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MEEKS v. GUARANTEE INSURANCE COMPANY
392 P.3d 278
| Okla. | 2017
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Background

  • Meeks was awarded temporary total disability (TTD) benefits by the Workers’ Compensation Court (WCC); Guarantee Insurance (Insurer) allegedly failed to pay on 26 separate occasions between 2012–2014.
  • The WCC’s June 26, 2014 order found Insurer repeatedly failed to comply with prior TTD orders, identified the 26 dates, assessed penalties/interest, but denied certification under 85 O.S. § 42(A) because penalties were paid before the hearing.
  • Meeks filed a district-court tort action alleging insurer bad faith in refusing to provide court-ordered TTD benefits; Insurer moved to dismiss arguing certification prerequisites were not met.
  • The district court dismissed, finding no proper § 42(A)/Rule 58 certification in light of the WCC’s denial of § 42(A) relief; Meeks appealed.
  • The Oklahoma Supreme Court retained the appeal to clarify Summers v. Zurich’s application to awards that were paid (or later satisfied) but were not provided as ordered.
  • Court held the June 26, 2014 WCC order satisfied Summers’ certification requirement for the category “benefits not provided as ordered,” permitting Meeks’ bad-faith suit to proceed in district court.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether district court had jurisdiction to hear bad-faith tort when WCC denied § 42(A) certification because penalties were paid Meeks: WCC’s June 26 order explicitly found insurer failed to provide benefits as ordered and showed no good cause—satisfies Summers’ certification for benefits not provided as ordered Insurer: Because the WCC denied § 42(A) certification, procedural prerequisites for a bad-faith suit were not met; bad-faith actions limited to unpaid awards per Sizemore Court: Jurisdiction exists—WCC order satisfied Summers’ second certification category (benefits not provided as ordered) despite § 42(A) denial for unpaid amount
Whether a WCC order that shows benefits were later paid can certify for bad-faith when insurer earlier refused or delayed payment Meeks: Certification may be based on failure to provide benefits as ordered even if monetary award was ultimately paid Insurer: § 42(A) applies only to unpaid monetary awards; satisfaction of award precludes certification and thus tort suit Court: If WCC finds insurer failed to provide benefits as ordered and insurer failed to show good cause, that finding suffices for certification under Summers’ second category even if award was later paid
What WCC findings are required for certification under Summers’ “benefits not provided as ordered” category Meeks: WCC must identify prior ordered benefits, find they were not provided as ordered, and find insurer lacked good cause Insurer: The WCC must follow § 42(A)/Rule 58 formalities; denial of § 42(A) means no certification Court: Rule 58 hearing with notice and a WCC order that (1) identifies the ordered benefits, (2) states they were not provided as ordered, and (3) finds insurer failed to demonstrate good cause, satisfies Summers—no magic words required
Whether employee must first execute judgment under § 42(A) before filing bad-faith tort Meeks: Not required; once certification obtained, employee may either file certified judgment or bring bad-faith tort Insurer: Employee should pursue statutory remedies first; bad-faith tort is improper when statutory process resolves arrearages Court: Employee need not pursue execution first—after proper certification the bad-faith tort may proceed; unpaid benefit amount in certification is an element of damages

Key Cases Cited

  • Summers v. Zurich Am. Ins. Co., 213 P.3d 565 (Okla. 2009) (articulates two certification categories: unpaid awards or benefits not provided as ordered)
  • Sizemore v. Cont’l Cas. Co., 142 P.3d 47 (Okla. 2006) (recognizes tort bad-faith remedy for refusal to pay WCC award and discusses § 42 certification/limitations)
  • Silljer v. Mega Life & Health Ins. Co., 213 P.3d 1156 (Okla. 2009) (applies Summers; emphasizes need for WCC certification that benefits were not provided as ordered)
  • Goodwin v. Old Republic Ins. Co., 828 P.2d 431 (Okla. 1992) (recognizes insurer’s implied duty of good faith and possibility of tort recovery for bad-faith refusal to pay workers’ compensation benefits)
  • Christian v. Am. Home Assurance Co., 577 P.2d 899 (Okla. 1977) (establishes insurer’s implied duty of good faith and prompt payment in workers’ compensation context)
  • Martin v. Gray, 385 P.3d 64 (Okla. 2016) (reaffirms bad-faith claim is an independent tort)
Read the full case

Case Details

Case Name: MEEKS v. GUARANTEE INSURANCE COMPANY
Court Name: Supreme Court of Oklahoma
Date Published: Feb 28, 2017
Citation: 392 P.3d 278
Docket Number: 113,752
Court Abbreviation: Okla.