Sandman v. Quincy Mutual Fire Insurance

Grasso, J. The plaintiff, Elaine F. Sandman, appeals from the — 189 — entry of a separate and final judgment in favor of her insurer, Quincy Mutual Fire Insurance Company (Quincy Mutual), following the allowance of its motion to dismiss her amended complaint. The gravamen of Sandman’s complaint alleged that Quincy Mutual was vicariously liable for the harm that she and her daughter sustained as a result of the misrepresentations and malpractice of Frank L. Fragomeni, an attorney who represented Quincy Mutual in a subrogation action against a heating oil delivery company that spilled oil at Sandman’s property. Sandman claimed that Fragomeni told her that Quincy Mutual had hired him to pursue her personal claims as well,3 but failed to do so; and by the time Sandman realized that Fragomeni’s representations were not true, the statute of limitations had run on her claims. Because Sandman’s complaint failed to state a claim as to which relief could be granted against Quincy Mutual for the misrepresentations and actions of an attorney and independent contractor over which Quincy Mutual had no control in the exercise of his professional responsibilities, we affirm. 1. Facts and procedural history. In evaluating Quincy Mutual’s motion to dismiss, we accept the factual allegations in the amended complaint as true, but not the legal conclusions cast in the form of factual allegations. See Leavitt v. Brockton Hosp., Inc., 454 Mass. 37, 39 & n.6 (2009). In March, 2004, during a heating oil delivery to Sandman’s residence, a delivery line burst, causing her basement to flood with over 100 gallons of oil. Quincy Mutual agreed to cover the remediation cost of cleaning up the oil spill, which came to over $200,000, but denied coverage for damage to Sandman’s personal property because of a policy exclusion for damage to personal property caused by pollution.4 Quincy Mutual hired Fragomeni5 to recover its remediation costs in a subrogation action against James Lamparelli, — 190 — doing business as Supreme Fuel and Energy, the party that delivered the oil to Sandman’s home. Approximately two weeks after the oil spill, as Sandman was looking for an attorney to represent her in her individual claims against the oil delivery company, Fragomeni called Sandman and introduced himself as the attorney hired by Quincy Mutual to pursue her claims for negligence in the heating oil delivery. For the next five years, Fragomeni consistently led Sandman to believe that he represented her interests as well as those of Quincy Mutual and that he was seeking to recover her damages against Lamparelli. Most of those representations were oral, but in a May 5, 2005, letter to Sandman, Fragomeni referred to Sandman as a client and stated that “[o]nce we receive the final figure suit will be entered in the Superior Court against parties responsible for damages to your property.” In 2007, Fragomeni filed suit against Lamparelli on behalf of Quincy Mutual seeking subrogation for its remediation costs. Fragomeni never informed Sandman that he had not filed suit on her behalf as well.6 To the contrary, Fragomeni continued to assure Sandman that he was attempting to collect her full damages. In the course of the subrogation action, Fragomeni assisted Sandman in finalizing and answering interrogatories and represented her at her deposition. Quincy Mutual’s subrogation claim against Lamparelli settled in the spring of 2009. When Sandman asked Fragomeni about her recovery, Fragomeni informed her, for the first time, that he was only representing Quincy Mutual, and that he could not assist her in pursuing her claims against Lamparelli because he had a conflict of interest as Quincy Mutual’s attorney. By that time, Sandman’s claims against Lamparelli were barred by the statute of limitations. Sandman then filed an action in Superior Court against Fragomeni and Quincy Mutual, claiming misrepresentation, malpractice, negligent infliction of emotional distress, violation of the implied covenant of good faith and fair dealing, and violations of G. L. c. 93A. Quincy Mutual moved to dismiss the amended complaint under Mass.R.Civ.P. 12(b)(6), 365 Mass. 755 (1974), — 191 — for failure to state a claim on which relief may be granted. In its motion to dismiss and supporting memorandum Quincy Mutual argued that the amended complaint failed to allege facts that could establish that Quincy Mutual was vicariously liable to Sandman for the malpractice and misrepresentations of Fragomeni, an independent contractor with nondelegable duties. See Herbert A. Sullivan, Inc. v. Utica Mut. Ins. Co., 439 Mass. 387, 406-409 (2003) (Sullivan). Quincy Mutual argued as well that it could not be vicariously hable for Fragomeni’s representations as to the existence and scope of any authority given to him by Quincy Mutual to act as Sandman’s attorney in her personal claim for damages against Lamparelli. The motion judge allowed Quincy Mutual’s motion to dismiss “for reasons set forth on the record.” Sandman’s subsequent motion for reconsideration was denied, as was her motion to further amend the complaint. Separate and final judgment then entered on all claims against Quincy Mutual, and this appeal followed. 2. Discussion. We evaluate the adequacy of the amended complaint in accordance with Iannacchino v. Ford Motor Co., 451 Mass. 623, 636 (2008), which requires that the plaintiff set forth factual allegations “plausibly suggesting” an entitlement to relief. “Factual allegations must be enough to raise a right to relief above the speculative level . . . [based] on the assumption that all the allegations in the complaint are true (even if doubtful in fact).” Ibid., quoting from Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555 (2007). As pertinent to the claims against Quincy Mutual, the key factual allegations of Sandman’s complaint are the assertions that (1) Fragomeni told Sandman that he had been hired by Quincy Mutual to pursue her personal claims against Lamparelli; (2) he referred to, and dealt with, her as his client in oral and written communications over the ensuing five years; and (3) Sandman reasonably relied on those assertions. Accepting that Sandman’s allegations suffice to make out a claim that Quincy Mutual hired Fragomeni to represent Sandman in her personal claims against Lamparelli for purposes of rule 12(b)(6) and Iannacchino, supra, a central problem remains with Sandman’s contention that Quincy Mutual can be vicariously liable for the misrepresentations and actions of Fragomeni in failing — 192 — to file an action on behalf of Sandman personally within the statute of limitations. The factual allegations of Sandman’s amended complaint only state a claim that Fragomeni engaged in misrepresentations and legal malpractice while acting as an independent contractor and attorney for Sandman, not as an employee of Quincy Mutual or one subject to its direction and control. For present purposes, the allegations that Fragomeni told Sandman that Quincy Mutual “hired him” to pursue her negligence claims against Lamparelli and that he would represent her individual interests, and that she relied on those representations, sets forth an attorney-client relationship with Sandman that both defines and limits the parties who are potentially liable to Sandman for misrepresentation and malpractice. See DeVaux v. American Home Assur. Co., 387 Mass. 814, 818 (1983) (attorney-client relationship arises when person seeking legal advice or assistance from attorney relies reasonably to her detriment on attorney to provide same, and attorney, aware of such reliance, does nothing to negate it). As matter of law, Quincy Mutual cannot be vicariously liable for the representations and professional negligence of Fragomeni, because as an attorney and an independent professional he has a nondelegable duty of care to Sandman. See Sullivan, 439 Mass, at 406 (as matter of law, attorney is independent contractor with separate and distinct obligations to the client, and therefore, any alleged negligence by attorney did not subject insurer who retained him to vicarious liability). Sullivan, supra at 406-410, relied upon by Quincy Mutual in its motion to dismiss and supporting memorandum and by the judge in his initial allowance of the motion to dismiss,7 is dis-positive of all of Sandman’s vicarious liability claims against — 193 — Quincy Mutual.8 There, the Supreme Judicial Court considered “whether an insurer who hires an attorney to defend its insured may be liable for any negligence by that attorney in the representation of the insured.” Id. at 408. In concluding that the insurer could not be vicariously liable, the court explained: “ ‘Since an insurer is not permitted to practice law, it must rely on independent counsel for conduct of litigation, and in doing so it does not assume a nondelegable duty to present an adequate defense. Since the conduct of the litigation is the responsibility of trial counsel, the insurer is not vicariously liable for the negligence of the attorneys who conduct the defense for the insured.’ 1C J.A. Appleman, Insurance Law and Practice § 4687, at 192-193 (rev. ed. 1979). Rule 5.4(c) of the Massachusetts Rules of Professional Conduct, as appearing in 430 Mass. 1303 (1999), states: ‘A lawyer shall not permit a person who recommends, employs, or pays the lawyer to render legal services for another to direct or regulate the lawyer’s professional judgment in rendering such legal services.’ As such, a lawyer hired by an insurer to represent an insured owes an unqualified duty of loyalty to the insured and must act at all times to protect the insured’s interests. Cf. McCourt Co. v. FPC Props., Inc., 386 Mass. 145, 146 (1982).” Id. at 408-409. The various counts of Sandman’s amended complaint all derive ultimately from the contention that Quincy Mutual is vicariously liable for Fragomeni’s alleged misrepresentations and legal malpractice in asserting that he would pursue her personal claims against Lamparelli, not filing an action within — 194 — the statute of limitations, and then claiming that he never represented her personal interests. Sandman’s amended complaint does not allege that Fragomeni was Quincy Mutual’s employee.9 Further, nothing in the amended complaint alleges, even remotely, that Quincy Mutual retained any control over Fragomeni’s performance of his professional duties in the representation of Sandman. See Sullivan, supra at 407 (“Generally speaking, the employer of an independent contractor is not liable for harm caused to another by the independent contractor’s negligence, except where the employer retained some control over the manner in which the work was performed”). The complaint contains no factual assertions that any employees, adjusters, or other representatives of Quincy Mutual represented to Sandman that Quincy Mutual would provide for her legal representation in the pursuit of her personal claim for damages.10 Nor does it assert that Quincy Mutual directed, commanded, or knowingly authorized the acts or omissions of Fragomeni. Compare TrauMed of Am., Inc. v. Allstate Ins. Co., 71 S.W.3d 691, 697 (Tenn. 2002) (insurer can be held vicariously liable for acts or omissions of attorney hired to represent insured when those acts or omissions were, at least in part, directed, commanded, or knowingly authorized by insurer). The amended complaint offers no allegations that Quincy Mutual was negligent in hiring Fragomeni to act as attorney on Sandman’s behalf, or that Quincy Mutual knew or should have known that Fragomeni was not competent. In these circumstances, there is no basis upon which Quincy Mutual may be vicariously liable for Fragomeni’s malpractice because it is Fragomeni who controlled the strategy, conduct, and daily details of representation of Sandman, and his ethical obligations to Sandman prevent the insurer from exercising the degree of control necessary to justify the imposition of vicarious liability. Sullivan, supra at 409. Accordingly, Sandman’s recourse for Fragomeni’s alleged misrepresentations and malpractice is her — 195 — action against him, which remains pending, and not one in vicarious liability against Quincy Mutual.11 Judgment affirmed. Footnotes [3] Quincy Mutual had previously rejected Sandman’s claim for damage to her personal property under the pollution exclusion clause of the governing homeowner’s policy. [4] It is undisputed that Sandman was not entitled to personal property coverage because of the pollution exclusion in the policy. [5] The allegations of the amended complaint assert that Fragomeni is an attorney with a usual place of business in Boston different from that of Quincy Mutual. [6] Quincy Mutual Fire Insurance Company vs. Lamparelli, Norfolk Superior Court, No. NOCV2007-00334. [7] Given Fragomeni’s position as an attorney and independent contractor with nondelegable duties to his client Sandman, the motion judge need not have inquired further (as he did in denying Sandman’s motion for reconsideration) whether Fragomeni had actual or apparent authority from Quincy Mutual to represent Sandman, or whether Fragomeni’s assertions to Sandman were within the scope of his authority from Quincy Mutual. The existence of an attorney-independent contractor relationship between Fragomeni and Sandman renders such inquiries irrelevant upon a claim that Quincy Mutual is vicariously liable for Fragomeni’s derelictions. [8] The dissent would distinguish Sullivan from the instant case because in Sullivan, “[t]here was no dispute that the attorney represented only the insured, and not the insurer, and that the attorney’s conduct of the litigation was undertaken solely on behalf of the insured.” Post at 197. On the claims before us, the purported distinction is entirely without a difference. Nothing in Sullivan suggests that dual representation of the insurer and the insured would alter the vicarious liability determination. Indeed, even were Sandman able to establish that Quincy Mutual hired Fragomeni to represent her personally and paid for that representation, Fragomeni was subject to a professional duty to attend to the interests of his client Sandman, and not to allow Quincy Mutual’s underwriting of those expenses to infringe on his duty of competent representation. See Sullivan, supra at 410. [9] To the contrary, the complaint alleges that Quincy Mutual “hired” Fragomeni to represent her, and that Fragomeni maintained professional offices in a location different from those of Quincy Mutual. [10] To the contrary, Quincy had already denied Sandman’s claim for damages to her personal property based upon the pollution exclusion provision of the policy. See notes 3 and 4, supra. [11] Sandman’s claims against Quincy Mutual fare no better even with the additional allegations contained in her proposed motion to further amend her complaint, discussed by the dissent, post at 198-199. Neither the fact that one of “dozens” of letters from her to Fragomeni was found in Quincy Mutual's subrogation file or that Quincy’s subrogation action made reference to Sandman’s individual losses amounts to a factually based assertion that Fragomeni was anything other than an independent contractor in his dealings with both Quincy Mutual and Sandman.