Ludemann v. Specialty National Insurance

982 A.2d 659, 51 Conn. Supp. 326, 2008 Conn. Super. LEXIS 1785
CourtConnecticut Superior Court
DecidedJuly 11, 2008
DocketFile CV-07-4034248-S
StatusPublished
Cited by1 cases

This text of 982 A.2d 659 (Ludemann v. Specialty National Insurance) is published on Counsel Stack Legal Research, covering Connecticut Superior Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ludemann v. Specialty National Insurance, 982 A.2d 659, 51 Conn. Supp. 326, 2008 Conn. Super. LEXIS 1785 (Colo. Ct. App. 2008).

Opinion

*327 HON. ROBERT F. STENGEL, JUDGE TRIAL REFEREE.

I

The plaintiffs, William Ludemann and Laura Ennis (formerly known as Laura Ludemann), move to vacate an arbitration award dated November 13, 2007, in favor of the defendant, Specialty National Insurance Company (Specialty National), which is an insurer for the town of Enfield. The following facts are not in dispute. Ludemann, a police officer for Enfield, sustained injuries when he was struck by an underinsured motorist while directing traffic in the course of his employment. Ludemann filed for and received workers’ compensation benefits from Enfield and also settled a claim with the motorist up to the limits of the motorist’s automobile liability insurance policy.

Ludemann then proceeded to arbitration with Specialty National to determine whether he was entitled to compensation as an insured under the uninsured and underinsured motorist provision of Enfield’s insurance policy (insurance policy). The two issues submitted to the arbitrators were as follows: “(1) Whether or not the [automobile] insurance policy issued by Specialty National . . . to . . . Enfield provides underinsured motorist benefits to William Ludemann as a consequence of personal injuries sustained by him in the automobile accident of April 16, 2001 in Enfield, Connecticut?; (2) Whether or not Laura Ennis, [formerly known as] Laura Ludemann, is entitled to recover for loss of consortium under the aforesaid policy ... as a consequence of the same automobile accident . . . involving her then husband, William Ludemann?” The arbitration proceeded pursuant to General Statutes § 38a-336 (c) before a panel of three arbitrators. In a *328 two-to-one vote, the arbitrators determined that Ludemann was not entitled to underinsured motorist benefits, and, as a result, Ennis, his wife at the time of the injuiy, could not recover for loss of consortium.

Because Ludemann is seeking underinsured motorist coverage on top of workers’ compensation benefits, the decision of the arbitrators, and this court, hinges on the relationship between General Statutes § 31-284 (a) of the Workers’ Compensation Act; General Statutes § 31-275 et seq.; and § 38a-336 (f) of the uninsured and underinsured motorist statutes. Section 31-284 (a) provides in relevant part: “An employer who complies with the requirements of subsection (b) of this section shall not be liable for any action for damages on account of personal injury sustained by an employee . . . but an employer shall secure compensation for his employees under this chapter .... All rights and claims between an employer who complies with the requirements of subsection (b) of this section and employees . . . are abolished other than rights and claims given by this chapter, provided nothing in this section shall prohibit any employee from securing, by agreement with his employer, additional compensation from his employer from the injury or from enforcing any agreement for additional compensation.”

Section 38a-336 (f) provides: “Notwithstanding subsection (a) of section 31-284, an employee of a named insured injured while occupying a covered motor vehicle in the course of employment shall be covered by such insured’s otherwise applicable uninsured and underinsured motorist coverage.”

The basic issue is whether Ludemann should be barred from receiving underinsured motorist benefits under the insurance policy because he was not “occupying” the motor vehicle for the puiposes of § 38a-336 (f). The arbitrators concluded that Ludemann was not *329 “occupying a covered motor vehicle” for the purposes of § 38a-336 (f) and, therefore, was only entitled to workers’ compensation benefits pursuant to § 31-284. The arbitrators based their decision mainly on the Appellate Court’s decision in Gomes v. Massachusetts Bay Ins. Co., 87 Conn. App. 416, 866 A.2d 704, cert. denied, 273 Conn. 925, 871 A.2d 1031 (2005). The Gomes court held, inter alia, that a volunteer fire policeman who was struck by an underinsured motorist while directing traffic in the middle of an intersection and away from his vehicle was not “occupying” a motor vehicle for the purposes of § 38a-336 (f). Id., 435-36.

Ludemann moves to vacate the arbitrators’ award on a number of grounds, which can be grouped broadly into four general grounds. First, Ludemann claims that he is entitled to coverage as an “insured” pursuant to § 38a-336 (a) (l) 1 and that Gomes was wrongly decided. Second, he claims that the arbitrators’ decision violates the public policy embodied in § 38a-336 (a) (1), which according to Ludemann, dictates that insureds are covered under uninsured and underinsured motorist policy provisions regardless of where they are located when they are hit. Third, Ludemann asserts that he has a right to underinsured motorist coverage as a third party beneficiary under the insurance contract and, therefore, falls under an exception in § 31-284 (a). Fourth, Ludemann argues that he was “occupying” his vehicle as the term is understood in § 38a-336 (f) and also on the basis of the definition of “occupying” in the insurance policy.

On February 25, 2008, Specialty National filed a memorandum of law in opposition to the plaintiffs’ application to vacate the arbitration award. Specialty National *330 argues that the Appellate Court’s decision in Gomes is controlling, and, therefore, the arbitrators’ decision should be upheld. Specialty National also contends, inter alia, that the arbitrators’ award does not violate public policy and disputes the claim that any exception under § 31-284 (a) would apply to Ludemann.

II

“[T]he standard of review for arbitration awards is determined by whether the arbitration was compulsory or voluntary. . . . [When] judicial review of compulsory arbitration proceedings required by [§ 38a-336 (c)] is undertaken . . . the reviewing court must conduct a de novo review of the interpretation and application of the law by the arbitrators. The court is not bound by the limitations contractually placed on the extent of its review as in voluntary arbitration proceedings. . . . Because the issue in the present case involves one of coverage, and because the arbitration was compulsory, [the] review is de novo.” (Citations omitted; internal quotation marks omitted.) Gormbard v. Zurich Ins. Co., 279 Conn. 808, 815-16, 904 A.2d 198 (2006).

In addition to claiming coverage under the insurance policy, the plaintiffs also contest the arbitrators’ decision on the ground of public policy. “An arbitrator’s award may be vacated if it violates clear public policy.” MedValUSA Health Programs, Inc. v. MemberWorks, Inc., 273 Conn. 634, 655, 872 A.2d 423, cert. denied sub nom. Vertrue, Inc. v. MedValUSA Health Programs, Inc.,

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Related

Ludemann v. Specialty National Insurance
980 A.2d 343 (Connecticut Appellate Court, 2009)

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Bluebook (online)
982 A.2d 659, 51 Conn. Supp. 326, 2008 Conn. Super. LEXIS 1785, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ludemann-v-specialty-national-insurance-connsuperct-2008.