Yeagle v. Aetna Casualty & Surety Co.

3 Mass. L. Rptr. 201
CourtMassachusetts Superior Court
DecidedJanuary 11, 1995
DocketNo. 89-6632
StatusPublished

This text of 3 Mass. L. Rptr. 201 (Yeagle v. Aetna Casualty & Surety Co.) 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
Yeagle v. Aetna Casualty & Surety Co., 3 Mass. L. Rptr. 201 (Mass. Ct. App. 1995).

Opinion

Whitehead, J.

INTRODUCTION

This is an action brought under the provisions of G.L.c. 93A, §9 by an individual against an insurance company. The plaintiff, who was injured in a motor vehicle accident caused by the defendant’s insured, alleges unfair claims settlement practices on the part of the defendant. Specifically, he alleges a failure on the part of the insurance company to effect a prompt, fair, and equitable settlement of his claim against the insurer where liability had become reasonably clear, in violation of G.L.c. 176D, §3(9)(f). The case was tried by the court on May 9, 1994 May 10, 1994. The following constitute the Court’s findings of fact, rulings of law and order for judgment.

FINDINGS OF FACT

The plaintiff, Robert O. Yeagle, is an individual who resides in Natick. The defendant, the Aetna Casualty and Surety Company, is a foreign corporation licensed to engage in the business of insurance within the Commonwealth.

On January 28,1988, the plaintiff was the operator of a van which was in line at the Weston toll booths on the Massachusetts Turnpike. Just after the plaintiff had taken his toll ticket, a tractor-trailer owned by C.W. Horse Transportation, Inc. and driven by C.W.’s employee, James Sacco, collided with the rear end of a vehicle operated by James Hendershott. Mr. Hendershott’s vehicle was driven forward by the force of the collision and, in turn, collided with the rear end of the plaintiffs vehicle. The truck had been going at a high rate of speed, and the collision could fairly be described as spectacular in nature.

As a result of the collision, the plaintiff suffered muscle strain in the cervical and lumbarsacral areas, with radiculitis. He also sustained a broken tooth. On the day of the collision, he was treated at the NewtonWellesley Hospital. He received follow-up treatment with at least two physicians and a chiropractor. A union electrician by profession, he missed several weeks of work. It is alleged that he also missed assignments at a part-time job which he held as a special police officer for the Town of Wellesley.

The tractor-trailer truck which precipitated the collision was insured by the defendant, Aetna. Liability coverage for bodily injury to others was in the amount of $1,000,000.00. Aetna received notice of the collision either on the day on which it occurred or on the following day. The case was assigned to claims representative Jerome A. Whitney, III. Within a matter of days, Whitney had conducted an investigation and had concluded that the Aetna’s insured was 100% liable for the collision, a conclusion which was fully warranted on the facts.

The plaintiff retained the services of Attorney Glen Shriberg, of Boston, on a contingent fee basis, for the purpose of handling his claim against Aetna’s insured. The first communication between Whitney and Shriberg took place on February 26, 1988. The two men spoke by telephone and introduced themselves to one another. On the same day, Whitney followed up the call with a letter requesting that Shriberg provide him with medical bills and reports of treatment received by the plaintiff.

Through the balance of the winter and during the spring of 1988, Whitney, on the one hand, and Shriberg, on the other hand, continued to gather information relative to the claim. Shriberg formally filed suit on the plaintiffs behalf in June of 1988. Aetna referred the case to Attorney Brian Finnerty, of Boston, for purposes of defending in court. Discovery ensued.

On October 19, 1988, Whitney wrote to Shriberg seeking an update on the plaintiffs medical status. He also broached for the first time the issue of settlement, stating, “If your client has reached a medical end [202]*202result, I would be happy to entertain any settlement discussions, as liability appears reasonably clear against our insured.” On December 7, 1988, in apparent response to Whitney’s letter. Shriberg called Whitney and specific settlement figures were discussed. Shriberg demanded $200,000 on behalf of the plaintiff; Whitney offered $10,000 on behalf of its insured. Further discussion was to occur. Indeed, Shriberg had indicated a desire not to settle until after the new year had commenced.

At the time that Whitney made his original offer, the information which he possessed relative to the plaintiffs damages consisted of the following: answers to interrogatories, signed by the plaintiff, which detailed his injuries and treatment, and which indicated medical expenses in the approximate amount of $2,335.00, lost earning capacity as an electrician in the amount of $16,500, and lost earning capacity as a police officer in the amount of $2,760; copies of medical bills in the amount of $629; reports from the plaintiffs treating physicians; and a report from a private investigator indicating that, by July of 1988, the plaintiff appeared to have regained full mobility. Based upon the information which he possessed, Whitney had set Aetna’s reserves on the claim at $20,000.1

Shortly before December 7, 1988, Whitney had been promoted to the position of Unit Supervisor. Although he had taken the call from Shriberg and commenced the settlement discussions, primary responsibility for the case had been transferred to claims representative Louis Drouin. Drouin’s evaluation of the plaintiffs claim as of December 1988 is contained in a letter which he wrote to Finnerty on December 17, 1988 (Exhibit #15). Although Shriberg, in his December conversation with Whitney, had asserted special damages in the approximate amount of $30,000 and had also alleged continuing permanent partial disability on the part of the plaintiff, Drouin was skeptical. In his view, the special damages were not sufficiently substantiated. He also believed that an examination of the plaintiff by an Aetna-designated physician was appropriate.

In February 1989, Drouin called Shriberg and informed him that he (Drouin) had taken over the case from Whitney. Shriberg reiterated his position that the plaintiffs special damages were in the range of $25,000-$30,000 and that the plaintiff had suffered permanent neck and shoulder injury. He reiterated his demand of $200,000 Drouin raised Aetna’s offer to $12,000. Shriberg asked Drouin to reevaluate Aetna’s position given the certainty of liability and the asserted amount of special damages.

On February 14, 1989, the plaintiff supplemented his answer to the interrogatory originally put to him concerning monetary loss. In the supplemental answer, he stated his lost wages as an electrician to be in the amount of $19,339.20, plus a loss of union benefits totalling $6,544.32, less worker’s compensation benefits paid of $5,731.00, for a net monetary loss of $20,152.52. He further stated his lost wages as a Wellesley special police officer to be $2,760.00. Finnerty forwarded the new information to Drouin on March 31, 1988. At the same time, he reminded Drouin that Aetna possessed the plaintiffs W-2 forms applicable to his earnings both before and after the accident. He added, however, that neither of the plaintiffs employers had provided wage loss verifications.

On April 12, 1989, Shriberg, on behalf of the plaintiff, sent to Aetna a formal demand letter pursuant to G.L.c. 93A, §9(3), in which he asserted unfair claims settlement practices on the part of Aetna.

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Bluebook (online)
3 Mass. L. Rptr. 201, Counsel Stack Legal Research, https://law.counselstack.com/opinion/yeagle-v-aetna-casualty-surety-co-masssuperct-1995.