William W. Cowdell, Administrator of the Estate of William Robert Cowdell v. Cambridge Mutual Insurance Company

808 F.2d 160, 1986 U.S. App. LEXIS 35099
CourtCourt of Appeals for the First Circuit
DecidedDecember 31, 1986
Docket86-1530
StatusPublished
Cited by7 cases

This text of 808 F.2d 160 (William W. Cowdell, Administrator of the Estate of William Robert Cowdell v. Cambridge Mutual Insurance Company) 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
William W. Cowdell, Administrator of the Estate of William Robert Cowdell v. Cambridge Mutual Insurance Company, 808 F.2d 160, 1986 U.S. App. LEXIS 35099 (1st Cir. 1986).

Opinion

PER CURIAM.

Plaintiff-appellant William W. Cowdell appeals from the grant of a directed verdict for failure of proof in favor of defendantappellee Cambridge Mutual Insurance Company. The background facts are brief *161 but tragic. Plaintiffs son, William Robert Cowdell, at the suggestion of his father, volunteered to prune a tree for next-door neighbors of the Cowdells, Mr. & Mrs. Raymond Taylor. During the pruning, the son fell to the ground and was killed.

The cause of action alleged is based on a regulation promulgated by the Director of Business Regulations and Insurance Commissioner of Rhode Island and a Rhode Island statute. In order to properly assess the evidence, we start with the pertinent allegations of the complaint. The complaint, which is based on diversity jurisdiction, 1 alleges: that defendant was obligated to pay the Estate of William Robert Cow-dell under the medical provisions of its policy all medical and funeral expenses of decedent up to the limits of coverage (8 2 ); that defendant “negligently or willfully obscured ... [the] benefits, coverage, and other provisions of the policy and thereby avoided and cancelled the entitlement to those benefits by the estate” (9); that this conduct amounted to bad faith and violated sections 5a, 8a and 8b of Regulation XXVIII, Fair Insurance Claim Settlement Practices, issued by the Insurance Department of Rhode Island (10 & 11); that plaintiff made a demand on defendants for payment of the funeral expenses (12); that defendant offered to pay the $500 medical payment due under the policy only on the condition that plaintiff execute a general release of liability to the insureds, Mr. and Mrs. Raymond Taylor (13); that this conduct by defendant violated the Rhode Island statute governing an insurer’s bad faith refusal to pay a claim (14).

The first issue is whether the district court erred in refusing to admit a copy of the Rhode Island Insurance Regulation as an exhibit. Section 2 of the regulation, which is entitled “Scope,” provides in pertinent part: “This regulation is regulatory in nature and is intended only to regulate specified general business practices and no right of private action or private duty is intended by this regulation.”

Section 10 of the regulation specifies the sanctions that may be imposed:

a. Revocation or suspension of license;
b. Probation for a specified period of time; or
c. Fines which will be deemed to be civil in nature, up to one thousand dollars ($1,000) for such violation of the provisions in this regulation.

We affirm the ruling of the district court excluding the regulation as evidence. Under its own terms, it could neither be the basis for a private cause of action nor impose a duty on defendant.

The final issue is whether there was sufficient evidence of a violation of the Rhode Island statute for submission to the jury. The statute provides:

9-1-33. Insurer’s bad faith refusal to pay a claim made under any insurance policy. — (a) Notwithstanding any law to the contrary, an insured under any insurance policy as set out in the general laws or otherwise may bring an action against the insurer issuing said policy, when it is alleged said insurer wrongfully and in bad faith refused to pay or settle a claim made pursuant to the provisions of said policy, or otherwise wrongfully and in bad faith refused to timely perform its obligations under said contract of insurance. In any action brought pursuant to this section, an insured may also make claim for compensatory damages, punitive damages and reasonable attorney fees. In all cases in which there has been no trial in the Superior Court on or before May 20,1981, the question of whether or not an insurer has acted in bad faith in refusing to settle a claim shall be a question to be determined by the trier of fact.

*162 R.I.Gen.Laws § 9-1-33 (1986) (emphasis added). 3 Plaintiff seems to argue that the emphasized part of the statute mandates that the jury decide the question of bad faith. It has long been established that “state laws cannot alter the essential character or function of a federal court.” Herron v. Southern Pacific Co., 283 U.S. 91, 94, 51 S.Ct. 383, 384, 75 L.Ed. 857 (1931). Herron considered a provision of the Arizona Constitution which provided: “The defense of contributory negligence or of assumption of risk shall, in all cases whatsoever, be a question of fact and shall, at all times, be left to the jury.” Id. at 92, 51 S. Ct. at 383. The Court held:

Where, in an action in a federal court to recover damages for personal injuries, contributory negligence or assumption of risk constitutes a defense, and, by reason of the facts being undisputed and of the absence of conflicting inferences, the evidence of contributory negligence or assumption of risk is conclusive and the question is one of law, the judge has the right and duty to direct a verdict for the defendant.

Id. at 95-96, 51 S.Ct. at 384-85 (footnotes omitted). See also Boyd v. Blue Ridge Rural Cooperative, Inc., 356 U.S. 525, 538, 78 S.Ct. 893, 901, 2 L.Ed.2d 953 (1958), in which the Court stated: “It cannot be gainsaid that there is a strong federal policy against allowing state rules to disrupt the judge-jury relationship in the federal courts.” We have stated the rule as follows: “Federal standards govern whether, in light of the applicable rule of decision, the evidence merited jury consideration.” Molinar v. Western Electric Company, 525 F.2d 521, 527 (1st Cir.1975), cert. denied, 424 U.S. 978, 96 S.Ct. 1485, 47 L.Ed.2d 748 (1976).

We turn, therefore, to the question of whether the district court erred in directing a verdict for the defendant. Judgment n.o.v.

should be granted only upon a determination that the evidence could lead reasonable men to but one conclusion, a determination made without evaluating the credibility of witnesses or the weight of the evidence at trial. DeMars v. The Equitable Life Assurance Society of the United States, 610 F.2d 55, 57 (1st Cir.1979).

Hubbard v. Faros Fisheries, Inc., 626 F.2d 196, 199-200 (1st Cir.1980). Thus we review the evidence and the inferences to be drawn therefrom in the light most favorable to appellant. Id. at 200. (citing Rios v.

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Bluebook (online)
808 F.2d 160, 1986 U.S. App. LEXIS 35099, Counsel Stack Legal Research, https://law.counselstack.com/opinion/william-w-cowdell-administrator-of-the-estate-of-william-robert-cowdell-ca1-1986.