G & J Pepsi-Cola Bottlers, Inc. v. FletcherG & J Pepsi-Cola Bottlers, Inc. v. Fletcher
OPINION AND ORDER
Thе single question in this appeal is whether the Bourbon Circuit Court erred in summarily dismissing the subrogation
The facts of this case are neither complex nor in dispute. On March 26, 1999, Nicholas Fletcher, while driving a vеhicle owned by his employer, G & J Pepsi-Cola Bottlers (“G & J”), was involved in an automobile collision with a vehicle driven by David Urmson. Fletcher sustained serious physical injuries and filed the underlying litigation against Urmson. Because it appeared that Urmson was under-insured, Fletcher also sued Ohio Casualty Group, his personal automobile insurance carrier, for underinsured motorist’s (“UIM”) benefits. Fletcher subsequently amended his complaint to add a UIM clаim against United States Fire Insurance Company (“US Fire”), the insurer of G & J’s fleet of vehicles. Finally, G & J intervened in this action in June 2001, to assert a $370,000.00 subrogation claim for workers’ compensation benefits paid to Fletcher as a result of the same automobile accident.
Due to the extent of Fletcher’s injuries and the fact that Urmson’s automobile insurance policy provided only the minimum limits, the focus of the circuit court litigation was the UIM cоverage. The primary issue became whether G & J could assert a subrogation claim against the benefits Fletcher was seeking from U.S. Fire and Ohio Casualty. The issue was resolved on Fletcher’s motion for pаrtial summary judgment. Relying upon the language of
As previously noted, this appeal was held in abeyance pending a decision by the Supreme Court in Samples. In its supplemental brief, G & J argues that Samples requires reinstatement of its subrogation claim in order to effectuate the statutory prohibition against double recovery. G & J asserts that allowing Fletcher to proceed on his UIM claim without allowing its sub-rogation claim is contrary to Samples’ holding that a plaintiff cannot recover UIM damages which duplicate his workers’ compensation benefits.
Ohio Casualty and U.S. Fire disagree. Ohio Casualty maintains that
Samples
simply holds that an employee may not recover UIM benefits which duplicate his workers’ compensation award, but it does not address or change well-settled сaselaw that a workers’ compensation carrier may
We preface our discussion of the merits of G & J’s appeal with a reiteration of the analysis set out in State Farm concerning the nature of UIM benefits and the genesis of an employer’s subrogation rights:
As we construeKRS 342.055 [nowKRS 342.700(1) ], the subrogation statute, “the other person in whom legal liability for damages exists” quite clearly refеrs to the third-party tortfeasor who is liable at common law. A payment made in performance of a contractual obligation is not a payment of “damages.” Hence the liability of an insuranсe company under its uninsured motorist coverage cannot be the “legal liability for damages” mentioned inKRS 342.055. Moreover, the satisfaction of an injured party’s claim by his own insurance company under its uninsurеd motorist coverage does not inure to the benefit of the uninsured motorist. His liability is not extinguished, and it may be enforced by both the carrier which has paid workmen’s compensation benefits and the carriеr which has paid under the uninsured motorist coverage. As between these two subrogees, however, the compensation carrier has priority, because otherwise the automobile policy wоuld indeed interfere with the rights given to the compensation carrier underKRS 342.055. Cf. Horne v. Superior Life Ins. Co.,203 Va. 282 ,123 S.E.2d 401 , 405 (1962).
To hold that the contractual rights of an insured party under the uninsured motorist clause of an automobile liability insurance policy must inure to the benefit of a workmen’s compensation carrier to the extent of compensation paid or payable to him would confer upon the compensation carrier an additional right which it does not have under the subrogation statute. The injured party, or the person under whose insurance policy he is defined as an “insured,” has no obligation to his employer’s compensation сarrier to carry any automobile liability insurance whatever. In the absence, therefore, of a statute or agreement to the contrary, what can be the source of the compensаtion carrier’s right to have the benefits of such insurance? The answer, we think, is that there is none.
The issue to be resolved in Samples is clearly stated by the Court:
In Krahwinkel v. Commonwealth Aluminum Corp.,183 S.W.3d 154 (Ky.2005), we held thatKRS 342.700(1) precludes a civil plaintiff from recovering from a tortfeasor the same elements of damages for which he had already been compensated by way of workers’ compensation benefits; and that the tortfeasor is entitled to an offset or credit against the judgment for those damages awarded by the jury that duplicate workers’ compensation benеfits.183 S.W.3d at 160 . The issue in this case is whether the same principle applies to a civil plaintiff seeking to recover damages, dupli-cative of workers’ compensation benefits, against a UIM (or for that mаtter uninsured motorist (“UM”)) carrier who is sued for damages otherwise payable by the underinsured (or uninsured) tortfeasor.
In answering that question, the Court commences its analysis with an acknowledgment that
[T]he purpose and intent of the uninsured [and underinsured] motorist statute is to treat the insured victim as if the tortfeasor is insured. Hence, the UM [and UIM] carrier stands in the wrongdoer’s shoes for purposes of paying damages....
KRS 304.39 -320(2) requires “every insurer” to make available upon request UIM coverage to pay “for such uncompensated damages as he may recover on account of injury due to a motor vehicle accident because the judgment reсovered against the owner of the other vehicle exceeds the liability policy limits thereon_” (Emphasis added.) In other words, the UIM carrier is hable only for damages for which the insured would have been compensated but for the fact that the tortfeasor was underin-sured. It follows that if the underin-sured tortfeasor could not be held liable for an item of damages, that item is not “uncompensated damages” payable by the UIM carrier. The UIM carrier is liable for damages only to the extent to which the underinsured tortfeasor is or could have been held liable.
Finally in this regard, we note that while
Samples
makes clear that the UIM carrier’s liаbility is measured by the liability of the tortfeasor, it does not follow that payments made under a UIM contract are the payment of legal damages in the traditional sense. While the UIM carriers may stand in the shoes of the tortfeasor for the sole purpose of making the injured party whole, the UIM contract does not provide an additional right of subrogation not provided for in
G & J also complains of thе failure to conduct an evidentiary hearing alleging that a factual issue exists as to whether the UIM benefits are duplicative of workers’ compensation payments Fletcher has already reсeived. Because of our conclusion that as a matter of law G & J is not entitled to subrogation against the UIM carriers, there was no error in failing to conduct an evidentiary hearing to resolve a fаctual question.
Finally, we dispose of a procedural matter. Fletcher filed a motion to dismiss this appeal as settled on the basis of an agreement reached in his underlying workers’ compensаtion claim. A motion panel of this Court treated that motion as a motion to dismiss portions of this appeal and to strike portions of G & J’s brief and passed the motions to this panel for consideratiоn. Having considered the motions, the response of G & J, and being otherwise sufficiently advised, the Court ORDERS that those motions be and they are hereby
Accordingly, we find no error in the summary dismissal of G & J’s subrogation claim and affirm the judgment of the Bourbon Circuit Court.
ALL CONCUR.