The Travelers Insurance Company v. Susan J. CarpenterThe Travelers Insurance Company v. Susan J. Carpenter
Plaintiff-appellant Travelers Insurance Company (“Travelers”), a Connecticut corporation, appeals from a judgment of the United States District Court for the District of Vermont (Murtha, C.J.) denying Travelers’ motion for summary judgment against defendant-appellee Susan J. Carpenter, a Vermont citizen, and dismissing without prejudice Travelers’ declaratory judgment complaint on abstention grounds in deference to parallel, pending state-court litigation.
Carpenter was in a car crash in February 1999 and suffered an injury for which she received workers’ compensation benefits from Travelers. In April 2000, after Carpenter received a $150,000 settlement under the Underinsured Motorist provision of her personal automobile liability policy (“UIM provision”), Travelers filed this action in the District Court of Vermont under Vt. Stat. Ann. tit. 21, § 624(e) (2001), seeking to have the workers’ compensation benefits it had paid reimbursed from the UIM settlement funds paid to Carpenter, and to have future payments offset against the remainder. At issue is whether the July 1, 1999 amendment to § 624(e) or the pre-amendment text provides the controlling law for Travelers’ reimbursement right, and, if the post-amendment text controls, how its prohibition on an employee receiving “double recovery” affects the rights of the parties to the UIM settlement proceeds. Because these issues present questions of law for which no controlling precedent or plain-meaning statutory analysis provides adequate answers, we certify the following questions to the Supreme Court of Vermont:
*99 1. Under the circumstances of this case, in which a worker was injured in February 1999 and settled under her privately purchased liability insurance policy in April 2000, was the § 624(e) reimbursement right of a workers’ compensation carrier “acquired [or] accrued” under § 214(b)(2) before or after the July 1,1999 amendment to § 624(e)?
2. If the § 624(e) reimbursement right accrued before July 1, 1999, is the amendment to § 624(e) a “clarifying” amendment that should be applied retroactively?
3. If the post-amendment text controls, under the circumstances of this case in which an injured worker received both workers’ compensation benefits and a recovery under the UIM provision of a privately purchased insurance policy, how is the prohibition on “double recovery” in § 624(e) defined and, if relevant, when and how are an injured worker’s “total” damages determined?
BACKGROUND
I. Facts
On February 26, 1999, Susan Carpenter sustained injuries in a single car accident; Kimberly Webb, a co-worker, was driving the car at the time of the accident, and the accident was within the scope of Carpenter’s employment for Bell Atlantic Yellow Pages (“Bell Atlantic”). As Bell Atlantic’s workers’ compensation carrier, Travelers received, accepted, and paid Carpenter’s claim for workers’ compensation benefits, including temporary total disability and medical expenses.
In addition to a claim against her coworker’s liability carrier that resulted in a $25,000 settlement payment, Carpenter made a claim under the UIM provision in her personal automobile liability policy (coincidentally also purchased from Travelers) and received a $150,000 settlement on or about April 13, 2000. Carpenter also brought a tort action in state court against Webb, to which Travelers is now the real party-in-interest. This state court action is still pending and, according to the district court, “will result in a determination of the total damages the defendant has suffered as a result of the accident.” 1
II. The July 1999 Amendment to § 624(e)
In Vt. Stat. Ann. tit. 21, § 624(e) (2001), Vermont law provides a workers’ compensation insurer with a right to reimbursement of workers’ compensation benefits paid to an injured worker if the worker subsequently receives certain types of recoveries that also compensate for the injury. The question here is what those rights are when the subsequent recovery flows from a UIM provision in an insurance policy privately purchased by the injured worker and when the Vermont legislature amended the relevant text of § 624(e) on July 1, 1999, over four months after the date of Carpenter’s injury but over nine months before Carpenter received the proceeds of her UIM settlement.
*100 Prior to its amendment, § 624(e) provided that:
In an action to enforce the liability of a third party, the injured employee may recover any amount which the employee or the employee’s personal representative would be entitled to recover in a civil action. 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 its workers’ compensation insurance carrier for any amounts paid or payable ... to date of recovery, and the balance shall forthwith be paid to the employee ... and shall be treated as an advance payment by the employer on account of any future payments of compensation benefits.
Section 624(e) (emphasis added). Interpreting this pre-amendment text, the Vermont Supreme Court held in
Travelers Cos. v. Liberty Mutual Insurance Co.,
The July 1999 amendment to § 624(e) appended the following sentence:
Reimbursement required under this subsection, except to prevent double recovery, shall not reduce the employee’s recovery of any benefit or payment provided by a plan or policy that was privately purchased by the injured employee, including uninsured-under insured motorist coverage, or any other first party insurance payments or benefits.
Section 624(e). While this amendment addresses a workers’ compensation carrier’s right to reimbursement from an injured employee’s recovery under a privately purchased policy, no Vermont court to date has addressed the effect of the amendment or the meaning of its prohibition on “double recovery.”
III. Proceedings in the District Court
On December 15, 2000, Travelers brought this action asking the court to declare that Travelers was entitled to the value of Carpenter’s UIM settlement, less costs of recovery under § 624(e). To effectuate this declaration, Travelers requested the court to direct Carpenter to reimburse Travelers for workers’ compensation benefits paid prior to Carpenter’s UIM settlement 2 and to permit Travelers to withhold future benefit payments in an amount appropriate to internalize the remaining value of the settlement. 3
*101
In its unpublished Ruling On Cross Motions For Summary Judgment dated October 17, 2001, the district court addressed the issue of which version of § 624(e) applied: it presumed the apphcable law to be fixed on the February 1999 date of the accident, yet found the statute as amended on July 1999 to provide the controlling law as of February 1999. Relying on
Montgomery v. Brinver Corp.,
Having decided that the text of § 624(e) as amended controlled Travelers’ claims, the district court proceeded to interpret the text of the July 1999 amendment. It found that “the effect of [the amendment] language was to make clear that an insurer, such as Travelers, has a right to recover workers’ compensation benefits paid to an employee only to the extent that those benefits constitute a ‘double recovery’ noted that “double recovery” could only be determined “in light of [Carpenter’s] total award of damages”; and thus interpreted the amendment not to grant Travelers any right to reimbursement until after Carpenter had effectively been made whole and had received compensation for her “total” damages. This interpretation of § 624(e) required deferring any calculation of Travelers’ reimbursement until after Carpenter’s total compensation from other sources became clear: “the issue of whether Ms. Carpenter has received a double recovery must await a determination of the amount and type of benefits she is awarded in her [pending state court] suit against Ms. Webb.”
Finally, in a separate Ruling and Order dated November 20, 2002, the district court dismissed without prejudice Travelers’ claim as “duplicative of the matter presently pending in [the state court action against Webb] and as failing to raise any further issues which require adjudication.” The court cited
Youell v. Exxon Corp.,
Travelers appealed to this Court.
DISCUSSION
We review a district court’s denial of summary judgment
de novo,
a review we will only undertake when a final decision or other distinct district court action has rendered the case appealable.
See Terwilliger v. Terwilliger,
This certification presents several questions, each of which requires interpretation of Vermont statutory law. The first two questions both address a “temporal choice of law” issue concerning whether the pre- or post-post-amendment version of § 624(e) controls Travelers’ right to reimbursement. First, what event marks the date on which controlling law is fixed in a workers’ compensation insurer’s claim for a § 624(e) right to reimbursement? Second, presuming the event fixing the controlling law occurred before enactment of the § 624(e) amendment — for example, presuming, as the district court did that the accident fixes the controlling law — was the July 1999 amendment a clarifying amendment that under Vermont law would apply to all claims yet to be adjudicated? 5
*103 If, in response to the above questions/ the pre-amendment text of § 624(e) were to control Travelers’ claim, our inquiry would return to terrain that the Vermont Supreme Court has already clearly mapped in Travelers Cos., terrain that we may competently navigate without further assistance. If the post-amendment version of § 624(e) were to provide the applicable rule, however, our journey would venture back into uncharted territory and would confront a second question on which we also seek guidance: Under the amended version of § 624(e), what is the “double recovery” that is prohibited to an injured worker?
I. When a § 624(e) right to reimbursement accrues
Travelers argues that the Vermont Supreme Court held that a § 624(e) right to reimbursement accrues on the date of the accident when it stated in
Montgomery
that “[t]he right to compensation for an injury under the Workmen’s Compensation Act is governed by the law in force at the time of occurrence of such injury.”
Montgomery,
however, addressed only accrual of the injured employee’s rights to benefits from the workers’ compensation carrier; in the instant case, in contrast, Travelers seeks to vindicate its distinct § 624(e) right to reimbursement of compensation already provided. The Vermont courts have not addressed whether the law controlling an insurer’s right to reimbursement is fixed on the same date as the law governing an injured worker’s right to compensation.
6
The law controlling each claim need not be fixed on the same date, as each claim vindicates a different right and the events giving rise to each right may occur at different times.
See State v. Willis,
Following this line of reasoning, Carpenter argues that the date of her recovery or receipt of the UIM settlement proceeds fixes the applicable law vis-a-vis Travelers’ right to reimbursement. While the injured employee’s right to compensation accrues the moment the injury occurs, the carrier’s right to reimbursement arguably does not exist until the employee receives a recovery separate from her workers’ compensation benefits for her injury. Indeed, the reimbursement may never occur at all: in the event that the injured employee were not to receive any recovery apart from workers’ compensation, Travelers would have no right to be reimbursed.
*104 Presented with a similar question regarding when a workers’ compensation carrier’s subrogation right to an injured worker’s third-party recovery accrues, other jurisdictions arrive at contradictory conclusions from which a clear pattern is difficult to discern. 7
If Carpenter is correct and Montgomery does not control, whether the pre- or post-amendment text governs Travelers’ claim is a question that requires an answer more specific than when Travelers acquired a generic right: we must determine the point in time at which Travelers acquired the type of right that an amendment to § 624(e) could not override. A Vermont statute appears to control this question: “The amendment ... of an act or statutory provision ... shall not ... [ajffect any right, privilege, obligation or liability acquired, accrued or incurred prior to the effective date of the amendment....” Vt. Stat. Ann. tit. 1, § 214(b)(2) (2001). We can find no clear answer, however, to what type of “right” or “privilege” must be “acquired or accrued” for protection under § 214(b)(2); the extent to which a right must solidify or vest is subject to conflicting interpretations in Vermont caselaw.
In
Myott v. Myott,
Likewise,
Harris v. Town of Townshend,
His right of action had accrued. His right to recover was dependent upon the proof to be made.... [But, h]is right was not an inchoate one in the sense in which the word is used in some of the cases, where it has been held that an inchoate right was lost by the repeal of a statute. His right was as perfect as any can be, where the question of its enforcement is open to contention and litigation.
Id.
at 719-20;
see also Curran v. Marcille,
We thus find several dimensions of uncertainty in Vermont law with respect to whether Travelers’ § 624(e) right accrued before or after the July 1999 amendment: whether Montgomery controls, what type of “right” must be “accrued” for protection from a statutory amendment under § 214(b)(2) if Montgomery does not control, and whether Travelers’ acquired this right to its § 624(e) claim before or after July 1,1999.
II. Retrospective application of the July 1999 amendment to § 624(e)
The resolution of when Travelers’ § 624(e) reimbursement right accrued, *106 however, may not be dispositive of the “temporal choice of law” issue: even if the date of the accident determines the applicable law, the amendment to § 624(e) may have been retroactive legislation and may still be controlling law.
The district court labeled the July 1999 amendment to § 624(e) a “clarifying” amendment and applied it retroactively. It relied on
Montgomery,
In some tension with this interpretation of
Montgomery
is the view that the Vermont Supreme Court “has repeatedly stated that absent the most clear and unequivocal language, a statute affecting legally existing rights should not be construed to operate retrospectively,”
Curran,
Carpenter cites caselaw from neighboring jurisdictions to support the construal of the July 1999 amendment as a clarifying amendment meriting retroactive application.
See, e.g., Toise v. Rowe,
We find no Vermont caselaw addressing whether a similar common law exception exists in Vermont and survives the passage of § 214, and we consider the issue of whether the July 1999 to § 624(e) applies retroactively to be unsettled under Vermont law.
III. The meaning of “double recovery” in the July 1999 amendment to § 624(e)
Presuming, as the district court did, that the July 1, 1999 post-amendment text of § 624(e) governs Travelers’ claim for reimbursement, we must determine Travelers’ rights under the amended statute. To date, no Vermont court has issued an opinion interpreting the amendment, so we turn to the plain meaning of the text.
See Weissenstein v. Burlington Bd. of Sch. Comm’rs,
Each party suggests an interpretation, but each interpretation presents difficulties. Carpenter asserts the prohibition on double recovery “prevents a windfall or recovery that would exceed a person’s total losses.” Under this formulation, the “double” in double recovery refers solely to the quantity of compensation for all losses without any reference to source. Carpenter relies on Black’s Law Dictionary to define double recovery as a “[r]ecovery which represents more than the total maximum loss which all parties have sustained.” Black’s Law Dictionary 490 (6th ed.1991);
see also Brunet v. Am. Ins. Co.,
In contrast, Travelers construes the prohibition on double recovery to mean that “[a]n injured employee is not entitled to recover workers’ compensation benefits and personal injury damages from a third-party for the same injury or expenses.” Under this formulation, double recovery occurs whenever an injured worker receives two recoveries from different sources for the same injury, regardless of the amount of either recovery; double refers solely to a doubling of the source of the recoveries rather than their amounts. Travelers points to the Vermont Supreme Court’s own use of the term in
St. Paul Fire & Marine Insurance
for support: summarizing the effect of § 624(e), the court stated that “[w]hen a third party is found responsible in a personal injury action for damages suffered by the worker, the worker is not permitted double recovery from both the insurer and third party for the same injury.”
*108
Query whether Travelers’ argument risks rendering the July 1999 amendment to § 624(e) meaningless? Indeed, Travelers concedes in its brief that the recoveries addressed by the amendment are treated the same under the pre-amendment case-law,
see, e.g., Brunet,
Even if Carpenter’s interpretation of the prohibition on double recovery is correct and Travelers only has a right to funds from Carpenter’s UIM recovery once Carpenter has been compensated for her “total” damages, however, this concept of “total” damages remains highly elusive. The statute gives no guidance on what types of damages to include in the “total” figure. Furthermore, disputes arising from accidents often result in settlements and involve multiple parties; a determination of “total” damages might never be made but for the § 624(e) proceedings, and such a determination, if made in a separate proceeding, might not bind a workers’ compensation insurer. 11
In summary, we request clarification of what type of double recovery is prohibited by § 624(e). Although execution of Traveler’s theory is self-evident, execution of Carpenter’s theory is not. If relevant, we therefore also seek guidance on how, when, and by whom “total” damages are to be computed.
IV. Certification
While the application of Vermont law necessarily permeates any opinion deciding Travelers’ claims, the requirement of applying state law does not alone distinguish this case from the many cases federal courts routinely hear and decide under diversity jurisdiction, without recourse to certification. We elect respectfully to extend an invitation to the Vermont Supreme Court to address this dispute because it directly implicates multiple issues of Vermont statutory law that lack sufficient Vermont precedent for us to make an informed determination with certainty.
“Certification is a discretionary device, both for the certifying court and for the court requested to answer the certified question[s].”
McCarthy v. Olin Corp.,
As the preceding analysis demonstrates, all of the questions that we certify pose purely state-law questions, they determine the outcome in this case (provided each needs to be reached), and they lack controlling Vermont precedent. Because of these factors, we find that certification is appropriate.
CONCLUSION
As discussed above, we hesitate to decide important issues of Vermont law, controlling in the case before us, on which no clear guidance from the Vermont courts or the Vermont legislature exists. Accordingly, we respectfully certify the following questions to the Supreme Court of Vermont:
1. Under the circumstances of this case, in which a worker was injured in February 1999 and settled under her privately purchased liability insurance policy in April 2000, was the § 624(e) reimbursement right of a workers’ compensation carrier “acquired [or] accrued” under § 214(b)(2) before or after the July 1, 1999 amendment to § 624(e)?
2. If the § 624(e) reimbursement right accrued before July 1, 1999, is the amendment to § 624(e) a “clarifying” amendment that should be applied retroactively?
3. If the post-amendment text controls, under the circumstances of this case in which an injured worker received both workers’ compensation benefits and a recovery under the UIM provision of a privately purchased insurance policy, how is the prohibition on “double recovery” in § 624(e) defined and, if relevant, when and how are an injured worker’s “total” damages determined?
We acknowledge, of course, that the Vermont Supreme Court may reformulate these questions. See Vt. R.App. P. 14(b). We invite the Vermont Court to do so and to take up any additional questions of Vermont law in this case that it chooses to answer.
It is hereby ordered that the Clerk of this Court transmit to the Clerk of the Supreme Court of Vermont a Certificate, as set forth below, together with a complete set of the briefs, appendix, and record filed in this Court by the parties. The parties are directed to bear equally such fees and costs as may be directed by the Supreme Court of Vermont, including any entry fee required under Vt. R.App. Proc. 3(b)(1).
Because the questions we certify to the Supreme Court of Vermont are controlling, we expressly do not reach the issue whether the district court properly exercised its decision to dismiss without prejudice the case as duplicative of pending state litigation. The panel retains jurisdiction to address this issue, if necessary, and any additional issues that may need to be reached after the Supreme Court of Vermont has offered its guidance or declined certification.
CERTIFICATE
As ordered by the United States Court of Appeals for the Second Circuit, the foregoing is hereby certified to the Supreme Court of Vermont, pursuant to Vt. R.App. Proc. 14 and 2d Cir. R. § 0.27.
Notes
. Carpenter sued Webb in state court for negligent driving. Carpenter alleges that this state court lawsuit revealed for the first time that Bell Atlantic held a commercial auto insurance policy, also issued by Travelers, with $2,000,000 of coverage for the occupants of the vehicle. (It is because of Webb's coverage under this commercial auto policy that Travelers is now the real party-in-interest to Carpenter's state court lawsuit.) Presumably, if the parties do not settle, if no affirmative defense prevents the merits from being reached, and if Webb is found to be negligent, this tort suit will provide at least one definition of Carpenter's ''total” damages in order to fix Webb's and Travelers’ liability for Webb's negligence.
. As of April 28, 2000, Carpenter had received approximately $36,948.57 in benefits. The record neither explains the time lag between the April 13 settlement and the April 28 estimate of benefits paid nor indicates whether Carpenter received any payments after April 28, 2000.
. At the same time, Travelers also moved for relief directing Carpenter to pay Travelers the $25,000 received from Webb’s insurer, minus appropriate costs. This claim likely would not be affected by the July 1999 amendment to § 624(e), as it represents a recovery that was not "provided by a plan or policy that was privately purchased by the injured employee,” § 624(e), and thus Travelers' right to reimbursement from this portion of Carpenter's recovery is independent of the issues discussed here.
The status of this claim is unclear. Before Travelers filed this suit, Carpenter had sent a check to Travelers for two-thirds of $25,000, *101 minus half of expenses, and Travelers returned this check accompanied by the cryptic statement: “As you know, we are disputing the fact that we believe we are entitled to the full reimbursement of our lien by means of the underinsured motorist insurance.” The district court did not address Travelers’ claim on the recovery from Webb's insurer (although it does mention that Carpenter made this recovery), nor does Travelers mention in its briefs on appeal the district court's failure to address the issue. Whether these funds have been paid to Travelers, the claim is not before us on this appeal.
. In contrast, we review a district court’s decision to dismiss a federal declaratory judgment action in deference to a parallel, pending state-court action for abuse of the discretion outlined in
Brillhart v. Excess Insurance Co.,
. The question what conduct to which a non-retroactive statute applies is distinct from the question whether the statute is intended to be retroactive.
See Landgraf v. USI Film Prods.,
. The other Vermont cases to which Travelers cites in support of the
Montgomery
rule similarly address the scope of benefits to be received through the initial claim by the injured employee against the insurance carrier.
Fleury v. Kessel/Duff Constr.,
.
Compare Anderson v. National Carriers, Inc.,
At least one other jurisdictions vest a workers’ compensation carrier’s right to subrogation, and thus fix the governing law, on a date somewhere in between the date of injury and the date of recovery.
See, e.g., Spengler v. Employers Commercial Union Ins. Co.,
. After noting that Myott applied both a common law retroactivity analysis and a § 214(b) analysis, and that the common law rule permitted retroactive application except when such application confronted pre-existing vested rights, the Skjetne court concluded Myott's reference to vested rights "came in a passage that was killing two birds with one stone. The Court had just set out both the common-law principle and the statutory rule, and in the quoted phrase was eliminating both as obstacles to the retrospective application of an amended statute.” Skjetne, 213 B.R. at 277.
. Travelers notes that not all workers’ recoveries will lead to double recovery on the part of the worker because, under
St. Paul Fire & Marine Insurance,
. "[T]he Bninet case makes clear that regardless of whether a claimant has been fully compensated for both economic and non-economic damages by the third-party recovery, that recovery is fully available to satisfy the lien of the workers’ compensation carrier, thereby preventing a 'double recovery’ of economic damages. The amendment to § 624(e) does not change this result.” "The Vermont legislature, by including the phrase 'except to prevent double recovery’ in the amendment, continued to permit workers’ compensation carriers to recoup benefits paid under the Act against UM/UIM recoveries so long as the reimbursement prevented a 'double recovery’ on the part of the claimant. The amendment does not alter or supersede the holding in Bmnet. ...”
. In the case before this Court, the truly unique posture of the litigants that led to dismissal in deference to the state court proceedings must be highlighted: Travelers is a party to the state court proceedings only because it coincidentally provided coverage for both Carpenter under Bell Atlantic's workers compensation insurance plan and for Webb under Bell Atlantic's commercial automobile policy.