Liberty Mutual Fire Insurance Co. v. Clemens Coal Co.

250 F. Supp. 3d 825, 2017 U.S. Dist. LEXIS 49889
CourtDistrict Court, D. Kansas
DecidedMarch 30, 2017
DocketCase No. 14-2332-CM
StatusPublished
Cited by2 cases

This text of 250 F. Supp. 3d 825 (Liberty Mutual Fire Insurance Co. v. Clemens Coal Co.) is published on Counsel Stack Legal Research, covering District Court, D. Kansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Liberty Mutual Fire Insurance Co. v. Clemens Coal Co., 250 F. Supp. 3d 825, 2017 U.S. Dist. LEXIS 49889 (D. Kan. 2017).

Opinion

MEMORANDUM AND ORDER

CARLOS MURGUIA, United States District Judge

Plaintiff Liberty Mutual Fire Insurance Company (“Liberty Mutual”) filed this case seeking a judicial declaration that a 1996-1997 Liberty Mutual workers’ compensation and employee liability insurance policy does not cover a black lung disease claim filed by defendant Clayton Spencer, a former employee of defendant The Clemens Coal Company (“Clemens Coal”). Clemens Coal is bankrupt, and has been dismissed from this case. The former president of Clemens Coal, Dennis Woolman, is the remaining active defendant in the case. Woolman filed a counterclaim for negligence against Liberty Mutual and raised a defense of equitable estoppel.

The court conducted a jury trial on Woolman’s counterclaim for negligence. At the same time, the court heard evidence relevant to a bench trial on Woolman’s equitable estoppel affirmative defense. The court is now prepared to issue its findings of fact and conclusions of law.

Findings of Fact

A. Background

1. Clemens Coal operated a coal mine in Pittsburg, Kansas, and filed for Chapter 7 bankruptcy in August 1997.

2. Woolman was President of Clemens Coal in 1996, serving as its last president before the company went bankrupt.

3. Spencer filed a claim on November 19, 2012 with the United States Department of Labor (“DOL”) for benefits under the Black Lung Benefits Act (Title IV of the Federal Coal Mine Health and Safety Act of 1969), 30 U.S.C.A. § 901 et seq., against Clemens Coal, seeking .damages related to his alleged contraction of black lung disease (the “Spencer Black Lung Claim”).

[828]*8284. Spencer claimed that he contracted black lung disease from exposure to coal dust during his employment with Clemens Coal.

5. On May 16, 2013, the DOL sent Woolman a letter informing him that coal mine operators must maintain insurance coverage for payment of black lung disease benefits, and that an employer who fails to maintain such coverage is subject to penalties. The letter further advised that the president of the coal company is jointly and severally liable for payment of black lung disease benefits.

6. The DOL letter stated that Clemens Coal was uninsured on July 25, 1997, the claimant’s last date of employment.

7. On September 13, 2013, Liberty Mutual sent Woolman a reservation of rights letter, stating that coverage was presently undetermined, but that the insurance company would provide him with a legal defense under .a full reservation of rights' during the investigation.

8. On November 8, 2013, Liberty Mutual sent another letter to Woolman, clarifying that the previous reservation of rights letter pertained only to Clemens Coal—not Woolman personally. Liberty Mutual advised that it would not provide a defense to Woolman and recommended that Woolman retain his own counsel to represent his personal interests.

B. The Liberty Mutual Policy

9. Liberty Mutual issued a workers’ compensation and employer liability policy of insurance (the “Policy”) to Clemens Coal with effective dates of November 1; 1996 to November 1, 1997. The Policy, however, was cancelled on August 1, 1997 due to non-payment.

10. Part Two of the Policy provides that the insurance does not cover “bodily injury to any person in work subject to ,., the Federal Coal Mine Health and Safety Act of 1969 (30 USC Sections 901-942), any other federal: workers or workmen’s compensation law or other federal occupational-disease law, or any amendments to these laws.” (Exhibit 1, at 5, ¶ C.8.)

11. The Policy does not contain the Federal Coal Mine Health and' Safety Act Coverage Endorsement, which would provide .coverage for black lung disease claims.

12. The parties stipulated before trial that the Policy “as written does not provide coverage for the claim filed by Clayton Spencer with the United States Department of Labor for benefits under the Black Lung Benefits Act (Title IV of the Federal Coal Mine Health and Safety Act of 1969).” (Doc. 119.)

13. The plain language of the Policy does not provide coverage for the Spencer Black Lung Claim.

C. Background Regarding Clemens Coal’s Procurement Practices and Needs

14. Woolman did not procure insurance for Clemens Coal. Instead, James Worley, an external consultant, procured workers’ compensation insurance for the company.

15. Worley began procuring insurance for Clemens Coal around 1995. When procuring insurance for Buildex (Clemens Coal’s sister company), he “would do the evaluation of the insurances, look at comparable companies, the coverages, [and the] benefits.” (Worley Trial Dep., at 9:12-14.)

16. In following his typical process of procuring'insurance, Worley testified that he “would have referenced [the IMA] initially.” (Id. at 17:10-13.) The IMA was Clemens Coal’s insurance broker. The IMA typically had three to five prospective carriers for him to compare.

[829]*82917. When comparing policies, Worley compared the premiums and the types of coverages that were offered.

18. The Liberty Mutual policy was the first policy Worley had procured for a coal company directly from an insurance company.

D. Clemens Coal’s Procurement of the Liberty Mutual Policy

1.Clemens Coal’s Insurance Needs and Prior Insurance Policy

19. Woolman did not give Worley any specific instructions regarding what type of coverage Clemens Coal needed. Instead, Woolman stated “I wanted to be legal like I’ve always been through the years,- and to get the coverage for the employees that was needed, and cover all of our liabilities.” (Trial Transcript, at Vol. Ill, 329:21-24.) But Woolman “really didn’t specifically say anything” to Worley about what coverage was needed. (Id. at 366:14-17.)

20. Clemens Coal’s prior policy was the Hartford policy. The Hartford policy could not be located. Woolman did not present any clear evidence showing what coverage the Hartford policy provided, or that the Hartford policy actually included coverage for black lung disease claims.

21. Instead, a “Change in Information Page” for the Hartford policy was produced, which contained a classification and premium calculation for “occupational disease loading.”

22. Ronald Srajer, IMA’s account representative for Clemens Coal, testified that black lung disease coverage would have been included in the “occupational disease loading” classification. (Trial Transcript, at Vol. I, 58:6-16.) But Gerald Haake, Wool-man’s expert,-testified that there is no way of determining whether the Hartford policy contained the black lung endorsement simply by looking at the “Change in Information Page.”

23. The Hartford sent Clemens Coal a reservation of rights letter in January 1996, in connection with a previous black lung disease claim. That letter provided, “We have been unable to date to confirm any coverage for your alleged Federal Black. Lung Exposure..:,” (Exhibit 8.) The letter further provided that. “In order for us to handle this matter ... we must have the proper Federal Coal Mine Health & Safety Act Endorsement to apply to your policy.” (M)

24.

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Related

Liberty Mutual Fire Insurance v. Woolman
913 F.3d 977 (Tenth Circuit, 2019)

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Bluebook (online)
250 F. Supp. 3d 825, 2017 U.S. Dist. LEXIS 49889, Counsel Stack Legal Research, https://law.counselstack.com/opinion/liberty-mutual-fire-insurance-co-v-clemens-coal-co-ksd-2017.