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Summary: Despite the Supreme Court holding in this case, 2003 MT 116, and Wild v. Montana State Fund, 2003 MT 115, on remand from the Supreme Court the insurer asserts that the claimant is nonetheless barred from pursuing benefits because he misrepresented his employment status to both his employer and its insurer.
Held: The contention is utterly without merit. The claimant was in fact an employee and therefore misrepresented nothing when filing a claim with the insurer. As to his representation to his employer that he was an independent contractor, the Supreme Court held that the employer controlled the relationship and had a duty to ascertain his true status, thus the representation was not material and the employer was not entitled to rely on it.
¶1 This case is on remand from the Supreme Court, which held that an Independent Contractor (IC) Exemption is not conclusive as to a claimant's employment status. The decision reversed this Court's summary judgment holding that it was.
¶2 On remand the respondent insurer, Liberty Northwest Insurance Corporation (Liberty), renews affirmative defenses raised in its Response to Petition for Hearing and Respondent's First Notice of Additional Contentions, Witnesses and Exhibits ("First Notice"). The defenses were not considered by this Court in issuing summary judgment or by the Supreme Court on appeal.
¶3 The defenses allege that claimant is estopped from seeking benefits because he fraudulently misrepresented his employment status to both the insurer and the employer. In the Response to Petition for Hearing the insurer alleges misrepresentation:
(Response to Petition for Hearing at 1.) The subsequently filed First Notice essentially sets out the same defense, again naming Liberty as the victim of the representations.
(First Notice at 1.) However, in a Notice of Affirmative Defense filed even later, Liberty characterizes its defense as encompassing misrepresentations to both the employer and insurer:
(Notice of Affirmative Defense at 1.)
¶4 "Fraudulent inducement" is the basis for Liberty's estoppel argument. (Supplemental Brief in Support of Affirmative Defense.) Liberty relies on section 27-1-712, MCA, which provides that "[o]ne who willfully deceives another with intent to induce him to alter his position to his injury or risk is liable for any damage which he thereby suffers." Assuming the statute gives rise to an estoppel defense, nine elements must be met to prove fraud. Those elements are:
Pare v. Morrison, 241 Mont. 218, 221, 786 P.2d 655, 657 (1990). The elements are not met in the present case.
¶5 Initially, it is clear from the decision of the Supreme Court, Mathews v. Liberty Northwest Ins. Corp., 2003 MT 116, that claimant was in fact an employee, not an independent contractor. Thus, when he filed his claim with Liberty he did not misrepresent his employment status. Element two is not satisfied.
¶6 Second, Mathews holds that the employer cannot rely on an IC Exemption and is responsible for ascertaining the claimant's employment status. Its determination is based in large part on the reality that the employer controls that status:
Mathews ¶ 20, quoting from Wild v. Montana State Fund, 2003 MT 115, ¶ 28. Mathews precludes an employer from relying on the IC Exemption. Implicitly, the employer also cannot rely on claimant's tender of the IC exemption or his representation that he is an independent contractor. Thus, element 3 - materiality, and element 8 - the right to rely on the representation - are not met.
¶7 Finally, the Supreme Court expressly held that it is against public policy for an employer to offer workers a higher wage if they present an exemption at the time of hire and forego employee benefits the employer is paying its other workers. Mathews at ¶32. The statement is responsive to the specific facts of this case. The dual employment track in this case - some workers being paid lower wages as employees while others with IC exemptions were paid higher wages sans benefits - was condemned by the Supreme Court. That condemnation trumps any claim of fraudulent inducement.
¶8 Liberty's affirmative defenses are utterly without merit and are dismissed and stricken.
DATED in Helena, Montana, this 29th day of July, 2003.
c: Mr. Geoffrey C. Angel
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