VENTURA COUNTY EMPLOYEES’ RETIREMENT ASSOCIATION, Plaintiff and Respondent, v. JOHN MICHAEL POPE, Defendant and Appellant.
Civ. No. 52616
Second Dist., Div. Two.
Dec. 28, 1978.
87 Cal. App. 3d 938
COUNSEL
Roberts, Mead, Harrison & Dougherty and Roger W. Roberts for Plaintiff and Appellant.
Dorothy L. Schechter, County Counsel, and James Thonis, Assistant County Counsel, for Plaintiff and Respondent.
OPINION
FLEMING, J.---Plaintiff Ventura County Employees’ Retirement Association (Association) obtained a $17,000 judgment (rounded amount) against defendant Pope, an alleged third party tortfeasor, for one-half the disability benefits payable to Temple, an employee-member of the Association, injured in an automobile collision with the defendant. (
I
On 26 June 1974, Nancy Temple, an employee for 14 years of the County of Ventura and a participant in the Association‘s retirement plan, had an automobile collision with defendant Pope. Although property damage was minor, Temple experienced headaches, pain in her neck, and numbness in her hands and arms. These symptoms worsened, and on November 7 she underwent surgery on her neck. Surgery returned feeling to her upper extremities, but her pain did not abate, and her condition prevented her from working. On 5 March 1975 she applied to the Association for disability retirement benefits. On July 21 the retirement board of the Association found her totally disabled for the performance of her duties and granted her “non-service connected” disability benefits.1
Meanwhile, on June 10 prior to the disability award, Temple settled for $20,000 a claim for personal injuries against Pope and executed a general release in his favor. The Association was not a party to the settlement and, as far as the record indicates, was unaware of any settlement proceedings, although on April 10 it received a letter from defendant‘s insurance adjusters indicating the adjusters had heard of Temple‘s application for disability benefits and requesting information about the retirement board‘s action. On July 22, 13 months after the accident, the Association notified defendant‘s insurance adjusters of its intention to seek subrogation. On 10 October 1975, 15 months after the accident, the Association, as statutory subrogee to Temple under
II
Liability.
However, it is clear from Witt v. Jackson (1961) 57 Cal.2d 57 [17 Cal.Rptr. 369, 366 P.2d 641], that a defendant may contest liability in a subrogation action by an employer to the same extent as in an action brought by the injured employee. Implicit in the right to contest liability are rights to raise the issue of comparative negligence (Li v. Yellow Cab Co. (1975) 13 Cal.3d 804 [119 Cal.Rptr. 858, 532 P.2d 1226, 78 A.L.R.3d 393]) and to contest the causality of the employee‘s injuries. We think similar rules apply to a subrogation action by a county retirement association. Only after a factual determination of the liability of the tortfeasor does a retirement association‘s claim for damages under
On retrial, the court must determine the extent, if any, of Pope‘s liability for personal injuries to Temple and her subrogees under accepted concepts of comparative negligence. The court must then determine whether Temple‘s personal injuries proximately resulted from the collision. Finally, the court must determine whether the damages incurred by Temple and her subrogees included loss of future earning power that is being compensated by disability retirement benefits, which would entitle the Association to make a subrogated claim for one-half the actuarial equivalent of benefits payable to Temple. (
The error in the proceedings below was sufficiently egregious to require summary reversal of the judgment without further comment, but for the guidance of court and counsel in a tangled thicket of the law we discuss additional issues that may become relevant on remand. In turn, this requires some reappraisal of the County Employees Retirement Law (
III
Statutory Scheme. On application, a county retirement association must grant disability retirement benefits to an employee-member who has applied for disability retirement, if it determines the employee is permanently disabled as a result of (1) an employment-related injury, regardless of length of service, or (2) any injury, whether or not employment-related, when the employee has completed five years service and met physical standards for employment. (
a. Due Process. The failure of the retirement board to notify him of the liability hearing and allow him to be heard at its meeting, defendant asserts, violates the guarantee of procedural due process. This erroneous assertion is premised on defendant‘s basic misconception---that allowance of disability benefits constituted an adjudication of defendant‘s tort liability for the accident, a misconception paralleled by the trial court‘s erroneous conclusion that evidence of fault and comparative negligence could not be considered at trial. Such is not the case. The initial determination of the Association to initiate suit against the asserted third party tortfeasor is merely a determination to seek in court through subrogation recovery of benefits payable to a member. Defendant may contest both liability and causation of injuries to the same extent as if the injured employee herself had brought an action. (Board of Administration v. Ames (1963) 215 Cal.App.2d 215, 224 [29 Cal.Rptr. 917]; Witt v. Jackson (1961) 57 Cal.2d 57, 72 [17 Cal.Rptr. 369, 366 P.2d 641].) A retirement board‘s determination of disability fixes the retirement association‘s actuarial exposure to its member, a determination, however, which does not establish the third party tortfeasor‘s liability, but merely
b. Equal Protection. A legislative classification which allows a statutory pension or retirement system to pursue subrogation against a third party tortfeasor for disabling injuries to an employee-member does not violate the equal protection clauses of the state and federal Constitutions. (
c. Impairment of Contract. Defendant asserts the subrogation action of the Association impaired his contract (the general release) with Temple, which he wishes to use as a shield against the Association‘s claims. This assertion is likewise without merit. Both federal (
d. Statutory Damages.
IV
Statute of Limitation. Underlying many of the foregoing issues is the question of the time within which a retirement association must assert its claim for damages against a third party tortfeasor.
An action for personal injuries must be commenced within one year of the date of the injury. (
On a procedural issue we would ordinarily defer to a well-reasoned opinion of another Court of Appeal, such as that in Board of Retirement v. Terry (1974) 40 Cal.App.3d 1091 [115 Cal.Rptr. 718], but the broad principles enunciated by the Supreme Court in County of San Diego v. Sanfax Corp. (1977) 19 Cal.3d 862 [140 Cal.Rptr. 638, 568 P.2d 363], suggest further review. Sanfax was an action by an employer-county against a third party to recover workers’ compensation benefits paid its employees, an action which the trial court dismissed as untimely. In affirming the dismissal, the Supreme Court held that an employer, insurer, or compensation carrier suing a tortfeasor under the subrogation provisions of workers’ compensation law to recover benefits payable to its employee (
In essence, the ruling in County of San Diego v. Sanfax Corp. (1977) supra, 19 Cal.3d 862, reflects a policy decision. Its application comes to us, however, in the guise of a legal decision, for we must determine whether one cause of action or more than one cause of action is involved. To put the question in concrete terms, does the Association‘s subrogation claim form part of Temple‘s cause of action for personal injuries against Pope? If it does, then we have only one basic cause of action, the application of
We start with the basic claim: an automobile collision, assertedly the fault of Pope, resulted in personal injuries to Temple. This claim contains the elements of a tort cause of action in favor of Temple against Pope, one whose component parts consist of Pope‘s liability for fault and Temple‘s damages for personal injuries incurred as a consequence of Pope‘s fault. Thus far, Pope‘s liability extends solely to Temple and consists of damages for personal injuries proximately caused by his wrong. These damages may include such elements as pain and suffering, medical expenses, loss of earnings, future pain and suffering, future medical expenses, loss of future earnings, and loss of future earning power. Each element of damage stems from personal injuries suffered by Temple, and even the most remote, loss of future earning power, is merely an aspect of the damages that resulted to Temple from her personal injuries.
But external factors soon complicate our analysis. Under present social arrangements an injured person may not necessarily carry all the costs consequent on her personal injuries. Other agencies may underwrite portions of the costs of her personal injuries and compensate her for her losses. These agencies include employers, compensation carriers, medical service groups, medical insurers, and such disability insurers as pension funds and retirement associations, which may compensate the injured person for loss of ability to work. Each agency carrying a portion of the costs of the injured person‘s personal injuries reduces the injured person‘s own losses, but this reduction is not designed to absolve a wrongdoer from full liability in damages for his wrong. Under present tort theory the wrongdoer still bears the ultimate loss. Hence, current practice and procedure authorize a carrying agency to obtain reimbursement from the wrongdoer for its costs in compensating the injured person for personal injuries caused by the wrongdoer. The mechanism used to achieve this result is subrogation, a legal device which transfers a portion of the injured person‘s claim for damages against the wrongdoer to the agency which carried that portion of the costs of personal injuries. In effect, the carrying agency substitutes as claimant, in whole or in part, directly or
From this analysis it follows that, regardless of substitution of parties and subrogation of claimants who have borne portions of the costs of personal injuries, all claims of third parties for damages for personal injuries to an injured person---including the employer which reimburses for lost earnings, the medical service group which provides medical care, the compensation insurance carrier which reimburses for loss of future earnings, the medical insurer which underwrites future medical care, and the pension fund or retirement association which pays benefits for loss of ability to work---derive from the injured person‘s claims against the tortfeasor for damages for personal injuries. (Aetna Cas. etc. Co. v. Pacific Gas & Elec. Co. (1953) 41 Cal.2d 785, 787-788 [264 P.2d 5, 41 A.L.R.2d 1037]; Liberty Mutual Ins. Co. v. Fabian (1964) 228 Cal.App.2d 427, 432 [39 Cal.Rptr. 570].) In their own right these claimants possess no claims of their own against the tortfeasor, for he has committed no wrong against them. Only because they have carried part of the costs of the injured person‘s losses do they acquire claims against the tortfeasor as subrogees to the injured person‘s claims for damages for personal injuries.
An adjunct of subrogation is the rule prohibiting double recovery of damages, a rule of special importance in the prosecution of subrogation claims because the proration of damages among those who have shared the costs of personal injuries increases the possibility of duplicate claims for the same loss. Only one totality of recovery of damages for personal injuries is allowed, and only one totality of liability may be imposed on the tortfeasor. (County of San Diego v. Sanfax Corp. (1977) 19 Cal.3d 862, 873 [140 Cal.Rptr. 638, 568 P.2d 363]; Smith v. County of Los Angeles (1969) 276 Cal.App.2d 156, 162-164 [81 Cal.Rptr. 120].) Duplicate recovery of damages is barred, and neither double recovery of the same item of loss nor double liability for the same item of injury is permitted. (
The nature of subrogation and its prohibition against double recovery make it abundantly clear that subrogation involves succession to the rights of others. Rights under subrogation are derivative rights, and succession to another‘s rights, like water, cannot rise higher than its source. When we apply these conclusions to the facts at bench, we see that the Association, in assuming a portion of the costs of personal injuries suffered by Temple as a consequence of the accident, specifically, the loss of her ability to work, underwrote the costs of her disability to the extent it compensated her for that loss, and thereby succeeded to her claim for damages against Pope for loss of future earning power. Temple and the Association cannot both recover damages from Pope for the same loss of her ability to work, for that would be double recovery. (Cf.
From our conclusion that only personal injuries are involved and that only one totality of recovery for these injuries is allowed, it follows that all damage claims against Pope are portions of one cause of action in tort for personal injuries, no matter how fragmented, subdivided, or subrogated they have become. Because the Association‘s claim against Pope is for costs incurred as a consequence of Temple‘s loss of future earning power, its claim arises solely from its succession to Temple‘s claim. Hence, the Association‘s claim against Pope is not a separate cause of action, is not a new cause of action to enforce a liability created by statute, but remains a
Our legal vocabulary may be deficient in failing to differentiate sufficiently between the operative facts that form the basis for a legal claim (
Distinguishable from the facts at bench are analogous factual situations not involving claims for personal injuries even though they arise out of personal injuries, as for example the common law action of a master against a third party for injuries to his servant that affect the servant‘s ability to work (
Also distinguishable are actions for indemnity and recoupment, actions which, like that of the master for injury to his servant, are grounded on plaintiff‘s own rights and not on rights acquired by subrogation. For example, an employer adjudged vicariously liable in damages to a third party for personal injuries to the third party caused by the negligence of his employee, acquires a cause of action against his employee for recoupment of the damage judgment obtained against the employer. (
We conclude, therefore, that this suit is a tort action for damages for personal injuries for which only one cause of action exists for injured person and subrogees, that the one-year statute of limitation applies, that the Association possesses a right of action derived from the basic cause of action, and that it must initiate its action against the tortfeasor within one year. In reaching this conclusion we reject the opinions of the Court of Appeal in Board of Retirement v. Terry (1974) 40 Cal.App.3d 1091 [115 Cal.Rptr. 718], and Board of Administration v. Ames (1963) 215 Cal.App.2d 215 [29 Cal.Rptr. 917], whose logic, as we view it, has been overtaken by the Supreme Court‘s opinion in County of San Diego v. Sanfax Corp. (1977) supra, 19 Cal.3d 862, 880.
V
Other Issues on Retrial. In addition to the foregoing general issues of subrogation, retrial may involve two issues peculiar to the resolution of this cause.
In the trial court defendant Pope did not plead the statute of limitation as a defense. The statute of limitation is an affirmative defense, which unless pleaded or otherwise presented at trial is waived (
b. Credit for Prior Settlement. A second issue may arise over the credit, if any, to be given Pope for his settlement and release with Temple. Under subrogation procedure in worker‘s compensation no settlement or release between an employee and a third party is binding on the employer without notice to the employer and opportunity for the latter to recover the damages to which he has become subrogated. (
We construe
The judgment is reversed, and the cause is remanded for a new trial.
Roth, P. J., concurred.
COMPTON, J., Concurring and Dissenting.---I concur in the result reached by the majority and all of the observations made therein with one exception.
The majority implies that the burden was on Pope to notify the Association of the proposed settlement and release and that in failing to do so he settled with Temple at his peril. There is nothing in the record to indicate that Pope knew, or had any reason to expect, that Temple would pursue a claim against the Association. Perhaps sophisticated insurance investigators might have anticipated the possibility but the principles which we enunciate in our opinions are applicable to the unsophisticated individual as well.
Respondent‘s petition for a hearing by the Supreme Court was denied March 14, 1979.
Notes
“(1) An amount which is equal to one-half of the actuarial equivalent of the benefits for which the association is liable because of such injury or death; or
“(2) An amount which is equal to one-half of the remaining balance of the amount recovered after allowance of that amount which the employer or its insurance carrier have paid or become obligated to pay. The right shall be determined under the subrogation provisions of any workmen‘s compensation law.”
Section 31822. “Any amount recovered by any of the parties shall be applied, first, to the amounts which the employer or its insurance carrier have paid or become obligated to pay, and second, to the amounts to which the retirement association is entitled under the provisions of Section 31820 hereof.”
