Maryland Motor Truck Ass'n Workers' Compensation Self-Insurance Group v. Property & Casualty Insurance Guaranty Corp.

871 A.2d 590, 386 Md. 88, 2005 Md. LEXIS 173
CourtCourt of Appeals of Maryland
DecidedApril 6, 2005
Docket95, September Term, 2004
StatusPublished
Cited by11 cases

This text of 871 A.2d 590 (Maryland Motor Truck Ass'n Workers' Compensation Self-Insurance Group v. Property & Casualty Insurance Guaranty Corp.) is published on Counsel Stack Legal Research, covering Court of Appeals of Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Maryland Motor Truck Ass'n Workers' Compensation Self-Insurance Group v. Property & Casualty Insurance Guaranty Corp., 871 A.2d 590, 386 Md. 88, 2005 Md. LEXIS 173 (Md. 2005).

Opinion

WILNER, J.

With exceptions not relevant here, Maryland Code, § 9-402 of the Labor and Employment Article (LE), which is part of the Workers’ Compensation Law, requires every Maryland employer to secure workers’ compensation for its covered employees and lists six possible methods by which that obligation may be satisfied:

(1) maintaining insurance with the Injured Workers’ Insurance Fund;
(2) maintaining insurance with an authorized insurer;
(3) participating in a governmental self-insurance group;
(4) participating in a self-insurance group of private employers that meets the requirements of title 25, subtitle 3 of the Insurance Article (INS);
(5) maintaining individual self-insurance in accordance with LE § 9-405; or
*90 (6) having a county board of education secure compensation under §§ 8-402(c) or 7-114(d) of the Education Article.

In 1993, a number of Maryland trucking companies decided to use the fourth method — a private self-insurance group. In that year, the Maryland Motor Truck Association (MMTA), a nonprofit trade organization, established the Maryland Motor Truck Association Workers’ Compensation Self-Insurance Group (MMTA Group) for some of its members. In conformance with a regulation of the Insurance Commissioner, MMTA Group obtained a policy of excess insurance, for claims exceeding $150,000, from Reliance National Indemnity Company. That policy was renewed from time to time and was in effect for the period from February, 1999 to June, 2000. During that period, four claims exceeding $150,000 were filed against member trucking companies that were part of the MMTA Group, and the excess amounts with respect to those claims were submitted by MMTA Group to Reliance. Because of financial difficulties, Reliance was unable to pay those amounts. In October, 2001, Reliance was declared insolvent by a Pennsylvania court and ordered to liquidate.

In light of that circumstance, MMTA Group filed a claim with the Property and Casualty Insurance Guaranty Corporation (PCIGC), an entity established by the General Assembly to provide for the payment of claims covered by policies of property or casualty insurance companies that become insolvent. PCIGC denied the claim on the ground that it was not a “covered claim,” as defined in INS § 9-301(d). In taking that position, PCIGC ultimately relied on § 9—301(d)(2)(i), which provides that “[cjovered claim” does not include an amount due an “insurer.” It asserted that MMTA Group was an “insurer,” within the meaning of that word as used in § 9-301(d)(2)(i).

That is the issue before us. The Circuit Court for Baltimore County, in a declaratory judgment and breach of contract action filed by MMTA Group against PCIGC, declared that MMTA Group was an “insurer” and granted PCIGC’s motion for summary judgment, whereupon MMTA .Group *91 appealed to the Court of Special Appeals. We granted certiorari on our own initiative prior to proceedings in the intermediate appellate court and shall affirm.

BACKGROUND

Self-Insurance Groups and MMTA Group

As noted, LE § 9-402(a) permits employers to comply with the requirement of providing workers’ compensation to their covered employees by “participating in a self-insurance group of private employers that meets the requirements of Title 25, Subtitle 3 of the Insurance Article.” That authority is repeated in INS § 25-302.

INS Title 25, subtitle 3 consists of §§ 25-301 through 25-308. Those sections place these self-insurance groups under the jurisdiction of, and subject to extensive regulation by, the Insurance Commissioner. Section 25-303 requires the Insurance Commissioner to adopt regulations to implement the subtitle, regulations that must include, among other things:

“(1) classifications of business and industries, based on the type of activity conducted ... within which employers may join together in self-insurance groups;
(2) for each classification:
(i) a minimum level of contribution of at least $250,000 in premiums collected from or pledged by the members of the group to a fund from which workers’ compensation claims will be paid;
(ii) a minimum level of excess insurance coverage that must be obtained by each self-insurance group;
(3) conditions under which contributions by members of a self-insurance group may be rebated or temporarily suspended; [and]
(5) a requirement that the governance of the group be under the control of its members.”

*92 Section 25-304(a) requires approval by the Commissioner before a self-insurance group may operate, and that includes approval of the self-insurance agreement. Section 25-306 requires approval by the Commissioner of any termination of a self-insurance agreement as well as any merger between two or more such groups. Section 25-307 permits the Commissioner to require actuarial studies and audits to determine the financial solvency of each group, to assess the group up to $500 to defray the cost of such reports and audits, and to require from a self-insurance group an annual report that may include payroll audit reports, summary loss reports, and quarterly financial statements. Section 25-308 authorizes the Commissioner to impose on self-insurance groups a monetary penalty up to $10,000 for violations of the subtitle, to issue cease and desist orders to preclude those groups from engaging in practices that the Commissioner finds in violation of the subtitle, and to suspend or revoke the authority of the group to operate.

Section 25-304(b) requires each self-insurance group to have combined assets of at least $1,000,000. Section 25-304(c) requires the group to pay all workers’ compensation benefits for which each member incurs liability during the period of membership. It makes each member jointly and severally liable for the workers’ compensation obligations of the group and its members that are incurred during its period of membership, and it provides that the joint and several liability continues even if an employer’s membership is terminated or cancelled.

In accord with these statutory provisions, the Insurance Commissioner has promulgated a set of regulations dealing with private self-insurance groups. They are found in COMAR 31.08.09. They prescribe the kinds of businesses that may form self-insurance groups (31.08.09.03); they specify the minimum “annual premium” that must be collected by the group from its members (31.08.09.04); they require each group to maintain excess insurance coverage of at least $1,000,000 per occurrence over a retention of $350,000 or less and set some requirements for excess insurance policies *93

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Bluebook (online)
871 A.2d 590, 386 Md. 88, 2005 Md. LEXIS 173, Counsel Stack Legal Research, https://law.counselstack.com/opinion/maryland-motor-truck-assn-workers-compensation-self-insurance-group-v-md-2005.