David W. White
Introduction
Since its enactment in 1967,
G.L. c. 93A, the Massachusetts Consumer Protection Act, has grown to be one
of the most important adjuncts to the litigation of personal injury and
other insurance-related claims in Massachusetts. The revisions to G.L. c.
176D, the Unfair Methods of Competition and Unfair and Deceptive Acts and
Practices in the Business of Insurance Act strengthened the protections to
Massachusetts consumers, be they third party claimants seeking damages, or
the insured herself seeking indemnification or other contractual benefits.
This article will trace some of
the origins of the law and its evolution leading up to the most recent
developments in theories of liability against insurers and their agents.
This article will also explore the methods of presenting and preserving
claims and the means to be utilized to obtain maximum recovery against
insurers on behalf of the client.
I. The Statutes
Massachusetts consumers are
awarded broad protections under G.L. c. 93A. The heart of the law is G.L. c.
93A, § 2, which provides:
(a) Unfair methods of
competition and unfair or deceptive acts or practices in the conduct of any
trade or commerce are hereby declared unlawful.
For individual consumers, the
remedies are set forth in G.L. c. 93A, § 9. (See the Appendix for the full
text of this section.) The requirements of this section are straightforward.
The claimant must make a written demand for relief, setting forth the unfair
and deceptive acts with reasonable specificity. The claimant must describe
the damages he or she sustained, and make an appropriate demand for relief.
The claimant must also notify the respondent that they might be liable for
multiple damages, attorneys' fees, interest and costs if they fail to make
an appropriate response within thirty days. If an appropriate offer is not
received after thirty days, the claimant may bring suit on the claim.
Section 9 was amended in 1979
to make clear that claims against insurers for violations of G.L. c. 176D,
§ 3, clause 9 (see full text below), were specifically included in the
Act's declaration of unfair and deceptive acts. Thus, for example, insurers
who failed "to effectuate prompt, fair and equitable settlements of
claims in which liability has become reasonably clear" (in violation of
G.L. c. 176D, § 3(9)(f)) were clearly liable under G.L. c. 93A.
II. Theories of Recovery
For the purposes of analysis,
it is useful to divide the types of bad faith claims into three groups of
cases. The first group is the claims of insureds against their insurers for
bad faith failure to make payment on claims. The root of these claims is in
contract, since the insured obviously has a contract of insurance against
the insurer. The second group of claims is actually a subset of the first
group, and includes claims of third parties against insurers for bad faith
settlement procedures which have exposed the insureds to excess judgments.
The third group of claims includes the claims of third parties directly
against the insurer for its bad faith settlement procedures, regardless of
whether the insured is actually placed at risk for an excess liability.
Before these three types of claims are analyzed further, it will be useful
to dissect G.L. c. 176D, § 3(9), which provides:
(9) Unfair claim settlement
practices: An unfair claim settlement practice shall consist of any of the
following acts or omissions:
(a) Misrepresenting pertinent
facts or insurance policy provisions relating to coverages at issue;
(b) Failing to acknowledge and
act reasonably promptly upon communications with respect to claims arising
under insurance policies;
(c) Failing to adopt and
implement reasonable standards for the prompt investigation of claims
arising under insurance policies;
(d) Refusing to pay claims
without conducting a reasonable investigation based upon all available
information;
(e) Failing to affirm or deny
coverage of claims within a reasonable time after proof of loss statements
have been completed;
(f) Failing to effectuate
prompt, fair and equitable settlements of claims in which liability has
become reasonably clear;
(g) Compelling insureds to
institute litigation to recover amounts due under an insurance policy by
offering substantially less than the amounts ultimately recovered in actions
brought by such insureds;
(h) Attempting to settle a
claim for less than the amount to which a reasonable man would have believed
he was entitled by reference to written or printed advertising material
accompanying or made part of an application;
(i) Attempting to settle claims
on the basis of an application which was altered without notice to, or
knowledge or consent of the insured;
(j) Making claims payments to
insured or beneficiaries not accompanied by a statement setting forth the
coverage under which payments are being made;
(k) Making known to insured or
claimants a policy of appealing from arbitration awards in favor of insured
or claimants for the purpose of compelling them to accept settlements or
compromises less than the amount awarded in arbitration;
(l) Delaying the investigation
or payments of claims by requiring that an insured or claimant, or the
physician of either, submit a preliminary claim report and then requiring
the subsequent submission of formal proof of loss forms, both of which
submissions contain substantially the same information;
(m) Failing to settle claims
promptly, where liability has become reasonably clear, under one portion of
the insurance policy coverage in order to influence settlements under other
portions of the insurance policy coverage; or
(n) Failing to provide promptly
a reasonable explanation of the basis in the insurance policy in relation to
the facts or applicable law for denial of a claim or for the offer of a
compromise settlement.
Not all of the subsections of
§ 3(9) apply to both the insured and the third party claimant, and the
courts have read the statute strictly in this sense, refusing to expand
remedies for third party claimants. In addition, though some sections may be
extremely useful to claimants, others are unlikely to provide the sole basis
for a claim, though they are still useful in developing evidence of bad
faith. The following subsections are likely to be the most useful:
(a) Misrepresenting Facts of
Provisions: This section would appear to be for the benefit of both insureds
and third parties, though no reported cases have dealt directly with this
issue. There is a companion statute, G.L. c. 175, § 112C, which requires
insurers to disclose liability coverages upon written demand. Furthermore,
Mass. R. Civ. P. 26 specifically provides for disclosure of insurance
information, and Mass. R. Civ. P. 26(e) requires supplementation of
discovery responses if previously supplied information is found to be
inaccurate. A violation of any of these laws would most likely be a strong
basis for a bad faith claim, assuming damages resulting therefrom could be
demonstrated.
(b) Failing to Communicate
Promptly: This section also benefits both insureds and third parties.
Although this section provides useful standards for the evaluation of the
manner in which a claim was handled, it is unlikely to provide the sole
basis for a damages claim against an insurer. However, the repeated failure
of an insurer to respond to written demands for information or for relief
will most certainly buttress claims under subsection (f). See, Brandley v.
U.S. Fidelity & Guaranty Co., 819 F.Supp. 101 (D.Mass. 1993) (opinion
vacated and withdrawn upon reconsideration).
(c) Failing to Adopt and
Implement Reasonable Standards: This section also benefits both the insured
and the third party. It also is unlikely to be the sole basis of a bad faith
claim, but it prescribes a useful standard against which to measure the
insurer's conduct. Since the section requires standards to be adopted by the
insurer, discovery should focus on the existence of the standards and
adherence to the standards. Evidence at trial should include an analysis of
the adequacy of the standards, and any deviations from the standards
themselves, or from more general standards prevailing in the industry.
(d) Refusing to Pay Claims
Without Conducting Reasonable Investigation: As with subsection (c), this
section is also unlikely to be the sole basis for a bad faith claim, but it
provides another basis for developing evidence of the insurer's misconduct.
(f) Failing to Effectuate
Prompt, Fair Settlement: This is the most commonly used subsection. The
first requirement is that liability must be reasonably clear. Liability in
this sense would include not only the liability for the cause of the injury,
but also for the damages alleged. The test is an objective one. Demeo v.
State Farm Mutual Automobile Insurance Co., 38 Mass. App. Ct. 955 (1995). In
other words, would a reasonable person, with knowledge of the relevant facts
and law, probably conclude, for good reason, that the insurer was liable to
the plaintiff. Id. at 956-957.
(g) Compelling an Insured to
Institute Litigation: This section is solely for the benefit of the insured.
(m) Failing to Settle Portions
of a Claim in Order to Influence Settlements under other Provisions: There
are times where a party may have claims under two or more sections of an
insurance policy. Each claim is entitled to be treated as a separate claim,
and it is improper for the insurer to insist on wholesale settlement of all
claims, or to use any of the claims to its tactical advantage in settling
other claims.
(n) Failing to Explain Basis of
Denial: In the event the insurer denies a claim, the claimant is entitled to
a reasonable factual or legal explanation. Thus, vague explanations are
unacceptable; a detailed basis must be provided.
A. First Party Claims
As mentioned above, the
insurance agreement between the insurer and the insured is an enforceable
contract and any bad faith denial of a claim presented by an insured gives
rise to an action in contract, as well as the collateral actions for
violations of G.L. c. 93A and G.L. c. 176D. These are the types of claims
first recognized under G.L. c. 93A.
B. Third Party Claims
The third party claims can be
divided into two categories. The first encompasses those claims which arise
from the misconduct of the insurer, which misconduct gives rise to injury to
the insured. For example, the bad faith refusal on an insurer to settle a
claim may expose the insured to a large excess judgment. The second category
is the direct claim of the third party against the insurer for its bad
faith.
1. Third Party Claims Arising
From Misconduct by the Insurer to the Insured
This class of cases has its
roots in DiMarzo v. American Mutual Insurance Company, 389 Mass. 85 (1983).
In DiMarzo, the injured plaintiff, who had been seriously injured, offered
to settle his bodily injury claim for the insured's policy limits of
$20,000.00. The insurer refused to offer its limits, claiming that it was
entitled to an offset for the Personal Injury Protection benefits of
$2,000.00 it had paid, as well as an offset for some administrative charges.
The plaintiff refused this diminished offer and obtained a verdict of
$75,000.00 at trial. Thereafter, plaintiff sought and obtained an assignment
of the insured's bad faith claim against American Mutual. He sought and
obtained multiple damages against American Mutual based on its bad faith
failure to offer the policy limits of $20,000.00. The Supreme Judicial Court
found no good faith basis in American Mutual's position on the law and
further found that its misconduct had indeed exposed the insured to the
excess liability. The court ultimately affirmed the award of multiple
damages, and after minor changes in the calculation of the damages award to
avoid duplicate payment ordered entry of judgment which, with interest,
exceeded $500,000.00.
As Justice Hennessey noted in
his concurrence, one of the effects of the Consumer Protection Act may be at
the expense of other consumers namely, the insureds of a mutual company.
It may be that the threat of c.
93A may hurt the bargaining position of insurers in many other cases, even
in cases where controversy is rooted in genuine differences of opinion and
there is no bad faith on the insurer's part. If the large ultimate judgment
here is an unexpected effect of c. 93A, it ensues, not from the application
of any new or surprising legal principles, but from the large amount of
actual damages, to which are applied, as permitted by statute, punitive
multiple damages and a proportionate lawyer's fee. Arguments that no such
results were ever contemplated, that persons insured in mutual companies,
indeed in all insurance companies, are the losers, and to that extent the
effect is anti-consumer, are policy arguments and are more appropriately
addressed to the Legislature than to the courts. Id. at 109.
2. Third Party Claims Arising
From Misconduct by the Insurer to the Third Party
Claims may also arise from the
misconduct of the insurance company directly to the third party claimant.
The courts are increasingly recognizing that the duty of the insurer
includes not only the duty to indemnify the insured, and to provide an
adequate defense, but also the duty to the third party claimant to resolve
his or her claim. Most recently, the Supreme Judicial Court has affirmed
that the insurer owes this duty to the claimant as a third party beneficiary
of the contract of insurance. Clegg v. Butler, 424 Mass. 413, 418-419
(1997); Flattery v. Gregory, 397 Mass. 143, 150 (1986). This principle has
also been extended to the point that the insurer may not insist on a release
or dismissal and must pay the liability insurance policy limits to an
injured claimant when liability is not disputed and damages clearly exceed
the policy limits. Thaler v. The American Insurance Co., 34 Mass. App. Ct.
639 (1993). The most common basis for this type of claim is the violation of
G.L. c. 176D, § 3(9)(f), failure to effectuate prompt, fair and equitable
settlements of claims in which liability has become reasonably clear.
3. Combinations of Claims
Of course, a party may be in
the position to pursue multiple G.L. c. 93A claims against an insurance
company. A party may be in the position to step into the shoes of the
insured on an assignment and may also have direct claims against the insurer
for failure to effectuate the settlement when liability is clear. It is the
attorney's responsibility to develop maximum pressure for settlement, and
maximum opportunity for punitive damages, through the development of the
case.
III. Development and
Presentment of the Claim
First, a philosophical note:
While c. 93A is one of the great tools to bring pressure for settlement, it
is not a proper tool in every case. The matter of disputed negligence,
disputed causation, or disputed damages does not lend itself well to c. 93A
claims. The lawyer who over-utilizes c. 93A creates unnecessary excess
animosity, may develop a reputation for empty threats, and certainly dilutes
the overall forcefulness of this remedy. In other words, the c. 93A demand
should be saved for the exceptional case, but then it should be pursued with
zeal.
The first essential ingredient
is full cooperation with the insurance company. Clean hands and an open file
are mandatory. Timely production of relevant medical information, relevant
lost wage information, and responses to reasonable requests for other
information will enable the reviewing court to look upon the plaintiff's
conduct with favor. Although "reverse bad faith" is clearly not a
remedy the insurer has available, there have been comments, perhaps
foreshadowing, of such a remedy on the horizon. See, e.g., DiVenuti v.
Reardon, 37 Mass. App. Ct. 73, 80 (1994).
Along with the timely
production of information should come the timely and detailed demand for
settlement. Any failure of the insurer to respond within thirty days to the
demand for settlement should be met with a steady stream of written requests
for follow-up, which should escalate, after a decent interval, into formal
written demands under G.L. c. 93A.
The process for making the
demand is detailed in G.L. c. 93A, § 9. The demand should include a
detailed statement of the misconduct, with appropriate citations to the
relevant violations of G.L. c. 176D; a statement of the damages incurred by
the client (e.g., loss of the use of the money); references to the
possibility of the awards of multiple damages and attorneys' fees if the
claimant is successful; notice that a response should be made within thirty
days; and a reasonable demand for settlement. The absence of these matters
from the letter, or the inclusion of a wildly excessive demand, may render
the c. 93A letter inadequate, thus voiding the remedy. See, Cassano v.
Gogos,
20 Mass. App. Ct. 348, 350 (1985); York v. Sullivan, 369 Mass. 157, 162
(1975); Spring v. Geriatric Authority of Holyoke, 394 Mass. 274, 288 (1985).
The demand should also include appropriate attachments, such as previous
demand letters and other previous correspondence. Remember: The purpose of
this letter is not just to advise the insurer of the impending intent to
invoke c. 93A; the purpose is also to make a record which the court may
someday be reviewing in detail.
In many cases the demand for
relief may include a demand for the policy limits. If the value of the case
is at or near the limits of the available insurance coverages, an offer to
settle the matter either for the policy limits, or within the policy limits,
will activate the remedies available under DiMarzo v. American Mutual
Insurance Company, 389 Mass. 85 (1983). In other words, in order to
establish the causal nexus between the damages suffered by the insured and
the failure of the insurer to settle the matter within the policy limits,
the plaintiff must demonstrate that the case would have been settled for
that amount. The written offer to do so creates the necessary proof.
However, if the intent is to pursue the possibility of a larger judgment
against the insured individually, then a demand pursuant to Thaler v. The
American Insurance Co., 34 Mass. App. Ct. 639 (1993) is the appropriate
measure.
IV. Prosecution of the Bad
Faith Claim
The bad faith claim may be
filed with the underlying claim, or separately. If filed with the underlying
claim, then most defendant insurance companies will seek a stay of the
proceedings against them, arguing that the file materials carry a qualified
privilege, and that their revelation during the pendency of the underlying
claim will prejudice the defense of the insured. Often the courts will be
sympathetic to a compromise to seek only non-privileged materials pending
the resolution of the underlying claim. However, the matter of stay is
largely one of discretion, and thus the matter will depend largely on the
judge considering the motion.
Discovery of the c. 93A case
should focus on several different areas. First, there is little doubt that
every insurance company maintains some procedures for accepting, reviewing,
and settling claims. These must be obtained, and every action of the
adjusters must be measured against the internal standards. It will be the
exceptional case indeed in which the adjusters will be able to claim a
strict adherence to internal guidelines. Discovery must then focus on each
of the actors involved in the handling of the claim. Each adjuster, and each
supervisor who shared any supervisory responsibility for the file should be
deposed; these will be the witnesses at trial. In addition, look beyond the
insurance company to outside adjusters, investigators, and so-called
independent examiners. The reports these individuals generate may be based
upon faulty assumptions, misinformation, or information gathered as a result
of misconduct, e.g., improper contact with the claimant or the claimants'
treating physicians. Conduct whatever additional discovery is necessary to
uncover such misconduct. The courts should allow discovery of the bulk of
the claims file, even if the demand is made during the pendency of the
underlying action. See Nazzaro v. Cummings, Suffolk C.A. No. 95-2159
(Memorandum of Decision on Plaintiff's Motion to Compel Production of
Documents, November 6, 1995).
Consideration must be given to
the use of an expert witness. An expert witness may be used to develop the
standards of care in the industry, and to give opinions on when the case
should have been settled and the settlement value of the case. The decision
whether to call the expert at trial will often be a tactical one, but in any
event the expert should be retained, expert interrogatories should be
answered, and the witness should be prepared for the trial. Short of trial,
the expert will be useful at identifying potential discovery areas you may
have overlooked, particularly if your experience in this type of case is
limited.
The case of Hartford Casualty
Insurance Company v. New Hampshire Insurance Company, 417 Mass. 115 (1994)
recently redefined the measure of proof required in a c. 93A case. The court
declared that the standard for review shall be the negligence standard. Id.
at 120. The court stated, "The negligence standard by which the actions
of an insurer concerning settlement will be tested hereafter will be in
practice not significantly different from the good faith test that has been
evolving in this Commonwealth. The test is not whether a reasonable insurer
might have settled the case within the policy limits, but rather whether no
reasonable insurer would have failed to settle the case within the policy
limits." This test requires the insured (or its excess insurer) to
prove that the plaintiff in the underlying action would have settled the
claim within the policy limits and that, assuming the insurer's unlimited
exposure (that is, viewing the question from the point of view of the
insured), no reasonable insurer would have refused the settlement offer or
would have refused to respond to the offer.
Causation is an element of the
plaintiff's case. An insurer will not be found to have acted in bad faith,
even if it was lacking a basis for denying a claim at the time a denial was
made, if it later obtains an expert's opinion that the case is defensible.
Van Dyke v. St. Paul Fire & Marine Ins. Co., 388 Mass. 671 (1983). This
matter was illustrated as well in Parker v. D'Avolio, 40 Mass. App. Ct. 394
(1996) a lead poisoning case. In Parker, the defendant had what the court
considered a reasonable opinion from a medical expert which was in sharp
disagreement with the opinions of plaintiff's experts. The jury at the
housing court trial found in favor of the plaintiff (to the tune of
$1,250,000), and the housing court justice awarded c. 93A damages as well.
The Appeals Court reversed; based upon its review of the record, no bad
faith was evident. In its conclusion, the court discussed the very narrow
grounds upon which c. 93A damages might be appropriate.
The c. 93A claim is a non-jury
claim, though the trial justice may agree to employ an advisory jury. In
either case, a thorough trial brief is an essential introduction to the case
for the judge. As with any other trial, important cases should be reproduced
and included with the trial brief. Begin preparing the Requests for Findings
of Fact and Rulings of Law before the trial in order to focus your attention
on the essential elements of proof in the case.
V. Theories of Damages
There are three theories to
keep in mind. The first is the type of damages obtained by the plaintiff in
the case of DiMarzo v. American Mutual Insurance Company, 389 Mass. 85
(1983). In that case the plaintiff recovered the entire judgment amount,
even though it greatly exceeded the amount of insurance available
($20,000.00), because the plaintiff was able to step into the shoes of the
insured, who had suffered an excess judgment, by taking an assignment of his
claim.
The success of the plaintiff in
the DiMarzo case fueled a number of claims, with plaintiffs assuming they
would recover some multiple of their damages which the insurance companies
had wrongfully withheld. This wave of litigation came up short, however,
after the court's ruling in Wallace v. American Manufacturers Mutual
Insurance Company, 22 Mass. App. Ct. 938 (1986). In Wallace, the court held
that the measure of damages for the claimant who had wrongfully been
deprived of an insurance settlement was the loss of the use of the money,
which amount was subject to multiple damages. Thus, Mr. Wallace, whose car
had been stolen, and who had to incur rental charges, was not entitled to a
multiple of the sum of the value of the car plus rental charges (a figure of
$4,950.00). Rather, he was entitled to receive the loss of the use of this
money computed at the statutory rate, which amount was doubled, plus his
consequential damages (excess rental charges), which were doubled.
The limited damages under
Wallace, in turn, spurred the Legislature to amend G.L. c. 93A, § 9.
Chapter 580 of the Acts and Resolves of 1989 amended § 9 to provide:
For the purposes of this
chapter, the amount of actual damages to be multiplied by the court shall be
the amount of the judgment on all claims arising out of the same and
underlying transaction or occurrence, regardless of the existence or
nonexistence of insurance coverage available in payment of the claim.
The statute took effect on
March 5, 1990, and governs all claims which arise after that date. Greelish
v. Drew, 35 Mass. App. Ct. 541, 543-545 (1993).
It is an unfortunate reality
that, despite the reasonably clear intent of the proponent of the 1989
amendment, the statute has had little effect on the damages to be granted by
the courts. Now, roughly ten years later, no claimant has recovered damages
based upon a multiple of the "same and underlying judgment." It is
now perfectly clear that the larger damages envisioned by the statute will
be reserved for an extremely narrow class of cases, and will be granted only
when the underlying matter has gone to judgment, and only when bad faith can
be demonstrated.
The courts first indicated that
the requirement of a "judgment" would be strictly construed in the
case of Bonofiglio v. Commercial Union Insurance Co., 412 Mass. 612 (1992).
The claimants in Bonofiglio sought bad faith damages for the delay in the
settlement of an uninsured motorist claim. They sought to obtain a multiple
of the arbitration award as damages, but the court held that they were only
entitled to the loss of the use of the funds to which they had been
entitled. An arbitration award was not considered to a judgment under § 9.
The next wrinkle in the case
law came with Cohen v. Liberty Mutual Ins. Co., Mass. App. Ct. , (1996). In
Cohen, Liberty Mutual had failed to acknowledge its insurance coverage of a
defendant motorist. The matter went to judgment against the motorist;
Liberty failed to defend. Upon reflection and further investigation, Liberty
Mutual discovered that it had, indeed, insured the responsible automobile.
Thereafter, according to the courts, Liberty Mutual engaged in a bad faith
attempt to avoid payment. Despite a judgment greatly in excess of the policy
amount of $20,000.00, the court found that the c. 93A violations by Liberty
Mutual only caused damages in the amount of $20,000.00, the amount that
Liberty Mutual would have been required to pay if it had defended properly.
The reasoning of the court appears to rest upon the fact that at the time
the judgment against Liberty's insured entered, Liberty Mutual was still
operating in good faith; it had merely neglected to discover its coverage
due to clerical error.
In the case of Clegg v. Butler,
424 Mass. 421 (1997), the court declined to allow the plaintiff to collect
multiple damages on a settlement amount when the matter was settled shortly
before trial. Mr. Clegg had been badly injured in an automobile accident.
The defendant in the automobile accident case was insured by Utica Mutual
for $250,000, and by an excess carrier for $1,000,000. Utica Mutual
steadfastly refused to tender its policy limits, and thus the settlement
negotiations with the excess carrier could not be undertaken. Shortly before
trial, Utica Mutual tendered its policy limits, the excess carrier promptly
paid an additional $425,000, settling the underlying claim for a total of
$675,000. The trial court found, and the Supreme Judicial Court affirmed,
that Utica Mutual had acted in bad faith and that plaintiff was entitled to
treble damages. Plaintiff attempted to enforce the terms of the release,
accepted by Utica Mutual, which called for the entry of judgment. The trial
justice had denied the motion for entry of judgment and the Supreme Judicial
Court affirmed, holding that the settlement did not constitute a judgment.
The matter was remanded to the Superior Court for re-calculation of the
judgment, which was to be based on the plaintiff's loss of use of money. The
period for calculation of the damages was the date that the excess carrier
would likely have settled, up to the time the plaintiff received the
settlement funds. Upon re-trial, plaintiff obtained a judgment of just under
$675,000, inclusive of attorneys' fees and costs.
The judgment question was next
visited in Yeagle v. Aetna Casualty & Surety Co., 42 Mass. App. Ct. 650
(1997). Mr. Yeagle had been unable to resolve his personal injury case with
Aetna and the matter was tried to a verdict. After the c. 93A trial, Mr.
Yeagle recovered an award of single damages in the Superior Court for
Aetna's c. 93A violations in the handling of the case. The trial justice
applied the 1989 amendment to G.L. c. 93A, § 9 and awarded one times the
judgment in the case. However, on appeal, the judgment was reversed. The
Appeals Court, seemingly ignoring rather plan statutory language, reasoned
that the c. 580 was meant to apply only to awards of multiple damages, and
that awards of single damages would still only consist of damages for loss
of the use of the money.
Most recently, the Supreme
Judicial Court in Kapp v. Arbella Mutual Insurance Company, 426 Mass. 675
1988), affirmed that without a judgment in the underlying case, the c. 93A
damages will be limited to loss of the use of the money. In Kapp, the
plaintiff recognized that liability was absolutely clear, and the damages
clearly exceeded the policy limits. Plaintiff was entitled to the policy
limits under Thaler, but the insurer refused to tender the limits without a
release. Plaintiff brought suit against the insurer for its c. 93A
violations, and the trial court found in his favor. The trial court found,
and the Supreme Judicial Court affirmed, that the damages would be limited
to loss of the use of the money absent the judgment on the underlying
matter, namely the tort action against the insured. The lesson is that the
underlying matter must be litigated to conclusion in order to trigger the
larger damages under c. 580. In addition, the Kapp court cited the Yeagle
case with approval, thus affirming the notion that in single damages cases,
the damages will be only for the loss of the use of the money.
The lessons of the last year of
c. 93A jurisprudence are now perfectly clear in one respect: Absent a
judgment on the underlying tort action, damages will be limited to the loss
of the use of the money. It is essential that one not try to put the cart
before the horse; the underlying matter must be litigated first. While the
courts have indicated a readiness to accept the notion that an appropriate
judgment may be multiplied, see Miller v. Risk Management Foundation, 36
Mass. App. Ct. 411, fn. 15 (1994), that award has proved elusive for the
last nine years.
October 1998
This article was first
published by the Massachusetts Bar Association in connection with its G.L.
c. 93A and c. 176D Update educational program.