Jeffrey L. Dillon v. NICA, Inc.

CourtCourt of Appeals of Tennessee
DecidedDecember 14, 2011
DocketM2010-02553-COA-R3-CV
StatusPublished

This text of Jeffrey L. Dillon v. NICA, Inc. (Jeffrey L. Dillon v. NICA, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals of Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jeffrey L. Dillon v. NICA, Inc., (Tenn. Ct. App. 2011).

Opinion

IN THE COURT OF APPEALS OF TENNESSEE AT NASHVILLE August 25, 2011 Session

JEFFREY L. DILLON v. NICA, INC., ET AL.

Appeal from the Circuit Court for Putnam County No. 07N0067 John J. Maddux, Jr., Judge

No. M2010-02553-COA-R3-CV - Filed December 14, 2011

After his claim for insurance benefits for an injury sustained while making a delivery was denied, plaintiff filed suit against the delivery company, the company providing the insurance coverage and its president, and the third party administrator of the insurance plan, asserting causes of action for breach of contract, violation of the Tennessee Consumer Protection Act, and conspiracy to evade the Tennessee Workers’ Compensation Act. The jury found the company providing the insurance and its president liable for violation of the Consumer Protection Act and awarded compensatory and punitive damages. On appeal, the insurance company and president contend that the trial court erred in finding that the plaintiff was an employee of delivery company rather than an independent contractor, in excluding various exhibits and testimony, in denying the president’s motion for a directed verdict, and in awarding punitive damages. Because the punitive damage awarded was predicated on the violation of the Tennessee Consumer Protection Act, which does not authorize an award of punitive damages, the award of punitive damages is vacated and the case remanded for a determination of whether an award of treble damages under the Consumer Protection Act should be awarded. In all other respects, the judgment and rulings are affirmed.

Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Circuit Court Affirmed in part and Vacated in part; Case Remanded

R ICHARD H. D INKINS, J., delivered the opinion of the court, in which P ATRICIA J. C OTTRELL, P. J., M. S., and A NDY D. B ENNETT, J., joined.

W. I. Howell Acuff, Cookeville, Tennessee, for the appellants, NICA, Inc., and Thomas M. McGrath.

Jon E. Jones and Andrew R. Binkley, Cookeville, Tennessee, for the appellee, Jeffrey L. Dillon. OPINION

Jeffrey L. Dillon was employed as a courier with Priority Xpress and suffered an injury on March 13, 2006 when he slipped and fell while delivering a package. As a result of the incident, Mr. Dillon submitted a claim for benefits to Gallagher Bassett Services, Inc., third party administrator of the insurance program sold and operated by NICA, Inc. This suit arose from the denial of his claim.

Mr. Dillon filed suit against NICA, Inc., Thomas M. McGrath,1 Gallagher Bassett Services , Inc. (“Gallagher Bassett”), and Priority Xpress, asserting causes of action for breach of contract, violation of the Tennessee Consumer Protection Act, and conspiracy to evade the Tennessee Workers’ Compensation Act. Mr. Dillon alleged that, as a condition of his employment with Priority Xpress, he had been required to sign documents stating that he was an independent contractor and to permit NICA, Inc., to deduct a premium for insurance coverage from his paycheck. The complaint further alleged that NICA had sold and operated the insurance plan “with the intention of rejecting valid claims”; that Priority Xpress had failed to investigate the plan before requiring its employees to pay the premiums; that Gallagher Bassett—as third party administrator of the insurance—knew or should have known that NICA was operating the insurance plan “as an instrumentality for defrauding drivers”; that Gallagher Bassett had conspired with NICA to assert “technical ‘policy defenses’ to valid claims”;2 and that Mr. Dillon had never been provided a copy of his insurance policy.

After settling his claims against Gallagher Bassett, Mr. Dillon proceeded to trial against NICA and Mr. McGrath.3 Prior to trial, the parties stipulated that the issue of whether plaintiff was an employee or an independent contractor would be decided by the court; the remaining issues would be submitted to the jury. At the close of proof, the trial court announced its finding that plaintiff was an employee of Priority Xpress. Mr. McGrath then moved for a directed verdict on all claims asserted against him individually; the trial court denied the motion. The jury returned a verdict declining to find that the defendants conspired to evade Tennessee Workers’ Compensation laws and finding that defendants had

1 Mr. McGrath is the president and founder of NICA, Inc. 2 A letter denying his claim for disability benefits was appended as an exhibit to the complaint. The letter stated that plaintiff’s policy required a physician to deem him “Totally Disabled” within 30 days of the accident in order to receive “Weekly Disability Income Benefits” and that, because plaintiff had not been declared “disabled” by a physician for more than two months after the accident, the claim was denied. 3 NICA, McGrath, and Priority Xpress were initially each represented by the same law firm and filed an answer denying the allegations of the complaint. The court later entered an order permitting counsel for NICA, McGrath, and Priority Xpress to withdraw, and NICA and McGrath retained their present counsel. Priority Xpress did not retain counsel and did not thereafter appear in this matter.

-2- violated the Consumer Protection Act “with regard to the furnishing of insurance.” 4 The jury awarded plaintiff $7,747.34 in compensatory damages plus attorney fees. The jury also found that plaintiff was entitled to punitive damages. A hearing on punitive damages was conducted, and the jury awarded plaintiff $200,000 against NICA and $200,000 against Mr. McGrath. The court made findings affirming the award of punitive damages and entered judgment on the jury’s verdict.5

Plaintiff appeals and raises the following issues:

1. Did the trial court err in holding that Jeffrey Dillon was an employee and not an independent contractor?

2. Did the trial court err in the exclusion of documentary evidence offered by Thomas McGrath?

3. Did the trial court err in the exclusion from evidence of the applicable year (2005) occupational/accident insurance binder?

4. Did the trial court err in refusing to allow Thomas McGrath to testify concerning the two criminal convictions and the business activities of NICA involved therein?

5. Did the trial court err in refusing to find that the jury’s verdict based upon the Tennessee Consumer Protection Act was against the weight of the evidence?

6. Did the trial court err in refusing to dismiss Thomas McGrath individually?

7. Did the trial court err in upholding the jury’s award of punitive damages based upon a concert of actions between NICA and Thomas McGrath when the jury expressly found that a conspiracy had not been proven?

8. Did the trial court err in upholding the jury’s award of excessive punitive damages?

4 Although breach of contract was set forth as a claim in the complaint, it was not included in the claims submitted to the jury. The record does not reveal the disposition of this claim. 5 Further proceedings were conducted on August 27, 2010, in which the court awarded plaintiff $54,797.68 in compensatory damages and $450,000 in punitive damages against Priority Xpress. The court also held a hearing on attorney fees and determined that plaintiff was entitled to $101,319.06 in attorney fees from NICA and Mr. McGrath. Those matters are not a part of this appeal.

-3- D ISCUSSION

A. Finding that plaintiff was an employee

The determination of whether the plaintiff was an employee or an independent contractor is a question of law, which we review de novo with no presumption of correctness. Lindsey v. Trinity Communications, Inc., 275 S.W.3d 411, 418 (Tenn. 2009) (citing Cromwell Gen. Contractor, Inc. v. Lytle, 439 S.W.2d 598, 600 (Tenn. 1969); Overstreet v.

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