LENK, J.
Joseph P. Boyle was injured by an exploding tire in an automobile repair shop operated by C&N Corporation (C&N). Joseph
Subsequently, the Boyles brought suit against Zurich, asserting both their individual claims and the claims of C&N, which, in the interim, C&N had assigned to the Boyles. In return for a negotiated sum of money, the Boyles released the claims that they had asserted on their own behalf; these individual claims arose from Zurich's asserted failure to settle the Boyles' personal injury action when liability had become reasonably clear. After a jury-waived trial on C&N's claims against Zurich, a Superior Court judge determined that Zurich had committed a breach of its contractual duty to defend C&N. The judge declined to award the Boyles (as C&N's assignees) multiple damages, costs, and attorney's fees pursuant to G. L. c. 93A. The judge also subtracted from the Boyles' damages (as assignees) the amount that Zurich had agreed to pay to settle the Boyles' individual claims. The parties filed cross appeals, and we granted Zurich's petition for direct appellate review.
We conclude that the judge did not err in his determination that Zurich committed a breach of its duty to defend C&N. In essence,
We do not disturb the judge's conclusion that Zurich did not violate G. L. c. 93A. We do, however, conclude that the sum agreed upon to settle the Boyles' individual claims should not have been subtracted from the damages awarded to the Boyles as C&N's assignees.
1. Background. We recite the essential facts found by the judge, which we accept "unless they are clearly erroneous," Weiler v. PortfolioScope, Inc., 469 Mass. 75, 81 (2014), quoting Makrigiannis v. Nintendo of Am., Inc., 442 Mass. 675, 677 (2004), and which the parties do not challenge, supplemented by other undisputed information from the record.
a. Underlying facts. C&N operated an automobile repair shop. In March, 2006, Nicholas Rago, one of C&N's co-owners, raised a customer's truck on a lift at C&N's shop. At Rago's request, Joseph stepped into the garage to listen to the truck's transmission. As Rago revved the engine, one of the truck's tires exploded, severely lacerating and fracturing Joseph's left forearm and hand.
Joseph underwent several surgical procedures, incurring approximately $106,000 in medical expenses. He suffered permanent scarring and partial loss of function in his left arm and hand. For approximately one year, Joseph was unable to work. Subsequently, he was compelled to seek less-skilled, lower-paying employment than he previously had held.
C&N carried a "business auto" insurance policy issued by Zurich, which included liability coverage. The coverage limit of that policy was $50,000. Rago reported Joseph's accident to his insurance agent, Tarpey Insurance Group (Tarpey), twelve days after the accident. Tarpey relayed written notice to Zurich, which opened a claim file and began an investigation.
In June, 2006, an investigator for Zurich interviewed Rago, who described the accident and reported that Joseph was undergoing
By October, 2007, Zurich had determined that C&N would be held liable for Joseph's injuries. By early 2008, it had concluded that Joseph's injuries were covered by C&N's policy. Zurich did not relay these determinations to C&N. It also did not attempt to estimate the liability that C&N might face, or to settle the Boyles' claims. Instead, in February, 2008, Zurich closed its file for the Boyles' claim.
b. Suit against C&N. In August, 2008, the Boyles brought an action in the Superior Court against C&N,
The Boyles then moved for a judgment by default. In September, 2009, the Boyles' attorney sent Zurich a letter stating that a hearing had been scheduled in the Superior Court to determine the amount of the Boyles' damages. The letter specified the docket number assigned to the Boyles' complaint. Another letter, sent by the attorney later the same month, informed Zurich that the damages hearing had been postponed until October, 2009. That letter also stated the amount of Joseph's medical expenses, and enclosed copies of his medical bills. Upon receipt of these letters, a Zurich clerk scanned them and added them to the closed file for the Boyles' complaint. The clerk did not realize that any other action was necessary. Zurich therefore did not move to have C&N's default set aside; did not contact C&N to discuss the suit;
The October, 2009, hearing on the Boyles' damages was not attended by C&N or by Zurich. After the hearing, the judge awarded damages of $1.5 million to Joseph and $750,000 to Janice. The Boyles also were awarded pre- and postjudgment interest. Final judgment was entered against C&N in January, 2010.
c. Suit against Zurich. In June, 2011, the Boyles commenced their current suit, also in the Superior Court, naming Zurich as the defendant. Among other things, the Boyles asserted that they were third-party beneficiaries of C&N's policy, and that Zurich had violated G. L. c. 93A by failing to settle the Boyles' suit against C&N. In September, 2013, C&N was revived by the Secretary of the Commonwealth for a period not to exceed one year. Upon being revived, C&N assigned to the Boyles all of its rights and claims against Zurich, including a claim that Zurich had committed a breach of its contractual duty to defend C&N.
Several days before the case was scheduled to be tried, the Boyles and Zurich reached an agreement to settle the Boyles' individual claims. The Boyles signed a release relinquishing any claims they had "in their individual capacities." In return, they were to receive $1,324,357, a sum equal to the amount that had accrued in postjudgment interest on the default judgment that the Boyles had obtained against C&N. A release executed by the Boyles as part of the settlement stated that it "specifically excludes. . . the rights of the Boyles as assignees of [C&N] to pursue the full amount of the judgment entered in [the Boyles' suit against C&N], with interest."
A jury-waived trial was conducted on the remaining claims, namely, those that C&N had assigned to the Boyles. In detailed written findings, the Superior Court judge concluded that Zurich had committed a breach of its contractual duty to defend C&N.
Accordingly, the judge concluded that Zurich's failure to defend C&N caused C&N damages in the full amount of the judgment rendered against it, namely, $2,250,000, plus interest. The judge did not, however, award the Boyles (as assignees) multiple damages, finding no violation of G. L. c. 93A. At the end of his order, the judge wrote that "the $1,324,357 in post-judgment interest that [Zurich] has already agreed to pay to the Boyles in order to settle their direct claims" would be subtracted from the award of damages. Both parties appealed.
2. Discussion. Before us, Zurich contends that its duty to defend C&N was not triggered at any time, given that C&N itself never informed Zurich of the Boyles' lawsuit, never forwarded the complaint and related documents to Zurich, and never requested that Zurich provide a defense. The Boyles, for their part, challenge the judge's determinations that Zurich committed no violation of G. L. c. 93A, and that the Boyles' damages should be reduced by the amount that Zurich had agreed to pay in order to settle the Boyles' individual claims. Examining these arguments "without deference [to] the legal standard which the judge applied," Makrigiannis v. Nintendo of Am., Inc., 442 Mass. 675, 678 (2004), quoting Kendall v. Selvaggio, 413 Mass. 619, 621 (1992), we conclude that only the Boyles' challenge to the subtraction of the settlement payment from their damages award is meritorious.
a. Duty to defend. "It is well settled in this jurisdiction that a liability insurer owes a broad duty to defend its insured against any claims that create a potential for indemnity." Doe v. Liberty Mut. Ins. Co., 423 Mass. 366, 368 (1996), citing Liberty Mut. Ins. Co. v. SCA Servs., Inc., 412 Mass. 330, 332 (1992). A breach of the duty to defend can support claims in contract, in tort, and under G. L. c. 93A. See Hartford Cas. Ins. Co. v. New Hampshire Ins. Co., 417 Mass. 115, 118, 120 (1994). Closely tied to the duty
The duty to defend also was incorporated explicitly into the policy that Zurich issued to C&N, by way of a mandatory endorsement approved by the Commonwealth's Division of Insurance. Zurich argues, however, that it was not subject to any duty to defend C&N because of other terms in C&N's policy. That policy, which (according to the parties) is in widespread use in Massachusetts, stated that Zurich would "ha[ve] no duty to provide coverage . . . unless there has been full compliance" with specified obligations, including the obligation to "[i]mmediately send [Zurich] copies of any request, demand, order, notice, summons[,] or legal paper received concerning [a] claim or `suit.'" In Zurich's view, C&N's failure to forward the Boyles' complaint and related documents to Zurich relieved Zurich of its duty to defend.
The approach advocated by Zurich long has been rejected in Massachusetts, both by way of legislation and in our jurisprudence. The Legislature, in 1977, amended G. L. c. 175, § 112, to provide that "[a]n insurance company shall not deny insurance coverage to an insured because of failure of an insured to seasonably notify an insurance company of an occurrence, incident, claim or of a suit . . . unless the insurance company has been prejudiced thereby." See St. 1977, c. 437.
Our decision in Johnson Controls, supra, extended the same treatment to other liability insurance policies.
Our reasoning in Johnson Controls, as we later paraphrased it, was that "[a] violation of a policy provision should bar coverage only where the breach frustrates the purpose underlying that provision." Augat, Inc. v. Liberty Mut. Ins. Co., 410 Mass. 117, 123 (1991). Notice requirements are intended to permit the insurer to undertake a "seasonable investigation of the facts relating to liability," see Johnson Controls, 381 Mass. at 281, quoting Bayer & Mingolla Constr. Co. v. Deschenes, 348 Mass. 594, 600 (1965), so that it may preserve "an opportunity to defend effectively." See Johnson Controls, supra, quoting Brakeman v. Potomac Ins. Co., 472 Pa. 66, 75 (1977). These purposes are undermined by an insured's breach only if the insurer is prejudiced thereby. See Johnson Controls, supra at 281. The contrary approach, which treats a notice provision as a condition precedent to the insurer's obligations, results in "a forfeiture, for the carrier seeks . . . to deny the insured the very thing paid for." Id. at 281, quoting Cooper v. Government Employees Ins. Co., 51 N.J. 86, 93-94 (1968). We noted also in Johnson Controls, supra at 281, quoting Brakeman, supra at 72, that the traditional notion that courts should not "redraft" policy provisions "fails to recognize the true nature of the relationship between insurance companies and their insureds," insofar as "[a]n insurance contract is not a negotiated agreement; rather its conditions are by and large dictated by the insurance company to the insured."
We reaffirmed and fortified the rule of Johnson Controls in
Both Johnson Controls, 381 Mass. at 278, and Darcy, 407 Mass. at 483, arose from complaints brought by injured parties on their own behalf, seeking to reach and apply the proceeds of the insureds' policies. In Sarnafil, Inc. v. Peerless Ins. Co., 418 Mass. 295 (1994) (Sarnafil), we applied the same approach to an insured's complaint for breach of the duty to defend. The insured in Sarnafil, like C&N, informed the insurer about the potential for a claim, but — in violation of the terms of the policy — provided no notice about the initiation of legal proceedings. See id. at 298-301. This court concluded that the insured's violation of the notice provision would bar coverage only if the breach frustrated the provision's purpose. See id. at 302, 305-306, citing Augat, Inc. v. Liberty Mut. Ins. Co., 410 Mass. at 122-123, and Darcy, 407 Mass. at 491. The court rejected the view, advocated by a dissent, that the purpose of the notice requirement was frustrated "as a matter of law" by the insured's failure to "tender[] its defense to [the insurer]," id. at 313 (O'Connor, J., dissenting in part), and that "[b]ecause there was no notice, there was no duty [to defend]." Id. at 315 (O'Connor, J., dissenting in part). Instead, the court held that the insurer would not be excused of its obligations without a showing of prejudice. See Sarnafil, supra at
We have not seen cause to revise our holdings in Johnson Control and its progeny. See, e.g., Mello v. Hingham Mut. Fire Ins. Co., 421 Mass. 333, 336-337 (1995); Goodman v. American Cas. Co., 419 Mass. 138, 141 (1994). See also Pilgrim Ins. Co. v. Molard, 73 Mass.App.Ct. 326, 336-337 (2008). The reasoning of those decisions, described earlier, remains compelling today.
Accordingly, C&N's failure to notify Zurich of the complaint brought by the Boyles did not, standing alone, excuse Zurich of its duty to defend C&N. Instead, upon learning from the Boyles' attorney that a lawsuit was pending against C&N for an occurrence covered by the policy, Zurich was required to defend against that suit unless C&N's breach of its notice obligation prejudiced Zurich, by depriving it of an opportunity to mount an effective defense.
The judge determined that Zurich did not establish that it had been prejudiced in this way. Although Zurich made no argument to the contrary in the Superior Court, it challenges this determination in a footnote to its appellate brief. Even if the issue had
b. Consequences of the duty to defend. Zurich presents no other challenge to the judge's analysis. In conjunction with its duty to defend, Zurich was obliged to make reasonable, prudent efforts to settle the Boyles' suit. See Medical Malpractice Joint Underwriting Ass'n of Mass. v. Goldberg, 425 Mass. 46, 60 n.33 (1997); Hartford Cas. Ins. Co. v. New Hampshire Ins. Co., 417 Mass. 115, 119-120 (1994). Zurich committed a breach of that duty by failing to settle the suit for the policy limit, an endeavor that, the judge found, any reasonable insurer would have undertaken.
The judge calculated the Boyles' total amount of damages by using the method we endorsed in DiMarzo v. American Mut. Ins. Co., 389 Mass. 85 (1983) (DiMarzo). In that case, too, an insurer failed to settle an injured plaintiff's tort claim against an insured for the policy limit, there $20,000.
We are not asked to revisit our DiMarzo decision, and we do not now see cause to do so. Applied here, the analysis of that decision yields the result reached by the judge, namely, that Zurich is liable to C&N for the amount of the judgment by default entered in the suit that Zurich failed to defend.
c. General Laws c. 93A. In their cross appeal, the Boyles challenge the judge's decision that Zurich did not violate G. L. c. 93A and that the Boyles are not entitled to multiple damages. We discern no reversible error.
The Boyles contend that Zurich engaged in unfair or deceptive acts by failing to defend C&N against the Boyles' suit; and, much later, by failing to settle the suit brought by the Boyles as C&N's assignees. The judge found that neither episode amounted to an unfair or deceptive act. "[W]hether a particular set of acts, in their factual setting, is unfair or deceptive is a question of fact," which we review for clear error. See Klairmont v. Gainsboro Restaurant, Inc., 465 Mass. 165, 171 (2013), quoting Casavant v. Norwegian Cruise Line Ltd., 460 Mass. 500, 503 (2011).
Zurich's failure to defend C&N against the Boyles' suit was, the judge found, "inadvertent" and "negligent." It stemmed largely from the unfortunate decision of a Zurich clerk to take no action upon receiving the letters informing Zurich of the Boyles' damages hearing. Mere negligence ordinarily does not represent an unfair or deceptive act. See Darviris v. Petros, 442 Mass. 274, 278, 279 n.2 (2004), and cases cited.
Zurich made an error of a different nature in failing, more recently, to settle the Boyles' lawsuit as C&N's assignees. By the eve of the trial against it, Zurich apparently was not averse to settlement, having agreed to resolve the Boyles' individual claims for a sum of $1,324,357. The final offer made by Zurich to settle the Boyles' claims as C&N's assignees was the policy limit of $50,000, plus interest. The judge found that "Zurich did not make this offer in bad faith or based on any ulterior motive," but rather, "did so based on its reading of its insurance policy." The judge
In view of our long-standing jurisprudence, described supra, we do not share the view that Zurich's position was "plausible." Even so, the judge's finding that Zurich's conduct was neither "unfair" nor "deceptive" was not clearly erroneous. "While G. L. c. 93A is a statute of `broad impact,' the limits of which are not precisely defined, a violation of G. L. c. 93A requires, at the very least, more than a finding of mere negligence." Darviris v. Petros, 442 Mass. at 278, quoting Greenfield Country Estates Tenants Ass'n v. Deep, 423 Mass. 81, 88 (1996), and citing Mechanics Nat'l Bank v. Killeen, 377 Mass. 100, 109 (1979). The judge found, in essence, that although Zurich blundered badly in its reading of the legal landscape, its unsuccessful efforts to settle the Boyles' claims as C&N's assignees represented a negligent miscalculation, rather than "conduct involving dishonesty, fraud, deceit or misrepresentation." Darviris v. Petros, supra, quoting Poly v. Moylan, 423 Mass. 141, 151 (1996), cert. denied, 519 U.S. 1114 (1997). Similarly, the judge's finding that Zurich's settlement efforts, while misguided, were made in good faith, entails the conclusion that Zurich's conduct was not "willful or knowing" in the sense necessary to warrant an award of multiple damages. See Cruz Mgt. Co. v. Thomas, 417 Mass. 782, 791 (1994); VMark Software, Inc. v. EMC Corp., 37 Mass.App.Ct. 610, 623 (1994). Nothing in the record compels conclusions to the contrary.
d. Deduction of settlement payment. As noted, the judge reduced the damages awarded to the Boyles as C&N's assignees by $1,324,357, the amount for which the Boyles had settled their individual claims against Zurich. We agree with the Boyles that this was error.
The judge's concern was evidently that the Boyles not recover twice for the same injury. See Selmark Assocs., Inc. v. Ehrlich, 467 Mass. 525, 544 (2014), citing Blake v. Commissioner of Correction, 403 Mass. 764, 767 (1989) ("double recovery for same injury or loss is impermissible"). This concern appeared to the judge warranted since, at Zurich's urging, the judge characterized the payment of $1,324,357 as "post-judgment interest that
According to that release, the settlement payment was granted to the Boyles specifically in conjunction with the "claims, demands, causes of action . . . which the Boyles have or could have brought directly and in their individual capacities." The crux of the Boyles' individual claims was that Zurich had wronged them as third-party beneficiaries of C&N's policy, by failing to settle the Boyles' suit when liability had become reasonably clear. This wrong, which had the potential to result in multiple damages, attorney's fees, and costs (even if C&N's claim under G. L. c. 93A proved unsuccessful), is analytically independent of the wrong that supported C&N's claim against Zurich (assigned to the Boyles) — i.e., that Zurich did not provide C&N with a defense. The release made in connection with the settlement of the Boyles' individual claims against Zurich acknowledged as much, stating that it "specifically excludes . . . the rights of the Boyles as assignees of [C&N] to pursue the full amount of the judgment entered in [the Boyles' suit against C&N], with interest" (second emphasis added).
In short, the parties made clear that the payment settling the Boyles' individual claims against Zurich would not come at the expense of any portion of Zurich's liability toward C&N, including (as stated explicitly) interest. The judgment should not have been reduced, therefore, by the amount of the settlement payment.
3. Conclusion. The result of our analysis is that Zurich's failure to defend on a $50,000 policy will culminate in an award of damages that is, "in the circumstances, extraordinarily large." See DiMarzo, 389 Mass. at 108 (Hennessey, C.J., concurring). This result flows from findings of fact "warranted on the evidence," with "[t]he law, step by step, . . . correctly applied." Id. "The crucial principles are . . . established . . . by construction of . . . statute[s], or by common law, in prior cases." Id. Those "crucial
The judgment is vacated and set aside, and the matter is remanded to the Superior Court for entry of a modified judgment consistent with this opinion.
So ordered.