King-Jennings v. Liberty Mutual Insurance

744 A.2d 607, 144 N.H. 559, 1999 N.H. LEXIS 153
CourtSupreme Court of New Hampshire
DecidedDecember 29, 1999
DocketNo. 98-033
StatusPublished
Cited by3 cases

This text of 744 A.2d 607 (King-Jennings v. Liberty Mutual Insurance) is published on Counsel Stack Legal Research, covering Supreme Court of New Hampshire primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
King-Jennings v. Liberty Mutual Insurance, 744 A.2d 607, 144 N.H. 559, 1999 N.H. LEXIS 153 (N.H. 1999).

Opinion

HORTON, J.

The plaintiff, Darlene King-Jennings, appeals an order of the Superior Court {Smith, J.) denying coverage under a workers’ compensation and employer liability insurance policy issued by the defendant, Liberty Mutual Insurance Company (Liberty Mutual). We affirm.

The plaintiff’s husband (decedent) was a sole proprietor operating under the business name of Jennings^. Property Management (business). Founded in 1988, the business provided property maintenance and landscaping services to real property owners in and around Campton. The decedent hired an employee in 1994 and obtained workers’ compensation and employer liability insurance coverage from Liberty Mutual. The policy was effective May 16, 1994, the date the employee began work. Although the employee was scheduled to work from May until August, he left his job on July 12. On July 18, the decedent was accidentally electrocuted at work.

The plaintiff filed a claim for workers’ compensation, asserting coverage in favor of the business, which Liberty Mutual denied on the ground that the policy provided no coverage for the owner. The plaintiff sought a declaratory judgment that the policy provided coverage for the fatal work-related injury of the decedent as an employee of his sole proprietorship. After a bench trial in December 1997, the trial court entered judgment for Liberty Mutual. This appeal followed.

On appeal, the plaintiff argues that the trial court erred in: (1) failing to find that the policy unambiguously provided personal coverage to the decedent; (2) excluding evidence to aid in determining whether the policy is ambiguous; and (3) failing to shift the burden of proof to Liberty Mutual under RSA 491:22-a (1997).

We first address the plaintiff’s argument that the policy unambiguously provided coverage to the decedent. The plaintiff contends that the policy provided coverage to “an insured” and that because the decedent was “an insured” under the policy, he should have been afforded benefits.

“Interpretation of a contract, including whether a contract term or clause is ambiguous, is ultimately a question of law for this court to decide.” Shaheen, Cappiello, Stein & Gordon v. Home Ins. Co., 143 N.H. 35, 39, 719 A.2d 562, 565 (1998) (quotation omitted). Taking the plain and ordinary meaning of the policy’s words in context, “we construe the terms of the policy as would a reasonable person in the position of the insured based on more than a casual reading of the policy as a whole.” Deyette v. Liberty Mut. Ins. Co., 142 N.H. 560, 561, 703 A.2d 661, 662 (1997) (quotation omitted).

[561]*561Under the heading of “Who Is Insured,” the policy states that “[y]ou are insured if you are an employer named in item 1 of the Information Page.” Item 1 on the Information Page in turn names Jennings Property Management, which is therefore the employer insured under the policy. Merely being an insured under a workers’ compensation policy, however, does not entitle an employer to workers’ compensation benefits. The workers’ compensation statute imposes liability upon the employer for the injuries suffered by an employee during the course of employment. See Carbonneau v. Company, 96 N.H. 240, 244, 73 A.2d 802, 806 (1950). An employer obtains workers’ compensation insurance, thereby becoming insured under the policy, in order to avoid personal liability for workers’ compensation benefits that would be due to an employee who suffers a work-related injury. See RSA 281-A:5 (1999). This is clear under the policy’s coverage provision, which states that “[wje will pay promptly when due the benefits required of [the insured employer] by the workers compensation law.” (Emphasis added).

To determine whether the policy provides workers’ compensation benefits to the decedent, we examine the Workers’ Compensation Law to determine whether the decedent as a sole proprietor may be considered an employee entitled to benefits. Statutory interpretation is a question of law for this court. See Cheever v. Southern N.H. Regional Med. Ctr., 141 N.H. 589, 590-91, 688 A.2d 565, 566-67 (1997). “We construe a statute according to the plain and ordinary meaning of the words used.” Appeal of Rainville, 143 N.H. 624, 628, 732 A.2d 406, 410 (1999).

The statute provides in part: “If they elect to be personally covered by this chapter, ‘employee’ includes persons who regularly operate businesses or practice their trades, professions, or occupations, whether individually, or in partnership, or association with other persons, whether or not they hire others as employees.” RSA 281-A:2, VI(a) (1999). In order to be considered an employee for the purposes of workers’ compensation, therefore, a sole proprietor must elect to be personally covered. Conversely, if the sole proprietor does not make that election, he or she is not entitled to workers’ compensation benefits. The mere fact that a sole proprietor also engages in work that an employee could perform does not turn the sole proprietor into an employee; nor does it relieve the sole proprietor of the responsibility to elect workers’ compensation coverage if coverage is desired. See Lariviere v. New Hampshire Ins. Group, 120 N.H. 168, 170-71, 413 A.2d 309, 311 (1980).

[562]*562The issue, then, is whether the sole proprietor in this case elected coverage under the terms of RSA 281-A:2, VI(a). The statute does not define “elect.” See RSA 281-A:2. We therefore look to its plain meaning. See Appeal of Rainville, 143 N.H. at 628, 732 A.2d at 410. “Elect” means “to make a selection of: choose.” WEBSTER’S THIRD NEW INTERNATIONAL DICTIONARY 731 (unabridged ed. 1961). Upon examination of both the policy application and the policy itself, we do not find any indication that the decedent chose coverage for himself. Moreover, the plaintiff does not challenge the trial court’s finding that the decedent failed to elect personal coverage. Rather, she argues that the decedent was personally covered as “an insured” absent an express exclusion. As the statute does not forbid the insurer from excluding personal coverage for a sole proprietor, see RSA 281-A:2, VI(a), we conclude that the decedent is not entitled to workers’ compensation benefits under the policy.

We next turn to the plaintiff’s contention that the trial court erred in failing to consider extrinsic evidence to determine whether the policy was ambiguous, regardless of the ultimate determination.

The plaintiff argues that although extrinsic evidence is inadmissible once a policy is determined to be unambiguous, it should be admitted to demonstrate that an ambiguity exists. Specifically, she argues that the trial court erred in refusing to admit a letter from the New Hampshire Insurance Department to the underwriting department of Liberty Mutual written two years after the decedent’s death.

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Bluebook (online)
744 A.2d 607, 144 N.H. 559, 1999 N.H. LEXIS 153, Counsel Stack Legal Research, https://law.counselstack.com/opinion/king-jennings-v-liberty-mutual-insurance-nh-1999.