The petitioner, Craig Krigsman, appeals an order of the Superior Court (Smukler, J.) denying his request for declaratory relief against the respondent, Progressive Northern Insurance Company (Progressive). The petitioner argues that the trial сourt improperly concluded that he had materially breached his duty to cooperate with Progressive in the investigation of his insurance claim. We affirm.
The following facts were found by the trial court or are evident in the record. On March 7, 2002, the petitioner was in a single vehicle accident, resulting in the total loss of his vehicle. The petitioner filed a claim under his policy with Progressive on the day of the accident. On March 13, 2002, Progressive sent a letter to the рetitioner indicating that his claim may not be covered because there was a question as to whether the petitioner was a
In May 2002, the petitioner sent a letter to Progressive contesting its finding that he' resided in Massachusetts. Progressive notified the petitioner on June 18, 2002, that it was rescinding its denial' of coverage and reopening its investigation of the claim. That same day, a claims representative from Progressive contacted the petitiоner’s counsel to arrange an examination under oath (EUO) of the petitioner. Progressive also retained local counsel to assist in the investigation of the'claim. By letter dated June 24, 2002, the petitioner’s counsel informed the сlaims representative that he would be available for the EUO on four dates during the week of July 1-5, 2002. On June 28, 2002, Progressive’s local counsel sent a letter to the petitioner’s counsel stating that he “would like to take [the petitioner’s] deрosition” and requesting that the petitioner bring several documents to the EUO, including copies of his tax returns, utility bills and homeowner’s insurance policies. The EUO was not scheduled because Progressive’s counsel was not available during the holiday week. On July 10, 2002, the petitioner’s counsel wrote to Progressive’s counsel noting that his proposed dates for the EUO had passed and stating that the petitioner “may no longer be willing to give his deposition outside of a formal judicial рrocess.” The petitioner’s counsel sent another letter to Progressive’s counsel on July 18, 2002, again stating that he believed the matter “would best be resolved within the parameters of formal judicial process.” He subsequently filed a рetition for declaratory judgment on July 23,2002.
At trial, the petitioner testified that his property in New Hampshire had two houses on it, his primary residence and a rental unit. Based on this testimony, Progressive conceded that the petitioner met the policy’s New Hampshire residency requirement. Thus, the only issue before the trial court was whether the petitioner breached his obligations under the insurance contract by refusing to submit to the EUO and initiating the declaratory judgment action against Progressive while its investigation was pending. The trial court found that:
[N]otice of petitioner’s availability was sent to the insurer in a letter dated June 24, 2002[,] six days before the first date petitipner was available. The insurer was not able tо conduct an EUO during that holiday week. The insurer’s attempt during theweek of July 10, 2002 to reschedule was futile. The petitioner filed this suit twelve days later without ever submitting to an EUO.
The trial court concluded, “Both filing suit before the insurer breached its obligations аnd refusing to submit to an EUO is a breach of the insurance policy. The insured’s refusal to schedule an EUO was also a breach of the cooperation clause.” The court also found that the petitioner’s breach of his contrаctual obligations was prejudicial to Progressive because it bore the cost of defending the declaratory judgment action.
On appeal, the petitioner argues that the trial court erred in its factual finding that he refused to submit to an EUO. He also argues that the insurer must be prejudiced by an insured’s failure to submit to an EUO for it to constitute a material breach of the policy.
Progressive counters that submission to a reasonable request for an EUO should be construеd as a condition precedent to recovery under the policy and thus it may deny coverage without proving it has been prejudiced by the petitioner’s breach. We agree.
We will affirm the trial court’s factual findings unless they are unsupported by the evidence and we will affirm the trial court’s legal rulings unless they are erroneous as a matter of law. New England Homes v. R.J. Guarnaccia Irrevocable Trust,
First, the petitioner argues that the trial court erred in its factual finding that “[t]he insurer’s attempt during the week of July 10, 2002 to reschedule [the EUO] was futile.” Specifically, the petitioner points to the trial court’s finding that Progressive wrote to him on July 10, 2002, to reschedule the EUO. He contends that Progressive never informed him that the proposed dates were inconvenient and did not attempt to reschedule the EUO.
We agree with the petitioner that the trial court erred in finding that Progressive sent him correspondence on July 10, 2002, regarding the
[Atty. Rehnborg]: And then Progressive said through me we can’t do it [the week of July 4], but we can do it a week or two later. You knew that?
[Petitioner]: Yes.
[Atty. Rehnborg]: Now, a letter was sent to your attorney, ... asking for you to, when you attended the deposition, come with certain documents, are you aware of that?
[Petitioner]: Yes.
[Atty. Rehnborg]: Did you gather those documents back there so that they would be available in early July?
[Petitioner]: No.
[Atty. Rehnborg]: Why?
[Pеtitioner]: Because at the time it was chosen it would be better to pursue this through legal action.
[Atty. Rehnborg]: And you knew I wanted ... you to produce records?
[Petitioner]: Yes.
[Atty. Rehnborg]: And you also knew, did you not, that that was part of Progressive’s investigation in this mattеr to determine the issue of residency?
[Petitioner]: Yes.
[Atty. Rehnborg]: And you refused to do so?
Based on our review of the record and the petitioner’s testimony, we conclude that the trial court’s finding that the petitioner’s statements and actions constituted a refusal to submit to Progressive’s request for an EUO was not clearly erroneous or unsupported by the evidence. See In re Estate of King,
Next, the petitioner argues that Progressive must prove that it was prejudiced by the petitioner’s failure to submit to an EUO prior to filing suit. Progressive countеrs that we should construe the EUO provision as a condition precedent to recovery under the policy, and thus it should not have to prove that it suffered prejudice from the petitioner’s breach.
Under the section detailing thе insured’s duties in case of an accident or loss, the insurance policy provides:
A person claiming coverage under this policy must:
1. cooperate with us in any matter concerning a claim or lawsuit;
3. allow us to take signed and recorded statements, including sworn statements and examinations under oath, and answer all reasonable questions we may ask, when and as often as we may reasonably require.
(Emphasis omitted.) Under a separate section of the policy titled “Legal Action Against Us,” the policy provides: “We may not be sued unless there is full compliance with all the terms of this policy.” (Emphasis omitted.)
Although we have not previously addressed this issue, “[i]t is the law in most jurisdictions that the submission to an examination, if the request is reasonable, is strictly construed as a condition precedent to the insurer’s liability.” Mello v. Hingham Mut. Fire Ins. Co.,
Courts that construe submission to an EUO as a condition precedent to recovery generally do not require the insurer to prove that it suffered actual prejudice from an insured’s unexcused refiisal to submit to an exаmination. Lorenzo-Martinez v. Safety Ins. Co.,
In support of his contention that Progressive must prove actual prejudice, the petitioner relies on Dover Mills Partnership v. Commercial Union Insurance Cos., which held that an insurer must prove it has been prejudiced by an insured’s failure to report a potential claim “as soon as practicable” under an occurrence-based policy. Dover Mills Partnership v. Comm. Union Ins. Cos.,
Because we hold that compliance with the EUO request is a condition precedent to filing suit under the petitioner’s policy, we affirm the trial court’s order denying the petitioner’s request for declaratory relief.
Affirmed.
