36 N.E.3d 1284
Mass. App. Ct.2015Background
- Linda and Robert Hawley owned a three-family rental property insured by Preferred Mutual for policy period Nov 14, 2003–Nov 14, 2004; water damage occurred June 11, 2004.
- Preferred investigated, made a $5,000 advance, but on Nov 8, 2004 denied the claim (citing failure to repair and policy exclusions); Hawleys did not cash the advance or begin repairs.
- Hawleys sent a c. 93A demand in May 2006 and a written request for reference (arbitration of loss amount) on June 5, 2006—five days before the two-year limitations period under G. L. c. 175, § 99 would expire.
- Preferred declined the reference on July 10, 2006 and again later; Hawleys filed suit on June 2, 2008—nearly four years after the loss.
- The Superior Court found the breach of contract claim time-barred and that the loss was excluded by the policy as resulting from repeated seepage/leakage from plumbing; therefore c. 93A and c. 176D claims failed.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether a mere timely request for reference tolled the two-year limitations in G. L. c. 175, § 99 | Hawleys: their June 5, 2006 request for reference tolled the limitations | Preferred: reference was not commenced; mere request does not toll § 99 | Request alone does not toll the § 99 limitations period |
| If tolling applied, whether Hawleys filed suit within a reasonable time after reference was denied | Hawleys: insurer’s conduct lulled them into delay; additional communications justified later filing | Preferred: it repeatedly denied liability; plaintiffs waited nearly two years after denial | Even if tolled, filing nearly two years after denial was not reasonably prompt |
| Whether the loss was covered or excluded by the policy | Hawleys: loss resulted from a sudden event (shower door break) and thus covered | Preferred: loss resulted from ongoing leakage/seepage from plumbing and is excluded | Loss was caused by ongoing leak from plumbing and is excluded under policy |
| Whether c. 93A / c. 176D claims survive | Hawleys: insurer’s refusal and handling violated c. 176D and c. 93A | Preferred: liability was not reasonably clear; dispute was in good faith | Because loss not covered and liability not reasonably clear, c. 93A and c. 176D claims fail |
Key Cases Cited
- J. & T. Enters., Inc. v. Liberty Mut. Ins. Co., 384 Mass. 586 (statute begins to run at time of loss)
- Gallant v. Federal Mut. Ins. Co., 354 Mass. 146 (loss date controls limitations; estoppel only in limited circumstances)
- Trust Ins. Co. v. Comm’r of Ins., 48 Mass. App. Ct. 617 (reasonableness of delay depends on case facts)
- Hopkins v. Liberty Mut. Ins. Co., 434 Mass. 556 (c. 176D/c. 93A principles on insurer practices)
- Bobick v. U.S. Fid. & Guar. Co., 439 Mass. 652 (interaction of c. 176D and c. 93A)
- Duclersaint v. Fed. Nat’l Mort. Ass’n, 427 Mass. 809 (good-faith dispute is not a c. 93A violation)
- Clegg v. Butler, 424 Mass. 413 (insurers may delay in good faith pending investigation)
- Pacific Indem. Co. v. Lampro, 86 Mass. App. Ct. 60 (no penalty for insurer delay when liability unclear)
