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Downing v. Travelers Insurance
691 P.2d 375
Idaho
1984
Check Treatment

*1 691 P.2d

Marilyn DOWNING, Individually A. personal representative

as of the estate Anthony Downing,

of Michael de

ceased, Plaintiff-appellant,

v.

The TRAVELERS INSURANCE

COMPANY, corporation, a

Defendant-respondent, Inc.,

Burlington Northern, corporation; a Company,

Camas a Prairie Railroad DOE,

corporation; corpo and JOHN

ration, Defendants. 14645.

No.

Supreme of Idaho. Court

Nov. 1984.

Rehearing Denied Dec. 1984. McCann, Jr., Lewiston,

William V. Falls, Hoyt, Mont., John C. plain- Great tiff-appellant. Lewiston, Brown,

Robert P. and Michael Wash., C. Geraghty, Spokane, for defend- ant-respondent.

BAKES, Justice.

Plaintiff appealed the district court’s grant summary judgment to the defend- ant, Company. the Travelers (1) presented The issues are: whether beneficiary of an is a third de- plaintiff’s between defendant, ceased husband’s juris- court had and whether the district opposed diction the case to hear Railway given to the exclusive the Federal Board Labor Act. husband, Downing, Michael A.

Plaintiff’s employed by engineer train Railroad, subsidiary of Prairie employed by previously Northern. He was being transfer- Burlington Northern before Downing would drive the red to Lewiston. Lewiston and back to train from Orofino to *2 Orofino, where he would leave it and then and was not within of the named exclu- “deadhead” back to Lewiston in his own sions.

vehicle. “Deadhead” is a trade term de- Appellant made a claim Burlington scribing a railroad employee’s travel, by Northern under Article IV of the “off- vehicles, “off-track” to and from the start- agreement. Burlington track” denied the ing point of the train. Under a collective claim, stating that it did not come under bargaining agreement Downing was agreement’s conditions because he was per twelve cents mile and time one hour’s traveling on motorcycle, a and his authoriz- deadheading for in “authorized vehicles” automobile; ed off-track vehicle was an back to day question, Lewiston. On the second, already he had completed his after the train “tied Orofino at 4:55 up” at travel to returning Lewiston and was p.m. on July 1, 1977, Downing left Orofino pick up motorcycle. his Finally, Burlington Lewiston, riding motorcycle he denied the Downing claim because had left prior to his shift Orofino on the have come within driving the exclusion for train. miles out of About ten Lewiston the while under the influence of alcohol. Bur- motorcycle gas. Downing ran out hitch- lington Downing informed Mrs. her hiked way the rest of the into Lewiston attorney remedy, they that their wished where get he called his wife to come and denial, to contest the was under the Rail- gas him and take out to motorcycle. way Labor Act since their claim involved Apparently, Downing was at a bar or tav- bargaining construction of a collective ern near the service station from which he agreement dealing working with condi- had alleged called his wife. It is that he tions. had drinking during been this time. Down- Appellant, through attorney, her chose ing admitted to his wife that he drank “two instead to make payment a demand for beers” while waiting at the tavern. She directly against Travelers Insurance Com- gasoline drove him with some back to pany rather prosecuting than a claim with where he had left motorcycle and then Railroad Board. Demand him followed as he rode it back into Lewi- was made on Travelers because it had a they As crossing ston. were the Memorial policy with the Camas Prairie Railroad Bridge, Downing evidently got too close to suring Camas Prairie for payouts it (or struck) divider, which caused him to obligated was to make under Article IV of control and be lose thrown into the oncom- bargaining agreement. collective lane, ing traffic where he was hit anoth- When Travelers would not honor the de- er killed. car and The accident occurred appellant brought action, mand naming four and one-half hours after Travelers, Burlington defendants left work at Orofino. The drive from Oro- Prairie, alleging Camas entitlement to fino to is a distance of 45 miles. Lewiston under benefits between Tra- Downing belonged The union to which (Count I) velers and Camas Prairie and also (United Union) had Transportation entered alleging conspiracy part on the of all into a bargaining agreement with collective three defendants to defeat her claim under many of railroads, including the nation’s (Count II). Burlington Prairie. Northern and Camas One month complaint filed, after the collective was con- bargaining agreement provision tained a defendants Northern and Ca- accidental death ben- for employees efits Prairie mas removed the case to federal who were killed while riding in authorized district court. All three defendants then “off-track” vehicles traveling while to and summary judgment, plain- moved for pay- work. A $90,000 ($100,000 ment $10,000 tiff remand- minus moved for an order offset for automatic life court on district the case to the state already paid) was authorized grounds the col- was no that there bargaining agreement lective giv- where the federal district court. Without employee was within the reasons, covered ing specific conditions the United States Dis- policy; the death benefit was an insurance order and trict Court vacated the removal employer. liability of the strictly potential the state district remanded the case to After this filed to deter- originally it was court where into, employer, entered “mi- not the issue was a mine whether or poten- Prairie, against this opted to insure Act. under the Labor nor bargaining liability the collective tial *3 court, to the state district After remand from policy purchased agreement with a summary judg- moved for the defendants policy ques- in respondent Travelers. The granted summa- ment.1 The district court policy, but it was not the group was a tion (Count conspiracy claim ry judgment on the the group policy in which ordinary type of II), acknowledged that plaintiff the after Rather, the group. the employees form conspiracy. Sum- she had no evidence of a policy group group referred to was granted to Tra- mary judgment was then into employer-railroads who had entered I. Company on Count velers bargaining agreements. collective similar appealed only the Plaintiff coverage provide group policy The was to summary judgment in favor of Travelers by the liability imposed upon them for the I. on Count agreements bargaining collective various policy The covers the em- with the union. the collective bar- ployer’s liability under bodily injury, includ- Appellant’s right gaining agreement to death benefits stems death, by accident which is bargaining agreement caused an from the collective by employee of one of sustained an railroad-employ- the union and the between employers employee while the participating er, provides: which traveling conveyance land in an off-track inju- employees personal “Where sustain All deadheading under orders. or while set ries or death under conditions payable participating benefits are to the (a) below, the paragraph forth in carrier employer upon receipt proof from the employees, or provide pay such will employer of the occurrence for which representative, applica- personal their policy provi- The makes claim is made. no (b) paragraph amounts set forth ble employee. payment sion to On the below, subject provisions to the of other policy specifically provides contrary, paragraphs in this Article. provided benefits in this Article “[a]ll “(a) conditions: Covered paid participating V to the Em- shall be is intended to cover acci- “This Article added.) (Emphasis pro- It also ployer.” by involving employees covered dents that benefits are to be to the vides Agreement while such receipt proof employer “upon of written in, riding boarding, alighting or are forms,” and that the the Insurer’s by vehicles authorized the carri- offtrack provide such reasonable informa- er “shall er and necessary investiga- tion as be orders____” “(1) deadheading under tion and settlement of claims.” The spe- The collective not for a claim to be policy does allow pay the requires presented by employee paid directly or cifically employee.2 are met. As noted in the if certain conditions to such affida- benefits Kinder, em- an of Travel- agreement requires the vit of E.J. Nothing in the through ers: provide the death benefit ployer to Northern, Group Policy, a different de- 2. This is in contrast to

1. Camas Prairie #GA-23000, below, summary judgment, entered between the em- also into moved for fendants Travelers, provided ployer for acci- claiming mat- state court "lacks that the life insurance to the dental death benefits and has failed ter because $4,000 Payment employee’s prescribed survivors. acci- as her mandated remedies exhaust $6,000 death benefit and a life insurance by Congress Labor Act.” dental under the directly granted by were made to the widow of summary benefit was That # GA-23000. Michael trial court. policy This directly bargaining agreement. was entered into with railroads, participating employers. clearly intended to All of the payments made under policy, liability pol- an indemnification directly are made em- icy. It was intended to insure the Camas ployers, to any injured employee, obligations Prairie Railroad’s under the col- personal representative. heirs or bargaining agreement. lective is, fact, a reimbursement of the appellant attempts In this action respective participating employers’ liabil- directly sue Travelers to recover benefits ity bargaining their collective policy negotiated under the insurance be agreements railway with the la- various employer. tween Travelers and the This is unions, 14, 1968, September bor dated insurer, direct action an together any subsequent with modifica- party not a to the insurance contract. potential tions Any or amendments. The situation here is similar to a case claim employee, for benefits or his *4 B, A injures liability where B has a insur personal representative, heirs or is made C, policy ance attempts with and A to sue C directly railroad, Travel- not to the directly to poli recover benefits under the is, fact, ers in Company, cy. type This of direct action has never investigated and the rail- by the railroad recognized. been Pocatello Industrial liability road determines whether there West,Inc., 783, Park v.Co. Steel 101 Idaho bargaining agree- under the collective (1980). 621 P.2d 399 See Severson v. Es participating railroad Any ment. em- Severson, (Alaska tate 627 P.2d 649 ployer policy a claim under submits 1981); Binning, Mel H. Inc. v. Ins. only GA822432 after itself made Safeco Co., 615, Cal.App.3d Cal.Rptr. 74 141 payment. 547 payment, or is about to make (1977); Rapacz Township Upon proof High of claim submitted v. School employer, Dist., 1095, 2 participating Ill.App.3d railroad the Tra- 278 N.E.2d 540 proof (1971); velers reviews the of claim then Miller v. Market Men’s Mutual payment Co., and then direct to the makes Ins. 262 Minn. 115 N.W.2d 266 upon approval railroad of the claim. To (1962); Co., Manukas v. American Ins. 98 respect knowledge affiant’s with to all (1968). NJ.Super. A.2d 237 898 See with, § claims that have been he is familiar Prosser, Torts, 82, p. also The Law of GA822432, there has made under (4th 1971) (“Since, inception, ed. its payment never em- been a direct liability solely insurance was intended ployee, personal represent- or his heirs or insured, protection the benefit and of the ative. All payments have been made tortfeasor, say which is to it followed to the participating railroad injured plaintiff, that the who was not a er because in which that is the manner contract, party to the had at common law up.” reimbursement is set remedy against no direct the insurance Here, company.”). by attempting to main There is nothing against the action tain the insurance com to indicate that the employee or deceased pany, establishing first without entitlement his heirs were intended as beneficiaries of any death benefits under the collective policy. Their rights, any, deter- bargaining agreement, appellant is at provisions mined of the collective requirement tempting to circumvent the bargaining agreement. Had it not been for right she establish a under the death fortuitous circumstance that the em- provision bargain Downing had collective ployee transferred from Bur- Northern, Appellant’s lington original ing agreement. claim is based employer, to provision subsidiary, Railroad, its the death benefit Prairie bargaining agreement. Appel would have been no there insurance in- volved, apparently Burlington since lant be allowed to sue the insur North- should not joined group policy, company directly any ern had not opting ance more than tort obligations injured rather to self-insure its victim an automobile accident involve a not ruled that this case does directly should be able to sue the insurance i.e., a “minor having question, federal carrier of the tortfeasor without find no Act. We under the Labor proved against the tortfeasor first claim ruling in the record from the United such individually. Court, the record but rather States District why this direct action The reason understanding. After contrary implies a respondent’s insurance carrier should matter, Judge hearing the District U.S. permitted patently Appel- not be clear. Ray stated: McNichols lant’s claim is that the deceased say I must that some- “THE COURT: “riding in ... off-track [an] vehicle[s] argument is not valuable times oral by the authorized carrier and [was] one very valuable. At sometimes it is orders____” deadheading The em- I say believed time am frank claim, ployer citing denied that de- several But I question. was a federal that this including fenses the defense that the em- persuaded now that this is not am ployee arrived at his destination and orig- not have situation. This Court does longer “deadheading was no under orders.” I assume that there is jurisdiction. inal solely If this action is reversed for a trial diversity. the needed carrier, against the insurance which is now that I have no alterna- “I therefore feel only party remaining in the action since to the State tive but to remand the case appellant appealed has not may prepare an order and Court. You employers, dismissal of the counsel, and then I will send it around to Railroad, Northern and Camas Prairie *5 you, gentlemen.” enter it. Thank employers, against any whom claim under in the appears It from comments earlier bargaining agreement the collective should proceedings Judge that McNichols based asserted, will not even be to the ruling on this belief that the federal his carrier, Travelers, action. The insurance jurisdiction not have district court would attempting will be to assert a defense question in- even if there was a federal bargaining agreement based on a collective volved: party to which it is not a have (Counsel plaintiff “MR. DUNN for knowledge expertise. only

little If think, Downing): summary, Your ... remand, party insurance carrier is a Honor, remand, say on the I would that wrong party wrong and the issues will be way either the court holds that did plaintiff before the court. The cannot original jurisdiction. have point any language to indi- you “THE In other words what employee cate that an COURT: or his heirs have saying is that the should are State Court rights policy. under the ex- dispute decide whether this is a minor pressly provides payments otherwise. All go and that it would back to the Board expressly payable made dispute. for determination under a labor Accordingly, party er. there is no third beneficiary claim available to un- saying, “MR. That’s what I am DUNN: der our cases. Your Honor. The State Court is the

proper question. Court to determine that Well, II “THE COURT: the State Court would have to decide if this is a minor federal and state district courts Both the dispute.” noted the fact that if this claim constituted Thus, dispute” under the the federal district court seemed a “minor Labor § Act, 153, juris- if the 45 U.S.C. then exclusive have been convinced that matter at dispute” the claim would be in the Rail- issue was a “minor under the Rail- diction of § Act, 153, argues way road Board. Plaintiff Labor 45 U.S.C. then the that, Adjustment Board would ex- since the United States District Court Railroad have court, jurisdiction, clusive not the federal or state remanded this case back to the state courts, if it impliedly district was not a “minor the United States District Court dispute,” there still would be no ment. petitioner The fact intends in the federal district court because there hereafter employment seek elsewhere was no diversity, the state courts does not present make his claim jurisdiction. would have dispute the less a as to interpretation collective-bargain- of a

The seminal case on whether or not an ing agreement. presents issue His claim is dispute” “minor is An- therefore requirement drews Act’s Co., v. Louisville that it & Nashville RR. 320, 1562, 406 U.S. be submitted to the adjust- S.Ct. 32 L.Ed.2d 95 Board for (1972). 324, In that case ment.” 406 U.S. at a railroad 92 S.Ct. at 1565. injured, supplied.) had been (Emphasis and when he became well enough again to work the railroad refused point A more recent case is the decision to rehire him. He filed an action in the Appeals the United States Court of state court “wrongful discharge.” Magnuson the Ninth Burling- Circuit v. Supreme United pe- States held Court Inc., Northern, (9th ton 576 F.2d 1367 rights, titioner’s any, arose as a result of Cir.1978), cert. den. 439 U.S. 99 S.Ct. bargaining agreement, (1978). 58 L.Ed.2d 323 In that case an Supreme Court held that such a claim Northern, employee Burlington who was under a collective counsel, represented by the same Mr. John was “minor and the exclusive Hoyt, representing C. who is the claimant § jurisdiction of the claim under 301 of the Downing case, employed by in this was Management Labor Relations Act was the Burlington dispatcher Northern as a train Railway Adjustment Board. The court at a time when a head-on collision occurred stated: freight between two trains. As a result of very “But concept ‘wrongful dis- investigation hearing, and a the railroad charge’ implies statutory some sort of Magnuson responsible determined that contractual standard that modifies the discharged for the accident and He him. traditional common-law rule that a con- brought an action the state courts in employment tract of is terminable ei- Montana, wrongful discharge, not for but a ther at will. Here it is conceded alleging conspiracy by tort action rail- *6 all that the petitioner’s source of up negligence road to cover its own right not to discharged, be and therefore accident, caused the intentional inflic- to treat an alleged discharge ‘wrong- as a distress, tion of all emotional of which ful’ one that entitles him damages, to sought damages.3 Magnu- he The claimant collective-bargaining the agreement be- argued suing son he was not that since employer tween the and the union. Re- wrongful discharge under the collective spondent in vigorously disputes this case bargaining agreement, suing but was part discharge peti- intent on its tort, applicable, the case was not Andrews tioner, pleadings and the indicate that jurisdiction and that the exclusive of the disagreement the the turns on extent of dispute Adjustment was not in the Railroad respondent’s obligation peti- to restore However, Board. Ninth the Circuit held: regular following tioner to his duties pleading “Artful cannot conceal the reali- jury an automobile accident. The ex- ty gravamen complaint that the and extent obligation

istence such an of wrongful discharge. pleading If the of depend in a case such as this will on permitted injury aggrieved emotional em- interpretation the the collective-bar- of R.L.A., ployees impact avoid the of the gaining agreement. petitioner’s Thus claim, congressional purpose respondents’ providing of disallowance it, comprehensive differing interpreta- stem federal scheme for the of from collective-bargaining agree- employer-employee tions the settlement of dis- of parallel appeal 3. The between that action and this ac- this case. No has been taken from the striking conspir- tion is in view of the claim of conspiracy trial court’s dismissal of the claim. acy appellant which the asserted in HUNTLEY, industry, Justice, dissenting. without putes in the railroad courts, be thwarted.” resort to the would The logic opinion be majority 576 F.2d at 1369. following syllogism: summarized the the The court went on to hold First, bargained representatives Union the from rights, any, if collective ee’s arose acci- with the for health and as such was a bargaining agreement, employees. dent insurance for the meaning dispute” within “minor Second, employer procures a contract § 153, therefore affirmed U.S.C. the coverage. insurance for that action. dismissal of Third, summary judgment, and as a the employee’s law, case rights, payable In this if matter of the benefits from any, coverage arise collective under insurance contract bargaining As in case, agreement. Magnuson employees. for the benefit of the not, by should claimant pleading,” “artful difficulty Socrates would have with mod- to conceal able dis railroad labor judicial reasoning. ern a third pute party beneficiary insurance issue, choosing only appeal the dismissal majority, command I able to Were the trial from summary judgment court’s Appendix as does read would decision favor the defendant Travelers Insurance forth set infra. Company. The fact that the Prairie Railroad, as distinguished actually misapprehends majority Northern, chose obligation to insure its un respects: in two record der the First, reader is left with in Part II the cannot change the fact that there is noth im- federal court that the suggestion ing in this suggest record to this insurance dispute which a minor this was plied that was a third beneficiary con deprive jurisdiction it of ultimately would tract, and the exclusive of this diversity. not a lack of if there were even claim lies with the Railroad plainly did not so In the federal court fact Board. testimony on that court has taken rule. No majority III the now yet in Part

issue evidence rules without Ill dispute.” “minor involves a that this claim Viewing alleged facts and the exist- concluding Second, majority, record favorably most plaintiff, I, spectre of Part inserts paragraph we nevertheless conclude that defendant is defend, Travelers, required to would be to summary entitled judgment on the fol- matters defenses required to assert lowing bases: is not a third exper- *7 knowledge or its beyond which were beneficiary to party the indemnity or liabili- in the is, demonstrated as fact The tise. between ty policy defendant Travelers and incorporates policy the insurance Prairie; Appendix, plaintiff’s and alleged in contained the defenses verbatim almost death benefits to the involves entitlement Agreement. Bargaining the Collective interpre- arising out of the “minor agreement bargaining of a collective tation majority The reaches its result via a de- the railroad the union and between (cid:127) monstrably faulty reasoning process: jurisdiction the exclusive er to The policy Premise: Railway Adjustment Board. fulfill a procured duty to contract of the court is of the district employer-railroads. respondent. to affirmed. Costs premise From that Conclusion: jumps

majority to the conclusion that the SHEPARD, J., DONALDSON, C.J., be and insurance contract cannot be said to employees. for the benefit of the concur. reasoning process fallacy in that pass through is tion is to them on employee who actual beneficiaries of the third-party evident. It is not the law of case, or, in injured, this has suffered beneficiary contracts that a contract be- strange It A B for “accidental death.” would be tween mutual benefit of A to employer indeed if the could reserve law B cannot also benefit C. Most con- right that conduit itself the to serve as to, are do, tracts intended confer a existing concomitant without there (A benefit the contracting parties & right beneficiary in the ultimate B), respectable but no authority gone policy pursue policy benefits. It is to so far as to suggest that such benefits issue, significant, addressing this to note mutually flowing exclusive to employer, purchasing this insur- that the (C). to a third chose a employees, ance for the The determination of whether there is exclusions which contains the same exact “mi- party beneficiary “third contract” or a forth in the policy coverage as are set grievance” appropriate nor is not an matter Bargaining Agreement. The Collective summary judgment ruling and the use point agreement parties is that the were in summary judgment was a clear abuse special that there would be certain benefits procedure by of that the trial court. That payable employees who were accidental- majority abuse the now embraces and en- ly injured killed or dead-heading while un- dorses, vastly compounding the mischief orders, employee der but the would be ex- statewide dissemination of incorrect third- benefits, cluded from those or those bene- party beneficiary contract law. diminished, if fits the accident occurred driving while the was under the drugs, apparently influence of alcohol or BISTLINE, J., concurs. irrespective of the fact that accident Now, was not at all his fault. if the em- BISTLINE, Justice, dissenting. ploying companies, paying pre- railroad If person it be that a whose life is mium, passing solely and in turn con- $100,000 (or sum) sured for can whatever tractual obligation on to Travelers had on his own death somehow contrive to col- caused to inserted therein the same ex- be insurer, doing lect from the the manner of agreed upon act defenses that were readily so does not mind. Obvious- come to Bargaining Agreement thereby Collective — decedent, definition, ly, can- because the passing along to Travelers the risk of an beneficiary not be the of a employee’s injury at the same death or promises death, payment upon well, passing time on the defenses as then policy, unable to enforce the action there a contention might be some merit to seeking by his brought must do so that the not direct benefici- were personal representative by his os- and/or Such, policy provisions. aries of how- precisely tensible beneficiary. Such is ever, is not the case. What we have before place. what here took us at is no different than had the It recognized must be that the Travelers straightfor- the bargaining agreed table Article question, particularly here wardly dead-head- would be such there Y, states that all benefits “shall be employees, and benefits available to But, participating Employer.” pur- at agreed employer railroad time, same is also true that the which would policy, purpose chase a benefits, not the but beneficiary provide those be to Such was not those benefits. *8 merely obliga- agreement, serves the for certain the as a conduit whose but was employer’s majority opinion group "policy covers the that the 1. The somehow confuses this bodily injury, including obligation liability death”— “potential for contractual with the liabili- demonstrating potential again ty” may subject further confusion between that tortfeasors them- liability they purchase of a railroad to its servants and and for which reasons the tort selves to "liability” policies liability where no tort is in the which in indem- a contractual essence are Hence, nity policies. tangentially involved. it remarks least

519 — Cruz, v. employer unilaterally the {Blake in which manner caused defects Idaho way —, 14510, was the best for it to Sept. eco- (Sup.Ct. determined 315 P.2d 698 No. nomically responsibility 18, suggest- assume the 1984)). it had The confusion supra, The majority footnote, exemplified contracted. sees it all as a ed in the happenstance: following “but-for” the ma- immediately the sentence opin- jority’s where that analysis, it “but-for” “Had not been for the fortuitous ma- goes by the bootstrap circumstance ion on to itself that the of jority’s perceived had of intent transferred notions the Burlington from North- ern, original ques- to a policy contract: “The employer, to its subsidi- intended ary, clearly the tion Railroad, to be indemni- Camas Prairie an there It was intend- fication, involved, liability policy. would have been no insurance ed since apparently Burlington insure the Camas Prairie Northern Railroad’s obligations joined group policy, opting bargaining the the collective agreement.” added.) obligations (Emphasis rather to self-insure its Whether bargaining agreement.” the perceptions those of right intent be wrong, policy my the mind bears all of might Whatever have the been case Mike if the attributes provi- run-of-the-mill working had been for ordinary sions of poli- health and accident accidentally bridge and killed on the over cies which also make payments flat-rate for Oldtown, Idaho, the Pend Oreille River at injury resulting death, accidental as just as irrelevant as what Dessie Blake's here, hands, feet, or loss of eyes.2 and might mother have done she had been diagnosed correctly being facts As to the fortuitousness of Mike Down- —the Dessie’s correctly diag- mother was not ing’s transfer to the Camas Prairie Rail- road, nosed and Dessie was born with rubella- be surmised that this small procedure 2. "A Co., 191, rather careless form of has been Casualty Goodville Mutual 226 Kan. by 1229, followed in a number of instances (1979). some 596 P.2d 1232 companies designating insurance of insurance, "Group though life contracted for beneficiary paying er proceeds as the employer, indemnity an is not insurance but policy upon over to it the death of the simply a life of actually insured. All this does is to divest the personal protection their benefit and the insurer ascertaining of the actual burden of dependent upon those them for financial securi- beneficiary true paying over of the funds. ty” When adopted, such forms are it is clear that Co., Simpson v. Phoenix Mutual Life the intent payment is not to leave the ultimate 262, 835, 24 N.Y.2d 299 N.Y.S.2d 247 N.E.2d 655 in the employer, coffers of the but to make the (N.Y.1969). Capital See Rivers In- v. State Life payment a trustee for the to the real 431, Co., 461, surance N.C. 68 245 96 S.E.2d beneficiaries.” (1957). A.L.R.2d 205 Appleman, Practice, 1 Insurance Law and though [employer] is named as "Even E.N. Read 45, p. § 66. poli- policyowner, inescapable that this it is "Here, however, whole, as a as we employees. cy is for the benefit of his it, expresses view an intention that the benefits Policy’ Accident contract is called a ‘Blanket paid paid thereunder shall be for the use of the usually provisions found in a contains the employee. payment If such is made to the paragraph, policy. In first defendant employer, agent he receives it as or trustee for agrees pay resulting the benefits losses employee." Assoc, bodily injuries per- accidental suffered Health Mutual and Accident Benefit employ Bullard, sons in 558, owner. The Omaha v. 270 Ala. 120 So.2d ‘indemnity’ 714, (1960). word is not used policy, in this 722 provision there liability policy difference between is no “The chief benefits will be indemnity policy is that under the after for- obtained E.N. liability cause of action accrues when the nothing mer a attaches, Read. There is to indicate while under latter there is no cause that E.N. Read must liable to an first found liability discharged, until the has been of action injured employee pay- before benefits judgment by by payment of the the insured. able." is, indemnity policy, under an That insured Key Insurance Co. South Carolina v. Life money must have an actual loss suffered before Taylor, (Tex.1970) (em- 456 S.W.2d is liable." the insurer added). phasis Practice, Appleman, 6B Insurance Law and added). p. (emphasis See White v. § *9 railroad, back acting Lewiston, reasons for economic toward where he lived. both, pru- About ten compassion or did not believe miles out of Lewiston the motor- cycle ran operate out employees gas. its to Downing dent or fair to hitchhiked town self-insured, into where premium for a it could he when called come his wife to him get to a which would to gas subscribe take out to the $1,000,000 motorcycle. Downing pay up for one accident. was at a bar or tav- the service near

ern station from which he his wife. It called is alleged had that he APPENDIX TO DISSENT drinking during had been this time. His appeal presents This the issue of wheth- if he had him anything drink, wife asked er, record, summary on the status of the that he replied beers; had he to which two properly in was entered favor of Downing stated in however, her depo- Mrs. Company against Travelers believe did this to that she sition Marilyn Downing on the maintenance of a him, gasoline some with true. She drove compa- direct action the insurance motorcycle left his he had back to where ny group policy under a death benefits he rode it back him and then followed policy be- theory under a of the insurance crossing they were Lewiston. As into ing a contract for the benefit of a third Downing evidently Bridge, Memorial party, or whether the record demonstrates him to divider, lose caused struck the which questions there material of fact exist oncoming control and be thrown into by trial on the merits. for resolution lane, by another hit traffic where he was (and threshold) perhaps issue is A second four car and killed. occurred The accident juris- district court lacks whether the Idaho had left Downing and one-half hours after event, matter in due to the diction Orofino work at Orofino. The drive from dispute” under a rail- constituting a “minor miles. to Lewiston is a distance of bargaining agreement, road belonged Downing The union to which in vesting exclusive thereby (United Union) Transportation had entered Railroad Board. National with bargaining agreement into a collective including railroads, many of the nation’s Prairie. Burlington Northern and Camas con- bargaining agreement The collective THE FACTUAL BACKGROUND ben- provision for accidental death tained A of the factual and detailed statement while killed efits for who were necessary an procedural background vehicles riding in authorized “off-track” understanding and resolution of the issues pay-A traveling to and from work. while Downing appeal. Michael A. was $10,000 ($100,000 $90,000 minus ment Northern, Inc., employee Burlington an life insurance offset for automatic Spokane, Washington, he transfer- when the col- already paid) authorized was Lewiston, red to work on the Idaho to where the lective line of Prairie Rail- Orofino-Kamiah conditions covered employee was within the road, subsidiary Burlington Northern. named exclu- any of and was not within Downing, engineer, who was a train would sions. the train from Orofino to drive Lewiston a claim to Burling- made Orofino, where he leave Mrs. and back would Article IV of the “off- back it and then “deadhead” to Lewiston ton Northern Burlington denied the agreement. his own vehicle. LTnderthe collective bar- track” claim, stating that it did not come under agreement Downing gaining agreement’s conditions because he was per cents mile and one hour’s time twelve traveling motorcycle, aon his authorized “deadheading” back to Lewiston. On being automobile; vehicle off-track question, after the train “tied day ground already on the further he com- p.m., 4:55 drove up” at Orofino at Orofino, pleted his travel to Lewiston and was re- he had left motorcycle,

521 be- Finally, provisions set forth turning pick up motorcycle. rial of which are Down- Burlington denied the claim because low.1 the exclusion

ing may have come within group policy provided the The insurance of alco- driving while under the influence following “employ- term definition of the Downing hol. informed Mrs. ee”: they attorney remedy, their and her The term herein “Employee” as used denial, to contest was under wished by means an employed individual who is Act since their claim Railway Labor participating Employer in Ex- named bargain- of a collective volved construction capacity by hibit C a a sched- covered working ing agreement dealing with condi- agreement by organiza- ule held a labor tions. respect Employer tion with which such Mrs. chose instead to make a participates, as shown on the records of payment directly against Tra- demand for Policyholder, provide benefits of Company. The direct de- velers Insurance provided by policy. kind this Bene- mand Travelers was made on the policy payable only under this will be fits par- theory that Mrs. was a third respect to those individuals with who ty beneficiary of Travelers Insurance Com- definition at the time of the meet this pany group policy accident and health No. causing injury involved. accident GA-822432 between Travelers “bodily injury” term defined the group rail- Company as “insurer” and a “deadheading” pro- specific in terms of the roads, Prairie, including “employ- Bargaining Agree- visions of the Collective ers”, employers collectively constitut- ment as follows: “policy holder”. “bodily injury” The term as used herein death, procured including bodily injury, means resulting pursuant by to the terms of article IV of the accident and di- caused an bargaining agreement, independently other rectly collective the mate- all provide provided: 1. The loss of life or The carrier will occurring days after dismemberment within ARTICLEIV—PAYMENTSTO EMPLOYEESIN- (a): paragraph JURED date of accident covered in UNDERCERTAINCIRCUMSTANCES 100,000 employees personal injuries Where sustain or Life Loss of para- death under the conditions set forth in below, (a) graph provide the carrier will (d) Exclusions: pay ative, employees, personal represent- such or their (b) paragraph provided shall Benefits applicable para- amounts set forth in any following payable not be for or under below, (b) graph provisions conditions: paragraphs in other this Article. (1) Intentionally injuries, sui- self-inflicted (a) Covered Conditions: thereat, any attempt sane or cide or while This Article intended to cover accidents insane; involving employees by Agreement covered this (2) any Declared or undeclared war or act in, riding boarding, while such thereof; alighting or from off-track vehicles authorized Illness, disease, (3) any or bacterial infec- by the carrier and are occurring tion other than bacterial infection (1) deadheading under orders or consequence in wound; of an accidental cut or (2) being transported expense. at carrier (b) Payments to be Made: (4) occurring employee while the Accident any In the event that one of the losses enu- the influence of alcohol or driver is under (1), (2) (3) subparagraphs merated in below drugs, any employee passenger who is or if injury directly from results from an sustained drugs any under the influence of alcohol or an accident occurs or commences within the accident; way contributes to the cause of the (1), (2) subparagraphs time limits set forth in (5) employee below, is a driver or an (3) While an provide, subject carrier will contained, any conveyance engaged any occupant to the terms and conditions herein test; payable Group speed less amounts Pol- race or Insur- commuting of The Travelers GA-23000 icy Contract While an Company ance other medical or insur- place of business. from his residence or and/or plan paid entirety by ance carrier, for in its following benefits: (1) Accidental Death or Dismemberment causes in loss policy pro- appears covered It from comments earlier in the vided such injury Em- is sustained proceedings Judge McNichols based ployee in, riding while he operating, his ruling on his belief that the federal *11 boarding, or off-track alighting from an district court would jurisdiction not have conveyance partic- land by the authorized even if there were a federal ipating Employer and while such Em- volved: ployee is under the deadheading orders (Counsel MR. DUNN: plaintiff for participating Employer being or is Downing): think, I summary, ... Your transported expense partici- at the Honor, remand, on the I say would pating (Emphasis Employer. supplied). way either the court holds that it did not then, V, The insurance in article original jurisdiction. have entitled “Limited Accident pro- Benefit” THE In you COURT: other words what vides verbatim the same six exclusions saying is that the State Court should IV(d) which are set forth in article decide whether dispute this is a minor bargaining agreement. go and that it would back to the Board When Travelers would not honor de- for determination under dispute. a labor mand, appellant brought action, this nam- MR. DUNN: That’s I saying, what am Travelers, as defendants Burlington Your Honor. The State Court is the Prairie, and Camas alleging entitle- proper question. Court to determine that ment to the benefits under the be- Well, THE COURT: the State Court (Count I) tween Burlington Travelers and would have to decide if this is a minor and conspiracy part on the of all three dispute. defendants to defeat her claim under the (Count II). Thus, the federal district court seemed to if have been convinced that the matter at filed, One month complaint after the was dispute” issue was a “minor under the Rail- Burlington defendants Northern and Ca- § Act, 153, way Labor 45 U.S.C. then the mas Prairie removed the case to federal Adjustment Railroad Board would have ex- district court. All three defendants then jurisdiction, clusive not the federal district moved summary judgment, plain- court, dispute,” it were not a “minor tiff moved for an order remand- jurisdiction there still would be no ing the case to the state district court on federal district court because there was no ground jurisdiction that there was no diversity, only the state courts would the federal district court. hearing After jurisdiction. Accordingly, have the remov- matter, Judge U.S. Ray District McNi- al order was vacated and the case remand- chols stated: ed to the state district court where it was THE I say COURT: must some- originally filed. argument times oral is not valuable and very court,

sometimes it is valuable. At one district After remand to the state time I say am frank to that I summary believed judg- the defendants moved for question. that this was a federal But I granted ment.2 The district court summa- persuaded am now that this ry judgment in favor all three defend- orig- situation. This Court does not have I ants on Counts and II. As to both Count jurisdiction. inal I assume that there is II, claim, conspiracy plaintiff stipu- diversity. not the needed she had no conspiracy. lated evidence of a appealed I Plaintiff therefore feel that have no alternative summary judgment but to remand the case to the State favor of Travelers Court. I. Count Northern, 2. Camas Prairie and prescribed de- her exhaust mandated remedies as below, summary judgment, by Congress Railway fendants moved for under the Labor Act.” claiming summary judgment granted that the state court “lacks mat- That ter because has failed to trial court. Court, dismissing ruling. guidance, Count I as note that As we would against Travelers, did not articulate focus should not be whether legal basis for the ruling. Apparently it distinguished is a “minor by ruling did so as a matter of law that this “major dispute” Railway under the Labor record does not establish that the Travelers Act, dispute but rather whether it is a Policy was a contract for the under the Labor Act at all. benefit of third such as Mrs. Down- provides Title Section U.S.C.A. ing. specific Whether that is the basis for the establishment of the National Rail- entirely the dismissal as to Travelers is not road Board and defines its certain in that the court minutes of the griev- duties relative to the resolution of *12 date of the argument, signed by oral the ances as follows: deputy clerk signed approved by and (i) disputes between an or presiding judge the part: state in of and a carrier or car- “The court finds Travelers Insurance growing grievances riers out of or out of Company is entitled to as a interpretation application agree- or of matter of law because no controversial rules, concerning ments pay, rates or of (sic) affidavits have been filed”. conditions, working including cases ground The latter would not have been a pending unadjusted 21, on June proper basis granting summary for the of 1934, shall be handled in the usual man- judgment if in fact the supplied affidavits up including operat- ner to and the chief by the parties together other depo- with the designated officer of the carrier presented sitions and exhibits facts which disputes; failing handle such but if construed favorably most to the manner, adjustment reach an in this would not have entitled judg- Travelers to a disputes may by petition be referred ment as a matter of law. parties by or either to the

II appropriate Adjustment division of the Board with a full statement of the facts THE APPLICABILITY OP THE supporting bearing and all data upon the RAILWAY LABOR ACT disputes. (Emphasis supplied). Both the defendant railroads and Travel- The trial court should determine wheth- ers Company urged before the er, contends, as Travelers this action federal jurisdiction court that in this matter dispute interpretation volves a over the or exclusively lies with the National Railroad application agreement concerning of an Adjustment Board under Railway La- working conditions, pay, rates of rules or bor Act as a “minor and the claim- whether, Downing, or as contended Mrs. ant contrary position. took the The federal or not the issue is whether issue, court did not that ruling resolve that policy is a “contract for the benefit of a it did not have before it a federal party”, third with the terms and conditions original jurisdiction, or commenting policy being of the insurance the matter in that “the state would have to decide contention. if dispute”. this is a minor However, remand, following the trial Title Section U.S.C.A.establishes issue, court did not resolve that and the the National Mediation Board and Section parties point have not at presented this provides jurisdiction 155 in that Board court, (a) evidence before either the trial disputes concerning changes or to mediate court, upon this which such a determination pay, working rates of rules or conditions Rather, can be made. adjusted by conference, the issue has served not parties purpose pro- (b) no other than to dispute confuse the other not referable to ceedings, and on remand the should the National Railroad Board or squarely address the provide issue to adjusted par- conference between the opportunity proper trial court with an for a ties. “major” distinction between adjudication Railway dis- submitted for

pute and dispute “minor” summarized Adjustment Board.3 Independent Flight Federation Attend- Secondly, might the trial court wish TWA, Inc., ants v. 655 F.2d 155 at 158 authority consider whether an submitted (1981): so, point, defendants is on “major” A dispute arising is one out of cuts, way being Neville v. Illinois change formation or of a collective- Company, Central Railroad Gulf bargaining agreement covering rates of (D.C.Miss.1976).4 F.Supp. 1349 pay, working rules or conditions. A “mi- dispute, hand,

nor” on the other is one “growing grievances out of or out of the Ill interpretation application agree- or rules, concerning pay, ments rates of THE CONTRACTS FOR BENEFIT OF (Citations omitted).

working conditions. THIRD PERSONS having The trial court not ruled Should court on remand determine applicability nonapplicability of the Rail- preempted by the is not way plaintiff, Labor Act to the claim of Act, Labor but rather that appeal, Court will not do so on but will controlling issue is determination *13 by remand for initial determination thereof whether or not the Travelers Insurance the trial court. policy is a contract for the benefit of third then, parties Downing, such as Mrs. in that We would note for the trial court’s con- event, necessary the will be to resolve sideration two matters which are in the is, in the latter We hold that issue First, Kinder, record. Mr. Eddie Joe the issue.. record, present question context of the a of Company’s director of Travelers Insurance properly fact which could not have been group department responsible which is summary judgment. We reach life, accident, resolved on group all of the and health following the that conclusion because of policies by issued Travelers testi- analysis would be deposition authorities and pay- fied that whether or not construing facts in the by ap- applicable, ment would the be made Travelers was record, present to parently subject light to the terms insur- a most favorable interpretation ance rather than an the claimant. No, ner, and, Q. asking you adjusted,

3. I am not make a deci- if not be referred to the to sion on a appropriate claim that’s not been submitted. of NRAB in the manner division Kinder, asking you, What I am Mr. is if Camas by prescribed reason for this the Act. The $90,000 pay Marilyn Downing were to the she legislation by Congress is that mandated the claimed, would Travelers reimburse Camas? processed disputes dis- such should be your you And I understand answer to be that expert posed by of an arbitration board only you would do so decided that Camas was jargon____ that railroad Court [T]he [finds] making payment correct in the to Mrs. interpretation dispute of the involves not an policy? under the terms of the interpretation policy, of the letter the but an A. That's correct. involving fringe agreements, and is a matter otherwise, And, you deny Q. would it? and, agreements, by benefits afforded such, correct, A. That is fall if it did not within the dispute of is a within the policy. terms of the may appropriate divi- NRAB. It be that the pay Q. pay So decision to or not to on kind sion of NRAB has had before it the same Travelers, Travelers, part of is reserved to is goes saying, dispute. whether it of It without that correct? not, by appropri- has or that decision A. Yes. having ruling ate division would result in a 4. The court in Neville stated: application employees union as to other or (45 The Labor Act U.S.C. Section kin, representatives nearest of or of the es- requires seq.) disputes et between an employees. tates of deceased or of and a carrier accordingly grants the defendant’s Court growing grievances carriers out of or or out lack motion to dismiss for of matter interpretation application agree- or of jurisdiction. concerning pay, ments ing rates rules or work- conditions, be handled in their usual man-

525 which re- condition contingency Mrs. claims or that she is a benefi- other ciary contract, right although becoming payable, a she is not ain claim sults specifically named in the insurance con- beneficiary which insurer vests in hand, tract. On the other Travelers Insur- fraud, collusion or cannot defeat unless ance is Company asserts that the contract a be shown. some can similar circumstance indemnification, although the contract of Carrico, Bergkamp In Idaho v. having phrases word “indemnification” 613 P.2d 376 court held: specifically appear import do not ambig- Where the terms of a contract therein. uous, interpretation its is a meaning (Third Edition) In Contracts Williston question of fact and extrinsic evidence § rule stated: may considered in attempting be ar- every practically jurisdiction, In a ben- contracting rive at the true intent eficiary prom- to whom the insurer has parties. ised the insured that the insurance mon-

ey given right a In E.B. shall be to en- Concrete Contractors v. Roberts policy, generally by force the a direct Co., (Colo.App. 664 P.2d 722 Construction action. result has 1982) This been reached court stated: jurisdictions adhering strict doc- key question is the intent statute; of privity trine of contract the actual contract confer a but in most states without the aid of a party. on a third That intent statute. appear must from the contract itself Ordinarily, beneficiary of such an It by necessary implication. be shown insurance contract maintain an ac- of fact to determined thereon, therein, though tion not named taken as the terms of contract it appears by when fair and reasonable whole, light of the cir- construed rights intendment that his and interests which it cumstances under was made *14 contemplation parties, were apparent purpose were being provided and were for at the time trying accomplish. making the contract. authorities, foregoing Based Williston, supra, page at 906 reads: apparent that if the facts and documents beneficiary of a group contract of light in construed in a the record are most given insurance has been the same direct Downing, to Mrs. favorable right ordinary enforce the as in summary whom life insurance cases. The contract of sought, that there are substantial issues of group being ordinarily insurance be- which rendered disposition fact raised society tween an insurance and an em- summary judgment of the case on improp- ployer for the benefit of his employees, er, and therefore case must be remand- there a defeasible vested interest in ed for trial on the merits. the insured both lat- beneficiary, only ter’s enforceable Travelers has asserted that it is fearful all fulfillment of the conditions of the that certain defenses which might be main- policy. tained the railroads are not maintainable by Travelers, rights beneficiary to enforce but as below, noted each of defined in Willi- contract are further the exclusions set forth in the collective ston, supra, page at 908: bargaining agreement are incorporated ver-

A third party beneficiary ordinary group batim the insurance policy con- contract Furthermore, to the limitation its tract. the collective bargain- terms as greater he has rights no ing agreement would be admissible into it than provided in the contract itself. evidence as one of the extrinsic circum- However, upon the of the in- stances death to be utilized in interpreting the sured, or upon the occurrence of any contract. whether there in fact not determine does

IV an insurance contract for the exist SUMMARY party. third Reversed benefit of a remanded. conclusion, In noted that it should be this decision the narrow we decide attorney fees awarded. No costs or Court, being presented issue to this summary granting of whether or not the this record was

judgment on the basis of answer

improper, we whether the do not decide

affirmative. We exclusive

facts establish Board and do Railway Adjustment

National

Case Details

Case Name: Downing v. Travelers Insurance
Court Name: Idaho Supreme Court
Date Published: Nov 7, 1984
Citation: 691 P.2d 375
Docket Number: 14645
Court Abbreviation: Idaho
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