In the Matter of Bernard Collins
No. 591, September Term, 2018
IN THE COURT OF SPECIAL APPEALS OF MARYLAND
August 2, 2019
Opinion by Eyler, Deborah S., J.
REPORTED; Circuit Court for Calvert County, Case No. C-04-CV-17-000175; Arthur, Shaw Geter, Eyler, Deborah S. (Senior Judge, Specially Assigned), JJ. *Gould, J., did not participate in the Court’s decision to designate this opinion for publication pursuant to Md. Rule 8-605.1.
Bernard Collins suffered a work related occupational disease for which he filed a claim for workers’ compensation with the Workers’ Compensation Commission. His employer and its insurers contested the claim. Eventually the claim was settled by means of an agreement for immediate payment of disability benefits and long-term payment of certain medical expenses. The agreement included a Release. Peggy Collins, Mr. Collins’s wife, was not a party to his claim and did not sign the Release.
Two years later Mr. Collins died of the occupational disease his claim was based on. Before the Commission, Mrs. Collins filed a claim for death benefits under the Workers’ Compensation Act (Act). The Commission ruled that her claim was barred by the Release her husband had signed when he settled his claim. In an action for judicial review, the circuit court upheld the Commission’s decision. This appeal followed.
Held: Judgment vacated and claim for death benefits remanded for further proceedings before the Commission. The Release did not bar Mrs. Collins’s claim for death benefits.
When a worker who has suffered an accidental injury or occupational disease covered by the Act later dies of that injury or disease, his dependent(s) is entitled to pursue death benefits in conformity with the criteria required by the Act. The worker’s claim for disability, medical, and vocational compensation is distinct and separate from his dependent’s claim for death benefits. Although both the worker’s claim and the dependent’s claim arise out of an injury or disease of the worker that is compensable under the Act, they are separate and independent claims. The dependent’s claim for death benefits is not derivative of the worker’s claim for compensation.
Mrs. Collins’s claim for death benefits arose when he died from his occupational disease; his death was the compensable event. Mr. Collins did not have the power to release his wife’s death benefits claim, which was inchoate at the time he settled his own workers’ compensation claim, only coming into fruition when he died of his occupational disease. Moreover, even if he did have the power to do so, which he did not, the language of the Release did not evidence an intention to do so.
The appellant in this case is Peggy Collins, Mr. Collins’s widow. After her husband’s death, she filed a claim in the Commission against the appellees for death benefits, alleging that his death resulted from his occupational disease. The Commission ruled that Mrs. Collins’s claim was barred by the release of claims Mr. Collins had given in settling his own claim. In the Circuit Court for Calvert County, Mrs. Collins petitioned for judicial review of that decision. Cross-motions for summary judgment were filed and, after a hearing, the circuit court agreed with the Commission and granted summary judgment in favor of Huntingtown and the insurers.
Mrs. Collins noted this appeal, posing one question, which we have rephrased as follows:
Did the release in the settlement agreement between Mr. Collins, Huntingtown, Chesapeake, and Selective operate to bar Mrs. Collins’s claim for death benefits under the Workers’ Compensation Act?
For the following reasons, we hold that the release did not bar Mrs. Collins’s claim for death benefits. Accordingly, we shall reverse the judgment of the circuit court with
FACTS AND PROCEEDINGS
The pertinent facts are undisputed. On February 13, 2012, Mr. Collins, then age 67,1 filed a workers’ compensation claim with the Commission, alleging that he had developed heart disease and hypertension caused by his firefighting work for Huntingtown. The Maryland Workers’ Compensation Act (“the Act“) creates a presumption of compensability for firefighters who develop heart disease and hypertension. See
Huntingtown and Chesapeake contested the claim. Chesapeake disputed the May 6, 2011 date of disablement, contending the correct date was December 12, 1998, when Mr. Collins underwent surgery for an aortic dissection. It successfully interpleaded Selective, which insured Huntingtown in 1998.
On March 19, 2014, following an evidentiary hearing, the Commission found that Mr. Collins had sustained an occupational disease (heart disease and hypertension), arising out of and in the course of his employment as a firefighter; that his last injurious
In the Circuit Court for Calvert County, Huntingtown and Chesapeake filed petitions for judicial review of the Commission’s decision. They both contested compensability generally and Chesapeake contested the Commission’s finding that the date of last injurious exposure occurred in 2011. In a cross-petition, Mr. Collins disputed the calculation of his average weekly wage.
While the petitions were pending, Mr. Collins and the appellees agreed to settle the claim and filed a stipulation of dismissal in the circuit court, which on March 13, 2015, dismissed the case and remanded the matter to the Commission.
On May 14, 2015, Mr. Collins entered into an “Agreement of Final Compromise and Settlement” (“the Agreement“) with Huntingtown, as employer, Chesapeake, as the insurer for Huntingtown, and Selective, as the “alleged insurer” of Huntingtown. After reciting the procedural background of Mr. Collins’s claim, the Agreement provided that, as part of the settlement, the parties agreed that Mr. Collins’s average weekly wage as of his date of disablement was $526.87; that Selective would pay him the lump sum of $100,000; and that Chesapeake would pay him the lump sum of $50,000 and fund a “Medicare Set Aside” annuity in the total amount of $47,192. The annuity would be
At Paragraph 11 of the Agreement, Mr. Collins, as “the Claimant,” agreed to the following language of release (“the Release“):
The Claimant hereby accepts this Agreement and the aforesaid payment(s) in final compromise and settlement of any and all Claims which the Claimant, his personal representative, dependents, spouse and children or any other parties who might become beneficiaries under the Workers’ Compensation Law, might now or could hereafter have under the provision of the said Law, arising out of the aforesaid injury or disablement or the disability resulting therefrom, and does hereby, on behalf of himself and all of said other parties, release and forever discharge the Employer [Huntingtown], Chesapeake and Selective, their personal representative, heirs, successors and assigns, from all other claims of whatsoever kind which might or could hereafter arise under the Law from the said injury, disablement or disability.
The Agreement was signed by Mr. Collins, his attorney, and representatives of Huntingtown, Chesapeake, and Selective. It was filed with the Commission on May 19, 2015, along with a “Settlement Worksheet,” a “Claimant’s Affidavit in Support of Settlement,” a “Medicare Set-Aside Allocation Recommendation” prepared by a third-party firm, a letter from the Centers for Medicare and Medicaid Services approving the
On June 4, 2015, the Commission approved the Agreement pursuant to
Just over two years later, Mr. Collins died from a cardiac arrest secondary to his heart disease and hypertension. On July 11, 2017, Mrs. Collins filed a “Dependent’s Claim for Death Benefits” with the Commission, pursuant to
The Commission held a hearing on Mrs. Collins’s claim on September 7, 2017. The issues in dispute were whether the Release barred Mrs. Collins from receiving death benefits; Mr. Collins’s date of disablement; his average weekly wage; and whether Mrs. Collins was partially or wholly dependent upon Mr. Collins when he became disabled.
In the Circuit Court for Calvert County, Mrs. Collins filed a timely petition for judicial review and prayed a jury trial. Huntingtown and Chesapeake opposed the petition and moved for summary judgment on the issue of release.3 Mrs. Collins opposed the motion and filed a cross-motion for summary judgment on that issue.
On May 1, 2018, after a hearing on the motions, the circuit court entered an opinion and order determining that the Release barred Mrs. Collins’s claim, and granted summary judgment in favor of Huntingtown and Chesapeake. It subsequently entered an order clarifying that judgment also was granted in favor of Selective. This timely appeal followed.
STANDARD OF REVIEW
As in any “typical administrative agency appeal . . . we . . . look through the circuit court judgment to review the decision of the Commission.” Stine v. Montgomery Cty., 237 Md. App. 374, 381 (2018). In so doing, we apply these guidelines:
[A] decision of the Commission is “presumed to be prima facie correct.” [LE] § 9-745(b)(1). . . . [W]e review a Commission decision only to determine whether the Commission “(1) justly considered all of the facts about the accidental personal injury . . . ; (2) exceeded the powers granted to it under this title; or (3) misconstrued law and facts applicable in the case decided.” [LE] § 9-745(c). Indeed, “only upon a finding that its action was
based upon an erroneous construction of the law or facts” will we reverse a Commission ruling. Frank v. Baltimore County, 284 Md. 655, 658 (1979). In other words, “[n]otwithstanding the deferential treatment of the Commission’s decision, a reviewing court has broad authority and may reverse the Commission’s decision when it is based on an erroneous conception of the law.” Board of County Comm’rs v. Vache, 349 Md. 526, 533 (1998).
Mona Elec. Servs., Inc. v. Shelton, 148 Md. App. 1, 5 (2002), aff’d 377 Md. 320 (2003).
DISCUSSION
A.
The legislative purpose of the Act is “to provide employees with compensation for loss of earning capacity, regardless of fault, resulting from accidental injury, disease, or death occurring in the course of employment.” DeBusk v. Johns Hopkins Hosp., 342 Md. 432, 437 (1996). The Act “strikes an important balance between the need to provide some form of financial benefits to injured or sick employees and the need, of both employers and employees, to avoid expensive and unpredictable litigation over accidents in the workplace.” Id. at 438 (emphasis in original) (citing Richard P. Gilbert & Robert L. Humphreys, Jr., Maryland Workers’ Compensation Handbook §§ 1.0-1.2 (2d ed. 1993 & Supp.1996)). Because the Act is remedial legislation, it must be “construed as liberally in favor of injured employees as its provisions will permit in order to effectuate its benevolent purposes.” Johnson v. Mayor & City Council of Baltimore, 430 Md. 368, 377 (2013) (citations omitted).
The Act imposes liability on employers and/or insurers to compensate employees, during their lifetime, for medical expenses resulting from work-related injuries or disease, and to “provide a measure of compensation for lost wages or loss of earning
Subtitle 6 of the Act, governing “Benefits,” is divided into thirteen parts. Parts II through V establish categories of disability compensation benefits for the injured worker: temporary partial disability (Part II); temporary total disability (Part III); permanent partial disability (Part IV); and permanent total disability (Part V). See
Part IX governs medical benefits, which, unlike most disability benefits, are not time-limited and have no maximum cap. See
Part XII governs death benefits. As pertinent, it provides that if there are “individuals who were dependent on a deceased covered employee at the time of death resulting from an accidental personal injury or occupational disease, the employer or its insurer shall pay death benefits . . . .”
Subtitle 7 of the Act sets forth the procedures for filing and adjudicating claims. Two provisions are pertinent to this appeal. Under
[s]ubject to approval by the Commission . . . after a claim has been filed by a covered employee or the dependents of a covered employee, the covered employee or dependents may enter into an agreement for the final compromise and settlement of any current or future claim under this title with:
(1) the employer;
(2) the insurer of the employer;
(3) the Subsequent Injury Fund; or
(4) the Uninsured Employers’ Fund.
A settlement agreement “shall contain the terms and conditions that the Commission considers proper.”
B.
Sea Gull Specialty Co. v. Snyder, 151 Md. 78 (1926), is the seminal case construing the death benefits provisions of the Act. There, the Court of Appeals considered whether the Commission (then known as the State Industrial Accident Commission) erred in calculating the death benefits payable to the widow of a covered worker. The worker suffered an accidental injury and had received temporary total disability compensation. He later died from his injury, and his widow filed a claim for death benefits. The worker’s employer acknowledged that the widow was entitled to death benefits but argued that the amount of her benefits should be reduced by the amount of temporary total disability benefits paid to her husband during his lifetime. The Commission rejected that argument and awarded the widow full death benefits.
Relying upon the plain language of the statutes governing disability and death benefits under the Act, the Court of Appeals upheld the Commission’s decision. At that time, the Act provided that if a compensable injury caused death within three years,
Compensation for the death is payable to and belongs to the dependent, while compensation awarded to the living employee is payable and belongs to him. . . . In other words, the Legislature has said to the employee: “If you are injured under the conditions provided, you are entitled to the definite compensation fixed by the law.” Having said this, they then say to the dependents of the deceased injured employee: “If the employee died within three years as a result of the injury, your dependents are entitled to compensation.”
The independence of a worker’s claim for compensation benefits from his dependent’s claim for death benefits was again central in Cline v. Mayor and City Council of Baltimore, 13 Md. App. 337 (1971), aff’d 266 Md. 42 (1972) (per curiam).4 In that case, a worker suffered an accidental work injury and died two months later. The day before he died, an amendment to the Act increasing the death benefits payable went into effect. The issue on appeal was whether, in her death benefits claim, the worker’s
This Court reversed. We explained that a dependent of a deceased worker may have one of two types of claims under the Act. If the worker did not die from his compensable injury, but from some other cause, and, at the time of his death, there were unpaid permanent disability benefits, then the dependent was entitled to make a claim for the unpaid benefits that survived under the Act. Alternatively, if the worker died from his compensable injury, the dependent was entitled to make a claim for death benefits. In the former scenario, “it is not the death that is compensable . . . but rather the injury” and the dependent “take[s] under [the worker], and not independently.” Id. In the latter scenario, although the dependent’s claim
arises out of the compensable injury, it is the employee’s death itself which is the compensable event, and the right of the surviving dependents to death benefits is separate and independent of the injured employee’s rights and does not depend upon whether compensation was paid to the injured workman during his lifetime.
Id. at 340-41 (emphasis added) (citing Seagull, 151 Md. at 78). We reasoned that because “the dependent’s right to death benefits is an independent right derived from statute, and not from the rights of the decedent[,]” id. at 341, the amount of death benefits payable to a dependent under the Act must be determined from the schedule in effect when the worker died, not from the schedule in effect when the worker was injured. We observed that our reasoning on this issue was validated by decisions of other state courts
C.
Mrs. Collins contends the Commission (and the circuit court) erred by construing the Release to bar her claim for death benefits, for several interrelated reasons. First, relying upon the cases discussed above, she argues that, under the Act, a dependent’s claim for death benefits is independent and not derivative of the worker’s claim for compensation benefits, and, consequently, the worker may not contract away the dependent’s death benefits claim. Accordingly, Mr. Collins did not have the power to release her death benefits claim in his case. Second, because she was not a signatory to the Agreement, and indeed was not a party to her husband’s case, the Release in the Agreement did not and could not have had the effect of barring her from bringing a claim for death benefits. Finally, even if Mr. Collins could have released her death benefits claim, the language of the Release did not evidence an intent on his part to do so.
Huntingtown, Chesapeake, and Selective respond that the language of the Release is clear and unambiguous and plainly bars Mrs. Collins’s death benefits claim because it releases liability for “all other claims of whatsoever kind which might or could hereafter arise” from Mr. Collins’s occupational disease. (Emphasis added.) They maintain that a claim for death benefits is wholly derivative of the worker’s claim for disability because it arises from the worker’s compensable work-related injury or disease; therefore, it is barred by the plain language of the Release. Furthermore, they argue that because
D.
The controlling case law and unambiguous language of the Act lead us to conclude that, if we assume for the sake of argument that the language of the Release can be construed to give up a future claim by Mrs. Collins for death benefits, the Release was ineffective to do so. We explain.
“The cardinal rule of statutory interpretation is to ascertain and effectuate the real and actual intent of the Legislature.” Lockshin v. Semsker, 412 Md. 257, 274 (2010). “If the language of the statute is unambiguous and clearly consistent with the statute’s apparent purpose, our inquiry as to legislative intent ends ordinarily and we apply the statute as written, without resort to other rules of construction.” Id. at 275.
In Seagull, Di Pietro, and Cline, the Court of Appeals and this Court concluded that the pertinent language of the Act is unambiguous and clearly creates two separate classes of compensation benefits: 1) disability, medical, and vocational rehabilitation benefits that belong to the injured worker and compensate him for loss of income and
When a covered worker suffers a compensable accidental injury or develops an occupational disease, his dependents’ entitlement to death benefits is inchoate, as it is not certain ever to accrue. If the injured worker dies of a cause unrelated to the workplace injury or disease, the potential claim for death benefits is extinguished, although a dependent of the worker may be entitled to unpaid disability benefits under the survival provisions of the Act. (Likewise, a dependent of the worker may die before the worker dies). If the worker dies from the compensable injury or disease and leaves a dependent, however, the death benefits claim becomes choate. In that situation, the employer or insurer “shall pay death benefits” upon a showing of total or partial dependency at the time of the accidental injury or last injurious exposure.
Although the law is well settled as to the separate and distinct nature of compensation and death benefits, there are no Maryland appellate cases that have addressed the issue in this case: whether a worker who settles his claim during his
To answer this question, we begin with
We read
This construction is consistent with the benevolent purpose of the settlement oversight requirement, which “is to prevent advantage being taken of a claimant’s
In the case at bar, there was one claimant in the case that was settled - - Mr. Collins - - and he was the only person who signed the Agreement, other than those representing the employer and insurers. Mrs. Collins was not a party to her husband’s workers’ compensation case, did not sign the Agreement that includes the Release, and there is no suggestion that she participated in negotiating the Agreement. The Agreement, including the Release, was not enforceable against her for the additional reason that
The Court of Appeals’ decision in Melitch, 121 Md. at 457, does not alter our conclusion. Melitch was decided under the Wrongful Death Act. Although a wrongful death action bears some similarity to a Workers’ Compensation Act claim for death benefits, in that it is a “new and independent cause of action, distinguishable from a decedent’s own personal injury action during his or her lifetime, or a survival action,” Spangler v. McQuitty, 449 Md. 33, 54 (2016) (footnote omitted) (McQuitty III), the statutes governing them differ in significant respects. Under the Wrongful Death Act, a beneficiary may bring an action for damages against a person “whose wrongful act causes the death of another[,]”
It was the ambiguous language of the Wrongful Death Act that undergirded the Court’s holding in Melitch that an injured party’s agreement, in exchange for “a valuable consideration,” to release a defendant “from all and every claim and demand which he
The same result does not follow under the Workers’ Compensation Act. The Wrongful Death Act creates a cause of action in favor of certain surviving relatives of a deceased person. The Workers’ Compensation Act establishes a statutory entitlement to benefits in favor of the dependents of a covered worker. If the statutory criteria are met, the benefits “shall be paid.”
E.
Even if Mr. Collins could have unilaterally released Mrs. Collins’s claim for death benefits, which we have held he could not, the language of the Release does not evince a clear intent on his part to do so. “Releases are contractual, and they are therefore governed by ordinary contract principles.” Chicago Title Ins. Co. v. Lumberman’s Mut. Cas. Co., 120 Md. App. 538, 548 (1998). Thus, our primary task is to “ascertain and
The Release is made on behalf of “the Claimant,” i.e., Mr. Collins. He agrees, in consideration for the payment of $150,000 and the Medicare Set-Aside annuity, to a “final compromise and settlement of any and all Claims which [he], his personal representative, dependents, spouse and children or any other parties who might become beneficiaries under [the Act] might now or could hereafter have under the [Act], arising out of [his heart disease and hypertension] or the disability resulting therefrom[.]” He further agrees, “on behalf of himself and all of said other parties, [to] release and forever discharge the Employer, Chesapeake and Selective . . . , from all other claims of whatsoever kind which might or could hereafter arise under Law from the said injury, disablement or disability.”
Notably missing from the language of the Release is any mention of death resulting from Mr. Collins’s covered injury or any future claim for death benefits under the Act. Although Mr. Collins purports to release future claims that could “arise” from his occupational disease, as we have discussed, a claim for death benefits accrues and arises from a covered worker’s death from the disease (or injury), not from the disease (or injury) itself. Given Mr. Collins’s age and medical condition, the possibility that he
For all these reasons, the Commission and the circuit court erred as a matter of law in ruling that the Release barred Mrs. Collins from recovering death benefits under the Act. Accordingly, we shall reverse the circuit court’s summary judgment in favor of the appellees and remand this case to the circuit court to enter summary judgment in favor of Mrs. Collins and to remand the case to the Commission for further proceedings, not inconsistent with this opinion, on her claim for death benefits.
JUDGMENT OF THE CIRCUIT COURT FOR CALVERT COUNTY REVERSED; CASE REMANDED TO THAT COURT WITH INSTRUCTIONS TO ENTER JUDGMENT IN FAVOR OF THE APPELLANT AND TO REMAND THE CASE TO THE WORKERS’ COMPENSATION COMMISSION FOR FURTHER PROCEEDINGS NOT INCONSISTENT WITH THIS OPINION. COSTS TO BE PAID BY THE APPELLEES.
