Court Opinion

ID: 6113087
Source: CourtListenerOpinion
Date Created: 2022-01-27 15:07:46.021813+00
Date Added: 2024-06-11T08:00:16.298380
License: Public Domain

NOT FOR PUBLICATION WITHOUT THE
                                APPROVAL OF THE APPELLATE DIVISION
        This opinion shall not "constitute precedent or be binding upon any court." Although it is posted on the
     internet, this opinion is binding only on the parties in the case and its use in other cases is limited. R. 1:36-3.

                                                        SUPERIOR COURT OF NEW JERSEY
                                                        APPELLATE DIVISION
                                                        DOCKET NO. A-1426-20

JACK G. KEARTON,

          Petitioner-Respondent,

v.

E.W. MILLWORK, LLC,

     Respondent-Appellant.
__________________________

                   Submitted December 6, 2021 – Decided January 27, 2022

                   Before Judges Sumners and Vernoia.

                   On appeal from the New Jersey Department of Labor
                   and Workforce Development, Division of Workers'
                   Compensation, Claim Petition No. 2005-6845.

                   Dickie McCamey & Chilcote, PC, attorneys for
                   appellant (Dorothy T. Daly, of counsel and on the
                   briefs; Michelle D. Gasior, on the briefs).

                   Stephen D. Berryhill, attorney for respondent.

PER CURIAM
       Respondent E.W. Millwork, LLC appeals the Division of Workers'

Compensation court orders of January 14, 2008, denying its motion to dismiss

the petition of Jack G. Kearton, and June 23, 2008, denying its motion for

reconsideration. 1 We agree with E.W. Millwork that Kearton, one of its two

members, did not affirmatively elect workers' compensation owner's coverage

as required by N.J.S.A. 34:15-36 and, therefore, we reverse.

       On August 27, 2003, Kearton sustained several injuries 2 while working at

E.W. Millwork, a manufacturer of wooden railings and moldings. He formed

the limited liability company earlier that year with his equal owner, Edward

Brigante. 3

       On March 4, 2005, Kearton filed a workers' compensation petition seeking

medical treatment and temporary disability benefits. Almost eight months later,

1
   Defendant's notice of appeal only seeks review of the compensation court's
January 14, 2008 order, not the June 23, 2008 order. We could, therefore, limit
our review to that order alone. See W.H. Indus., Inc. v. Fundicao Balancins,
Ltda, 397 N.J. Super. 455, 458 (App. Div. 2008) ("It is clear that it is only the
orders designated in the notice of appeal that are subject to the appeal process
and review."). We choose to overlook that technical error because, as discussed
later, our reversal of the January 14 order makes review the June 23 order moot.
2
  Keaton alleged that his left knee was struck by a steel rod, causing permanent
injuries to his left leg, knee, and back.
3
    In December 2003, Brigante left the business and withdrew his membership.

                                       2                                   A-1426-20
E.W. Millwork through its workers' compensation carrier Zurich American

Insurance Company, filed a motion to dismiss the petition, arguing coverage

was not provided to its two members because the application for coverage did

not request coverage for them.

      After a three-day hearing, the workers' compensation judge issued a bench

decision on January 14, 2008, denying the motion. The court determined that

Richard E. Pawlak, the insurance producer, made a mistake on E.W. Millwork's

workers' compensation insurance application and should have elected coverage

for Kearton and Brigante. The court also found that Zurich was negligent and

should have looked at the policy to ensure that coverage was provided to the

members.

      E.W. Millwork filed a timely motion for reconsideration, arguing the

policy "clear[ly] and unambiguous[ly]" did not provide coverage for its

members and there was no such endorsement listed on the declaration page.

Since there was no affirmative choice for members' coverage––declining it twice

on the application, E.W. Millwork argued Kearton was not covered as an

employee of the company. Because the compensation court that issued the

January 14 order retired, a different court decided the motion. On June 23, the

compensation judge entered an order denying the motion, stating in his bench

                                      3                                  A-1426-20
decision that he was "taking the coward's way out" by not deciding the merits,

believing for him to do so "would [require] trying [the hearing] over again." 4

      Kearton suffered a second workplace injury on April 24, 2009, resulting

in an additional claim petition that was consolidated with his initial petition for

trial on the nature and extent of his injuries. On May 4 and 5, 2017, a third

compensation judge presided over the trial, again due to retirement.

      On December 23, 2020, the matter was concluded by a fourth

compensation judge, who issued a final order of judgment regarding the 2003

work-related accident, awarding Kearton 46.5% partial total permanent

disability for his injuries.

      Before us, E.W. Millwork argues:

             POINT I

             IT WAS NOT WITHIN THE [COMPENSATION
             JUDGE'S] DISCRETION TO DENY THE MOTION
             FOR RECONSIDERATION OF THE QUESTION OF
             WORKERS' COMPENSATION COVERAGE FOR
             [KEARTON].

             POINT II
             THE MOTION TO DISMISS FOR LACK OF
             COVERAGE FILED BY RESPONDENT/CARRIER
             ZURICH AMERICAN INSURANCE COMPANY

4
  On August 20, 2008, this court denied E.W. Millwork's motion for leave to
appeal.

                                        4                                    A-1426-20
              SHOULD HAVE BEEN GRANTED, AS THE
              EVIDENCE IN THE       RECORD   CLEARLY
              ESTABLISHES AT THE TIME THE APPLICATION
              FOR INSURANCE WAS SIGNED, THERE WAS AN
              INTENT NOT TO COVER THE MEMBERS OF THE
              LIMITED LIABILITY CORPORATION.

              A.  THE APPLICATION OF INSURANCE WAS
              NOT AMBIGUOUS ON ITS FACE AND THUS THE
              [COMPENSATION JUDGE] SHOULD HAVE
              GIVEN THE APPLICATION AND POLICY ITS
              PLAIN MEANING.

        We agree with E.W. Millwork that the compensation court erred in not

granting its motion to dismiss Kearton's claim because he was not included in

his company's workers' compensation coverage. The compensation judge's

findings were not supported by credible evidence in the record, and, in our de

novo review of its legal findings, we are convinced coverage was not afforded

to Kearton. See Hersh v. Cnty. of Morris, 217 N.J. 236, 242-43 (2014).

        Under N.J.S.A. 34:15-36, members of a limited liability company, "who

actively perform services on behalf of the" company, "shall be deemed an

'employee' of the" company "for purposes of receipt of benefits and payment of

[workers' compensation insurance] premiums pursuant to [the Workers'

Compensation Act 5], if the" company "elects, when [its] workers' compensation

5
    N.J.S.A. 34:15-1 to -128.

                                       5                                 A-1426-20
policy . . . is purchased or renewed, to obtain coverage for the" company's

members. "[T]he election may only be made at purchase or at renewal and may

not be withdrawn during the policy term." Ibid. For any member of a limited

liability company to opt in for workers' compensation coverage, all members

must do so. 38 N.J. Practice, Workers' Compensation Law § 3.4 at 35 (Jon L.

Gelman) (3d ed. 2000, 2020 Supplement).

      Based on the record before us, we conclude E.W. Millwork did not obtain

workers' compensation coverage for Kearton.      Both Brigante and Kearton

testified that they were supposed to be covered under their company's workers'

compensation coverage. Nevertheless, it is undisputed that E.W. Millwork's

application did not request such coverage.    Pawlack testified he informed

Brigante, who was responsible for securing insurance coverage for the company,

of the consequences of not electing coverage for the company's members. He

told Brigante that without coverage for members, if there was an "on[]the[]job

or occupational injury, illness, sickness[,] or disease, there would be no

coverage for neither he nor []Kearton." Notwithstanding that advice, he stated

Brigante chose not to select coverage for the members.

      A separate document to the insurance application titled "NOTICE OF

ELECTION - PROPRIETORS AND PARTNERS," included an "x" within a box

                                      6                                 A-1426-20
stating that "COVERAGE IS REJECTED."             In addition, a section titled

"COMPLETE THIS SECTION ONLY WHEN COVERAGE IS ELECTED" had

Kearton's and Brigante's names filled in underneath, but the sections for

"ESTIMATED ANNUAL WAGE[S]" and "DUTIES," which was required to

provide coverage for them, was not completed. Although the application listed

E.W. Millwork having six employees for a total wage of $155,000, it did not

specify the amount of the members' wages. According to Pawlack, the member's

names were only included in the section in case Brigante chose to elect coverage

prior to signing, and if he did so, the form could be completed––which it was

not.

       Despite the clear fact that E.W. Millwork's application did not request

workers' compensation coverage for its members, the compensation judge

justified finding there was coverage based on Pawlack's mistake in not selecting

coverage for members. The judge also found that Zurich was negligent and

should have looked at the policy to make sure coverage was provided for the

members. Without further explanation, the judge determined that Kearton was

a covered employee. This was error.

       Accepting Pawlack erred, there was no legal basis cited by the

compensation judge for imputing liability on Zurich—by finding coverage that

                                       7                                  A-1426-20
was not requested—based on that error. Any mistake by the producer should be

borne by him. There is no evidence to support the finding that Zurich was

responsible for Brigante's failure to secure workers' compensation coverage for

Kearton and him. Contrary to the judge's finding, there is nothing ambiguous

about the application that warrants imposing coverage for Kearton. It clearly

provided how the company's members had to obtain workers' compensation, and

the completed application plainly showed coverage for the members was not

requested.

      We find no merit in Kearton's argument that the insurance policy should

be construed against Zurich because he was included as an employee under the

$155,000 total wages listed in the application. At the motion to dismiss hearing,

Kearton testified that five employees would be paid for fifty-two weeks, with

total annual salaries of $104,000. The remaining $51,000 represented his salary

with Brigante not receiving salary. Kearton claimed Zurich calculated E.W.

Millwork's premium coverage based on $155,000 total wages, thereby covering

him. 6 The testimony, however, contradicts the plain language of the insurance

application, which specifically requires the listing of members' salary. As noted,

6
   Kearton later gave contradictory testimony at the May 5, 2017 permanent
disability trial that there were probably "eight or ten" employees when the
business was first formed.

                                        8                                   A-1426-20
the required information was not provided.           We recognize the Workers

Compensation Act is social legislation that is liberally construed "to implement

the legislative policy of affording coverage to as many workers as possible."

Brower v. ICT Group, 164 N.J. 367, 373 (2000). Nevertheless, we cannot

authorize coverage where there is a clear disregard of a statutory requirement as

was the case here.

      Finally, as for E.W. Millwork's arguments regarding the June 23, 2008

order denying its reconsideration motion, they are moot given our conclusion

that the compensation judge erred in entering the January 14, 2008 order denying

the motion to dismiss being reconsidered. That said, we are compelled to point

out that the compensation judge who entered the June 23, 2003 order did not

fulfill his obligation to address the merits of the motion and explain its denial.

See Strahan v. Strahan, 402 N.J. Super. 298, 310 (App. Div. 2008) ("Meaningful

appellate review is inhibited unless the judge sets forth the reasons for his or her

opinion." (quoting Salch v. Salch, 240 N.J. Super. 441, 443 (App. Div. 1990))).

The judge should not have avoided his duty by leaving reconsideration of the

January 14 order to "appellate review." Even though that order was entered by

a different compensation judge, the reconsideration court had the responsibility

and the ability to review the record of the proceeding that produced the order.

                                         9                                    A-1426-20
In short, the judge punted without making any effort to fulfill its judicial

function.

      Reversed and remanded for entry of an order consistent with this opinion.

We do not retain jurisdiction.

                                     10                                  A-1426-20