McClure v. State Compensation Insurance Fund

899 P.2d 1093, 272 Mont. 94, 52 State Rptr. 685, 1995 Mont. LEXIS 144
CourtMontana Supreme Court
DecidedJuly 27, 1995
Docket94-489
StatusPublished
Cited by8 cases

This text of 899 P.2d 1093 (McClure v. State Compensation Insurance Fund) is published on Counsel Stack Legal Research, covering Montana Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
McClure v. State Compensation Insurance Fund, 899 P.2d 1093, 272 Mont. 94, 52 State Rptr. 685, 1995 Mont. LEXIS 144 (Mo. 1995).

Opinions

JUSTICE NELSON

delivered the Opinion of the Court.

The appellant, James McClure appeals from the Workers’ Compensation Court’s order denying his petition for new trial and certifying judgment as final dated September 7,1994. We reverse and remand.

BACKGROUND

.On June 8, 1992, the appellant James McClure (McClure) was injured in the course and scope of his employment with Smith Enterprises, Inc. (Smith). At the time of the injury, Smith, a tribal-owned business, was an independent contractor of Blaze Construction, Inc. (Blaze). Blaze was the prime contractor for the Bureau of Indian Affairs (BIA) to construct streets in a subdivision located on the Flathead Indian Reservation. Blaze’s contract with the BIA required evidence of workers’ compensation insurance. Aletter incorporated as part of that contract provided in part:

(a) Workers’ Compensation Insurance. The Contractor shall furnish evidence to the Government that all operations to be performed under the contract are covered by Workers’ Compensation Insurance or that this liability is otherwise provided for in accordance with applicable State laws. [Emphasis added.]

Similarly, Blaze’s contract with Smith required Smith to acquire workers’ compensation coverage:

(h) To pay Industrial Insurance and all other payments required under Workmen’s Compensation laws as the same become due, and to furnish to the CONTRACTOR with evidence that the same [96]*96has been paid before final payment is made on this SUB-CONTRACT.

Moreover, the subcontract which Smith signed also provided in pertinent part:

2. [Smith agrees] To be bound by the terms of said MAIN CONTRACT [the contract between Blaze as prime contractor and the property owner] with the OWNER (including every part of and all the general and special conditions, drawings, specifications and addenda) in any way applicable to this Subcontract...

Blaze carried workers’ compensation coverage, however, Smith did not. Because Smith was not insured at the time of McClure’s injury, McClure initially filed a claim with the State Compensation Insurance Fund (State Fund) seeking benefits from the Uninsured Employers Fund. The State Fund denied liability on the basis that the Uninsured Employers Fund does not have jurisdiction over businesses owned by tribal members operating solely within the confines of the reservation. McClure then filed a claim for compensation against Blaze pursuant to § 39-71-405(1), MCA (1991).

On October 7, 1993, the Workers’ Compensation Court denied McClure’s motion for declaratory ruling yet agreed to bifurcate the issue of the applicability of Montana’s workers’ compensation laws to the Flathead Indian Reservation. On December 22, 1993, McClure filed a renewed motion for declaratory ruling. The Workers’ Compensation Court again denied the motion and on September 7, 1994 issued an order denying McClure’s petition for new trial and certifying judgment as final. McClure appeals the September 7, 1994 order denying petition for new trial and certifying judgment as final.

ISSUES

McClure raises two issues on appeal. They are:

Did the Workers’ Compensation Corut err in its determination that McClure is not entitled to benefits under § 39-71-405, MCA?

Did the Workers’ Compensation court err in its determination that a claim for workers’ compensation benefits based upon a third-party beneficiary contractual theory is beyond the scope of its jurisdiction?

STANDARD OF REVIEW

The facts of this case are essentially undisputed. McClure argues that the District Court erred in its legal conclusions when it determined that McClure is not entitled to benefits under § 39-71-405(1), MCA, and that a claim for workers’ compensation benefits [97]*97based upon a third-party beneficiary contractual theory is beyond the scope of its jurisdiction. In reviewing the Workers’ Compensation Court’s conclusions of law, we determine if the court’s interpretation of the law is correct. Plainbull v. Transamerica Ins. Co. (1994), 264 Mont. 120, 124, 870 P.2d 76, 79 (citing Steer, Inc. v. Department of Revenue (1990), 245 Mont. 470, 474-75, 803 P.2d 601, 603).

DISCUSSION

(1) Did the Workers’ Compensation Court err in its determination that McClure is not entitled to benefits under § 39-71-405, MCA?

McClure appeals the Workers’ Compensation Court’s holding that he is not entitled to benefits under Blaze’s workers’ compensation coverage because Smith does not fall within the purview of the Workers’ Compensation Act and therefore the applicable independent contractor statute, § 39-71-405(1), MCA, is not triggered.

McClure argues that pursuant to § 39-71-405(1), MCA, Blaze, the prime contractor, is liable for payment of benefits to McClure, an employee of Smith, the independent contractor, because Smith did not carry workers’ compensation coverage. According to McClure, state workers’ compensation jurisdiction over Indian employers is not at issue here. In summary, McClure argues that Smith’s contractual obligation triggers § 39-71-405(1), MCA, placing liability on Blaze.

The resolution of the issues presented hinges on § 39-71-405(1), MCA (1991), which provides:

Liability of employer who contracts work out. (1) An employer who contracts with an independent contractor to have work performed of a kind which is a regular or a recurrent part of the work of the trade, business, occupation, or profession of such employer is liable for the payment of benefits under this chapter to the employees of the contractor if the contractor has not properly complied with the coverage requirements of the Worker’s Compensation Act. Any insurer who becomes liable for payment of benefits may recover the amount of benefits paid and to be paid and necessary expenses from the contractor primarily liable therein. [Emphasis added.]

The Workers’ Compensation Court found that on its face, the statute “applies only in cases where the subcontractor ‘has not properly complied with the coverage requirements of the Worker’s [sic] Compensation Act,’ a situation commonly referred to as involving an ‘uninsured employer.’ ” Due to the bifurcation of the issue of the applicability of the Montana Workers’ Compensation Act to the Flat[98]*98head Indian Reservation, the court assumed that the Act did not apply to Smith. Therefore, the court interpreted the phrase “properly complied with the coverage requirements” to apply only to situations where the independent contractor is statutorily required to provide coverage for its employees and fails to do so.

At the outset, we note that the 1991 codes, not the 1993 codes, apply to McClure’s 1992 injury. Buckman v. Montana Deaconess Hosp. (1986), 224 Mont. 318, 321, 730 P.2d 380, 382. Accordingly, § 39-71-401(2)(m), MCA, (exempting from the Workers’ Compensation Act “a person who is employed by an enrolled tribal member who operates solely within the exterior boundaries of an Indian reservation.”) does not apply here.

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McClure v. State Compensation Insurance Fund
899 P.2d 1093 (Montana Supreme Court, 1995)

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Bluebook (online)
899 P.2d 1093, 272 Mont. 94, 52 State Rptr. 685, 1995 Mont. LEXIS 144, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mcclure-v-state-compensation-insurance-fund-mont-1995.