ERIC F. MELGREN, District Judge.
This matter is before the Court on Plaintiff Hanover Insurance Company ("Hanover") and Plaintiff Massachusetts Bay Insurance Company's ("Massachusetts Bay") Motion for Summary Judgment (Doc. 24). Plaintiffs seek a declaratory judgment stating that the Commercial General Liability Policy and the Business Auto Policy issued to Professional Moving & Storage do not provide Defendants Robert Jones and Doug Havlik liability coverage for the death of Frederick Simmons. Plaintiffs ask the Court to find that they do not have a duty to defend or indemnify Jones and Havlik in a lawsuit alleging wrongful death of Simmons. The Court grants Plaintiffs' Motion for Summary Judgment because exclusions in the Commercial General Liability Policy and the Business Auto Policy preclude liability coverage for Simmons' death, and consequently, Plaintiffs do not have a duty to defend
Professional Moving & Storage, Inc. ("PMS") is a Kansas corporation with its principal place of business in Lawrence, Kansas. Defendant Robert Jones is the President of PMS, and Defendant Doug Havlik is the General Manager of PMS (collectively "Defendants"). Jones and Havlik are residents of Kansas. Both Hanover and Massachusetts Bay are stock fire and casualty insurance companies organized and existing under the laws of New Hampshire with principal places of business in Massachusetts (collectively "Plaintiffs").
This cause of action arises out of a dispute over insurance liability coverage for the death of Frederick Simmons ("Simmons"), an employee of PMS. On July 21, 2011, Simmons was fatally injured while loading furniture and belongings into a PMS moving truck. Simmons' minor daughter L.S. received workers' compensation benefits for her father's death. Bianca Ortiz, mother and Conservator for L.S., subsequently demanded that Hanover and Massachusetts Bay pay out for the death of Simmons under policies issued to PMS.
Hanover issued a Commercial General Liability Policy ("CGL Policy") to PMS with an effective date from February 28, 2011, through February 28, 2012. The CGL Policy contains a $1,000,000 liability limit and a $5,000 medical payments limit and includes liability coverage for bodily injury and property damage liability. The Coverage A Bodily Injury and Property Damage Liability ("Coverage A") provision of the insuring agreement states:
Coverage A contains exclusions to the bodily injury and property damage liability coverage. The CGL Policy also provides medical payments coverage. The Medical Payments provision states that Hanover will pay medical expenses for "`bodily injury' caused by an accident'" and also contains exclusions to coverage. The Coverage A exclusions and the Medical Payments exclusions will be discussed in greater detail in the Analysis Section.
Massachusetts Bay issued a Business Auto Policy ("Auto Policy") to PMS with an effective date from February 28, 2011, through February 28, 2012. The Auto Policy contains a $1,000,000 liability limit and a $5,000 medical payments limit. The Auto Policy provides liability coverage for bodily injury and property damage, stating:
The Auto Policy also provides medical payments coverage for "reasonable expenses incurred for necessary medical and funeral services to or for an `insured' who sustains `bodily injury' caused by `accident.'" The Policy contains exclusions to bodily injury and property damage coverage and medical payments coverage, which will be discussed in greater detail in the Analysis Section.
After Hanover and Massachusetts Bay refused to pay out under the policies, Ortiz, on behalf of L.S., and Simmons' mother Antoinette Alexander filed a wrongful death lawsuit against Jones and Havlik in Douglas County, Kansas ("underlying lawsuit").
Ortiz and Alexander contend that Missouri law governs the wrongful death claim because Simmons' injuries occurred in Missouri. Count I of the petition asserts that Jones, as President of PMS, and Havlik, as Simmons' supervisor, owed Simmons a personal duty of care. The petition alleges that Jones and Havlik breached this duty of care by failing to properly maintain the truck, including failing to ensure that the truck had a working parking brake and an operable driver's side door handle. Although Missouri's Workers' Compensation Act is the exclusive remedy against employers for injuries covered by its provisions, the petition alleges that the claim is permitted because the affirmative negligent acts were "something more" than simply failing to provide a reasonably safe workplace.
Hanover and Massachusetts Bay initiated this declaratory judgment action asking the Court to find that the CGL Policy and the Auto Policy do not provide liability coverage for Simmons' death and that they do not have a duty to defend or indemnify Jones and Havlik for any of the claims in the underlying lawsuit. Hanover and Massachusetts Bay filed a Motion for Summary
Summary judgment is appropriate if the moving party demonstrates that there is no genuine issue as to any material fact, and the movant is entitled to judgment as a matter of law.
In a diversity case, a federal court "applies federal procedural law and the substantive law that would be applied by the forum state."
Plaintiffs argue that Hanover does not have a duty to defend or indemnify Havlik because Havlik does not qualify as an insured under the CGL Policy. Plaintiffs also argue that exclusions under the CGL Policy and the Auto Policy preclude liability coverage for Simmons' death and that Plaintiffs only have a duty to defend or indemnify Jones and Havlik if there is liability coverage for Simmons' death.
Defendants argue that the policy exclusions are not applicable because they do not take into account Missouri's "something more" doctrine. In Missouri, the Workers' Compensation Act ("Act") is the exclusive remedy against employers
Because Kansas law governs the interpretation of the CGL Policy and Auto Policy, the Court looks to Kansas' rules for interpretation of contracts. The Kansas Court of Appeals has succinctly summarized the rules governing the interpretation of insurance contracts:
The CGL Policy provides that Hanover will "pay those sums that the insured becomes legally obligated to pay as damages because of `bodily injury' or `property damage' to which this insurance applies." Hanover does not have a duty to defend the insured "against any `suit' seeking damages for `bodily injury' or `property damage' to which this insurance does not apply." Executive officers are "insureds"
Plaintiffs argue that Hanover does not have a duty to defend or indemnify Havlik because he does not qualify as an insured under the CGL Policy. Defendants contend Havlik qualifies as an insured. Although the parties disagree as to Havlik's status under the contract, Plaintiffs acknowledge that Jones qualifies as an insured and that Hanover has a duty to defend Jones in the underlying lawsuit unless liability coverage for Simmons' death is excluded under the CGL Policy. Accordingly, the Court first will address whether liability coverage for Simmons' death is precluded under the Policy.
Plaintiffs argue that liability coverage for Simmons' death is precluded under several exclusions contained in the CGL Policy's Coverage A Bodily Injury and Property Damage Liability provision ("Coverage A exclusions"). The exclusions Plaintiffs claim bar liability coverage are (1) the Workers' Compensation Exclusion, (2) the Auto Exclusion, and (3) the Employer's Liability Exclusion. Finally, Plaintiffs argue that medical payments coverage is precluded because there is no liability coverage for Simmons' bodily injury under the policy.
Plaintiffs argue that the CGL Policy does not provide liability coverage for Simmons' death because of the Workers' Compensation Exclusion. The Workers' Compensation Exclusion states that liability coverage does not apply to "[a]ny obligation of the insured under a workers' compensation, disability benefits or unemployment compensation law or any similar law." Plaintiffs argue the Exclusion applies because L.S. received workers' compensation benefits for the death of Simmons. Plaintiffs further argue that the purpose of a commercial general liability policy is to provide an employer liability protection in suits involving injured third parties and is not intended to provide liability protection in suits involving injured employees. Plaintiffs cite several cases in which a workers' compensation exclusion similar to the one used in the CGL Policy has been upheld, but Plaintiffs concede neither Kansas nor the Tenth Circuit has addressed this specific exclusion.
Defendants argue that the Exclusion should not apply because PMS might be exposed to risk if Jones and Havlik are found liable in the underlying suit. Defendants note that Missouri law recognizes that an employee has an implied right to indemnity on the basis that the employee was exposed to liability on account of the employer's negligence. Because there is a possibility that PMS would have to indemnify Jones and Havlik, Defendants argue Hanover should defend Jones and Havlik because Hanover has a duty to protect PMS from undue risk. The extent of Hanover's duty to defend PMS is defined by the terms of the Policy, including the exclusions. Thus, it appears Defendants' argument is addressing liability issues an employer should take into consideration when purchasing insurance rather than whether the Exclusion should apply.
Because Kansas courts and the Tenth Circuit have not specifically addressed this issue, the Court looks to decisions in other jurisdictions for guidance. In Oppenheim v. Reliance Insurance, Co.,
Dal Mar had a commercial general liability policy. The insurance company denied liability coverage for Martin because the policy excluded liability coverage for "any obligation for which the Insured or any company as its insurer may be held liable under ... workers' compensation ... benefits law."
The Court in Oppenheim examined the policy implications of allowing Oppenheim to recover from workers' compensation and Dal Mar's insurance company. The Court noted that workers' compensation covers suits by an employer's employee while general liability policies cover suits by injured third parties. The Court found that allowing Oppenheim to recover under workers' compensation and Dal Mar's insurance plan most likely would result in an increase in insurance premiums across the country.
The Court finds the reasoning in Oppenheim to be persuasive. The CGL Policy is designed to protect PMS from liability for injuries to third parties and is not designed to protect PMS for lawsuits by employees. The Court concludes that because the Workers' Compensation Act covers Simmons' death, the Workers' Compensation Exclusion applies and the CGL Policy does not provide liability coverage for Jones and Havlik in suits seeking damages for Simmons' death. The Court recognizes that other arguments could impact its analysis of the Workers' Compensation Exclusion, but the Court has restricted its analysis of the Exclusion to the arguments made by the parties.
Plaintiffs next argue that coverage for Simmons' bodily injury is precluded under the CGL Policy because of the Auto Exclusion. The Auto Exclusion states that the insurance does not apply to:
Plaintiffs argue that the Auto Exclusion applies in this case because the claims in the underlying lawsuit are premised on the allegation that Jones and Havlik failed to properly maintain the truck. Plaintiffs also argue that the Auto Exclusion applies even if the underlying lawsuit is based on Jones's and Havlik's failure to properly supervise those in charge of maintaining the truck.
Defendants concede that courts have typically enforced this type of Auto Exclusion. Defendants nevertheless maintain that summary judgment is not appropriate because additional discovery is necessary to determine how to deal with the claims in the underlying suit. Defendants, however, fail to explain how additional discovery could make the Auto Exclusion inapplicable in this case. Defendants also fail to argue how any of the terms in the Auto Exclusion are ambiguous. Based on a plain reading of the Auto Exclusion, the Court concludes that the Auto Exclusion precludes liability coverage for Simmons' death.
Because the Court finds that liability coverage for Simmons' death is precluded under the Workers' Compensation Exclusion and the Auto Exclusion, the Court will not reach whether coverage is also precluded under the Employer's Liability Exclusion.
Finally, Plaintiffs argue that medical payments coverage is excluded under the CGL Policy. The CGL Policy states there is no coverage for medical expenses for bodily injury "[e]xcluded under Coverage A." Plaintiffs argue that medical payments coverage is excluded because liability coverage for Simmons' bodily injury is excluded under Coverage A Bodily Injury and Property Damage Liability exclusions. Defendants argue that medical payments coverage is not barred because the Coverage A exclusions do not apply.
The Workers' Compensation Exclusion and the Auto Exclusion are both exclusions under Coverage A. Because the Exclusions prevent liability coverage for Simmons death, medical payments coverage is also excluded. Accordingly, Hanover does not have a duty to defend or indemnify Jones and Havlik in the underlying suit because liability coverage and medical payments coverage is precluded for Simmons' death under the CGL Policy. The Court will not reach whether Havlik qualifies as an insured under the Policy because Hanover does not have a duty to defend Havlik even if Havlik qualifies as an insured.
Plaintiffs argue that there is no coverage under the Auto Policy for Simmons' death because of (1) the Workers' Compensation Exclusion and (2) the Employee Indemnification and Employer's Liability Exclusion. Plaintiffs argue that medical payments coverage is also excluded. Defendants again argue that the exclusions should not apply in this case because they do not specifically contemplate Missouri's "something more" doctrine.
Plaintiffs argue that liability coverage under the Auto Policy is excluded
For the reasons stated in the Court's discussion of the Workers' Compensation Exclusion in the CGL Policy, the Court concludes that the Auto Policy's Worker's Compensation Exclusion applies in this case. Again, the Court's holding regarding the applicability of the Auto Policy's Workers' Compensation Exclusion is limited because the Court's analysis of the Exclusion is based on arguments raised by the parties. Because the Court finds that coverage under the Auto Policy is excluded under the Workers' Compensation Exclusion, the Court will not reach whether coverage is also excluded under the Employee Indemnification and Employer's Liability Exclusion.
Plaintiffs argue coverage for Simmons' medical expenses is excluded under the Auto Policy. The Medical Payments Coverage provision of the Auto Policy provides that there is coverage for "reasonable expenses incurred for necessary medical and funeral services to or for an `insured' who sustains `bodily injury' cause by `accident.'"
Because liability and medical payments coverage are precluded for Simmons' death under the Auto Policy, the Court finds that Massachusetts Bay does not have a duty to defend or indemnify Jones and Havlik in the underlying suit.
Plaintiffs contend that if they prevail on their Motion for Summary Judgment, they are entitled to their costs and attorney's fees accrued. Fed.R.Civ.P. 54(d)(1) provides that "[u]nless a federal statute, these rules, or a court order provides otherwise, costs — other than attorney's fees — should be allowed to the prevailing party." Whether to award costs is within the sound discretion of the district court, but this discretion is limited in two ways. First, "it is well established that Rule 54 creates a presumption that the