HAROLD H. ROE, Petitioner, v. WORKMEN‘S COMPENSATION APPEALS BOARD, AEROJET GENERAL CORPORATION et al., Respondents.
S.F. No. 23111
In Bank
Nov. 27, 1974.
12 Cal. 3d 884
COUNSEL
William H. Whittington, Jr., for Petitioner.
Charles Lawrence Swezey, Sheldon C. St. Clair, Robert A. Seligson, Mullen & Filippi and William J. O‘Neil for Respondents.
OPINION
THE COURT.—Petitioner Harold Roe seeks annulment of an award of respondent Workmen‘s Compensation Appeals Board (Board) in favor of petitioner and against respondent Transport Indemnity Company insofar as said award orders that Transport Indemnity Company be granted credit for the net amount of the third party recovery secured by petitioner for damages proximately resulting from the accident involved.
After decision by the Court of Appeal, Third Appellate District, directing the Board to vacate its order granting the employer/carrier‘s claim of credit for the net amount of the third party recovery and to reconsider such claim, we granted a hearing in this court for the purpose of giving further consideration to the issues raised. Having made a thorough examination of the cause, we have concluded that the opinion of the Court of Appeal prepared by Acting Presiding Justice Friedman and concurred in by Justice Regan and Justice Janes correctly treats and disposes of the issues involved and we adopt such opinion as and for the opinion of this court. Such opinion (with appropriate additions and deletions) is as follows:*
Roe, an employee, received severe industrial injuries in an accident featured by the negligence of a third party. He received temporary disability workmen‘s compensation benefits and also filed a damage action against the third party. The employer/carrier knew of the lawsuit but stayed out of it. Roe and the third party settled the lawsuit without reference to the employer‘s status. Roe‘s net recovery was over $16,000.
Roe then applied to the Workmen‘s Compensation Appeals Board for
Various provisions of the Labor Code1 subrogate an employer (or his workmen‘s compensation insurer) to the common law tort recovery of an injured employee, permitting the employer/carrier to recover its workmen‘s compensation outlays from a negligent third party through an independent lawsuit, or by joining the employee‘s lawsuit or by claiming a lien on the employee‘s recovery. (
The Witt v. Jackson indemnification cycle requires the settlement or adjudication of claims in two forums—the Workmen‘s Compensation Appeals Board and the courts. Workmen‘s compensation benefits which have been paid before resolution of the lawsuit provide a mathematical factor for allocating monetary responsibility. Accidental or manipulated time relationships may obstruct fulfillment of the indemnification cycle. Quantification is not possible when the lawsuit culminates in a settlement or award before the workmen‘s compensation benefits are fixed, or when the lawsuit is concluded without resolving the issue of employer negligence.
In this case the employee had received only temporary disability benefits before settlement of the lawsuit; the employer/carrier stayed out of the litigation; the third party settled without asserting any deduction for employer negligence; the employer/carrier then turned to the appeals board, seeking to deduct the settlement from future workmen‘s compensation benefits. The board‘s grant of credit was based on
In Nelsen v. Workmen‘s Comp. App. Bd. (1970) 11 Cal.App.3d 472 [89 Cal.Rptr. 638], [ ] [the] court held that the subrogation provisions of the
In fairly direct conflict with these decisions is Corley v. Workmen‘s Comp. Appeals Bd. (1971) 22 Cal.App.3d 447 [99 Cal.Rptr. 242], a split decision of the Court of Appeal, Fourth District, Division Two. In Corley, as here, the lawsuit culminated in damage recovery from the third party without inquiry into the employer‘s concurrent negligence. The court sustained the appeals board, which had credited the employee‘s third party damage recovery against the employer‘s compensation liability without inquiry into the employer‘s negligence. By dictum, the majority opinion in Corley expressed doubt that the appeals board could decide the issue of employer negligence consistently with the constitutional provision for establishment of a workmen‘s compensation system irrespective of fault. (
In Witt v. Jackson, denial of the concurrently negligent employer‘s recovery from the third party was premised on the law‘s policy to prevent the former from taking advantage of his own wrong; while the latter‘s credit for workmen‘s compensation payments against his own tort liability was grounded on the policy of denying the employee double recovery. (57 Cal.2d at pp. 72-73.) Cases like this require selection or reconciliation between these policies. In Nelsen ( ) [the] court implied that the policy of preventing the employer from reaping financial benefit from his own negligence outweighed the policy against the employee‘s double recovery. (11 Cal.App.3d at pp. 476-479.) In Corley the court embraced the inhibition
[We agree with both the decision and the rationale of the Nelsen court.] The majority opinion in Corley overemphasizes the employer‘s interest in preventing the employee‘s double recovery. The policy against double recovery primarily protects the third party tortfeasor, not the employer. In De Cruz v. Reid (1968) 69 Cal.2d 217, 225 [70 Cal.Rptr. 550, 444 P.2d 342], [ ] [this court] declared that Witt v. Jackson was not “a sweeping interdict against double recovery ....” It explained that the inhibition against double recovery is designed to allow the third party a pro tanto reduction of a liability which he shares with a concurrently negligent employer. (Cf. Sanstad v. Industrial Acc. Com. (1959) 171 Cal.App.2d 32, 39 [339 P.2d 943].) Nelsen too points to the third party, rather than the employer, as beneficiary of the policy against double recovery. (11 Cal.App.3d at pp. 479-480.)
Especially if he is vulnerable to the charge of negligence, the employer may avoid participation in the third party lawsuit; the third party, as defendant, may litigate or settle without seeking credit for the workmen‘s compensation payments. When the employer/carrier then goes before the appeals board protesting the employee‘s double recovery, one asks: “What‘s Hecuba to him or he to Hecuba, that he should weep for her?” If the employer‘s negligence contributed to the accident, the double recovery was gained not from him but from the third party, who did not claim a deduction for employer negligence. If the employer was free of negligence, he gained (but did not assert) a subrogated right to recover his compensation payment as damages. It is doubtful, in any event, whether a double recovery is created by a settlement which does not cover the totality of claims, including those of the employer. (Van Nuis v. Los Angeles Soap Co. (1973) 36 Cal.App.3d 222, 230 [111 Cal.Rptr. 398]; LaBorde v. McKesson & Robbins, Inc. (1968) 264 Cal. App.2d 363, 370 [70 Cal.Rptr. 726], approved in Brown v. Superior Court (1970) 3 Cal.3d 427, 432 [90 Cal.Rptr. 737, 476 P.2d 105], and disapproved in unspecified respects, id., at p. 433.)
Opportunities for conceptual error multiply by exaggerating the substantive effect of the
From a procedural standpoint, any rule precluding the appeals board from adjudicating the employer‘s concurrent negligence is bound to engender undesirable gamesmanship. The Corley approach permits a concurrently negligent employer to stand aside from the third party lawsuit, then capitalize on the third party‘s damage payment in the form of a credit from the appeals board. The Nelsen doctrine, it is said, stimulates the employee to race to the courthouse and vigorously pursue the third party lawsuit, delaying the pursuit of his workmen‘s compensation remedy. (Corley v. Workmen‘s Comp. Appeals Bd., supra, 22 Cal.App.3d at p. 457; 12 Santa Clara Law. 2, 25-26.)
The latter criticism ignores that part of Nelsen which views the appeals board as an alternate forum for resolution of the employer‘s concurrent negligence. In Nelsen (11 Cal.App.3d at p. 478) [ ] [the court] pointed out: “Thus, where particular workmen‘s compensation benefits have not been awarded by the [workmen‘s compensation appeals] board by the time a
Construed in relation to the Witt v. Jackson rule, which denies reimbursement to a concurrently negligent employer,
Granting the employer an automatic credit for the employee‘s damage recovery manifests more solicitude for the employer/carrier than for the employee. The injured workman is the prime object of constitutional solicitude. By entertaining the workman‘s Witt v. Jackson defense, the appeals board violates neither constitutional letter nor spirit. To classify the employee‘s damage recovery as a workmen‘s compensation benefit at the outset of the hearings begs a question yet to be determined. At that point the employee stands before the board with an achieved recovery of damages. If the employer has been negligent, the recovery is unalloyed tort damages; none of it belongs to the employer, none of it is available to offset the employer‘s compensation liability. If the employer is freed of fault, he is entitled to the offset; to that extent the employee‘s recovery is the equivalent of workmen‘s compensation benefits (received from the third party in lieu of the latter‘s liability to the fault-free employer).
To decide whether the employee may keep his entire damage recovery does not inject fault into the adjudication of disability benefits; neither does it frustrate the injured workmen‘s need for immediate sustenance.
Adroit twisting of the Witt v. Jackson indemnification cycle is reduced (although not avoided) by a statutory-decisional system in which both trial court and workmen‘s compensation agency are bound to accept the other‘s prior adjudication of employer negligence but free to adjudicate the issue if it is yet unsettled. Generally, the employer may absent himself from the employee‘s lawsuit without waiving his right to maintain an independent lawsuit against the third party and without waiving his claim of credit at the appeals board‘s hands. (See Van Nuis v. Los Angeles Soap Co., supra; Pacific G. & E. Co. v. Indus. Acc. Com. (1935) 8 Cal.App.2d 499 [47 P.2d 783].) Perhaps the courts are better suited than the board to adjudicate the employee‘s counterthrust of employer negligence. If so, the Legislature may consider appropriate amendments. The present statutes, at any rate—particularly
[ ] [The award is annulled and the case is remanded to the Workmen‘s Compensation Appeals Board with directions to take such further proceedings as may be necessary in accordance with this opinion.]
BURKE, J.*—I dissent. The majority‘s holding results in an inequitable and wholly unjustified double recovery by the employee who, for the first time since the adoption of our “no fault” workmen‘s compensation system, is permitted to retain both his compensation award and his recovery from the third party tortfeasor, solely by reason of his employer‘s concurrent negligence. In my view, such a result promotes no valid public purpose, and in fact contravenes the mandatory language (e.g.,
As I explain below, the disposition reached by the majority confuses the employer‘s right to a credit with his right to reimbursement, gives an unwarranted extension to this court‘s decision in Witt v. Jackson, 57 Cal.2d 57 [17 Cal.Rptr. 369, 366 P.2d 641], and unnecessarily injects the issue of fault into workmen‘s compensation proceedings.
The events in the present case exemplify the procedures typically followed when an employee seeks both workmen‘s compensation and a third party recovery. First, the injured employee applies for temporary disability and receives an award of weekly disability indemnity for a given period of time. Subsequently, the employee brings an action against the third party, which may be settled, as in the present case, or go to judgment. The employee then receives, in a subsequent workmen‘s compensation proceeding, an award for permanent disability.
The
The employer‘s separate and distinct right to a credit for future payments is provided for by
stitutes a set-off, applied to the employee‘s third party recovery, against the employer‘s total future liability for compensation (
In Witt v. Jackson, supra, 57 Cal.2d 57, 72, this court held that the employer‘s concurrent negligence barred his statutory right of reimbursement. This conclusion was founded on the principle, enunciated in
The result of the rule promulgated in Witt is a proper allocation of the rights and liabilities of the parties. The employer is barred from “profiting” from his own wrong since he is denied reimbursement out of the third party recovery; the third party receives contribution from his joint tortfeasor (the employer) in the form of a reduction of the judgment against him; and the employee recovers full compensation for his injuries without receiving a double recovery.
To extend the rule of Witt v. Jackson, supra, 57 Cal.2d 57, to bar the employer‘s credit for future payments without a corresponding reduction in the amount received from the third party upsets the relative balance of equities among the parties and does disservice to the principles enunciated in Witt. Under the majority‘s holding the employee recovers both the full amount of the judgment against (or settlement with) the third party, and the full disability award of the Workmen‘s Compensation Appeals Board without any reduction whatever to eliminate duplicative payments. To the extent that the amount of the judgment or settlement overlaps the employee‘s compensation award the employee recovers double compensation for the same injury, a result expressly interdicted by this court in Witt. (P. 73.)
If the employer were allowed a credit regardless of his concurrent negligence the balance of the equities would remain intact. The employer would continue to lose his right of reimbursement with respect to compensation paid prior to the third party recovery. The employee would receive full and fair compensation without recovering twice for the same injury. And the third party would receive a contribution from his joint tortfeasor in the form of a reduction in the amount of the judgment against him.6
When the distinction between the employer‘s reimbursement and credit rights is properly understood it becomes apparent that it is unnecessary to inject the issue of fault into workmen‘s compensation proceedings. The employer‘s claim to a reimbursement, under the statutory scheme, is always presented to a court, not to the Workmen‘s Compensation Appeals Board. If the employer brings an action against the third party (
Nothing in this court‘s decision in Witt v. Jackson, supra, 57 Cal.2d 57, contemplated or foreshadowed the introduction of fault determinations into workmen‘s compensation procedures. Witt itself was a reimbursement case in which the employer intervened in the employee‘s civil action against a third party. Since, as indicated above, the employer may seek reimbursement only in a judicial proceeding (under
On the other hand, the employer‘s right to a credit is determined in proceedings before the appeals board. (
As Justice Kaufman‘s excellent opinion in Corley v. Workmen‘s Comp. Appeals Bd., 22 Cal.App.3d 447, 459-460 [99 Cal.Rptr. 242], correctly points out, it is highly questionable whether the issue of fault may be injected into workmen‘s compensation proceedings consistent with the California Constitution. “The Workmen‘s Compensation Appeals Board is a tribunal of limited jurisdiction and has no power beyond that given it by
“... Although
To conclude, I would retain our holding in Witt v. Jackson, supra, 57 Cal.2d 57, to the effect that the concurrently negligent employer should be denied his right of reimbursement; that rule does not result in double recovery to the employee, for his third party recovery is reduced by the amount of compensation benefits he has already received. However, in the absence of some workable means of reducing that recovery further to reflect the right to receive future disability payments, I would permit the employer to exercise his statutory right to a credit against such payments, to the extent of the third party recovery, without regard to his concurrent negligence.
Clark, J., concurred.
Notes
The employee next seeks permanent disability and is awarded $20,000. Prior to the decision herein, the $20,000 award would be reduced (the employer‘s credit) by the net amount of the judgment against the third party. The result of this reduction is to give the employee the full amount of compensation determined by the Workmen‘s Compensation Appeals Board ($5,000 judgment, plus $5,000 temporary disability, plus $10,000 permanent compensation award to be paid by the employer). Under the majority‘s ruling, however, the employee will recover not only the judgment and the temporary disability, but also the full amount of the permanent disability award (in this example a total of $30,000). The result is that the employee has received $10,000 more than the permanent disability award. This $10,000 excess represents the extent of the double recovery (which will always be the amount of the judgment) since the award is a determination of the total amount necessary to compensate the employee. The principle that the employer should not profit from his own wrong is more than amply fulfilled since the employer will be liable for 83.3 percent ($25,000 out of $30,000) of the employee‘s compensation. If the credit were allowed the employer would be responsible, in the example given, for 75 percent ($5,000 lost reimbursement plus $10,000 Workmen‘s Compensation Appeals Board award equals $15,000 out of $20,000) of the employee‘s compensation. This example
