Nationwide Mutl Ins v. Timothy Shaw

491 F. App'x 353
CourtCourt of Appeals for the Third Circuit
DecidedAugust 6, 2012
Docket11-3573
StatusUnpublished
Cited by1 cases

This text of 491 F. App'x 353 (Nationwide Mutl Ins v. Timothy Shaw) is published on Counsel Stack Legal Research, covering Court of Appeals for the Third Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nationwide Mutl Ins v. Timothy Shaw, 491 F. App'x 353 (3d Cir. 2012).

Opinion

OPINION

GREENAWAY, JR., Circuit Judge.

Appellant Nationwide Mutual Insurance Company (“Nationwide”) appeals the District Court’s Order denying its motion for summary judgment and granting summary judgment in favor of Appellees Timothy Shaw (“Shaw”), individually and d/b/a Shaw Brothers Donkey Ball Co., and Robert Eisenberry (“Eisenberry”). For the reasons that follow, we will vacate the District Court’s Order and remand for further proceedings.

I. BACKGROUND

Because we write primarily for the benefit of the parties, we recount only the essential facts.

Shaw was the sole proprietor of a business that provided donkeys for charity basketball events. 1 The donkeys were housed and cared for in a New York barn that Shaw leased in the name of his business. For several decades, the business operated under the name “Shaw Brothers Donkey Ball Company.” Around 2003, on the advice of his attorney, Shaw changed the name of the business to “Shaw Brothers Donkey Ball, LLC.”

Shaw had a commercial general liability policy for the business with Nationwide (the “Insurance Policy”), providing coverage for claims of bodily injury or property *355 damage, among other areas of coverage. The Insurance Policy contained a number of exclusions to coverage. The relevant exclusion provision at issue here stated:

2. Exclusions
This insurance does not apply to:
e. Employer’s Liability
“Bodily injury” to:
(1) An “employee” of the insured arising out of and in the course of:
(a) Employment by the insured; or
(b) Performing duties related to the conduct of the insured’s business

(App.160.) In other words, Nationwide expressly removed from coverage a bodily injury to one of Shaw’s “employees.”

The Insurance Policy, however, did not define who constitutes an employee of the business. Instead, the Insurance Policy merely stated that an “employee” includes a “leased worker” but does not include a “temporary worker.” (App.170.) Those two terms are defined in the Insurance Policy:

10. “Leased worker” means a person leased to you by a labor leasing firm under an agreement between you and the labor leasing firm, to perform duties related to the conduct of your business. “Leased worker” does not include a “temporary worker.”
19. “Temporary worker” means a person who is furnished to you to substitute for a permanent “employee” on leave or to meet seasonal or short-term workload conditions.

(App.170, 172.) Separately, the Insurance Policy defined a “volunteer worker” as a “person who is not your ‘employee,’ and who donates his or her work and acts at the discretion of and within the scope of duties determined by you, and is not paid a fee, salary or other compensation by you or anyone else for their work performed for you.” (App.172.)

Eisenberry was a retired farmer who had known Shaw for approximately ten to twelve years at the time of the accident that precipitated this litigation, though the two were not “close family friend[s].” (App.17.) Eisenberry was introduced to Shaw through Mr. Parks, who baled hay for Shaw. Mr. Parks informed Shaw that Eisenberry could help him (Shaw) whenever needed. At some point thereafter, Ei-senberry began working at the New York barn that housed Shaw’s donkeys. Eisen-berry’s responsibilities included unloading and moving hay, cleaning the donkey stalls, and feeding and watering the donkeys.

On September 4, 2007, Eisenberry was in possession of Shaw’s truck. At some point, Eisenberry arrived at the farm and began helping Shaw and another man unload bales of hay from a wagon. Eisenber-ry was stacking bales of hay on the second floor of the barn when he fell through the floor due to missing planks that were covered by pieces of hay. Eisenberry was rendered a paraplegic as a result of the fall.

Eisenberry sued Shaw in the U.S. District Court for the Middle District of Pennsylvania, asserting premises liability. On February 9, 2010, a jury returned a verdict in Eisenberry’s favor. 2 On February 19, 2010, Nationwide filed a declaratory judgment action in the District Court against Shaw, the Donkey Ball business, and Ei-senberry. Nationwide asserted that it was not liable under the Insurance Policy to provide coverage to Shaw for the accident. Both sides moved for summary judgment. On August 22, 2011, the District Court denied Nationwide’s motion for summary judgment and granted summary judgment in favor of Shaw, the Donkey Ball busi *356 ness, and Eisenberry. Nationwide filed a timely appeal.

II. JURISDICTION AND STANDARD OF REVIEW

The District Court had jurisdiction under 28 U.S.C. § 1332. We have jurisdiction under 28 U.S.C. § 1291.

Because the District Court’s jurisdiction was premised on diversity, we, like the District Court, “must apply state substantive law and federal procedural law.” Liggon-Redding v. Estate of Sugarman, 659 F.3d 258, 262 (3d Cir.2011) (citation omitted). We exercise plenary review over the District Court’s grant of summary judgment. Doe v. Luzerne Cnty., 660 F.3d 169, 174 (3d Cir.2011) (citation omitted).

III. ANALYSIS 3

The central issue in the declaratory judgment action is whether Eisenberry was Shaw’s “employee” at the time of the accident, as that term is contemplated in the Insurance Policy. If Eisenberry assumed employee status, the employee exclusion provision in the Insurance Policy would apply, and Shaw would be unable to seek coverage for the accident. On the other hand, if Eisenberry was not Shaw’s employee, then Nationwide concedes it must provide Shaw with coverage for the accident.

A. Insurance Policy’s Definition of “Employee”

We begin with the terms of the Insurance Policy itself. The parties acknowledge, and the District Court agreed, that the Insurance Policy fails to provide a complete and sufficient definition of “employee.” We agree.

The Insurance Policy states that an employee includes a leased worker but does not include a temporary worker. Eisen-berry was neither. To be a leased worker, Eisenberry would have had to be furnished to Shaw under a labor leasing agreement. To be a temporary worker, Eisenberry would have had to be replacing a permanent employee or meeting Shaw’s short-term needs. Neither situation is factually true here.

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491 F. App'x 353, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nationwide-mutl-ins-v-timothy-shaw-ca3-2012.