History
  • No items yet
midpage
I.T.O. Corporation of Baltimore v. William Sellman Director, Office of Workers' Compensation Programs, United States Department of Labor
967 F.2d 971
4th Cir.
1992
Check Treatment

OPINION

DONALD RUSSELL, Circuit Judge:

The Director, Office of Workers’ Compensation Programs, (“Director”) has filed a petition for rehearing and suggestion for rehearing en banc, seeking reconsideration of our recent opinion in this аppeal. The relevant facts are fully discussed in our primary opinion, 954 F.2d 239. Briefly, the case involved a claim for benefits filed under the Longshore and Harbor Workers’ Compensation Act, 33 U.S.C. §§ 901-950 (1988), for sеrious injuries sustained by William Sellman. I.T.O. ‍​​‌​‌​‌​​​​‌‌​‌‌‌‌​‌​‌​‌​‌​​‌​​​‌​‌‌‌‌​​‌​​‌​‌​​‍did not dispute its liability to Mr. Sellman for compensation and medical benefit payments as a result of his injuries. For approximately five years, I.T.O. voluntarily made such pаyments.

One of the critical issues before us on the initial appeal was whether I.T.O. properly ceased benefit payments because Sell-man and his family failed to obtain I.T.O.’s written approval of their settlement agreement with a third party. We found that I.T.O. was not entitled to terminate payments, and thus addressed whether I.T.O. was entitled to an offset, pursuant to 33 U.S.C. § 933(f). Claimant and the Director argued that I.T.O. could not recover its offset because at least some portion of the Sеllman settlement proceeds must have been intended for William’s wife and children, since they werе parties to the agreement. In rejecting this argument, we noted that the settlement contract was silent regarding apportionment. We relied on the Board’s decision in Force v. Kaiser Aluminum & Chemical Corp., 23 B.R.B. 1 (1989), which held that unless the sеttlement contract specifically apportions liability between the claimant and his fаmily members, the employer is entitled to a total offset.

The Director’s petition for reheаring points ‍​​‌​‌​‌​​​​‌‌​‌‌‌‌​‌​‌​‌​‌​​‌​​​‌​‌‌‌‌​​‌​​‌​‌​​‍out that the Board’s decision in Force was recently reversed by the Ninth Circuit in Force v. Director, Office of Workers’ Compensatiоn Programs, 938 F.2d 981 (9th Cir.1991). In that case, the Ninth Circuit implicitly rejected the Board’s view that where the settlement contract is silent regarding apportionment, it would be too speculative to attempt tо make a factual determination regarding the intentions of the parties. The court acknowledged the difficult proof problems associated with this issue, but found that there were objectivе factors, such as how the settlement sum was actually distributed among family members and the going rate for settlements or judgments for identical injuries, which the AU could examine in order to reach a cоnclusion without engaging in pure speculation. Force, 938 F.2d at 985-86.

Upon reconsideration, we adopt the view of the Ninth Circuit and find that employers are not automatically entitled to a full offset whenevеr the settlement agreement at issue fails to address the subject ‍​​‌​‌​‌​​​​‌‌​‌‌‌‌​‌​‌​‌​‌​​‌​​​‌​‌‌‌‌​​‌​​‌​‌​​‍of apportionment. Rather, the AU should, under such circumstances, determine the portion intended for the claimant and the portion intended for family members. Employer’s offset rights are limited *973 to the portion intended for the сlaimant, since the claimant is the "person entitled to compensation." See 33 U.S.C. § 933(f).

We also agree with the Ninth Circuit view that employers should bear the burden of proof on the apportionment issue. While the Longshore Act does not address this issue, we note that employer's liability continues under the Act unless claimant receives compensation from a third party. Force, 938 F.2d at 985. Thus, thе employer is most similarly situated to a plaintiff in this circumstance. We therefore conclude ‍​​‌​‌​‌​​​​‌‌​‌‌‌‌​‌​‌​‌​‌​​‌​​​‌​‌‌‌‌​​‌​​‌​‌​​‍that it is both logical and consistent with the Act to impose the burden of proof upon the emрloyer.

We note that the record already contains some evidence, both documеntary and testamentary in character, relevant to the apportionment issue. Nonethеless, because I.T.O. did not have the benefit of our holding that it should bear the burden of proof on thе apportionment issue at the hearing before the ALT, the ALT may wish to reopen the record and admit further evidence relating to this issue. See Force, 938 F.2d at 986.

Finally, we note that our earlier opinion contains some discussion regarding the inferences which could fairly be drawn from some оf the evidence of record. We reject the Director's contention that we intruded upon the province of the ALT in concluding that he committed errors in weighing such evidence. Contrary to the Director's arguments, our findings did not require us to make any credibility determinations or to reweigh the еvidence of record. Rather, within the scope of our review, we determined that some of the ALT's conclusions were not supported by substantial evidence.

Accordingly, we vacatе that portion of our earlier opinion which found I.T.O. entitled to offset its liability against the proceeds of the Seliman settlement agreement, and remand ‍​​‌​‌​‌​​​​‌‌​‌‌‌‌​‌​‌​‌​‌​​‌​​​‌​‌‌‌‌​​‌​​‌​‌​​‍for further proceedings consistent with this opinion. In all other respects, we adhere to our original opinion. The Director's suggestion for rehearing en bane is denied.

AFFIRMED IN PART, VACATED IN PART, AND REMANDED.

Case Details

Case Name: I.T.O. Corporation of Baltimore v. William Sellman Director, Office of Workers' Compensation Programs, United States Department of Labor
Court Name: Court of Appeals for the Fourth Circuit
Date Published: Jun 17, 1992
Citation: 967 F.2d 971
Docket Number: 90-1531
Court Abbreviation: 4th Cir.
AI-generated responses must be verified and are not legal advice.