Paul Revere Life Ins. Co. v. Comm'r of Labor (In re Hoyt)

Citation210 A.D.3d 1240,179 N.Y.S.3d 363
Decision Date17 November 2022
Docket Number533434
Parties In the MATTER OF the Claim of William K. HOYT Jr., Respondent, Paul Revere Life Insurance Company, Appellant. v. Commissioner of Labor, Respondent.
CourtNew York Supreme Court Appellate Division

Kelley Drye & Warren LLP, New York City (Nicholas J. Kromka of counsel), for appellant.

Catherine A. Barber, Guilderland, for William K. Hoyt Jr., respondent.

Letitia James, Attorney General, New York City (Linda D. Joseph of counsel), for Commissioner of Labor, respondent.

Before: Egan Jr., J.P., Lynch, Aarons, Pritzker and McShan, JJ.

MEMORANDUM AND ORDER

McShan, J. Appeals from two decisions of the Unemployment Insurance Appeal Board, filed December 16, 2020, which, among other things, ruled that Paul Revere Life Insurance Company was liable for unemployment insurance contributions on remuneration paid to claimant and others similarly situated.

Paul Revere Life Insurance Company sells various insurance products through licensed insurance agents such as claimant. Pursuant to the terms of a written contract, claimant performed services for Paul Revere between September 2017 and March 2018. When Paul Revere's office in Monroe County closed, claimant filed a claim for unemployment insurance benefits. The Department of Labor determined that claimant was eligible for benefits, and Paul Revere was liable for unemployment insurance contributions based upon remuneration paid to claimant and others similarly situated. Following the requested hearing, an Administrative Law Judge (hereinafter ALJ) upheld the original determination, concluding that the written agreement entered into between claimant and Paul Revere did not satisfy the requirements of Labor Law § 511(21) and, therefore, the statute did not bar claimant's application for unemployment insurance benefits. The ALJ further found that there was evidence of an employment relationship under the traditional common-law test. Upon administrative review, the Unemployment Insurance Appeal Board affirmed the ALJ's decision, prompting this appeal.

We affirm. Labor Law § 511(21) provides that "[t]he term ‘employment’ shall not include the services of a licensed insurance agent or broker if," among other things, "the services performed by the agent or broker are performed pursuant to a written contract" ( Labor Law § 511[21][c] ) that, in turn, contains seven statutorily enumerated provisions (see Labor Law § 511[21][d][i]-[vii] ; Matter of Gabel [Bankers Life & Cas. Co.-Commissioner of Labor], 199 A.D.3d 1199, 1200, 158 N.Y.S.3d 321 [3d Dept. 2021] ; Matter of Joyce [Coface N. Am. Ins. Co.-Commissioner of Labor], 116 A.D.3d 1132, 1133, 983 N.Y.S.2d 136 [3d Dept. 2014] ). Here, the Board concluded that two of the seven statutory requirements were absent from the written agreement entered into between claimant and Paul Revere – specifically, provisions demonstrating that claimant was "permitted to work any hours he ... chooses" ( Labor Law § 511[21][d][iii] ) and was "permitted to work out of his ... own office or home or the office of the person for whom services are performed" ( Labor Law § 511[21][d][iv] ). Paul Revere disagrees, contending that article XI (A) of the written contract satisfies such requirements by providing that "Paul Revere shall not exercise nor have the right to exercise direction or control over [claimant's] time, when or how [claimant] may work, or over the activities of [claimant]."

Preliminarily, we agree with the Board that the conclusory and sweeping language employed in article XI (A) of the contract does not satisfy the requirements of Labor Law § 511(21)(d)(iii) and (iv). That said, even assuming, without deciding, that the written agreement between Paul Revere and claimant did, as Paul Revere contends, fulfill all of the statutory requirements, we agree with the Board's further conclusion that the parties’ conduct was inconsistent with the provisions of Labor Law § 511(21) and, therefore, the services performed by claimant do not fall within the statutory exclusion.

As a recent decision of this Court makes clear, even in matters "where all seven statutory provisions are present in the parties’ written agreement, the mere verbatim inclusion or rote incantation of the seven enumerated provisions will not automatically exclude an insurance agent's or broker's services from the definition of employment ‘if it be proven’ that the parties’ conduct did not actually conform to the seven statutory provisions" ( Matter of Gabel [Bankers Life & Cas. Co.-Commissioner of Labor], 199 A.D.3d at 1201, 158 N.Y.S.3d 321, quoting Labor Law § 511[21] ; see Matter of Paratore [Bankers Life & Cas. Co.-Commissioner of Labor], 199 A.D.3d 1196, 1197, 158 N.Y.S.3d 296 [3d Dept. 2021] ). In other words, the statute requires both that the contract at issue contain the seven enumerated provisions and "that the services performed by the insurance agent or broker actually be consistent with those provisions" ( Matter of Gabel [Bankers Life & Cas. Co.-Commissioner of Labor], 199 A.D.3d at 1202, 158 N.Y.S.3d 321 ; see Matter of Paratore [Bankers Life & Cas. Co.-Commissioner of Labor], 199 A.D.3d at 1197, 158 N.Y.S.3d 296 ). "To allow an employer to exclude an insurance agent's or broker's services from the scope of the term ‘employment’ by mere inclusion of the seven statutorily-enumerated provisions in their written agreement would – in cases where there is evidence demonstrating that the parties’ conduct was contrary to, or inconsistent with, any one of the [statutory] provisions – elevate the form of such an agreement over the substance of the parties’ actual relationship and undermine the purposes of Labor Law § 511(21) and unemployment insurance benefits" ( Matter of Gabel [Bankers Life & Cas. Co.-Commissioner of Labor], 199 A.D.3d at 1202, 158 N.Y.S.3d 321 [citation omitted]).

In this regard, claimant testified that he responded to a job posting and, following two interviews, was offered a written contract with Paul Revere. According to claimant, Mondays and Fridays were his "office days," during which time he would pursue leads, phone potential prospects, set up appointments and participate in group interviews with prospective sales agents, and he would spend Tuesday, Wednesday and Thursday each week "out in the field" going door-to-door to solicit business clients. Claimant testified that he worked at least 40 hours each week and that he was expected to work from roughly 9 a.m. to 5 p.m. regardless of whether he was in the office or in the field.

In terms of his daily activities, claimant testified that he was provided with company brochures, binders containing sales leads for his geographic territory, forms for tracking his calls and appointments and an approved sales call script that he was required to follow. Claimant also worked with Paul Revere's "corporate trainer" who, claimant testified, adopted a "hands on" approach to the sales process by, among other things, showing claimant and other agents how to structure their appointments, submit applications and track their phone calls. According to claimant, "[e]verything" was done through Paul Revere's territory manager and the corporate trainer, the latter of whom accompanied claimant and others on the majority of their sales calls. Finally, claimant testified that he had daily contact with the corporate trainer – most of which was in person – and that he was subject to daily electronic reporting requirements. Notably, claimant testified that if he failed to report his "numbers," i.e., appointments, phone calls and sales, by the end of each business day, the corporate trainer would call or text and tell him "to get the numbers in." Inasmuch as the foregoing proof "demonstrate[es] that at least some aspects of claimant's services were performed in a manner inconsistent with the statutorily-required provisions in the[ ] written agreement," substantial evidence supports the Board's finding that the requirements of...

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