Travelers Insurance v. Industrial Accident Commission

240 Cal. App. 2d 804, 50 Cal. Rptr. 114, 31 Cal. Comp. Cases 72, 1966 Cal. App. LEXIS 1415
CourtCalifornia Court of Appeal
DecidedMarch 15, 1966
DocketCiv. 30114
StatusPublished
Cited by18 cases

This text of 240 Cal. App. 2d 804 (Travelers Insurance v. Industrial Accident Commission) 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
Travelers Insurance v. Industrial Accident Commission, 240 Cal. App. 2d 804, 50 Cal. Rptr. 114, 31 Cal. Comp. Cases 72, 1966 Cal. App. LEXIS 1415 (Cal. Ct. App. 1966).

Opinion

*806 FRAMPTON, J. pro tem. *

By writ of review Travelers Insurance Company seeks to annul an award of the Industrial Accident Commission holding it jointly and severally liable with the State Compensation Insurance Fund for an award of workmen’s compensation benefits to the applicant, who entered into a contract of employment in California and subsequently sustained injury arising out of and in the course of that employment in Alaska.

The facts are not in dispute. The employment contract was executed in Bakersfield, California. The applicant, an oil well driller, sustained injury at Icy Bay, Alaska, on October 9, 1961. After emergency treatment he was transported by plane to his home in Bakersfield.

It does not appear that an application for the adjustment of a claim was ever filed before the Alaska Workmen’s Compensation Board and, therefore, no hearing on or determination of the claim of the employee was had in that forum. However, pursuant to the requirements of the Alaska workmen’s compensation law, Travelers paid the following: For temporary disability $9,271.42; for permanent partial disability $4,698; and for medical expenses $8,198.40, making a total of $22,167.82. The record before the respondent Industrial Accident Commission, as contained in the return to the writ, as such records relate to the workmen’s compensation law of Alaska, indicate that the above mentioned payments cover all liability under the Alaska law except for future medical treatment of the applicant, if required.

On November 2, 1964, after receipt of the above mentioned benefits, the applicant filed a claim with the Industrial Accident Commission of California against the employer and Travelers. In February 1965 the State Compensation Insurance Fund was joined as a defendant in the California proceeding. Travelers contended that its policy covered only claims under the Alaska law and submitted a lien claim for the amounts paid out by it. The State Compensation Insurance Fund, conceding that its policy provided coverage, argued that Travelers collected premiunfe on the basis of the payroll in Alaska, which included applicant’s activities, and therefore in equity Travelers should be held solely liable for any award made under the workmen’s compensation law of California.

Upon hearing, the referee found that the Travelers policy *807 provided coverage under the workmen’s compensation law of California and assessed liability jointly and severally against the two insurers, allowing a credit to these defendants for the amounts already paid to the applicant. A search of the record does not disclose that the commission has entered its order relieving the employer from liability under the provisions of Labor Code, section 3759, however the record is clear that no award has been made against the employer.

In the “Opinion of Referee on Findings and Award” the referee stated as follows: “It does appear that there are equities to be adjusted between the two insurance companies. It is the policy in this state to award applicant his compensation first and then adjust equities between insurance companies in supplemental proceedings, which will be done in the instant case.” An award issued for $6,520 temporary disability indemnity, $17,010 as permanent disability indemnity, payable at the rate of $52.50 per week beginning July 31, 1963, and thereafter a lifetime pension at the rate of $25.44 per week. The award also included reimbursement for certain self procured medical treatment in an amount to be adjusted by the parties, $35 for medical-legal costs, and $229.50 for transportation costs. It allowed the liens of $750 for attorneys’ fees and $35 for a medical report. The award was expressly “less all sums heretofore paid.”

In the “Opinion of Referee on Findings and Award” the referee specifically reserved jurisdiction in the Commission to determine at a subsequent hearing the validity of the lien claim filed by Travelers.

The opinion and order of the commission denying reconsideration confirmed the findings and award of the referee except that it disallowed the lien claim of Travelers, stating that it could see no reason why further proceedings need be had before the commission to resolve the respective liabilities of the insurers except insofar as it might be necessary to determine the reasonable value of the self procured medical treatment or to otherwise enforce the award.

Travelers contends that the commission has no jurisdiction over it in regard to its liability inasmuch as its policy is expressly limited to provide coverage only under the workmen’s compensation law of Alaska. It further contends that it is entitled to a lien for the benefits it has paid and which it claims would fall within the provisions of section 4903 of the Labor Code.

*808 “The right of the industrial accident commission to make an award against the insurer has never been questioned. And, as a necessary incident of this power, the commission may determine all questions of law and fact on which the liability of an alleged insurance carrier depends.” (55 Cal.Jur.2d, Workmen’s Compensation, §217, p. 254; General Acc. etc. Corp. v. Industrial Acc. Com., 196 Cal. 179, 190 [237 P. 33].) It is generally stated that the Legislature may empower the commission to exercise jurisdiction over controversies incidental to an award, but it cannot vest in the commission jurisdiction to determine controversies not incidental to such relief. (Gerson v. Industrial Acc. Com., 188 Cal.App.2d 735, 738-739 [11 Cal.Rptr. 1].)

It seems clear, therefore, that the commission had jurisdiction to determine whether the Travelers policy afforded coverage to the insured under the workmen’s compensation law of California.

The Travelers policy was filed with the commission and is contained in the record. The provisions of the policy, material to the issue of coverage or noncoverage under the workmen’s compensation law of California, are as follows: “Declarations Workmen’s Compensation and Employers’ Liability Policy No. RUB-9447121. Item 1. Name of insured LofEand Brothers Company. Address P. O. Box 4567 Tulsa Okla . . . Locations—all usual work places of the insured at or from which operations covered by this policy are conducted are located at the above address unless otherwise stated herein: Chaix Hills No 1 ley Bay Alaska . . . Item 3. Coverage A of this policy applies to the workmen’s compensation law and any occupational disease law of each of the following states: Alaska . . . Item 5. Limit of Liability for Coverage B— Employers’ Liability: $500,000, subject to all the terms of this policy having reference thereto. . . . The Travelers Insurance Company . . . Agrees with the insured, named in the declarations made a part hereof, in consideration of the payment of the premium and in reliance upon the statements in the declarations and subject to the limits of liability, exclusions, conditions and other terms of this policy: Insuring Agreements I. Coverage A—Workmen’s Compensation.

“To pay promptly when due all compensation and other benefits required of the insured by the workmen’s compensation law. Coverage B—Employers’ Liability.

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Bluebook (online)
240 Cal. App. 2d 804, 50 Cal. Rptr. 114, 31 Cal. Comp. Cases 72, 1966 Cal. App. LEXIS 1415, Counsel Stack Legal Research, https://law.counselstack.com/opinion/travelers-insurance-v-industrial-accident-commission-calctapp-1966.