Ramsey v. KohlRamsey v. Kohl
Lead Opinion
Plаintiff Charles Ramsey filed a worker’s compensation claim against his former employer, E. H. Rowley Company, where he had been employed from 1983 until 1986. In his claim, he alleged that his exposure at work to certain industrial chemicals resulted in a disabling medical condition that began in September 1986. The worker’s сompensation claim was ultimately redeemed for $65,000 paid by E. H. Rowley’s insurer, the Accident Fund Company. Subsequently, plaintiffs hired the defendant law firms and lawyers to pursue a products liability claim against the manufacturers and sellers of certain chemicals that allegedly caused plaintiff to suffer medical injuriеs.
The Accident Fund sought to intervene in order to protect its interest in any recovery by plaintiff from defendants.
On appeal, the Accident Fund first argues that the trial court erred in denying its motion to intervene. We disagree. A carrier’s right to intervene in a third-party action is contingent on its statutory right to assert a worker’s compensation lien. McKenny v Crum & Forster,
As a general matter, an employer or worker’s compensation insurance carrier that has paid benefits to
The question whether an employer or its insurance carrier may assert a worker’s compensation lien against the proceeds of a legal malpractice action is one of first impression in Michigan. Courts in other jurisdictions considering similar provisions are split with regard to the question. Those foreign courts allowing employers or insurance carriers to assert worker’s compensation liens on legal malpractice recoveries have relied primarily on (1) the general policy of the reimbursement statutes, which is to prevent injured workers from receiving windfall double recovеries, and (2) the fact that the measure of damages in a legal malpractice action is equivalent to the amount the plaintiff would have otherwise recovered in the underlying tort action (i.e., the “suit within a
The primary goal of judicial interpretation of statutes is to ascertain the intent of the Legislature. Farrington v Total Petroleum, Inc,
The clear language of
We are аware of the general, policy against double recoveries indicated by
Because
Affirmed.
Notes
Plaintiff Bonnie Ramsey’s sole claim in the tort action underlying the instant malpractice case was for the loss of the society of her husband, plaintiff Charles Ramsey. For the sake of clarity, we will refer to Charles Ramsey alone as plaintiff.
Although intervention is not necessary to assert a worker’s compensation lien, the better practice is to formally intervene. See Ohio Farmer’s Ins Co v Neff,
(1) Where the injury for which compensation is payable under this act was caused under circumstаnces creating a legal liability in some person other than a natural person in the same employ or the employer to pay damages in respect thereof, the acceptance of compensation benefits or the taking of proceedings to enforce comрensation payments shall not act as an election of remedies but the injured employee or his or her dependents or personal representative may also proceed to enforce the liability of the third party for damages in accordance with this section. If the injured employee or his or her dependents or personal representative does not commence the action within 1 year after the occurrence of the personal injury, then the employer or carrier, within the period of time for the commencement of actions prescribed by statutе, may enforce the liability of such other person in the name of that person. ... Any party in interest shall have a right to join in the action.
(5) In an action to enforce the liability of a third party, the plaintiff may recover any amount which the employee or his or her dependents or personal reрresentative would be entitled to recover in an action in tort. Any recovery against the third party for damages resulting from personal injuries or death only, after deducting expenses of recovery, shall first reimburse the employer or carrier for any amounts paid or payable under this act to dаte of recovery and the balance shall immediately be paid to the employee or his or her dependents or personal representative and shall be treated as an advance payment by the employer on account of any future payments of compensation bеnefits.
Concurrence Opinion
(concurring). I write separately in order to express my reservations about our holding in this opinion, but nevertheless to join in it. In construing
A number of jurisdictions, recognizing similar policiеs against the double recovery of benefits, have construed similar or identical statutory language in favor of allowing an employer’s lien against a legal malpractice award. Williams v Katz,
In my judgment, there is no apparеnt policy basis for denying an employer or carrier lien under the circumstances of this case. Plaintiff here sought exactly the same damages in his malpractice claim as he would have sought in his tort claim. Had the malpractice claim not been settled, plaintiff would have been required at triаl, as part of the “suit within a suit,” to establish exactly the same elements of negligence and damages as in his tort claim. The malpractice claim compensated plaintiff for exactly the same injuries for which the tort claim would have compensated him. In addition, the compensation in the malрractice action was measured by exactly the same factors as would have measured his compensation in the tort claim. Plaintiff’s malpractice recovery is derivative and duplicative of his tort action.
In short, there is no apparent basis for subordinating Michigan’s strong policy against double recovery under the circumstances of this case. To situate plaintiff differently from any other prevailing employee in a tort action—and to situate the Accident Fund differently from any other employer or carrier—in terms of the former’s obligation to reimburse the latter, is to create a categoiy that lacks any rational justification. One employee, who has gained compensation benefits
Having said this, and while quite certain that few legislative bodies would countenance the instant result if they had had the occasiоn to anticipate these circumstances, I am constrained nevertheless to join the majority because I am unable to stretch the language of
Therefore, I agreе with the majority that “it is not for this Court to enforce the general policy suggested by a statute at the expense of the specific language of the statute.” Ante at 562-563. Rather it is now the responsibility of the Legislature to review our decision and determine whether these results are in accordance with its currеnt intentions.
There is also the greater potential for gamesmanship on the part of the employee and his lawyer in structuring a malpractice settlement so as to place it beyond the reach of the employer’s lien. Whether this has occurred in the instant case, as asserted by the Accident Fund, cannot be determined in light of the trial court’s (and this Court’s) threshold finding that the law does not permit a lien under the circumstances of this case.