Wheatley v. Massachusetts Insurers Insolvency FundWheatley v. Massachusetts Insurers Insolvency Fund
General Laws c. 176D defines and regulates “unfair methods of competition and unfair or deceptive acts or practices in the business of insurance.”
2
1.
Facts.
We briefly summarize the allegations of the complaint, which we take as true.
Jarosz
v.
Palmer,
In July, 2003, Legion Insurance Company (Legion), a Pennsylvania company that provided insurance for the town of Duxbury (town), was declared insolvent by a Pennsylvania court. Accordingly, pursuant to
In 2001, the plaintiff, Kirsten M. Wheatley, at the time a seven year old special education student who required the use of a walker and adult supervision to walk, was a student at a Duxbury public elementary school. On October 26, 2001, while walking to the school lunch room, Wheatley’s walker collided with an obstacle on the floor of the hallway as she was leaving the special education center. Falling forward, she fractured a front tooth. She was then permitted by a school nurse to eat her lunch, during which she swallowed a different tooth knocked loose by the fall. In July, 2004, following unsuccessful negotiations with the town described below, Wheatley filed a negligence action against the town seeking to recover damages for these injuries. The case went to trial, and in April, 2008, a jury awarded Wheatley $20,786.31.
Wheatley first presented her claims to the town in August, 2003, see
In August, 2006, some twenty-two months after sending her G. L. c. 93A demand letter to the insolvency fund, Wheatley commenced this action alleging that the insolvency fund had not “effectuated a prompt, fair and equitable settlement” of her claims, and that in the course of its defense of the town in the underlying negligence action, the insolvency fund had engaged in “multiple” unfair claims settlement practices in “willful” violation of
2.
Discussion,
a.
The statutory scheme. A
consumer such as Wheatley may commence an action in the Superior Court under
b.
The 1996 amendment to G. L. c. 176D.
In
Barrett, supra
at 775, a consumer sought to recover damages from the insolvency fund under the first prong of
Within eleven months of
Poznik,
the Legislature took action on two bills that eventually were merged and enacted as the 1996 amendment.
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As noted earlier, the 1996 amendment provided that the insolvency fund and any joint underwriting association established pursuant to law be included in the definition of “person” as that term is used in G. L. c. 176D. St. 1996, c. 313. See note 3,
supra.
We turn now to consider whether the 1996 amendment subjected the insolvency fund to consumer actions pursuant to
c.
Standard of review.
We review de nova the judge’s order allowing a motion for judgment on the pleadings under rule 12 (c).
Okerman
v.
VA Software Corp.,
Our primary duty in interpreting a statute is “to effectuate the intent of the Legislature in enacting it.”
International Org. of Masters
v.
Woods Hole, Martha’s Vineyard & Nantucket S.S. Auth.,
Other rules of statutory construction are operative in this case. First, a statute must be construed so that “effect is given to all its provisions, so that no part will be inoperative or superfluous.”
Bankers Life & Cas. Co.
v.
Commissioner of Ins.,
d.
The insolvency fund and G. L. c. 93A consumer actions.
As noted earlier, in
Barrett, supra
at 775, this court held that the insolvency fund was not subject to G. L. c. 93A consumer
First, all the operative provisions of G. L. c. 176D that use the term “[pjerson” as defined in G. L. c. 176D, §
l (a)
— which together set forth procedures for the regulation of unfair methods of competition and unfair or deceptive acts or practices in the business of insurance,
Moving beyond the language of the statute, the intent of the 1996 amendment, the insolvency fund posits, is to “prohibit” the insolvency fund “from engaging in practices defined or determined to be unfair or deceptive acts or practices,” and to “subject” the insolvency fund “to enforcement by” the commissioner. We agree, as far as that argument goes. But we do not agree that the intent of the Legislature can be entirely so circumscribed. The provisions of G. L. c. 176D, which give the commissioner “the power to examine and investigate into the affairs of every person engaged in the business of insurance in this commonwealth,”
The insolvency fund also notes that the 1996 amendment did not refer to the insolvency fund in the second sentence of
Beyond the language of the 1996 amendment and the other
The insolvency fund argues that subjecting it to G. L. c. 93A consumer actions would be a “radical change” in the law, pointing out that it “is not to be lightly supposed that radical changes in the law were intended where not plainly expressed.”
Ferullo’s Case,
The insolvency fund points to the legislative history to support its argument that the Legislature did not intend to subject the insolvency fund to G. L. c. 93A consumer actions when it enacted the 1996 amendment. Ordinarily we would not consider the argument because in our view the statute is not ambiguous. See
Hoffman
v.
Howmedica, Inc.,
The indicia of legislative intent cited by the insolvency fund — a memorandum from the Governor’s chief legal counsel to the Governor and two related memoranda from the Office of Consumer Affairs and Business Regulation to the Governor’s legislative office — do not suggest otherwise.
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The former states that the 1996 amendment “provides” that the insolvency fund and joint underwriting associations “are subject to the same standards which apply to others operating in the insurance business” and “extends the authority of the [commissioner] to protect consumers.” The insolvency fund points to the referencе to the enforcement powers of the commissioner only. But more is reflected in that memorandum, and it is beyond dispute that the “standards” that applied at the time to “others operating in the insurance business” included subjection to G. L. c. 93A consumer actions. See, e.g.,
Williams
v.
Gulf Ins. Co.,
Finally, citing various provisions of G. L. c. 175D, the insolvency fund argues that the Legislature has “taken great pains” to
3. Conclusion. For the reasons stated above, the judgment is reversed and the case is remanded to the Superior Court for further proceedings consistent with this opinion.
So ordered.
Notes
In 1972, the Legislature amended the General Laws by striking out G. L.
“When used in this chapter, the following words shall have the following meanings except as otherwise specifically provided: (a) ‘Person’, any individual, corporation, association, partnership, reciprocal exchange, inter-insurer, Lloyds insurer, fraternal benefit society, operators of any medical service plan and hospital service plan as defined in chapters [176B, 176C, 176E, and 176F], insurers and sponsors of a legal services plan as defined in chapter [176H], any other legal entity or self insurer which is engaged in the business of insurance, including agents, brokers, and adjusters, the Massachusetts Insurers Insolvency Fund and any joint underwriting association established pursuant to law. For purposesof this chapter, operators of any medical and hospital service plans shall be deemed to be engaged in the business of insurance.” (The italicized language was added by St. 1996, c. 313.)
The 1996 amendment did not include the word “and” before the phrase “any other legal entity or self insurer.” St. 1996, c. 313.
In 2003, the Legislature rewrote the definition to include “carriers and health maintenance organizations as defined in chapter 176G.” See St. 2003, c. 141, § 33. That language is not at issue in this case.
The Massachusetts Insurers Insolvency Fund (insolvency fund) is a “statutorily mandated, nonprofit, unincorporated association оf all insurers writing certain kinds of direct insurance in the Commonwealth . . . available to settle certain unpaid claims which arise out of and are within the coverage
In its answer, the insolvency fund averred that it did respond to Wheatley by letter dated January 19, 2004, an assertion we do not consider as we take all facts alleged by Wheatley as true. See
Jarosz
v.
Palmer,
In its answer, the insolvency fund acknowledged that it had received Wheatley’s letter on November 3, 2004, and averred that it responded by letter dated December 16, 2004, an assertion we do not consider. See note 5, supra.
Wheatley commenced the present action against the insolvency fund before the conclusion of the underlying negligence action. A judge in the Superior Court allowed the insolvency fund’s motion to stay discovery in this action and to suspend the tracking order pending resolution of the underlying negligence action. When judgment entered in the underlying negligence action, discovery in this action resumed. A different judge in the Superior Court entered judgment for the insolvency fund on its motion for judgment on the pleadings.
In
Barrett, supra
at 775-777, the plaintiff’s complaint made no reference to G. L. c. 176D, and the court made no mention of a claim under the second prong of
The decision in
Poznik
v.
Massachusetts Med. Professional Ins. Ass’n,
Conversely, where the words of a statute are ambiguous, the statute “must be interpreted according to the intent of the Legislature ascertained from all its words construed by the ordinary and approved usage of the language, considered in connection with the cause of its enactment, the mischief or imperfection to be remedied and the main object to be accomplished, to the end that the purpose of its framers may be effectuated.”
Hanlon
v.
Rollins,
Beyond
First, in setting forth the procedures that the commissioner shall follow for pursuing enforcement actions against suspected violators,
Second,
Third,
We also disagree with the insolvency fund’s parsing of the definitional changes to the term “person” in the 1996 amendment. See
supra
at 596. In our view, consistent with our obligation to read G. L. c. 176D as a whole, a proper reading of the definition of “person” in
24General Laws c. 176D, § 3, defines certain acts as “unfair methods of competition and unfair or deceptive acts or practices in the business of insurance.”
25General Laws c. 176D, § 6, permits the commissioner to pursue enforce
The insolvency fund also argues that the 1996 amendment does not define the insolvency fund as a person “in the business of insurance,” because “it is plain” that the amendment does not result in the insolvency fund being a “company” for purposes of G. L. c. 175, which defines “compаny” as “all . . . associations . . . engaged as principals in the business of insurance.”
After the 1996 amendment, the Appeals Court has assumed that joint underwriting associations are now subject to G. L. c. 93A consumer actions. See
Bolden
v.
O’Connor Café of Worcester, Inc.,
The insolvency fund argues that, when it adopted the 1996 amendment, the Legislature “gave no thought at all” to subjecting the insolvency fond to consumer actions under G. L. c. 93A, “but rather intended only to subject the [insolvency fond] to enforcement by the [commissioner] with respect to activities prohibited by c. 176D.” This argument is difficult to square with the insolvency fund’s recognition at oral argument that the 1996 amendment was a response to Barrett and Poznik.
Such documents are from government actors beyond the legislative branch, and we place no undue weight on their significance. Cf.
Hershenow
v.
Enterprise Rent-A-Car Co. of Boston,
See
The insolvency fund cites, in addition,