MCGARRH TRUCKING, INC ., D/B/A HENDERSON EXPRESS V. TIMOTHY DIETZ; WAUSAU INSURANCE COMPANIES ; UNINSURED EMPLOYERS' FUND ; HON . J . KEVIN KING, ADMINISTRATIVE LAW JUDGE ; AND WORKERS' COMPENSATION BOARD UNINSURED EMPLOYERS' FUND V. TIMOTHY DIETZ ; MCGARRH TRUCKING, INC . D/B/A HENDERSON EXPRESS ; HON . J . KEVIN KING, ADMINISTRATIVE LAW JUDGE ; AND WORKERS' COMPENSATION BOARD
Annotate this Case
Download PDF
IMPORTANT NOTICE
NOT TO BE PUBLISHED PINION
THIS OPINION IS DESIGNA TED "NOT TO BE
PUBLISHED. " PURSUANT TO THE RULES OF
CIVIL PR OCED URE PR OMUL GA TED BY THE
SUPREME COURT, CR 76.28 (4) (c), THIS OPINION
IS NOT TO BE PUBLISHED AND SHALL NOT BE
CITED OR USED AS A UTHORITY INANY OTHER
CASE IN ANY COURT OF THIS STA TE.
MODIFIED : April 23, 2004
RENDERED : April 22, 2004
NOT TO BE PUBLISHED
,Supreme T
.Vurf of "Pfte
r
2003-SC-0217-WC
MCGARRH TRUCKING, INC., D/B/A HENDERSON EXPRESS
V.
APPEAL FROM COURT OF APPEALS
2002-CA-1703-WC & 2002-CA-1747-WC
WORKERS' COMPENSATION BOARD NO. 01-0682
TIMOTHY DIETZ; WAUSAU INSURANCE COMPANIES ;
UNINSURED EMPLOYERS' FUND; HON. J. KEVIN KING,
ADMINISTRATIVE LAW JUDGE; AND WORKERS'
COMPENSATION BOARD
AND
APPELLEES
2003-SC-0253-WC
UNINSURED EMPLOYERS' FUND
V.
APPELLANT
APPELLANT
APPEAL FROM COURT OF APPEALS
2002-CA-1703-W C & 2002-CA-1747-W C
WORKERS' COMPENSATION BOARD NO . 01-0682
TIMOTHY DIETZ; MCGARRH TRUCKING, INC.
D/B/A HENDERSON EXPRESS ; HON. J . KEVIN
KING, ADMINISTRATIVE LAW JUDGE; AND
WORKERS' COMPENSATION BOARD
APPELLEES
MEMORANDUM OPINION OF THE COURT
AFFIRMING
The claimant was injured in Alabama on June 5, 1998 . At that time, the employer
had an office in Indiana, and Wausau Insurance Companies (Wausau) provided it with
workers' compensation coverage under the Indiana assigned risk pool . The claimant
testified, however, that he was hired at the Henderson, Kentucky, office ; that he was
dispatched from that office; that he drove in numerous other states; and that he began
and ended each trip in Henderson, Kentucky. Concluding that he was hired in Kentucky
and that his employment was not principally localized in any state, the Administrative
Law Judge (ALJ) determined that Kentucky had jurisdiction over the claim .
The employer was uninsured as a Kentucky employer and, together with the
Uninsured Employers' Fund (UEF), maintained that certain provisions in an agreement
to settle another claim clearly indicated that Wausau accepted coverage of this claim.
Wausau disputed the defendants' interpretation of the agreement and asserted that its
policy did not cover a Kentucky claim . Rejecting Wausau's argument, the ALJ
determined that the terms of the settlement were unambiguous, that Wausau agreed to
cover the present claim, and that the UEF should be dismissed. The Workers'
Compensation Board (Board) determined, however, that the ALJ's interpretation of the
agreement was clearly erroneous and that the Department of Workers' Claims
(Department) lacked jurisdiction to decide the coverage issue on these facts . The Court
of Appeals affirmed . Likewise, we affirm.
The claimant was an over-the-road trucker. While in Coosa Pines, Alabama, he
sustained a work-related back injury that required medical treatment, including surgery .
He testified that at the employer's direction, he led Wausau to believe that he was hired
in Indiana and worked from the Indiana office . The subsequent opinion and order
indicated that Wausau paid temporary total disability benefits and medical benefits
under the Indiana Workers' Compensation Act from June 6, 1998, through March 15,
2001, and no party has disputed the finding . The claimant did not file a formal claim in
Indiana, but in May, 2001, he did so in Kentucky. The record indicates that on June 6,
2001, Commissioner Jennings certified that the employer was uninsured and that,
accordingly, on June 14, 2001, Chief ALJ Lowther ordered the UEF to be joined as a
party . The record also contains documents which indicate that the employer advised
the Department that it had coverage with Wausau and that, when contacted by the
Department, Wausau responded that its policy was issued through the assigned risk
pool, that it provided only Indiana coverage, and that the claimant was receiving Indiana
benefits under the policy .
The claim was assigned to ALJ Nanney, after which the employer filed a "Motion
to Determine Coverage and Dismiss UEF." Attached to the motion was an April 2,
1999, settlement agreement, approved by ALJ Nanney, concerning insurance coverage
in the case of Derriel Sutton v. Henderson Express, UEF and Wausau, Claim No . 9801549. The employer asserted that the agreement in the Sutton claim resolved the
issue of coverage in the present claim as well, with Wausau agreeing to cover the claim .
Yet, it failed to serve Wausau with the motion.
On July 27, 2001, ALJ Nanney determined that in the agreement to settle the
Sutton claim, Wausau had accepted coverage of the present claim . Therefore, the UEF
should be dismissed . The order was served on Wausau, after which counsel entered an
appearance on Wausau's behalf, asserted that the Sutton agreement specifically
excluded the claimant from coverage, and sought reconsideration of the order with
respect to coverage . Although Wausau took avowal testimony and attempted to
continue to raise the issue of coverage, ALJ Nanney reaffirmed the finding that the
issue had been resolved, noting on October 11, 2001, that the agreement was
unambiguous. Following ALJ Nanney's death, the claim was reassigned to ALJ King,
who reiterated the finding with respect to coverage, stating as follows :
The language in the agreement states that Wausau will not provide
coverage or a defense for a class of people - those who file claims in the
future and who did not reside in Illinois or Indiana at the time their claims
arose. However, the agreement excepted the Plaintiff from that class of
excluded employees . Leading clearly to the conclusion that the parties
intended for the Plaintiff to be a covered employee. [sic]
ALJ King later determined that Kentucky had jurisdiction over the claim, that the
claimant was totally disabled, and that Wausau was responsible for his award.
Wausau appealed.
Reversing the finding with respect to coverage, the Board rejected an argument
that Wausau was required to petition for reconsideration of the award in order to
preserve the issue for appeal. The Board noted that although the claimant's injury
occurred before Sutton's, he had not sought benefits in Kentucky when the Sutton claim
was settled . Yet, the ALJ had effectively concluded that the settlement estopped
Wausau from asserting that it did not cover this claim. The Board was convinced that
the settlement would bar coverage of the present claim only if it clearly and
unambiguously stated that it resolved any potential coverage issues between the
employer and Wausau in the event that the claimant were to file a claim under the
Kentucky Workers' Compensation Act. Having reviewed the agreement, the Board
determined that not only did it fail to clearly express such an intent, paragraph 2
specifically stated that the agreement did not apply to the claimant . Furthermore,
although subsequent sections of the agreement acknowledged Wausau's responsibility
for workers who resided in Indiana and Illinois, they did not mention the claimant . The
Board concluded, therefore, that the AU erred by relying on the settlement as the basis
for determining that Wausau provided coverage for this claim.
Noting that the employer was uninsured as a Kentucky employer at the time of
the claimant's injury and that Wausau's policy was issued under the assigned risk pool
4
in Indiana, the Board determined that the AU lacked jurisdiction to decide whether the
Wausau policy provided coverage . Custard Insurance Adjusters, Inc. v. Aldridge , Ky.,
57 S.W.3d 284 (2001); Wolfe v. Fidelity & Casualty Insurance Co. of New York,
Ky.App., 979 S.W.2d 118 (1998). It concluded, therefore, that the AU must set aside
the decision on coverage, order the employer to pay the award, and incorporate in the
award those provisions of the Act that obligated the UEF to pay in the event that the
employer defaulted . This left the employer and UEF free to pursue a civil action against
Wausau if warranted . The Court of Appeals affirmed, and these appeals by the
employer and UEF followed .
Wausau asserts that both appeals were filed prematurely, before entry of the
Court of Appeals' order denying rehearing, and must be dismissed . It asserts that
another ground for dismissing the employer's appeal is that its notice of appeal failed to
list Wausau as an appellee in the body of the document. We disagree on both counts .
Although the appellants' notices of appeal were filed before entry of the order that
denied the UEF's petition for rehearing in the Court of Appeals, a premature notice of
appeal relates forward . Whittaker v. Wright, Ky., 969 S.W.2d 209 (1998) . Thus, the
notices of appeal were deemed to have been filed upon entry of the order. Id. With
respect to the second assertion, we note that Wausau was named as an appellee in the
caption of the employer's notice of appeal, that it was served with a copy, and that it
filed a timely appellee's brief. It is apparent, therefore, that the document was sufficient
to make Wausau fully aware that it was an appellee in the matter and that the objective
of CR 73.03(1) was met. Contrary to Wausau's assertion, the pleading defect was not
fatal . Blackburn v. Blackburn , Ky., 810 S.W .2d 55 (1991) .
The appellants maintain that Wausau's failure to petition for reconsideration
precluded it from appealing the finding that Wausau agreed to cover this claim . We
disagree . KRS 342 .281 permits a petition for reconsideration to be filed following an
ALJ's decision but specifically limits the ALJ to correcting "errors patently appearing on
the face of the award ." Contrary to the employer's assertion, this was not an appeal in
which Wausau alleged an error that was patent on the face of the opinion or alleged that
the ALJ failed to make a required finding of fact. Eaton Axle Corp. v. Nally, Ky., 688
S .W .2d 334, 337-38 (1985). Contrary to the UEF's assertion, this was not a case such
as Mitee Enterprises v. Yates, Ky., 865 S .W.2d 654 (1993), in which a party failed to
request necessary findings of fact and failed to bring to the ALJ's attention the fact that
the incorrect version of a statute was applied but raised those errors on appeal . The
employer's appeal in the present case challenged the ALJ's conclusion of law with
respect to the issue of coverage, a matter in which the decision on the merits could not
be reversed on reconsideration. Beth-Elkhorn Corporation v. Nash, Ky., 470 S.W.2d
329 (1971). Therefore, a petition for reconsideration would have been futile and was
not required .
Paragraph 1 of the disputed agreement acknowledged that Wausau had in effect
a workers' compensation liability policy for the employer from December 7, 1997,
through October 5, 1998 . It also acknowledged the existence of a dispute over whether
a defense and indemnification for Sutton's Kentucky claim came within the scope of the
policy. Paragraph 2 indicated that the parties sought to settle defense and coverage
issues relative to Sutton's claim as well as:
any future claims that might be asserted against Employer . . . specifically
excluding the claim asserted by Tim Dietz arising from an injury occurring
on June 5, 1998, in Talladega, Alabama and any future claims that may be
asserted under the policy by any employee of Employer who was a
resident of Indiana or Illinois at the time of the claimed injury or exposure .
Paragraph 3 indicates that Wausau tendered to the employer a check to
reimburse unearned portions of the premium, the amount of which was calculated by
subtracting premiums to cover employees who were residents of Indiana and Illinois . It
also indicates that Wausau would have done so regardless of the dispute but that the
employer refused to accept the check absent the settlement . Paragraph 4 indicates that
in consideration of each other's agreement to forego claims for costs, sanctions, or
damages, the remaining parties agreed to release Wausau from liability for Sutton's
claim "and any future claim that might be asserted against Employer by any employee of
Employer who was not a resident of Indiana or Illinois at the time of the claimed injury or
exposure ." (Emphasis added) . In Paragraph 5, the parties acknowledge the existence
of a legitimate dispute over the scope of coverage but indicate that they are entering into
the agreement "to facilitate and expedite the delivery of benefits to [Sutton] by avoiding
potentially lengthy and expensive litigation over the insurance coverage issue ." In
Paragraph 6, Sutton agreed to sign the settlement "at the request of the Employer,
Wausau and the UEF for the sole purpose of waiving any objection to releasing Wausau
from this case," with the employer agreeing "to be primarily responsible for providing any
lawful benefits under the Act." Finally, in Paragraph 7, Sutton, the employer and UEF
agreed to dismiss with prejudice all claims against Wausau for coverage in the Sutton
claim .
The employer and the UEF seek reinstatement of the ALJ's finding that the
Sutton settlement was unambiguous . They assert that Wausau agreed to cover the
present claim and the claims of any Illinois or Indiana residents and to return a portion
of the premiums the employer had paid . In return, the employer agreed to be
responsible for all benefits in the Sutton claim .
In contrast, Wausau asserts that the agreement did not contain a clear and
unambiguous expression of an intent to resolve any potential coverage issue should the
claimant seek Kentucky benefits . Furthermore, paragraph 2 clearly indicated that the
agreement did not pertain to "the claim asserted by Tim Dietz" or to claims by Indiana or
Illinois residents because Wausau had acknowledged that it was responsible for Indiana
benefits and paid them voluntarily. Wausau maintains, therefore, that the Board's legal
conclusion with respect to the effect of the agreement was correct .
It is apparent that the agreement contained no unambiguous statement that
Wausau would provide coverage in the event that the claimant were to seek benefits in
Kentucky. Likewise it contained no unambiguous statement that Wausau would not
provide such coverage. Therefore, we find no error in the Board's conclusion that it was
open to construction in light of the facts in existence at the time it was reached.
The claimant was a Kentucky resident when he was injured and remained one
when the Sutton claim was settled . Although Wausau was paying him voluntary
benefits under the Indiana Act, he had filed no formal claim at the time of the
agreement . Paragraph 2 indicated that the agreement settled issues of coverage and
defense with respect to the Sutton claim and all future claims that might be asserted
against the employer "excluding the claim asserted by Tim Dietz . . . and any future
claims . . . by any employee of the Employer who was a resident of Indiana or Illinois ."
Paragraph 4 indicated that the parties agreed to release Wausau from Sutton's claim
and "any future claim . . . by any employee . . . who was not a resident of Indiana or
Illinois at the time of the claimed injury or exposure ." When Paragraphs 2 and 4 are
read together, it is apparent that the agreement absolved Wausau from liability for the
Sutton claim and for any future claim by a McGarrh employee who was not a resident of
Indiana or Illinois at the time of injury . It is also apparent that although the claimant was
not a resident of Indiana or Illinois, the agreement left unresolved the questions of
coverage and defense with respect to his claim. Therefore, the conclusions by ALJs
Nanney and King to the contrary were clearly erroneous .
We turn next to the Board's conclusion that the ALJ lacked jurisdiction to
determine whether the terms of Wausau's Indiana policy included coverage for a
Kentucky claim . As we pointed out in Custard v. Aldridge , supra at 287, KRS 342.325
limits the Department's subject matter jurisdiction . It grants jurisdiction over "all
questions arising under this chapter . . . except as otherwise provided in this chapter."
Consistent with KRS 342 .325, KRS 342.340, KRS 342 .360, and KRS 342 .365, the court
determined in Lawrence Coal Co. v. Boggs , 309 Ky. 646, 650-52, 218 S.W.2d 670, 67172 (1949), that an insurance carrier could be made a party to a workers' compensation
claim ; that the fact-finder had jurisdiction to decide questions affecting the insurer's
obligation to pay benefits on behalf of its insured ; and that, having been made a party,
an insurer could question whether or not it had issued a valid, outstanding policy that
covered the employer at the time of injury. Likewise, consistent with the Boqqs
decision, the court determined in Motorists Mutual Insurance Company v. Terry, Ky.,
536 S.W.2d (1976), that absent a compelling reason, an insurer could not maintain a
separate declaratory judgment action concerning coverage while the underlying
workers' compensation claim was in litigation . Although the insurer had obtained an
order restraining the Department from considering coverage, it had failed to show that
the Department lacked jurisdiction to consider the matter .
The court determined subsequently that where the question at issue concerned
the terms of the contractual relationship between a carrier and employer and did not
affect the relationship or obligations between either of them and the injured worker, the
matter did not arise under Chapter 342 . Wolfe v. Fidelity & Casualty Insurance , supra .
Likewise, where there was a dispute between two carriers about reimbursement for
payments that had already been made under another state's Act and duplicated
payments made under the Kentucky Act, resolving the question of reimbursement did
not involve a provision of Chapter 342 . Therefore, the Department lacked jurisdiction to
decide it. Custard v. Aldridge , supra .
In the present case, Wausau issued a policy to the employer for its Indiana office
through the Indiana assigned risk pool . It paid voluntary benefits to the claimant under
Indiana law, and does not dispute that the policy covers an Indiana claim for the injury.
At issue is whether the terms of the Indiana insurance contract also provide coverage
for a Kentucky claim . Although a question of coverage is involved, it is a question that
arises under the terms of the contract rather than under Chapter 342 . For that reason, it
does not fall within the subject matter jurisdiction of the Department . Inasmuch as
subject matter jurisdiction cannot be conferred by agreement of the parties or by waiver,
we find no error in the Board's decision to reach this issue in the interest of judicial
economy . See Duncan v. O'Nan , Ky., 451 S .W.626, 631 (1970); Johnson v. Bishop,
Ky.App., 587 S.W.2d 284, 285 (1979) .
KRS 342.340 requires Kentucky employers to secure the payment of workers'
compensation benefits either by purchasing insurance to cover Kentucky claims or by
offering proof to the Department of its ability to pay any benefits for which it becomes
liable . Although KRS 342.780 permits an injured worker to join the UEF before rendition
10
of a final award if it appears that the defendant-employer failed to comply with KRS
342 .340, it does not alter the fact that the employer bears primary liability for paying
benefits . Only if there is a default in the payment of ordered compensation due to the
employer's failure to comply with KRS 342.340 does the UEF become responsible for
payment under KRS 342 .760(4). Davis v. Turner, Ky., 519 S .W .2d 820, 823 (1975).
For that reason, although the UEF may be joined based solely on an employer's failure
to comply with KRS 342.340, there is no assertable claim against the UEF and,
therefore, no requirement to join the UEF unless the employer has defaulted . Yocom v.
Campbell, Ky., 536 S.W.2d 470 (1976) ; Davis v. Comer, Ky., 532 S .W.2d 12, 14(1975) .
Contrary to the UEF's assertion, this is not a case such as Uninsured Employers'
Fund v. Fox , Ky.App., 862 S.W.2d 902 (1993), in which the worker knew that the
employer was insolvent and uninsured before the initial award became final but failed to
join the UEF . Here, the UEF was joined as a defendant from the outset on the ground
that the employer was not insured as a Kentucky employer. It points to nothing in the
record which indicates that the employer was insolvent when the claim was heard and,
furthermore, does not allege that the employer was insolvent. In the absence of any
evidence that an assertable claim against the UEF existed at that time, the UEF has
failed to establish that it was a necessary party to the merits of the claimant's
application for benefits . Davis v. Comer, supra , at 14. It was dismissed as a party
when the ALJ determined that Wausau covered the claim, and it has argued throughout
the entire litigation that Wausau provided coverage. Under the circumstances, it was
not entitled to more.
The decision of the Court of Appeals is affirmed .
All concur.
COUNSEL FOR MCGARRH TRUCKING, INC . :
John C . Morton
MORTON & BACH
P.O. Box 883
Henderson, KY 42419-0883
COUNSEL FOR TIMOTHY DIETZ:
Dick Adams
Adams, Ramey & Burns
28 Court Street
P.O . Box 756
Madisonville, KY 42431
COUNSEL FOR WAUSAU INSURANCE COMPANIES :
James G . Fogle
Ferreri & Fogle
203 Speed Building
333 Guthrie Green
Louisville, KY 40202
COUNSEL FOR UNINSURED EMPLOYERS' FUND:
Michael A. Richardson
Assistant Attorney General
Uninsured Employers' Fund
1024 Capital Center Drive
Frankfort, KY 40601-8204
,Suyrrmr (~vurf of ~firufurhV
2003-SC-0217-WC
MCGARRH TRUCKING, INC., D/B/A HENDERSON EXPRESS
V.
APPEAL FROM COURT OF APPEALS
2002-CA-1703-WC & 2002-CA-1747-WC
WORKERS' COMPENSATION BOARD NO. 01-0682
TIMOTHY DIETZ; WAUSAU INSURANCE COMPANIES ;
UNINSURED EMPLOYERS' FUND ; HON . J. KEVIN KING,
ADMINISTRATIVE LAW JUDGE; AND WORKERS'
COMPENSATION BOARD
AND
APPELLEES
2003-SC-0253-WC
UNINSURED EMPLOYERS' FUND
V.
APPELLANT
APPELLANT
APPEAL FROM COURT OF APPEALS
2002-CA-1703-WC & 2002-CA-1747-WC
WORKERS' COMPENSATION BOARD NO. 01-0682
TIMOTHY DIETZ; MCGARRH TRUCKING, INC .,
D/B/A HENDERSON EXPRESS ; HON . J. KEVIN
KING, ADMINISTRATIVE LAW JUDGE; AND
WORKERS' COMPENSATION BOARD
APPELLEES
ORDER MODIFYING OPINION ON THE COURT'S OWN MOTION
On the Court's own motion, the Opinion of the Court rendered April 22, 2004, is modified
by the substitution of a new first page, hereto attached, in lieu of page one of the Opinion as
originally rendered . Said modification does not affect the holding of the Opinion, but is made only
to correct a typographical error on page one ("2002-SC-0253-WC" to "2003-SC-0253-WC").
Entered : April 23, 2004 .
Some case metadata and case summaries were written with the help of AI, which can produce inaccuracies. You should read the full case before relying on it for legal research purposes.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.