Every few years, a decision comes down against an insurance company for breach of Mass. Gen. Laws ch. 93A that makes the plaintiffs’ personal injury bar chortle with glee and insurance defense attorneys wipe their brow and say, thank goodness that wasn’t my case. The recent Massachusetts Superior Court decision in Peerless Insurance Co. v. Rooney is one of those, with a judgment against the insurance company of $90,771,612.00 plus attorney’s fees. But although this case seems like a crazy 93A verdict, the yikes factor here is really the underlyling judgment of $45.49 million including prejudgment interest. Finding that she had no choice under ch. 93A, the judge ordered that the insurer pay double that judgment for its bad faith. If the underlying judgment had been $100,000, would anyone take note of the $200,000 ch. 93A judgment? The analysis would be exactly the same.
The accident, and factual development during the underlying lawsuit
A consortium of contractors called JV entered into a contract to repair the Longfellow Bridge. John Rooney worked as a mason for United Stone, JV’s masonry subcontractor. He was injured on the job on May 9, 2014, resulting in nine surgeries including cervical discectomies and cervical fusions. He sued JV in 2015, alleging various negligence counts.
The court held that when liability is reasonably clear, an
insurer must make an offer of settlement even if there are disputes as to
comparative fault or the extent of damages. Liability can be reasonably clear well before a verdict or judgment resolves every contested issue.
An insurer cannot turn a “blind eye” and fail to credit or give
appropriate weight to readily available information related to liability while
relying on defense counsel’s trial strategy and assessment of trial risk.
The insurer is obligated to conduct a neutral
assessment of liability separate from defense counsel’s litigation
strategy.
potential tortfeasors or the possibility of comparative negligence.
reasonably clear is not whether “no reasonable insurer would have failed
to settle,” as articulated in Hartford Casualty Ins. Co. v. New Hampshire Ins. Co., 417 Mass. 115 (1994). Rather, the standard is set forth in Demeo v. State Farm Mut. Auto. Ins. Co., 38 Mass. App. Ct. 855 (1995) as
“whether a reasonable person, with knowledge of the relevant facts and
law, would probably have concluded, for good reason, that the insured was
liable to the plaintiff.” The court held, however, that the two
standards are essentially the same. Under the Hartford test,
once liability is reasonably clear, “no reasonable insurer, acting in good
faith, would fail to make a prompt, fair, and equitable offer of settlement.
No reasonable insurer would knowingly violate chapter 176D (and face the risk
of significant punitive damages) by perpetrating litigation where there is no
legitimate dispute to the insured’s
fault or the scope of the claimant’s injury.”
and available information, in order to hold fast to its premature, yet somehow
cast in concrete, theory of the case.”
Entry of judgment has been stayed pending a determination of attorney’s fees, which means that the clock for Peerless to file an appeal has not yet begun to run.
Takeaways
There are number of important points in this 68 page decision, but from the point of view of an insurance litigator I’ll focus on the relationship between the insurer and insurance defense counsel.
The decision carefully outlines what happened in each step of the underlying litigation, including communications between insurance defense counsel and the insurer. At one point, insurance defense counsel asked his supervisor if the insurer was reviewing his reports, because it continued to rely on old analyses. The decision also states at various points that the insurer should not rely only on communications from defense counsel, who may be biased in favor of the client, and that the insurer should instruct defense counsel to provide more information.
From a practical standpoint, that’s an instruction that goes both ways. Insurance defense counsel has an obligation to make sure that an insurer is receiving the message they are sending. The rules of tripartite relationship (sorry for jargon — this term means that insurance defense panel counsel fully represents both the insurer and the insured) means that insurance defense counsel does not dictate settlement strategy and needs to be careful not to back the insurer into a corner. But if you’re insurance defense counsel and you’ve sent a written report to an adjuster that you’re concerned is not being read, it’s time to pick up the phone.