Sandman v. Quincy Mutual Fire Insurance
Sandman v. Quincy Mutual Fire Insurance
Opinion of the Court
The plaintiff, Elaine F. Sandman, appeals from the
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.
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.
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),
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
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,
“ ‘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
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
Judgment affirmed.
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.
It is undisputed that Sandman was not entitled to personal property coverage because of the pollution exclusion in the policy.
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.
Quincy Mutual Fire Insurance Company vs. Lamparelli, Norfolk Superior Court, No. NOCV2007-00334.
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.
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.
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.
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.
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.
Dissenting Opinion
(dissenting). I think the plaintiff prevails under a proper analysis of this matter as framed — a motion to dismiss a complaint under Mass.R.Civ.P. 12(b)(6), 365 Mass. 755 (1974). Unlike the motion judge, I limit my review to the facts alleged in the amended complaint. See, e.g., Romano v. Sacknoff, 4 Mass. App. Ct. 862, 863 (1976). Arguably, there may be material available to the defendant that could support a motion pursuant to Mass.R.Civ.P. 56, 365 Mass. 824 (1978). Any such materials, however, were not before the judge here.
The majority focuses primarily on the relationship between Frank L. Fragomeni and Elaine F. Sandman, but in my view, the significance of this action lies in the fact that Fragomeni was the attorney for Quincy Mutual Fire Insurance Company (Quincy Mutual) and, therefore, presumably acted at Quincy Mutual’s behest. It is impossible for me to imagine a scenario where Quincy Mutual had absolutely no knowledge of (or input into) what Fragomeni was doing in the litigation, given that he was conducting and defending against discovery, among other things, including getting Sandman’s cooperation and involvement.
Sandman’s amended complaint alleged that Fragomeni told her he had been hired by Quincy Mutual to pursue her claims for negligence against the oil delivery company, and also alleged that Fragomeni was Quincy Mutual’s attorney in its sub
“Where there is actual authority to transact the very business or to do the very act that causes the harm, the agent acts as the extension of the will of his principal . . . .” Kansallis Fin. Ltd. v. Fern, 421 Mass. 659, 665 (1996). Actual authority “is the agent’s power to affect the principal’s relations with third parties as manifested to the agent by the principal.” Theos & Sons, Inc. v. Mack Trucks, Inc., 431 Mass. 736, 743-744 (2000), citing Restatement (Second) of Agency § 7 (1958).
Furthermore, the factual allegation that Fragomeni was Quincy
The case of Herbert A. Sullivan, Inc. v. Utica Mut. Ins. Co., 439 Mass. 387, 409 (2003), does not hold otherwise. There, the insurer hired an attorney to represent the insured, pursuant to the insurer’s duty to defend under the policy. There 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. “In these circumstances, the insurer cannot be vicariously liable for the lawyer’s negligence.” Ibid.
Because the negligent attorney in Herbert A. Sullivan, Inc., supra, did not represent the insurer, the holding does not implicate the line of cases, cited above, that render an attorney’s words and conduct binding on the attorney’s client in certain circumstances. The Supreme Judicial Court’s limiting language
The interplay between agency principles and the presumption that an attorney’s words and conduct are undertaken on the client’s instruction — here, Quincy Mutual — deserves consideration on a more complete record than rule 12(b)(6) permits. As to whether Quincy Mutual should be liable for its own attorney’s conduct in these circumstances, I think it preferable that Sandman be permitted “to develop the facts so that the novel theory may be explored and assayed in light of the actual facts rather than a pleader’s suppositions.” Ritchie v. Department of State Police, 60 Mass. App. Ct. 655, 663 n.14 (2004). See, e.g., Kirkland Constr. Co. v. James, 39 Mass. App. Ct. 559, 562-564 (1995).
My conclusion that dismissal was premature is borne out by Sandman’s subsequent motion to amend her complaint. Sandman’s proposed amendment added allegations that Quincy Mutual’s complaint against James Lamparelli included a claim for Sandman’s uninsured damages, specifically identifying Sandman’s losses for damaged contents, loss of use, and depreciation in value. Sandman also alleged that a letter she wrote to Fragomeni, in which she detailed her losses and sought assistance in their recovery, was found in Quincy Mutual’s subrogation file, suggesting that Quincy Mutual knew that Sandman thought Quincy Mutual was involved in the pursuit of her uninsured claims. In addition to lending further support to Sandman’s claim that Fragomeni had actual authority to pursue Sandman’s uninsured damages, these allegations also supported the reasonable inference that Quincy Mutual authorized Fragomeni to do so in order to improve Quincy Mutual’s settlement prospects with Lamparelli on its subrogation claim. See, e.g., Curtis v. Herb Chambers 1-95, Inc., 458 Mass. 674, 676 (2011) (every reasonable inference is drawn in the plaintiff’s favor on a motion to dismiss). Given the additional evidence cited by the parties in support of their respective positions, the issues are
I would reverse the judgment dismissing Sandman’s amended complaint and remand the case to Superior Court for further proceedings.
or a succinct discussion regarding the pitfalls associated with rule 12(b)(6), see Kirkland Constr. Co. v. James, 39 Mass. App. Ct. 559, 564-565 (1995) (Brown, J., concurring).
In denying Sandman’s motion for reconsideration, the judge reasoned, among other things, that Fragomeni did not have actual or apparent authority from Quincy Mutual to represent to Sandman that he would pursue her claims, and that there was no evidence that Fragomeni’s representations to Sandman were made within the scope of his authority from Quincy Mutual. The judge relied on Rossi v. School Comm. of Everett, 354 Mass. 461 (1968), a case decided on agreed facts that established that a city solicitor who was engaged to represent the school committee at a hearing before the Civil Service Commission lacked actual authority to bind the school committee to a settlement of an employee’s claim. Unlike Rossi v. School Comm, of Everett, supra, there was no requirement that Sandman provide evidence of the scope of Fragomeni’s authority beyond her factual allegations that Fragomeni told her he had such authority and that he was Quincy Mutual’s attorney.
By contrast, apparent authority is confirmed by the conduct of the principal that causes a third party reasonably to believe that a particular person has authority to act on the principal’s behalf. Hudson v. Massachusetts Property Ins. Underwriting Assn., 386 Mass. 450, 457 (1982).
Case-law data current through December 31, 2025. Source: CourtListener bulk data.