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McKeeman v. Cianbro Corp.
MAINE SUPREME JUDICIAL COURT
Reporter of Decisions
Decision: 2002
ME 144
Docket: Cum-01-539
Argued: April
3, 2002
Decided: August
27, 2002
Panel:
SAUFLEY, C.J., and CLIFFORD, RUDMAN, DANA, ALEXANDER, CALKINS,
and LEVY, JJ.
SHARON McKEEMAN
v.
CIANBRO CORP. et al.
SAUFLEY, C.J.
[¶1] Sharon McKeeman appeals from the
judgment of the Superior Court (Cumberland County, Mills, J.) determining the amount of workers'
compensation death benefits that she must repay to S.D. Warren Company as a
result of her settlement with a third party. Sharon contends that the court erred in calculating S.D.
Warren's proportionate share of the costs of her recovery. We vacate the judgment and remand for
further findings.
I.
BACKGROUND
[¶2] The parties stipulated to the following
facts. In 1996, Fred McKeeman was
an employee of S.D. Warren Company when he died in a work-related
accident. His wife, Sharon, and
son, Patrick, then began receiving workers' compensation death benefits from
S.D. Warren pursuant to 39-A M.R.S.A. § 215 (2001).[1]
In 1998, Sharon filed a complaint against third party Cianbro
Corporation, among others, for negligence and breach of implied and express
warranties in connection with Fred's death. Sharon reached a settlement with Cianbro for a present value
amount of $970,000. By agreement,
Sharon's counsel was entitled to a contingent fee of one-third of the
settlement, totalling $323,333.
Sharon was also responsible for $60,195 in other costs and
expenses.
[¶3] Following completion of Sharon's
settlement with Cianbro, S.D. Warren ceased making payments to Sharon. By that time, S.D. Warren had paid
Sharon $107,616 in weekly compensation payments, and $4000 in funeral expenses. In addition, S.D. Warren incurred $7500
in costs in assisting Sharon's litigation of her third-party claim.[2]
[¶4] S.D. Warren intervened in Sharon's
action against Cianbro, and moved to enforce a workers' compensation lien
against Sharon pursuant to 39-A M.R.S.A. § 107 (2001).[3]
The court ordered Sharon to repay S.D. Warren the amount of $71,744, but
did not elaborate on its method of calculating that amount. Sharon's subsequent motion for findings
of fact and conclusions of law was denied. This appeal followed.
II.
DISCUSSION
[¶5] Pursuant to section 215, an employer
must make death benefit payments to surviving dependents for 500 weeks from the
date of death. 39-A M.R.S.A. §
215(1) (2001). In this case, S.D.
Warren had made 228 payments when Sharon settled with Cianbro; the settlement
therefore relieved S.D. Warren of 272 future payments totalling $124,801. Upon settlement, section 107 entitles
the employer to a lien for the "value of compensation paid" and recovered, and
requires the employee to "repay to the employer . . . the benefits paid by the
employer under this Act, less the employer's proportionate share of cost of
collection, including reasonable attorney's fees." 39-A M.R.S.A. § 107 (2001).
[¶6]
The issue before us in this case is how to determine S.D. Warren's
proportionate share of the costs of the settlement. Sharon contends that S.D. Warren is required to pay its
proportionate share of recovering not just the amounts it had already paid, but
also the amount of future liability from which it has been relieved. She calculates, therefore, that in
addition to paying attorney fees for the recovery of the amounts paid during
the first 228 weeks, S.D. Warren should also be required to pay proportionate
attorney fees for recovering the amounts that S.D. Warren would have paid
during the remaining 272 weeks had Sharon not recovered from Cianbro.
[¶7] The correct method of calculating an employer's
proportionate share of the costs of an employee's settlement with a third
party pursuant to section 107 presents an issue of first impression. The interpretation of section 107 is a
matter of law that we review de novo.
Harding v. Wal-Mart Stores, Inc., 2001 ME 13, ¶ 9, 765 A.2d 73, 75.
[¶8] We look first to the plain language of
section 107 to discern the legislative intent underlying its enactment. We note that the Legislature has not
disclosed the intent underlying section 107, and the Workers' Compensation
Board has not had occasion to clarify it.
Russell v. Russell's Appliance Serv., 2001 ME 32, ¶ 10 n.3, 766 A.2d 67, 71
n.3. S.D. Warren contends that
because the language of section 107 entitles an employer to collect only
"benefits paid," rather than "benefits paid and payable," the employer has a duty to pay its
portion of attorney fees and expenses only to the extent of the benefits
already paid. See 39-A M.R.S.A. § 107. This view is supported by neither the
plain language of section 107 nor by our prior decisions.
[¶9] The plain language of section 107 is
more accurately read in two parts.
The first part requires: "the employee shall repay . . . the benefits
paid by the employer," and therefore merely describes the employer's right of
reimbursement of benefits paid upon the employee's settlement with a third
party. Id.
The second part of section 107 requires that the employer pay its "proportionate
share of cost of collection," but is otherwise silent on how to calculate that
proportionate share. Id. Thus, the plain language of section 107 indicates the
employer's right of reimbursement of amounts paid, but does not guide our
inquiry into the calculation of the employer's proportionate share of
costs.
[¶10] It has long been established in Maine,
however, that section 107 entitles employers to both a lien on benefits already
paid and to a right
to offset any future liability against the settlement amount netted by the
employee. In Liberty Mutual
Insurance Co. v. Weeks,
404 A.2d 1006 (Me. 1979), the employee, Weeks, was injured in a work-related
car accident. Id. at 1008. The employer's insurer, Liberty Mutual, then began making weekly
workers' compensation benefits to Weeks.
Id. Some time later, Weeks reached a settlement
agreement with the third parties actually responsible for the accident.
Id. Pursuant
to the predecessor statute to section 107, identical in language, Liberty
Mutual obtained a lien on the amounts it had already paid Weeks.
Id. We determined that, notwithstanding the language of the statute
entitling the employer only to "benefits paid," the employer "is
entitled as well to set off against its liability for future compensation
payments the difference between the amount paid as compensation after the
disposition of that action and the [employee's] net recovery from it." Id. at 1013; see also Dionne v. Libby-Owens
Ford Co., 565 A.2d 657,
658 (Me. 1989). This right of
setoff was necessarily read into the statutory scheme in order to prevent
the employee's double recoveryfrom both the settlement with the third
party at fault, and the employer through its continuing workers' compensation
liability to the employee independent of the settlement. Id.
[¶11] Following Weeks, in Overend v. Elan I Corp., 441 A.2d 311 (Me. 1982), we held that an
employee could proceed against his employer for workers' compensation benefits
even though he had already settled his claim against a third- party
tortfeasor. Id. at 312. Thus, in Overend we explicitly recognized the employer's continuing liability to
the employee independent of settlement.
Id. We also reiterated in Overend that "any award conferred under the
[Workers' Compensation] Act [may] be set off by the net amount of the
settlement." Id.
[¶12] The import of Weeks and Overend is this: the employer is liable for death
or disability payments for the entire duration prescribed by statutein
this case 500 weeksregardless of the existence or extent of the employee's
settlement with a third partysubject to a setoff commensurate with the
settlement. See 39-A M.R.S.A. §§ 107, 215. Because the settlement signifies only
the extent of the third party's liability, the employer's liability may extend
well beyond that. If the amount
of settlement obtained by the employee is greater than the present value of
future payments the employer would have paid, the employer's payments are
entirely suspended for the duration of the period of liability. If, however, the amount of settlement
obtained by the employee is not sufficient to cover the amount of future payments
for which the employer would eventually become liable, then the employer's
liability is suspended only to the extent of the settlement amount. The employer again becomes liable for
continuing payments once the amount of the settlement received by the employee
is depleted based on the weekly amount the employer would have paid the employee
but for the settlement. In this
way, all three goals of section 107 are fulfilled: (1) the injured employee
gets the benefit of the greater of the tort recovery or the workers' compensation
award, (2) the employer is relieved of the compensation burden caused by the
third party, and (3) the employee gets no double recovery and the third party
tortfeasor gets no immunity at the expense of the employer.
See Weeks, 404 A.2d 1012-13; Overend, 441 A.2d at 314.
[¶13] Because of this right of setoff, the
benefit that inures to the employer upon the employee's settlement with a third
party includes both
reimbursement of amounts paid and the relief of future amounts payable to the extent of the
settlement amount netted by the employee.
In this case, Sharon's settlement with Cianbro exceeds the amount of
benefits for which S.D. Warren would be liable if there had been no settlement,
and S.D. Warren's payments are therefore entirely suspended. S.D. Warren has benefitted by the
settlement in the amount of the $111,616[4] already paid plus the full amount of
payments suspended due to the settlement, allegedly totalling $124,801
according to Sharon. Because the
employer's rights in the settlement include not only past amounts paid, but
also future benefits relieved, the employer also has a duty to pay the
corresponding proportionate share of attorney fees for the present value of the
entire benefit it receives.
[¶14] Courts in other jurisdictions have also
taken this approach. At least
twenty-seven other jurisdictions have encountered this precise issue. Of those, a majority has taken the
approach urged by Sharon, concluding that because "the employer's right of
reimbursement extends not only to past compensation paid but to future
liability, . . . the employer's equitable share of the fees and costs involved
in the employee's third-party recovery should be calculated on the employer's
total potential liability, rather than on past benefits actually paid." Arthur
Larson & Lex K. Larson, Workers' Compensation Law § 117.02(1)(e)
(2001) (citations omitted); see, e.g., Takahashi v. Loomis Armored Car Serv., 625 F.2d 314, 316 (9th Cir. 1980); Stone
v. Fluid Air Components of Alaska, 990 P.2d 621, 625 (Alaska 1999); Cameron v. Minidoka County
Highway Dist., 874 P.2d
1108, 1111 (Idaho 1994); Zuber v. Ill. Power Co., 553 N.E.2d 385, 389 (Ill. 1990); Jones
v. Melroe Div., Clark Equip. Co., 430 N.E.2d 1385, 1389 (Ill. App. Ct. 1981); Lemery v. Buffalo
Airways, Inc., 789 P.2d
1176, 1181-82 (Kan. Ct. App. 1990);
Hunter v. Midwest Coast Trans., Inc., 511 N.E.2d 615, 618 (Mass. 1987); Cronen v. Wegdahl
Coop. Elevator Ass'n, 278
N.W.2d 102, 105 (Minn. 1979); City of Austin v. Janowski, 825 S.W.2d 786, 791 (Tex. App.
1992). In fact, we are aware of
only one jurisdiction, Missouri, that has adopted the approach urged by S.D.
Warren, that the employer is responsible only for attorney fees based on the
amount of compensation already paid.
See Ruediger v. Kallmeyer Bros. Serv., 501 S.W.2d 56, 59-60 (Mo. 1973).
[¶15] We are also mindful that we must
interpret section 107 to avoid "results that are absurd, inconsistent,
unreasonable or illogical." State
v. Maizeroi, 2000 ME 187, ¶ 14, 760 A.2d 638, 643
(quoting Fraser v. Barton, 628 A.2d 146, 148 (Me. 1993)). As courts in other jurisdictions have concluded, calculating
proportionate costs based only on past benefits paid would lead to illogical
results. First, to permit an
employer to pay only a proportionate share of recovering past benefits paid
would result in the employer receiving a benefit without any corresponding
liability for that benefit. See
Stone, 990 P.2d at
624-25. To allow S.D. Warren to
"enjoy the benefits of [Sharon's] acts and not to require it to pay a portion
of the expenses is a very unlikely determination of the legislative intent." Lemery, 789 P.2d at 1181.
[¶16] Furthermore, S.D. Warren's approach
would make the employer's share of costs entirely dependent on the time of
settlement. The earlier the
settlement, the less contribution to costs from the employer because the fewer
benefits already paid. In fact,
applying S.D. Warren's approach, if the employee settles with the third party
before any compensation benefits have been paid by the employer, the employee
would be responsible for all of the costs of settlement. The employee's incentive would
therefore be to settle at the latest possible time, preferably after the
employer has paid all workers' compensation benefits owed, or not to settle at
all. See Zuber, 553 N.E.2d at 389; Cronen, 278 N.W.2d at 105; Lemery, 789 P.2d at 1181. In that case, the employer would have
to seek the settlement with the third party, as section 107 permits an employer
to do, and would in any event be responsible for its share of fees and costs. These possibilities run contrary to our
policy favoring "expeditious settlement."
See Overend,
441 A.2d at 314.
[¶17] We conclude, therefore, that an
employer's proportionate share of fees and costs upon an employee's settlement
with a third party should be calculated with reference both to past benefits paid
and future liability relieved, to the extent that it can be determined.[5]
[¶18] We turn, then, to the actual method of
calculating "proportionate" costs.
"Proportion" means "the relation of one part to another or to the whole
with respect to magnitude, quantity, or degree." Webster's Seventh New
Collegiate Dictionary 683 (7th Ed. 1970). Proportion thus refers to a ratio, here the ratio of the
employer's benefit to the total settlement received by Sharon. S.D. Warren's proportionate share
should therefore be calculated by comparing S.D. Warren's full benefit from the
settlement, which is yet to be determined by the Superior Court, with the total
value of the settlement, $970,000.[6]
The
entry is:
Judgment of the Superior Court is vacated and remanded for a determination of S.D. Warren's proportionate share of settlement costs based on past amounts paid and the present value of future liability relieved.
Attorney for plaintiff:
Alexander F. McCann, Esq. (orally)
75 Pearl Street, Suite 201
Portland, ME 04101
Attorney for defendant:
Thomas V. Laprade, Esq. (orally)
Lambert Coffin
P. O. Box 15215
Portland, ME 04112-5215
[1] Section 215 provides:
1. Death of employee. If death results from the injury of an employee, the employer shall pay or cause to be paid to the dependents of the employee who were wholly dependent upon the employee's earnings for support at the time of the injury, a weekly payment equal to 80% of the employee's after-tax average weekly wage, but not more than the maximum benefit under section 211, for a period of 500 weeks from the date of death.
39-A M.R.S.A. § 215(1) (2001).
[2]S.D. Warren also paid $10,581 in its own attorney fees relating to Fred's death. These fees, however, are not part of the costs of Sharon's litigation of her third-party claim against Cianbro.
[3]Section 107 provides:
When an injury or death for which compensation or medical benefits are payable under this Act is sustained under circumstances creating in some person other than the employer a legal liability to pay damages, the injured employee may, at the employee's option, either claim the compensation and benefits or obtain damages from or proceed at law against that other person to recover damages.
If the injured employee elects to claim compensation and benefits under this Act, any employer having paid the compensation or benefits or having become liable for compensation or benefits under any compensation payment scheme has a lien for the value of compensation paid on any damages subsequently recovered against the 3rd person liable for the injury. . . .
If the employee or the employee's beneficiary recovers damages from a 3rd person, the employee shall repay the employer, out of the recovery against the 3rd person, the benefits paid by the employer under this Act, less the employer's proportionate share of cost of collection, including reasonable attorney's fees.
. . . .
39-A M.R.S.A. § 107 (2001).
[4] S.D. Warren is entitled to recover the full amount of "benefits paid." See 39-A M.R.S.A. § 107. Here, the parties stipulated that S.D. Warren paid Sharon $107,616 for 228 weeks of death benefits. In addition, by its plain language, "benefits paid" also includes the benefit to Sharon of having S.D. Warren pay for funeral expenses. Id.; see Arthur Larson & Lex K. Larson, Workers' Compensation Law § 117.03 (2001) (citing Myers v. Philadelphia Daily News, 79 A.2d 787 (Pa. 1951)). S.D. Warren paid $4000 in connection with Fred McKeeman's funeral expenses. Thus, the benefits already paid by S.D. Warren total $111,616.
[5]We recognize that, unlike the definite nature of death benefits payments as in this case, the determination of future liability to employers will often be a difficult process requiring a significant factual inquiry.