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All opinions are subject to modification and technical correction prior to official publication in the North Carolina Reports and North Carolina Court of Appeals Reports. In the event of discrepancies between the electronic version of an opinion and the print version appearing in the North Carolina Reports and North Carolina Court of Appeals Reports, the latest print version is to be considered authoritative.
MARY NICOLE BOONE VOGLER, Widow; MARILYN SUE ANN CLYMER, Guardian
Ad Litem for KRISTIN DAKOTA VOGLER, Minor Child; and MARK BOONE,
Guardian
Ad Litem for MEGAN NICOLE BOONE, Minor Stepchild; of BILLY
CHARLES VOGLER, Deceased Employee, Plaintiffs,
v. BRANCH ERECTIONS
CO., INC., Employer-Defendant; RELIANCE NATIONAL INSURANCE COMPANY
(now insolvent), Carrier-Defendant; NORTH CAROLINA INSURANCE
GUARANTY ASSOCIATION, Defendant; CAMBRIDGE INTEGRATED SERV., Third-
Party Administrator; STERLING ADMINISTRATIVE SERVICES and the GOFF
GROUP, Servicing Agents
NO. COA06-288
Filed: 6 February 2007
1. Workers' Compensation_additional compensation for safety violations_statutory and
policy language
The North Carolina Insurance Guaranty Association was obligated to pay an additional 10%
on a workers' compensation claim where N.C.G.S. § 97-12 allowed the increase when a health or
safety violation occurred, the policy which NCIGA assumed when the issuing company was declared
insolvent provided that the insurer would pay the benefits required by the workers' compensation
law, and the policy also included language that provided coverage for an insured's intentional failure
to comply with a health and safety statute.
2. Workers' Compensation_additional compensation for wilful safety violations_liability
of employer
The Industrial Commission did not err by concluding that the North Carolina Insurance
Guaranty Association was entitled under the plain language of a workers' compensation policy to
seek reimbursement from the employer (Branch) of a 10% addition to plaintiff's compensation
imposed for willful violations of OSHA regulations and paid by NCIGA.
Judge TYSON dissenting.
Appeals by
defendants from an Opinion and Award entered 27
July 2005 by the Industrial Commission. Heard in the Court of
Appeals 20 September 2006.
J. Randolph Ward for defendant-appellant/cross-appellee Branch
Erections, Co., Inc.
Nelson, Mullins, Riley & Scarborough, LLP, by Christopher
Blake, for defendant-appellee/cross-appellant North Carolina
Insurance Guaranty Association.
BRYANT, Judge.
The North Carolina Insurance Guaranty Association (NCIGA)
(defendant-appellee/cross-appellant) and Branch Erections, Co.,
Inc.
(Branch) (defendant-appellant/cross-appellee)
appeal from an
Opinion and Award entered 27 July 2005 by the North Carolina
Industrial Commission (Commission).
On 23 March 2000, Billy Charles Vogler (plaintiff-decedent)
suffered a compensable workplace injury by accident when he fell
twenty feet to the ground after being struck by a crane. Plaintiff
died as a result of the injuries sustained in the accident.
In
Vogler I, the Opinion and Award
of the Full Commission granting
plaintiff 10% additional compensation was reversed and remanded by
this Court which held the Commission abused its discretion by
declining to receive the policy as evidence and by failing to take
into account the terms of the [insurance] policy [between Branch
and Reliance
(See footnote 1)
]. Vogler v. Branch Erections Co., 166 N.C. App.
169, 177, 601 S.E.2d 273, 278 (2004) (Vogler I)
.
The present case is before this Court on appeal by both
parties from the Commission's 27 July 2005 Opinion and Award
which
concluded: (1) the insurance policy between Branch and Reliance
National Insurance Company provides for NCIGA
to pay plaintiff the
10% increase in compensation awarded pursuant to N.C. Gen. Stat. .
97-12; and (2) NCIGA could seek reimbursement from Branch.
Both
defendants appeal.
_____________________
NCIGA argues the Commission erred in
determining NCIGA was
obligated to pay the 10%
additional workers' compensation
awarded
to plaintiff.
Branch argues the Commission erred in holding that
NCIGA is entitled to seek reimbursement from Branch for the 10%
additional compensation awarded
to plaintiff
.
Opinions and awards of the Commission are reviewed to
determine whether competent evidence exists to support the
Commission's findings of fact, and whether the findings of fact
support the Commission's conclusions of law.
Bondurant v. Estes
Express Lines, Inc., 167 N.C. App. 259, 263, 606 S.E.2d 345, 348
(2004) (quotations and citations omitted). If supported by
competent evidence, the Commission's findings are binding on appeal
even when there exists evidence to support findings to the
contrary.
Allen v. Roberts Elec. Contrs., 143 N.C. App. 55, 60,
546 S.E.2d 133, 137 (2001). The Commission's conclusions of law
are reviewed
de novo.
Id. at 63, 546 S.E.2d at 139.
For the
reasons stated herein, we affirm the decision of the Commission.
NCIGA Appeal
[1] On appeal NCIGA argues the Commission erred in
determining
NCIGA was obligated to pay the additional 10% awarded to plaintiff.
Specifically, NCIGA challenges the Commission's finding that the
additional 10% increase to plaintiff's workers' compensation award
was a covered claim.
In the alternative, NCIGA contends it
should not be required to pay
the additional compensation,
asserting it constitutes punitive and exemplary damages.
The purpose of the North Carolina Insurance Guaranty
Association Act (Guaranty Act), N.C. Gen. Stat. § 58-48-1 et seq.
is:
to provide a mechanism for the payment of
covered claims under certain insurance
policies, to avoid excessive delay in payment,
and to avoid financial loss to claimants or
policyholders because of the insolvency of an
insurer, to assist in the detection and
prevention of insurer insolvencies, and to
provide an association to assess the cost of
such protection among insurers.
N.C. Gen. Stat. § 58-48-5 (2005) (emphasis added). All liability
insurance companies licensed to conduct business in North Carolina
are members of NCIGA. See N.C. Gen. Stat. § 58-48-25 (2005). When
a member insurer becomes insolvent, NCIGA assumes responsibility
for defending and paying covered claims against the insolvent
company. NCIGA has a statutory liability limit of $300,000.00.
See N.C. Gen. Stat. § 58-48-35 (2005). Furthermore, North Carolina
General Statutes, Section
97-98 provides:
No policy of insurance against liability
arising under this Article shall be issued
unless it contains the agreement of the
insurer that it will promptly pay to the
person entitled to same all benefits conferred
by this Article . . . .
N.C. Gen. Stat. § 97-98 (2005).
In the present case, NCIGA challenges the following findings
of the Commission:
11. [] The policy specifically requires the
employer to be responsible for any payment in
excess of the benefits regularly provided by
the Workers' Compensation Act, including those
imposed due to the employer's failure to
comply with a health or safety law or
regulation.
12. When an insurer becomes insolvent, the
Guaranty Act . . . requires that NCIGA:
(1) Be obligated to the extent of the
covered claims . . . [and]
(2) Be deemed the insurer to the extent
of [NCIGA's] obligation on the covered claims
. . . as if the insurer had not become
insolvent. N.C. Gen. Stat. . 58-48-35(a)(1)
and (2) (2003).
13. [] NCIGA is obligated [pursuant to the
statutory definition of a covered claim] to
pay claims only to the extent of a covered
claim, which does not include any amount in
excess of what the insolvent insurer would be
required to pay.
14. The insurance policy between defendant-
employer and Reliance provides in Part One,
Section F, as follows:
F. Payments You [employer] Must Make
You [employer] are responsible for any
payments in excess of the benefits
regularly provided by the workers'
compensation law including those required
because:
1. Of your serious and willful
misconduct;
...
3. You fail to comply with a health or
safety law or regulation;
15. Based upon the clear language of the
insurance policy between defendant-employer
and Reliance, and therefore NCIGA as the
successor to Reliance, the Commission finds
that the policy provides for payment by the
carrier of any 10% increase in compensation
awarded pursuant to N.C. Gen. Stat. . 97-12
and for the carrier to then seek reimbursement
by defendant-employer.
NCIGA challenges the Commission's conclusions:
8. [B]ased upon a clear reading of [N.C. Gen.
Stat. . 97-12], the 10% additionalcompensation awarded . . . is compensation and
does not constitute exemplary or punitive
damages.
9. Therefore, the additional compensation is
part of a covered claim and must be paid by
NCIGA, but is subject to reimbursement by
defendant-employer, pursuant to the terms of
the workers' compensation policy.
(Emphasis in original).
NCIGA argues the Commission erred in finding plaintiff's claim
met the definition of a covered claim as defined by N.C. Gen.
Stat. § 58-48-20. A covered claim is:
an unpaid claim, including one of unearned
premiums, which is in excess of fifty dollars
($50.00) and arises out of and is within the
coverage and not in excess of the applicable
limits of an insurance policy to which this
Article applies as issued by an insurer, if
such insurer becomes an insolvent insurer
. . . .
N.C. Gen. Stat. § 58-48-20(4) (2005); See Bowles v. BCJ Trucking
Servs., 172 N.C. App. 149, 153, 615 S.E.2d 724, 727 (2005); and
Hales v. North Carolina Ins. Guar. Ass'n, 337 N.C. 329, 343, 445
S.E.2d 590, 599 (1994).
The Branch-Reliance
insurance policy provided that
the insurer
will pay promptly when due the benefits required of [Branch] by
the workers' compensation law. The policy also states terms of
this insurance that conflict with the workers' compensation law are
changed by this statement to conform to that law.
Plaintiff's
workers' compensation claim, as a result of Branches' conduct,
arose out of and was within the provisions contemplated by theWorkers' Compensation and Employers' Liability Insurance Policy
(See footnote 2)
.
When Reliance became insolvent, NCIGA
became liable to compensate
plaintiff under the terms of the Branch-Reliance insurance policy.
This is clearly a covered claim as contemplated by N.C.G.S. §
58-48-20 such that NCIGA was required to compensate plaintiff
(claimant) in order to avoid financial loss to claimants or
policyholders because of the insolvency of an insurer. N.C.G.S.
§ 58-48-5 (2005).
The N.C. Workers' Compensation Act states
[w]hen the injury or death is caused by the willful failure of the
employer to comply with any statutory requirement or any lawful
order of the Commission, compensation shall be increased ten
percent (10%). N.C. Gen. Stat. § 97-12 (2005).
See Felmet v.
Duke Power Co., 131 N.C. App. 87, 504 S.E.2d 815 (1998)
(legislature intended timely recovery for workers' compensation
claimants); see also Cabe v. Parker-Graham-Sexton, Inc., 202 N.C.
176, 162 S.E. 223 (1932)
(holding insurer obligated to pay for
employer's wrongdoing in order to grant certain and speedy relief
to injured employees or . . . their dependents). It is well-
settled that, where the language of the statute is clear and is
not ambiguous, we must conclude that the legislature intended the
statute to be implemented according to the plain meaning of its
terms. Hyler v. GTE Prods. Co., 333 N.C. 258, 262, 425 S.E.2d
698, 701 (1993).
In the instant case, the Commission reviewed the Branch-Reliance insurance policy and made specific findings of fact,
including the finding that the clear language of the insurance
policy provides for payment . . . of any 10% increase in
compensation awarded pursuant to N.C. Gen. Stat. . 97-12. . . .
Those findings of fact,
based on competent evidence in the record,
support the Commission's conclusions of law that the additional
compensation is a part of a covered claim to be paid by NCIGA.
This assignment of error is overruled.
NCIGA argues in the alternative that the Commission erred in
finding it was obligated to pay the additional 10% compensation
because such payment constituted punitive and exemplary damages.
We are unpersuaded by NCIGA's alternative argument.
Resolution of this issue revolves around the language used in
Section F of the Branch-Reliance insurance policy which excludes
coverage for an insured's intentional failure to comply with a
health or safety statute, and whether that language overrides the
statutory requirements of section 97-12 which allows for a 10%
increase in compensation when such a violation occurs. This
appears to be an issue of first impression in the appellate courts
of North Carolina. However, there is strong persuasive authority
from the Kentucky courts which have examined this precise issue.
In a case involving the identical language used in Section F of
the Branch-Reliance insurance policy
(See footnote 3)
and a statute analogous toN.C. Gen. Stat. § 97-12
, the Kentucky court held:
There is no indication that the 15% increase
in compensation required by KRS 342.165(1
)[
(See footnote 4)
]
was intended to fall outside the framework of
workers' compensation benefits. Even if the
[insurance] contract did apply, we do not
believe the 15% increase in compensation could
be considered in excess of workers'
compensation benefits, as provided in [Section
F. of] the [] contract.
AIG/AIU Ins. Co. v. S. Akers Mining Co., 2004 Ky. App. LEXIS 338,
___S.W.3d ___,
(Ky. Ct. App. 2004). In affirming the lower court,
the Kentucky Supreme Court made clear that the Kentucky statute,
similar to N.C. Gen. Stat. § 97-12, authorizes an increase ordecrease in compensation if an 'intentional failure' to comply with
the safety regulation []contributes to causing an accident,
implying only that the increase or decrease serves to compensate
the party that benefits from it for the effects of the opponent's
misconduct. AIG/AIU Ins. Co. v. S. Akers Mining Co., 192 S.W.3d
687, 689, 2006 Ky. LEXIS 8, ___ S.W.3d ___ (Ky. Jan. 19, 2006).
The Kentucky Supreme Court held that the employer's insurance
carrier is liable for any increase in benefits under KRS 342.165(1)
despite a contractual term to the contrary. Id. The court went
on to acknowledge that the consequence of the 15% increase under
the Kentucky statute may appear to penalize the employer or the
carrier, but that, unlike other statutes where punitive damages are
explicitly mentioned, the statute at issue did not explicitly
mention punitive damages, only an increase in compensation.
We are strongly persuaded by the reasoning of the Kentucky
courts as N.C. Gen. Stat. § 97-12
is very similar to the Kentucky
statute and the provision in Section F of the Branch-Reliance
contract is the same as the provision in the Kentucky contract.
While the effect of the 10% increase may appear to penalize NCIGA,
§ 97-12
does not explicitly mention punitive damages, but in fact
says compensation shall be increased ten percent. The language
of the insurance policy does not preclude NCIGA's liability for the
increase. NCIGA is obligated to pay the additional 10%
compensation.
This assignment of error is overruled.
Branch Appeal
[2] Branch claims the Commission erred in holding that NCIGAis entitled to seek reimbursement from Branch for the 10%
additional compensation awarded to plaintiff for Branches' willful
violations of OSHA regulations under North Carolina statute and the
terms of the Branch-Reliance policy. Where there is no ambiguity
in a policy's language, the courts must apply the plain meaning of
the policy language and enforce the policy as written. Wachovia
Bank & Tr. Co. v. Westchester Fire Ins. Co., 276 N.C. 348, 354, 172
S.E.2d 518, 522 (1970).
Based on the specific findings and conclusions of the
Commission, the policy expressly included the right to seek
reimbursement if the insurer had to pay amounts in excess of the
benefits regularly provided by the workers' compensation law
including those required because: [] you fail to comply with a
health or safety law or regulation.
Branch has received the
benefits of the insurance policy as NCIGA has paid the workers'
compensation benefits to date, exclusive of the additional 10%
compensation. Thus, according to the plain language of the policy
the Commission correctly concluded that the additional 10% amount
is subject to reimbursement by [Branch], as provided by the
insurance policy,
where Branch has been found to have wilfully
violated the OSHA regulations and must therefore reimburse NCIGA
for any compensation attributed to such conduct. This assignment
of error is overruled.
Affirmed.
Judge LEVINSON concurs.
Judge TYSON dissents in a separate opinion.
TYSON, Judge, dissenting.
The majority's opinion affirms the decision of the Commission
and concludes: (1) the additional compensation [under N.C. Gen.
Stat. § 97-12] is a part of a covered claim to be paid by NCIGA;
(2) the additional 10% compensation . . . [does not] constitute[]
punitive and exemplary damages; and (3) where Branch has been
found to have wilfully violated the OSHA regulations [they] must
therefore reimburse NCIGA for any compensation attributed to such
conduct.
The insurance contract between Branch and Reliance provides
Branch is to be responsible for payments in excess of the benefits
regularly provided by the workers' compensation law including those
required [if]: 3. [Branch] fail[s] to comply with a health or
safety law or regulation. Uncontested findings of fact show
Branch's failure to comply with twenty OSHA regulations proximately
caused decedent's death. Branch, not the Guaranty Association, is
responsible for the additional ten percent compensation provided
under N.C. Gen. Stat. § 97-12. I respectfully dissent.
I. Construction of Insurance Contracts
[A]n insurance policy is a contract and its provisions govern
the rights and duties of the parties thereto. Gaston County
Dyeing Machine Co. v. Northfield Ins. Co., 351 N.C. 293, 299, 524
S.E.2d 558, 563 (2000); see also Allstate Ins. Co. v. Chatterton,
135 N.C. App. 92, 94, 518 S.E.2d 814, 816 (1999) (The
interpretation of language used in an insurance policy is a
question of law, governed by well-established rules ofconstruction.), disc. rev. denied, 351 N.C. 350, 542 S.E.2d 205
(2000). The language in the policy is to be construed as written
without rewriting the contract or disregarding the express
language used. Fidelity Bankers Life Ins. Co. v. Dortch, 318 N.C.
378, 380, 348 S.E.2d 794, 796 (1986). [T]he goal of construction
is to arrive at the intent of the parties when the policy was
issued. Woods v. Insurance Co., 295 N.C. 500, 505, 246 S.E.2d
773, 777 (1978).
Where the language of a contract is plain and unambiguous,
the construction of the agreement is a matter of law for the
court. W. S. Clark & Sons, Inc. v. Ruiz, 87 N.C. App. 420, 421,
360 S.E.2d 814, 816 (1987). The Commission's conclusions of law
are reviewable de novo. Arnold v. Wal-Mart Stores, Inc., 154 N.C.
App. 482, 484, 571 S.E.2d 888, 891 (2002).
In Bowles v. BCJ Trucking Servs., Inc., this Court held the
Guaranty Association stepped into the shoes of the insurance
company found to be insolvent and is deemed the insurer having 'all
rights, duties, and obligations of the insolvent insurer as if the
insurer had not become insolvent.' 172 N.C. App. 149, 155, 615
S.E.2d 724, 728 (quoting N.C. Gen. Stat. § 58-48-35(a)(2)), disc.
rev. denied, 360 N.C. 60, 623 S.E.2d 579 (2005).
The Guaranty Association can assert all rights and defenses
Reliance could have asserted under the insurance contract. The
agreement did not create a new contract for insurance coverage but
solely substituted a new party[.] Id. In Bowles, the insurance
company substituted the employer in the workers' compensationinsurance contract. 172 N.C. App. at 155, 615 S.E.2d at 728.
The Guaranty Association's liability is limited by statute.
Under N.C. Gen. Stat. § 58-48-25(a)(1) - (2) (2005), the Guaranty
Association shall:
(1) Be obligated to the extent of the covered
claims existing prior to the determination of
insolvency and arising within 30 days after
the determination of insolvency, or before the
policy expiration date if less than 30 days
after the determination, or before the insured
replaces the policy or causes its
cancellation, if he does so within 30 days of
the determination. This obligation includes
only the amount of each covered claim that is
in excess of fifty dollars ($50.00) and is
less than three hundred thousand dollars
($300,000.00) . . . .
(2) Be deemed the insurer to the extent of the
Association's obligation on the covered claims
and to such extent shall have all rights,
duties, and obligations of the insolvent
insurer as if the insurer had not become
insolvent.
A covered claim means:
(4) [A]n unpaid claim, including one of
unearned premiums, which is in excess of fifty
dollars ($50.00) and arises out of and is
within the coverage and not in excess of the
applicable limits of an insurance policy to
which this Article applies as issued by an
insurer, if such insurer becomes an insolvent
insurer after the effective date of this
Article and (i) the claimant or insured is a
resident of this State at the time of the
insured event; or (ii) the property from which
the claim arises is permanently located in
this State.
N.C. Gen. Stat. § 58-48-20(4) (2005).
It is uncontested that Branch and Reliance entered into an
insurance contract which states:
B. [Reliance will pay] - [Reliance] will paypromptly when due the benefits required of you
by the workers' compensation law.
. . . .
F. Payments [Branch] Must Make - [Branch is]
responsible for any payments in excess of the
benefits regularly provided by the workers'
compensation law including those required
because:
1. of [Branch's] serious and willful
misconduct;
. . . .
3. [Branch] fail[s] to comply with a health or
safety law or regulation; or
. . . .
If [Reliance] makes any payments in excess of
the benefits regularly provided by the
workers' compensation law on [Branch's]
behalf, [Branch] will reimburse [Reliance]
promptly.
(Emphasis supplied). The Commission entered the following
uncontested and binding findings of fact:
6. . . .[on] October 3, 2001, Reliance was
declared insolvent in an order of liquidation
entered in Pennsylvania. Following the
insolvency of Reliance, the North Carolina
Insurance Guaranty Association (NCIGA)
assumed its statutory obligations in
connection with this claim pursuant to the
Insurance Guaranty Association Act (Guaranty
Act).
. . . .
1. On March 23, 2000, decedent suffered a
compensable injury by accident while in the
course and scope of his employment with
defendant-employer when a crane broke loose
from its platform and fell, striking decedent
and causing him to fall 20 feet to the ground.
As a direct result of said injury by accident,
decedent was killed.
. . . .
3. OSHA performed an investigation of
decedent's March 23, 2000 death by accident
and cited defendant-employer for 20 violations
of OSHA regulations, all characterized as
serious. The OSHA investigator was of the
opinion and the Commission finds that the
violations were the proximate cause of
decedent's death.
4. The OSHA report indicated that defendant-
employer's records showed a failure to inspect
the crane turret bolts for two years prior to
this incident, even though OSHA regulations
require a daily inspection of the same when in
use. Decedent's death was caused by the crane
falling on him as he was working on a section
of a communications tower erected 18 feet
above ground.
5. The OSHA inspector found that the failure
to have the crane and other equipment
inspected resulted in defendant-employer's
failure to discover worn, cracked, and rusty
bolts on the turret which caused the crane to
fall on decedent. The inspector further
stated: According to the crane operator he
heard a snap, then the crane boom started to
fall, striking the employee [decedent] on the
top leg of the tower section. The csho
[Safety/Health Compliance Officer] observed
that the bolts holding the upper and lower
portions of the turret had sheared off. Upon
closer examination many bolts showed signs of
rust, indicative of cracks. Turret bolts
could also be turned by hand, and the csho
removed twenty two bolts using no tools.
Maintenance records for the crane indicated
that in the last two years the crane had not
been inspected. Crane operators were not
trained. Operators did not inspect the crane
prior to, and during use. Severity is high
due to death from crushing. Probability is
also high due to the continuous use of the
crane. NOTE: VIOLATION WAS PROXIMATE CAUSE OF
ACCIDENT.
. . . .
8. The OSHA inspection revealed and the
Commission finds that defendant-employer knewor should have been aware of the safety
hazards that existed at the job site because
the violations were in plain view. Defendant-
employer failed to conduct inspections of the
crane, rigging equipment, fall protection and
general worksite conditions, which resulted in
the fatality on March 23, 2000.
See State v. Watkins, 337 N.C. 437, 438, 446 S.E.2d 67, 68 (1994)
(findings of fact which are not excepted to are binding on appeal).
Branch and Reliance contracted and agreed that Branch would be
responsible for any payments . . . required because 1. [Branch's]
serious and wilful misconduct . . . [or] 3. [Branch's] fail[ure] to
comply with a health or safety law or regulation. The
Commission's uncontested findings of fact show Branch's twenty OSHA
regulation violations proximately caused decedent's death. The
Commission properly concluded decedent is entitled to an additional
10% compensation because of Branch's willful failure to comply with
OSHA regulations. N.C. Gen. Stat. § 97-12.
Under the contract, Branch, as employer, is responsible for
payments in excess of benefits regularly provided by the workers'
compensation law. The Commission erred when it concluded the
additional compensation is part of a covered claim and must be
paid by NCIGA.
II. Conclusion
The contract between Branch and Reliance plainly and
unambiguously states Branch is to be responsible for excess
payments because of Branch's serious and wilful conduct and
fail[ure] to comply with a health or safety law or regulation.
Branch is solely responsible for the additional ten percentcompensation allowed under N.C. Gen. Stat. § 97-12.
The Commission erred when it concluded the additional
compensation [provided in N.C. Gen. Stat. § 97-12] is part of a
covered claim and must be paid by NCIGA. I vote to reverse the
Commission's order. I respectfully dissent.
Footnote: 1
On 3 October 2001, Reliance was declared insolvent in an
order of liquidation and the North Carolina Insurance Guaranty
Association (NCIGA) assumed its statutory obligations in connection
with this claim.
Footnote: 2
Paragraph A of the policy states [t]his workers'
compensation insurance applies to bodily injury by accident [which]
includes death.
Footnote: 3
In pertinent part, this language is taken from the Part One
Workers' Compensation portion of the standard contract issued by
the National Council on Compensation Insurance and approved for use
in all states, except Michigan:
F. Payments You [employer] Must Make
You [employer] are responsible for any
payments in excess of the benefits
regularly provided by the workers'
compensation law including those required
because:
1. Of your serious and willful misconduct;
...
3. You fail to comply with a health or
safety law or regulation;
Footnote: 4
The referenced Kentucky statute states:
If an accident is caused in any degree by the
intentional failure of the employer to comply
with any specific statute or lawful
administrative regulation made thereunder,
communicated to the employer and relative to
installation or maintenance of safety
appliances or methods, the
compensation for
which the employer would otherwise have been
liable under this chapter shall be increased
thirty percent (30%) in the amount of each
payment. . . .
KRS 342.165(1) (2005) (emphasis added).
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