Lead Opinion
¶ 1 The dispositive issue tendered for corrective relief on certiorari is whether the workers' compensation carrier's statute-based district court claim was erroneously dismissed as a time-barred action. We answer in the affirmative.
I
ANATOMY OF LITIGATION
¶ 2 This is an action by the workers' compensation carrier, Association of County Commissioners of Oklahoma State Insurance Fund (ACCOSIF), against the claimant, Jim Hagelberg (Hagelberg), the third-party tortfeasor, Guymon Glass (tortfeasor), and the latter's insurer, American States Insurance Company (tortfeasor's insurer, ASIC). Invoking the provisions of 85 0.S.1991 § 44(2),
Antecedent Litigation
13 Hagelberg, a state employee, sustained on 3 March 1992 an on-the-job-injury in a vehicular accident with an employee of the tortfeasor. He sought workers' compensation benefits. Two days before the two-year statute would have expired, Hagelberg (claimant) sued the actor in a common-law tort action.
14 Nearly two years following ACCO-SIFs discharge of its compensation lability, the claimant's tort action came to be terminated by settlement. By its terms the tort-feasor's insurer paid Hagelberg the sum of $42,500.00. This action by ACCOSIF was brought on 6 October 1997, just over one year after ACCOSIF alleges to have learned of this settlement.
History of Present Litigation
15 Declaring it time-barred as a subro-gation claim,
16 Although we agree with COCA's conclusion that the trial court's dismissal order cannot stand, we granted certiorari to provide precedential guidance on a novel point of law. For want of adequate record support, today's pronouncement does not finally settle the following issues: (1) whether a § 44(a) claim would lie in this case against the tort-feasor as well as against its insurer; and if so, on what theory it may be pressed against the former party; and (2) the nature of liability, if any, the tortfeasor is to bear, directly and severally, to the plaintiff (workers' compensation carrier).
II
BY THIS ACTION, AUTHORIZED BY THE PROVISIONS OF 85 0.8.1991 § 44(A), PLAINTIFF SEEKS STATUTE-BASED PRO TANTO RE-COUPMENT OF ITS WORKERS COMPENSATION PAYOUT, NOT SUBROGATION PRESCRIBED BY THE TERMS OF 85 0.$.1991 § 44(C)
17 The action brought by ACCO-SIF was mistakenly characterized (both by the defendants and by the district court) as its subrogation claim.
T8 Neither ACCOSIF's non-join-der in Hagelberg's tort litigation nor Hagel-berg's subsequent settlement operates as a bar to ACCOSIEFE's pursuit of its present claim for the legislatively sanctioned portion of Hagelberg's settlement. ACCOSIE's stat
¶ 9 Because the action cannot be characterized as one for subrogation, the two-year statute of limitations that would have begun to run from the date of the harmful event does not bar ACCOSIF's claim now before us.
IH
THE THREE-YEAR STATUTE OF LIME TATIONS PRESCRIBED IN
¶ 10 The terms of 12 O.S.1991 § 95(2) govern "an action upon a liability created by statute other than a forfeiture or penalty."
A.
The Limitation to be Applied to ACCO-SIF's Pro Tanto Recoupment Action Against Hagelberg
112 ACCOSIF's claim against Ha-gelberg acerued when claimant became entitled to the proceeds (or part of the proceeds) of his settlement with the tortfeаsor.
B.
The Limitation that Governs ACCOSIE's Wrongful Payout Claim Against The Tortfeasor's Insurer
113 ACCOSIF's right to payment from the tortfeasor's insurer is prescribed by § 44 and reinforced by the theoretical underpinnings of Shebester and the trilogy of cases discussed supra.
C.
The Limitation Period that Governs ACCOSIF's Claim Against The Tortfeasor
{14 From the sparse record we are unable to divine on what theory recovery is sought from the tortfeasor (as distinguished from its insurer) gua co-obligor upon the liability in suit.
IV
ACCOSIE'S CLAIM DOES NOT APPEAR TO HAVE BEEN TIME-BARRED
115 It is clear that none of the three defendants can be shielded from lability to ACCOSIF by the pleaded time bar which formed the nisi prius dismissal basis. The terms of § 44(a) provide that a workers' compensation carrier may recover its pro tanto share from a settlement between the tortfea-
V
SUMMARY OF TODAY'S PRONOUNCEMENT
116 Because ACCOSIF's claim was incorrectly perceived as a time-barred subro-gation demand, the nisi prius dismissal must be reversed insofar as it affects all three defendants, and the cause be remanded for further proceedings.
117 A petition must not be dismissed for failure to state a legally cognizable claim unless the allegations indicate beyond any doubt that the pleader can prove no set of facts which would entitle him to relief.
118 An appellate tribunal does not make first-instance rulings.
119 On certiorari previously granted upon separate petitions brought by the claimant, by the third-party tortfeasor, and by the latter party's insurer, the Court of Civil Appeals' opinion is vacated; the trial court's dismissal order is reversed and thе cause is remanded for further proceedings to be consistent with this pronouncement.
Notes
. The terms of 85 0.$.1991 § 44 provide in pertinent part:
(a) If a worker entitled to compensation under the Workers' Compensation Act is injured or killed by the negligence or wrong of another not in the same employ, such injured worker shail, before any suit or claim under the Workers' Compensation Act, elect whether to take compensation under the Workers' Compensation Act, or to pursue his remedy against such other. Such election shall be evidenced in such manner as the Administrator may by rule or regulation prescribe. If he elects to take compensation under the Workers' Compensation Act, the cause of action against such other shall be assigned to the insurance carrier liable for the payment of such compensation, and if he elects to proceed against such other person or insurance carrier, as the case may be, the employer's insurance carrier shall contributeonly the deficiency, if any, between the аmount of the recovery against such other person actually collected, and the compensation provided or estimated by the Workers' Compensation Act for such case. The compromise of any such cause of action by the worker at any amount less than the compensation provided for by the Workers' Compensation Act shall be made only with the written approval of the Court. Whenever recovery against such other person is effected without compromise settlement by the employee or his representatives, the employer or insurance company having paid compensation under the Workers' Compensation Act shall be entitled to reimbursement as hereinafter set forth and shall pay from its share of said reimbursement a proportionate share of the expenses, including attorneys fees, incurred in effecting said recovery to be determined by the ratio that the amount of compensation paid by the employer bears to the amount of the recovery effected by the emplоyee. After the expenses and attorneys fees have been paid, the balance of the recovery shall be apportioned between the employer or insurance company having paid the compensation and the.employee or his representatives in the same ratio that the amount of compensation paid by the employer bears to the total amount recovered; provided, however, the balance of the recovery may be divided between the employer or insurance company having paid compensation and the employee or his representatives as they may agree.
In the event that recovery is effected by compromise settlement, then in that event the expenses, attorneys fees and the balance of the recovery may be divided between the employer or insurance company having paid compensation and the employee or his representatives as they may agree. Provided, that in the event they are unable to agree, then the same shall be apportioned by the district court having jurisdiction of the employee's action against such other person, in such manner as is just and reasonable.
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(c) The employer or his insurance carrier shall have the right of subrogation to recover money paid by the employer or his insurance carrier for the expenses of the last illness or accident under the Workers' Compensation Act from third persons, with all common law rights against other than the employer and his employees preserved and to be in those persons who would have had such rights had there been no benefits under the Workers' Compensation Act.
(emphasis supplied).
. Statutory recoupment is distinct from its common-law namesake. The latter was akin to, and has now been replaced by, the modern counterclaim. Brack's Law Dictionary 1146 (Special Deluxe 5th ed.1979).
. ACCOSIF's analysis seems to rest upon the after-payment-of-benefits status of a compensation carrier as a statutory assignee of the injured employee's claim against a third-party actor. Section 44(a) unequivocally assigns to the workers' compensation carrier the paid employee's chose in action. For the meaning of "chose in action" as a term of common law in contemporary use see BLACKS LAW DICTIONARY (7th ed.1999) 234. This assignment, when known or when it should have been known, places the tortfeasor (and its insurer) on notice that the carrier may have a reimbursement claim. In short, the compensation carrier appears to stand here as an ex lege assignee of an employee's chose in action (also called thing in action), which is defined by the terms of 60 O.S.1991 § 312. See also Moore v. Stanton,
When known (or when he should have been known) to a tortfeasor's insurer, an assignee of a tort claim whose interest appears on the face of § 44(a) has standing to enforce the former's duty to pay the person rightfully entitled to thе proceeds. By the terms of § 44(a), the right of the compensation carrier, qua assignee, to invoke its statute-based pro tanto assignment for recovery from the tortfeasor is co-extensive with that which also runs against the employee after the latter is paid the settlement proceeds. More simply put, because the compensation carrier has a legally recognized chose in action in the employee's claim against the tortfeasor, the carrier may bring an action directly against the tortfеasor to recover its statutorily assigned share of the settlement. One who pays the obligee knowing that the latter's chose in action has been assigned to another, in whole or in part, is liable to the assignee for the amount of overpayment. American Bank of Commerce v. City of McAlester,
.
. As a general rule of Oklahoma's common law, one is bound by knowledge if "one knew or should have known" of another's claim. See Lockhart v. Loosen,
Similarly, an employer (or insurer) who makes the remittance of compensation benefits to a claimant, knowing that a part of the expended sum is burdened by a legal interest of another, is liable to the latter for the excess paid. The employer hence pays at its own peril. See Crane Mfg. Co. v. Brown,
For further discussion of legal protection afforded attorney's and medical liens, see State ex rel. Dept. of Human Serv. v. Allstate Ins. Co.,
. Hagelberg brought his tort claim in Texas County District Court on 1 March 1994, two days before the two-year statute for negligent tort claims, prescribеd by the terms of 12 O.S.1991 § 95(3), would have expired. For the text of 12 O.S.1991 § 95(3), see infra note 20.
. The payment was made in April 1994.
. The settlement agreement was effected on 1 March 1996, ACCOSIF claims to have first learned of the settlement in September 1996; it brought this action more than one year later.
. Subrogation, and its mistaken application to this action, is discussed infra. See infra notes 13-19-and accompanying text.
. The district court dismissed the action on motion by all three defendants. The dismissal order states:
The Court having examined the file in this case and hearing arguments of counsel in open cоurt, having fully considered the argument of counsel and being fully advised in the premises, FINDS as follows:
That Plaintiff's First Amended Petition filed herein on November 14, 1997, based on the allegations set forth therein and pursuant to 85 O.S. § 44 and 12 O.S. § 95, is time barred and fails to state a claim upon which relief can be granted against all defendants.
. Wrongful payout appears to be the gravamen of liability sought to be ascribed to the tortfea-sor's insurer. A payout may be shown to be wrongful by facts and circumstances that shеd light on the payor's knowledge of another person's claim to the whole or to a share of the remittance in contest. None of these critical characteristics is disclosed by the record. See the text of note 4, supra; see also Shebester v. Triple Crown Insurers, supra note 5, the trilogy of attorney's lien cases, supra note 6, and accompanying textual and footnoted discussion.
. See 85 O.S.1991 § 44(c), supra note 2. Subro-gation does not govern this case, even though the tortfeasor (and its insurer) is correct in asserting that an insurer-subrogee must file its claim within the same period as that which governs an injured party. The cases (relied on by the tort-feasor and its insurer) that discuss the doctrine of subrogation are: Employers Mut. Cas. Co. v. Mosby,
. See the terms of 85 O.S.1991 § 44 supra note 2. Subrogation actions are governed by § 44(c), while those for recoupment, such as the instant case, are controlled by § 44(a).
. The terms of 85 O.S.1991 § 44(c), supra note 2, provide the statutory underpinnings for a workers' compensation carrier's subrogation claim.
. See 85 O.S.1991 § 44, supra note 2.
. See the text of note 4, supra; see аlso Shebester v. Triple Crown Insurers, supra note 5, the trilogy of attorney's lien cases, supra note 6, and accompanying textual and footnoted discussion.
. Before the 1975 amendment to § 44(a) (with an effective date in 1976), which introduced the proportional formula for a compensation carrier's recovery, a carrier who had paid an award to a claimant who later recovered from the tort-feasor was entitled to a full recoupment of the expended compensation or to an in foto recovery. See Prettyman v. Halliburton Co.,
Aсcording to the terms of § 44(a), supra note 2, absent a "compromise settlement" the workers' compensation insurer is entitled to reimbursement of a proportion of the amount paid by the tortfeasor's insurer to the total amount recovered minus a proportion of the expenses incurred in the recovery. The court in Prettyman, supra at ¶ 16, 579 defined a compromise settlement as one where the claimant receives less from the third-party tortfeasor than the amount of the workers' compensation award. Hеnce, if a workers' compensation carrier pays a claimant $1000 and the claimant then recovers $5000 from a tortfeasor with expenses of $1000 paid for court costs and attorney's fees, the balance ($4000) is divided proportionately. The workers' compensation carrier receives the equivalent of the ratio of $1000 to $5000, or 20% of the balance, which amounts to $800. The claimant keeps the remaining $3200. We held in Landrum v. National Union,
. For a discussion of the two-year statute of limitations that governs subrogation claims, see supra note 13.
. The pertinent terms of 12 0.$.1991 § 95 provide:
Civil actions other than for the recovery of real property can only be brought within the following periods, after the cause of action shall have accrued, and not afterwards:
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2. Within three (3) years: An action upon a contract express or implied not in writing; an action upon a liability created by statute other than a forfeiture or penalty; and an action on a foreign judgment;
3. Within two (2) years: An action for trespass upon real property; an action for taking, detaining, or injuring personal property, including actions for the specific recovery of personal property; an action for injury to the rights of another, not arising on contract, and not hereinafter enumerated; an action for relief on the ground of fraud-the cause of action in such case shall not be deemed to have accrued until the discovery of the fraud;
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{emphasis supplied).
. The dissent relies on a decision by the U.S. District Court for the Northern District of Texas in Rockwood Insurance Co. v. Williamson,
. See 12 O.S.1991 § 95 supra note 20.
. See in this connection Travelers Ins. Co. v. L.V. French Truck Serv., Inc.,
. See MBA Commercial Const. v. Roy J. Hannaford,
. See, supra notes 4, 5 & 6.
. If the settlement is structured, the limitation рeriod would begin with the first payment to Hagelberg; if it is a lump-sum settlement, the period would commence on the date its payment is due.
. For a discussion of duties surrounding persons owing common obligations, see e.g., Warren v. Hunter
. Under the terms of § 44(a), supra note 2, the workers' compensation carrier's right of pro tan-to recoupment from Hagelberg and its right of pro rata payout from the tortfeasor (and its insurer), as a known assignee of a chose in action, attached the very moment the settlement agreement between Hagеlberg and the tortfeasor's insurer was effected and the payment made. Until that time, both of these demands lay inchoate.
. See Conley v. Gibson,
. See Conley, supra note 29.
. We do not initially decide issues that were left unresolved by the first-instance court. When the record is devoid of showing that the nisi prius court did inquire into critical issues, the case must be remanded with directions that the trial court make the necessary examination. See Salazar v. City of Okla. City,
. See Conley, supra note 29.
. The trial court must on remand revisit the issues raised in a manner consistent with the pronouncément of an appellate tribunal. See, e.g., Seymour v. Swart,
Concurrence Opinion
concurring in part, dissenting in part:
12 I concur that the insurer's claim was erroneously dismissed as time barred. I dissent to the majority's holding that the insurer's claim for reimbursement from the employee accrued when the employee became entitled to the procеeds of the settlement with the tortfeasor. Rather, I am persuaded by the rationale of Rockwood Insurance Co. v. Williamson,
13 Regardless of the Williamson court's application of Texas law rather than Oklahoma law or characterization of the claim as contract-based, the court's rationale is per-suagive here. Whether a worker's lability to the workers' compensation benefits carrier is created through a contractual obligation or under 85 0.8.1991 § 44(a), it is the worker's refusal to reimburse the insurer after the worker received the proceeds of the settlement which triggered the running of the statute of limitations.
