Bituminous Casualty v. J & L Lumber Co Inc

CourtCourt of Appeals for the Sixth Circuit
DecidedJune 29, 2004
Docket03-5217
StatusPublished

This text of Bituminous Casualty v. J & L Lumber Co Inc (Bituminous Casualty v. J & L Lumber Co Inc) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bituminous Casualty v. J & L Lumber Co Inc, (6th Cir. 2004).

Opinion

RECOMMENDED FOR FULL-TEXT PUBLICATION Pursuant to Sixth Circuit Rule 206 2 Bituminous Casualty Corp. No. 03-5217 ELECTRONIC CITATION: 2004 FED App. 0199P (6th Cir.) v. J & L Lumber Co. File Name: 04a0199p.06 _________________ UNITED STATES COURT OF APPEALS COUNSEL FOR THE SIXTH CIRCUIT ARGUED: Jeffrey L. Freeman, JEFFREY L. FREEMAN _________________ ATTORNEY AT LAW, Louisville, Kentucky, for Appellant. Robert E. Maclin III, McBRAYER, McGINNIS, LESLIE & BITUMINOUS CASUALTY X KIRKLAND, Lexington, Kentucky, for Appellee. CORPORATION , - ON BRIEF: Jeffrey L. Freeman, JEFFREY L. FREEMAN Plaintiff-Appellee, - ATTORNEY AT LAW, Louisville, Kentucky, for Appellant. - No. 03-5217 Robert E. Maclin III, Pamela A. Chesnut, McBRAYER, - McGINNIS, LESLIE & KIRKLAND, Lexington, Kentucky, v. > for Appellee. , - J & L LUMBER COMPANY , _________________ - INC., - OPINION Defendant-Appellant. - _________________ - N SUHRHEINRICH, Circuit Judge. Defendant-Appellant Appeal from the United States District Court J & L Lumber Company, Inc. (J & L) appeals from the order for the Western District of Kentucky at Owensboro. of the district court granting summary judgment in favor of No. 01-00106—Joseph H. McKinley, Jr., District Judge. Bituminous Casualty Corp. (Bituminous) and denying summary judgment in favor of J & L in this declaratory Argued: April 20, 2004 judgment action. Bituminous brought this action against J & L in federal district court, seeking a declaration that it was Decided and Filed: June 29, 2004 not required to defend or indemnify J & L in a personal injury action in state court relating to a logging accident that Before: SUHRHEINRICH and GIBBONS, Circuit Judges; occurred on November 13, 1998, while Phillip Shields, LAWSON, District Judge.* plaintiff in the state action, was preparing to haul a load of timber from a J & L logging site. The central issue in the federal aJune 29, 2004ction was whether Shields was an employee of J & L at the time of his injury and, therefore, excluded from coverage under the terms of J & L’s commercial insurance policies with Bituminous. For the reasons that follow, we VACATE the district court’s order * granting declaratory judgment relief to Bituminous and The Honorable David M. Lawson, United States District Judge for the Eastern D istrict of M ichigan, sitting by de signation.

1 No. 03-5217 Bituminous Casualty Corp. v. 3 4 Bituminous Casualty Corp. No. 03-5217 J & L Lumber Co. v. J & L Lumber Co.

REMAND the case to the district court with instructions to permitting, Shields hauled for J & L at least once a week and dismiss the complaint. usually more. On occasion, he even drove a J & L truck. I. Background The payment arrangement between Shields and J & L was somewhat complicated. Primarily, Shields was paid by the A. Facts load for his work hauling for J & L. When he drove a J & L truck, though, Shields received only driver’s pay in the same J & L is a small, family owned and operated sawmill in manner as J & L’s own drivers. In addition, from March eastern Kentucky. Besides family members, the mill employs 1998 through December 9, 1998, Shields was listed as an approximately ten to fifteen additional workers in either the employee on the J & L payroll registers. He received a sawmill or the woods. In November 1998, J & L also owned weekly payroll check of $250 from which taxes and health three tractor-trailer trucks and two tandems for hauling insurance premiums were withheld. He also received a check lumber and employed drivers for these vehicles. from the general account from which no withholdings were taken. Phillip Shields, the plaintiff in the underlying personal injury action against J & L, is a fifty-eight-year-old man who J & L described this unusual payment arrangement as an has worked in or around the logging industry most of his accounting device that permitted Shields to obtain health adult life. At different times, Shields has worked as a trucker, insurance coverage. The deposition testimony indicated that sawmill foreman, independent logger, and timber buyer. In in March or April 1998, Wilma Myers (Myers), J & L’s the past, he worked for J & L both as the sawmill foreman secretary and general office manager, and Joel Smith, an and as a truck driver. owner’s son who had been insured with Blue Cross and Blue Shield, decided to change insurance providers due to an Sometime after quitting the sawmill foreman position at increase in premiums. To get insurance under a plan with J & L, Shields formed a trucking company with the name MedQuest insurance company, however, they needed a group Phillip Shields or Shields Trucking. He purchased two of at least three. Shields, who also needed insurance, became eighteen-wheeler trucks, which were garaged at his house and the third member of the group. Myers placed Shields on the were maintained primarily by him. Shields also employed his payroll and began issuing him a weekly check from which the own driver and incurred other expenses in connection with his insurance premium was deducted. The amount of the payroll trucking business, including fuel, contract labor, tolls, check was then deducted from the total amount due Shields business telephone, and subcontractors. In 1998, Shields’s for his independent hauling. Although Joel was not an trucking business yielded a gross income of $91,159. employee, his insurance premium was paid directly by J & L because of his filial relationship to Jerry Smith, one of J & After Shields started his trucking company, he and J & L L’s owners. formed a business relationship. J & L hired Shields’s trucks and drivers when it needed loads hauled and did not have any Outside of their business relationship, Shields and the available trucks or drivers of its own. Although there was no owners of J & L were good friends. They had known each formal contract between them, J & L used Shields’s trucks on other for approximately thirty years. In fact, Shields a regular basis, but not exclusively. In fact, weather characterized his relationship with Jerry and Lester Smith as No. 03-5217 Bituminous Casualty Corp. v. 5 6 Bituminous Casualty Corp. No. 03-5217 J & L Lumber Co. v. J & L Lumber Co.

the “best of friends.” He lived approximately one mile from asserted that Shields’s action was barred by the exclusive J & L’s office and would go to the J & L property usually remedy provision of the Kentucky Workers’ Compensation once a day and sometimes two or three times a day to check Act. for work or just to socialize. Shields was also good friends with Myers and the two had a social, dating relationship in the J & L did not carry workers’ compensation insurance at the past. In addition, Shields employed Myers’s son, Greg, as a time of the injury.1 J & L did, however, carry accident driver for one of his tractor-trailers. coverage for its employees under an Employers’ Underwriters policy. It also carried two commercial insurance policies with On the evening of November 12, 1998, Shields and Myers Bituminous Casualty Corp., a general liability policy and a were in the J & L office drinking coffee when they received commercial auto policy. At the time of injury, Shields was word that the woods crew was “blocked out” and could not not covered under the Employers’ Underwriters policy. continue working unless the cut timber was hauled away from Therefore, J & L requested a defense from Bituminous in the the logging site. Myers and Shields arranged for Shields to state tort action, which Bituminous provided under take a truck and haul the timber the next morning. On the reservation of rights. morning of November 13, 1998, Shields arrived at the J & L lumber yard and picked up a J & L truck, which was loaded On or about October 23, 2000, a few weeks before the with pulp wood.

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