Justia Rhode Island Supreme Court Opinion Summaries
Articles Posted in Insurance Law
Rhode Island Joint Reinsurance Association v. Ricci
The case centers on a dispute between an insurer and its insureds regarding coverage for alleged vandalism at a rental property. Brenda Ricci purchased the property at a foreclosure sale, obtained an insurance policy from Rhode Island Joint Reinsurance Association (RIJRA), and allowed the previous owner, David Christian, to remain as a tenant. After a rent dispute and condemnation of the property for code violations, the tenant vacated. The Riccis discovered damage, claimed it was vandalism, and submitted an insurance claim. RIJRA investigated, concluded the damage was unfinished remodeling rather than vandalism, and reserved its defenses.RIJRA filed a declaratory judgment action in the Washington County Superior Court seeking clarification of its obligations under the policy. The Riccis counterclaimed, seeking appraisal and asserting various claims. RIJRA later amended its complaint to add fraud and misrepresentation counts. The Superior Court bifurcated proceedings and stayed the counterclaims. A jury trial was held, during which the Riccis’ motions to exclude evidence and send the matter to appraisal were denied. The jury found the Riccis had not proven the alleged damage occurred during the policy period, resulting in a verdict for RIJRA. Judgment was entered in favor of RIJRA on the main claim and on all counterclaims. The Riccis’ motions for a new trial were denied.On appeal to the Supreme Court of Rhode Island, the Riccis challenged evidentiary rulings, jury instructions, denial of appraisal, admission of deposition testimony, and denial of their new trial motions. The Supreme Court affirmed the Superior Court’s judgment and its denial of the new trial motions, holding that the trial justice did not abuse her discretion or commit reversible error in any of the challenged rulings, and that the Riccis failed to prove their claim was covered under the policy. View "Rhode Island Joint Reinsurance Association v. Ricci" on Justia Law
Posted in:
Insurance Law
Horsman v. Travelers Property Casualty Company of America
An employee of a corporation died following a motor vehicle accident that occurred while he was acting within the course of his employment. His widow, acting individually and on behalf of his estate and their children, collected funds from her personal auto policy, the tortfeasor’s policies, and the tortfeasor directly. She then sought underinsured motorist (UIM) benefits under her late husband’s employer’s commercial auto policy, issued by an insurer, which covered a fleet of twenty-six vehicles and listed the employer, a corporation, as the Named Insured. The insurer paid $1,000,000, the per-accident UIM limit, but denied the widow’s further claim to “stack” the UIM limits for each covered vehicle, totaling $26,000,000, on the basis that stacking was only available to an “individual Named Insured.”The widow filed suit in Kent County Superior Court, seeking a declaratory judgment and alleging breach of contract and bad faith. The insurer moved for summary judgment, and the widow filed a cross-motion. The Superior Court found that there was no circumstance in which the decedent could be considered an “individual Named Insured” under the policy, granted summary judgment to the insurer, and denied the widow’s cross-motion. Final judgment entered, and the widow appealed.The Supreme Court of Rhode Island reviewed the grant of summary judgment de novo. It held that the policy unambiguously allowed stacking only for an individual Named Insured, which the decedent was not. The Court found that the insurer did not waive its defenses, the stacking benefit was not illusory, and the “Martinelli exception” did not apply. The Court also concluded that the Rhode Island statutory stacking provision for UIM coverage does not apply to employees under a commercial fleet policy where the corporation is the Named Insured. The judgment of the Superior Court was affirmed. View "Horsman v. Travelers Property Casualty Company of America" on Justia Law
Posted in:
Insurance Law
Menge v. GEICO General Insurance Company
A carpenter who managed his own construction business was involved in a multi-vehicle accident in September 2013, while driving a car owned by another individual. The accident, caused by another driver, resulted in significant injuries and financial losses for the plaintiff, who claimed over $75,000 in medical expenses and more than $250,000 in lost income. The plaintiff had a business insurance policy with Main Street America Assurance Company (MSAA) during the relevant period. The driver and owner of the vehicle that struck the plaintiff were insured by GEICO General Insurance Company.Previously, the plaintiff sued the at-fault driver and owner (the Mathieus) in Kent County Superior Court and later settled that case. In the present suit, the plaintiff brought claims against both GEICO and MSAA for breach of contract, breach of the implied covenant of good faith and fair dealing, and statutory bad faith refusal to settle. Both defendants moved to sever the bad faith and implied covenant claims and to stay discovery on those claims, which the Superior Court granted. The court also denied the plaintiff’s motion to compel additional document production from GEICO, pending resolution of summary judgment motions. Ultimately, the Superior Court granted summary judgment for both defendants.On appeal, the Supreme Court of Rhode Island affirmed the Superior Court’s judgments. The Court held that MSAA’s business insurance policy expressly excluded coverage for injuries arising from automobile use, so the plaintiff’s contract and related claims failed as a matter of law. As to GEICO, the Court found that Rhode Island law prohibits direct actions against an insurer under these circumstances, and the plaintiff had no contractual or third-party rights under the GEICO policy. The Court also concluded that the issues related to severance and discovery were moot given the disposition of the contract claims. View "Menge v. GEICO General Insurance Company" on Justia Law
Posted in:
Contracts, Insurance Law
O’Rourke v. Nationwide Mutual Insurance Company
The plaintiff, an employee of Verizon, was involved in a motor vehicle accident while driving a company-assigned bucket truck during work hours. He typically drove his personal vehicle to work, then operated the Verizon truck exclusively for his work assignments, including commuting between the central work location and job sites. The Verizon truck was not for personal use, but was used daily for work, and the plaintiff kept work-related items in it. After the accident, the plaintiff sought uninsured motorist benefits under his personal auto insurance policy with the defendant, Nationwide, but his claim was denied under the policy's exclusion for injuries suffered while occupying a vehicle furnished for his “regular use.”The plaintiff filed suit in Providence County Superior Court, seeking a declaratory judgment that he was entitled to coverage. The defendant moved for summary judgment, arguing the facts were undisputed and the regular use exclusion applied. The hearing justice denied the motion, finding factual questions remained about whether the Verizon truck was furnished for the plaintiff’s regular use. At trial, after both parties stipulated to undisputed facts and the plaintiff rested, the defendant moved to discharge the jury, arguing that only a question of contract interpretation remained. The trial justice agreed, discharged the jury, and indicated that the regular use question was legal, not factual.The Supreme Court of Rhode Island granted review and held that, under its prior decision in Ricci v. United States Fidelity and Guaranty Company, whether a “non-owned” vehicle is furnished for “regular use” within the meaning of an insurance policy is a question of fact for the jury. The Court concluded that the trial justice erred by removing the question from the jury and quashed the Superior Court’s order, remanding the case for a new trial. View "O'Rourke v. Nationwide Mutual Insurance Company" on Justia Law
Posted in:
Insurance Law
DeOliveira v. Trecaso
In March 2010, a motor vehicle accident occurred on Interstate 95 South in Cranston, Rhode Island, involving Julie DeOliveira, her daughter Maxine, and a truck driven by Greg Trecaso, who was insured by Star Insurance Company. Julie and Maxine claimed that Mr. Trecaso negligently operated his truck, causing their injuries. After Mr. Trecaso and his business were dismissed from the case due to lack of service, Star Insurance remained as defendant. The case proceeded to a jury trial where the key dispute was whether Mr. Trecaso’s actions caused the accident, as described by conflicting accounts from Julie, Maxine, Mr. Trecaso (via deposition), and a police officer.The Providence County Superior Court admitted contested evidence, including Mr. Trecaso’s deposition and a police report, over plaintiffs’ objections. During trial, the jury heard testimony from the plaintiffs, Mr. Trecaso’s deposition, and Trooper Hanley, who investigated the accident. The jury found that neither Julie nor Maxine proved by a preponderance of evidence that Star Insurance’s insured was negligent. Plaintiffs’ motion for a new trial was denied by the Superior Court, as was Star’s motion for judgment as a matter of law.On appeal, the Supreme Court of Rhode Island reviewed several alleged errors, including evidentiary rulings, jury instructions, statements by defense counsel, and the verdict sheet. The Court applied an abuse of discretion standard to evidentiary and procedural rulings and found no error by the trial justice. The Court concluded that the jury instructions were proper, the verdict sheet was not misleading, and the empty chair doctrine was not violated. The Supreme Court affirmed the denial of the plaintiffs’ motion for a new trial and the judgment in favor of Star Insurance Company, declining to address the defendant’s cross-appeal. View "DeOliveira v. Trecaso" on Justia Law
Roberge v. Travelers Property Casualty Company of America
An employee who worked for a state agency in Rhode Island and regularly used her own personal vehicle for job-related travel was injured in a car accident caused by an underinsured driver. On the day of the incident, no state-owned vehicle was available, so she drove her own car. Her employer, the State of Rhode Island, carried a commercial auto insurance policy with Travelers Property Casualty Company of America, which provided liability coverage for employees using any vehicle within the scope of employment but only provided uninsured/underinsured motorist (UM/UIM) coverage when employees were occupying state-owned vehicles.After the accident, the employee sought UM/UIM benefits from Travelers, but her claim was denied because she was not occupying a covered auto under the policy. She brought suit in Providence County Superior Court, alleging breach of contract, seeking declaratory judgments on coverage, and pursuing bad faith and punitive damages. Travelers removed the case to federal court. The United States District Court for the District of Rhode Island granted summary judgment to Travelers, finding the policy language unambiguously did not provide the coverage she sought, and that Rhode Island law did not otherwise require it.On appeal, the United States Court of Appeals for the First Circuit certified two questions to the Supreme Court of Rhode Island: whether, under Rhode Island law and the precedent of Martinelli v. Travelers Insurance Companies, an employee using her own car within the scope of employment must be considered a named insured for UM/UIM coverage despite contrary policy terms; and whether it violates the Rhode Island Uninsured Motorist Statute or public policy for an employer’s policy to provide liability but not UM/UIM coverage in these circumstances.The Supreme Court of Rhode Island answered both questions in the negative, holding that neither the Martinelli precedent nor Rhode Island law required the employee to be treated as a named insured, and that the statutory and public policy requirements were not violated by the policy’s terms. View "Roberge v. Travelers Property Casualty Company of America" on Justia Law
Posted in:
Insurance Law
GEICO General Insurance Company v. Diop
A fatal car accident occurred in January 2023, resulting in the death of Papa Ndoye, who was struck by a vehicle driven by a minor covered under an auto insurance policy issued by GEICO to the driver’s mother. Following Mr. Ndoye’s death, his wife, Fama Diop, sent a settlement demand to GEICO and then brought a wrongful death action against the driver and the policyholder. That wrongful death suit remained pending.Subsequently, GEICO initiated a declaratory judgment action in the Providence County Superior Court to determine its obligations under the policy, specifically whether the “each person” limit of $50,000 or the “each occurrence” limit of $100,000 applied to Ms. Diop’s claims. Ms. Diop counterclaimed, seeking a declaration that she was entitled to the statutory $250,000 minimum under Rhode Island’s Death by Wrongful Act statute. Both parties moved for summary judgment. The Superior Court granted summary judgment for GEICO, holding that under Rhode Island Supreme Court precedent, including Allstate Insurance Company v. Pogorilich, loss-of-consortium and wrongful death claims that derive from bodily injury to a single person are subject to the “each person” policy limit. The court found the policy language unambiguous and declined to interpret the wrongful death statute as entitling Ms. Diop to a higher amount under the policy.On appeal, the Supreme Court of Rhode Island reviewed the matter de novo and affirmed the Superior Court’s judgment. The Court held that the “each person” limit of $50,000 applied to all claims arising from Mr. Ndoye’s death, including derivative claims for loss of consortium. The holding was based on the clear language of the policy and controlling precedent. The judgment for GEICO was affirmed. View "GEICO General Insurance Company v. Diop" on Justia Law
Posted in:
Insurance Law
Vermont Mutual Insurance Company v. New England Property Services Group, LLC
Vermont Mutual Insurance Company issued a homeowners insurance policy to Joanne St. Vil for property in Rumford, Rhode Island. St. Vil filed a claim for windstorm damage, which Vermont Mutual paid after an inspection. St. Vil later engaged New England Property Services Group, LLC (NEPSG) for additional repairs, leading to a dispute over the scope of damages. St. Vil assigned her insurance claim to NEPSG, which demanded an appraisal. Vermont Mutual objected to NEPSG's appraiser, Steven Ceceri, due to his financial interest but proceeded with the appraisal, reserving the right to dispute the award. The appraisal resulted in a final award of $144,855.37, which Vermont Mutual contested.The Superior Court denied Vermont Mutual's petition to vacate the appraisal award and granted NEPSG's cross-petition to confirm it. The court ruled that the policy did not require the appraiser to be disinterested, referencing a similar case it had previously decided.The Rhode Island Supreme Court reviewed the case and held that the appraisal process in Vermont Mutual's policy constituted arbitration under the Arbitration Act. The Court found that Steven Ceceri had a direct financial interest in the award, establishing evident partiality. The Court also determined a causal nexus between Ceceri's conduct and the final award, as the award was not unanimous and significantly higher than Vermont Mutual's appraiser's estimate. Consequently, the Supreme Court vacated the Superior Court's order and remanded the case for a new appraisal. View "Vermont Mutual Insurance Company v. New England Property Services Group, LLC" on Justia Law
Posted in:
Arbitration & Mediation, Insurance Law
Kazarian v. New London County Mutual Insurance Co.
The plaintiff, Alexandria Kazarian, filed a negligence lawsuit against New London County Mutual Insurance Company after a trip-and-fall accident near property owned by the defendant’s insured, Irene Swiney. Kazarian alleged that Swiney allowed a vehicle to be parked in a manner that obstructed the sidewalk, causing her to walk into the street and trip over an unsecured gas cap, resulting in injury. After Swiney passed away, New London was substituted as the defendant.In the Superior Court, a jury trial resulted in a verdict in favor of New London. Kazarian’s motion for a new trial was denied. She argued that Swiney was negligent for allowing the vehicle to obstruct the sidewalk and that a master-servant relationship existed between Swiney and the vehicle owner, making Swiney liable. The trial justice denied the motion, stating it was within the jury’s purview to evaluate the evidence and witness credibility.The Rhode Island Supreme Court reviewed the case. Kazarian contended that the trial justice erred in denying her motions for judgment as a matter of law and a new trial. She also argued that the trial justice’s use of the word “redacted” in response to a jury question was prejudicial. The Supreme Court found that reasonable minds could differ on whether the vehicle obstructed the sidewalk and whether it was a reasonable and necessary use of the sidewalk. The Court also noted that Kazarian failed to object contemporaneously to the alleged golden rule violation and the grass-growth argument during the trial, thus waiving those issues.The Supreme Court affirmed the Superior Court’s judgment, concluding that the trial justice conducted an appropriate analysis and did not err in his decisions. The case was remanded to the Superior Court. View "Kazarian v. New London County Mutual Insurance Co." on Justia Law
New England Property Services Group, LLC v. Vermont Mutual Insurance Company
The plaintiff, New England Property Services Group, LLC, filed a claim under a homeowners’ insurance policy for wind damage to a property in Greenville, Rhode Island. The insurance company, Vermont Mutual Insurance Company, provided an estimate for the loss, which the plaintiff disputed. The plaintiff invoked the appraisal process outlined in the insurance agreement. Each party appointed an appraiser, but they could not agree on an umpire, so the Superior Court appointed one. The appraisal concluded with an award signed by the plaintiff’s appraiser and the umpire, but not the defendant’s appraiser.The plaintiff filed a petition in the Superior Court to confirm the appraisal award under Rhode Island’s Arbitration Act. The defendant filed a cross-petition to vacate the award, arguing that the plaintiff’s appraiser was ineligible due to a financial interest in the award. The Superior Court granted the defendant’s cross-petition to vacate the award and denied the plaintiff’s petition to confirm it. The plaintiff did not appeal this order but instead filed a motion to reconsider, arguing that the appraisal process was not arbitration because the insurance contract did not require appraisers to be disinterested. The Superior Court denied this motion.The Rhode Island Supreme Court reviewed the case and affirmed the Superior Court’s order. The Court held that the appraisal process was akin to arbitration, despite the absence of the word “disinterested” in the insurance contract. The Court noted that the plaintiff had initially sought to confirm the award under the Arbitration Act and only challenged the nature of the proceedings after the award was vacated. The Court concluded that the Superior Court had subject-matter jurisdiction and that the appraisal clause in the insurance policy constituted arbitration under the Arbitration Act. View "New England Property Services Group, LLC v. Vermont Mutual Insurance Company" on Justia Law