General Laws c. 176D defines and regulates “unfair methods of competition and unfair or deceptive acts or practices in the business of insurance.”
2
G. L. c. 176D, § 3. General Laws c. 93A, § 9 (1), in turn, provides, among other
General Laws c. 176D, § 1 (a), provides, in pertinent part, that a “[pjerson” is “any individual, corporation, association, . . . 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.”
3
The insolvency fund argues that its placement in that definitional
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 G. L. c. 175D, § 5 (1), the insolvency fund became obligated to pay certain claims arising under policies issued by Legion and to “adjust, compromise, settle and pay covered claims to the extent of the [insolvency fund’s] obligation,” G. L. c. 175D, § 5 (1)
(d).
4
One of the claims
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 G. L. c. 258, § 4, approximately one month after Legion had been declared insolvent. Neither the town nor the insolvency fund responded to Wheatley’s presentment letter.
5
When Wheatley filed her negligence action against the town, the insolvency fund defended the town, denying liability and asserting various affirmative defenses. Wheatley alleges that, by November, 2004, some fourteen months after Wheatley had made demand on the town and three months after she had commenced her negligence action against it, the insolvency fund had made no offer to settle her claims. She thereupon sent to the insolvency fund a demand letter pursuant to G. L. c. 93A, § 9 (3), to which the insolvency fund did not respond within thirty days of receipt.
6
Wheatley alleges here that at “all times
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 G. L. c. 176D, § 3 (9), and G. L. c. 93A, § 2, including failure “to acknowledge and act reasonably promptly upon communications with respect to claims arising under insurance policies,” in violation of G. L. c. 176D, § 3 (9) (b); failure “to adopt and implement reasonable standards for the prompt investigation of claims arising under insurance policies,” in violation of G. L. c. 176D, § 3 (9) (c); refusal to pay her claim “without conducting a reasonable investigation based upon all available information,” in violation of G. L. c. 176D, § 3 (9) (d); and failure “to effectuate prompt, fair and equitable settlement!]” of a claim “in which liability ha[d] become reasonably clear,” in violation of G. L. c. 176D, § 3 (9) (f). The insolvency fund moved for judgment on the pleadings, which (as noted earlier) was allowed by a judge in the Superior Court. 7
2.
Discussion,
a.
The statutory scheme. A
consumer such as Wheatley may commence an action in the Superior Court under G. L. c. 93A, § 9 (1), in two circumstances.
Hopkins
v.
Liberty Mut. Ins. Co.,
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 G. L. c. 93A, § 9 (l).
11
Reasoning that the insolvency fund is, “in essence, simply a conduit to which certain noninsolvent insurers, authorized to do business in the Commonwealth, pay a pro rata amount to enable” the insolvency fund “to pay ‘covered claims’ to insureds whose insurance companies become insolvent subsequent to the issuance of their policies and claims,” this court held that a consumer could not maintain a G. L. c. 93A claim against the
Within eleven months of Poznik, the Legislature took action on two bills that eventually were merged and enacted as the 1996 amendment. 12 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 G. L. c. 93A, § 9 (1).
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, G. L. c. 176D, § 2 — apply to persons who engage “in the business of insurance.” See G. L. c. 176D, § 2 (prohibiting any “person” from engaging in certain acts “in the business of insurance”);
14
G. L. c. 176D, § 3 (defining certain acts as unfair or deceptive “in the business of insuranсe,” and using the term “person” in subsections [1]
[d],
[2], [3], [5], and [10]);
15
G. L. c. 176D, § 5 (providing commissioner power to investigate into affairs of “every person engaged
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,” G. L. c. 176D, § 5, and to pursue enforcement actions against “any such person,” G. L. c. 176D, § 6, become operative only where a person has or might have engaged in insurance praсtices prohibited by G. L. c. 176D, § 2. That section prohibits a “person” from engaging in any act “defined in this chapter as,
[24]
or determined pursuant to section six of this chapter to be,
[25]
an unfair method of competition or an
The insolvency fund also notes that the 1996 amendment did not refer to the insolvency fund in the second sentence of G. L. c. 176D, § 1 (a): “For purposes of this chapter, operators of any such medical and hospital service plans shall be deemed to be engaged in the business of insurance.” G. L. c. 176D, § 1 (a), as amended through St. 1996, c. 313. See note 3, supra. That sentence was unchanged by the 1996 amendment, compare St. 1996, c. 313, with St. 1972, c. 543, § 1, but does not support the insolvency fund’s argument thаt the insolvency fund is not “engaged in the business of insurance.” Rather, the sentence clarifies that the provisions of G. L. c. 176D apply to the medical and hospital service plans specified in the first sentence of the definition of “person” in G. L. c. 176D, § 1 (a), see note 3, supra, despite the exemptions from the Commonwealth’s general insurance laws granted to such organizations in other statutes. See, e.g., G. L. c. 176B, § 14; G. L. c. 176C, § 2.
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.
29
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 thе insurance business” and “extends the authority of the [commissioner] to protect consumers.” The insolvency fund points to the reference 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 оpinion.
So ordered.
Notes
In 1972, the Legislature amended the General Laws by striking out G. L.
General Laws c. 176D, § 1 (a), as amended through St. 1996, c. 313 (1996 amendment), provided:
“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 аssociation of 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.
General Laws c. 93A, § 9 (1), provides, in pertinent part: “Any person, other than a person entitled to bring action under section eleven of this
General Laws c. 93A, § 2 (a), declares unlawful “[ujnfair methods of competition and unfair or deceptive acts or practices in the conduct of any trade or commerce . . . .”
General Laws c. 176D, § 3, “prohibits ‘unfair or deceptive acts or practices in the business of insurance,’ and § 3 (9) enumerates acts and omissions that constitute unfair claim settlement practices.”
Hopkins
v.
Liberty Mut. Ins. Co.,
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 G. L. c. 93A, § 9 (1). The court analyzed the plaintiff’s claims solely under the first prong of G. L. c. 93A, § 9 (1). See Barrett, supra.
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,
General Laws c. 176D, § 2, provides: “No person shall engage in this commonwealth in any trade practice which is defined in this chapter as, or determined pursuant to section six of this chapter to be, an unfair method of competition or an unfair or deceptive act or practice in the business of insurance.”
General Laws c. 176D, § 3, provides, in pertinent part: “The following are hereby defined as unfair methods of competition and unfair or deceptive acts or practices in the business of insurance . . . .” Such acts or practices include “issuing, circulating, or causing to be made, issued or circulated, any estimate, illustration, circular or statement which . . . [misleads оr misrepresents the financial condition of any person or the legal reserve system upon which any life insurer operates,” G. L. c. 176D, § 3 (1)
(d);
“making, publishing, disseminating, circulating, or placing before the public ... an advertisement, announcement or statement containing any assertion, representation or statement with respect to the business of insurance or with respect to any person in the conduct of his insurance business, which is untrue, deceptive or misleading,” G. L. c. 176D, § 3 (2); “making, publishing, disseminating, or circulating, directly or indirectly, . . . any oral or written statement . . . which is false, or maliciously critical of or derogatory to the financial condition of any person, and which is calculated to injure such person,” G. L. c. 176D, § 3 (3); “knowingly making, publishing, disseminating, circulating or delivering to any person, or placing -before the public, or knowingly causing directly or indirectly, to be made, published, disseminated, circulated, delivered to any person, or placed before the public, any false material statement of fact as to the financial condition of a person; or . . . knowingly mak
General Laws c. 176D, § 5, provides: “The commissioner shall have the power to examine and investigate into the affairs of every person engaged in the business of insurance in this commonwealth in order to determine whether such person has been or is engaged in any unfair method of competition or in any unfair or deceptive act or practice prohibited by section two.”
General Laws c. 176D, § 6, provides, in pertinent part: “Whenever the commissioner shall have reason to believe that any such person has engaged or is engaging in this commonweаlth in any unfair method of competition or any unfair or deceptive act or practice whether or not defined in sections three or four and that a proceeding by him in respect thereto would be to the interest of the public, [the commissioner shall hold a hearing following certain procedures]" (emphasis added).
General Laws c. 176D, § 7, provides, in pertinent part: “If after such hearing, the commissioner shall determine that the person charged has engaged in an unfair or deceptive act or practice he shall reduce his findings to writing and shall issue and cause to be served upon the person charged with the violation a copy of such findings and an order requiring such person to cease and desist from engaging in such method of competition, аct or practice and if the act or practice is a violation of sections three or four, the commissioner may suspend or in the case of repeated violations revoke the license of such a party and impose conditions for the reinstatement thereof.”
General Laws c. 176D, § 8, provides, in pertinent part: “Any person required by an order of the commissioner under section six to cease and desist from engaging in any unfair method of competition or any unfair or deceptive act or practice may obtain a review of such order . . . .”
General Laws c. 176D, § 10, provides: “Any person who violates a cease and desist order of the commissioner under section seven after it has become final, and while such order is in effect, shаll forfeit and pay to the commonwealth a sum not to exceed ten thousand dollars for each violation, which sum may be recovered in a civil action. Upon order of the commissioner such person shall be subject to suspension or revocation of such person’s license or such other relief as is reasonable and appropriate.”
General Laws c. 176D, § 4, provides, in pertinent part: “No person may: [engage in certain practices in relation to issuance of insurance policies and lending of money or extension of credit], . . . For the purposes of this section, ‘person’ includes any individual, corporation, association, partnership, or other legal entity whatsoever.”
Beyond G. L. c. 176D, § 4, see note 21, supra, and accompanying text, there are three uses of the term “person” in G. L. c. 176D that might be read to incorporate persons not engaged “in the business of insurance.” Neither party makes any reference to these; none alters — and, if anything, they confirm — our analysis.
First, in setting forth the procedures that the commissioner shall follow for pursuing enforcement actions against suspected violators, G. L. c. 176D, § 6, states, among other things: “Upon good cause shown, the commissioner shall permit any person to intervene, appear and be heard by counsel or in person” in a hearing to determine whether the commissioner should issue a cease and desist order to a suspected violator (emphasis added). It defies credulity that the intent of the Legislature, in enacting the 1996 amendment, was solely to allow the insolvency fund and jоint underwriting associations to intervene in hearings against other parties. The insolvency fund makes no such argument.
Second, G. L. c. 176D, § 13, which grants immunity from future prosecution for “any person” who asks to be excused from testifying or producing documents at the direction of the commissioner under G. L. c. 176D on the grounds that such testimony or documents might be self-incriminating, uses the term “person” to refer to natural persons; the section uses the term “[a]ny such individual” synonymously.
Third, G. L. c. 176D, § 3B, which sets forth certain requirements applying to a “carrier,” as defined therein, “that offers insureds a restricted pharmacy network,” defines the term “insured” to mean “a
person
whose health care services and benefits are provided by, or indemnified by or otherwise covered
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 G. L. c. 176D, § 1 (a), encompasses any legal entity that is engaged in the business of insurance, “including agents, brokers, and adjusters, the [insolvency fund] and any joint underwriting association established pursuant to law,” bringing the insolvency fund within the definition of a legal entity engaged in the business of insurance.
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.” General Laws c. 176D, §§ 3A, 3B, and 4, define additional prohibited acts.
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 insolvеncy fund being a “company” for purposes of G. L. c. 175, which defines “company” as “all . . . associations . . . engaged as principals in the business of insurance.” G. L. c. 175, § 1. Our reasoning, which relies on the particular language and interconnection of G. L. c. 176D and G. L. c. 93A, § 9, does not require us to decide whether the insolvency fund satisfies the definition of “[c]ompany” in G. L. c. 175, § 1.
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 significаnce. Cf.
Hershenow
v.
Enterprise Rent-A-Car Co. of Boston,
See G. L. c. 175D, § 1 (2) (definition of “covered claim” insolvency fund is obligated to pay is limited to “unpaid” claims, and excludes “any amount due a reinsurer, insurer, insurance pool or underwriting association”); G. L. c. 175D, § 5 (1) (a) (insolvency fund’s obligation on “covered claims,” other than workers’ compensation claims, limited to amounts “less than three hundred thousand dollars”); G. L. c. 175D, § 5 (1) (c) (if insolvency fund has insufficient financial resources to make all necessary payments in any one year, “the funds available may be prorated and the unpaid portion shall be paid as soon thereafter as funds become available”); G. L. c. 175D, § 5 (1) id) (insolvency fund shall “adjust, compromise, settle and pay covered claims to the extent of [its] obligation and shall deny all other claims”); G. L. c. 175D, § 9 (amount payable on covered claims reduced by amount of recovery under claimant’s policy or from any other insurers’ insolvency fund or its equivalent); G. L. c. 175D, § 11 (insolvency fund is “exempt from payment of all fees and all taxes levied by the commonwealth or any of its subdivisions except taxes levied on real or personal property”); G. L. c. 175D, § 15 (proceedings automatically stayed “in any court in this commonwealth” in which insolvent insurer is party “to permit proper defense by the [insolvency fund] of all pending causes of action”).
The insolvency fund cites, in addition, G. L. c. 175D, § 17, which exempts the insolvency fund from any obligation to pay a first party claim by a “high net worth insured,” as defined therein. That section was inserted by St. 2006, c. 342, § 2, and applies to only those insolvent insurers that are so determined on or after the effective date of that act (Feb. 3, 2007). See St. 2006, c. 342, § 3.
