WOLOHOJIAN, J.
At issue is whether a worker supplied to an insured by a labor leasing firm was "furnished . . . to meet. . . short-term workload conditions" such that she was a "temporary worker" within the meaning of the commercial general liability (CGL) insurance policy issued by the insurer, Central Mutual Insurance Company (Central Mutual), to the insured, True Plastics, Inc. (True Plastics). We agree with the trial judge's determination that the particular worker at issue in this case was furnished to meet short-term workload conditions
Background. Marciala Sanchez was injured on October 14, 2004, while operating a molding machine at True Plastics. Sanchez was not an employee of True Plastics; she had been assigned to True Plastics by an employment agency, Dynamic Staffing, Inc.
In essence, Central Mutual's position is that Sanchez was a leased employee (excluded under the policy), rather than a temporary employee (included under the policy). The parties submitted the case for decision as a "case stated"
True Plastics is a manufacturer of made-to-order plastic components. It does not carry an inventory of its own; rather, it creates custom items in response to specific orders. One of its regular customers was Flexhead Industries, Inc. (Flexhead), which placed an order for 4,000 plastic pieces around September 20, 2004.
Once price and other terms of the order were finalized, David True (the owner of True Plastics) assessed whether his workforce could complete the order on its own or whether additional workers were required.
True did not believe that the Flexhead order could be completed using his own employees because they were already fully occupied filling other large orders. He therefore called Dynamic Staffing and requested a temporary worker for the Flexhead order. True estimated that it would take this one worker six or
Sanchez arrived at True Plastics on September 27, 2004, and she worked as a machine operator on other projects for a few days while she was trained and while waiting for the raw materials for the Flexhead order to arrive. Once the materials arrived, Sanchez worked exclusively on the Flexhead order until she was injured about three weeks later. By that time, Sanchez had completed nearly one-half of the Flexhead order, which was entirely consistent with True's estimate of how long the job would take. Because Sanchez was injured, True Plastics could not finish the remainder of the order, and it lost Flexhead as a customer.
True Plastics was insured by Central Mutual under a CGL policy that, subject to various exclusions, provided coverage for "those sums that the insured becomes legally obligated to pay as damages because of `bodily injury.'" At issue in this case is the "Employer's Liability" exclusion in Section I of the policy. That provision excludes coverage for any employer liability for bodily injury to "[a]n `employee' of the insured" arising out of the course of his or her employment. To determine whether a person is an "employee" for purposes of the exclusion, one must turn to the "Definitions" section (Section V) of the policy. Section V provides:
Discussion. "The interpretation of an insurance contract and the application of policy language to known facts present questions of law" for the courts to decide. Herbert A. Sullivan, Inc. v. Utica Mut. Ins. Co., 439 Mass. 387, 394 (2003). We "construe the words of the policy according to the fair meaning of the language used, as applied to the subject matter." Jacobs v. United States Fid. & Guar. Co., 417 Mass. 75, 76 (1994). When the words of the policy are not ambiguous, "they must be construed in their usual and ordinary sense," id. at 77, quoting from Hanover Ins. Co. v. Ramsey, 405 Mass. 1101, 1101 (1989), taking into account "what an objectively reasonable insured, reading the relevant policy language, would expect to be covered." Ruggerio Ambulance Serv., Inc. v. National Grange Mut. Ins. Co., 430 Mass. 794, 798 (2000), quoting from Hakim v. Massachusetts Insurers' Insolvency Fund, 424 Mass. 275, 285 (1997).
The insurance policy at issue in this case is a CGL policy designed to "protect an insured employer against liability for losses to third parties arising out of the operation of the insured's business." Monticello Ins. Co. v. Dion, 65 Mass.App.Ct. 46, 47 (2005). "Injuries to employees are typically excluded from coverage . . . as the expectation is that the employer will have in place workers' compensation insurance (or self-insurance) in one of the forms made compulsory by G. L. c. 152, § 25A." Ibid. "Unlike the `leased worker,' for whose benefit workers' compensation insurance was reliably maintained by the general employer (the labor-leasing agency), it is possible that the `temporary worker' exception to the general exclusion of coverage for employees may have been intended as gap coverage to protect the special employer (i.e., the CGL insured) where the furnishing employer may lack coverage." Id. at 49-50. "It appears that [the Insurance Services Office, Inc. (ISO),] added the definitions of `employee,' `leased worker,' and `temporary worker' in 1993 to `cover the non-traditional employment relationship where a client company is using the services of employees of a staffing company.'" AMCO Ins. Co. vs. Dorpinghaus,
The parties agree that if Sanchez was a "temporary worker" as defined by the policy, i.e., a person furnished to meet short-term workload conditions, then Central Mutual is required to defend and indemnify True Plastics.
"An insured bears the initial burden of proving that the claimed loss falls within the coverage of the insurance policy. Once the insured does this, the burden then shifts to the insurer to show that a separate exclusion to coverage is applicable to the particular circumstances of the case. Finally, where the insured seeks to establish coverage through an exception contained within an exclusion to coverage, the burden shifts back to the insured to prove coverage for the claimed loss." Boazova v. Safety Ins. Co., 462 Mass. 346, 351 (2012) (citations omitted).
Central Mutual does not dispute that it bears the burden of establishing that the policy's "Employer's Liability" exclusion applies. That burden includes proving that Sanchez was an "employee" within the scope of the exclusion, see Hanover Ins. Co. v. Talhouni, 413 Mass. 781, 785 (1992), which in turn requires that Central Mutual demonstrate that Sanchez satisfies the definition of "employee" contained in the "Definitions" section of the policy. The Manichean definition of "employee" has two parts, one negative and one positive. The positive proposition states that "leased workers" are employees for purposes of the CGL policy. Because this provision expands the
The phrase "short-term workload condition" is undefined and "is a relative term [that] can include a wide variety of temporal periods." Perlmutter, The Law of "Leased Worker" and "Temporary Worker" under a CGL Policy, 45 Tort Trial & Ins. Prac. L.J. 761, 793 (2010). If assessed against the facts retrospectively (i.e., from the point in time when the accident occurred) the phrase is ambiguous. See Bituminous Cas. Corp. v. Mike Ross, Inc., 413 F.Supp.2d 740, 745 (N.D. W. Va. 2006); Perlmutter, supra at 788. See also Pacific Employers Ins. Co. v. Wausau Bus. Ins. Co., 508 F.Supp.2d 1167, 1176 (M.D. Fla. 2007) ("short-term" is ambiguous). If assessed prospectively, i.e., from the time the worker is furnished, then the phrase is not ambiguous because it only requires a factual inquiry into the reasonable expectation of the insured at the time the worker was furnished. See Scottsdale Ins. Co. v. Carrabassett Trading Co., 460 F.Supp.2d 251, 257 (D. Mass. 2006) (Scottsdale I), vacated and remanded on other grounds, 561 F.3d 74 (1st Cir. 2009).
Scottsdale II, 561 F.3d at 79, quoting from Scottsdale I, 460 F. Supp. 2d at 257. We see no reason to employ an analytical viewpoint that will result in an ambiguity in the policy language. We therefore hold that the phrase "short-term workload condition" is to be assessed prospectively from the time the worker was furnished. Even if a worker's assignment ends up being lengthy, he or she will still be a "temporary worker" within the meaning of the policy, provided the insured held an objectively reasonable expectation at the time that the worker was furnished to meet a short-term workload condition.
Central Mutual argues that "short-term" workload conditions cannot be "indefinite," but we disagree. A short-term workload condition need not necessarily be of finite duration. "[W]e do not view [Sanchez's] `indefinite' placement as necessarily incompatible with the possibility that [she] was addressing a `short-term workload condition.'" Scottsdale II, 561 F.3d at 79.
With this legal framework in mind, it is clear that True Plastics has met its burden of proving that Sanchez was furnished to meet a short-term increase in True Plastics's workload caused by the Flexhead order, and was therefore a "temporary worker"
Judgment affirmed.