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Wheatley v. Massachusetts Insurers Insolvency Fund
988 N.E.2d 845
Mass.
2013
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Background

  • This case follows Wheatley I, which held the insolvency fund is subject to consumer actions under c. 93A, § 9(1).
  • The present decision concludes that when a plaintiff prevails in a consumer action against the insolvency fund under § 9(1), the fund is liable for reasonable attorney’s fees under § 9(4).
  • The insolvency fund is an unincorporated association created to settle unpaid claims against insolvent insurers; it defends towns sued under the Massachusetts Tort Claims Act.
  • Wheatley involved a statute-based claim against a town insured by Legion, which became insolvent; the fund defended the town and ultimately paid a judgment of $20,786.31.
  • Plaintiff’s November 1, 2004 demand under § 9(3) went unanswered; suit was filed August 31, 2006, alleging violations of c. 176D, § 3(9) and c. 93A; a Superior Court judge granted judgment on the pleadings that the fund was not subject to § 9(1).
  • After Wheatley I remanded, the parties settled the § 9 claim for damages; the remaining issue was attorney’s fees; the motion judge held the fund liable for fees, and the insolvency fund appealed.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether the insolvency fund can be liable under § 9(1) for first-prong § 2 violations. Wheatley I treated the fund as in the business of insurance, making § 2 applicable. Wheatley I did not necessarily decide on first-prong liability; the fund argues only second-prong liability. Yes; the fund is liable under the first prong because it operates in a business context and is subject to § 2.
Whether the fund may be liable under § 9(1) on the second prong for practices violating c.176D §3(9). The second prong permits actions where rights are affected by a violation of §3(9). The fund argued liability is limited to §2 violations. Yes; liability can arise under the second prong when §3(9) practices are involved.
Whether the fund may be liable for attorney’s fees under § 9(4) when the plaintiff prevails. Prevailing plaintiff entitled to fees under § 9(4) after successful §9(1) action. Fees should be unavailable if §9(1) liability is not established or if only §9(3) damages were at issue. Affirmed; plaintiff entitled to reasonable attorney’s fees under § 9(4).
Whether Wheatley I left open the possibility of first-prong liability for the fund. Wheatley I contemplated liability under the first prong as well as the second. Wheatley I primarily discussed the second prong and did not foreclose first-prong liability. No open question; Wheatley I implied the fund is in the business of insurance, supporting first-prong liability.

Key Cases Cited

  • Barrett v. Massachusetts Insurers Insolvency Fund, 412 Mass. 774 (Mass. 1992) (fund not liable under 93A as not in business context before amendment)
  • Poznik v. Massachusetts Med. Professional Ins. Ass’n, 417 Mass. 48 (Mass. 1994) (before 1996 amendment, fund not in business of insurance)
  • Hopkins v. Liberty Mut. Ins. Co., 434 Mass. 556 (Mass. 2001) (c.93A §2 incorporation of §3(9) into claims settlement practices; supports dual §9(1) liability)
  • Wheatley v. Massachusetts Insurers Insolvency Fund, 456 Mass. 594 (Mass. 2010) (held insolvency fund subject to consumer actions under §9(1); discussed amendment effect)
  • Dodd v. Commercial Union Ins. Co., 373 Mass. 72 (Mass. 1977) (broadens private causes of action for unfair insurance claim settlement practices)
Read the full case

Case Details

Case Name: Wheatley v. Massachusetts Insurers Insolvency Fund
Court Name: Massachusetts Supreme Judicial Court
Date Published: May 31, 2013
Citation: 988 N.E.2d 845
Court Abbreviation: Mass.