Gomes v. Massachusetts Bay Insurance

866 A.2d 704, 87 Conn. App. 416, 2005 Conn. App. LEXIS 59, 2005 WL 309959
CourtConnecticut Appellate Court
DecidedFebruary 15, 2005
DocketAC 24409
StatusPublished
Cited by9 cases

This text of 866 A.2d 704 (Gomes v. Massachusetts Bay Insurance) is published on Counsel Stack Legal Research, covering Connecticut Appellate Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gomes v. Massachusetts Bay Insurance, 866 A.2d 704, 87 Conn. App. 416, 2005 Conn. App. LEXIS 59, 2005 WL 309959 (Colo. Ct. App. 2005).

Opinion

Opinion

SCHALLER, J.

The plaintiff, John A. Gomes, appeals from the summary judgment rendered by the trial court in favor of the defendant, Massachusetts Bay Insurance *418 Company. 1 On appeal, the plaintiff claims that the court improperly concluded that he was not entitled to coverage under the underinsured motorist policy endorsement issued by the defendant. Specifically, the plaintiff claims that the court improperly (1) construed General Statutes § 38a-336 (f) as limiting underinsured motorist coverage to those employees of a named insured who are injured while “occupying” a covered motor vehicle, rather than construing it to require such coverage to any person insured under the liability portion of the policy, (2) concluded that the exception to the workers’ compensation exclusivity rule provided by § 38a-336 (f) does not apply to him because he was not “occupying” a covered motor vehicle within the meaning of the statute and (3) failed to conclude that because he was a named insured under his employer’s policy, he was not barred from collecting underinsured motorist coverage by the workers’ compensation exclusivity provision. We affirm the judgment of the trial court.

The following facts and procedural history are relevant to our disposition of this appeal. 2 In his complaint, the plaintiff alleged that he was injured on January 11, 2001, while working in his capacity as a volunteer fire policeman for the Pawcatuck fire district (district). Specifically, the plaintiff alleged that he responded to an emergency call, parked his vehicle at a nearby intersection and began directing traffic to carry out his assigned duties. He further alleged that while standing in the middle of the road directing traffic, he was struck from behind by a vehicle driven by the tortfeasor, Stanley *419 Prachniak, and was seriously injured. The plaintiff applied for and received workers’ compensation benefits from the district for his injuries. The plaintiff also recovered $100,000 from Prachniak’s insurance carrier for the injuries he sustained. The plaintiff brought the present action to collect on the underinsured motorist coverage provided by a policy issued to him by Allstate Insurance Company and by a policy issued to the district by the defendant.

On January 28, 2003, the defendant moved for summary judgment, claiming that the plaintiff, as a matter of law, was not entitled to underinsured motorist coverage under the defendant’s policy. In support of its motion, the defendant argued that General Statutes § 31-284 (a), the workers’ compensation exclusivity provision, limited the plaintiff to the remedies provided by the Workers’ Compensation Act, General Statutes § 31-275 et seq. 3 The defendant further argued that the underin-sured motorist coverage exception to the workers’ compensation exclusivity provision provided by § 38a-336 (f) was inapplicable to the plaintiff because he was not occupying a covered motor vehicle at the time of the accident. 4

The plaintiff objected to the defendant’s motion and argued that when interpreted in light of legislative *420 intent, the exception provided by § 38a-336 (f) was applicable regardless of whether he was occupying a covered vehicle at the time of the accident. In the alternative, the plaintiff argued that the exception was applicable because he was occupying or using a covered vehicle at the time of the accident. In addition to these arguments, at the hearing on the motion for summary judgment, the plaintiff argued that pursuant to Agosto v. Aetna Casualty & Surety Co., 239 Conn. 549, 687 A.2d 1267 (1996), and Hansen v. Ohio Casualty Ins. Co., 239 Conn. 537, 687 A.2d 1262 (1996), the terms of the uninsured and underinsured motorist endorsement were ambiguous and that, therefore, the policy must be construed to provide coverage regardless of whether he was occupying a covered vehicle at the time of the accident.

On June 26, 2003, the court issued a memorandum of decision granting the defendant’s motion for summary judgment. The court concluded that the exception to the workers’ compensation exclusivity provision provided by § 38a-336 (f) was not applicable because the plaintiff was “in the middle of an intersection directing traffic when struck” and was not occupying a covered vehicle as “defined by the policy to mean ‘in, upon, getting in, on, out or off.’ ” The court, therefore, concluded that the plaintiffs recovery was limited to those remedies provided by the Workers’ Compensation Act. The court subsequently rendered judgment in favor of the defendant. On July 10, 2003, the plaintiff filed this appeal.

On July 16,2003, the plaintiff filed a motion for articulation in which he sought to have the court address his argument that § 38a-336 (f) was applicable regardless of whether he was occupying a covered vehicle at the time of the accident. The court denied the motion. On November 5, 2003, the plaintiff filed a second motion for articulation regarding the reasons for the court’s *421 apparent rejection of the argument based on Agosto that he made during the hearing. 5 The plaintiff stated: “In light of the absence of any indication that the trial court addressed [the] Agosto argument, the plaintiff requests that an articulation be granted in order to create a proper record for this appeal.” On November 13, 2003, the court denied the motion.

Subsequently, the plaintiff filed a motion for review of the court’s November 13, 2003 decision denying the motion for articulation. 6 We granted the plaintiffs motion for review and, citing Agosto, ordered the court to “articulate whether the plaintiff was entitled to uninsured/underinsured motorist benefits as an insured as opposed to ‘as an occupant’ of a covered motor vehicle.” The order also directed that the articulation include the factual and legal bases for the court’s decision.

The court articulated its decision, explaining that, at the time it issued its decision, it had considered the issue before it to be whether the plaintiff was occupying a covered vehicle rather than whether ambiguity of the policy language entitled the plaintiff to coverage. After reviewing Agosto and Hansen, the court concluded that the policy language was ambiguous and that accordingly, the plaintiff “is entitled to coverage under the uninsured/underinsured motorist coverage policy of the defendant.” In the final sentence of its articulation, the court stated that it “therefore, reverses itself and denies the motion for summary judgment.”

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Bluebook (online)
866 A.2d 704, 87 Conn. App. 416, 2005 Conn. App. LEXIS 59, 2005 WL 309959, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gomes-v-massachusetts-bay-insurance-connappct-2005.