101 Ocean Blvd., LLC v. Foy Insurance Group, Inc. & a. ( 2021 )

NOTICE: This opinion is subject to motions for rehearing under Rule 22 as well
as formal revision before publication in the New Hampshire Reports. Readers are
requested to notify the Reporter, Supreme Court of New Hampshire, One Charles
Doe Drive, Concord, New Hampshire 03301, of any editorial errors in order that
corrections may be made before the opinion goes to press. Errors may be
reported by e-mail at the following address: reporter@courts.state.nh.us.
Opinions are available on the Internet by 9:00 a.m. on the morning of their
release. The direct address of the court’s home page is:
http://www.courts.state.nh.us/supreme.
THE SUPREME COURT OF NEW HAMPSHIRE
___________________________
Hillsborough-northern judicial district
No. 2019-0067
101 OCEAN BLVD., LLC
v.
FOY INSURANCE GROUP, INC. & a. 1
Argued: January 9, 2020
Opinion Issued: March 19, 2021
Cronin, Bisson & Zalinsky, P.C., of Manchester (John G. Cronin, John F.
Bisson, and Daniel D. Muller, Jr. on the brief, and Mr. Cronin orally), for the
plaintiff.
Upton & Hatfield, LLP, of Portsmouth (Russell F. Hilliard on the brief and
orally), and of Concord (Nathan C. Midolo on the brief), for defendant Foy
Insurance Group, Inc.
HANTZ MARCONI, J. Defendant Foy Insurance Group, Inc. (Foy) appeals
a verdict rendered after a jury trial in Superior Court (Brown, J.) in favor of the
plaintiff, 101 Ocean Blvd., LLC (Ocean), finding that Foy was negligent for
failing to advise Ocean to purchase sufficient insurance coverage to rebuild a
hotel, damaged in a 2015 fire, in compliance with the current building code
and awarding damages to Ocean. We affirm.
1 The other defendant named in the plaintiff’s original complaint is not a party to this appeal.
I. Facts
The jury could have found the following facts. Ocean is owned by Albert
J. Bellemore, Jr., a businessman and real estate developer. In 2006, Ocean
purchased the Ocean Boulevard hotel in Hampton. The hotel had been
constructed in the 1920s, and did not conform to contemporary building codes.
The hotel had a convenience store on the ground level that sold “pretty much
everything.” The hotel also had a lobby floor, a second floor with an office and
“a small two-bedroom apartment,” and third and fourth floors with hotel
rooms.
Since the early 2000s, Bellemore worked with Foy as his insurance agent
for several properties. Shortly after purchasing the hotel in 2006, Ocean,
through Foy, purchased a $1.3 million replacement cost policy for the
structure. By 2015, Bellemore “had 14 or 15 different [insurance] policies in
force with Foy.” His annual premiums “were just shy of fifty thousand dollars.”
In 2011, Bellemore’s primary contact at Foy, Heidi SanSouci, expressed
concerns about the limits of Ocean’s coverage on the hotel property, and
recommended that he increase it to approximately $2 million. Bellemore
declined at that time because of the recession. SanSouci made the same
recommendation in 2012 and 2013. In 2013, Bellemore took SanSouci’s advice
and purchased the additional coverage, which she placed with Lloyd’s of
London.
Bellemore frequently relied upon SanSouci’s recommendations because
he did not “know anything about insurance,” he trusted her judgment and
insurance experience, and he appreciated her attention to detail and good
service. For instance, in 2013, SanSouci informed Bellemore that there were
“several coverages” that she “fe[lt] should be addressed” as to the insurance for
the hotel property. She noted that Ocean lacked flood insurance coverage and
that the annual premium for such coverage was $2,702. She further observed
that the current insurance policies did not cover liquor liability and that,
although alcohol was not consumed inside the hotel convenience store, “the
exposure for a lawsuit does exist” because it was sold there. She enclosed a
quote for liquor liability coverage.
On occasion, Bellemore asked SanSouci to review policies that he had
obtained from other insurance agents. SanSouci occasionally told Bellemore
that he should “stay with a different carrier for coverage,” even though doing so
meant that she would “lose out on some business.” For instance, in a 2015
e-mail to Bellemore, SanSouci said, “Unfortunately, I have not been able to find
better pricing for the builder’s risk for above. Although I hate to have you go
someplace else for this coverage, I think you should move forward with the
other quote.” In that e-mail, she advised Bellemore “to secure premises liability
coverage” for that property “so that [he would be] fully covered.”
2
In 2014, Lloyd’s of London opted not to renew Ocean’s policy. As a
result, SanSouci asked Andrea Roux, a wholesale broker of “surplus lines”
insurance, to find coverage. The “surplus lines” market is not as highly
regulated as the standard insurance market, and, therefore, insurance
underwriters have the flexibility to design and sell higher-risk policies than
they would be able to sell in the standard market. Through the “surplus lines”
market, Roux was able to find coverage for Ocean with AIX Specialty Insurance
Company, a subsidiary of The Hanover Insurance Company.
In April 2014, Ocean purchased a $2 million replacement cost policy. In
addition to the replacement cost coverage, the AIX policy provided for $10,000
in law and ordinance insurance coverage. Law and ordinance coverage is
designed to pay for the increased costs associated with complying with current
building codes and other laws and ordinances when rebuilding a structure
after a loss. At no time did Foy recommend that Bellemore purchase additional
law and ordinance coverage on behalf of Ocean.
In October 2015, a fire severely damaged the hotel. Bellemore hired an
engineering firm to estimate the cost of rebuilding the hotel. The firm told
Bellemore that the cost to replace the existing structure would be
approximately $1.1 million, and that, in order to rebuild a structure that
complied with the current building code, it would cost an additional $905,070.
He decided to demolish the structure rather than rebuild it. After accounting
for depreciation, Ocean’s insurer paid Ocean $910,141 for the replacement cost
of the structure — an amount that did not include the additional cost
necessary to rebuild the structure in compliance with the building code.
Thereafter, Ocean sued Foy, alleging that, because the parties had a
“special relationship,” Foy had a duty to inform Ocean that it lacked sufficient
law and ordinance coverage to pay for reconstruction in compliance with the
current building code, and that Foy negligently failed to so inform Ocean. See
Sintros v. Harmon, 148 N.H. 478, 481-82 (2002) (holding that an insurance
agent has “an affirmative duty to provide advice regarding the availability or
sufficiency of insurance coverage” only when an insured justifiably relies upon
a “special relationship” with the agent). The case was tried to a jury over the
course of five days in November 2018. At the close of Ocean’s case, Foy moved
for a directed verdict, which the trial court denied. The jury returned a verdict
in favor of Ocean and then apportioned 25% fault to Ocean and 75% fault to
Foy. Foy filed a motion for judgment notwithstanding the verdict (JNOV), or
alternatively, to set aside the jury verdict. The trial court denied the motion,
and this appeal followed.
On appeal, Foy argues that the trial court erred by: (1) admitting a
certain exhibit into evidence; (2) failing to take action in response to Ocean’s
allegedly improper closing argument; (3) giving the jury certain instructions; (4)
3
giving the jury an incorrect special verdict form; and (5) denying Foy’s motions
for directed verdict and JNOV. We address each argument in turn.
II. Analysis
A. Admissibility of Exhibit 27
On the fourth day of trial, counsel for Ocean cross-examined Foy’s
expert, Peter Milnes, about “Exhibit 27,” which counsel represented was “a
commercial lines checklist.” Foy’s counsel objected that he did not “like the
way [the exhibit] was being presented” during cross-examination of Milnes
instead of during Ocean’s direct examination of its own expert, Franklin Seigel,
and on the basis of relevance. The trial court ruled that the exhibit was
relevant to the issue of whether Foy breached the applicable standard of care.
Foy’s counsel also objected on the ground that the checklist constituted
inadmissible hearsay. The trial court determined that the exhibit was not
being introduced for the truth of what it asserted and, therefore, that its
admission did not violate the hearsay rule. See N.H. R. Ev. 801(c) (defining
hearsay as a statement “that . . . the declarant does not make while testifying
at the current trial or hearing” and that is offered “in evidence to prove the
truth of the matter asserted in the statement”).
Milnes testified that the checklist was “a mechanism for discussion” of
available coverages “if people want to have that,” but he did not agree that the
checklist “is a good way to go about examining specific coverages.” On redirect
examination, Milnes testified that the checklist was not something he used and
that it is not “a requirement of the standard of care for insurance agents to
maintain such a checklist.”
Defense counsel also questioned Jeffrey Foy, one of Foy’s owners, about
the checklist, and he testified that he does not use similar forms with his
clients because “you always -- you always have to make sure that you let the
client know that this [is] just an overview, a belief as to what’s included in the
policy they have. But ultimately, you have to go back to the policy because
that’s – that’s the contract.” Over defense counsel’s objection, the exhibit was
admitted as a full exhibit.
On appeal, Foy argues that Exhibit 27 “was irrelevant, improper hearsay,
and highly prejudicial.” We review the trial court’s rulings on admissibility of
evidence under the unsustainable exercise of discretion standard. McLaughlin
v. Fisher Eng’g, 150 N.H. 195, 197 (2003). We will not disturb the court’s
ruling unless a party establishes that it is clearly untenable or unreasonable to
the prejudice of its case. Id. Here, Foy has failed to persuade us that the trial
court unsustainably exercised its discretion by admitting the exhibit. Based
upon our review of the record, we find that the trial court had an objective
4
basis to determine that Exhibit 27 was relevant, was not improper hearsay,
and was not “highly prejudicial.”
B. Ocean’s Closing Argument
Foy next argues that during Ocean’s closing argument, counsel made
certain “factually inaccurate and prejudicial statements to the jury,” including:
As a jury, your voice, through your verdict, is very loud and will be
certainly heard. As a jury, you have awesome power to change
behavior. You, as a jury, . . . can change the way insurance
policies are sold.
....
If sold as replacement cost policies -- and I submit to you that’s a
misnomer -- who knew that you could buy a two million dollar
policy, and because of some coinsurance penalty, you could have a
two million dollar loss and never collect the amount of money that
you paid for. Who knew? And you sell a replacement cost policy
that has a limitation of only 10,000 on a two million dollar policy,
and you can’t replace it for law and ordinance, something that’s
required. Use your voice and tell the insurance industry not to sell
these policies under the name of replacement costs if they have co-
insurance in them. Tell them not to sell them as replacement
costs if they don’t provide adequate coverage for law and
ordinance.
The defense takes the position, so what, we couldn’t get
[additional law and ordinance insurance coverage] anyway. There
is no proof of that. Who said [we] couldn’t get it. We heard it from
Team Insurance, Ms. SanSouci and Mr. Foy and Mr. Milnes, all
together in the insurance industry. They all did the same thing;
they speculated.
Foy contends that Ocean’s closing argument was “highly prejudicial” because
Ocean improperly appealed “to the passion, prejudice, and sympathy of the
jury.” Foy asserts that the “misstatements” during Ocean’s closing warrant a
new trial. See Stachulski v. Apple New England, LLC, 171 N.H. 158, 171
(2018) (noting that “arguments that appeal to the emotions or prejudices of
jurors may be improper when [they] take the form of counsel’s presentation of
facts which have not been introduced in, or are not fairly inferable from,
evidence at trial” (quotation omitted)).
It is well established that a party must make a specific and
contemporaneous objection during trial to preserve an issue for appellate
5
review. Broughton v. Proulx, 152 N.H. 549, 552 (2005). This requirement
affords the trial court an opportunity to correct any error it may have made and
is grounded in common sense and judicial economy. Id. With respect to a
closing argument in a civil jury trial, any objection must be raised either during
or immediately after the closing argument. Broderick v. Watts, 136 N.H. 153,
167 (1992).
At trial, Foy failed to object to any of the statements it now characterizes
as “highly prejudicial.” To the extent that Foy objected to closing argument in
its post-trial motion for JNOV, its objections were untimely. See Broderick,
136 N.H. at 167-68 (holding that objection to closing argument raised after the
trial court finished instructing the jury was not timely raised).
Because Foy failed to object during or immediately after Ocean’s closing
argument, our review is for plain error. See Sup. Ct. R. 16-A; see also State v.
Drown, 170 N.H. 788, 792 (2018). We use the plain error rule sparingly,
limiting its application to those circumstances in which a miscarriage of justice
would otherwise result. Drown, 170 N.H. at 792. For us to find plain error: (1)
there must be an error; (2) the error must be plain; (3) the error must affect
substantial rights; and (4) the error must seriously affect the fairness, integrity,
or public reputation of judicial proceedings. Id.
The alleged error in this case “must relate to the trial court having not
taken affirmative steps to intervene in the parties’ litigation.” Id. at 799
(quotation omitted). In other words, the issue is not whether the trial court
erroneously allowed Ocean’s counsel to make the challenged statements, but
rather, due to Foy’s failure to object, whether the trial court erroneously failed
to “have sua sponte intervened” to strike the statements, give a curative
instruction, or declare a mistrial. Id.
“[I]n Drown, we held, under plain error review, that the trial court did not
err in failing to sua sponte interrupt the State’s closing argument.” State v.
Labrie, 171 N.H. 475, 489 (2018); see Drown, 170 N.H. at 801. In doing so, we
recognized that “[a] decision not to object” during an opposing party’s closing
argument “may be a trial strategy that should not be intruded upon by the trial
court in the absence of patently egregious circumstances.” Labrie, 171 N.H. at
489. We stated that the decision not to object at closing argument may have
stemmed from a conclusion that the prosecutor’s statements were “nonsensical
and would be seen as such by the jury, and thus undermine the force of the
message that the prosecutor was attempting to convey.” Drown, 170 N.H. at
802.
Although the alleged misstatements at issue here are not nonsensical,
“they also were not so egregious as to impose upon the trial court an obligation
to intervene” sua sponte. Labrie, 171 N.H. at 489. The statements Foy
contests on appeal would have been cured by the trial court’s jury instructions
6
that: (1) the jury “must not decide the facts on the basis of anything said by
counsel not supported by the evidence”; (2) the jury’s responsibility is to decide
the facts without “sympathy, prejudice, bias, or favor or fear, for or against
either party”; (3) the amount of damages the jury may award “must be full, fair,
and adequate,” and “not be . . . a reward or a prize”; (4) “[i]n order to recover,
the Plaintiff must prove the Defendant is legally at fault for damages”; (5) “[f]or
each item of loss of damage the Plaintiff claims, Plaintiff must prove that it is
more probable than not, one, the Plaintiff has (or will have) such a loss or
damage, and two, the loss or damage was caused by the legal fault of
defendant”; and (6) “[t]he purpose of . . . civil law is not to punish anyone but
to compensate those who have been monetarily injured as a result of the legal
fault of the Defendant in such amounts as the evidence justifies.” See id. at
489-90; see also Murray v. Developmental Servs. of Sullivan County, 149 N.H.
264, 270 (2003) (holding that, although it was improper for the plaintiffs to ask
the jury to “send a clear message” with its verdicts in closing argument, the
trial court sustainably exercised its discretion by not giving an immediate
curative instruction and instead later instructing the jury that it should not
award a verdict to punish the defendant and that the plaintiffs had to prove the
defendant caused their injuries); Kelleher v. Marvin Lumber & Cedar Co., 152
N.H. 813, 837 (2005) (“[T]he jury is presumed to follow the court’s
instructions.”). Although we do not condone the challenged portions of Ocean’s
closing argument, under the circumstances of this case, we cannot conclude
that the trial court’s failure to interrupt Ocean’s closing and/or immediately
provide additional instructions amounted to a plain error that affected Foy’s
substantial rights. See Stachulski, 171 N.H. at 172 (concluding that the trial
court’s “failure to sua sponte strike” certain statements from the opening
statement and closing argument of the plaintiff’s counsel “was not error, let
alone plain error”).
C. Jury Instructions
Foy challenges the trial court’s jury instructions on: (1) when a “special
relationship” between an insurance agent and client exists; (2) the need for
alterations or repairs to a damaged building to conform to state, local, and
federal laws; and (3) damages. The purpose of jury instructions is to identify
issues of material fact, and to explain to the jury, in clear and intelligible
language, the proper standards of law by which it is to resolve them. Halifax-
American Energy Co. v. Provider Power, LLC, 170 N.H. 569, 577 (2018). The
scope and wording of jury instructions are within the sound discretion of the
trial judge and are evaluated as a reasonable juror would have interpreted
them. Id. at 577. A trial court need not use the exact words of any party’s jury
instruction request. Id. A jury charge is sufficient as a matter of law if it fairly
presents the case to the jury such that no injustice is done to the legal rights of
the parties. Id. In a civil case, we review jury instructions in context. Id. at
578. We will reverse if the charge, taken in its entirety, fails to explain
7
adequately the law applicable to the case in such a way that the jury could
have been misled. Id.
1. Special Relationship
The trial court instructed the jury as follows on when a “special
relationship” between an insurance agent and client arises:
The general duty of care does not include an affirmative
obligation to give advice regardless of the availability or sufficiency
of coverage.
However, the existence of a “special relationship” between
the insurance agent and the client may impose upon an insurance
agent an affirmative duty to provide advice regardless of the
availability or sufficiency of insurance coverage. An insured . . .
can demonstrate . . . a “special relationship” by showing that there
exists something more than the standard insurer-insured
relationship between the parties. This depends upon the
particular relationship between the parties and is determined on a
case-by-case basis. Examples include an express agreement
between the insured agent and client, a long-established
relationship or entrustment in which the agent clearly appreciates
the duty of giving advice, the paying [of] an additional
compensation apart from the premium payment, and the agent
holding himself or herself out as a highly-skilled expert coupled
with reliance by the insured. Also, a “special relationship” between
the parties may exist when the insured relies upon the agent’s
offered expert [advice] regarding the question of coverage, or when
there is a course of dealings over time putting the agent on notice
that his or her advice is being sought and relied upon. If a “special
relationship” exists between the parties, the Plaintiff must
demonstrate not only the existence of the relationship, but also
that he or she was justified in relying upon the relationship.
Foy argues that this jury instruction “incorrectly suggested that a special
relationship could be established without proof of at least one of the Sintros
factors, and, therefore, misstated the law to the jury.” See Sintros, 148 N.H. at
481-82. To the contrary, the instruction repeats, nearly verbatim, what we
said in Sintros. See id. The examples we gave in Sintros of facts or
circumstances demonstrating a special relationship between an insurance
agent and a client were just that, examples; they were not an exclusive list of
factors. Id. at 482. Nor did we hold that, to establish the existence of a special
relationship, a plaintiff had to prove that its relationship with its insurance
agent fit one of our examples. See id. at 481-82. Therefore, we conclude that
8
the trial court’s “special relationship” instruction was sufficient as a matter of
law. See Halifax-American, 170 N.H. at 578.
2. Law and Ordinance
With respect to law and ordinance coverage, the trial court instructed
the jury that: (1) “[r]epairs to a substantially damaged building must meet and
conform to existing State Codes and local and federal laws”; (2) “[a]ll work
should be in compliance with all applicable State and local building[] [codes]
and the Life Safety code”; and (3) “[a]lterations including reconstruction and
during the reconstruction, if existing elements, spaces, or common areas are
altered, that each such altered element, space, or area should comply with the
Americans with Disabilities Act.”
Foy argues this instruction misstated the applicable law “because the
applicable codes allow municipal officials discretion to modify strict provisions
of the code, and a local official’s discretionary authority was not properly
reflected in the instruction.” We disagree.
To support its contention, Foy asserts that the “Town of Hampton has
incorporated the State Building Code” and that the State Building Code
“expressly incorporates” an international building code, which authorizes local
officials “to grant modifications for individual cases.” However, the State
Building Code adopts certain international building codes by reference, only
“as amended by the state building code review board and ratified by the
legislature.” RSA 155-A:1, IV (Supp. 2020). Foy does not cite any provision of
the State Building Code that specifically adopts the modification provision
upon which Foy relies. Indeed, RSA 155-A:2, I, expressly requires that “[a]ll
buildings, building components, and structures constructed in New Hampshire
shall comply with the state building code and state fire code.” RSA 155-A:2, I
(2014) (emphasis added). In addition, RSA 155-A:2, X specifically precludes
any “state agency, authority, board, or commission” from “vary[ing],
modify[ing], or waiv[ing] the requirements of the state building code or state fire
code, unless approved by the state building code review board . . . or the state
fire marshal.” RSA 155-A:2, X (2014).
Moreover, although the international building code upon which Foy relies
empowers “the code official” to grant modifications, the code official may do so
only after “first find[ing] that [a] special individual reason makes the strict
letter of [the international] code impractical and the modification is in
compliance with the intent and purposes of the code, and that such
modification does not lessen health, accessibility, life and fire safety, or
structural requirements.” The international code also provides that, although
“[t]he code official” may “adopt policies and procedures” to “clarify the
application of [the code’s] provisions,” those “policies and procedures shall not
9
have the effect of waiving requirements specifically provided for” in the code.
(Emphasis added.)
For all of these reasons, therefore, we are not persuaded that the trial
court’s instruction regarding the need for repairs to damaged buildings to
comply with the State Building Code misstated the applicable law or misled the
jury.
Foy also contends that the instruction was misleading because it told the
jury that it had to focus “its analysis on whether . . . Ocean’s repair did or did
not have to comply with [the code] provisions.” We do not agree that the
instruction was misleading in this respect. Further, we observe that the
instruction is consistent with the testimony of the town building inspector that
“[w]hen there’s substantial damage to a building” requiring that the building
“be put back together,” the owner is required to “bring [the building] to code.”
3. Damages
During the trial, Foy proposed that the trial court instruct the jury that it
could consider as damages in this case “[t]he reasonable value of the actual
costs incurred by [Ocean] to comply with the minimum standards of an
ordinance or law in [the] course of a repair to the property.” Foy explained that
its proposed instruction used an example “for auto cases.” Foy argued that the
trial court’s proposed instruction was faulty because it did not identify “what
the items or loss of damages [the jury is] to consider in reviewing damages.”
The trial court declined to give Foy’s proposed instruction and instead
instructed the jury:
And now a person who claims damages has the burden of
proving that it is more probable than not that the damage[s] that it
seeks were caused as a result of the legal fault of the party, and
must show the extent and the amount of those damages.
For each item of loss of damage the Plaintiff claims, Plaintiff
must prove that it is more probable than not, one, the Plaintiff has
(or will have) such a loss or damage, and two, the loss or damage
was caused by the legal fault of defendant. If you decide that a
plaintiff has proven these two matters to be more probable than
not, you must then decide how much money or damages will fully,
fairly and adequately compensate the Plaintiff for each of those
items for loss or damage.
In the event you should find for the Plaintiff, you must award
a -- you must award it a fair compensation for the damages
sustained.
10
If you find the Plaintiff is entitled to recover damages, the
amount thereof must be full, fair, and adequate. It must not be
cheap or miserly, and should be -- nor should it be a reward or a
prize. The Plaintiff is entitled to full compensation for the damages
resulting from Defendant’s legal fault. The purpose of a civil law is
not to punish anyone but to compensate those who have been
monetarily injured as a result of the legal fault of the Defendant in
such amounts as the evidence justifies.
In determining the amount of damages to allow the Plaintiff,
you may draw such inferences as are justified by your common
experience and observations of mankind, from the evidence and
the nature of the injuries and the results thereof.
See Carlisle v. Frisbie Mem. Hosp., 152 N.H. 762, 778 (2005) (observing that
the trial court gave the jury “a broad instruction on damages,” stating “that the
damage award should be ‘full, fair and adequate’ and that the award should
compensate the plaintiff and make her whole”).
Foy argues that the court erred by not giving its instruction “[b]ased on
the nature of . . . Ocean’s claim,” which Foy characterizes as a claim under
Ocean’s insurance policy, rather than the negligence claim Ocean brought. Foy
contends that “the proper measure of damages” in this case “is the cost
incurred as a result of a lack of coverage,” and that its “instruction properly
captured the measure of damages based on Ocean’s policy, and should have
been given.”
However, Foy has not preserved this appellate argument for our review.
Generally, a contemporaneous objection is necessary to preserve a jury
instruction issue for appellate review. Clark & Lavey Benefits Solutions v.
Educ. Dev. Ctr., 157 N.H. 220, 223 (2008). Without a contemporaneous
objection, the trial court is not afforded the opportunity to correct an error it
may have made. Id. “This long-standing requirement is grounded in common
sense and judicial economy, and applies equally to civil and criminal matters.”
Id. (quotation omitted).
Foy did not argue in the trial court that the court’s instruction gave the
wrong measure of damages. Thus, we express no opinion as to the proper
measure of damages for an insurance agent’s negligence in a case such as this
one. See 2 Law and Practice of Insurance Coverage Litigation § 27:14, at 27-43
(David L. Leitner et al., eds., 2005) (observing that, when an insurance agent
fails to procure certain insurance coverage, “[m]any courts limit recovery to the
amount that would have been available under the properly procured policy
minus any unpaid premium,” and that other courts “permit an insured to
recover all consequential damages, including lost profits, attorney’s fees and
11
costs,” reasoning “that an insured is entitled to all damages proximately caused
by the broker/agent[’]s conduct” (footnotes omitted)).
D. Special Verdict Form
The special verdict form asked, among other questions, whether
the jury found that Foy’s “breach of the applicable standard of reasonable care
was a substantial factor in bringing about [Ocean’s] alleged damages.” Foy
argues that the special verdict form was incorrect because it did not also ask
the jury whether Ocean’s damages would not have occurred without Foy’s
conduct.
“A special verdict form must enable the court to determine which party is
entitled to judgment.” Madeja v. MPB Corp., 149 N.H. 371, 389 (2003). “[I]t
cannot be so confusing as to mislead the jury.” Id. “We examine the wording
of the special verdict form, the court’s jury instructions, and the evidence at
trial to determine whether the special verdict form fairly presented the issues to
the jury.” Id.Under New Hampshire law, “[c]ausation focuses on the mechanical
sequence of events.” Carignan v. N.H. Int’l Speedway, 151 N.H. 409, 414
(2004) (quotation omitted). “Proximate cause involves both cause-in-fact and
legal cause.” Id. (citation omitted). “Cause-in-fact,” also called “but for”
causation, requires the plaintiff to “produce evidence sufficient to warrant a
reasonable juror’s conclusion that the causal link between the negligence and
the injury probably existed.” Id. (quotation omitted). “[L]egal cause requires
the plaintiff to establish that the negligent conduct was a substantial factor in
bringing about the harm.” Id. “The negligent conduct need not be the sole
cause of the injury; however, to establish proximate cause, the plaintiff must
prove that the defendant’s conduct caused or contributed to cause the harm.”
Id.As Foy concedes, the trial court’s jury instructions properly instructed
the jury as to Ocean’s burden to prove causation. “We hold that the
instructions and the special verdict form, when viewed together, were
sufficiently clear” with respect to Ocean’s burden to prove causation. Madeja,
149 N.H. at 390. In Madeja, the defendant argued that the special verdict form
was faulty because it did not include questions about the defendant’s
affirmative defenses. Id. at 389. We held that the instructions and special
verdict form, when viewed together, were sufficiently clear as to those defenses
because the questions on the special verdict form regarding whether the
defendant was liable for either sexual harassment or retaliation “subsumed
and incorporated questions regarding the defendant’s affirmative defenses.” Id.
at 389-90. We explained that having been instructed correctly about the
defendant’s affirmative defenses, the “jury could not have found the defendant
12
liable for either sexual harassment or retaliation if it had concluded that the
defendant succeeded on its affirmative defenses.” Id. at 390.
Similarly, here, having been correctly instructed as to Ocean’s burden on
causation, the jury could not have found Foy’s conduct to be a “substantial
factor” in bringing about Ocean’s damages if it had not also found that a
“causal link between the negligence and the injury probably existed.”
Carignan, 151 N.H. at 414 (quotation omitted). The question about whether
Foy’s conduct was a “substantial factor” in bringing about Ocean’s damages
“subsumed and incorporated” the question of whether there was a causal link
between Foy’s negligence and Ocean’s damages. Madeja, 149 N.H. at 390; see
Carignan, 151 N.H. at 414.
E. Motions for Directed Verdict and JNOV
Finally, Foy asserts that the trial court improperly denied its motions for
directed verdict and JNOV. “[M]otions for directed verdict and judgment
notwithstanding the verdict are essentially the same, and they are governed by
identical standards.” Hall v. Dartmouth Hitchcock Med. Ctr., 153 N.H. 388,
393 (2006). Because motions for JNOV and directed verdict relate to the
sufficiency of the evidence, they present questions of law, and our standard of
review is de novo. See Halifax-American, 170 N.H. at 576. A party is entitled
to a directed verdict or JNOV only when the sole reasonable inference that may
be drawn from the evidence, which must be viewed in the light most favorable
to the non-moving party, is so overwhelmingly in favor of the moving party that
no contrary verdict could stand. See id. (discussing a motion for JNOV);
Conrad v. N.H. Dep’t of Safety, 167 N.H. 59, 70 (2014) (discussing a motion for
directed verdict). “The court cannot weigh the evidence or inquire into the
credibility of the witnesses, and if the evidence adduced at trial is conflicting,
or if several reasonable inferences may be drawn, the motion should be
denied.” Halifax-American, 170 N.H. at 576; see also Conrad, 167 N.H. at 70.
1. Special Relationship
Foy contends that no rational trier of fact could have found that Foy and
Ocean had a “special relationship” because there was no evidence “as to the
nature of a standard relationship” between an insurance agent and a client, or
of any of the so-called Sintros factors. Foy’s arguments are based upon a
misreading of Sintros.
Although in Sintros we stated that “[a]n insured can demonstrate a
special relationship by showing that there exists something more than the
standard insurer-insured relationship,” Sintros, 148 N.H. at 481, we then
explained what we meant by “something more than the standard insurer-
insured relationship” by giving examples of when a “special” relationship may
be deemed to arise. See id. at 481-82. Under Sintros, a standard relationship
13
between an insured and an insurance agent is simply one that is not “special.”
See id.
Moreover, as previously discussed, in Sintros, we did not give an
exhaustive list of factors that establish that a relationship between an
insurance agent and an insured is “special.” See id. at 481-82. Rather, we
held that whether the relationship between an insurance agent and an insured
is sufficiently “special” as to impose upon the agent an affirmative duty to
advise the insured “regarding the availability or sufficiency of insurance
coverage,” is a fact-dependent inquiry that “is determined on a case-by-case
basis.” Id. at 481. As we previously explained, the examples we gave in
Sintros of when a relationship between an insurance agent and an insured may
be deemed “special” were examples, not a mandated or an exhaustive list of
factors. Id. at 482.
Further, even if the jury had been instructed as to the so-called Sintros
factors, as articulated by Foy, when we view the evidence and all reasonable
inferences in the light most favorable to Ocean, we conclude that the evidence
was sufficient for the jury to have found at least one of those factors.
According to Foy, the so-called Sintros factors include “a long established
relationship of entrustment in which the agent clearly appreciates the duty of
giving advice.” Viewing the evidence in the light most favorable to Ocean, the
jury could have found that Ocean and Foy had a relationship, spanning more
than a decade, in which Foy’s agent, SanSouci, gave insurance coverage advice
to Ocean’s principal, Bellemore, upon which Bellemore reasonably relied
because of SanSouci’s greater expertise, and in which SanSouci appreciated
her duty to give such advice.
2. Evidence of Causation
Foy next asserts that there was insufficient evidence to establish that
Ocean, “in fact, could have purchased additional law and ordinance coverage.”
Foy contends that, absent such evidence, Ocean would have suffered damages
regardless of whether Foy breached its duty, and, therefore, Ocean failed “to
prove, through admissible evidence, that its claimed damages were legally and
factually caused by Foy’s breach.” See Carignan, 151 N.H. at 414 (discussing
cause-in-fact and legal cause). We disagree.
For the purposes of this discussion, we assume without deciding that, as
Foy intimates and as the dissent concludes, Ocean was required to show not
only that additional law and ordinance coverage was generally available in the
marketplace, but was also specifically available to Ocean. We note that this is
an issue of first impression that the parties have not fully briefed. Compare
Emer’s Camper Corral, LLC v. Alderman, 943 N.W.2d 513, 515 (Wis. 2020)
(holding that, to establish causation, a plaintiff, claiming that its insurance
agent was negligent in procuring insurance, had to prove “not just that an
14
insurance policy with the requested deductibles was commercially available,
but also that an insurer would actually write that policy for [the plaintiff] in
particular”), with Bayly, Martin & Fay v. Pete’s Satire, 739 P.2d 239, 244 (Colo.
1987) (en banc) (explaining that, to establish proximate causation, the insured
“is not required to show that the particular insurance company from which the
servicing broker or agent procured the [insured’s] policy would have written
such coverage or that the servicing broker or agent could have obtained such
coverage from a specific company”).
Viewing the evidence and all reasonable inferences in the light most
favorable to Ocean, we conclude that the evidence was sufficient for a rational
trier of fact to have found that additional law and ordinance coverage was
generally available in the marketplace and was specifically available to Ocean.
See Halifax-American, 170 N.H. at 576; Conrad, 167 N.H. at 70.
Ocean’s expert, Seigel, testified as follows:
Q With respect to law and ordinance coverage, is that something
that’s generally available in the surplus markets?
A Yes. You have to add -- you, generally speaking, have to ask for
it. It’s not a throw-on by the surplus lines’ market, and neither is
a throw-on from the admitted market. You still have to ask for it.
And you have to negotiate it with the carrier, or with the surplus
lines’ managing general agent.
Q Is it your opinion that if asked for that law and ordinance
coverage endorsement would have been available in this case?
A In my experience, yes. I made . . . a phone call on it to see if a
particular carrier would write it. And they said that based on the
$2,000,000 that was already written, they would have reduced that
limit to the full replacement -- to the replacement cost and just cut
that limit and provided the difference between a million -- roughly
1,100,000 for replacement value and used 900,000 as the law and
ordinance limit.
Q Is it your experience that you can custom-make policies in the
surplus lines’ market?
A Oh, yes, very much so. That’s the whole -- one of the
advantages of the surplus lines’ market being free of rate and form.
They can do whatever they want to do.
Q So, for instance, in this case if you went out and looked for it,
you could negotiate with a carrier and perhaps get a policy that
15
has 1.3 million in building coverage and 700,000 in law and
ordinance?
A Yes.
Q Is it your testimony here today that law and ordinance coverage
is free and you don’t pay anything extra for it?
A Well, it’s not free in the sense that -- everything comes with a
price. So if you divvy up the limit, in other words if you’re going to
have a $2,000,000 limit on the policy and then add law and
ordinance coverage for another $1,000,000, you’re going to pay the
premium for a $1,000,000 of that coverage.
If you were to have split it, 1,300,000 let’s say of the
$2,000,000, then the policy premium will drop for that 1,300,000,
but there’ll be a charge for the other $700,000 for the law and
ordinance coverage. That’s how it basically works. And then the
underwriter that I spoke to said he probably would charge $500 or
so for the endorsement itself, just the fact that he’s adding another
endorsement to it.
Q So at the end of the day, you’d still have $2,000,000 in
coverage, but it would be spread around differently?
A Yes.
The jury also had evidence that the direct construction cost to replace the
building was $1,100,000, not including profit and overhead costs. If profit and
overhead were included, the direct construction cost to replace the building
was $1,300,000.
Viewing this testimony and the reasonable inferences therefrom in the
light most favorable to Ocean, a rational trier of fact could have found that
Ocean could have obtained, in the surplus lines market, law and ordinance
coverage of between $700,000 and $1,000,000 and could have reduced the
replacement coverage for the building accordingly, so that the total coverage
would have been $2,000,000. A rational trier of fact could have found, based
upon Seigel’s testimony, that there would have been little difference between
what Ocean paid in premiums under its then-current coverage and what it
would pay in premiums if replacement coverage were reduced to $1,300,000 or
$1,100,000 and law and ordinance coverage were increased to $700,000 or
$900,000, other than an endorsement processing fee of $500. A rational trier
of fact could also have found that replacement costs of $1,300,000 or
$1,100,000 and law and ordinance coverage of $700,000 or $900,000 would
16
have been sufficient to cover the damage Ocean sustained and rebuild the
structure to current code.
To the extent that Seigel’s testimony was ambiguous, “[w]e must . . .
construe the ambiguity in favor of [Ocean].” St-Laurent v. Fiermonti
Oldsmobile, 136 N.H. 70, 75 (1992). Because a rational trier of fact could have
understood Seigel’s testimony to provide the evidentiary link Foy intimates, and
the dissent concludes, was missing, we affirm the trial court’s denial of Foy’s
motions for directed verdict and JNOV on this issue.
Affirmed.
DONOVAN, J., concurred; HOURAN, J., retired superior court justice,
specially assigned under RSA 490:3, concurred; BASSETT, J., with whom
HICKS, J., joined, dissented.
BASSETT, J., with whom HICKS, J., joins, dissenting. I agree with my
colleagues in most respects. However, because I conclude that Ocean failed to
adduce sufficient evidence to enable a reasonable jury to find that Ocean’s loss
would not have occurred without Foy’s conduct, and because such proof is a
necessary element of a negligence action, I would reverse the trial court’s denial
of Foy’s motions for a directed verdict, for judgment notwithstanding the
verdict, and to set aside the jury verdict. My disagreement with the majority is
essentially two-fold.
First, I disagree with the majority when it merely assumes that “Ocean
was required to show not only that additional law and ordinance coverage was
generally available in the marketplace, but was also specifically available to
Ocean.” No assumption is necessary — that is the law in New Hampshire.
“It is axiomatic that in order to prove actionable negligence, a plaintiff
must establish that the defendant owed a duty to the plaintiff, breached that
duty, and that the breach proximately caused the claimed injury.” Carignan v.
N.H. Int’l Speedway, 151 N.H. 409, 412 (2004) (quotation omitted). “Causation
focuses on the mechanical sequence of events. Proximate cause involves both
cause-in-fact and legal cause.” Id. at 414 (citation omitted). “Cause-in-fact
requires the plaintiff to show that the injury would not have occurred but for
the negligent conduct.” Id. The plaintiff “must produce evidence sufficient to
warrant a reasonable juror’s conclusion that the causal link between the
negligence and the injury probably existed.” Id. (quotation omitted). “[L]egal
cause requires the plaintiff to establish that the negligent conduct was a
substantial factor in bringing about the harm.” Id. “[T]here is no cause of
action unless and until there has been an injury.” White v. Schnoebelen, 91
N.H. 273, 274 (1941). “[B]asic tort law prohibits recovery where it cannot be
shown with reasonable certainty that any damage resulted from the act
17
complained of.” Witte v. Desmarais, 136 N.H. 178, 188 (1992) (quotation and
brackets omitted).
Our court has not had occasion to explain how these well-accepted
principles of proximate cause apply in the context of an insured’s negligence
claim against an insurance agent. However, as the majority recognizes, we are
not the first court to consider the issue. I find the reasoning of the Wisconsin
Supreme Court in Emer’s Camper Corral, LLC v. Alderman, 943 N.W.2d 513(Wis. 2020), to be persuasive. It is consonant with the law of causation in New
Hampshire, and illustrative of the proper application of the general causation
principles in this context.
In Camper Corral, the plaintiff claimed that its insurance agent was
negligent because he procured a policy that did not conform to the plaintiff’s
requested deductible limit. Id. at 515. The trial court entered a directed
verdict in favor of the insurance agent, reasoning that the plaintiff’s “failure to
introduce evidence that an insurer would have insured the company with the
deductible limits it thought it had meant that it had not proven a causal link
between the agent’s negligence and the sustained loss.” Id.The Wisconsin Supreme Court granted review and held that, to establish
causation, the plaintiff must prove “not just that an insurance policy with the
requested deductibles was commercially available, but also that an insurer
would actually write that policy for [the plaintiff] in particular.” Id. In reaching
its conclusion, the court observed that commercial availability is a “necessary
prerequisite” to establishing causation; “[a]fter all, if the insured requests a
policy that is not available in the market, the insured’s harm comes from its
unavailability, not from the broker’s failure to obtain what does not exist.” Id.
at 519. Nonetheless, the court concluded that commercial availability is not
“sufficient for that causal link,” id., explaining as follows:
An insurance policy is not a mass-produced good or service
that is available to the public without regard for the circumstances
of the prospective purchaser. Instead, the coverage, terms, and
premium depend on factors specific to the insured company, such
as, for example, its claims history. So when we say a policy with
certain deductible limits is “commercially available,” what we mean
is that somewhere in the market there is an insurance company
willing to write that policy for a hypothetical company with a
hypothetical set of insurability factors.
But just because an insurance company would write a specific
policy for one company does not mean it would insure all
companies under the same terms. Consequently, “commercial
availability” of the policy requested by [the plaintiff] establishes, at
most, that some company somewhere could get the desired
18
deductible limits. It does not answer whether such a policy was
available to [the plaintiff]. So, if general commercial unavailability
prevents formation of a causal link between a broker’s negligence
and an insured’s loss, then it necessarily follows that the policy’s
unavailability to [the plaintiff] in particular must also prevent
formation of a causal link. Whether the unavailability is general,
or instead particular to [the plaintiff], the policy’s unavailability
exists independently of any negligence on behalf of the broker.
And if that is so, then the broker’s negligence cannot be a
substantial factor in producing [the plaintiff’s] loss because it
would have occurred even if the broker had not been negligent.
Id. at 519-20 (citations and footnote omitted).
The court further reasoned that, to accept the plaintiff’s contention that
a showing of general commercial availability constitutes sufficient proof of
causation, would be to grant the plaintiff “an evidentiary presumption to help it
bridge the gap between general and particular availability of the desired
insurance policy.” Id. at 521. After recognizing that it might be difficult for a
plaintiff to prove that it could have obtained the desired policy, the court stated
that “[it does] not think the difficulty of a task is a sufficient basis for relieving
a plaintiff of its duty to prove the essential elements of its claim.” Id. The
court also noted that the alternative approach of placing the burden on the
agent to prove unavailability “would require proof of a negative.” Id. In other
words, the insurance agent “would have to prove that no insurer in the market
would insure [the plaintiff] under the requested terms.” Id. Accordingly, after
observing that the plaintiff “has offered no rationale for either relieving it of its
duty to prove each element of its claim, or requiring [the insurance agent] to
negate the presumption in favor of causation,” the court concluded that “the
general principles governing proof of causation do not support [the plaintiff’s]
‘commercial availability’ standard.” Id.In sum, the court held that, in order to establish the causal link between
the agent’s negligence and the plaintiff’s loss, a showing of general availability
is not enough — a plaintiff must also show that insurance coverage is available
to the plaintiff for the particular risk at issue. See id. at 524-25. I agree, and
would explicitly apply the reasoning of the Wisconsin Supreme Court in this
case. The majority’s failure to do so distances our court from fundamental
principles of causation and the burden of proof, such that this decision could
arguably “allow [a plaintiff] to establish causation without ever proving an
event sufficient to result in its loss.” Id. at 522.
The majority is also mistaken when it applies the “specific availability”
standard of causation and concludes that the evidence adduced at trial is
sufficient to enable a rational trier of fact to find that Foy caused Ocean’s
injury. Specifically, the majority concludes that the evidence is sufficient to
19
establish not only “that additional law and ordinance coverage was generally
available in the marketplace,” but that such coverage “was specifically available
to Ocean.” The latter conclusion is based on the incorrect premise that Seigel’s
testimony supports the following two inferences: First, that, by reducing the
replacement cost coverage proportionally, “Ocean could have obtained, in the
surplus lines market, law and ordinance coverage of between $700,000 and
$1,000,000”; and, second, that there “would have been little difference between
what Ocean paid in premiums under its then-current coverage and what it
would pay in premiums if replacement coverage were reduced to $1,300,000 or
$1,100,000 and law and ordinance coverage were increased to $700,000 or
$900,000, other than an endorsement processing fee of $500.” The evidence
simply does not permit a reasonable jury to draw these inferences.
Although Seigel testified that it might have been possible for Ocean to
secure $700,000 in law and ordinance coverage, he never opined as to the
premium for that coverage. No reasonable jury could have understood his
testimony to support the proposition that the reduction in replacement cost
coverage would reduce the premium by the same amount that the additional
law and ordinance coverage would increase the premium. Indeed, Seigel
acknowledged that law and ordinance coverage is “not free,” that “everything
comes with a price,” and that “you’re going to pay the premium for [the
additional law and ordinance] coverage.” Had Seigel been able to opine that the
premium changes would offset each other — or even offer a rough estimate as
to how much the additional coverage would have cost — surely he would have
said so directly. Had he done so, we would have a much different case before
us. However, in this case, the record reflects that the cost of additional law
and ordinance coverage in the surplus lines market is risk-sensitive, and could
vary widely. This is especially so with respect to the hotel, which was difficult
to insure because of the risks associated with its loss history, age, and
proximity to the ocean.
It may be true, as a general proposition, that one can purchase just
about anything if price is no object — including insurance for almost any risk.
However, that aphorism has little utility here, because there was no evidence
that Ocean would have been willing and able to pay the additional premium for
any given amount of law and ordinance coverage.2 Although Bellemore testified
that, because of the age of the structure and the fact that it was non-
conforming, he “would have had to buy” additional law and ordinance coverage
2 For example, Mark Boland, a division president at The Hanover Insurance Company, testified
that “if [someone] wanted to pay $900,000 in premium for a million dollar coverage,” he would
“[a]bsolutely” want to write that coverage. These numbers graphically illustrate why evidence as
to the amount of the premium is necessary for Ocean to prove causation. In the event that Ocean
had purchased the additional law and ordinance coverage at this price, it would have paid a total
of $1.8 million in premiums during 2014 and 2015 for $1 million in law and ordinance coverage.
20
if it were available, he made this statement without reference to any
information as to the cost or availability of any particular amount of coverage.
Indeed, there was evidence that, over the years, Bellemore was a price-sensitive
insured, who, on several occasions, after weighing the costs and benefits of
additional coverage suggested by Foy, rejected Foy’s recommendations to add
or increase coverage. Accordingly, the mere assertion by Bellemore that Ocean
would have purchased additional law and ordinance coverage if recommended
by Foy — regardless of price — is insufficient to bridge the evidentiary gap.
Given the dearth of evidence as to the likely premium for any particular
amount of law and ordinance coverage, or whether, at any price point and level
of coverage, Ocean would have purchased the additional coverage, I conclude
that the existence of Ocean’s claimed damages is too speculative to support
recovery. See Desmarais, 136 N.H. at 188; Schnoebelen, 91 N.H. at 274. This
conclusion is inescapable, and necessarily follows from the application of long-
established principles of causation. In order to satisfy its burden, Ocean must
show both that Foy’s negligent conduct was a substantial factor in causing the
uninsured loss, and that the loss would not have occurred without Foy’s
negligent conduct. Carignan, 151 N.H. at 414. Here, if additional law and
ordinance coverage for the hotel had not been available in the surplus lines
market, or if Ocean would not have purchased the coverage even if it had been
available, then Ocean’s injury — the uninsured loss — would have occurred
regardless of Foy’s conduct. Accordingly, because it cannot be said “with
reasonable certainty” that Ocean’s injury “resulted from” Foy’s conduct,
Desmarais, 136 N.H. at 188 (quotations omitted), I would reverse the trial
court’s denial of Foy’s motions for a directed verdict, for judgment
notwithstanding the verdict, and to set aside the jury verdict.
I respectfully dissent.
21