Dalton's Towing & Recovery, LLC v. WCAB (King)

CourtCommonwealth Court of Pennsylvania
DecidedDecember 3, 2021
Docket647 and 648 C.D. 2020
StatusUnpublished

This text of Dalton's Towing & Recovery, LLC v. WCAB (King) (Dalton's Towing & Recovery, LLC v. WCAB (King)) is published on Counsel Stack Legal Research, covering Commonwealth Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dalton's Towing & Recovery, LLC v. WCAB (King), (Pa. Ct. App. 2021).

Opinion

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

Dalton’s Towing & Recovery, LLC, : : Petitioner : : v. : No. 647 C.D. 2020 : No. 648 C.D. 2020 : Submitted: February 5, 2021 Workers’ Compensation Appeal : Board (King, State Workers’ : Insurance Fund, Uninsured : Employers Guaranty Fund, and : Pinnaclepoint Insurance Company : c/o Brickstreet Insurance), : : Respondents :

BEFORE: HONORABLE MICHAEL H. WOJCIK, Judge HONORABLE CHRISTINE FIZZANO CANNON, Judge HONORABLE BONNIE BRIGANCE LEADBETTER, Senior Judge

OPINION NOT REPORTED

MEMORANDUM OPINION BY JUDGE WOJCIK FILED: December 3, 2021

In these consolidated appeals, Dalton’s Towing & Recovery, LLC (Employer) petitions for review of the order of the Workers’ Compensation Appeal Board (Board) affirming the decision of a workers’ compensation judge (WCJ), which granted the Claim Petition of Raymond King (Claimant) seeking compensation benefits under the Workers’ Compensation Act (Act)1 against Employer and Pinnaclepoint Insurance Company c/o Brickstreet Insurance

1 Act of June 2, 1915, P.L. 736, as amended, 77 P.S. §§1 - 1041.4, 2501-2710. (Insurer); granted the Claim Petition for compensation benefits filed by Claimant against the Uninsured Employers Guaranty Fund (UEGF); and denied Employer’s Petition to Review Compensation Benefits (Review Petition) that alleged, inter alia, that Insurer improperly cancelled Employer’s workers’ compensation insurance policy (Policy) prior to Claimant’s work-related injury. We affirm. It is undisputed that, on March 30, 2018, Claimant was employed as a tow truck driver by Employer, and was involved in a work-related motor vehicle accident in which he sustained the following injuries: (1) acute kidney injury; (2) liver shock; (3) a right anterior cruciate ligament (ACL) tear; (4) closed bilateral acetabular fractures; (5) a degloving injury to the right lower leg; (6) traumatic amputation of the left leg above the knee; (7) multiple open pelvic fractures; and (8) a non-displaced commuted fracture of the shaft of the right fibula. Employer was notified of the work-related injuries on the date of injury. Employer filed an Answer to the Claim Petition, admitting that Claimant was involved in the accident during his employment, suffered disabling injuries therefrom, and gave timely notice of the accident and his injuries. However, Employer asserted that it had workers’ compensation insurance at the time of the accident and that Insurer improperly denied coverage under the Policy. On April 20, 2018, Employer filed the Review Petition, alleging that Insurer had improperly cancelled the Policy. Insurer filed an Answer to the Review Petition denying the material allegations raised therein and alleging, inter alia, that there was no improper denial of coverage, and the Policy cancellation was done in accordance with Pennsylvania law based on Employer’s nonpayment of premiums. On June 15, 2018, Claimant filed another Claim Petition for compensation benefits against UEGF (UEGF Petition) based on his work-related

2 injuries. UEGF filed an Answer to the UEGF Petition denying all of the material allegations raised therein. Hearings ensued before the WCJ in which Claimant testified in support of the Claim Petitions, and presented the testimony of Cindy Landis, Employer’s owner; Libby Fleischer, a senior claims adjuster for Insurer; and Toney Stroudt, Insurer’s in-house counsel, in support of the position that Employer was insured by Insurer at the time of the accident through the Policy. Insurer presented the deposition testimony of Mandy Maher, a client service agent for McConkey & Co. (Broker), an insurance broker; Tod Bergen, a producer for Broker, who solicits businesses and procures insurance for them; and Joanne Rao, the Philadelphia branch manager for IPFS Corporation (IPFS), in support of the position that Employer’s Policy was properly cancelled prior to the time of the accident. On April 1, 2019, the WCJ issued a decision disposing of the petitions in which he made the following relevant findings of fact and conclusions of law. Employer and Insurer executed a Premium Finance Agreement (Agreement)2 to finance Employer’s premiums for the Policy to Insurer through a

2 Section 2 of the Insurance Premium Finance Company Act (Premium Finance Act), Act of December 19, 1984, P.L. 1182, 40 P.S. §3302, defines “[i]nsurance premium finance agreement,” in pertinent part, as follows:

An agreement by which an insured or prospective insured promises to pay to an insurance premium finance company the amount advanced or to be advanced under the agreement to an insurer . . . in payment of premiums and related loss prevention services of an insurance contract together with interest and a service charge as authorized and limited by this act.

In turn, Section 2 defines “[i]nsurance premium finance company” as “[a] person engaged in the business of entering into insurance premium finance agreements.” Id. 3 Premium Finance Company, in this case, IPFS. Reproduced Record (R.R.) at 26a. As noted by the WCJ in his decision, the provisions of the Agreement

specifically address[] the issues that directly impact the dispute in this matter, including [(1)] whether IPFS had the authority to act on behalf of Employer in the event of [a] default of payment; [(2)] what constitutes a default; [(3)] notices required if IPFS sought to cancel the [Policy] on behalf Employer after default; and [(4)] the impact, if any, when payments were received after a cancellation. Id. The WCJ found as fact that Employer granted IPFS a full power of attorney under the express terms of the Agreement:

POWER OF ATTORNEY: [Employer] irrevocably appoints [IPFS its] attorney-in-fact with full power of substitution and full authority upon default to cancel [the Policy] above identified, receive all sums assigned to [IPFS] or in which it has granted [IPFS] a security interest and to execute and deliver on behalf of [Employer] documents, instruments, forms and notices relating to the [Policy] in furtherance of this Agreement. R.R. at 26a. The WCJ also found as fact that the Agreement defined “default” as follows:

DEFAULT AND DELINQUENT PAYMENTS: If any of the following happens [Employer] will be in default: (a) a payment is not made when it is due, (b) a proceeding in bankruptcy, receivership, insolvency or similar proceeding is instituted by or against [Employer], or (c) [Employer] fails to keep any promise [that Employer] makes in this agreement; provided, however, that to the extent required by applicable law, [Employer] may be held to be in default only upon the occurrence of an event described in clause (a) above. R.R. at 26a. 4 Additionally, the WCJ found as fact that the Agreement permitted IPFS to cancel the Insurance Policy stating, in relevant part:

CANCELLATION: [IPFS] may cancel the [Policy] after providing at least 18 days’ notice of its intent to cancel or any other required statutory notice[3] if [Employer] does

3 With respect to the cancellation of the Policy, Section 10 of the Premium Finance Act states:

(a) Procedure. When an insurance premium finance agreement contains a power of attorney enabling the insurance premium finance company to cancel any insurance contract or contracts listed in the agreement, the insurance contract or contracts shall not be canceled by the insurance premium finance company unless the cancellation is effectuated in accordance with this section.

(b) Written notice. Not less than 15 days’ written notice shall be mailed to the insured, at his last known address as shown on the records of the insurance premium finance company, of the intent of the insurance premium finance company to cancel the insurance contract or contracts unless the default is cured within such 15-day period.

(c) Curing default.

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Bluebook (online)
Dalton's Towing & Recovery, LLC v. WCAB (King), Counsel Stack Legal Research, https://law.counselstack.com/opinion/daltons-towing-recovery-llc-v-wcab-king-pacommwct-2021.