State Compensation Insurance Fund v. Brown

32 Cal. App. 4th 188, 38 Cal. Rptr. 2d 98, 60 Cal. Comp. Cases 91, 95 Cal. Daily Op. Serv. 1052, 95 Daily Journal DAR 1825, 1995 Cal. App. LEXIS 184
CourtCalifornia Court of Appeal
DecidedJanuary 27, 1995
DocketC017728
StatusPublished
Cited by45 cases

This text of 32 Cal. App. 4th 188 (State Compensation Insurance Fund v. Brown) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State Compensation Insurance Fund v. Brown, 32 Cal. App. 4th 188, 38 Cal. Rptr. 2d 98, 60 Cal. Comp. Cases 91, 95 Cal. Daily Op. Serv. 1052, 95 Daily Journal DAR 1825, 1995 Cal. App. LEXIS 184 (Cal. Ct. App. 1995).

Opinion

Opinion

DAVIS, J.

Plaintiff State Compensation Insurance Fund (SCIF) filed an action against its former insureds, Robert and Judy Brown, alleging its right to recover premiums due on the insurance contract. 1 The defendants, doing business as Mountain Valley Trucking (MVT), successfully moved for summary judgment on the ground they were not contractually obligated to pay the premiums because the workers on whom the premium claim was based were not employees eligible for workers’ compensation benefits. SCIF’s appeal challenges both the trial court’s jurisdiction and its conclusion that the workers were independent contractors as a matter of law. We shall affirm.

*193 Scope of Review

“Since a summary judgment motion raises only questions of law regarding the construction and effect of the supporting and opposing papers, we independently review them on appeal, applying the same three-step analysis required of the trial court. . . . First, we identify the issues framed by the pleadings since it is these allegations to which the motion must respond by establishing a complete defense or otherwise showing there is no factual basis for relief on any theory reasonably contemplated by the opponent’s pleading. [U [Second], we determine whether the moving party’s showing has established facts which negate the opponent’s claim and justify a judgment in [the] movant’s favor. . . . [<]D When a summary judgment motion prima facie justifies a judgment, the third and final step is to determine whether the opposition demonstrates the existence of a triable, material factual issue.” (AARTS Productions, Inc. v. Crocker National Bank (1986) 179 Cal.App.3d 1061, 1064-1065 [225 Cal.Rptr. 203], citations omitted.)

The Pleadings

The pertinent portion of the complaint is brief. “[W]ithin four years last past [MVT] became indebted to . . . [SCIF] upon an open book account for insurance premiums for the period of 12/2/89 to 4/14/92 for Policy No. 1092503-89 in the amount of $192,069.65 principal, $19,506.00 interest from December 2, 1989 to December 1, 1992 which [MVT] promised and agreed to pay.” SCIF further alleged, “[N]o part of said sum has been paid.” The allegations appeared in causes of action for an account stated and for indebtedness on an open book account.

The Defendants’ Showing

Center stage in the defendants’ motion papers is the insurance contract itself (which had not been appended to the complaint), as it defines their contractual duties. The contract begins by reciting the agreement is “[i]n return for the payment of the premium . . . .” Under the “General Section,” the following pertinent provisions appear:

“B. Who Is Insured

“You are insured for your liability to your employees . . . , subject to the provisions of this policy.

“E. Who Is Eligible for Benefits

*194 “Your employees ... are eligible for benefits under this policy, except that: . . . 2. Employees who are excluded under the workers’ compensation law are not eligible for benefits under this policy, unless they have been included on the Declarations or by endorsement.”

Under “Part One,” the policy describes its workers’ compensation coverage:

“B. We Will Pay

“We will pay promptly when due to those eligible under this policy the benefits required of you by the workers’ compensation law.”

Part One also notes that “Terms of this insurance that conflict with the workers’ compensation insurance law are changed by this statement to conform to that law.”

Finally, “Part Five” contains the following material provisions regarding premiums:

“A. Manuals

“All premiumfs] for this policy will be determined by the Workers’ Compensation Insurance Rating Bureau’s manuals of rules, rates, rating plans and classifications. . . .

“C. Premium Calculation

“[The p]remium for each work classification is determined by multiplying a rate times a premium basis. Remuneration is the most common premium basis. This premium basis includes payroll and all other remuneration paid or payable during the policy period for the services of.

“1. all your employees eligible for benefits under this policy . . . ; and

“2. all other persons engaged in work that could make us liable under Part One (Workers’ Compensation Insurance) of this policy. If you do not have payroll records for these persons, the contract price for their services and materials may be used as the premium basis. This paragraph 2 will not apply if you give us proof that the employers of these persons lawfully secured their workers’ compensation obligations.

“D. Premium Payments

“You will pay all premium[s] when due.

“E. Final Premium

“The premium shown on the Declarations, schedules, and endorsements is an estimate. The final premium will be determined after this policy ends by *195 using the actual. . . premium basis and the proper classifications, rates and rating plans that lawfully apply to the business and work covered by this policy. If the final premium is more than the premium you paid to us, you must pay us the balance. . . .

“F. Records

“You will keep records of information needed to compute premiums. You will provide us with copies of those records when we ask for them.

“G. Audit

“You will let us examine and audit all your records that relate to this policy. . . .” (Italics supplied.)

In addition to the contract, the defendants provided the declaration of Judy Brown (the chief operating officer and custodian of records for MVT). 2

According to Mrs. Brown, she was responsible for obtaining the SCIF policy, which had been in effect from 1988 until its termination in May 1992. At no point did she agree to provide coverage for independent contractors working for them. Based on her discussions with SCIF staff, she believed the final premium due claimed by SCIF was based solely on payments to contract truck drivers who provided trucking services to MVT during the policy period. Each time SCIF billed MVT for these truckers, she had immediately objected. None of the truckers ever actually made a claim for workers’ compensation benefits.

Although the exact nature of MVT’s business is not spelled out in the declarations, it is described as a “broker” in “transporting intermodal freight,” in which trucks are directed to customer pick-up and drop-off locations. Prior to 1988, MVT owned its own trucks and employed drivers. In 1988, however, MVT sold all its trucks and contracted thereafter for services from independent owner-operator truckers (for brevity of reference, “independents”). In only one instance did a former employee buy a truck from MVT (at full market price) and thereafter provide trucking services pursuant to contract.

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32 Cal. App. 4th 188, 38 Cal. Rptr. 2d 98, 60 Cal. Comp. Cases 91, 95 Cal. Daily Op. Serv. 1052, 95 Daily Journal DAR 1825, 1995 Cal. App. LEXIS 184, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-compensation-insurance-fund-v-brown-calctapp-1995.