James Camell Walker, Jr. (plaintiff) was injured in a motor vehicle collision on 1 August 2000. The accident was caused by the negligence of Troy Walker. At the time of the accident, plaintiff was working in the scope and course of his employment and operating a vehicle owned and insured by his employer, SIA Group-Seashore (SIA).
Troy Walker had liability insurance coverage with Shelby National Insurance Company (the liability carrier). The liability
insurance coverage limit was $30,000 per person and $60,000 per accident. The vehicle in
Plaintiff recovered the full $30,000 allowable from the liability carrier. The workers’ compensation carrier for plaintiff’s employer also paid a total of $81,948.37, as follows: $24,201.54 for plaintiff’s medical expenses, $51,547.88 to plaintiff as compensation, and $6,198.95 to Hoover Rehabilitation. Pursuant to a clincher agreement, the workers’ compensation carrier asserted a lien in the amount of $35,000 on any recovery plaintiff received from third parties.
Plaintiff and defendant submitted the issue of the value of plaintiff’s personal injury claim to arbitration on 2 October 2002. The arbitrator found that the value of plaintiff’s personal injury claim was $129,524. The parties thereafter agreed that the award should be modified to $126,874. The arbitrator did not resolve coverage issues or amounts to be credited.
Following the arbitration, plaintiff and defendant were unable to agree on the amount payable by defendant under the UIM policy. Specifically, the parties were unable to resolve how the 1999 amendment to the UIM statute, N.C. Gen. Stat. § 20-279.21(e) (2003), would affect the relationship between the award amount and the workers’ compensation lien, thereby determining the amount payable by defendant. Defendant contended that the statute required that the arbitration award be offset by plaintiff’s recovery from the workers’ compensation carrier.
Plaintiff filed a complaint for a declaratory judgment on 2 April 2003, asking the trial court to declare the rights and liabilities of the parties and to declare that defendant pay plaintiff $96,874: the difference between the arbitration award and the $30,000 recovered from the liability carrier. Defendant’s answer asked that the trial court require defendant to pay plaintiff an amount not greater than $50,874. Defendant calculated this amount by subtracting the sum of $30,000 recovered from the liability carrier and $46,000 1 workers’ compensation benefits from the $126,874 total value of plaintiff’s injury.
While the declaratory judgment action was pending in the trial court, this Court, in
Austin v. Midgett (Austin I),
In accordance with our holding in Austin I, the trial court credited defendant with the amount paid by the workers’ compensation carrier, less the amount of the workers’ compensation lien. However, the trial court reduced the amount of workers’ compensation benefits by $6,198.95, the amount paid to Hoover Rehabilitation. In addition, under the guidance from Austin I, the trial court did not credit defendant with the $30,000 plaintiff received from the liability carrier. The resulting judgment ordered defendant to pay plaintiff $86,124.58, plus interest.
Following the trial court’s declaratory judgment, this Court granted a petition for rehearing in
Austin I.
We subsequently clarified the
Austin I
holding in
Austin v. Midgett (Austin II),
Our Court also outlined a two-step process for determining the amount due to a plaintiff from an UIM carrier.
Id.
at 741-42,
Defendant first assigns error to the trial court’s failure to credit defendant with the amount plaintiff received from the liability carrier. Defendant argues that by failing to credit defendant with this amount, plaintiff has received a windfall and a net recovery in excess of his actual damages. We agree. Under
Austin II,
a UIM carrier is entitled to a credit for payments made by the liability carrier.
Austin II,
Defendant next assigns error to the trial court’s calculation of the amount of benefits plaintiff received from the workers’ compensation carrier. Defendant argues that the trial court erred by excluding the costs for Hoover Rehabilitation’s services from the total amount of workers’ compensation benefits plaintiff received.
The trial court’s order contains the following finding of fact:
7. The sum paid to Hoover Rehabilitation was for a nurse to accompany plaintiff to his doctor visits and plaintiff received no benefit from this service. The sum paid to Hoover Rehabilitation was not compensation to plaintiff.
Our standard of review of a declaratory judgment is the same as in other cases. N.C. Gen. Stat. § 1-258 (2003);
Integon Indem. Corp. v. Universal Underwriters Ins. Co.,
Defendant argues that there was no evidence on which the trial court could base its finding that plaintiff received no benefit from
Hoover Rehabilitation. However, defendant has failed to present any evidence in the record tending to show that plaintiff received
any
benefit from Hoover. “ ‘The burden is on an appealing party to show, by presenting a full and complete record, that the record is lacking in evidence to support the [trial court’s] findings of fact.’ ”
Davis v. Durham Mental Health/Development,
In the alternative, defendant argues that, as a matter of law, rehabilitation costs' are a part of the workers’ compensation benefits received by an injured worker. In support of its argument, defendant cites
Roberts v. ABR Associates, Inc.,
Having determined the foregoing, we proceed to the two-step inquiry outlined in
Austin II
to calculate the amount payable to plaintiff by defendant.
See Austin II,
Since we have held that, under Austin II, defendant is entitled to a credit for the amount plaintiff received from the liability carrier, we need not consider defendant’s remaining assignments of error regarding this issue.
We remand this matter for entry of judgment in the above calculated amount.
Reversed and remanded.
Notes
. The figure $46,000 was reached by subtracting $35,000 (the amount of the worker’s compensation carrier’s lien) from $81,000 (the total paid out by the worker’s compensation carrier). Defendant now admits, and the trial court found, that the total paid out by the worker’s compensation carrier was $81,948.37: $24,201.54 in medical expenses; $51,547.88 to plaintiff in compensation; and $6,198.95 to Hoover Rehabilitation.
. This figure was reached by subtracting the amount paid to Hoover Rehabilitation ($6,198.95) and the amount of the worker’s compensation lien ($35,000) from the total amount paid by the worker’s compensation carrier ($81,948.37).
