Employers-Shopmens Local 516 Pension Trust v. Travelers Casualty & Surety Co. of America

235 P.3d 689, 235 Or. App. 573, 2010 Ore. App. LEXIS 653
CourtCourt of Appeals of Oregon
DecidedJune 16, 2010
Docket050201821; A137119
StatusPublished
Cited by6 cases

This text of 235 P.3d 689 (Employers-Shopmens Local 516 Pension Trust v. Travelers Casualty & Surety Co. of America) is published on Counsel Stack Legal Research, covering Court of Appeals of Oregon primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Employers-Shopmens Local 516 Pension Trust v. Travelers Casualty & Surety Co. of America, 235 P.3d 689, 235 Or. App. 573, 2010 Ore. App. LEXIS 653 (Or. Ct. App. 2010).

Opinion

*576 HASELTON, P. J.

Plaintiffs, Employers-Shopmens Local 516 Pension Trust (Local 516) and Western States Health and Welfare Trust Fund of the OPEIU (Western), appeal a limited judgment, dismissing plaintiffs’ breach of contract claim against defendants, Travelers Casualty and Surety Company of America (Travelers) and Hartford Fire Insurance Company (Hartford), after the trial court granted summary judgment in favor of both insurers. 1 At the core of this coverage dispute is the meaning of the term “employee” in both the “Welfare and Pension Plan ERISA Compliance” endorsement to the commercial crime policy that Travelers issued to Local 516 and the materially identical policy that Hartford issued to Western. Broadly stated, the legal issue on appeal is whether the principals of a company that provided investment management services to plaintiffs are “employees” under the definition in the endorsement. For reasons that we will explain, the trial court properly granted summary judgment in favor of both insurers. Accordingly, we affirm.

The material facts of this case are essentially procedural or undisputed. Local 516 and Western are trusts subject to the Employee Retirement Income Security Act of 1974 (ERISA). Local 516 obtained a commercial insurance policy from Travelers that included coverage for the loss of money and securities caused by “employee dishonesty,” and Western obtained a materially identical policy from Hartford. 2 In those policies, “employee dishonesty” was defined to mean “only dishonest acts committed by an ‘employee’ ” under particular circumstances. (Emphasis added.)

Two interrelated policy definitions circumscribe the meaning of the term “employee.” The first definition is general in nature and refers to natural persons in plaintiffs’ service, who are compensated directly by plaintiffs, and who are *577 directed and controlled by plaintiffs while performing services for them. 3 The second definition is contained in the “Welfare and Pension Plan ERISA Compliance” endorsement. (Capitalization and boldface omitted.) Specifically, that endorsement provides, in part, that, “[i]n compliance with certain provisions of the Employee Retirement Income Security Act (ERISA),” an “employee” also includes a natural person who is “[a] trustee, an officer, employee, administrator or a manager, except an administrator or a manager who is an independent contractor,” of an ERISA plan. The terms used in that definition of “employee” (i.e., trustee, officer, employee, administrator, manager) are not specifically defined in the endorsement or in the policy as a whole. 4

While that coverage was in effect, plaintiffs had agreements with Capital Consultants, LLC (CCL) to receive investment management services. The precise terms of plaintiffs’ investment advisory agreements were not entirely identical. However, in general terms, both agreements authorized CCL to manage plaintiffs’ designated funds. Specifically, Local 516’s investment advisory agreement provided that *578 “[CCL], as it deems advisable, shall on behalf of [Local 516] cause securities to be bought and sold, invest in [CCL’s] Insured, Cash and/or Cash-equivalent Collateralized Note Program, and shall cause all other functions necessary for investment management to be performed for the account.” Similarly, Western’s agreement provided, in part:

“[Western] authorizes [CCL] to invest and reinvest the assets in the Portfolio on behalf of [Western]. [CCL’s] authority includes the power to purchase, sell and exchange property, and exercise whatever rights are conferred upon the holder of property held in the Portfolio including (without limitation) the power to exercise rights, warrants, conversion privileges, redemption privileges, to tender securities pursuant to a tender offer and the like.”

Then, in 2004, Local 516 and Western each filed a proof of loss with Travelers and Hartford, respectively, seeking coverage for multiple occurrences of “employee dishonesty” during the periods in which the policies were in force. Each plaintiff asserted that its losses were caused by certain of CCL’s principals, each of whom was (1) “an employee of [CCL]” and (2) a “fiduciary] and/or handler[ ] of the Trust’s assets” who was “therefore required to be bonded” under ERISA. Travelers and Hartford each denied coverage for the alleged losses.

Thereafter, plaintiffs filed a complaint, alleging several claims, including a claim for breach of contract, which is the only claim at issue on appeal. Ultimately, with regard to the breach of contract claim, plaintiffs and defendants filed cross-motions for summary judgment. 5 Those motions raised the same general legal issue — viz., whether the policy provided coverage for the losses alleged to have been caused by CCL’s principals.

For their part, plaintiffs contended that any losses caused by CCL’s principals were covered under the policy for any of three independent reasons:

*579 First, plaintiffs contended that, to the extent that “employee” is defined in the “Welfare and Pension Plan ERISA Compliance” endorsement to include trustees, officers, employees, administrators, and managers, the endorsement “undeniably contemplates the statutory meanings of the terms used.” More specifically, plaintiffs contended that the plain meanings of the terms used in the definition of “employee” are the meanings ascribed to those terms for purposes of ERISA and that, in light of ERISA’s definitions, CCL’s principals, as a matter of law, are either employees or officers. Accordingly, plaintiffs reasoned that CCL’s principals are “employees” under the definition in the endorsement such that their acts are covered under the policy. Alternatively, plaintiffs reasoned that, at the least, their construction of the endorsement is reasonable and creates an ambiguity such that the policy must be construed against defendants — that is, the drafters — to provide the coverage plaintiffs seek.

Second, plaintiffs contended that, in the event and to the extent that CCL’s principals are deemed to be administrators or managers (as opposed to employees or officers), as those terms are used in the definition of “employee” in the endorsement, the purported grant of coverage in the endorsement is illusory. According to plaintiffs, because administrators and managers who are in plaintiffs’ service and under their direction and control are already covered by the policy’s general definition of “employee,” see 235 Or App at 577, the references to administrators and managers in the endorsement can be understood to expand coverage only if they refer to administrators and managers who are independent contractors.

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Cite This Page — Counsel Stack

Bluebook (online)
235 P.3d 689, 235 Or. App. 573, 2010 Ore. App. LEXIS 653, Counsel Stack Legal Research, https://law.counselstack.com/opinion/employers-shopmens-local-516-pension-trust-v-travelers-casualty-surety-orctapp-2010.