Mountaineer Coal Co. v. Liberty Mutual Insurance (In Re Mountaineer Coal Co.)

247 B.R. 633, 2000 Bankr. LEXIS 411, 2000 WL 432831
CourtUnited States Bankruptcy Court, W.D. Virginia
DecidedApril 11, 2000
Docket19-50097
StatusPublished
Cited by8 cases

This text of 247 B.R. 633 (Mountaineer Coal Co. v. Liberty Mutual Insurance (In Re Mountaineer Coal Co.)) is published on Counsel Stack Legal Research, covering United States Bankruptcy Court, W.D. Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mountaineer Coal Co. v. Liberty Mutual Insurance (In Re Mountaineer Coal Co.), 247 B.R. 633, 2000 Bankr. LEXIS 411, 2000 WL 432831 (Va. 2000).

Opinion

*635 MEMORANDUM OPINION

WILLIAM F. STONE, Jr., Bankruptcy Judge.

The Plaintiff, Mountaineer Coal Company, Inc., (“Mountaineer”) is a Virginia Corporation owned by Stephen Douglas Halsey and Carl A. Hamilton. Wolverine Coal Company, Inc., (“Wolverine”) also is or was a Virginia Corporation owned by Messrs. Halsey and Hamilton. Both companies were involved in the coal mining business and had to obtain workers’ compensation insurance in order to operate. The Defendant, Liberty Mutual Insurance Company, (“Liberty Mutual”) provided workers’ compensation insurance to both companies under one policy. This Adversary Proceeding is a dispute between Mountaineer and Liberty Mutual arising out of the insurance coverage provided to Mountaineer and Wolverine both pre-petition and post-petition. A number of questions are raised by this dispute, but the principal issues concern whether Mountaineer is liable for that portion of the premium applicable to Wolverine’s application of a refund applicable to Mountaineer’s post-petition operations to liability arising from Wolverine’s post-petition operations, and the alleged failure of Mountaineer to refund to the Debtor-in-Possession claimed overcharges for post-petition insurance coverage.

The parties are in agreement that this Adversary Proceeding constitutes a “core” proceeding under 28 U.S.C. § 157(b)(2).

Findings of Fact

Up until September 1,1991 Mountaineer and Wolverine were named insureds under a workers’ compensation insurance policy issued by Old Republic Insurance Company (“Old Republic”). Several months before the expiration of this policy Old Republic gave notice that the policy would not be renewed due to the loss history of Mountaineer. Mountaineer and Wolverine could not continue lawfully to operate their coal mining businesses without workers’ compensation insurance. The companies’ insurance agent, Mr. John W. Jarvis of Jarvis Insurance Associates, Inc., advised them that Mountaineer would be unable to obtain a new workers’ compensation insurance policy without paying a substantial initial premium, which Mountaineer was not in a position to do, and came up with the idea of applying for and obtaining a policy for Wolverine alone, which would require a much lower initial premium payment. Once that policy was obtained for Wolverine, Mountaineer would be added to the policy as an additional named insured so that the initial large payment which would otherwise be required as a result of Mountaineer’s loss history would be avoided. While the extent to which Messrs. Halsey and Hamilton were familiar with all the details of this plan is unclear, it is clear that they authorized Mr. Jarvis to do whatever was necessary to obtain the insurance coverage necessary for the companies to continue operating.

Pursuant to this plan, Mr. Jarvis, working with Mrs. Clara Funk, the bookkeeper for both Wolverine and Mountaineer, did obtain the issuance by Liberty Mutual of a workers’ compensation insurance policy to Wolverine based on its more favorable loss history. Once the policy was issued, Mr. Jarvis filed the form necessary to request Liberty Mutual to add Mountaineer as an additional insured under the Wolverine policy. Liberty Mutual agreed to do so without requiring any disclosure of Mountaineer’s prior loss history. It is apparent that Mr. Jarvis realized that there was a gap in Liberty Mutual’s underwriting procedures and exploited that gap for the benefit of Mountaineer. While Jarvis, Mountaineer, and Wolverine all intended from the very beginning to obtain insurance coverage for the benefit of both Wolverine and Mountaineer, this intent was not disclosed to Liberty Mutual. It is apparent that, absent this maneuver, Mountaineer would not have been able to obtain the insurance coverage it needed at a price it was able to pay. To add Mountaineer to Wolverine’s policy it was necessary that Liberty Mutual’s form no. ERM-14 be completed and signed on be *636 half of Mountaineer (Defendant’s Exhibit I). This was done and on or about December 9, 1991 Mr. Jarvis received a copy of the endorsement adding Mountaineer, retroactive to September 1, 1991, as an additional named insured to Wolverine’s policy. Jarvis immediately sent a memo to Mountaineer and Wolverine advising them of the amendment of the policy. Mountaineer apparently continued to operate during the period September 1, 1991-December 9, 1991 without assurance that it was actually going to be provided coverage under the policy issued to Wolverine.

Under the course of dealing among the parties, the companies were required to pay an estimated premium based on a projected payroll. Regular audits were conducted thereafter to determine the actual amount of payroll. After the audit was conducted, Liberty Mutual would either bill the companies for any underpayment of premium or refund to them or credit to their account any overpayment. The companies continued to be covered under one policy of insurance and to receive one joint billing statement. At no time did either Wolverine or Mountaineer request that separate policies be issued or that separate billing accounts be established. One statement would be issued and Mrs. Funk would ordinarily allocate the premium based on the companies’ respective payrolls and would write checks from each company for its respective allocated share of the total premium. However, when one company or the other was not in a position to pay its proper share of the total premium, the other company would pay the entire premium payment due. When Liberty Mutual conducted its audits of the companies’ payrolls, it would combine the payrolls to determine the correct aggregate premium and therefore the appropriate adjustment to such premium at the end of the policy year. If any additional premium was due, it would send one joint statement. While Liberty Mutual was certainly aware that it was dealing with two legally distinct companies, it treated the relationship as one policy and therefore one account. There’s no language in the policy which expressly provides what the liability is of named insureds for the total premium when the policy insures more than one employer.

Part Five of the General Section of the policy, the language of which remained constant for all policy years in question, provided that the premium would be calculated from the insurer’s manuals of rates according to the proper classifications based on the insured’s actual operations and upon the payroll for all employees “engaged in work” for which the insurer could be liable. It further provided that the premium shown on the Information Page was an estimate and that the final premium would be determined “after the policy ends” by using the proper rates to the insured’s actual operations, after which

“If the final premium is more than the premium you paid to us, you must pay us the balance. If it is less, we will refund the balance to you.”

Paragraph E, Part Five of General Section of Policy, Exhibits K, X, Y, Z and F-1. The policy language doesn’t provide a date by which such determination is to be made but paragraph G of Part Five allows Liberty Mutual to conduct an audit “within three years after the policy period ends.”

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Cite This Page — Counsel Stack

Bluebook (online)
247 B.R. 633, 2000 Bankr. LEXIS 411, 2000 WL 432831, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mountaineer-coal-co-v-liberty-mutual-insurance-in-re-mountaineer-coal-vawb-2000.