CATHERINE SATTERLEE, Petitioner and Appellant, v. LUMBERMAN‘S MUTUAL CASUALTY COMPANY, Insurer for BUTTREY FOOD & DRUG, Employer and Appellee. JAMES ZENAHLIK, Petitioner and Appellant, v. MONTANA STATE FUND, Insurer for EAGLE ELECTRIC, Employer and Appellee. JOSEPH FOSTER, Petitioner and Appellant, v. MONTANA STATE FUND, Insurer for ALLEN ELECTRIC, Employer and Appellee.
DA 08-0307
IN THE SUPREME COURT OF THE STATE OF MONTANA
November 3 2009
2009 MT 368
Honorable James Jeremiah Shea, Presiding Judge
APPEAL FROM: Workers’ Compensation Court, Cause No. WC 2003-0840
For Appellants:
James G. Hunt (argued); Hunt Law Firm; Helena, Montana
Thomas J. Murphy (argued); Murphy Law Firm; Great Falls, Montana
For Appellees:
Michael P. Heringer, Jon A. Wilson; Brown Law Firm, P.C.; Billings, Montana (for Lumberman‘s Mutual Casualty Company)
Steven W. Jennings; Crowley, Haughey, Hanson, Toole & Dietrich, PLLP; Billings, Montana (for Intervening Insurers)
Bradley J. Luck (argued); Garlington, Lohn, & Robinson, PLLP; Missoula, Montana (for Montana State Fund)
Oliver H. Goe; Browning, Kaleczyc, Berry, & Hoven; Helena, Montana (for Montana Municipal Insurance Authority, Montana Association of Counties and Montana Schools Group Insurance Authority)
For Amici Curiae:
Jon. W. Bennion; Attorney at Law; Helena, Montana (for Montana Chamber of Commerce, Montana Contractors’ Association, Inc., and the National Federation of Independent Business Small Business Legal Center)
Argued: June 10, 2009
Submitted: June 16, 2009
Decided: November 3, 2009
Filed:
__________________________________________
Clerk
¶1 Appellant Satterlee appeals from the Montana Workers’ Compensation Court‘s (WCC) November 15, 2006 “Order Denying Petitioners’ Motion to Allow Discovery and Granting Respondents’ Cross-Motion for Partial Summary Judgment” and the WCC‘s June 4, 2008 “Order Granting Respondent Montana State Fund‘s Motion for Partial Summary Judgment.”
¶2 We consider the following issues on appeal:
¶3 Did the Worker‘s Compensation Court err in determining that
¶4 Did the Workers’ Compensation Court err in determining that
FACTUAL AND PROCEDURAL BACKGROUND
¶5 Three individuals, Catherine Satterlee, James Zenahlik and Joseph Foster (collectively Satterlee) all suffered work-related injures, which resulted in permanent total disability (PTD). Because of the injuries, Satterlee began to receive PTD benefits. When Satterlee became eligible for Social Security Retirement Insurance (SSRI), pursuant to
¶6 Satterlee first challenged the constitutionality of
Satterlee appealed and this Court dismissed the appeal without prejudice because the order fell short of a final judgment2 and identified two remaining unresolved issues to be decided by the WCC: 1) Whether
STANDARD OF REVIEW
¶9 In reviewing the WCC‘s grant or denial of summary judgment, this Court uses the same standard used in ruling upon a motion for summary judgment; we determine whether there is an absence of genuine issues of material fact and whether the moving party is entitled to judgment as a matter of law. Otteson v. Mont. State Fund, 2005 MT 198, ¶ 8, 328 Mont. 174, 119 P.3d 1188.
¶10 The issues before us involve questions of constitutional law. The standard for reviewing conclusions of law is whether they are correct. Henry v. State Compen. Ins. Fund, 1999 MT 126, ¶ 10, 294 Mont. 448, 982 P.2d 456.
The constitutionality of a legislative enactment is prima facie presumed, and every intendment in its favor will be presumed, unless its unconstitutionality appears beyond a reasonable doubt. The question of constitutionality is not whether it is possible to condemn, but whether it is possible to uphold the legislative action which will not be declared invalid unless it conflicts with the constitution, in the judgment of the court, beyond a reasonable doubt.
Powell v. State Compen. Ins. Fund, 2000 MT 321, ¶ 13, 302 Mont. 518, 15 P.3d 877. The party challenging the constitutionality of a statute bears the burden of proving the statute unconstitutional beyond a reasonable doubt. Henry, ¶ 11. If any doubt exists, it must be resolved in favor of the statute. Powell, ¶ 13.
DISCUSSION
¶11 The issue before the Court is the constitutionality of
¶12 The declaration of policy supporting the Workers’ Compensation Act (WCA) states:
[a]n objective of the Montana workers’ compensation system is to provide, without regard to fault, wage-loss and medical benefits to a worker suffering from a work-related injury or disease. Wage-loss benefits are not intended to make an injured worker whole but are intended to assist a worker at a reasonable cost to the employer. Within that limitation, the wage-loss benefit should bear a reasonable relationship to actual wages lost as a result of a work-related injury or disease.
§ 39-71-105(1), MCA .
Section
[T]ermination of benefits upon retirement. (1) If a claimant is receiving disability or rehabilitation compensation benefits and the claimant receives social security retirement benefits or is eligible to receive or is receiving full social security retirement benefits or retirement benefits from a system that is alternative to social security retirement, the claimant is considered to be retired. When the claimant is retired, the liability of the insurer is ended for payment of permanent partial disability benefits other than the impairment award . . . and medical benefits. (2) If a claimant who is eligible under subsection (1) to receive retirement benefits and while gainfully employed suffers a work-related injury, the insurer retains liability for temporary total disability benefits, any impairment award, and medical benefits.
¶14 1. Did the Workers’ Compensation Court err in determining that
¶15 Article II, Section 4 of the Montana Constitution provides that “[t]he dignity of the human being is inviolable. No person shall be denied the equal protection of the laws.” “The basic rule of equal protection is that persons similarly situated with respect to a legitimate governmental purpose of the law must receive like treatment.” Rausch v. State Compen. Ins. Fund, 2005 MT 140, ¶ 18, 327 Mont. 272, 114 P.3d 192 (Rausch II) (citing Powell, ¶ 22). In addressing an equal protection challenge, this Court follows a three-step process. Henry, ¶ 27. First, we must identify the classes involved and determine whether they are similarly situated. Id. The WCC adopted the Reesor court‘s classification, which identified the two classes in Reesor as “(1) PPD eligible claimants who receive or are eligible to receive social security retirement benefits; and (2) PPD claimants who do not receive and are not eligible to receive social security retirement benefits.” Reesor, ¶ 10. The parties do not dispute this approach to classification. Thus, we agree with the WCC‘s determination that, for the purposes of an equal protection analysis, the two classes represented here are defined as: (1) PTD eligible claimants who receive or are eligible to receive social security retirement benefits; and (2) PTD claimants who do not receive and are not eligible to receive social security retirement benefits. Having identified the classes we must now determine whether they are similarly situated. Henry, ¶ 27.
¶16 The WCC determined that the two classes were similarly situated because “both classes have suffered work-related injuries, are unable to return to their time-of-injury jobs, have permanent physical impairment ratings, and must rely on section
[t]he right to receive Workers’ Compensation benefits is not a fundamental right which would trigger a strict scrutiny analysis of equal protection. Nor does this statute infringe upon the rights of a suspect class. When a right determined to be less than fundamental is infringed upon by a classification, the test applied by this Court is the rational relationship test. That is, does a legitimate governmental objective bear some identifiable rational relationship to a discriminatory classification.
Stratemeyer v. Lincoln Co., 259 Mont. 147, 151, 855 P.2d 506, 509 (1993) (Stratemeyer I) (citing Cottrill v. Cottrill Sodding Serv., 229 Mont. 40, 42-43, 744 P.2d 895, 897 (1987)). As described above, rational basis review is the traditional level of scrutiny applied to equal protection analyses of workers’ compensation statutes. Satterlee, however, urges us to apply a middle-tier analysis “given the rare combination of age discrimination and the total loss of workers’ compensation benefits found in the present statute.” We apply middle-tier scrutiny when the legislation at issue infringes upon a right that “has its origin in the Montana Constitution, but is not found in the Declaration of Rights . . . .” Powell, ¶ 18. The statute at issue here does not infringe upon the rights of a suspect class or involve fundamental rights. See Henry, ¶ 32; Powell, ¶ 21. While we are sympathetic to any worker who suffers a loss of income, it would be inappropriate for us to disregard the well established principle that rational basis review applies to workers’ compensation claims. We do not agree with Satterlee‘s contention that the facts presented justify a heightened level of scrutiny. Thus, rational basis is the appropriate level of scrutiny to apply to the instant case.
¶19 Satterlee argues that we should follow the holding we arrived at in Reesor and determine that there is no rational basis to justify discrimination between the two classes. More specifically, Satterlee contends that “PPD and PTD benefits are legally indistinguishable” as they relate to
¶20 Lumberman‘s and Montana State Fund argue that Reesor is inapposite. They assert that because Reesor dealt with PPD benefits and not PTD benefits we should distinguish the instant case and adopt the WCC‘s analysis. Relying on our thorough differentiation of PPD and PTD benefits in Rausch II, Lumberman‘s and Montana State Fund argue that
¶21 In the WCC‘s order denying Satterlee‘s motion for summary judgment, the Court stated that “when determining whether a rational basis exists for the specific portion of [§]
¶23 As we pointed out in Rausch II, the purposes of PPD and PTD differ greatly. Specifically, PPD benefits serve to restore the claimant to a pre-accident wage level for a limited amount of time while PTD benefits are meant to assist the claimant for his or her work life. Rausch II, ¶ 23.
[T]he PPD claimant, who is able to return to work, is entitled to wage supplement benefits, which serve to restore the claimant to a pre-accident wage level if the claimant has suffered a decrease in wages upon return to work. Additionally, the PPD claimant is entitled to an impairment award, which compensates the claimant for the permanent loss of physical function. This benefit is smaller than the total disability benefit, and is paid over a shorter period of time, but is designed to compensate a claimant who is able to return to work and re-commence earning a wage. The payment of an award to a claimant who returns to work is consistent with the Act‘s stated purpose of returning injured workers to the work force.
Rausch II, ¶ 23. As this Court pointed out, PTD benefits are not meant to supplement a claimant‘s wages rather they are intended to assist the worker who will never be able to return to work. Rausch II, ¶ 25.
[T]he statutory framework of the Act reveals the distinctly different purposes served by PPD and PTD benefits. PPD benefits compensate the worker for sustaining a partial disability by a smaller impairment award, and supplements the wages earned by the claimant upon return to work. PTD benefits do not contemplate a return to work, but, rather, provides a continuous, higher benefit which is paid over the work life of the totally disabled claimant. With these distinctions in mind, it would be inappropriate for this Court to make comparisons between these dissimilarly situated classes and then to order that either class is entitled to a benefit designed for a different class here, that PTD claimants are entitled to an impairment award. We conclude, therefore, that PPD and PTD claimants are not similarly situated . . . .
¶24 We agree with the WCC that the distinctions between PPD and PTD benefits are significant and thus require a different approach. As such, in the instant case we decline to follow Reesor to the extent that it dealt with PPD not PTD benefits. The two benefit classes are simply too different and serve such divergent purposes that equating the two would be inappropriate. Thus, we will analyze the statute‘s constitutionality by examining the governmental interests that are relevant to PTD benefits only.
¶25 Lumberman‘s and Montana State Fund argue that the WCA in general and
¶26 Satterlee on the other hand, disputes any correlation between a legitimate government interest and
¶28 As the WCC pointed out, “in the absence of
¶29 We now turn to the second part of Satterlee‘s equal protection argument in which they assert that the WCC erred in its reliance on cost containment. We readily concede that cost alone is insufficient to justify the disparate treatment of similar classes. However, our jurisprudence does not go so far as to say cost to the workers’ compensation fund may never be considered. Heisler v. Hines Motor Co., 282 Mont. 270, 283, 937 P.2d 45, 52 (1997). It is well established that the control of workers’ compensation costs is a legitimate government interest that may constitutionally be pursued by the legislature. Stratemeyer I, 259 Mont. at 155, 855 P.2d at 511; Heisler, 282 Mont. at 284, 937 P.2d at 52. As long as cost containment is not the sole reason for disparate treatment and it is achieved by a rational means the legislature may attempt to improve the viability of the workers’ compensation system without offending the Equal Protection Clause. Stratemeyer I, 259 Mont. at 155, 855 P.2d at 511; Powell, ¶ 30. The WCC‘s discussion of cost in this case was appropriate.
¶30 While the parties dispute the precise economic impact striking down
¶31 Thus, with regard to Satterlee‘s equal protection claim, we conclude that
¶32 2. Did the Workers’ Compensation Court err in determining that
¶33 “Substantive due process analysis requires a test of the reasonableness of a statute in relation to the State‘s power to enact legislation.” Powell, ¶ 29 (citing Newville v. State, Dept. of Family Serv., 267 Mont. 237, 250, 883 P.2d 793, 801 (1994)). “Since the State cannot use its power to take unreasonable, arbitrary or capricious action against an individual, a statute enacted by the legislature must be reasonably related to a permissible legislative objective in order to satisfy guarantees of substantive due process.” Powell, ¶ 29 (citations omitted).
¶34 In both the briefs and at oral argument Satterlee questioned the reasonableness of the statute‘s application with respect to PTD claimants over the age of 65 who are eligible to receive SSRI. In doing so, Satterlee asserts that there is an inconsistency in allowing claimants who have worked less, and therefore do not qualify for SSRI, to continue to collect PTD benefits while terminating those claimants who have worked more, and are therefore eligible SSRI. While we are mindful of this issue we do not think it rises to the level of an absurdity so that we would be required to hold
¶36 Finally, Satterlee urges that “[b]y terminating [Satterlee‘s] PTD benefits because of [age],
¶37 As this Court has held on several occasions, the enactment of the Workers’ Compensation Act was essentially a compromise between industry and labor so that labor received guaranteed no-fault recovery, and industry was relieved of the possibility of large and potentially uncapped recoveries in the tort system. Stratemeyer II, 276 Mont. at 74, 915 P.2d at 179 (citing Lewis & Clark Co. v. Indus. Accident Bd., 52 Mont. 522, 179 P. 499 (1916)). As with all legislative compromises, the WCA is not infallible and the legislative decisions made in adopting the WCA are subject to honest debate. Nevertheless, once a statute has been duly approved by the legislative branch, this Court‘s role is not one of second guessing the prudence of the conclusions reached. Stratemeyer I, 259 Mont. at 147, 855 P.2d at 506. It is from this starting point that we address Satterlee‘s quid pro quo argument.
¶38 Black‘s Law Dictionary defines quid pro quo as “[a]n action or thing that is exchanged for another action or thing of more or less equal value.” Black‘s Law Dictionary 1282 (Bryan A. Garner ed., 8th ed., West 2004). While the legislature has rationally concluded that PTD benefits should terminate once a claimant has received or becomes eligible to receive SSRI, the statute still provides for those claimants who are over 65 when they suffer a work place injury by allowing them to receive temporary total disability benefits, an impairment award and no-fault medical benefits. Section
¶39 Furthermore, Satterlee‘s claims that substantive due process has been violated by the lack of a quid pro quo mistakenly ignores the fundamental compromise that was reached by legislature‘s enactment of the WCA. Namely, in exchange for no fault recovery, employers gained the predictability of consistent workers compensation payments that would be capped in a way that personal injury tort claims were not. As such, it is sufficiently rational that the legislature enacted
¶40 We conclude that
¶41 Affirmed.
/S/ W. WILLIAM LEAPHART
We concur:
/S/ MIKE McGRATH
/S/ JOHN WARNER
/S/ PATRICIA O. COTTER
/S/ JIM RICE
¶42 I reluctantly dissent. The Utah Supreme Court recently struck down a similar offset provision on equal protection grounds. Merrill v. Utah Labor Comm‘n, ___ P.3d ___ (Utah 2009). The Utah offset kicked in once an injured worker had received 312 weeks of workers’ compensation. Merrill, ¶ 1. Montana‘s offset law contains no similar delayed trigger. It applies as soon as the injured worker becomes eligible for SSRI benefits. Section
¶44 The same “rational scrutiny with bite” approach used in Jaksha surely would invalidate the legislature‘s similar effort to use SSRI eligibility as a proxy for retirement. See G. Gunther, Cases and Materials on Constitutional Law, 12th Ed. at 462 (Foundation Press 1992). The Court instead employs a toothless analysis that permits the legislature to advance the perfectly legitimate task of protecting the economic viability of the workers’ compensation system through the illegitimate means of penalizing injured workers who have qualified for SSRI. The Court applies its toothless approach through its depiction of workers’ compensation and SSRI solely as wage loss replacement systems.
¶45 The Court reaches this result without regard for whether the amount of SSRI for which an injured worker might be eligible even remotely approaches the benefits that the workers’ compensation system provided. I could accept some coordination of benefits to offset the receipt of SSRI, similar to what Montana law does with respect to social security disability benefits. Sections
¶46 The court in Merrill recognized that SSRI serves an entirely different purpose from the workers’ compensation scheme. Merrill, ¶ 26. The court noted that “[n]either social security retirement benefits nor workers’ compensation are solely wage replacement measures.” Merrill, ¶ 29. A mere five years ago this Court declared without equivocation that “social security retirement benefits are not wage loss benefits.” Reesor v. Mont. State Fund, 2004 MT 370, ¶ 24, 325 Mont. 1, 103 P.3d 1019. The Court nevertheless determines today that SSRI eligibility constitutes a reasonable proxy for retirement and analyzes the offset in
¶47 The court in Merrill cited at least four distinctions between the workers’ compensation system and SSRI. Merrill, ¶¶ 30-33. First, the programs compute benefits “on entirely different bases and compensate for entirely different eventualities.” Merrill, ¶ 30, quoting West Virginia v. Richardson, 482 S.E.2d 162, 168 (W.Va. 1996). This Court in Reesor also previously defined workers’ compensation and SSRI as “two distinct programs” and rejected the notion that they could “offset one another due to the fact that both programs are based on completely different concepts.” Reesor, ¶ 23.
¶48 The Merrill court explained that Utah had adopted workers’ compensation as a tort liability reform measure. Merrill, ¶ 24. Workers’ compensation benefits represent a substitute for access to the courts for redress for torts “and are not a welfare benefit for wage loss.” Golden v. Westark Community College, 969 S.W.2d 154, 158 (Ark. 1998). Employers pay premiums for insurance from which injured workers receive benefits “in exchange for the employee‘s forbearance from suing the employer in tort.” Id. at 158.
¶49 Injured workers in Montana receive compensation for damages incurred by a work related injury in the form of lost wages, medical services, nursing services, hospital services, and medicines. Section
¶50 Second, the Merrill court determined that unlike workers’ compensation, SSRI benefits are not paid in connection with any injury or disability. Merrill, ¶ 31. The federal government pays SSRI benefits only after a person has contributed to the fund. Id. The Arkansas Supreme Court likewise noted that “‘[s]ocial security retirement benefits are provided to persons over age sixty-five regardless of injury . . . . These benefits are not disability benefits, but are old-age entitlements serving the same function as pension payments.‘” Golden, 969 S.W.2d at 158 (quoting Industrial Claim Appeals Office v. Romero, 912 P.2d 62, 67-68 (Colo. 1996)); see also Wal-Mart Stores, Inc. v. Keel, 817 So. 2d 1, 10 (La. 2002). Social security retirement benefits allow participants to receive income after age 65 only if they have contributed adequately to the fund.
¶51 As this Court explained in Reesor, social security benefits “provide the recipient with supplemental income after he contributes to the program throughout his working life.” Reesor, ¶ 22 (emphasis in original). The West Virginia Supreme Court likewise recognized that SSRI benefits represent “additional compensation paid by insurance as a result of having worked some period of time at some average taxable salary, except as the payments reflect a return of the recipient‘s wage contributions to the system.” Richardson, 482 S.E.2d at 166. SSRI benefits do not compensate for a workplace injury or replace elements of damage “that might be recovered in a common law action for such an injury.” Id. at 166.
¶52 Third, the Merrill court cited Congress‘s repudiation of the notion that SSRI constitutes a wage replacement program through its enactment of the Senior Citizen‘s Freedom to Work Act,
¶53 The offset contained in
¶54 Fourth, the Merrill court determined that the public policy in the Age Discrimination in Employment Act,
¶55 This forced substitution raises the specter of whether the workers’ compensation scheme provides an adequate substitute remedy “for that which might be available in the tort system for such an injury.” Richardson, 482 S.E.2d at 168. The offset provision of Section
¶56 The workers’ compensation system in Montana constitutes a grand bargain in which injured workers forego the possibility of larger awards potentially available through the tort system (the quid) in exchange for a no fault system that provides more certainty of an award (the quo). Sitzman v. Shumaker, 221 Mont. 304, 307-08, 718 P.2d 657, 659 (1986). The offset provision of
/S/ BRIAN MORRIS
Justice James C. Nelson joins in the foregoing dissent.
/S/ JAMES C. NELSON
