417 Mass. 115

The Hartford Casualty Insurance Company vs. The New Hampshire Insurance Company.

Suffolk.

November 1, 1993.

February 17, 1994.

Present: Wilkins, Nolan, Lynch, O’Connor, & Greaney, JJ.

*116John J. McGivney (Thomas D. Burns with him) for the plaintiff.

Erik Lund (Paul A. Izzo with him) for the defendant.

Wilkins, J.

The case prompts us to consider, for the first time in more than forty-five years, the nature of the duty that a primary insurer owes to its policyholder (and, therefore, to a subrogated excess insurer) with respect to the settlement of a third-party claim. A jury returned a verdict in a tort action against an insured substantially in excess of the $500,000 primary coverage provided by the defendant, The New Hampshire Insurance Company. The plaintiff, The Hartford Casualty Insurance Company, which provided excess coverage on the claim, paid $1,500,000 to satisfy its insured’s and its obligation in excess of the primary coverage.

In this action, Hartford, subrogated to its insured’s rights against New Hampshire, argues that New Hampshire is liable for Hartford’s excess loss payment because New Hampshire improperly failed to settle the claim within the limits of the primary coverage. The judge submitted Hartford’s case *117to a jury on the question of both New Hampshire’s bad faith failure to settle the underlying tort action and its negligent failure to do so. The jury decided against Hartford on each theory, and judgment entered for New Hampshire. We granted Hartford’s application for direct appellate review and now affirm the judgment.

In October, 1984, Allen M. Christofferson, an employee of a novelty business which had warehouse space in a building on Broad Street in Boston, fell into an elevator shaft from the first-floor landing of the building while moving items into the warehouse space. There was evidence that Christofferson knew that the gate to the elevator shaft had been tied up and that the shaft would be wide open if the elevator cab had been moved to another floor. Christofferson, who sustained substantial injuries from his fall, brought an action against the owner of the building, an insured of both New Hampshire and Hartford, and later added as a defendant Northeast Elevator Company on the theory that it had negligently inspected and maintained the elevator. We shall from time to time refer to Christofferson’s action as the underlying action.

Much of the evidence in the case before us concerned the manner in which New Hampshire handled the defense of the underlying action, what New Hampshire reasonably should have known about the prospects of a verdict in excess of the primary coverage, whether a settlement could have been reached within the limits of the primary coverage, and whether a reasonable insurer in New Hampshire’s position would have settled the case within those policy limits before or during trial. We need not recite the detail of that evidence. It is sufficient to say that the evidence presented a case for the jury on New Hampshire’s liability to Hartford.

On appeal, Hartford first challenges various aspects of the judge’s charge to the jury with respect to its claim that New Hampshire lacked good faith in failing to settle the underlying action within the policy limits. As will be seen, these objections to the jury instructions on good faith, even if sound, are not important because the jury, on substantially unchallenged instructions, found that New Hampshire was not neg*118ligent. The jury instructions argument leads us to the question of (1) what a primary insurer’s duty is concerning settlement of a claim. We then proceed to reject Hartford’s remaining three claims that (2) the judge erred in denying Hartford’s motion for a judgment notwithstanding the verdict and, alternatively, for a new trial; (3) the judge erred in not submitting the case to the jury on Hartford’s claim that New Hampshire was directly liable to it; and (4) the judge erroneously rejected Hartford’s G. L. c. 93A (1992 ed.) claim.

1. Hartford argues that the judge failed to instruct the jury properly concerning the standard the jury should apply, and the factors the jury should consider, in deciding whether New Hampshire was liable for failing to settle the underlying action within the coverage limits of its policy.

The general rule in this Commonwealth is that an insurer is held to a standard of reasonable conduct in its defense of its insured. See Magoun v. Liberty Mut. Ins. Co., 346 Mass. 677, 684 (1964); Abrams v. Factory Mut. Liab. Ins. Co., 298 Mass. 141, 143 (1937). Although an insurer may be liable for its negligent handling of the defense (tort) and for its negligent failure to carry out its promise to defend (contract) (Abrams v. Factory Mut. Liab. Ins. Co., supra at 143-144), the liability of an insurer with respect to its refusal or failure to settle a claim against its insured has traditionally been decided on the standard of whether the insurer exercised good faith judgment on the subject. Id. at 145. Our opinions since the Abrams case have continued to recognize that the obligation of an insurer concerning settlement “is to act in good faith.” See DiMarzo v. American Mut. Ins. Co., 389 Mass. 85, 97 (1983); Colsch v. Travelers Ins. Co., 361 Mass. 873, 874 (1972); Jenkins v. General Accident Fire & Life Assurance Corp., 349 Mass. 699, 702 (1965); Murach v. Massachusetts Bonding & Ins. Co., 339 Mass. 184, 187 (1959).1 *119We have defined good faith by saying that a negligent failure to settle when a reasonably prudent insurer, exercising due care, would have settled would not be enough. See Abrams v. Factory Mut. Liab. Ins. Co., supra at 145. The explanation offered in the Abrams opinion for the difference in the standards is that the insurance policy imposed on the insurer a duty to defend covered claims, whereas the policy granted the insurer the option to settle and contained no explicit or duty settlement. See id. at 144-145.

The line between the nature of the settlement duty and the nature of the defense duty is not as sharp as what we have just said would make it seem. Even in its initial articulation, the distinction was hedged and today seems unwarranted. The Abrams opinion itself announced that the court “need not decide that there can never be actionable negligence of any kind in connection with the handling of settlements.” Id. at 145. Our opinions, although adhering to the good faith test, have recognized as relevant to that issue evidence of what a reasonable insurer would do in the circumstances. Good faith requires that any settlement decision be made without regard to the policy limits and that the insurer “exercise common prudence to discover the facts as to liability and damages upon which an intelligent decision may be based.” Murach v. Massachusetts Bonding & Ins. Co., supra at 187. We have held that a finding of bad faith in the settlement of a claim against an insured was warranted by evidence of what the practice of the industry was in similar circumstances and by expert testimony that the insurer violated sound claims practices in not resolving a coverage question in *120favor of its insured. See DiMarzo v. American Mut. Ins. Co., supra at 98-99.

The measures of objective good faith considered in our Murach and DiMarzo opinions come close to adopting a negligence standard. Although the various labels applied to describe an insurer’s duty vary (negligence, bad faith, subjective good faith or objective bad faith), the trend in this country as a practical matter is toward the use of a negligence standard. See 7C J. A. Appleman, Insurance Law and Practice § 4713 (Berdal ed. 1979 & Supp. 1993); 14 G. Couch, Insurance § 51:5 (Rhode’s rev. 2d ed. 1982 & Supp. 1993); W. Shernoff, S. Gage & H. Levine, Insurance Bad Faith Litigation, § 3.03 [1] [a], at 3-10 — 3-12 (1993 & Supp. 1993). See, e.g., Farmers Group, Inc. v. Trimble, 691 P.2d 1138, 1142 (Colo. 1984) (announcing negligence standard based in quasi-fiduciary relationship); Maine Bonding & Casualty Co. v. Centennial Ins. Co., 298 Or. 514, 518-519 (1985) (announcing negligence standard).

It is not easy to explain in practical terms why an insurer should be liable for the negligent handling of the defense of a covered claim and not liable for the negligent handling of the subject of settlement. When the Abrams case was decided, there was no G. L. c. 176D (1992 ed.) concerning unfair or deceptive acts or practices in the business of insurance, in-eluding unfair settlement practices (G. L. c. 176D, § 3 [9]).2 One statutory unfair practice is the failure “to effectuate prompt, fair and equitable settlements of claims in which liability has become reasonably clear.” § 3 (9) (f). If, as is true, an insurer can be liable to a claimant for unfair claim settlement practices (see G. L. c. 93A, § 9 [1992 ed.], which imposes standards of reasonable care), an insurer should be likewise liable to its insured for negligence in the handling of the settlement of a claim against its insured.

*121The negligence standard by which the actions of an insurer concerning settlement will be tested hereafter will be in practice not significantly different from the good faith test that has been evolving in this Commonwealth. The test is not whether a reasonable insurer might have settled the case within the policy limits, but rather whether no reasonable insurer would have failed to settle the case within the policy limits. This test requires the insured (or its excess insurer) to prove that the plaintiff in the underlying action would have settled the claim within the policy limits and that, assuming the insurer’s unlimited exposure (that is, viewing the questian from the point of view of the insured), no reasonable insurer would have refused the settlement offer or would have refused to respond to the offer.3

There was no prejudicial error in any of the challenged jury instructions, all of which concern the issue of New Hampshire’s lack of good faith. The judge also instructed the jury on the issue of New Hampshire’s negligence, and, by a special verdict, the jury answered that New Hampshire did not act negligently in failing to settle the underlying claim within its insured’s policy limits. Hartford presents no focused challenge to the judge’s instructions on negligence.4 Hartford’s concerns about the judge’s instructions on the question of New Hampshire’s good faith become unimportant. If New Hampshire was not negligent, it could not be held liable for a lack of objective good faith, the standard that Hartford urged was the appropriate one for testing New Hampshire’s good faith and a standard that is the same as or less strict than a negligence standard.

*122We shall consider one portion of Hartford’s challenge to the jury instructions on good faith because Hartford argues, briefly and obliquely, that an error in the charge on good faith infected the jury’s consideration of the negligence claim.5 The claim is that the judge told the jury that they should decide, on the issue of good faith, whether New Hampshire had received a firm settlement offer within its policy limits. The judge issued no such mandate. In listing circumstances that could be considered' on the question of New Hampshire’s good faith belief in the reasonableness of its conduct, the judge said: “You may also consider on the issue of lack of good faith, whether or not there was a firm settlement offer within New Hampshire’s policy limits, that New Hampshire was obliged to consider. Again, it is for you to decide whether there was a firm settlement offer on behalf of the plaintiff made, conveyed to New Hampshire and that it was within the policy limits of New Hampshire.” The judge did not make the existence of a firm settlement offer a necessary condition for finding a lack of good faith, as New Hampshire wanted her to do. She stated correctly that the existence of such an offer, if there had been one (an issue in *123dispute on the evidence), was a factor the jury could consider.6

We should advert to one further point. It is conceivable that, on an objective standard of reasonableness, an insurer would have been warranted in not settling a case but that the insurer’s decision was in fact motivated by subjective bad faith. In such a case, a charge on negligence would not obviate the need for a subjective bad faith jury instruction. In this case, the evidence arguably did not require such an instruction, but the judge’s charge adequately included the issue of subjective bad faith within the question on good faith put to the jury and decided in New Hampshire’s favor.

2. The trial judge did not err in denying Hartford’s motion that sought a judgment notwithstanding the verdict and alternatively sought a new trial on the asserted ground that the verdict was against the weight of the evidence. Taking the evidence most favorable to New Hampshire, as we must (see McAvoy v. Shufrin, 401 Mass. 593, 596 [1988]), we con-elude that New Hampshire was not negligent nor did it act in bad faith, as a matter of law. It is a rare case in which a directed verdict is warranted for the party with the burden of proof.

The judge did not abuse her discretion in denying a new trial on the claimed ground that the verdict was against the weight of the evidence. See Solimene v. B. Grauel & Co., KG, 399 Mass. 790, 802 (1987). Hartford argues that it is obvious that New Hampshire should have settled the underlying case because the defendant’s liability in the underlying action was certain and that it was clear that any jury verdict would certainly exceed the primary coverage. This argument is based on a marshaling of only evidence favorable to Hart*124ford (and, therefore, an ignoring of contrary evidence). The prospect was not minimal that the jury in the underlying action would find that the plaintiff had negligently contributed to his injuries by backing into an elevator shaft, whose door he knew had been tied open, and dragging a pallet truck on top of himself. Nor was it clear that a jury would absolve of all fault, as it did, the other defendant in the underlying action, the elevator maintenance and service company.

3. Hartford objects that the judge refused to instruct the jury, as requested, that New Hampshire, as the primary insurer, had a direct duty of care to Hartford as a known excess insurer. Hartford cites no substantial authority in support of the existence of a direct duty.7 New Hampshire’s direct duty, if any, to Hartford would be no greater than New Hampshire’s duty to its insured. See W. Shernoff, S. Gage, & H. Levine, Insurance Bad Faith Litigation § 2.04 [3], at 2-40 n.63 (1993 & Supp. 1993), citing Twin City Fire Ins. Co. v. Superior Court, 164 Ariz. 295, 296 (1990) (rejecting direct duty theory as redundant of equitable subrogation). We need not decide whether a primary carrier ever could owe a direct duty to an excess carrier concerning the primary carrier’s handling of its obligations to the insured because, if such a duty existed here, Hartford has not shown *125that it was prejudiced by the judge’s refusal to instruct the jury on the subject.

4. Hartford complains that the judge erred in rejecting its claim based on G. L. c. 93A and G. L. c. 176D. The judge decided this issue after the jury returned their verdict. Hartford fundamentally claims that certain of the judge’s findings of fact were clearly erroneous. The judge observed that Hartford suffered a loss because the underlying tort action ended in a verdict beyond New Hampshire’s policy limits and that the loss could have been avoided only if that action had been settled. She assumed, for the purposes of analysis, that New Hampshire had been negligent in its early investigation of the underlying action, but considered that Hartford had not proved that any such negligence was related to New Hampshire’s failure to settle the underlying action and thus to avoid the jury verdict. Therefore, any claim of an unfair act or practice, lacking a causal link, failed. Similarly, the judge found that New Hampshire’s conduct was not deceptive and, moreover, that Hartford had not been misled or harmed by any acts that Hartford claimed were deceptive. Hartford has not met its heavy burden of showing that any of the judge’s findings of essential fact concerning the G. L. c. 93A claim are clearly erroneous. The absence of proof of causation is fatal to Hartford’s G. L. c. 93A and G. L. c. 176D claims. See Massachusetts Farm Bureau Fed’n, Inc. v. Blue Cross of Mass., Inc., 403 Mass. 722, 730 (1989).

Judgment affirmed.

Hartford Casualty Insurance v. New Hampshire Insurance
417 Mass. 115

Case Details

Name
Hartford Casualty Insurance v. New Hampshire Insurance
Decision Date
Feb 17, 1994
Citations

417 Mass. 115

Jurisdiction
Massachusetts

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