Richard Troy ANDRESON, Claimant and Appellant, v. BRINK ELECTRIC CONSTRUCTION COMPANY, Employer and Appellee, and Transportation Insurance Company, and CNA Transcontinental Technical Services, Inc., Insurers and Appellees.
No. 19741.
Supreme Court of South Dakota.
Decided Aug. 13, 1997.
1997 SD 104 | 567 N.W.2d 290
KONENKAMP, Justice.
Considered on Briefs March 24, 1997.
Rick Orr of Davenport, Evans, Hurwitz and Smith, Sioux Falls, for appellees.
KONENKAMP, Justice.
[¶ 1.] Troy Andreson, a lineman for Brink Electric, was injured on the job when a Black Hills Power & Light Company (BHPL) truck hit him. He received workers’ compensation benefits, but also won a $35,000 judgment in his tort action against BHPL. Rather than accepting the judgment amount, can he choose to seek continued workers’ compensation? The Department of Labor held in the negative, and we affirm, finding Andreson effectively “collected” under
Facts
[¶ 2.] On March 11, 1993, Andreson was injured on duty when a BHPL employee, driving a company vehicle, crushed his legs between the bumpers of two trucks. On petition to the Department of Labor, he received approximately $36,000 in workers’ compensation benefits, which included his medical expenses, $7,000 in temporary total disability benefits, and about $13,000 for permanent partial disability. His tort action against BHPL sought recompense for pain and suffering, $14,582.31 in medical bills, and economic losses his expert testified exceeded $500,000. We affirmed the jury‘s $35,000 award on appeal. Andreson v. Black Hills Power & Light Co., 1997 SD 12, 559 N.W.2d 886 (Andreson I).
[¶ 3.] Dissatisfied with the verdict, Andreson continued with his administrative proceeding against Brink, started in March of 1995, seeking workers’ compensation benefits for retraining and additional permanent partial disability. Brink‘s summary judgment motion rested on the following statute:
Whenever an injury for which compensation is payable under this title shall have been sustained under circumstances creating in some other person than the employer a legal liability to pay damages in respect thereto, the injured employee may at his option either claim compensation or proceed at law against such other person to recover damages or proceed against both the employer and such other person, but he shall not collect from both.
Standard of Review
[¶ 4.] We review administrative appeals under
The court shall give great weight to the findings made and inferences drawn by an agency on questions of fact. The court may affirm the decision of the agency or remand the case for further proceedings. The court may reverse or modify the decision if substantial rights of the appellant have been prejudiced because of administrative findings, inferences, conclusions, or decisions are:
(1) In violation of constitutional or statutory provisions;
(2) In excess of the statutory authority of the agency;
(3) Made upon unlawful procedure;
(4) Affected by other error of law;
(5) Clearly erroneous in light of the entire evidence in record; or
(6) Arbitrary or capricious or characterized by abuse of discretion or clearly unwarranted exercise of discretion....
See Iversen v. Wall Bd. of Educ., 522 N.W.2d 188, 191 (S.D.1994). Further,
Analysis and Decision
[¶ 5.] Double recoveries are barred under
[¶ 6.] While a claimant may “proceed against both the employer and such other [third party tortfeasor],” this phrase must be read with “but he shall not collect from both.”
[¶ 7.] We have suggested in the past that
[¶ 8.] We affirm the Department‘s decision in all respects.
[¶ 9.] MILLER, C.J., and AMUNDSON and GILBERTSON, JJ., concur.
[¶ 10.] SABERS, J., dissents.
SABERS, Justice (dissenting).
[¶ 11.] The majority opinion is inconsistent with precedent, workers’ compensation treatises, and settled principles of statutory construction.
[¶ 12.] By equating “collect” with “judgment” and “liquidation of a claim“, the Department of Labor, the circuit court, and the majority all reach the type of conclusion we strive to avoid. See, e.g., In re Gossman, 1996 SD 124, ¶ 6, 555 N.W.2d 102, 104 (“When a statute does not define a term, it should be construed according to its accepted usage, and a strained, unpractical or absurd result should be avoided.“) (citing Nelson v. South Dakota State Bd. of Dentistry, 464 N.W.2d 621, 624 (S.D.1991)).
Whenever an injury for which compensation is payable under this title shall have been sustained under circumstances creating in some other person than the employer a legal liability to pay damages in respect thereto, the injured employee may at his option either claim compensation or proceed at law against such other person to recover damages or proceed against both the employer and such other person, but he shall not collect from both.
(Emphasis added). The majority‘s construction of this one word, “collect,” renders the italicized section of the statute meaningless.
[¶ 14.] The majority opinion claims that a claimant such as Andreson is precluded from “further workers’ compensation benefits after taking judgment against a third party.” See supra ¶ 7.4 This conclusion is inconsistent with the statutes. How could a claimant ever “proceed against both” as permitted under the statutes according to the majority opinion? He could not, and that is why the majority decision is wrong.
[¶ 15.] The majority is essentially treating
We are not concerned with an election of remedies as that term is ordinarily used; no election between proceedings is required. Under the express terms of the statute an injured employee may proceed both against the employer under the compensation act and the third person in an action at law.
Id. at 334, 252 N.W. at 869 (emphasis added); accord Stratton v. Sioux Falls Traction Sys., 49 S.D. 113, 119, 206 N.W. 466, 468 (1925) (noting that the employer‘s right to reimbursement “precludes an election of remedies“).
[¶ 16.] In fact, in National Farmers Union Property & Casualty Co. v. Bang, 516 N.W.2d 313, 321 (S.D.1994), we stated that
Defendant Bang‘s argument that allowing a lien will result in procedural complications requiring a plaintiff to choose between proceeding against either a tortfeasor or his workers’ compensation carrier has no merit. A plaintiff is not required to determine the extent of workers’ compensation before proceeding with a tort claim.
(Emphasis added) (citing Helmbolt v. LeMars Mut. Ins. Co., 404 N.W.2d 55, 59 (S.D. 1987)).
[¶ 17.] Reimbursement to the employer is, and always was, an inherent provision of the statutory framework for compensating the employee injured by a third party. See
If compensation has been awarded and paid under this title and the employee has recovered damages from another person, the employer having paid the compensation may recover from the employee such an amount equal to the amount of compensation paid by the employer to the employee, less the necessary and reasonable expense of collecting the same.
See also 6 Larson‘s Workmen‘s Compensation Law § 71.20, at 14-5 to 14-13:
The obvious disposition of the matter is to give the employer so much of the negligence recovery as is necessary to reimburse him for his compensation outlay, and to give the employee the excess. This is fair to everyone concerned: the employer, who, in a fault sense, is neutral, comes out even; the third person pays exactly the damages he would normally pay, which is correct, since to reduce his burden because of the relation between the employer and the employee would be a windfall to him which he has done nothing to deserve; and the employee gets a fuller reimbursement for actual damages sustained than is possible under the compensation system alone.
. . .
As for the employee, he gets no windfall; what he gets is nothing more than actual restoration to himself of what he has lost because of the third person‘s wrongful act. . . . The right of the claimant to keep a double recovery must not be confused with the right to collect the double recovery subject to the obligation to pay over to the employer or carrier the amount of the latter‘s compensation outlay.
(Emphasis in original).
[¶ 18.] A plain reading of
[¶ 19.] The fear of double recovery is unfounded in light of the reimbursement provisions of
An injured employee who believes that his injury arose out of and in the course of his employment, and who also believes that it was caused by the tort of a third party, is confronted with the possibility of claiming compensation and of suing the third party at common law. The statutes of many jurisdictions allow him to proceed with both, always, of course, subject to the condition that he cannot retain both recoveries.
(Emphasis added); see also St. Paul Fire & Marine Ins. Co., v. Farner, 648 F.2d 489 (8th Cir.1981) (construing
[¶ 20.] The majority‘s decision to dismiss this lawsuit and deny these benefits to Andreson based on fear of double recovery finds no support in the statutes. It is inconsistent with precedent, workers’ compensation treatises, and settled principles of statutory construction.12 We should reverse and remand for hearing.
Notes
If an injury for which compensation is payable under this title has been sustained under circumstances creating in some other person than the employer a legal liability to pay damages in respect thereto, the injured employee may, at the employee‘s option, either claim compensation or proceed at law against such other person to recover damages or proceed against both the employer and such other person. However, in the event the injured employee recovers any like damages from such other person, the recovered damages shall be an offset against any workers’ compensation which the employee would otherwise have been entitled to receive.
an employee may recover [underinsured motorist coverage (UIM)] from his employer if his injury was caused by a third-party tortfeasor, . . . that UIM policy provisions purporting to set off worker‘s compensation are invalid and that an entity that is self-insured for worker‘s compensation has a statutory lien against any self-insured UIM benefits for compensation paid.516 N.W.2d at 321. This case, like Benson, does not implicate the definition of “collect,” barring the type of redundancy Andreson attempts here.
If compensation is awarded under this title, the employer having paid the compensation, or having become liable therefor may collect in his own name or that of the injured employee, or his personal representative, if deceased, from any other person against whom legal liability for damage exists, the amount of such liability and shall hold for the benefit of the injured employee or his personal representative, if deceased, the amount of damages collected in excess of the amount of compensation paid such employee or his representative, less the proportionate necessary and reasonable expense of collecting the same, which expenses may include an attorney‘s fee not in excess of thirty-five per cent of damages so collected, and shall be subject finally to the approval of the department.
