Utica Mutual Insurance Company v. Dianne Impallaria, D/B/A Charles River Insurance Agency

892 F.2d 1107, 1989 U.S. App. LEXIS 19557, 1989 WL 155771
CourtCourt of Appeals for the First Circuit
DecidedDecember 29, 1989
Docket89-1123
StatusPublished
Cited by4 cases

This text of 892 F.2d 1107 (Utica Mutual Insurance Company v. Dianne Impallaria, D/B/A Charles River Insurance Agency) is published on Counsel Stack Legal Research, covering Court of Appeals for the First Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Utica Mutual Insurance Company v. Dianne Impallaria, D/B/A Charles River Insurance Agency, 892 F.2d 1107, 1989 U.S. App. LEXIS 19557, 1989 WL 155771 (1st Cir. 1989).

Opinion

GARRITY, Senior District Judge.

This case concerns the extent of coverage of a professional errors and omissions insurance policy issued by Utica Mutual Insurance Company (Utica) to Dianne Im-pallaria d/b/a Charles River Insurance Agency, who is a defendant in a separate pending action brought against her and three others 1 by Allstate Insurance Company (Allstate). In that case Allstate alleges an abundance of errors and omissions incident to its agent Impallaria’s agreeing to insure for the 1986 school year the fleet of 553 school buses used by the school department of the City of Boston to transport students assigned to schools beyond walking distance from their homes. Jurisdiction in both cases rests upon diversity of citizenship. At Impallaria’s request Utica undertook her defense subject to a reservation of rights based upon the policy’s exclusions from coverage. A year later, Utica acted on its reservation by bringing this action for declaratory relief seeking a declaration that exclusion 2(d) was applicable to Allstate’s claims against Impallaria. All parties to the underlying action were joined as defendants and, there being no genuine issue as to any material fact, they filed cross-motions for summary judgment. The district court ruled that exclusion 2(d) did not apply 2 and entered judgment for the defendants. We affirm.

I. Errors and Omissions Policy

The policy in question is entitled Insurance Agents’ and Brokers’ Errors and *1109 Omissions Policy. Its Insuring Agreements include the following pertinent provisions:

1. Insuring Clause: To pay on behalf of the insured all sums which the insured shall become legally obligated to pay as damages by reason of liability arising out of any negligent act, error or omission, whenever or wherever committed, or alleged to have been committed by the insured or any person employed by the insured in conduct of the named insured’s business....
2. Exclusions: This insurance shall not apply with respect to any claim:
(a) brought about or contributed to by the dishonest, fraudulent, criminal or malicious act or omission of the insured ...;
(b) for bodily injury to ...;
(c) arising from liability of others assumed or contracted for by the named insured;
(d) for premiums, return premiums, commissions or claim or tax monies;
(e) arising out of the certification or acknowledgement by the insured in his capacity as a notary ...;
(f) for punitive or exemplary damages, fines or penalties ...;
(g) arising from professional services rendered, or which should have been rendered, prior to the effective date hereof....

Whether the policy requires Utica to defend and pay 3 on Impallaria’s behalf or whether exclusion 2(d) governs depends on the terms of the policy and the nature of the claim asserted by Allstate against Im-pallaria in the underlying action. Is it “any claim ... for premiums”? The answer lies in the contents of Allstate’s complaint and in the regulations and rules governing the automobile liability industry in Massachusetts in 1985.

II. Commonwealth Automobile Reinsurers

In Massachusetts, automobile insurance is regulated comprehensively by state statutes, here Mass.G.L. c. 175, § 113H, entitled “Assigned risk plans”; Division of Insurance regulations, here 211 C.M.R. §§ 7.01-.08, entitled “Plan of Operation of the Massachusetts Motor Vehicle Reinsurance Facility”; and Rules of Operation adopted in accordance with the aforesaid Plan of Operation by the Reinsurance Facility therein established, which is called “Commonwealth Automobile Reinsurers” or, popularly, C.A.R. (CAR). 4 As alleged in the complaint in the underlying suit, all companies licensed to sell motor vehicle liability insurance in Massachusetts are required to be members of CAR and to abide by CAR’s rules of operations. 5 Approximately twenty to twenty-five member companies, including at all relevant times Allstate, are designated as “servicing carriers.” Servicing carriers write and service all policies written through CAR.

For every policy that a servicing carrier writes within CAR, the servicing carrier is required to pay or “cede” to CAR an amount equal to the premium due on that policy as calculated according to approved rate filings and CAR’s Rules of Operation. This requirement appears in the following portion of the regulations:

87.08: Surcharged Reinsurance
Massachusetts law provides that certain high risk drivers may be insured at rates other than those charged in the normal markets for motor vehicle insurance.... Policies ceded in this manner shall be described as subject to surcharged reinsurance.
The premium charged by a member company on policies which are rein-sured under 211 CMR 87.03 shall be calculated according to the rates filed for high risk drivers on behalf of the *1110 Facility and which have become effective in accordance with Massachusetts law. An amount equal to that premium shall be paid by the company to the Facility as a reinsurance charge.

According to paragraph 11 of Allstate’s complaint, not denied by Impallaria: CAR Rule 7 requires that policies covering fleets of five or more vehicles be rated according to the insured’s loss experience; CAR also requires member companies to cooperate in providing the statistical data necessary to perform experience rating; and the premium developed by experience rating is charged in addition to a manual-based premium.

The effect of these and other provisions of the regulations and rules is to enable the owners of all motor vehicles registered in Massachusetts to obtain insurance coverage made mandatory by related statutes, at rates fixed by a state-sponsored agency, and to shift the risk of loss on policies covering high risk drivers and fleets of vehicles from the insurer writing a policy to a reinsurance pool created by payments from all insurance companies doing business in Massachusetts.

CAR has established, pursuant to 211 C.M.R. § 87.05, a system of “designated brokers” — sometimes called “representative producers” — who are assigned by lottery to sell motor vehicle liability insurance on behalf of servicing carriers in particular communities within Massachusetts. Servicing carriers are required to accept all qualified policies written by their designated brokers. Defendant Impallaria was a designated broker for Allstate from July 1982 to September 30, 1986.

III. The Underlying Action

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Cite This Page — Counsel Stack

Bluebook (online)
892 F.2d 1107, 1989 U.S. App. LEXIS 19557, 1989 WL 155771, Counsel Stack Legal Research, https://law.counselstack.com/opinion/utica-mutual-insurance-company-v-dianne-impallaria-dba-charles-river-ca1-1989.