would be looking for the policy limit on behalf of Tyler and that he would be sending a package of medical records and other information concerning the Tyler claim. When asked about Tyler’s employment. Rossman was vague. In February of 1999. Touchette learned from the adjuster at Commerce Insurance1 that Tyler was unemployed on the date of the accident and he was coming from a job interview at the time of the accident.

On February 23, 1999, Rossman sent a letter demanding Safety’s policy limit for Tyler. In that letter, Rossman noted that Tyler’s medical expenses exceeded 860,000. However, he did not enclose copies of medical or other records relating to the claim. Rather, he offered to meet with Touchette and make his file available. In the alternative, he asked Touchette to designate documents he needed to settle the claim. Touchette responded by letter dated March 2, 1999 in which he requested copies of all medical bills and records, photographs particularly of scarring, and lost wage documentation. On March 29, 1999, Rossman called Touchette, stating he wanted to discuss settlement so that he would not have to file suit. Touchette again asked for bills and further documentation on Tyler’s claim for lost earnings. Later that day, Ross-man sent a letter dated March 29, 1999 in which he repeated his demand for the full policy from Safety. He also forwarded copies of medical records and bills of Karl H. Breuing, MD, Bonnie L. Pawda, MD, Emerson Hospital, Brigham & Women’s Hospital and Tyler’s wage records from Osicom, Tyler’s resume and copies of his tax returns for 1996, 1997 and 1998. Touchette acknowledged receipt of the documents by letter dated March 30, 1999, stating he would contact Rossman after having a chance to review the same.

On April 5, 1999, Ernest Goldman called Touchette and told him he would be sending a neurologist report which included an opinion that his wife may have suffered a stroke before the accident. A copy of the report of Robin I.

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

Related

Van Dyke v. St. Paul Fire & Marine Ins. Co.
448 N.E.2d 704 (Massachusetts Supreme Judicial Court, 1983)
Clegg v. Butler
424 Mass. 413 (Massachusetts Supreme Judicial Court, 1997)
Premier Insurance v. Furtado
703 N.E.2d 208 (Massachusetts Supreme Judicial Court, 1998)
Demeo v. State Farm Mutual Automobile Insurance
649 N.E.2d 803 (Massachusetts Appeals Court, 1995)
O'Leary-Alison v. Metropolitan Property & Casualty Insurance
752 N.E.2d 795 (Massachusetts Appeals Court, 2001)

Cite This Page — Counsel Stack

Bluebook (online)
14 Mass. L. Rptr. 585, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tyler-v-safety-insurance-masssuperct-2002.