Fontana v. Zurich Ins. Co.

430 So. 2d 718, 1983 La. App. LEXIS 8158
CourtLouisiana Court of Appeal
DecidedMarch 28, 1983
Docket15284-CA
StatusPublished
Cited by7 cases

This text of 430 So. 2d 718 (Fontana v. Zurich Ins. Co.) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Fontana v. Zurich Ins. Co., 430 So. 2d 718, 1983 La. App. LEXIS 8158 (La. Ct. App. 1983).

Opinion

430 So.2d 718 (1983)

Reginald P. FONTANA, Plaintiff-Appellant,
v.
ZURICH INSURANCE COMPANY, et al., Defendants-Appellees.

No. 15284-CA.

Court of Appeal of Louisiana, Second Circuit.

March 28, 1983.
Rehearing Denied May 5, 1983.

*719 Paul Henry Kidd, Monroe, for plaintiff-appellant.

Davenport, Files & Kelly by Thomas W. Davenport, Monroe, for defendants-appellees.

Before MARVIN, JASPER E. JONES and FRED W. JONES, Jr., JJ.

MARVIN, Judge.

The primary issue is whether a corporation's automobile liability policy, general liability policy, or excess liability policy provide liability coverage for a corporate employee whose negligence caused job-related personal injury in 1974 to the corporation's president who had elected not to be covered by the corporation's workers compensation insurance when such an election could be *720 made under the law. LRS 23:1038-1040, since repealed.[1]

The corporate president sued the insurance carriers in a direct action. The coverage issue was answered negatively and his demands were rejected in a judgment which he now appeals. We affirm.

FACTS

The plaintiff-president is Reginald Fontana. The negligent employee is his brother, Steve Fontana, who is also a vice-president of the Fontana corporation. The president was manually working on the underside of a suspended truck belonging to the corporation when Steve Fontana negligently caused the truck to fall and injure his brother.

Each of the defendant insurers denied that its policy or policies provided liability coverage to Steve Fontana or for the occurrence complained of and alternatively pleaded affirmative defenses of contributory negligence, assumption of risk, and "fellow servant doctrine", which before enactment of the workers compensation law was often pleaded in defense of such actions as this. See Malone-Johnson, "Workmen's Compensation", 2d Ed., La. Civil Law Treatise, Vol. 13, § 6-12.

After a jury heard testimony, defendants' motion for directed verdict was denied insofar as it would have precluded the jury from determining the issues of contributory negligence and assumption of risk. The motion was taken under advisement insofar as the issue of coverage was concerned and the jury was not instructed to decide this issue but was allowed and was instructed to decide, on interrogatories, the contributory negligence and assumption of risk issues and to assess damages while the judge considered the coverage question.

After the jury returned a verdict for plaintiff for $150,000, the trial court, notwithstanding the verdict, in written reasons, granted each defendant's motion for directed verdict, holding that each policy in question simply did not provide liability coverage under the circumstances. The judgment appealed mentioned the procedural developments referred to and rejected and dismissed plaintiff's demands.

ASSIGNMENTS OF ERROR

In five assignments of error, plaintiff asserts that the policy exclusions should not have been considered by the trial court because they were not affirmatively pleaded as required by C.C.P. 1005, that the jury was allowed to determine coverage as a factual issue and should not have been overruled by the trial court's upholding the motion for directed verdict after the jury returned its verdict.[2]

The pleadings and pre-trial statements timely and fairly informed plaintiff of the insurers' coverage defenses. Townsend v. Cleve Heyl Chevrolet-Buick, Inc., 318 So.2d 618 (La.App. 2d Cir.1975). The answer of each defendant affirmatively sets forth the fact that plaintiff was injured while repairing the truck and the details of the repair, that Steve Fontana was also an employee of the corporation, and specifically denied that any [liability] coverage was afforded Steve Fontana in respect to the incident in question. Additionally we note that plaintiff addressed some of the coverage exclusions in his pre-trial memorandum and stated that the "key issue" concerns "whether or not petitioner [sic] is an employee and is thereby excluded from coverage of the policy."[3] Defendants' pre-trial memorandum *721 addressed the pertinent exclusions. We find no error in the trial court's conclusion that the pleadings and pre-trial statement of April 23, 1982, encompassed the exclusion defenses and that plaintiff was adequately placed on notice of defendants' intention to raise these defenses. Trial began on May 3, 1982.

Here we note that the coverage issue does not concern Reginald Fontana being insured for his loss or excluded from coverage, but concerns liability coverage that will protect Steve Fontana against his liability to pay damages, if any, to Reginald Fontana. See Black's Law Dictionary, "Liability Insurance", p. 824. The "employee" status of each, of course, is pertinent to the policy provisions.

THE COVERAGE ISSUE

Steve Fontana, as a vice president, is an executive officer of the corporation. He is also an employee of the corporation and was performing his employee duties operating the front-end loader holding the truck off the ground while plaintiff worked under the truck. Steve Fontana operated the front-end loader during the day of the accident. As an executive officer of the named insured corporation, Steve Fontana is an omnibus insured under the liability policies only while acting within the scope of his duties as an executive officer. The language of the general liability and the excess liability policies effectively and clearly says so in these words:

"Each of the following is an insured under this insurance to the extent set forth below:
* * * * * *
"(c) if the named insured is designated in the declarations as other than an individual, partnership or joint venture, the organization so designated and any executive officers, director, or stockholder thereof while acting within the scope of his duties as such;" (Emphasis added.)
"(d) any executive officer, director, other employee or stockholder of the Named Insured while acting within the scope of his duties as such;"

Moreover, the general liability policy states:

"This insurance does not apply:
* * * * * *
"(J) to bodily injury to any employee of the insured arising out of and in the course of his employment by the insured;"

and the excess liability policy states:

"This policy does not apply:
* * * * * *
"(b) to afford insurance to any employee with respect to injury to or the death of another employee of the same employer injured in the course of such employment."

The automobile liability policy effectively provides the same exclusion from coverage in these words:

"None of the following is an insured:
* * * * * *
"(i) any person while engaged in the business of his employer with respect to bodily injury to any fellow employee of such person injured in the course of his employment."

Such provisions are commonly called cross-employee exclusions, and executive officers, under circumstances similar to Steve Fontana's circumstance when the liability occurred, were held to be excluded from liability coverage. Manuel v. Liberty Mutual Insurance Company, 256 La. 480, 236 So.2d 807 (La.1970); Mauterer v. Associated Indemnity Corp.,

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430 So. 2d 718, 1983 La. App. LEXIS 8158, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fontana-v-zurich-ins-co-lactapp-1983.