Hornet Exp. v. Zurich American Ins.

889 A.2d 483, 382 N.J. Super. 408
CourtNew Jersey Superior Court Appellate Division
DecidedJanuary 26, 2006
StatusPublished
Cited by1 cases

This text of 889 A.2d 483 (Hornet Exp. v. Zurich American Ins.) is published on Counsel Stack Legal Research, covering New Jersey Superior Court Appellate Division primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hornet Exp. v. Zurich American Ins., 889 A.2d 483, 382 N.J. Super. 408 (N.J. Ct. App. 2006).

Opinion

889 A.2d 483 (2006)
382 N.J. Super. 408

HORNET EXPRESS, a New Jersey Corporation, Plaintiff-Respondent,
v.
ZURICH AMERICAN INSURANCE GROUP, a Stock Insurance Company, Defendant-Appellant,
v.
Garden State Brokers, Inc., and Harry Delbosco, Defendants-Respondents.

Superior Court of New Jersey, Appellate Division.

Argued November 15, 2005.
Decided January 26, 2006.

Beverly M. Barr, White Plains, NY, argued the cause for appellant (Reger, Rizzo, *484 Kavulich & Darnall, attorneys; Ms. Barr, on the brief).

Joseph Suarez, Jersey City, argued the cause for respondents Garden State Brokers, Inc. and Harry Delbosco (Suarez & Suarez, attorneys; Mr. Suarez, of counsel; Denise R. Wasserman, on the brief). Respondent Hornet Express did not file a brief.

Before Judges SKILLMAN, PAYNE and MINIMAN.

The opinion of the court was delivered by

SKILLMAN, P.J.A.D.

The issue presented by this appeal is whether an insurance policy that provides coverage for New Jersey workers' compensation benefits should be construed to require the insurer to pay the portion of a workers' compensation judgment entered in another state that would have been awarded if the claim petition had been filed in New Jersey. We conclude that the plain and unambiguous language of the insurance policy limits coverage to compensation benefits awarded under the New Jersey Workers' Compensation Act.

Plaintiff Hornet Express, a trucking company with a base of operations in New Jersey, applied for workers' compensation coverage through the New Jersey Workers Compensation Insurance Plan (NJWCIP). The NJWCIP provides involuntary assigned risk coverage to New Jersey employers that cannot obtain coverage in the voluntary market. The risk covered by policies issued through the NJWCIP is defined as "the entire insured operations within the State of New Jersey or to which the New Jersey Compensation Law is applicable."

The application form for workers' compensation coverage that Hornet submitted to the NJWCIP asked: "Do you have operations in states other than New Jersey?" Hornet answered: "no." The application form also included a "Trucker Supplemental Application" page, which stated: "If you or your employees spend a majority of driving time in a certain state, name that State for yourself and each employee." In the blank following this inquiry, Hornet identified "NJ" as the only state where its employees spend a majority of driving time. Contrary to the representations set forth in its application to the NJWCIP, Hornet employed drivers who operated trucks solely in Pennsylvania.

The application containing these misrepresentations was prepared on Hornet's behalf by its insurance broker, defendant Garden State Brokers, Inc. Defendant Harry DelBosco is the principal of this brokerage company.

The NJWCIP assigned responsibility to defendant Zurich American Insurance Group to provide coverage to Hornet under the New Jersey Assigned Risk Program. Under this program, the policy Zurich issued to Hornet was required to contain the specific policy provisions set forth in the New Jersey Workers Compensation Insurance Manual.

In conformity with this manual and the application Hornet submitted to the NJWCIP, Zurich issued a policy to Hornet, which stated:

3A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compensation Law of the state(s) listed here:
NJ

The policy also stated:

3C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here:
COVERAGE EXCLUDED

*485 Hornet did not obtain any workers' compensation coverage other than the policy issued by Zurich.

On June 7, 2001, one of Hornet's Pennsylvania drivers, Bret Kegarise, was involved in a fatal accident while operating a Hornet truck in the course of his employment in Pennsylvania. Kegarise's work for Hornet consisted exclusively of driving a daily route between King of Prussia, Pennsylvania and Allentown, Pennsylvania. Kegarise also lived in Pennsylvania with his family and parked the Hornet truck in Pennsylvania when he was not working.

Kegarise's widow filed a workers' compensation death benefit claim against Hornet in the Bureau of Workers' Compensation of the Pennsylvania Department of Labor and Industry. Zurich disclaimed coverage for this claim on the ground that the policy it had issued to Hornet only provided coverage for New Jersey workers' compensation benefits. Hornet did not defend the claim petition, and a Pennsylvania Workers' Compensation judge issued a final decision requiring Hornet to pay death benefits to Kegarise's widow. This decision included a finding that Hornet "did not carry Workers' Compensation insurance coverage in the Commonwealth of Pennsylvania."

Hornet subsequently brought this action against Zurich, Garden State Brokers and DelBosco. Hornet sought a declaration that the Zurich policy provided coverage for the death benefits awarded to Kegarise's widow by the Pennsylvania Bureau of Workers' Compensation. In the alternative, Hornet asserted a negligence claim against Garden State Brokers and DelBosco for failing to obtain comprehensive workers' compensation coverage that would apply to the Pennsylvania claim by Kegarise's widow.

The case was brought before the court by Zurich's motion for summary judgment seeking dismissal of Hornet's complaint on the ground that the policy it issued to Hornet did not provide coverage for benefits awarded by the Pennsylvania Bureau of Workers' Compensation. Garden State filed a cross-motion for summary judgment seeking a declaration that Zurich was required to indemnify Hornet for defense costs and the Pennsylvania compensation award.

The trial court concluded in an oral opinion that because Zurich would have provided coverage to Hornet if Kegarise's widow had filed a claim for workers' compensation in the New Jersey Division of Workers' Compensation, it was required to provide "New Jersey coverage" to Hornet for the Pennsylvania workers' compensation award. Accordingly, the court denied Zurich's motion for summary judgment and granted Garden State's cross-motion.

We conclude that the policy Zurich issued to Hornet only provided coverage for workers' compensation benefits awarded under the New Jersey Workers' Compensation Act. Therefore, we reverse the orders denying Zurich's motion for summary judgment and granting summary judgment to Garden State.

It is the court's responsibility "in construing ... [a] polic[y] of insurance, as with any other contract, ... to search broadly for the probable common intent of the parties in an effort to find a reasonable meaning in keeping with the express general purposes of the polic[y]." French v. N.J. Sch. Bd. Ass'n Ins. Group, 149 N.J. 478, 493-94, 694 A.2d 1008 (1997) (quoting Royal Ins. Co. v. Rutgers Cas. Ins. Co., 271 N.J.Super. 409, 416, 638 A.2d 924 (App.Div.1994)). It cannot be "emphasize[d] too strongly that when an insurance policy is clear and unambiguous ... the court is bound to enforce the policy as it is written." Id. at 494, 694 A.2d 1008 (quoting *486 Royal Ins. Co., supra, 271 N.J.Super. at 416, 638 A.2d 924).

Under the clear and unambiguous terms of the policy Zurich issued to Hornet in accordance with the NJWCIP assigned risk plan, coverage was limited to workers' compensation benefits awarded under the New Jersey Workers' Compensation Act, N.J.S.A. 34:15-1 to -128.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Texas Mutual Insurance v. Wood Energy Group, Inc.
604 F. Supp. 2d 942 (W.D. Texas, 2009)

Cite This Page — Counsel Stack

Bluebook (online)
889 A.2d 483, 382 N.J. Super. 408, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hornet-exp-v-zurich-american-ins-njsuperctappdiv-2006.