Auto Owners Insurance v. Labor Commission

2026 UT 3
CourtUtah Supreme Court
DecidedFebruary 26, 2026
DocketCase No. 20241315
StatusPublished

This text of 2026 UT 3 (Auto Owners Insurance v. Labor Commission) is published on Counsel Stack Legal Research, covering Utah Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Auto Owners Insurance v. Labor Commission, 2026 UT 3 (Utah 2026).

Opinion

This opinion is subject to revision before final publication in the Pacific Reporter

2026 UT 3

IN THE

SUPREME COURT OF THE STATE OF UTAH

HB CONSTRUCTION and/or AUTO OWNERS INSURANCE COMPANY, Petitioners, v. LABOR COMMISSION OF UTAH and EDUARDO NARCISO, Respondents.

No. 20241315 Heard December 10, 2025 Filed February 26, 2026*

On Certification from the Court of Appeals

Attorneys: Mark R. Sumsion, Salt Lake City, for petitioners Christopher C. Hill, Salt Lake City, for respondent Labor Commission of Utah Gary E. Atkin, K. Dawn Atkin, Salt Lake City, for respondent Eduardo Narciso

ASSOCIATE CHIEF JUSTICE POHLMAN authored the opinion of the Court, in which CHIEF JUSTICE DURRANT, JUSTICE PETERSEN, JUSTICE HAGEN, and JUSTICE NIELSEN joined.

ASSOCIATE CHIEF JUSTICE POHLMAN, opinion of the Court: INTRODUCTION ¶1 An injured employee obtained $5 million (recovery) by settling a tort action that he brought against third parties who were involved in the workplace accident that left him severely disabled

__________________________________________________________ * As of January 31, 2026, “The Supreme Court consists of seven justices.” UTAH CODE § 78A-3-101(1). Pursuant to Utah Supreme Court Standing Order No. 18, this court sat and rendered judgment in this matter as a division of five justices. AUTO OWNERS INSURANCE v. LABOR COMMISSION Opinion of the Court

and incurring ongoing workers’ compensation benefits. The Workers’ Compensation Act requires the employee to share that recovery with his employer and its insurance carrier to offset their compensation obligation to him. But to share in the recovery, the employer and carrier must contribute to the cost of obtaining it. Specifically, subsection 34A-2-106(5), which governs the disbursement of a third-party recovery as between the employee and the employer and its carrier, requires that the “reasonable expense” of the third-party action, “including attorney fees,” “be paid and charged proportionately against the parties as their interests may appear.” UTAH CODE § 34A-2-106(5)(a)(i). ¶2 Applying this provision, the Labor Commission of Utah concluded that the employer and its insurance carrier’s interest in the recovery is more than just the amount necessary to reimburse them for workers’ compensation benefits already paid. Rather, the employer and the carrier also have an interest in the amount of the recovery that they expect to use as an offset against benefits they will pay in the future. Thus, the totality of their interest must be considered in calculating their proportional share of the expenses incurred to obtain the recovery. The Commission further concluded that the employer and its carrier were responsible for reimbursing the employee for their unpaid share of the expenses before they could offset such recovery against the ongoing benefits they owe. ¶3 The employer and its carrier seek judicial review, challenging both conclusions. We must decide whether under subsection 34A-2-106(5), an injured employee’s anticipated future workers’ compensation benefits are included in determining an employer’s proportionate share of expenses of the third-party tort recovery or whether only past paid benefits are to be included in that proportionate share. ¶4 We hold that when an employer or carrier seeks to offset future benefits by the third-party recovery, the statute’s reference to the parties’ interests as they “may appear” requires the Commission to account for future anticipated benefits when determining an employer’s proportionate share of expenses of a third-party action. We also reject the argument that the employer and carrier in this case were ordered to “advance benefits” to the injured employee, and we hold that where, as here, an employee has paid all expenses associated with the third-party recovery, an employer or insurance carrier must bear its proportionate share of

2 Cite as: 2026 UT 3 Opinion of the Court

those expenses before offsetting future benefits against that recovery. Accordingly, we do not disturb the Commission’s decisions. BACKGROUND 1 ¶5 In 2013, Eduardo Narciso was injured in a compensable industrial accident when he was knocked off a nine-foot concrete form and landed headfirst onto hard ground, causing him to become permanently and totally disabled and in need of constant monitoring. The accident occurred while he was working for HB Construction on a project with other individuals and companies separate from HB. ¶6 Narciso brought a tort action against the third parties involved in the accident. He settled that action for $5 million in July 2018. From that recovery, $2,149,618.89 was paid to Narciso’s attorneys for the attorney fees and other expenses associated with the third-party action. A trust was established for the remaining $2,850,381.11. ¶7 HB and its insurance carrier, Auto Owners (collectively, Employer), had already paid $1,578,095.60 in medical and indemnity benefits by July 2018. But when Narciso settled the third- party action, Employer stopped paying benefits, and Narciso became responsible for his ongoing needs. The disbursement of the recovery then became the subject of agency proceedings. ¶8 Narciso’s future medical and care costs will be substantial. Because the parties provided different estimates, the administrative law judge (ALJ) referred the issue to an impartial medical panel. Using a life expectancy of forty years, the panel estimated that Narciso’s future costs would total over $7 million. ¶9 The crux of the dispute narrowed to the issue of Employer’s proportionate share of the attorney fees associated with the third-party action. The resolution of this issue affects the determination of Employer’s statutory offset against future liability for compensation benefits. In other words, it affects when the recovery will be depleted by Narciso’s ongoing needs and thus when Employer will resume paying benefits out of pocket.

__________________________________________________________ 1 Like the Commission and the Appeals Board, we recite the

material facts consistent with the parties’ stipulation of facts.

3 AUTO OWNERS INSURANCE v. LABOR COMMISSION Opinion of the Court

¶10 Before the ALJ, both sides recognized that Utah Code subsection 34A-2-106(5) governs the distribution of any injured employee’s recovery obtained against a third party. But they disagreed over whether Employer’s proportionate share of legal expenses would account for Narciso’s future benefits. ¶11 In Narciso’s view, the statute requires both past paid and anticipated future medical costs to be used to calculate Employer’s proportionate share of expenses incurred in securing the third- party settlement. Citing a case applying subsection 106(5), see Esquivel v. Lab. Comm’n, 2000 UT 66, 7 P.3d 777, Narciso asserted that Employer’s proportionate share would be the total amount of past and future costs ($1,578,095.60 of past paid benefits plus at least $7 million in anticipated future benefits) divided by the amount of the gross recovery ($5 million), which equals 171.6%. This math would result in Employer having “a proportionate share of more than 100%,” making Employer responsible for the “full amount” of $2,149,618.89 in legal expenses. ¶12 Employer, in contrast, asserted that future medical costs are too uncertain to be included in calculating its proportionate interest in the recovery because future benefits “are not guaranteed to be incurred.” Under Employer’s math, the amount of past paid benefits ($1,578,095.60) alone would be divided by the gross recovery ($5 million), making its proportionate share only 31.6% of the $2,149,618.89 in legal expenses.

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2026 UT 3, Counsel Stack Legal Research, https://law.counselstack.com/opinion/auto-owners-insurance-v-labor-commission-utah-2026.