19 Mass. App. Ct. 93

Richard G. Talbot & another1 vs. Horace Mann Insurance Company & another.2

Essex.

November 7, 1983.

December 12, 1984.

Present: Greaney, C.J., Grant, & Smith, JJ.

Richard L. Neumeier (Andre A. Sansoucy with him) for Horace Mann Insurance Company.

Douglas M. Watson {James H. Sandman with him) for the plaintiffs.

*94Smith, J.

In late fall of 1976, the plaintiffs, Mr. and Mrs. Talbot, made plans to build a home in Salisbury, Massachusetts. Before starting construction, Mr. Talbot approached one Michael Leary, an insurance agent employed by Horace Mann Insurance Company (Horace Mann). Leary had been the plaintiffs’ insurance agent for a period of approximately three and one half years. Mr. Talbot, referring to himself as “an insurance illiterate,” explained to Leary that he wanted insurance in order to be adequately protected during the period that the house was being constructed. He told Leary that construction would take place over the winter. Leary reviewed the diagram of the house and was informed by the Talbots of the approximate length of time it would take to complete construction of the house. The Talbots asked Leary what type of insurance he would recommend to them. Leary informed them that the best policy available was an “HO-1” policy, and he suggested that they purchase that insurance for their home. In support of his recommendation, he told the Talbots that he had built a home himself the year before and that he had purchased an HO-1 policy on that house while it was being built. He told the Talbots that they “could sleep well nights [knowing that they were] adequately protected.” In reliance upon Leary’s recommendation, the Talbots purchased a Horace Mann HO-1 insurance policy from Leary.

At the time that Leary sold the HO-1 policy to the plaintiffs, he was working exclusively for Horace Mann and sold only Horace Mann insurance policies. It was the practice of Horace Mann to limit coverage on houses under construction to either a general fire policy or an HO-1 policy. Other insurance companies, however, including the State-administered “fair plan” homeowner’s insurance program, did make broader forms of insurance available for houses under construction. These forms of insurance included “HO-2” and “HO-3” policies, each covering a considerably broader range of perils than the HO-1 policy purchased by the plaintiffs.3 Leary was not aware that other *95insurance companies offered more comprehensive insurance coverage for houses under construction, and thus never disclosed that fact to the plaintiffs. Several weeks after construction commenced, the house collapsed under the weight of heavy snow and ice during a storm. The loss was not covered under the Talbots’ HO-1 policy but would have been covered under any other company’s HO-2 policy or HO-3 policy.

The plaintiffs brought an action against Leary and Horace Mann. Their complaint contained counts alleging fraudulent misrepresentations and deceptive business practices in violation of G. L. c. 93A against both defendants, and a count alleging negligent misrepresentation against Leary alone.

At the start of the jury trial,4 the plaintiffs proceeded against the defendants on the theories of liability expressed in their complaint. But midway in the trial, at the suggestion of the judge, the plaintiffs advanced a new theory of liability that had not been contained in their complaint. This theory alleged that Horace Mann had negligently failed to inform the plaintiffs of limitations on Leary’s authority to act on its behalf and negligently failed to train and instruct him in the sale of insurance. The jury returned verdicts in favor of Leary but against Horace Mann in the amount of $10,860, a stipulated sum. After the verdicts, the plaintiffs filed a motion to amend their complaint to conform it to the evidence.5 Mass.R.Civ.P. 15(b), 365 Mass. 761 (1974). The judge allowed the motion, stating that “it is clear that the motion for the most part rather *96accurately describes what the jury found, at least according to the [cjourt’s understanding.”6

Horace Mann filed motions for directed verdicts and for judgment notwithstanding the verdict. Mass.R.Civ.P. 50(b), 365 Mass. 814 (1974). The judge denied the motions, and Horace Mann has appealed. In addition, Horace Mann has appealed from the judge’s ruling that there was a G. L. c. 93A violation (see note 4, supra). The plaintiffs have also appealed, contending that the judge erred in refusing to award multiple damages under G. L. c. 93A.

1. Sufficiency of the plaintiffs’ evidence. The judge instructed the jury on the fraudulent misrepresentation counts and on the negligence theory advanced by the plaintiffs during the trial. The judge did not submit special questions to the jury (see Mass.R.Civ.P. 49[a], 365 Mass. 812 [1974]), and the jury returned general verdicts, one in favor of Leary and the other against Horace Mann. In view of the instructions of the judge to the jury and the verdicts returned by the jury, it is possible to ascertain the particular theory of liability advanced by the plaintiffs that formed the basis of the verdict. See Commonwealth v. Anthes, 5 Gray 185, 200 (1855) (“the law presumes, in case of a general verdict, that the jury have understood and conformed to the directions of the judge in matters of law”).

In his instructions on the fraudulent misrepresentation counts, the judge instructed the jurors that they could not split their verdicts, that the verdict they returned in regard to one defendant had to be the same verdict returned as to the other defendant. Because the jury returned a verdict against Horace Mann alone, and we presume that the jury followed the judge’s instructions, see Commonwealth v. Anthes, supra, we conclude that the fraudulent misrepresentation counts did not form the *97basis of the verdict against Horace Mann. However, in his instructions to the jury as to negligence, the jurors were told by the judge that, unlike the fraudulent misrepresentation counts, it was possible to return a verdict in favor of Leary and a verdict against Horace Mann. This course of action was adopted by the jury and therefore we conclude that the plaintiffs’ theory of negligence must have formed the basis of the verdict against Horace Mann.

A careful reading of the judge’s instructions on negligence further refines the basis of the jury’s verdict against Horace Mann. The judge instructed the jury that under the plaintiffs’ theory Horace Mann owed a duty to the plaintiffs to avoid holding its employee, Leary, out to them as an independent agent or broker, therefore avoiding the creation of an unreasonable risk that the plaintiffs would assume that they were dealing with an agent whose information and advice pertained to the entire field of available insurance rather than the limited types of insurance offered by Horace Mann only. He never instructed the jury on the plaintiffs’ allegations that Horace Mann negligently failed adequately to inform Leary of the practices, customs, and standards of the insurance industry or negligently failed to instruct and train Leary in the sale of insurance.7 Because these theories were never passed on by the jury, they cannot form the basis of liability against Horace Mann. Kunkel v. Alger, 10 Mass. App. Ct. 76, 85 (1980).8 Therefore, in view *98of the judge’s instructions, the verdict against Horace Mann must have been based on only one aspect of the negligence *99theory of the plaintiffs advanced at trial — the negligent holding out to the plaintiffs by Horace Mann that Leary was an independent agent or broker.

The plaintiffs contend that, although there are no Massachusetts cases on point, we should hold that an insurance company has the duty to disclose to its potential customers that its employee-agent is not an independent agent or broker authorized to sell insurance for other insurance companies. We decline to so hold because, assuming without deciding that the plaintiffs’ view of the law is correct, they failed to show that Horace Mann was negligent.

There was no evidence that Horace Mann made any representations to the plaintiffs concerning Leary’s status nor was there any evidence that Leary held himself out to the plaintiffs as an independent agent or broker. The evidence of the plaintiffs was that they knew that Leary was “employed” by Horace Mann and that he “represented” that company.9 There was no evidence that the plaintiffs thought or believed that Leary was authorized to sell insurance for other insurance companies in addition to Horace Mann. Therefore, we hold that, in view of the instructions of the judge to the jury and the verdicts returned, the evidence of the plaintiffs, on this record, failed to establish that Horace Mann was liable to the plaintiffs.

2. The G. L. c. 93A claim. As previously stated (note 4, supra), the judge reserved the plaintiffs’ G. L. c. 93A claim for himself. After the jury had returned its verdicts, the judge heard arguments of counsel as to whether multiple damages were warranted and received documents relevant to the ap*100propriate value of an award of attorney’s fees under G. L. c. 93A. The judge refused to award additional damages but did award attorney’s fees in the amount of $10,000. The record shows that the judge specifically stated that he was not going to make any finding that “the behavior of Horace Mann constituted willful or knowing violation of Section 2 of Chapter 93A, nor bad faith, failure to know, if you will, of a violation of Section 2.” Further, the record is silent as to any finding by the judge that he found any violation of G. L. c. 93A, § 2, by Horace Mann. Before attorney’s fees are awarded, the court must find that there has been a violation of G. L. c. 93A, § 2. See G. L. c. 93A, § 9(4). Such a finding was totally lacking on this record.

Judgment reversed.

Judgment for the defendant.

Talbot v. Horace Mann Insurance
19 Mass. App. Ct. 93

Case Details

Name
Talbot v. Horace Mann Insurance
Decision Date
Dec 12, 1984
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19 Mass. App. Ct. 93

Jurisdiction
Massachusetts

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