SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
DOCKET NO. A-6323-00T2
JORGE URENA CALDERON,
Petitioner,
v.
ERFREN JIMENEZ,
Respondent-Respondent,
and
ELBERTH MORA,
Respondent-Appellant.
___________________________________
Argued: December 11, 2002 - Decided: January 14, 2003
Before Judges Kestin, Eichen and Fall.
On appeal from the Division of Workers'
Compensation, 96-028472.
Peter Ventrice argued the cause for appellant
(Brause, Brause & Ventrice, attorneys;
Mr. Ventrice, on the brief).
David P. Kendall argued the cause for respondent
(Francis T. Giuliano, of counsel and, with
Mr. Kendall, on the brief).
The opinion of the court was delivered by
KESTIN, P.J.A.D.
The dispute in this workers' compensation matter is between
the insurance carriers for the two respondents. After a trial on
the issues, Judge of Compensation Boyan held that the respondents
were dual employers obliged to share responsibility for the award
made to petitioner, and that the policy issued by Hartford
Underwriters Insurance Company (Hartford) to respondent Mora was
effective. Harford appeals, arguing that the finding of dual
employment was erroneous and that it cannot be held to have
provided coverage to its putative insured.
The factual findings undergirding the dual employment
determination are well supported by substantial evidence in the
record and are, therefore, binding on appeal. See Earl v. Johnson
& Johnson,
158 N.J. 155, 161 (1999); Close v. Kordulak Bros.,
44 N.J. 589, 598-99 (1965). The agency's expertise in applying dual
employment criteria to the facts as found cannot be gainsaid.
Ibid.
In deciding that the Hartford policy provided coverage to
Mora, Judge Boyan held:
. . . Hartford contend[s] that they did
not have coverage on the date of the accident.
Their motion papers acknowledge that a policy
with number 77WZNB6977 was issued, insuring
Mr. Mora with an effective date of August 5,
1995 to August 5, 1996.
They contend that they canceled that
policy, and their records _ or the computer
printout _ show they attempted cancellation on
October 13, 1995.
* * * I believe that the respondent,
Hartford, did not use certified mail to
effectuate the cancellation.
Petitioner's side has called my attention
to the case of [Miney v. Baum,
170 N.J. Super. 282 (Law Div. 1979),] dealing with coverage of
an auto policy, and holding that the statutory
provisions for cancellation of a policy had to
be followed, even where the only thing issued
was a binder and where the full procedure of
certified mail had not been resorted to.
Judge Yanoff ruled that, under the
circumstances, the coverage remained in effect
despite the fact that there was no payment of
initial premium.
Here, we have a similar situation except
we don't have a binder. We have an actual
policy. And there was a failure of the
initial premium payment, the one issued Mr.
Mora. He tendered a check for $500, but it
was dishonored by his bank, so Hartford never
collected a penny.
However, I feel that the Miney case is
good authority and I should follow it and hold
that the policy remains in effect unless and
until canceled according to the statutory
procedure, by certified mail.
Granted, it's a different policy, it's an
auto policy in the Miney case, where we have a
Workers' Compensation policy. But in both
cases, we have insurance required to be
maintained by statute, and the requirement of
the statute is for the benefit of the injured
party. So I think public policy
considerations demanding compliance with the
strict requirements for cancellation are the
same, and that's another reason I think the
Miney case should be followed.
And while there may be a harsh result
from the standpoint of Hartford, to wind up
with an obligation of tens of thousands of
dollars in a case where they didn't get penny
number one in premiums, still, I think that's
what the statute calls for.
We are in substantial agreement with the logic of this rationale,
and we defer to the Division's expertise in determining that the
principle of Miney should apply to workers' compensation insurance.
The New Jersey Workers' Compensation Insurance PlanSee footnote 1* (the
Plan), as presented to us, creates a program paralleling the
assigned risk plan for auto insurance with which the court in Miney
was concerned. When Hartford was designated by the Compensation
Rating and Inspection Bureau as Mora's carrier pursuant to the
Plan, that carrier was required, upon receipt of the application
and a check representing the premium, to issue a policy to Mora
effective at 12:01 a.m. on the day following. Once that policy was
issued, Hartford was obliged to comply with the requirements of
N.J.S.A. 34:15-81 in order to effect cancellation.
In the absence of any argument that the Plan has no provenance
as binding authority, we likewise respect the Division's expertise
in applying it to insurance carriers by requiring compliance with
N.J.S.A. 34:15-81. A court "places great weight on the
interpretation of legislation by the administrative agency to whom
its enforcement is entrusted", Peper v. Princeton Univ. Bd. of
Trustees,
77 N.J. 55, 69-70 (1978), unless it "finds that the rule
is inconsistent with the statute it purports to interpret." Smith
v. Director, Div. of Taxation,
108 N.J. 19, 26 (1987). See also
Mayflower Securities Co. v. Bureau of Securities,
64 N.J. 85, 93
(1973); In re Union County Prosecutors,
301 N.J. Super. 551, 561
(App. Div. 1997); Lally v. Public Employees' Ret. Sys.,
246 N.J.
Super. 270, 273 (App. Div.), certif. denied,
126 N.J. 332 (1991).
We are bound by Judge Boyan's findings, based upon the facts
developed before him, that the required steps to effect a
cancellation were not taken. See Earl, supra, 158 N.J. at 161;
Close, supra, 44 N.J. at 598-99. We regard as unavailing
Hartford's only argument on the policy-effectiveness issue that it
"was not required to provide the statutory notice requirements to
cancel an insurance policy because the policy was void from
inception." Application of the Miney principle to workers'
compensation negates any argument that the policy, in the
circumstances found, was void from inception.
Affirmed.
Footnote: 1 * The nature of the Plan as a source of legally binding authority is unclear, as was the New Jersey Workers' Compensation and Employer's Liability Insurance Manual (Manual) in Aetna Ins. Co. v. Trans American Trucking Serv., Inc., 261 N.J. Super. 316 (App. Div. 1993), but appellant raises no question concerning its authenticity or the binding qualities of its provisions on participants in the workers' compensation insurance industry. As with the Manual, the Plan does not appear in the New Jersey Administrative Code as a promulgated rule or regulation. See id. at 319-20 n.3.