Ketchie v. Carolina Stalite Co.

CourtNorth Carolina Industrial Commission
DecidedFebruary 17, 2005
DocketI.C. NO. 651706
StatusPublished

This text of Ketchie v. Carolina Stalite Co. (Ketchie v. Carolina Stalite Co.) is published on Counsel Stack Legal Research, covering North Carolina Industrial Commission primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ketchie v. Carolina Stalite Co., (N.C. Super. Ct. 2005).

Opinion

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The undersigned have reviewed the prior Opinion and Award based upon the record of the proceedings before Deputy Commissioner Garner. The appealing party has shown good grounds to reconsider the evidence and amend the Opinion and Award; therefore, the Full Commission MODIFIES and AFFIRMS the Opinion and Award of the Deputy Commissioner.

PROCEDURAL HISTORY
The North Carolina Insurance Guaranty Association (hereinafter "NCIGA") originally filed a declaratory judgment action in Wake County Superior Court on October 26, 2000 in order to ascertain whether NCIGA is responsible for claims where the insurer insolvency occurred prior to January 1, 1993, but which were filed after that date. In the original complaint, NCIGA brought suit against sixteen employers for whom policies of insurance had been issued by insurers that had become insolvent prior to January 1, 1993 and against whom certain workers' compensation claims had been filed after January 1, 1993. NCIGA sought a declaratory judgment from the Court that it was not responsible in its role as administrator of the Stock and Mutual Security Fund Accounts to pay the workers' compensation claims.

After the dismissal of several of the original named employer defendants, NCIGA filed an amended complaint again naming sixteen employers as defendants and seeking the same relief. Sometime between the filing of the original and amended complaint, a number of employees or their representatives were allowed to intervene in the proceeding. Several employers and intervenors filed motions to dismiss the complaint filed by NCIGA alleging that the Superior Court lacked jurisdiction to hear the arguments.

Following a hearing on November 17, 2000, the employers' and intervenors' motions to dismiss were granted in an Order filed on June 12, 2001 pursuant to N.C.R. Civ. P. 12(b)(1) (lack of subject matter jurisdiction). The NCIGA appealed and the Court of Appeals affirmed the trial court's ruling and found that the proper jurisdiction for determination of this issue was the North Carolina Industrial Commission. See NorthCarolina Ins. Guar. Ass'n v. Int'l Paper Co.,152 N.C. App. 224, 569 S.E.2d 285 (2002). The NCIGA appealed this ruling as well; however, the Supreme Court denied discretionary review. North Carolina Ins. Guar.Ass'n v. Int'l Paper Co., 356 N.C. 438, 572 S.E.2d 786 (2002).

On June 10, 2003, Chief Deputy Commissioner Stephen T. Gheen filed an Order granting the motion of NCIGA for Consolidation of Cases for Hearing and Determination of Issues for hearing on the Insurance Guaranty Association Act as follows:

"1. It appears that no claim was filed with the NC Insurance Guaranty Association until after the final date set by the court for the filing of claims against the liquidator of the insolvent insurer that had issued a policy of workers' compensation insurance to the Employer in this case, and therefore the NC insurance Guaranty Association has no obligation for this claim under N.C. Gen. Stat. § 58-48-35(a)(1).

2. It is unclear whether there is a "covered claim" as defined in N.C. Gen. Stat. § 58-48-20(4).

3. It is unclear whether the Guaranty Association is obligated for this claim under N.C. Gen. Stat. § 58-48-35(a)(1) or is deemed the insurer under G.S. § 58-48-35(a)(2).

4. It is unclear whether, if the Guaranty Association is not obligated for this claim or deemed the insurer under N.C. Gen. Stat. § 58-48-35, this claim is a claim presentable to the custodian and administrator of the Stock Reserve Account or the Mutual Reserve Account under N.C. Gen. Stat. § 58-48-125.

5. It is unclear whether this claim was a "claim existing before January 1, 1993" G.S. § 58-48-110(4)."

This consolidated proceeding consists of the above captioned case and approximately one-hundred fifty (150) cases enumerated in the Order, hereinafter referred to as Related Cases, that are presently pending before the Industrial Commission that share these common issues for determination under the Insurance Guaranty Association Act.

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Based on the evidence of record, the Full Commission finds as follows:

FINDINGS OF FACT
A. History of plaintiff-employee's claim and Related Cases
1. The employees' claims in all of these cases involve workers' compensation insurance carriers that were declared insolvent prior to January 1, 1993.

2. The employees in all of these cases maintain that their respective claims for benefits for occupational disease under the Workers' Compensation Act were filed with the Industrial Commission within two years of (1) the date the employee was advised by competent medical authority that they had asbestosis or an asbestos-related disease; or (2) the date the employee became disabled as a result of asbestosis or an asbestos-related disease in accordance with N.C. Gen. Stat. § 97-58.

3. There is no evidence that these claims were the subject of any filings, proofs of claim, or written or verbal notices of any kind to the Industrial Commission, North Carolina Department of Insurance, or any of the liquidators or receivers of the pertinent insolvent workers' compensation insurers prior to 1993. The NCIGA did not receive any notice of these claims before 1993 and in many instances received no notice until the claims were filed with the Industrial Commission several years thereafter.

B. Statutory and legislative history regarding insurance carrier insolvencies and Insurance Guaranty Association Act
4. In 1935, the General Assembly enacted Article 3 of Chapter 97 of the North Carolina General Statutes establishing "Security Funds" as mechanisms for the payment of workers' compensation awards rendered against employers whose workers' compensation insurance carriers had become insolvent. These Security Funds were comprised of two accounts the Stock Fund Account for insolvent stock insurance carriers and the Mutual Fund Account for insolvent mutual insurance carriers.

5. These Security Funds were financed by the assessment of solvent stock and mutual workers' compensation insurance carriers transacting business in the State of North Carolina. Once an insurance carrier became insolvent, the Commissioner of Insurance processed the claim in the place of the insolvent carrier and paid all compensable claims from the appropriate account.

6. In 1971, the NCIGA was created by N.C. Gen. Stat. § 58-48-1 et seq. to maintain accounts for the payment of various types of claims on behalf of insolvent insurers.

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Related

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201 S.E.2d 508 (Court of Appeals of North Carolina, 1974)
North Carolina Insurance Guaranty Ass'n v. International Paper Co.
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State v. Benton
174 S.E.2d 793 (Supreme Court of North Carolina, 1970)
Galligan v. Town of Chapel Hill
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Wilder v. Amatex Corp.
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Domestic Electric Service, Inc. v. City of Rocky Mount
203 S.E.2d 838 (Supreme Court of North Carolina, 1974)
Stevenson v. City of Durham
188 S.E.2d 281 (Supreme Court of North Carolina, 1972)
Brown v. Flowe
507 S.E.2d 894 (Supreme Court of North Carolina, 1998)
Burgess v. Your House of Raleigh, Inc.
388 S.E.2d 134 (Supreme Court of North Carolina, 1990)
Gardner v. Asbestos Corp., Ltd.
634 F. Supp. 609 (W.D. North Carolina, 1986)
North Carolina Baptist Hospitals, Inc. v. Mitchell
374 S.E.2d 844 (Supreme Court of North Carolina, 1988)
Nix v. Collins & Aikman Co.
572 S.E.2d 786 (Supreme Court of North Carolina, 2002)
N.C. Ins. Guar. v. International Paper Co.
356 N.C. 438 (Supreme Court of North Carolina, 2002)
In re Expungement for Spencer
538 S.E.2d 236 (Court of Appeals of North Carolina, 2000)

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Bluebook (online)
Ketchie v. Carolina Stalite Co., Counsel Stack Legal Research, https://law.counselstack.com/opinion/ketchie-v-carolina-stalite-co-ncworkcompcom-2005.