Amfed National Insurance Company v. NTC Transportation, Inc.

196 So. 3d 947, 2016 Miss. LEXIS 318, 2016 WL 4245423
CourtMississippi Supreme Court
DecidedAugust 11, 2016
Docket2014-CA-01288-SCT
StatusPublished
Cited by7 cases

This text of 196 So. 3d 947 (Amfed National Insurance Company v. NTC Transportation, Inc.) is published on Counsel Stack Legal Research, covering Mississippi Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Amfed National Insurance Company v. NTC Transportation, Inc., 196 So. 3d 947, 2016 Miss. LEXIS 318, 2016 WL 4245423 (Mich. 2016).

Opinion

DICKINSON, Presiding Justice,

for. the Court:

¶ 1. An employee of NTC Transportation, Inc. (“NTC”) filed petitions to controvert with the Mississippi Workers’ Compensation Commission (“the Commission”), claiming he had • suffered compensable work-related injuries oh two occasions. AmFed National Insurance Co. (“Am-fed”) 1 — believing NTC’s workers’ compensation coverage to have lapsed due to NTC’s failure to timely pay the premium— responded and denied both liability and coverage as to the latter injury. AmFed’s denial of coverage sparked the instant litigation and culminated in a judgment rendered in NTC’s favor. Based on the applicable law and particular facts of this case, NTC had no insurance coveragé with Am-Fed in effect at the time of the relevant injury. Accordingly, we reverse and render.

FACTS AND PROCEDURAL HISTORY

¶ 2. NTC operates a business which provides nonemergency medical transportation services for sixteen Mississippi counties. Due to the nature of its business, NTC is unable to obtain workers’ compensation coverage in the voluntary market. The Mississippi .Legislature established the Mississippi Assigned Risk Plan (“the Plan”) to provide access to workers’ compensation insurance to businesses like NTC. AmFed is an insurance company located in Madison, Mississippi, and participates in the Plan because it is required to do so — the Plan requires all *950 insurers who write workers’ compensation coverage in Mississippi to participate.

¶3. The Plan paired NTC and Am-Fed — so, NTC obtained its workers’ compensation coverage from AmFed beginning on January 19, 2000. NTC’s policy was renewable each year thereafter, provided that NTC tendered the premium payment on or before the relevant due date. Accordingly, NTC’s policy with AmFed was renewed for three years following the initial policy period until January of 2004.

¶ 4. On November 13, 2003 — more than sixty days before the current policy was set to expire — AmFed sent a renewal notice to NTC, in which it offered to renew NTC’s coverage for an additional year provided that the premium payment was received on or before January 19, 2004 and the new policy, if timely renewed, would be effective January 19, 2004, through January 19, 2005. The notice indicated a policy premium of $42,347 and provided for three different installment options. The notice also included the following language: “payment must be received by the dm date shown above to insure no lapse in coverage.”

¶ 5. NTC does not dispute receipt of the sixty-date notice. AmFed contends— and NTC has not disputed — that it sent an additional renewal notice in December 2013, some thirty days before the current policy was to expire. AmFed did not send the aforementioned renewal notices to the Commission nor did AmFed personally deliver the renewal notices to NTC.

¶ 6. Because the premium was so expensive, NTC resorted to third-party financing — NTC obtained a loan from Premium Financing Specialists of the South (“PFS”), and PFS allegedly issued NTC a check on January 19, 2004. NTC subsequently tendered the premium check to its agent, who then mailed the check along with the corresponding stub from the renewal notice, and payment was received by AmFed on February 4, 2004 — two weeks past the January 19 deadline indicated in the renewal notice. After receipt of the premium payment, Claudine Burkes (“Burkes”), AmFed’s Operations and Residual Market Manager, deposited the payment and issued NTC a workers’ compensation policy effective from February 4, 2004, through February 4, 2005.

¶ 7. Beginning in March 2004, Rhondy Mickle (“Mickle”), an NTC employee, filed two workers’ compensation claims with the Commission, alleging that he had suffered compensable work-related injuries on January 16, 2004, and January 22, 2004. As a result of these injuries, Mickle filed Petitions to Controvert against NTC and AmFed with the Commission in Jackson, Mississippi. AmFed responded to the January 16, 2004, claim on behalf of NTC and denied liability but not coverage. As to the' January 22, 2004 claim, Am-Fed — believing that the policy had lapsed — responded only on its own behalf, and denied both liability and coverage. Mickle’s claims ultimately were settled, but NTC and AmFed preserved the coverage issue, which is the subject of the instant litigation.

¶ 8. On June 30, 2006, NTC filed suit against AmFed in the County Court of Hinds County for the First Judicial District — in its first complaint, NTC alleged claims for breach of contract and for declaratory relief. NTC filed its First Amended Complaint on November 16, 2006, adding a demand for punitive damages and prejudgment interest. AmFed responded to NTC’s amended complaint on January 29, 2007, and — believing Hinds County to be an improper venue — moved for a transfer either to Rankin County or Madison County. The trial court entered an order on June 28, 2007, denying Am-Fed’s motion without explanation.

*951 ¶ 9; On April 1, 2008, NTC filed a Motion for Partial Summary Judgment and asked the court to find that, as a matter of law, NTC had workers’ compensation coverage in effect at the time of Mickle’s injury. NTC argued that it had submitted a counteroffer for backdated coverage, to AmFed when it sent in the late premium payment, which AmFed then accepted by depositing the check. NTC argued in the alternative that its policy with AmFed continued in effect because AmFed failed to comply with Mississippi Code Section 71-3-77, 2 which NTC contended required Am-Fed personally to deliver the renewal notice to NTC and to send a copy of the renewal notice to the Commission via certified mail.

¶ 10. AmFed Responded to NTC’s motion for partial summary judgment with its own Cross-Motion for Summary Judgment on May 12, 2008. AmFed argued that, because NTC had failed to timely pay the premium amount, a lapse in coverage resulted from January 19, 2004, until February 4, 2004, and that consequently, no coverage existed at the time of Mickle’s January 22, 2004, injury. AmFed further contended that Mississippi • Code Section 71-3-77 did not' apply to these circumstances — where a policy had expired, or lapsed, for failure to timely pay a premium.

¶ 11. The trial court granted NTC’s motion for partial summary judgment and denied AmFed’s cross-motion for summary judgment on November 20, 2008. In the order granting partial summary judgment to NTC, the trial court found as follows:

[ ] ... on January 19, 2004, AmFed’s offer to renew the worker’s [sic ] compensation, coverage from January 19, 2004 through January 10, 2005 expired by its- own terms without acceptance from NTC;
[] that or around February 4, 2004, AmFed accepted and deposited a check from NTC for the renewal premium of said policy, in the amount of $47, 347.00 which was accompanied by the payment stub from the Notice of Renewal previously sent to NTC by AmFed; and

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196 So. 3d 947, 2016 Miss. LEXIS 318, 2016 WL 4245423, Counsel Stack Legal Research, https://law.counselstack.com/opinion/amfed-national-insurance-company-v-ntc-transportation-inc-miss-2016.