Ukau v. Wang

District Court, D. Guam·Decided November 12, 2013·No. 1:11-cv-00030·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT OF GUAM

FRANK UKAU and SOFILAN SINUK, Case No. 1:11-cv-00030

Plaintiffs, v.

JENNIE WANG, ENTITY CONSTRUCTION, ON OBJECTIONS TO MAGISTRATE’S REPORT LTD., and DOE INSURANCE COMPANY, Defendants. This matter is presently an insurance coverage dispute. The parties dispute whether Defendant Entity Construction’s (“Entity”) car insurance policy with Defendant Chung Kuo Insurance (“Chung Kuo”) covers Plaintiffs’ injuries. The core issue to this dispute is whether the policy’s workers’ compensation exclusion is enforceable and prevents coverage here. The Court concludes that Guam law partially invalidates this exclusion, and thus, coverage under the policy is only partial. Accordingly, Chung Kuo’s motion of objection (ECF No. 50) is GRANTED in part and DENIED in part, and Entity’s motion (ECF No. 49) is DENIED. I. BACKGROUND Plaintiff Ukau worked for Entity. (ECF No. 48 at 1 (hereinafter “Report”).) While Ukau was working, another Entity employee, Defendant Jennie Wang, accidentally drove a car into Ukau, injuring him. (Id.) At the time of this accident, Entity did not have a workers’ compensation insurance policy for Ukau. (Id. at 4.) Entity did, however, have an insurance policy covering the car driven by Wang, and the policy provided $100,000 of liability coverage for bodily injuries. (ECF No. 24-1 at 2; see Report at 3.) This policy was issued by Chung Kuo. (ECF No. 24-1 at 2.) No party objects to the above facts. (See Chung Kuo Objection at 2 (agreeing these facts are accurate).) After the accident, Entity allegedly created a trust fund for Ukau, with this fund’s alleged aim being compensating Ukau for his injury at the rate provided by Guam’s workers’ compensation scheme. (See ECF No. 50 at 11 (hereinafter “Chung Kuo Objection”); ECF No. 52 at 7 (hereinafter “Ukau Opposition”).) The facts surrounding this trust fund appear very much in dispute, but this dispute does not affect the analysis here. Chung Kuo filed a motion for partial summary judgment, arguing that there is no coverage here due to the workers’ compensation exclusion in the insurance policy. (ECF No. 22.) Plaintiffs Ukau and Sofilan Sinuk (collectively, “Ukau”) opposed this motion and filed a cross-motion for partial summary judgment, seeking to declare this exclusion invalid. (ECF No. 27.) Entity opposed Ukau’s cross-motion. (ECF No. 28.) Magistrate Judge Joaquin Manibusan, Jr., issued a Report and Recommendation (“Report”). The Report recommended denying Chung Kuo’s motion for partial summary judgment and granting Ukau’s cross-motion. Entity and Wang (collectively “Entity”), as well as Chung Kuo, have filed objections to the Report (ECF Nos. 49 (hereinafter “Entity Objection”); Chung Kuo Objection.) Ukau has filed an opposition to their objections. (Ukau Opposition.) II. JURISDICTION The Court may has subject matter jurisdiction pursuant to 28 U.S.C. § 1332 (diversity). // / In reviewing a magistrate judge’s report and recommendation, the district court “shall make a de novo determination of those portions of the report . . . to which objection is made.” 28 U.S.C. § 636(b)(1). “[T]he court may accept, reject, or modify, in whole or in part, the findings or recommendations made by the magistrate judge.” Id. On a Rule 56 motion for summary judgment, “[t]he court shall grant summary judgment if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a). In considering the motion, “[t]he court must not weigh the evidence or determine the truth of the matter but only determine whether there is a genuine issue for trial.” Crane v. Conoco, Inc., 41 F.3d. 547, 549–50 (9th Cir. 1994). Additionally, it must view the evidence “in the light most favorable to the opposing party.” Mourning v. Family Pubs. Serv., Inc., 411 U.S. 356, 382 (1973) (internal quotation marks omitted). The moving party bears the initial burden of identifying “particular parts of materials in the record” that “demonstrate the absence of a genuine issue of material fact.” Fed. R. Civ. P. 56(c)(1); Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986). “When the moving party also bears the burden of persuasion at trial, . . . it must show that ‘the evidence is so powerful that no reasonable jury would be free to disbelieve it.’” Shakur v. Schriro, 514 F.3d 878, 890 (9th Cir. 2008). If the moving party meets this burden, the non-moving party must then do similarly, except to demonstrate that a genuine issue of material fact exists. Fed. R. Civ. P. 56(c)(1); Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 250 (1986). IV. DISCUSSION This dispute regards one fundamental question: Is the workers’ compensation exclusion in the insurance policy enforceable? To answer this question, the Court first analyzes whether Entity had a valid workers’ insurance compensation policy for Ukau. Next, the Court analyzes whether a workers’ compensation exclusion in a car insurance policy is enforceable where the insured lacks workers’ compensation insurance. Then, the memorandum addresses the effect of not having workers’ compensation insurance on the calculation of damages for this tort action. Resolution of these issues do not require resolving factual disputes. Rather, they are purely legal questions about what Guam law requires. Accordingly, the matter is properly decided on summary judgment. Entity did not obtain a workers’ compensation insurance policy that covered Ukau. Instead, Entity contends that it is a self-insurer. (Entity Objection at 2–6.) (Self-insurance is, basically, where an entity “assume[s] some or all of their risk exposure[,]” rather than paying premiums to another company for insurance coverage. Mark W. Flory & Angela Lui Walsh, Know Thy Self-Insurance (and Thy Primary and Excess Insurance), 36 Torts & Ins. L.J. 1005, 1005 (2009).) If Entity is a self- insurer, workers’ compensation is Ukau’s only remedy, and this tort action would be barred. See 22 GCA § 9106. The magistrate judge concluded that Guam law does not permit self-insurance (Report at 4–6), and Entity objects to this conclusion. Guam workers’ compensation statutes are not clear as to whether self-insurance is permissible. Where Guam law is unclear, this Court “must make a reasonable determination of the result the highest state court would reach if it were deciding the case.” Med. Lab. Mgmt. Consultants v. Am. Broad. Cos., 306 F.3d 806, 812 (9th Cir. 2002) (internal quotation marks omitted). Some provisions of the Guam statutes suggest that self-insurance is not permissible because doing so would be a misdemeanor. It is a misdemeanor to “fail to secure payment of compensation as required by § 9133 of this Title.” 22 GCA § 9140. That referenced section enacts two methods by which private employers may secure payment: one by obtaining workers’ compensation insurance, and another by obtaining guarantee insurance. See id. § 9133. Neither of these is self-insurance, and no party objects to the Report’s finding that Entity had neither insurance for Ukau (Report at 6). Directly conflicting with these provisions are others suggesting that self-insurance i

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