Lead Opinion
Indiana Code section 22-3-4-12.1 grants exclusive jurisdiction to the Worker's Compensation Board to determine whether a worker's compensation insurance carrier committed an independent tort in adjusting or settling the injured worker's claim. Specifically subsection (a) of the statute provides:
The worker's compensation board, upon hearing a claim for benefits, has the exclusive - jurisdiction - to - determine whether the employer, the employer's worker's compensation administrator, or the worker's compensation insurance carrier has acted with a lack of dili-genee, in bad faith, or has committed an independent tort in adjusting or settling the claim for compensation.
We decide today that the statute is not constitutionally infirm.
Facts and Procedural History
John Sims was employed as a laborer for Hagerman Construction Corporation. On September 9, 1998, he was injured while working at Conseco Fieldhouse in Indianapolis. - More particularly, while walking down a flight of metal stairs, Sims tripped over a welding lead that had been draped across the stairway. Falling down the stairs, Sims sprained his left ankle and sustained a fracture to his left tibia.
Hagerman Construction filed a "First Report of Injury" notice with its worker's compensation carrier, United States Fidelity and Guaranty Company ("USF&G"). On October 20, 1998, USF&G sent Sims a letter requesting that he complete a "Statement of Claim" form. Sims did so and returned the form. On October 22, 1998, Sims contacted USF&G by letter seeking to schedule medical care and requesting payment of temporary total disability benefits under the Worker's Compensation Act ("Act"). USF&G did not respond. He followed up the request on November 11, 1998. Again the insurance carrier failed to respond. On November 28, 1998, Sims filed a complaint in the Marion Superior Court alleging USF&G was grossly negligent, intentionally inflict, ed emotional distress, and intentionally deprived him of certain statutory rights by refusing to provide worker's compensation benefits and by denying him access to timely medical care and physical therapy.
In response, USF&G filed a motion to dismiss under Indiana Trial Rule 12(B)(1) alleging lack of subject matter jurisdiction. Citing Indiana Code section 22-3-4-12.1,
Standard of Review
When a statute is challenged as an alleged violation of the Indiana Constitution, our standard of review is well settled. A statute is presumed constitutional until the party challenging its constitutionality clearly overcomes the presumption by a contrary showing. Boehm v. Town of St. John,
Discussion
I.
Article I, Section 12 of the Indiana Constitution provides: "All courts shall be open; and every person, for injury done to him in his person, property, or reputation, shall have remedy by due course of law. Justice shall be administered freely, and without purchase; completely, and without denial; speedily, and without delay." Ind. Const. art I, § 12 (emphasis added). Sims contends, and the Court of Appeals agreed, that granting the Worker's Compensation Board the exclusive jurisdiction to adjudicate independent tort claims "effectively closes the courthouse doors to workers seeking to pursue redress against errant employers or worker's compensation insurance carriers in attempting to settle their worker's compensation claims." Sims,
The Worker's Compensation Act contains an exclusivity provision that provides:
The rights and remedies granted to an employee ... on account of personal injury or death by accident shall exclude all other rights and remedies of such employee, the employee's personal representatives, dependents, or next of kin, at common law or otherwise, on account of such injury or death, exeept for remedies available under IC 5-2-6.1.
Ind.Code § 22-3-2-6 (West Supp.2002). This statute limits an employee whose injury meets the jurisdictional requirements of the Act to the rights and remedies provided therein. Perry v. Stitzser Buick GMC, Inc.,
In Stump v. Commercial Union,
Relying on the reasoning in Stump, the Court of Appeals majority in this case held that the portion of Indiana Code section 22-3-4-12.1 which declares that the Worker's Compensation Board "'has the exclusive jurisdiction to determine whether the . employer's worker's compensation insurance carrier has ... committed an independent tort in adjusting or settling the claim for compensation' " violates Article I, Section 12 of the Indiana Constitution. Sims, 780 N.E2d at 235 (quoting I.C. § 22-3-4-12.1(a)). However, - Indiana Code section 22-3-4-12.1 was enacted after Stump and likely represented a legislative response to it. The Court of Appeals majority acknowledged as much but nonetheless found that the statute violated the "open courts" clause of the Indiana Constitution by unreasonably denying Sims access to the courts and denying him a complete remedy for the insurance carrier's alleged independent tort. Id. However, because of the legislative enactment, Stump is no longer controlling.
In Martin v. Richey,
Here, the Court of Appeals seized on the quoted language to support the conclusion that the statute violated Article I, Section 12 of the Indiana Constitution. However, our ruling in Martin did not sweep quite so broadly. Instead, we determined that the occurrence-based statute of limitations was unconstitutional as applied to the
Unlike Martin, Sims is not completely denied access to the courts. Rather, he is merely required to present his claim first to the full Worker's Compensation Board. Thereafter, if he receives an adverse ruling, then he may invoke the jurisdiction of the appellate courts. See I.C. § 22-3-4-8(b); Sheets v. Disabilities Servs., Inc.,
IL
Sims also contends that Indiana Code section 22-3-4-12.1 unconstitutionally deprives him of a jury trial by requiring that his claim be submitted to the Worker's Compensation Board. He relies on Article I, Section 20 of the Indiana Constitution, which dictates, "In all civil cases, the right of trial by jury shall remain inviolate." Ind. Const. art. I, § 20. The phrase "civil eases" has been construed to preserve a jury right in those civil cases triable by jury at common law. Wright v. Fultz,
Prior to the enactment of worker's compensation acts, workers were faced with the harshness of the common law. An action in tort against the employer was the only remedy available to an employee injured in the workplace by the alleged negligence of an employer. These claims were rarely successful due to the common law defenses of contributory negligence, assumption of risk, and injury by a fellow servant. See Frampton v. Cent. Ind. Gas Co.,
When an injury to a servant is found to be covered by a workers' compensation act, it is uniformly held that the statutory compensation is the sole remedy, and that any recovery against the employer at common law is barred. It is recognized that this remedy is in the nature of a compromise, by which the worker is to accept a limited compensation, usually less than the estimate*352 which a jury might place upon his damages, in return for an extended liability of the employer, and an assurance that he will be paid.
W. Page Keeton et al., Prosser and Keeton on the Law of Torts § 80, at 574 (5th ed. 1984) (footnotes omitted). This guid pro quo regime represents a deliberate policy choice by the General Assembly in an apparent response to the Industrial Revolution when "more and more men poured their lives, their limbs, and their health into the might of industry." Ben F. Small, Workmen's _- Compensation _- Law _ of Indiana, § 1.2, at 4-5 (1950). As Justice Dickson has pointed out, "the continuing vitality of a workmen's compensation system not only serves the interests of the injured worker, it also benefits the business community in providing protection from large verdicts and by permitting the business community to more easily predict, quantify and plan for anticipated costs from employee injuries." Evans v. Yankeetown Dock Corp.,
By enacting the Worker's Compensation Act, the General Assembly has changed the common law by establishing a statutory scheme that approaches strict liability: if the accidental injury arises out of and in the course of employment, then the employer must pay. And this is so regardless of whether the employee contributed to the injury, assumed the risk of working in a particular environment, or was injured not by the act of the employer, but by a fellow employee.
Sims is correct that we have long held that the General Assembly has the authority to modify or abrogate the common law "so long as such change does not interfere with constitutional rights." Martin,
Considering the underlying policy and purpose of the Act, the prohibition against trial by jury is reasonable in our view. The Act is designed for the humanitarian purpose of providing injured workers with an expeditious and adequate remedy. Walker v. State,
Last, Sims argued before the Court of Appeals that Indiana Code seetion 22-8-4-12.1 also violates Article I, Section 28 of the Indiana Constitution which provides, "The General Assembly shall not grant to any citizen, or class of citizens, privileges or immunities, which, upon the same terms, shall not equally belong to all citizens." Ind. Const. art. I, § 23. Because the court ruled in favor of Sims on other grounds, it did not reach this issue. We now address this claim as well.
According to Sims, the statute creates an impermissible distinction - between worker's compensation carriers on the one hand and all other insurance carriers on the other hand. Sims also complains that injured workers are treated differently than other injured parties. Specifically, he says, "under the statute, a tort claimant who suffers additional injury at the hands of a worker's compensation insurance carrier faces a greater burden, diminished remedies, and less compensation than other tort claimants seeking similar recovery from other types of insurance companies or insurance coverage." Br. of Appellant at 19.
Claims asserted under Article 1, Section 28 are subject to a two-part test. First, the disparate treatment accorded by the legislation must be reasonably related to inherent characteristics, which distinguish the unequally treated classes. Collins v. Day,
Legislative classification becomes a judicial question only where the lines drawn appear arbitrary or manifestly unreasonable. So long as the classification is based upon substantial distinctions with reference to the subject matter, we will not substitute our judgment for that of the legislature; nor will we inquire into the legislative motives prompting such classification.
Id. The burden is on the challenger "to negative every conceivable basis which might have supported the classification." Id. In this case, Sims challenges the statute only upon the first part of the Collins two-part test.
The underlying purposes and policy of the Act, as more fully discussed in Part II above, justify the difference in treatment that Indiana Code section 22-8-4-12.1 affords worker's compensation insurance carriers versus other insurance carriers as well as injured workers versus other injured claimants. To provide an "expeditious and adequate remedy" for workers injured in work-related accidents, regardless of fault, Walker,
Conclusion
A party challenging the constitutionality of a statute carries a heavy burden. In this case, Sims has not carried his burden of demonstrating that Indiana Code seetion 22-3-4-12.1 violates Article I, Section 12; Article I, Section 20; or Article I, Section 28 of the Indiana Constitution. Therefore, we affirm the judgment of the trial court.
Notes
. Sims also contended the statute violates several other Indiana constitutional provisions: (i) the separation of powers as expressed in Article III, Section 1; (ii) the prohibition of special legislation found in Article IV, Sections 22 and 23; and (fii) the grant of judicial authority as expressed in Article VII, Section 1. Because Sims cites no authority in support of his contentions, they are waived. In addition, Sims argued before the Court of Appeals that Indiana Code section 22-3-4-12.1 was unconstitutional because it limited recovery to a maximum of $20,000. The Court of Appeals majority declined to address this issue on the ground that it was not properly raised in the trial court. Sims has not raised this issue on transfer, and therefore we decline to address it.
Dissenting Opinion
dissenting.
In Stump v. Commercial Union,
In 1997, the Indiana General Assembly enacted a statute declaring that the Worker's Compensation Board has "exclusive jurisdiction to determine whether the employer, the employer's worker's compensation administrator, or the worker's compensation insurance carrier has acted with a lack of diligence, in bad faith, or has committed an independent tort in adjusting or settling the claim for compensation" and providing for maximum recovery of $20,000. Ind.Code § 22-3-4-12.1(a), (b).
This statute does not abolish the civil cause of action recognized under Stump, but rather compels exclusive recourse to an administrative tribunal, depriving an injured claimant from seeking redress through courts of law, and denying the
For these reasons, I would reverse the trial court's order granting the motion to dismiss. ~
