Rhiner v. Red Shield Insurance

208 P.3d 1043, 228 Or. App. 588, 2009 Ore. App. LEXIS 722
CourtCourt of Appeals of Oregon
DecidedMay 27, 2009
Docket05C19442; A134481
StatusPublished
Cited by9 cases

This text of 208 P.3d 1043 (Rhiner v. Red Shield Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals of Oregon primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rhiner v. Red Shield Insurance, 208 P.3d 1043, 228 Or. App. 588, 2009 Ore. App. LEXIS 722 (Or. Ct. App. 2009).

Opinion

*590 LANDAU, P. J.

Plaintiff holds a comprehensive general liability insurance policy issued by defendant Red Shield Insurance Company. The policy excludes coverage for claims made by plaintiffs employees, but it covers claims made by “temporary workers” who are not employees. The policy defines a “temporary worker” as “a person who is furnished to you” to substitute for a permanent employee who is on leave or to meet seasonal or short-term workload conditions. The question in this case is whether an individual whom plaintiff hired directly, and who has filed a workers’ compensation claim against plaintiff for on-the-job injuries, is an “employee” or a “temporary worker” within the meaning of the policy. Red Shield contends that the individual is an employee, not a temporary worker, because the worker was not “a person who [was] furnished” to plaintiff by a third party, such as an employment agency. Plaintiff insists that the individual is a temporary worker within the meaning of the policy because he was “a person who [was] furnished” to plaintiff by the worker himself. On cross-motions for summary judgment, the trial court agreed with plaintiff, and Red Shield appeals, arguing that the trial court’s decision is contrary to the plain meaning of the policy. We agree with defendant and reverse.

The relevant facts are uncontested. Plaintiff owns and operates Oregon Tree and Shrubbery Specialists. During the time pertinent to this case, he was insured under a comprehensive general liability insurance policy issued by Red Shield. The policy excluded coverage for employment-related injuries, including “any obligation the insured might have under the workers’ compensation laws, disability benefits or unemployment compensation,” and any claim for bodily injury to an employee “arising out of and in the course of’ employment or the performance of duties related to the insured’s business.

The policy defined “employee” as follows:

“ ‘Employee’ includes ‘leased worker’. ‘Employee’ does not include a ‘temporary worker’.”

*591 Thus, under the policy, a “leased worker” is an employee; however, a “temporary worker” is not an employee and is therefore not excluded from coverage under the policy. The policy defined a “leased worker” as

“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.’ ”

The policy defined a “temporary worker” as

“a person who is furnished to you to substitute for a permanent ‘employee’ on leave or to meet seasonal or short-term workload conditions.”

In October 2002, plaintiff hired Mize to work for him cutting and trimming trees and shrubs. Plaintiff hired Mize himself; he did not go through an employment agency, labor contractor, or any other entity to obtain Mize’s services. Mize worked for plaintiff continuously from October 2002 to December 23, 2003, when he fell from a tree.

Mize filed a claim for workers’ compensation benefits and recovered benefits for partial disability. In the course of that process, the Department of Consumer and Business Services determined that plaintiff was a noncomplying employer. Plaintiff disputes that determination, and it is stayed at the administrative level pending the outcome of this litigation. In light of plaintiffs noncomplying employer status, Mize brought an action against plaintiff for negligence and employer liability. See ORS 656.578 (worker of noncomplying employer entitled to seek damages from employer).

Plaintiff turned to Red Shield for defense and indemnity. Red Shield refused to defend or indemnify plaintiff, citing the policy’s exclusions for employment-related injuries. Plaintiff then initiated this action for a declaration that Red Shield is obligated to defend and indemnify on the ground that, because Mize was a “temporary worker,” his claim is subject to the policy’s exception from the exclusion for employment-related injuries. As we have noted, the trial court determined that Mize was a temporary worker within *592 the meaning of the policy and that Red Shield was therefore required to defend and indemnify plaintiff against any liability to Mize.

On appeal, Red Shield contends that the trial court erred in concluding that Mize was a “temporary worker” within the meaning of the policy. According to Red Shield, Mize cannot be regarded as a “temporary worker” because he was not “a person who [was] furnished to [plaintiff]”; rather, plaintiff hired Mize directly. Even if the trial court correctly determined that, in some sense, Mize “furnished” himself to plaintiff, Red Shield argues, Mize still is not a “temporary worker” within the meaning of the policy because he was not furnished to meet seasonal or short-term workload needs.

Plaintiff responds that, because the policy’s requirement that a “temporary worker” have been “furnished to [plaintiff]” is ambiguous, the policy must be construed in favor of coverage. Plaintiff asserts that the policy is ambiguous in at least two ways. First, he contends, it is not clear that the phrase “a person furnished to you” even is relevant in this case. According to plaintiff, the policy definition of “temporary worker” could be read to apply to any person who was hired to meet seasonal or short-term workload conditions, regardless of who furnished the worker. Second, plaintiff contends that—assuming that the worker must have been “furnished to” the employer—it is still unclear whether the worker may not “furnish” himself. In addition, plaintiff contends that the record makes clear that Mize was hired only on a project-by-project basis, to meet short-term workload needs.

Thus framed, the parties’ contentions require us to interpret the terms of the insurance policy, which we do in accordance with the interpretive principles set out in Hoffman Construction Co. v. Fred S. James & Co., 313 Or 464, 469-70, 836 P2d 703 (1992). Under Hoffman Construction Co., our goal is to ascertain the intention of the parties “based on the terms and conditions of the insurance policy.” Id. at 469. We begin with the wording of the policy, applying any definitions contained in the policy and otherwise presuming that words have their plain, ordinary meanings. Id. at 469-70. If, from that vantage point, there is only one plausible interpretation *593 of the disputed terms, our analysis goes no further. Id. If, however, we determine that the disputed term is susceptible to more than one plausible interpretation, we examine the term in the broader context of the policy as a whole. Id. at 470. If our consideration of the policy’s broader context fails to resolve the ambiguity, then we will construe the policy against the drafter, in this case, Red Shield. Id. at 470-71.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Alterra Am. Ins. Co. v. James W. Fowler Co.
347 F. Supp. 3d 604 (D. Oregon, 2018)
Canal Insurance v. National House Movers, LLC
777 S.E.2d 418 (Court of Appeals of South Carolina, 2015)
Leach v. Scottsdale Indemnity Co.
323 P.3d 337 (Court of Appeals of Oregon, 2014)
Lafayette Insurance Company v. Jerry S. Roberts
Court of Appeals of Tennessee, 2013
Borntreger v. Smith
2012 WI App 35 (Court of Appeals of Wisconsin, 2012)
In Re Helicopter Crash Near Weaverville, Ca 8/5/08
714 F. Supp. 2d 1098 (D. Oregon, 2010)

Cite This Page — Counsel Stack

Bluebook (online)
208 P.3d 1043, 228 Or. App. 588, 2009 Ore. App. LEXIS 722, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rhiner-v-red-shield-insurance-orctapp-2009.