The principal issue presented by this case is whether an insurer may deny uninsured motorist coverage under the standard Massachusetts motor vehicle insurance policy to a claimant who refuses to comply with his or her obligation under the policy to “submit to an examination under oath . . . within a reasonable time after [the insurer is] notified of the claim,” without proof by the insurer of actual prejudice to its interests caused by the claimant’s refusal. In separate motions for summary judgment filed by the insurers, Trust Insurance Company (Trust) and Safety Insurance Company (Safety), two Superior Court judges ruled that the submission to an examination under oath by the respective claimants, Luis A. Lorenzo-Martinez and Sylvia I. Suarez, was a condition precedent for coverage under their policies and that, by refusing to submit to an examination under oath, Martinez and Suarez had forfeited their coverage under their policies. Judgments entered dismissing Martinez’s and Suarez’s complaint seeking to compel their respective insurers to proceed to arbitration of their claims for uninsured motorist benefits. For the reasons stated, we affirm the judgment, as modified herein, for Trust but vacate the judgment for Safety, and we remand the action to the Superior Court for further proceedings.
“We may . . . require you and any person seeking payment under any part of this policy to submit to an examination under oath at a place designated by us, within a reasonable time after we are notified of the claim.
“After an accident or loss, you or anyone else covered under this policy must cooperate with us in the investigation, settlement and defense of any claim or lawsuit.”
Martinez filed a claim with Trust for uninsured motorist benefits on July 23, 1998. In response, Trust requested that Martinez provide it with a recorded statement. On May 14, 1999, after numerous requests for a recorded statement from Martinez, to which Martinez did not respond, Trust requested that Martinez submit to an examination under oath in order for it to complete its investigation of the accident. Martinez refused to submit to an examination under oath on the ground that the request was not made within a reasonable time after Trust’s receipt of notice of the claim as required under the policy. Based upon Martinez’s refusal, Trust denied Martinez’s claim.
Suarez submitted a notice of her claim to Safety for uninsured motorist benefits on August 19, 1998. There is nothing in the record to indicate that there was any further contact between Safety and Suarez until May 10, 1999, when Suarez’s attorney made a demand upon Safety in writing for settlement of her claim and asserted claims under G. L. c. 93A and G. L. c. 176D, § 3. On June 2, 1999, Safety made an offer of $3,000 to settle her claim. On August 6, 1999, Safety sent a letter to Suarez’s attorney requesting confirmation of the medical expenses paid by the personal injury protection carrier.
On appeal, both Martinez and Suarez claim that the allowance of summary judgment was error because Trust and Safety failed to request an examination under oath within a reasonable time after receipt of notice of the claim, and coverage cannot be denied without the insurers’ demonstration that they suffered actual prejudice by the refusal.
In Ellis v. Safety Ins. Co.,
We now clarify our holding in Ellis and decide that a wilful, unexcused refusal to submit to an examination under oath, without proof of actual prejudice to the insurer’s interests resulting from the refusal, constitutes a material breach of the insurance contract discharging the insurer’s liability under the contract. As in Mello, the provision for the submission to an examination under oath contained in the standard automobile insurance policy was not prescribed by the insurance
Accordingly, the only question remaining in this case is whether Martinez and Suarez had an excuse that relieved them from submitting to an examination under oath. We consider their reasons separately.
Martinez refused to submit to an examination under oath on the ground that the request for an examination under oath, which was made approximately nine months after he gave notice of his claim, was not made within a reasonable time after Tmst’s receipt of notice of his claim. What is a reasonable time is usually a question of fact, but if the facts are not in dispute, it is a question of law. Powell v. Fireman’s Fund Ins. Cos.,
We now turn to the allowance of Safety’s motion for sum
The judgment dismissing Martinez’s complaint against Trust is affirmed, and a judgment shall enter on Trust’s counterclaim declaring that Martinez is not entitled to uninsured coverage under his motor vehicle insurance policy issued by Trust because of his wilful, unexcused failure to submit to an examination under oath.
So ordered.
Notes
In Mello, there was a suspicion of arson. Mello v. Hingham Mut. Fire Ins. Co., 421 Mass, at 337.
The Commissioner of Insurance is responsible for approval of the form of the policy. G. L. c. 175, § 113A.
A recorded statement differs from a statement or examination under oath. Pervis v. State Farm Fire & Cas. Co.,
Martinez also claims that the judge erred in failing to postpone the hearing on Trust’s motion for summary judgment in order to enable him to complete discovery. Martinez commenced this action in September, 1999. Trust filed its motion for summary judgment in May, 2000. The hearing on the motion for summary judgment was scheduled for July 7, 2000, and postponed to August
We do not consider Martinez’s appeal frivolous, and thus we decline to award attorney’s fees and double costs pursuant to Mass.R.A.P. 25, as appearing in
