North Carolina Farm Bureau Mutual Insurance v. T-N-T Carports, Inc.

649 S.E.2d 420, 185 N.C. App. 686, 2007 N.C. App. LEXIS 1942
CourtCourt of Appeals of North Carolina
DecidedSeptember 4, 2007
DocketCOA06-1123
StatusPublished

This text of 649 S.E.2d 420 (North Carolina Farm Bureau Mutual Insurance v. T-N-T Carports, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals of North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
North Carolina Farm Bureau Mutual Insurance v. T-N-T Carports, Inc., 649 S.E.2d 420, 185 N.C. App. 686, 2007 N.C. App. LEXIS 1942 (N.C. Ct. App. 2007).

Opinion

STROUD, Judge.

This is a breach of contract action involving an insurance contract for workers’ compensation and employers’ liability insurance. Plaintiff North Carolina Farm Bureau Mutual Insurance Company, Inc. insured defendant T-N-T Carports, Inc. (“T-N-T”) pursuant to two workers’ compensation insurance policies. Plaintiff issued each policy with an initial premium determined by the estimated annual payroll of covered T-N-T employees. This initial premium was subject to an audit from which a final premium would be calculated. De *687 fendants Venancio and Deborah Torres personally guaranteed “payment of all premiums.”

The dispositive issue before this Court is whether T-N-T subcontractors and their helpers, who transport and assemble steel carports and garages, are properly classified as “Labor Only” employees or “Mobile Equipment with Operators” employees for the purpose of calculating T-N-T’s final workers’ compensation insurance policy premium. We hold that the trial court did not err by concluding that the work of T-N-T’s subcontractors is “Labor Only.” Accordingly, we affirm the trial court order entered 16 February 2006 by Judge Robert H. Hobgood in Superior Court, Wake County awarding plaintiff $260,046.50 in additional premium payments under both policies.

I. Background

Defendant T-N-T manufactures unassembled steel carports and garages at its plant in Mount Airy, North Carolina. Between March 2001 and September 2002, defendant T-N-T sold carports and garages to buyers in approximately twenty states. Defendant T-N-T contracted with uninsured subcontractors to transport the unassembled steel materials from Mount Airy to job sites and to assemble the carports and garages on arrival. Defendant T-N-T’s subcontractors and the subcontractors’ helpers used heavy-duty pickup trucks to transport the unassembled steel and used various hand tools to assemble the carports and garages.

Plaintiff issued two workers’ compensation insurance policies to defendant T-N-T. Policy One was in effect from 16 March 2001 to 16 March 2002. Policy Two was in effect from 16 March 2002 to 6 September 2002. Plaintiff issued each policy with an initial premium determined by the estimated annual payroll of covered T-N-T employees. For each policy, this initial premium was subject to audit from which an actual premium would be calculated. The estimated annual payroll of T-N-T subcontractors and their helpers was not included when plaintiff calculated the initial premium for either policy. However, N.C. Gen. Stat. § 97-19 requires North Carolina employers to provide workers’ compensation benefits to the employees of uninsured subcontractors. N.C. Gen. Stat. § 97-19 (2005).

Because defendant T-N-T did not require, or provide proof of, workers’ compensation insurance coverage from its subcontractors, plaintiff included the annual payroll of defendant T-N-T’s subcontrac *688 tors and their helpers when calculating the final premiums for both policies. This inclusion caused the final premium to exceed the estimated premium. Plaintiff had calculated the initial estimated premium for Policy One to be $17,005.00, but plaintiffs complaint alleged that the audit revealed that the actual premium for covered T-N-T employees, including T-N-T subcontractors and their helpers, should have been $135,462.00. Plaintiff also calculated the estimated premium for Policy Two to be $11,912.50, but plaintiffs complaint alleged that the audit revealed that the actual premium for covered T-N-T employees should have been $66,138.00. Based on these audits, plaintiff sought additional premiums in the amount of $172,682.50 plus interest.

Defendants do not dispute that the payroll of T-N-T subcontractors and their helpers must be included when calculating the policy premiums. Defendants dispute plaintiffs classification of these employees as “Labor Only” employees for purposes of determining the amount of additional premiums due. Defendants argue that T-N-T subcontractors and their helpers should be classified as “Mobile Equipment with Operators” employees. Defendants refused to pay the additional premiums demanded by plaintiff as a result of the policy audits.

On 9 February 2004, plaintiff filed suit in Superior Court, Wake County alleging breach of contract. In a consent pretrial order, plaintiff and defendants stipulated that

10. T-N-T contends, and the Court held in its order granting partial summary judgment entered herein on August 3, 2005, t 1 ] that the Uninsured Subcontractor payments are adjusted under Subcontractor Table 2 of the Basic Manual according to the category for ‘Mobile Equipment with Operators (such as but not limited to earth movers, graders, bulldozers or log skitters)’, [sic] which applies not less than 33 1/3% of the subcontractor payments to the applicable rate per $100.00. Should that category be deemed to apply, Farm Bureau would in fact apply precisely 33 1/3% of the subcontractor payments to the rate to calculate the final premium.
*689 11. Farm Bureau contends that the Uninsured Subcontractor payments are adjusted under Subcontractor Table 2 of the Basic Manual according to the category for “Labor only,” which applies not less than 90% of the subcontractor payments to the applicable rate per $100.00. Should that category be deemed to apply, Farm Bureau would in fact apply precisely 90% to the subcontractor payments to the rate to calculate the final premium.

This matter was heard by bench trial before Superior Court Judge Robert H. Hobgood on 9 January 2006.

Plaintiff tendered Sue Taylor (“Taylor”), director of the North Carolina Rate Bureau Workers’ Compensation Department (“Rate Bureau”), as an expert witness at trial. Taylor explained how the Rate Bureau classifies employees and how the Rate Bureau would apply the Basic Manual for Workers Compensation and Employers Liability Insurance (“Basic Manual”) to the disputed policies.

The Basic Manual contains insurance rates and classification plans adopted by the North Carolina Rate Bureau and approved by the Commissioner of Insurance. N.C. Gen. Stat. § 58-36-100(k) and (o) (2005). N.C. Gen. Stat. § 58-36-100(k) and (o) provide that all workers’ compensation insurance carriers must comply with the Basic Manual. Id. The Basic Manual states that “[f]or each subcontractor not providing . . . evidence of workers compensation insurance, additional premium must be charged on the contractor’s policy for the uninsured subcontractor’s employees according to Subcontractor Table 1 and 2” contained therein. Basic Manual for Workers Compensation and Employers Liability Insurance, Rule 2(H)(2) (2001).

Subcontractor Table 1 notes that

[i]f the contractor has not furnished evidence of workers compensation insurance and . . . [d]oes not furnish complete payroll records, but documentation of a specific job discloses that a definite amount of the subcontract price represents payroll, . . . [t]hen to calculate the additional premium . . . [u]se the payroll amount indicated by the documentation as the payroll, subject to the minimums in Subcontractor Table 2.

Basic Manual, Subcontractor Table 1.

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649 S.E.2d 420, 185 N.C. App. 686, 2007 N.C. App. LEXIS 1942, Counsel Stack Legal Research, https://law.counselstack.com/opinion/north-carolina-farm-bureau-mutual-insurance-v-t-n-t-carports-inc-ncctapp-2007.