No. 02127696 (1999). EMPLOYEE: Thomas Dearmon.
Case Date | December 14, 1999 |
Court | Massachusetts |
Massachusetts Workers Compensation
1999.
No. 02127696 (1999).
EMPLOYEE: Thomas Dearmon
COMMONWEALTH OF MASSACHUSETTS
DEPARTMENT OF INDUSTRIAL ACCIDENTS EMPLOYEE: Thomas Dearmon EMPLOYER: Save That Stuff,
Inc. INSURER: Travelers Insurance Co. INSURER:
Workers' Compensation Trust FundBOARD NO. 02127696REVIEWING
BOARD DECISION (Judges Carroll,
Maze-Rothstein and Levine 1)APPEARANCES
Steven H. Kantrovitz, Esq., for the employee
Gail E. Quinn Esq., for the insurer
Joseph Labadini, Esq., for the Workers' Compensation Trust Fund
at hearing
Vincent F. Massey, Esq., for the Workers' Compensation Trust Fund
on appeal
CARROLL, J. Travelers Insurance Co.
(Travelers) appeals from a decision in which an administrative judge concluded
that it was liable for the employee's stipulated June 5, 1996 industrial
accident. (Dec. 4, 19.) Travelers contends that its assigned risk policy with
the employer had expired as of June 1, 1996, and that it was no longer on the
risk at the time of the accident. The judge found that the insurer was still
obligated to provide coverage for the accident, because it had not notified the
employer and the Workers' Compensation Rating and Inspection Bureau ("Rating
Bureau") of its non-renewal of the policy in a manner that complied with the
Rating Bureau's Procedural Manual and the provisions of G.L. c. 152, § 63.
2 Because we do not adopt the judge's rationale in reaching this result, we do
not report his reasoning in this opinion. Never-theless, we affirm the decision
because we believe it reaches the correct result for the reasons that follow.
The insurer does not dispute that it insured the employer under
an assigned risk policy, pursuant to § 65A, from June 1, 1995 until June
1, 1996, days before the industrial accident. (Dec. 4, 12.) The employer had
fully paid for the policy. (Dec. 12.) Sometime before the expiration of the
policy, the insurer sent the employer a "Workers' Compensation Insurance Plan
Letter," which included a premium quotation for the succeeding year. The
premium quotation was dated April 12, 1996. (Dec. 13-14; Ins. Ex. 1.) The
Insurance Plan Letter stated that payment must be received by the due date of
May 31, 1996. The Letter continued: "If payment is not received by the due
date, either the policy will be issued with a lapse in coverage or your premium
check will be returned and no policy will be issued." (Ins. Ex. 1.) It is
undisputed that the insurer sent the employer no further notice regarding the
policy prior to its...
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