A panel of Indiana Court of Appeals judges disagreed about whether a school bus driver who also worked as an independent
farmer over the summer should be covered by the school corporation's insurance following a car accident while hauling
grain. Judge Melissa May, dissenting from the majority's affirmation of the denial of coverage for the bus driver's
accident, worried the majority's interpretation of Exclusion 33 in his insurance policy would require any school employee
who may be eligible for workers' compensation coverage to buy it or risk losing insurance benefits provided by the
school corporation's health plan.
In Mikel A. Schilling v. Huntington County Community School Corp., et al., No. 35A02-0803-CV-191, Huntington County
Community School Corp., Huntington County Community School Corporation Employee Benefit Trust, and American Health Care Partnership
Inc., were awarded summary judgment on Mikel Schilling's claims that his health plan pay for his injuries from the accident.
Judges Edward Najam and Margret Robb interpreted Exclusion 33 of Schilling's plan through the school corporation to exclude
coverage of injuries that would be covered by Indiana's Workers' Compensation Act, regardless of whether workers'
compensation was actually obtained by the insured.
Schilling, as an independent farmer, didn't purchase workers' compensation and argued the exclusion needed to state
affirmative steps he had to take to purchase the coverage. The majority disagreed, finding the exclusion plainly informed
Schilling the plan wouldn't cover injuries coverable by workers' compensation, regardless of whether it had been purchased,
wrote Judge Najam.
In Judge May's dissent, she wrote the exclusion implies the purchaser of the workers' compensation would be a school
employee, but most aren't self-employed in addition to their school employment. Surely a policy meant to cover a typical
school system employee wouldn't exclude coverage just because that typical employee hadn't bought workers' compensation
coverage, Judge May wrote. As such, she declined to interpret the exclusion to presume an employee would lose health coverage
for any injury covered by workers' compensation that the employee might have been able to buy. Judge May would reverse
summary judgment in favor of the school corporation and remand.














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