Greenwood v. J.J. Hooligan's , 297 Neb. 435 ( 2017 )


Menu:
  • Nebraska Supreme Court Online Library
    www.nebraska.gov/apps-courts-epub/
    09/08/2017 08:11 AM CDT
    - 435 -
    Nebraska Supreme Court A dvance Sheets
    297 Nebraska R eports
    GREENWOOD v. J.J. HOOLIGAN’S
    Cite as 
    297 Neb. 435
    Lori Greenwood,         appellant, v.
    J.J. Hooligan’s, LLC,
    formerly known as    Pies & Pints, LLC, and
    FirstComp   Insurance Company, appellees.
    ___ N.W.2d ___
    Filed August 4, 2017.    No. S-16-932.
    1.	 Workers’ Compensation: Appeal and Error. Pursuant to Neb. Rev.
    Stat. § 48-185 (Cum. Supp. 2016), an appellate court may modify,
    reverse, or set aside a Workers’ Compensation Court decision only when
    (1) the compensation court acted without or in excess of its powers; (2)
    the judgment, order, or award was procured by fraud; (3) there is not
    sufficient competent evidence in the record to warrant the making of the
    order, judgment, or award; or (4) the findings of fact by the compensa-
    tion court do not support the order or award.
    2.	____: ____. Determinations by a trial judge of the Workers’
    Compensation Court will not be disturbed on appeal unless they are
    contrary to law or depend on findings of fact which are clearly wrong in
    light of the evidence.
    3.	 Workers’ Compensation: Insurance: Contracts: Notice. There is
    no requirement in Neb. Rev. Stat. § 48-144.03 (Reissue 2010) that a
    notice of cancellation sent by certified mail actually be received by
    the employer.
    4.	 Workers’ Compensation: Insurance: Contracts: Notice: Proof. To
    show compliance with Neb. Rev. Stat. § 48-144.03 (Reissue 2010), the
    insurer need only prove that it sent the notice of cancellation by certified
    mail to the employer.
    5.	 Insurance: Contracts: Notice: Proof. When an insurance carrier is
    statutorily required to provide notice of cancellation before terminating
    a policy, the burden of establishing an effective cancellation before a
    loss is on the insurer.
    6.	 Notice: Proof. A party may prove it has mailed an item by direct proof
    of actual deposit with an authorized U.S. Postal Service official or in an
    authorized depository.
    - 436 -
    Nebraska Supreme Court A dvance Sheets
    297 Nebraska R eports
    GREENWOOD v. J.J. HOOLIGAN’S
    Cite as 
    297 Neb. 435
    7.	 ____: ____. Absent direct proof of actual deposit with an authorized
    U.S. Postal Service official or in an authorized depository, proof of a
    course of individual or office practice that letters which are properly
    addressed and stamped are placed in a certain receptacle from which an
    authorized individual invariably collects and places all outgoing mail
    in a regular U.S. mail depository and that such procedure was actually
    followed on the date of the alleged mailing creates an inference that a
    letter properly addressed with sufficient postage attached and deposited
    in such receptacle was regularly transmitted and presents a question for
    the trier of fact to decide.
    8.	 Appeal and Error. An appellate court is not obligated to engage in an
    analysis that is not necessary to adjudicate the case and controversy
    before it.
    Appeal from the Workers’ Compensation Court: Thomas E.
    Stine, Judge. Reversed and remanded for further proceedings.
    Rolf Edward Shasteen, of Shasteen & Morris, P.C., L.L.O.,
    for appellant.
    L. Tyler Laflin and Joshua R. Woolf, of Engles, Ketcham,
    Olson & Keith, P.C., for appellee FirstComp Insurance
    Company.
    Heavican, C.J., Wright, Miller-Lerman, Cassel, Stacy,
    K elch, and Funke, JJ.
    Funke, J.
    NATURE OF CASE
    This case concerns whether an insurance company com-
    plied with the notice of cancellation requirements under
    Neb. Rev. Stat. § 48-144.03 (Reissue 2010). The Nebraska
    Workers’ Compensation Court dismissed FirstComp Insurance
    Company (FirstComp) as a defendant upon finding that
    FirstComp complied with § 48-144.03 and, therefore, did
    not carry workers’ compensation insurance for appellee J.J.
    Hooligan’s, LLC, formerly known as Pies & Pints, LLC, at
    the time of appellant Lori Greenwood’s injury. We conclude
    the compensation court erred in finding that FirstComp pro-
    vided sufficient evidence of its compliance with the notice
    - 437 -
    Nebraska Supreme Court A dvance Sheets
    297 Nebraska R eports
    GREENWOOD v. J.J. HOOLIGAN’S
    Cite as 
    297 Neb. 435
    of cancellation requirement in § 48-144.03 and in dismissing
    FirstComp as a party. Therefore, we reverse, and remand for
    further proceedings.
    FACTS
    On January 14, 2012, Greenwood was injured while acting in
    the scope and course of her employment with J.J. Hooligan’s.
    One of the owners of J.J. Hooligan’s provided Greenwood with
    J.J. Hooligan’s insurance carrier’s contact number. After call-
    ing the contact number provided, Greenwood received a return
    call and was informed that because of nonpayment, FirstComp
    was not the workers’ compensation insurance carrier on the
    date of the accident.
    Greenwood subsequently filed a petition against J.J.
    Hooligan’s and FirstComp, seeking workers’ compensation
    benefits. FirstComp moved to dismiss, arguing that it was not
    a proper party, because it had notified J.J. Hooligan’s prior to
    January 2012, in compliance with § 48-144.03, that it had ter-
    minated its insurance coverage for nonpayment of its premium
    and, therefore, did not provide workers’ compensation insur-
    ance to J.J. Hooligan’s on the date of the accident.
    At the hearing, the compensation court admitted three
    exhibits from FirstComp that were relevant to the motion to
    dismiss. Exhibit 1 contained an affidavit of Mandy Johnson,
    a FirstComp employee, which stated that on November 2,
    2011, a notice of cancellation of workers’ compensation insur-
    ance policy No. WC0124824-01 was sent by certified mail
    to J.J. Hooligan’s for nonpayment; that FirstComp uses an
    electronic mailing system through the U.S. Postal Service
    (USPS) to send its certified mail; that the certified mail num-
    ber generated by the USPS was 9171999991703112609757;
    that because the mailing was completed through an electronic
    mailing system, there was no physical receipt or ticket pro-
    duced; and that the USPS keeps records of certified mail-
    ings for a period of 2 years and the system that FirstComp
    uses, through the USPS, keeps records for a period of 3 years.
    - 438 -
    Nebraska Supreme Court A dvance Sheets
    297 Nebraska R eports
    GREENWOOD v. J.J. HOOLIGAN’S
    Cite as 
    297 Neb. 435
    Attached to the affidavit were an internal spreadsheet record
    of FirstComp which showed that notice was sent on November
    3, 2011, for policy No. WC0l24824-01 and a copy of the
    notice of cancellation.
    Exhibit 2 contained the proof-of-coverage pages from the
    Nebraska Workers’ Compensation Court showing that cancel-
    lation was received by the compensation court in November
    2011 and that the policy was canceled November 19, 2011.
    Exhibit 3 included an affidavit from another FirstComp
    employee and a copy of J.J. Hooligan’s installment payment
    activity. The employee’s affidavit stated that he had personal
    knowledge of FirstComp procedures for canceling coverage
    and J.J. Hooligan’s account information and that a cancel-
    lation notice for policy No. WC0124824-01 was sent to J.J.
    Hooligan’s on November 2, 2011, for nonpayment of premium
    since July 14, 2011. It also stated that no payment of the pre-
    mium was received after notice of cancellation was sent, so
    the cancellation became effective November 19.
    The compensation court found that there was sufficient
    evidence to establish that FirstComp timely sent a notice
    of cancellation to J.J. Hooligan’s by certified mail. It cited
    Johnson’s affidavit stating that the notice of cancellation had
    been sent, the fact that a certified mail tracking number had
    been created for the notice of cancellation, and the fact that
    FirstComp provided notice of cancellation to the compensa-
    tion court. Accordingly, the compensation court ruled that J.J.
    Hooligan’s insurance coverage through FirstComp was can-
    celed on November 19, 2011. As a result, the compensation
    court dismissed FirstComp as a defendant, because it was not
    a proper party. Greenwood appealed.
    ASSIGNMENTS OF ERROR
    Greenwood asserts, restated, that the compensation court
    erroneously found that (1) FirstComp proved that it had com-
    plied with § 48-144.03’s notification requirements and (2)
    FirstComp was not liable to Greenwood, because it was not
    - 439 -
    Nebraska Supreme Court A dvance Sheets
    297 Nebraska R eports
    GREENWOOD v. J.J. HOOLIGAN’S
    Cite as 
    297 Neb. 435
    J.J. Hooligan’s workers’ compensation insurance carrier on
    January 14, 2012.
    STANDARD OF REVIEW
    [1] Pursuant to Neb. Rev. Stat. § 48-185 (Cum. Supp. 2016),
    an appellate court may modify, reverse, or set aside a Workers’
    Compensation Court decision only when (1) the compensa-
    tion court acted without or in excess of its powers; (2) the
    judgment, order, or award was procured by fraud; (3) there is
    not sufficient competent evidence in the record to warrant the
    making of the order, judgment, or award; or (4) the findings
    of fact by the compensation court do not support the order
    or award.1
    [2] Determinations by a trial judge of the Workers’
    Compensation Court will not be disturbed on appeal unless
    they are contrary to law or depend on findings of fact which
    are clearly wrong in light of the evidence.2
    ANALYSIS
    FirstComp contends that it was not J.J. Hooligan’s workers’
    compensation insurance carrier at the time of Greenwood’s
    accident, because it had canceled the policy for nonpayment
    of premium, under the requirements of § 48-144.03. It argues
    that its evidence of a certified mail tracking number, the tes-
    timony of two employees, and the fact that it provided notice
    of cancellation to the compensation court proves that it pro-
    vided sufficient evidence for the compensation court to find
    in its favor.
    Greenwood contends that FirstComp neither entered a
    return receipt into evidence nor provided evidence of an office
    practice for sending mail. She asserts that the existence of a
    tracking number does not itself prove that the notice of can-
    cellation was actually mailed. Accordingly, she contends that
    1
    Interiano-Lopez v. Tyson Fresh Meats, 
    294 Neb. 586
    , 
    883 N.W.2d 676
          (2016).
    2
    
    Id. - 440
    -
    Nebraska Supreme Court A dvance Sheets
    297 Nebraska R eports
    GREENWOOD v. J.J. HOOLIGAN’S
    Cite as 
    297 Neb. 435
    there is a genuine issue of fact regarding whether the notice of
    cancellation was sent to J.J. Hooligan’s.
    Section 48-144.03 prescribes the requirements for a notice
    of cancellation of workers’ compensation insurance policies.
    It states that “coverage under a workers’ compensation insur-
    ance policy shall continue in full force and effect until notice
    is given in accordance with this section.”3 Regarding the
    cancellation of a policy within the policy period, it states that
    “[n]o cancellation . . . shall be effective unless notice of the
    cancellation is given by the workers’ compensation insurer
    to the Nebraska Worker’s Compensation Court and to the
    employer.”4 Finally, the statute states:
    The notices required by this section shall be provided
    in writing and shall be deemed given upon the mailing
    of such notices by certified mail, except that notices
    from insurers to the compensation court may be provided
    by electronic means [and] shall be deemed given upon
    receipt and acceptance by the compensation court.5
    [3,4] Unlike a notice of cancellation sent to the compen-
    sation court by electronic means, there is no requirement in
    § 48-144.03 that a notice of cancellation sent by certified mail
    actually be received by the employer. Thus, there is no require-
    ment that a return receipt be executed by the employer. Instead,
    to show compliance with § 48-144.03, the insurer need only
    prove that it sent the notice of cancellation by certified mail to
    the employer.
    [5] When an insurance carrier is statutorily required to
    provide notice of cancellation before terminating a policy, the
    burden of establishing an effective cancellation before a loss is
    on the insurer.6
    3
    § 48-144.03(1).
    4
    § 48-144.03(2).
    5
    § 48-144.03(10).
    6
    Barnes v. American Standard Ins. Co. of Wis., ante p. 331, ___ N.W.2d
    ___ (2017).
    - 441 -
    Nebraska Supreme Court A dvance Sheets
    297 Nebraska R eports
    GREENWOOD v. J.J. HOOLIGAN’S
    Cite as 
    297 Neb. 435
    [6,7] A party may prove it has mailed an item by “direct
    proof of actual deposit with an authorized U.S. Postal Service
    official or in an authorized depository.”7 However, we have
    also stated:
    “[A]bsent direct proof of actual deposit with an autho-
    rized U.S. Postal Service official or in an authorized
    depository[,] . . . proof of a course of individual or office
    practice that letters which are properly addressed and
    stamped are placed in a certain receptacle from which an
    authorized individual invariably collects and places all
    outgoing mail in a regular U.S. mail depository and that
    such procedure was actually followed on the date of the
    alleged mailing creates an inference that a letter properly
    addressed with sufficient postage attached and deposited
    in such receptacle was regularly transmitted and presents
    a question for the trier of fact to decide.”8
    In Houska v. City of Wahoo,9 we considered the statutory
    requirement that a county judge transmit an appraisal report to
    a condemnee—by personal delivery or the sending by ordinary
    mail—within 10 days of receiving it. A defendant introduced
    an affidavit of a judge, stating that the judge had sent the
    report in a prepaid envelope addressed to the plaintiffs and
    placed it in either a USPS depository or the Saunders County
    Court outgoing mail box.10 We held that this evidence was
    insufficient as a matter of law to prove the report was prop-
    erly mailed.11
    In Baker v. St. Paul Fire & Marine Ins. Co.,12 we con-
    sidered whether a plaintiff who claimed to have mailed her
    7
    Houska v. City of Wahoo, 
    235 Neb. 635
    , 641, 
    456 N.W.2d 750
    , 754 (1990).
    8
    Baker v. St. Paul Fire & Marine Ins. Co., 
    240 Neb. 14
    , 18, 
    480 N.W.2d 192
    , 197 (1992), citing Houska, supra note 7.
    9
    Houska, supra note 7.
    10
    
    Id. 11 Id.
    12
    Baker, supra note 8.
    - 442 -
    Nebraska Supreme Court A dvance Sheets
    297 Nebraska R eports
    GREENWOOD v. J.J. HOOLIGAN’S
    Cite as 
    297 Neb. 435
    final premium installment was entitled to a receipt-of-mail
    presumption, which required a showing that the premium was
    properly mailed. The plaintiff testified that she deposited the
    stamped and preaddressed envelope in the mail chute at her
    office building.13 Although she testified that the mail chute led
    to the building’s mailroom, she provided
    no evidence that the mailroom was operated under the
    auspices of the U.S. Postal Service or that it was a U.S.
    Postal Service depository. Neither was there any evidence
    . . . that an authorized individual invariably collected and
    placed all outgoing mail collected from the mailroom in
    a regular U.S. mail depository or that such a procedure
    was actually followed on [that day].14
    Accordingly, we held that the plaintiff failed to prove as
    a matter of law that she had properly mailed her premium
    payment.15
    The affidavit of Johnson states that the notice of cancel-
    lation was sent via certified mailed and provides a tracking
    number for the notice. However, Johnson did not testify to
    having delivered the notice of cancellation to a USPS official
    or depository. Additionally, we recently stated that a tracking
    number alone does not establish certified mail service.16
    Further, we agree with Greenwood that FirstComp has not
    provided sufficient proof of a course of office practice to send
    cancellation notices. FirstComp asserts that the fact that it uses
    an electronic mailing system through USPS is proof of its
    course of office practice. However, FirstComp failed to make
    any description of what its electronic mailing system entails.
    From the record, we cannot discern how the electronic system
    sends a notice of cancellation by certified mail.
    13
    
    Id. 14 Id.
    at 18, 
    480 N.W.2d 197
    .
    15
    
    Id. 16 See
    Barnes, supra note 6.
    - 443 -
    Nebraska Supreme Court A dvance Sheets
    297 Nebraska R eports
    GREENWOOD v. J.J. HOOLIGAN’S
    Cite as 
    297 Neb. 435
    It is not our intent to discourage the use of electronic mail-
    ing systems, but a party is still required to adduce sufficient
    evidence to detail what its electronic mailing system involves.
    Testimony as to how an electronic mailing system produces
    such notices and sends them by certified mail would provide
    proof that a notice was sent in compliance with § 48-144.03.
    Accordingly, we hold that there is not sufficient competent
    evidence in the record to show that FirstComp complied with
    its statutory duty to send J.J. Hooligan’s a notice of cancella-
    tion by certified mail before terminating its policy. Therefore,
    the court erred in granting FirstComp’s motion to dismiss.
    [8] Because we have determined the compensation court
    erred in sustaining FirstComp’s motion to dismiss, we need
    not address Greenwood’s argument that the court erred in not
    considering an adverse inference based on spoliation regarding
    the notice. An appellate court is not obligated to engage in an
    analysis that is not necessary to adjudicate the case and con-
    troversy before it.17
    CONCLUSION
    FirstComp failed to present sufficient competent evidence
    as to whether it complied with the employer notice of cancel-
    lation requirement in § 48-144.03 to warrant an order of dis-
    missal. Accordingly, the compensation court erred in sustaining
    the motion to dismiss in favor of FirstComp. We, therefore,
    reverse the compensation court’s order and remand the cause
    for further proceedings.
    R eversed and remanded for
    further proceedings.
    17
    Estermann v. Bose, 
    296 Neb. 228
    , 
    892 N.W.2d 857
    (2017).