Smith v. JonesSmith v. Jones
Lead Opinion
{¶ 1} Plaintiff-appellant, April J. Smith, appeals the judgment of the Hancock County Court of Common Pleas, denying her motion for partial summary judgment and finding that
{¶ 2} In April 2003, Smith was injured in an automobile accident when the vehicle she was driving collided with a vehicle driven by defendant, Carolyn S. Jones, during the course and scope of her employment with Hancock County.
{¶ 3} In May 2003, Smith filed a claim for benefits with the Ohio Bureau of Workers’ Compensation (“the BWC”), which the BWC allowed. 1
{¶ 4} In March 2005, Smith filed a negligence claim against Jones. Additionally, Smith alleged that the workers’ compensation subrogation statutes,
{¶ 5} In October 2005, the BWC filed a cross-claim against Smith, seeking subrogation for past medical benefits and compensation paid to her, as well as for future estimated payments.
{¶ 6} In December 2005, Smith moved for partial summary judgment for a declaration that
{¶ 8} In August 2006, the trial court denied Smith’s December 2005 motion for partial summary judgment, finding:
R.C. 4123.931 * * * does nоt violate Sections 2, 5, 16, and 19 of Article I of the Ohio Constitution. Accordingly, no genuine issue as to any material fact remains to be litigated as between Smith and the BWC. Construing the evidence most strongly in the BWC’s favor, reasonable minds can only reach a conclusion that is adverse to [Smith]. Thus, Smith is not entitled to judgment as a matter of law on her claim that [R.C.] 4123.931 is unconstitutional. * * * As a result of the Court’s determination that the statute is constitutional, both facially and as applied to this case, the Court dismisses with prejudice [Smith’s request for] declaratory judgment that the statute is unconstitutional. Given that the pending claims against Defendant Jones have been sеttled by the parties, the only matter pending before the Court is the amount, if any, of the subrogation lien applied to the settlement. Given that [R.C.] 4123.931 specifically provides methods for the allocation of this amount, the Court dismisses the remainder of the cause of action in this case.
{¶ 9} It is from this judgment that Smith appeals, presenting the following assignments of error for our review. 2
Assignment of Error No. I
The trial court erred as a matter of law by finding that
Assignment of Error No. II
The trial court erred as a mаtter of law in failing to find that
Assignment of Error No. Ill
The trial court erred as a matter of law in failing to find that
Standards of Review
A. Summary Judgment
{¶ 11} An appellate court reviews a summary judgment order de novo.
Hillyer v. State Farm Mut. Auto. Ins. Co.
(1999),
{¶ 12} The party moving for summary judgment has the initial burden of producing some evidence that affirmatively demonstrates the lack of a genuine issue of material fact.
State ex rel. Burnes v. Athens Cty. Clerh of Courts
(1998),
B. Constitutionality
{¶ 13} All legislative enactments are presumed constitutional, and the party challenging such an enactment bears the burden of proving otherwise beyond a reasonable doubt.
State v. Lowe,
Overview of
{¶ 15} Under the current version of
{¶ 16} Subsequently, in
Holeton v. Crouse Cartage Co.,
the Ohio Supreme Court held that the 1995 amended version violated the Due Process, Takings, and Equal Protection Clauses of the Ohio Constitution for two reasons: (1) it effectuated a potential windfall for the statutory subrogee by giving it a current collectible interest in estimated future benefits that the claimant might never receive and (2) it subjected the entire amount of any settlement to the statutory subrogee’s reimbursement right without allowing the claimant to demonstrate that portiоns of the settlement did not duplicate the workers’ compensation benefits received. (2001),
{¶ 17} In response to
Holeton,
the legislature enacted Senate Bill 227, effective April 9, 2003, establishing the current version of
{¶ 18} Further, when a claimant, statutory subrogee, and third party settle or attempt to settle the claimant’s claim against the third party,
If while attempting to settle, the claimant and statutory subrogee cannot agree to the allocation of the net amount recovered, the claimant and statutory subrogee may file a request with the administrator of workers’ compensation for a conference to be conducted by a designee appointed by the administrator, or the claimant and statutory subrogee may agree to utilize any other binding or non-binding alternative dispute resolution process.
The claimant and statutory subrogee shall pay equal shares of the fees and expenses of utilizing an alternative dispute resolution process, unless they agree to pay those fees and expenses in another manner. The administrator shall not assess any fees to a claimant or statutory subrogee for a conference conducted by the administrator’s designee.
{¶ 19} However, when a claimant’s action against a third party proceeds to trial and damages are awarded, both of the following apply:
(1) The claimant shall receive an amount equal to the uncompensated damages divided by the sum of the subrogation interest plus the uncompensated damages, multiplied by the net amount recovered, and the statutory subrogee shall receive an amount equal to the subrogation interest divided by the sum of the subrogation interest plus the uncompensated damages, multiplied by the net amount recovered.
(2) The court in a nonjury action shall make findings of fact, and the jury in a jury action shall return a general verdict accompanied by answers to interrogatories that specify the follоwing:
(a) The total amount of the compensatory damages;
(b) The portion of the compensatory damages specified pursuant to division (D)(2)(a) of this section that represents economic loss;
(c) The portion of the compensatory damages specified pursuant to division (D)(2)(a) of this section that represents noneconomic loss.
{¶ 20} Once the allocation amounts are determined by settlement or trial, the claimant may establish an interest-bearing trust account for the full amount of the future estimated payments portion, if any, of the statutory subrogee’s interest. Upon notice from the statutory subrogee at six-month intervals, the claimant must then reimburse the statutоry subrogee from the trust account for payments actually made.
{¶ 21} With these provisions in mind, we turn to Smith’s assignments of error.
Assignment of Error No. I
{¶ 22} In her first assignment of error, Smith asserts that
{¶ 23} Section 16, Article I of the Ohio Constitution contains the right of due course of law and the right to a remedy, providing:
All courts shall be open, and every person for an injury done him in his land, goods, person, or reputation, shall have remedy by due course of law, and shall have justice administered without denial or delay.
Section 16, Article I is equivalent to the Due Process Clause of the Fourteenth Amendment to the U.S. Constitution.
Direct Plumbing Supply Co. v. Dayton
(1941),
Private property shall ever be held inviolate, but subservient to the public welfare. When taken in time of war or other public exigency, imperatively requiring its immediate seizure, or for the purpose of making or repairing roads, which shall be open to the public, without charge, a compensation shall be made to the owner, in money, and in all other cases, where private property shall be taken for public use, a compensation therefor shall first be made in money, or first secured by a deposit of money, and such compensation shall be assessed by a jury, without deduction for benefits to аny property of the owner.
{¶ 24} When the constitutionality of workers’ compensation statutes is challenged, courts must apply the rational-basis test.
State ex rel. Doersam v. Indus. Comm.
(1989),
{¶ 25}
Holeton
acknowledged that the state has a legitimate interest in preventing double recoveries and, to that end, may prevent a tort victim “from recovering twice for the same item of loss or type of damage, once from the collateral source and again from the tortfeasor.”
R.C. 4123.931 provides several methods for determining how a recovery by the worker’s compensation claimant against a third-party tortfeasor is to be distributed. First, the claimant has the option of joining the [BWC] or a self-insured employer as a party to the underlying tort action. Once the subrogee is a party, if the parties are unable to agree on a settlement amount underR.C. 4123.931(B) , the matter may proceed to trial, where all issues can be heard. The statutory subrogee presents evidence at trial regarding its expenditures on behalf of the claimant and other evidence regarding its entitlement for future damages. The subrogation amount can be determined as part of the damages proven through use of jury interrogatories submitted by the court pursuant toCiv.R. 49(B) .
Second, if the claimant does not join the [BWC] or a self-insured employer as a party to the underlying tort action, and has settled with the tortfeasor without the participation of the [BWC] or the self-insured employer, the [BWC] and the claimant may choose to use the aforementioned formula or some other mutually agreed-to allocation, or may seek a declaratory judgment to determine the respective amounts to be recovered by the claimant and the subrogee. If the case proceeds to trial, the claimant may present evidence as to what portions of the amount recovered represent a double recovery. Both of these options ensure that the claimant will obtain a full and fair hearing.
Third, the parties may lawfully settle at any time.R.C. 4123.931(B) provides the parties with the option to use the formula or any other agreed-upon allocation of the net amount recovered. The parties are free to agree to any allocation they deem proper. If the parties cannot agree, the issue can be resolved at trial. This option also provides a claimant with the opportunity for a full, fair hearing. Therefore, each of the procedures set forth inR.C. 4123.931 provides a claimant with due process when determining how a recovery by the workers’ compensation claimant against a third-party tortfeasor is to be distributеd.
Id. at ¶ 26-28.
{¶ 27} Additionally, the formula ensures that the subrogation acts only on the amounts that the subrogee has compensated or will compensate through workers’ compensation by utilizing a pro rata distribution. Therefore, the subrogee
{¶ 28} Regarding the specificity of the jury interrogatories, Smith argues that the jury interrogatories fail to account for economic damages that might not be compensable by the workers’ compensаtion scheme and, therefore, allow subrogation of amounts that do not constitute a double recovery.
{¶ 29} Regarding future estimated payments, Smith argues that they are undefined by
{¶ 30} Unlike under former
{¶ 31} Further, while less burdensome alternatives to the trust account option may be available to eliminate the risk of overestimating future payments, the legislature “is not bound tо pick the least burdensome alternative that can be devised. It is enough that the scheme proposed is reasonable and does not impose any irrational or arbitrary risk upon the claimant.”
Fry v. Surf City, Inc.,
{¶ 32} Additionally, the claimant has the option to forego establishing a trust account under
{¶ 33} Accordingly, we overrule Smith’s first assignment of error.
{¶ 34} In her second assignment of error, Smith asserts that
{¶ 35} The Equal Protection Clause found in Section 2, Article I of the Ohio Constitution provides:
All political power is inherent in the people. Government is instituted for their equal protection and benefit, and they have the right to alter, reform, or abolish the same, whenever they may deem it necessary; and no special privileges or immunities shall ever be granted, that may not be altered, revoked, or repealеd by the general assembly.
{¶ 36} Ohio’s Equal Protection Clause is “functionally equivalent” to that under the U.S. Constitution.
Desenco,
{¶ 37} Here, Smith argues that
{¶ 38} The current
{¶ 39} Accordingly, we overrule Smith’s second assignment of error.
Assignment of Error No. Ill
{¶ 40} In her third assignment of error, Smith asserts that
{¶ 41} Section 5, Article I of the Ohio Constitution provides:
The right of trial by jury shall be inviolate, except that, in civil cases, laws may be passed to authorize the rendering of a verdict by the concurrence of not less than three-fourths of the jury.
The right to a jury trial is not absolute for all civil litigants; instead, the right is preserved “only for those civil cases in which the right existed before the adoption of the constitutional provision providing the right.”
Arrington v. DaimlerChrysler Corp.,
{¶ 43} Accordingly, we overrule Smith’s third assignment of error.
{¶ 44} Having found no error prejudicial to the appellant herein, in the particulars assigned and argued, we affirm the judgment of thе trial court.
Judgment affirmed.
Notes
. Smith named the BWC as a defendant in her March 2005 complaint, but the BWC later moved to be realigned as a named party plaintiff, which the trial court granted.
. We note that the issues Smith raises here have also been raised in an unrelated case currently accepted for review by the Ohio Supreme Court. See
Groch v. Gen. Motors Corp.,
. A statutory subrogee includes the administrator of workers’ compensation, self-insured employers, and employers who contract for direct payment of medical services under
. Consequently, the legislature abolished the 1995 amended version and reverted to the original 1993 version of
. The current version of
. Under
. We recognize that the underlying claim giving rise to Smith’s workers’ compensation claim stemmed from a negligence action, which implicates a fundamental right to trial by jury
Concurrence Opinion
dissenting in part and concurring in part.
{¶ 45} We have found that
{¶ 46} I am not comfortable with the determination of the majority thаt because a claimant may have alternatives to the Section (F) provisions under the statute, such a fact alone renders the otherwise unconstitutional provisions of
{¶ 47} However,
{¶ 48} Here,
{¶ 49} As a result, if a claimant decides not to create a trust account, the subrogee can obtain reimbursement through the same kind of offset or credit against future payments typically used to recoup overpayment of workers’ compensation.
Holeton,
{¶ 50} Accordingly, I would sustain Smith’s assignment of error insofar as