T1 Wоrking RX, Inc. (RX) filed suit in district court against the Workers' Compensation Fund (WCF) 1 and various employees WCF insured, alleging that RX was underpaid for prescriptions that certain pharmacies had filled for injured workers. RX asserted causes of action under the Workers' Compensation Act (the Act), see Utah Code Ann. §§ 34A-2-101 to -905 (2005 & Supр. 2007), and the common law theory of unjust enrichment. The trial court dismissed both claims, concluding that there is no express or implied private right of action under the Act and that the court has no jurisdiction to adjudicate RX's unjust enrichment claim. We affirm both rulings on the basis that the district court lacked jurisdiction.
BACKGROUND
T2 RX contraсts with pharmacies to process, handle, and bill for injured workers' prescription claims. According to RX, after a pharmacy fills a preseription, it assigns its right of collection for the related invoice to RX. RX then bills the employer or its insurer; in this case, WCF.
1 3 RX brought suit against WCF, seeking approximately four million dоllars in pre-seription bills that WCF allegedly underpaid. RX pleaded two causes of action. The first one, titled "Utah Labor Code," alleged that WCF violated Utah Code section 34A-2-418(1), which requires employers or their insurance carriers to pay "reasonable sums for ... medicines." Id. § 34A-2418(1) (2005). 2 The second cause оf action alternatively claimed unjust enrichment.
ISSUE AND STANDARD OF REVIEW
15 RX argues that the trial court has jurisdiction to hear RX's private right of action and unjust enrichment claims,
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Whether the district court has jurisdiction is a question of law that we review for correctness, giving no deference to the lower court.'' State v. Norris,
ANALYSIS
I. Utah Labor Code Claim
T6 RX asserts that WCF violated the Act by not properly paying for prescriptions and that the trial court erred by dismissing this claim on the basis that the Act does not provide for a private right of action. We first, however, must determine whether the trial court has subject matter jurisdiction to reach the merits of this claim. See Housing Auth. v. Snyder,
T7 In advancing its first cause of action, RX asserts that WCF has a statutory duty under Utah Code section 34A-2-418(1) to pay for injured workers' prescription medicines and that WCF violated this duty by underpaying RX for certain prescriptions. This is, therefore, a claim alleging a violation under the Act and, as such, comes within the Commission's exclusive jurisdiction.
T8 The Act imposes an administrative scheme, designed "to provide speedy compensation to workers who are injured as a result of an accident occurring in the course and scope of their employment, irrespective of negligence.'' Sheppick,
19 The Commission's broad jurisdiction is exemplified, in part, by the Act's exclusive remedy provision. Section 34A-2-105 of the Act states that "the lHabilities of the employer imposed by this chapter shall be in place of any and all other civil liability whatsoever, at common law or otherwise, to the employee ... or any other person whom
makes it clear that the Act is the exclusive vehicle for recovery of compensation for injury or death, against the employer and other employees to the exclusion of "any and all other civil liability whatsoever, at common law or otherwise," and that it bars all next of kin or dependents, or anyone else, from using any other means of recovеry against employers and others named in and covered by the Act, than the Act itself.
Id. at 89. Based on the broad language of the exclusive remedy provision and cases interpreting the same, i.e., "any and all other civil liability" and "bars all next of kin ... or anyone else," id., we disagree with RX's assertion that the exelusive remedy provision applies only to cases involving employers and employees.
{10 Thus, we now examine the remedies provided under the Act to determine whether, as RX asserts, it was precluded from having its claim for prescription payments heard before the Commission prior to 2006. Part 8 of thе Act, titled Adjudication, states that "(tlo contest an action of the employer's employee or its insurance carrier concerning a compensable, industrial accident or occupational disease alleged by the employee, any of the following shall file an application for hearing with the Division of Adjudication: (i) the employee; or (i) a representative of the employee." Utah Code Ann. § 34A-2-801 (1)(a) (2005). Part 8 also provides that physicians and attorneys may also file an application for a hearing with the Commission. See id. § 34A-2-801(c)-(d). Moreover, the administrative rules under thе Act state that "[aln employer, insurance carrier, or any other party with standing under the Workers' Compensation Act may obtain a hearing before the Adjudication Division by filing a request for ageney action with the [Commission]." Utah Admin. Code R602-2-1(B)(@Q) (emphasis added). The Act's exelusive jurisdiction provision states: ,
(a) Subjeсt to appellate review ..., the commission has exclusive jurisdiction to hear and determine whether the treatment or services rendered to an employee by a physician are:
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(ii) compensable pursuant to this chapter....
(b) Except as provided in Subsection (12)(a), ... a person may not maintain a cause of action in any forum within this state other than the commission for collection or payment of a physician's billing for treatment or services that are compensa-ble under this chapter....
Utah Code Ann. § 84A-2-407 (12) (2005).
Neither the adjudication section nor the exclusive jurisdiction provision explicitly state that a prescription provider may filе an application for a hearing with the Commission; however, when read together with administrative rule 6022-1, the statutory scheme provides that claims regarding the reasonableness of payments for prescriptions come within the Commission's exclusive jurisdiction. Cf. Sheppick v. Albertson's, Inc.,
This conclusion is supported by the fact that the Act was amended in 2006 to add claims for payment of prescriptions to the list of claims over which the Commission has exclusive jurisdiction. See Workers' Compensation Revisions, ch. 295, § 4, 2006 Utah Laws 295, 1491 (codified at Utah Code Ann. § 34A-2-407(12) (Supp.2007))
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The 2006 amendments also added providers of "goods and services" to the list of individuals or entities that may file an application for a hearing with the Commission. See id. § 6, 2006 Utah Laws 295 at 1494 (codified at Utah Code Ann. § 34A-2-801(1)(c) (Supp.2007) ("A person providing goods or services ... may file an application for hearing. ...")). These amendments, although effective after RX filed its action, are "instructive as to the Legislature's intent, ... [and likely] clarify what had previously been true.'' Broadbent v. Bоard of Educ.,
II. Unjust Enrichment Claim
118 We reach the same jurisdictional conclusion regarding RX's common law claim for unjust enrichment. The Act
allows for only two instances in which resort to a district court may be had for a judicial common law remedy [(L) when] an employee [is] injured by a willful or intentional tortious act of an еmployer or a fellow employee ... [or (2)]. if an employer fails to comply with the insurance requirements stated in Utah Code Ann. § 35-1-46, which requires employers either to provide workers' compensation insurance or to be self-insured.
Sheppick v. Albertson's, Inc.,
T 14 In Sheppick, where the supreme court arrived at a similar conclusion, the court speculated that a plaintiff might have a valid common law action regarding an alleged violation of the Act if the claim falls outside of the Commission's jurisdictional authority. See
115 Similarly, in this case, RX's unjust enrichment claim alleges that WCF did not pay reasonable charges for medications as required by Utah Code section 34A-2-418(1) (2005). Because this is essentially a refram-ing of RX's allegation that WCF violated the Act, the district court did not err in concluding that it lacked jurisdiction to rule on RX's unjust enrichment claim. See Cook,
CONCLUSION
1 16 We affirm the trial court's dismissal of RX's labor code claim, alleging a violation of Utah Code section 34A-2-418(1), on the basis that it comes within the Commission's exclusive jurisdiction and, thus, the trial court had "no jurisdiction whatsoever," to rule on the claim. Sheppick,
Notes
. WCF is a "nonprofit, quasi-public corporation [whose] ... purpose ... is to ... insure Utah employers against liability for compensation based on job-related accidental injuries and occupational diseases," whеre employees are entitled to compensation under the Workers' Compensation Act and the Utah Occupational Disease Act. Utah Code Ann. § 31A-33-102 (2005); see also generally Workers' Comp. Fund v. State,
. RX cites the 1997 version of Utah Code section 34A-2-418; however, the 2005 version was in effect at the time RX filеd its complaint. We therefore refer to the 2005 version of the statute.
. This second argument is essentially a lack of jurisdiction argument, see Utah R. Civ. P. 12(b)(1), and the trial court treated it as such.
. Because jurisdiction is dispositive in this case, we do not directly address RX's claim of a private right of action.
. Specifically, section 34A-2-407 was amended to provide the following:
(12) (a) Subject to appellate review under Section 34A-1-303, the commission has exclusive jurisdiction to hear and determine:
(i) whether gоods provided to or services rendered to an employee are compensable pursuant to this chapter ..., including:
(A) medical, nurse, or hospital services; (B) medicines; ....
(i) the reasonableness of the amounts charged or paid for a good or service described in Subsection 12(a)(1);
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(b) Exсept as provided in Subsection 12(a), ... a person may not maintain a cause of action in any forum within this state other than the commission for the collection or payment for goods or services described in Subsection (12)(a) that are compensable under this chapter....
Utah Code Ann. § 34A-2-407(12) (Supp.2007) (effective May 1, 2006) (emphasis added).
