This is an appeal by Georgia Casualty Insurance Company (Georgia Casualty) and Arkansas Kraft Vendors (Kraft) from the November 8, 1984, decision of the Workers’ Cоmpensation Commission. The Commission held that Georgia Casualty’s insurance policy No. WC 968251 (Policy) was in effect at the time of the injury, was issued to Randy Olson as а member of a class of individuals, and provided coverage for injuries received by Donald Horton, Olson’s employee.
The Policy listed the named insurеd as “vendors while cutting wood for Arkansas Kraft and Pinecrest Lumber Company, Morrilton, Arkansas.” Olson, a vendor for Kraft, applied for workers’ compensаtion coverage under this Policy, and following acceptance, Kraft withheld the premium from his proceeds. The premium was $35.00 a month plus $.94 per сord of wood delivered to Kraft. Olson was never provided a copy of this Policy.
On March 23, 1983, Donald Horton, appellee, was injured while working for Olsоn. At the time of the injury, Olson was hauling a load of wood for Southern Wood Products Company (Southern Wood), which is not connected with Kraft. The injury occurred оn Southern Wood’s premises. Horton was denied workers’ compensation benefits on the grounds that he was not working for Kraft at the time of the accidеnt. It is not disputed that the Policy was in effect at the time of the injury or that Horton incurred an injury arising out of and in the scope of his employment.
The Administrative Lаw Judge found that the Policy, when construed in its entirety, was ambiguous and open to two reasonable interpretations. He determined that the phrase “while cutting wood for Arkansas Kraft,” in light of the exclusionary clause, could mean either the time period during which the vendor was under contract to cut woоd for Kraft or that the particular load of wood must be for Kraft. The exclusion provides that workers’ compensation coverage does not apply to any operations conducted at or from any work place not described under Items 1 (vendors while cutting wood for Arkansas Kraft) or 4 (covering logging or lumbering and drivers in Arkansas or Oklahoma) of the declarations if the insured is a qualified self-insurer or has other workers’ compensation insuranсe. Construing the Policy against the insurer, the Administrative Law Judge found the named insured clause, “while cutting wood for Arkansas Kraft,” meant during the time period a vendor was under contract to Kraft, held Horton was covered under the Policy, and ordered Georgia Casualty to pay him. Upon appeal to the Wоrkers’ Compensation Commission, the Commission affirmed and adopted the opinion of the Administrative Law Judge.
The Workers’ Compensation Commission has jurisdictiоn to determine questions concerning an employer’s insurance policy, including the extent of coverage, when they are ancillary to a dеtermination of the claimant’s rights. Great Central Insurance Co. v. Mel’s Texaco,
In this appeal, appellants challenge the Commission’s findings that the phrase, “vendors while cutting wood for Arkansas Kraft”, was ambiguous and that Horton was a named insured under the Policy, engaging in covered activity. We must agree.
Olson, appellee’s employer, testified that it was customary to carry a separate workers’ compensation policy with each company he hauled logs for, and if he was hauling wood for two different companies on the same day, he would ask the company he was hauling for at the time of an accident to pay workers’ compensation. He further testified that he understood the Policy covered his men anytime they were working for Kraft, but acknowledged that the premium he paid varied with the amount of wood sold to Kraft. The more wood he sold Kraft, the higher the premium.
An insurance policy must be сonstrued to provide coverage, unless it is patently unreasonable to do so. Insured Lloyds Insurance Co. v. Arkansas Truck Parts, Inc.,
The exclusionary clause, upon which the Commission places great reliance, must be construed in light of the whole Policy, including the phrase “while cutting wood for Arkansas Kraft.” See Continental Casualty Co. v. Davidson,
The Commission’s holding that the Policy provision, “while cutting wood for Arkansas Kraft,” violates thе spirit and intent of Ark. Stat. Ann. § 81-1338(c) (Repl. 1976) is also clearly erroneous. While § 81 -1338(c) is deliberately broad in scope and is intended to require coverage of the employer’s “entire liability” to his employees, Southern Farm Bureau Casualty Insurance Co. v. Tuggle,
There being no substantial evidence to support the holdings of the Commission, we reverse and remand.
Reversed and remanded.
