MAXWELL COMMUNICATIONS, еt al., Petitioners, Plaintiffs (C4-92-1822, C5-92-1926, C9-92-2092), Appellants (C8-92-2259), v. WEBB PUBLISHING COMPANY, et al., Defendants (C4-92-1822, C5-92-1926, C9-92-2092), Respondents (C8-92-2259), and ADVANCED UNITED EXPRESSWAYS, et al., Petitioners, Appellants (C4-92-1822), Plaintiffs (C5-92-1926, C9-92-2092, C8-92-2259), v. MINNESOTA INSURANCE GUARANTY ASSOCIATION, Respondent (C4-92-1822), Defendant (C5-92-1926, C9-92-2092, C8-92-2259), and KEY NISSAN, INC., et al., Petitioners, Plaintiffs (C4-92-1822, C5-92-1926, C8-92-2259), Appellants (C9-92-2092), v. MINNESOTA INSURANCE GUARANTY ASSOCIATION, Defendant (C4-92-1822, C5-92-1926, C8-92-2259), Respondent (C9-92-2092), and MAXWELL COMMUNICATIONS, et al., Petitioners, Plaintiffs (C4-92-1822, C5-92-1926, C9-92-2092), Appellants (C8-92-2259), v. QUEBECOR, et al., Defendants (C4-92-1822, C5-92-1926, C9-92-2092), Respondents (C8-92-2259), and DONLAR CONSTRUCTION CO., et al., Petitioners, Plaintiffs (C4-92-1822, C9-92-2092, C8-92-2259), Appellants (C5-92-1926), v. MINNESOTA INSURANCE GUARANTY ASSOCIATION, Defendant (C4-92-1822, C9-92-2092, C8-92-2259), Respondent (C5-92-1926).
Nos. C9-92-2092, C8-92-2259, C4-92-1822 and C5-92-1926.
Supreme Court of Minnesota.
June 17, 1994.
Steven Mattaini, Paul D. Reuvers, Erstad & Riemer, P.A., Minneapolis, for Advanced United Expressways, et al.
Larry J. Peterson, Larry J. Peterson & Assoc., St. Paul, for Key Nissan, Inc., et al.
Kevin P. Hiehey, Bassford, Hecht, Lockhart, Truesdell & Briggs, Minneapolis, for Donlar Const. Co., et al.
Barbara Burke, Cousineau, McGuire & Anderson, Minneapolis, for Minnesota Ins. Guar. Ass‘n.
OPINION
KEITH, Chief Justice.
On petition for further review, we сonsider whether a workers’ compensation liability insurer‘s equitable contribution claim is a “covered claim,” enforceable against the Minnesota Insurance Guaranty Association under
The facts giving rise to this appeal are simple and undisputed. The parties stipulated that four employees sustained an injury compensable under the Minnesota Workers’ Compensation Act and received benefits from their respective employer‘s workers’ compensation liability insurer, that the employees had previously sustained a compensable injury while working for either a different employer or for the same employer who was then insured by a different workers’ compensation liability insurer, and that the insurers оn risk for the prior injury had since become insolvent.
In August of 1988, National Union Fire Insurance Company (accompanied by its insured employer Advance United Expressways) filed a petition for reimbursement or contribution with the Workers’ Compensation Division, naming the insolvent insurer and the Guaranty Association as respondents. This led to Taft v. Advance United Expressways, 464 N.W.2d 725 (Minn. 1991), wherein we ruled that the jurisdiction of the Workers’ Compensation Division did not extend to interpreting or applying the provisions of the Guaranty Act. Id. at 727. We also said the remedy was to follow the procedures in
Subsequently, National Union Fire, American States Insurance Company, Employers Insurance of Wausau, and Western National Insurance Group (accompanied by their respective insured employers) brought separate declaratory judgment actions to determine if their contribution claims were “covered claims” under
Although Minnesota‘s Guaranty Act was patterned after the Model Act developed by the National Association of Insurance Commissioners, unlike the Model Act, Minnesota‘s Act did not exclude claims made by insurers until the Act was amended in 1988. Compare Life and Health Insurance Guaranty Association Model Act, III, 540-3 (National Association of Insurance Commissioners Oct. 1993) with Act of April 18, 1988, ch. 541, § 8, 1988 Minn. Laws 457-58. Consequently, as all of the contribution claims involved in this appeal were made after the effective date of the amendment, under the version applicable herе, “a covered claim does not include: (1) claims by an affiliate of the insurer; and (2) claims due a reinsurer, insurer, insurance pool, or underwriting association, as subrogation recoveries or otherwise. This clause does not prevent a person from presenting the excluded claim to the insolvent insurer or its liquidator, but the
Appellants argue their claims are covered and not excluded as “subrogation recoveries or otherwise;” but the term “otherwise” generally means “differently,” “different way or manner,” and even “various.” As used in subdivision 2(2) of section 60C.09, the language is certainly broad enough to encompass amounts claimed by an insurer as contribution or reimbursement. Courts construing similar provisions in Guaranty Association Acts in other jurisdictions have concluded that member insurers do not come within the protection of such acts. E.g., Ursin v. Ins. Guaranty Ass‘n, 412 So.2d 1285, 1289 (La. 1981); Ferrari v. Toto, 383 Mass. 36, 417 N.E.2d 427, 428-29 (1981); Sussman v. Ostroff, 232 N.J.Super. 306, 556 A.2d 1301, 1304 (Ct. App. Div. 1989). See also Carol J. Miller, Annotation, BB Rule 16.5.5., Validity, Construction, and Effect of Statute Establishing Compensation for Claims Not Paid Because of Insurer‘s Insolvency, 30 A.L.R.4th 1110 (1984).
More significant, however, is the underlying purpose sought to be advanced by the Guaranty Act. In effect, the legislature has provided protection for policyholders of and claimants against insolvent insurers at the direct cost of all of the policyholders of the member insurers, whose premium charges include amounts sufficient to recoup a sum equal to the amounts paid to the association by the member insurers. By excluding claims of what may be described as insurance industry creditors, policyholders pay only for the рrotection lost by similarly-situated policyholders of insolvent insurers. The members of the insurance industry itself bear the risk of loss of their own direct claims against the insolvent carrier, which they still may assert against the insolvent carrier‘s receiver. In other words, the Guaranty Act does not provide a solvent substitute for an insolvent insurer, but rather, is a limited form of protection for the public. It is not a fund for the protection of other insurance companies from the insolvencies of fellow members.2 Reinsurance Ass‘n v. Dunbar Kapple, Inc., 443 N.W.2d 242, 246 (Minn. App. 1989); E.L. White, Inc. v. City of Huntington Beach, 138 Cal.App.3d 366, 187 Cal.Rptr. 879, 882 (1982). See Kinney v. Leaman, 14 Mass.App.Ct. 926, 436 N.E.2d 996, 997 (1982).
Appellants also contend that exclusion of workers’ compensation contribution claims under
Affirmed.
COYNE, Justice (concurring specially).
Although I agree with the proposition set out in the majority opinion that an insurer‘s equitable contribution claim is not a “covered claim” within the meaning of
Workers’ compensation is, as we have commented from time to time, a creature of statute without counterpart in the common law. The claim of Donlar Construction and American States Insurance Company arises out of their payment of workers’ compensation benefits in compliance with a temporary order issued by Compensation Judge James M. Gallagher pursuant to
Where compensation benefits are payable under this chapter, and a dispute exists between two or more employers or two or more insurers as to which is liable for payment, the commissioner, compensation judge, or court of appeals upon appeal shall direct, unless action is taken under subdivision 2, that one or more of the
employers or insurers make payment of the benefits pending a determination of liability. A temporary order may be issued under this subdivision whether or not the employers or insurers agree to pay under the order.
When liability has been determined, the party held liable for the benefits shall be ordered to reimburse any other party for payments which the latter has made, including interest at the rate оf 12 percent a year. The claimant shall also be awarded a reasonable attorney fee, to be paid by the party held liable for the benefits.
An order directing payment of benefits pending a determination of liability may not be used as evidence before a compensation judge, the workers’ compensation court of appeals, or court in which the dispute is pending.
The prohibition against use of the order in the proceeding to determine which employer or insurer is liable for the benefits appears to indicate legislative recognition that the order is intended only to provide prompt payment of benefits to the injured worker without reference to whether the payer has any liability for those benefits.
Moreover, the statute mandates that once liability is determined, “the party held liable for the benefits shall be ordered to reimburse” the party who paid pursuant to the temporary order.
That statutory structure bears no resemblance to subrogation. An insurer which has paid benefits in compliance with a temporary order has a direct statutory right of reimbursement from the party or parties found to be liable for those benefits. The insurer does not stand in the shoes of its insured for the purpose of asserting a claim for contribution or indemnity. The compensation judge is required by
When, in 1971, Minnesota created the Minnesota Insurance Guaranty Association, the act adopted by the legislature departed in several significant respects from the Model Act proposed by the National Association of Insurance. In particular, the legislature omitted from the definition of “covered claim” Section 5 F.(2) of the Model Act:
‘Covered claim’ shall not include any amоunt awarded as punitive or exemplary damages; sought as a return of premium under any retrospective rating plan; or due any reinsurer, insurer, insurance pool or underwriting association as subrogation recoveries or otherwise.
Life and Health Insurance Guaranty Association Model Act, III, 540-3 (National Association of Insurance Commissioners Oct. 1993). The Comment to this section of the Model Act states, “The subcommittee does nоt feel that coverage should be extended to elements of the insurance industry which know or reasonably can be expected to know the financial condition of various companies.”
The statutory duty to pay an obligation which an insurer has neither contractual nor legal obligation to pay other than that imposed by temporary order and the correlative statutory right to reimbursement are both set out with рarticularity in the Workers’ Compensation Act.
Finally, it must be recognized that unreimbursed payments pursuant to a temporary order will undoubtedly affect the insured‘s experience rating and cause an increase in the premium which the insured must subsequently pay for workers’ compensation liability insurance. Although the MIGA suggests that it would honor the claims of insureds for increased premiums resulting from the deprivation of the insurer‘s right to enforce the statutory reimbursement order as a covered claim, I think it unlikely that the insured employer would be aware of the right to make claim against the MIGA or able to determine the proper amount to be claimed.
Having said that, however, I nevertheless concur with the result reached by the majority because of the posture of this case in this court. The claim which Donlar Construction Company and American States Insurancе Company have made is for contribution. It appears that the insurers of the employer at the time of the employee‘s two earlier injuries agreed to partial reimbursement of American States, and the parties entered into a Pierringer release. Under the circumstances it seems to me an overstatement to say that Donlar Construction Company and its insurer had no legal obligation to pay benefits to this employee. Therefore, I concur in the result.
SIMONETT, Justice (concurring specially).
I agree with the special concurrence of Justice Coyne.
PAGE, Justice (concurring specially).
I agree with the special concurrence of Justice Coyne.
Larry CLAUDE, et al., Petitioners, Appellants, v. James R. COLLINS, Respondent, Ray Sogard, et al., Respondents, Defendants, Steve Saban, Respondent.
Nos. C0-93-564, C5-93-562.
Supreme Court of Minnesota.
June 30, 1994.
Notes
A covered claim is any unpaid claim, including one for unearned premium, which:
(a)(1) Arises out of and is within the coverage of an insurance policy issued by a member insurer if the insurer becomes an insolvent insurer after April 30, 1979; or
(2) Would be within the coverage of аn extended reporting endorsement to a claims-made insurance policy if insolvency had not prevented the member insurer from fulfilling its obligation to issue the endorsement, if:
(i) the claims-made policy contained a provision affording the insured the right to purchase a reporting endorsement;
(ii) coverage will be no greater than if a reporting endorsement had been issued;
(iii) the insured has not purchased other insurance which applies to the claim; and
(iv) the insured‘s deductible under the policy is increased by an amount equal to the premium for the reporting endorsement, as provided in the insured‘s claims-made policy, or if not so provided, then as established by a rate service organization.
(b) Arises out of a class of business which is not excepted from the scope of this chapter by section 60C.02; and
(c) Is made by:
(i) A policyholder, or an insured beneficiаry under a policy, who, at the time of the insured event, was a resident of this state; or
(ii) A person designated in the policy as having an insurable interest in or related to property situated in this state at the time of the insured event; or
(iii) An obligee or creditor under any surety bond, who, at the time of default by the principal debtor or obligor, was a resident of this state; or
(iv) A third party claimant under a liability policy or surety bond, if (a) the insured or the third party claimant was a resident of this state at the time of the insured event; (b) the claim is for bodily or personal injuries suffered in this state by a person who when injured was a resident of this state; or (c) the claim is for damages to real property situated in this state at the time of damage; or
(v) A direct or indirect assignee of a person who except for the assignment might have claimed under item (i), (ii), or (iii).
For purposes of paragraрh (c), item (ii), unit owners of condominiums, townhouses, or cooperatives are considered as having an insurable interest.
A covered claim also includes any unpaid claim which arises or exists within 30 days after the time of entry of an order of liquidation with a finding of insolvency by a court of competent jurisdiction unless prior thereto the insured replaces the policy or causes its cancellation or the policy expirеs on its expiration date. A covered claim does not include claims filed with the guaranty fund after the final date set by the court for the filing of claims except for workers’ compensation claims that have met the time limitations and other requirements of chapter 176 and excused late filings permitted under section 60B.37.
Where compensation benefits are payable under this chapter, and a dispute exists between two or more employers or two or more insurers as to which is liable for payment, the commissioner, compensation judge, or court of appeals upon appeal shall direct, unless action is taken under subdivision 2, that one or more of the employers or insurers make payment of the benefits pending a determination of liability. A temporary order may be issued under this subdivision whether or not the employers or insurers agree to pay under the order.
When liability has been determined, the party held liable for the benefits shall be ordered to reimburse any other party for payments which the latter has made, including interest at the rate of 12 percent a year. The claimant shall also be awarded a reasonable attorney fee, to be paid by the party held liable for the benefits.
An order directing payment of benefits pending a determination of liability may not be used as evidence before a compensation judge, the workers’ compensation court of appeals, or court in which the dispute is pending.
