Brickstreet Mutual Insurance Co. v. Zurich American Insurance Co.

209 F. Supp. 3d 881, 2016 WL 4992095
CourtDistrict Court, S.D. West Virginia
DecidedSeptember 16, 2016
DocketCIVIL ACTION NO. 2:15-cv-06172
StatusPublished

This text of 209 F. Supp. 3d 881 (Brickstreet Mutual Insurance Co. v. Zurich American Insurance Co.) is published on Counsel Stack Legal Research, covering District Court, S.D. West Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Brickstreet Mutual Insurance Co. v. Zurich American Insurance Co., 209 F. Supp. 3d 881, 2016 WL 4992095 (S.D.W. Va. 2016).

Opinion

MEMORANDUM OPINION AND ORDER (Cross-Motions for Summary Judgment)

JOSEPH R. GOODWIN, UNITED STATES DISTRICT JUDGE

Pending before the court is the plaintiff BrickStreet Mutual Insurance Company’s (“BrickStreet”) Motion for Summary Judgment [ECF No. 24] and the defendant Zurich American Insurance Company’s (“Zurich”) Motion for Summary Judgment [ECF No. 26]. For the reasons herein, BriekStreet’s Motion for Summary Judgment is GRANTED and Zurich’s Motion for Summary Judgment is DENIED.

I. Background

This is a declaratory judgment action relating to workers’ compensation insurance coverage as between two insurance companies, BrickStreet and Zurich. The [883]*883case arises out of injuries suffered by Jonathan Posadas Gutierrez while working at the Tunnel Ridge Mine outside of Wheeling, West Virginia. Gutierrez was employed to work on the Tunnel Ridge Mine River Load-Out through a professional employer agreement (“PEO”) between Taggart Site Services Group, LLC (“Tag-gart”) and the Employer’s Innovative Network, LLC (“EIN”). Compl. ¶ 3 [ECF No. 1]; see also BriekStreet Mem. Supp. Mot. Summ. J. 3 [ECF No. 25] (“BriekStreet Mem.”); Zurich Mem. Supp. Mot. Summ. J. 1-2 [ECF No. 27] (“Zurich Mem.”).1 Taggart “engaged EIN to provide professional employer organization services at [Taggart’s] workplace(s).” PEO Agreement ¶ 1 [ECF No. 24-3]. Under this agreement, EIN was responsible for “hiring, personnel relations, discipline and/or termination,” and Taggart was responsible for “the day to day supervision and control of the employees to the extent ... necessary to allow [Taggart] to conduct the normal business of [Taggart].” Id. ¶2.1.2

At the time of Mr. Gutierrez’s accident on January 5, 2012, Taggart was an additional named insured on a policy issued by BriekStreet and a named insured on a policy issued by Zurich.3 Brickstreet Policy 2 [ECF No. 24-2]; Zurich Policy 13.

The BriekStreet policy, which insures EIN and Taggart, states the following: ‘We will pay promptly when due the benefits required of you by the workers compensation law.”4 BriekStreet Policy 8. The BriekStreet policy also contains a standard “other insurance” clause:

We will not pay more than our share of benefits and costs covered by this insurance and other insurance or self-insurance. Subject to any limits of liability that may apply, all shares will be equal until the loss is paid. If any insurance or self-insurance is exhausted, the shares of all remaining insurance will be equal until the loss is paid.

Id. at 9.

The Zurich policy, which insures Tag-gart, contains identical language as that contained in BrickStreet’s policy: “We will pay promptly when due the benefits required of you by the workers compensation law.” Zurich Policy 30. The Zurich policy also contains an “other insurance” clause identical to that found in the Brick-street policy. Id. at 30-31.

Following Mr. Gutierrez’s accident, he filed a claim for workers’ compensation benefits with BriekStreet. Pursuant to the BriekStreet Policy insuring EIN Resources and Taggart under West Virginia workers’ compensation law, BriekStreet has paid almost $2.4 million in workers’ compensation medical benefits to Mr. Gutierrez and will continue to pay benefits in the future. Casto Aff. 2 [ECF No. 24-4]. BriekStreet does not dispute that its policy covers Gutierrez’s injuries or that it is obligated to pay his workers’ compensation benefits.

[884]*884The core of BrickStreet’s Complaint is that Zurich’s policy also covers Mr. Gutierrez’s claims, and pursuant to the “other insurance” clauses in both policies, Zurich must share equally in paying the claims. Specifically, Brickstreet seeks a declaration that Zurich is obligated to (1) reimburse Brickstreet for half of the workers’ compensation benefits already paid by Brickstreet to Mr. Gutierrez5 and (2) contribute equally to workers’ compensation benefits to be paid to Mr. Gutierrez in the future.

The parties filed their Motions for Summary Judgment on June 6, 2016, to which each timely responded and filed replies. The court held a hearing on July 26, 2016. The matter is now ripe for adjudication.

II. Legal Standard

To obtain summary judgment, the moving party must show that there is no genuine dispute as to any material fact and that the moving party is entitled to judgment as a matter of law. Fed. R. Civ. P. 56(a). In considering a motion for summary judgment, the court will not “weigh the evidence and determine the truth of the matter.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 249, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986). Instead, the court will draw any permissible inference from the underlying facts in the light most favorable to the nonmoving party. Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587-88, 106 S.Ct. 1348, 89 L.Ed.2d 538 (1986).

Although the court will view all underlying facts and inferences in the light most favorable to the nonmoving party, the nonmoving party nonetheless must offer some “concrete evidence from which a reasonable juror could return a verdict” in his or her favor. Anderson, 477 U.S. at 256, 106 S.Ct. 2505. Summary judgment is appropriate when the nonmoving party has the burden of proof on an essential element of his or her case and does not make, after adequate time for discovery, a showing sufficient to establish that element. Celotex Corp. v. Catrett, 477 U.S. 317, 322-23, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986). The nonmoving party must satisfy this burden of proof by offering more than a mere “scintilla of evidence” in support of his or her position. Anderson, 477 U.S. at 252, 106 S.Ct. 2505. Likewise, conclusory allegations or unsupported speculation, without more, are insufficient to preclude the granting of a summary judgment motion. See Dash v. Mayweather, 731 F.3d 303, 311 (4th Cir.2013); Stone v. Liberty Mut. Ins. Co., 105 F.3d 188, 191 (4th Cir. 1997).

III. Discussion

To resolve the question of whether Zurich is obligated to share equally in the burden of paying workers’ compensation benefits to Gutierrez, I look first to Zurich’s policy to determine if it covers the claims at issue. I then consider how the Brickstreet and Zurich policies operate in tandem; specifically, I weigh whether a dual employment scenario affects workers’ compensation obligations. Thereafter, I turn to the issue of contract priority in the current dispute. Finally, I briefly examine the West Virginia workers’ compensation administrative scheme and its role in apportioning insurance companies’ contractual obligations to pay claims.

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Cite This Page — Counsel Stack

Bluebook (online)
209 F. Supp. 3d 881, 2016 WL 4992095, Counsel Stack Legal Research, https://law.counselstack.com/opinion/brickstreet-mutual-insurance-co-v-zurich-american-insurance-co-wvsd-2016.