Autry v. Dearman

933 S.W.2d 182, 1996 WL 445169
CourtCourt of Appeals of Texas
DecidedNovember 7, 1996
Docket14-94-00661-CV
StatusPublished
Cited by59 cases

This text of 933 S.W.2d 182 (Autry v. Dearman) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Autry v. Dearman, 933 S.W.2d 182, 1996 WL 445169 (Tex. Ct. App. 1996).

Opinion

OPINION

ANDERSON, Justice.

This appeal concerns a workers’ compensation carrier’s subrogation rights to a third-party settlement pursuant to former article 8307 of the Revised Civil Statutes. After a work-related injury, Jesse Villegas (“Ville-gas”) received compensation and medical benefits from Texas Employers’ Insurance Association (now in receivership and referred to collectively with its receiver, Sandra A. Autry, as “TEIA”), which provided workers’ compensation insurance for Villegas’s employer. The attorney representing Villegas, appellees, William T. Dearman, Individually and d/b/a William T. Dearman & Associates (“Dearman”), obtained a settlement of a personal injury suit. After a judgment non obstante veredicto (JNOV) that TEIA take nothing in its suit against Dearman to enforce its subrogation rights to the third-party settlement, TEIA brings this appeal in twelve points of error. We affirm.

While working for a landscaping company in March 1987, Villegas was bitten by a dog owned by Yolanda Brown. He sustained injuries to his hand and also claimed he injured his back when he fell. Through September 1987, 1 TEIA paid Villegas a total of $7,478.32 in compensation and medical benefits for these injuries.

Dora Oliva, the attorney handling Ville-gas’s compensation claim, referred the personal injury claim to Dearman, who filed suit in June 1988 against Brown for damages. Brown, through her insurance company, Republic Insurance Company (“Republic”), settled the suit for $7,500 in March 1989. Dear-man retained $4,215.10 in attorney’s fees and expenses from the settlement funds, out of which a $1,250 referral fee was paid to Oliva. Villegas received the balance of the settlement funds in the amount of $3,284.90. Vil-legas acknowledged receipt of the settlement funds on April 3,1989, and the court entered an agreed judgment dismissing the cause on May 20,1989.

TEIA contends that it did not discover that a third-party settlement had been reached until April 11, 1990 when its representative contacted the district clerk’s office and was informed of the agreed judgment. TEIA then made demand on Dearman and Republic for satisfaction of its subrogation rights. Dearman never responded, but Republic settled with TEIA for $3,739.16, half of the total benefits paid. TEIA sued Dear-man on March 2, 1992, claiming conversion, *187 breach of contract, fraud, and other causes of action. In his defense, Dearman denied he knew TEIA had paid compensation to Ville-gas. This contention was hotly disputed by TEIA at trial. In addition, Dearman asserted he was entitled to one-third of the recovery as attorney’s fees pursuant to the workers’ compensation statute. TEIA stipulated that Dearman was entitled to an offset in the amount paid by Republic.

The case was tried to a jury. The trial court refused to submit questions on fraud, constructive fraud, money had and received, unjust enrichment, or breach of contract. Instead, the trial court determined that conversion was the applicable cause of action. The jury answered four questions in favor of TEIA, finding that Dearman had knowledge of TEIA’s subrogation rights on April 29, 1988, before he settled the third-party suit. The trial court disregarded the jury’s answers, however, and granted Dearman’s motion for judgment, which asserted, inter alia, that the two-year statute of limitations barred TEIA’s conversion action brought three years after the third-party settlement. TEIA appeals from the take-nothing judgment, complaining that the trial court refused to submit all of its causes of action and erroneously found its claims barred by limitations.

When a claim for workers’ compensation is made, the insurance carrier is sub-rogated to the rights of the injured employee and may enforce the liability of the person who caused the injury. 2 Guillot v. Hix, 888 S.W.2d 230, 231 (Tex.1992). TEIA’s claim for subrogation is governed by the workers’ compensation statute in effect in 1987, former article 8307 of the Revised Civil Statutes. Relevant portions of section 6a of article 8307 are as follows:

Recovery from third person; subrogation; attorney’s fees, (a) If the injury for which compensation is payable under this law was caused under circumstances creating a legal liability in some person other than the subscriber to pay damages in respect thereof, the employee may proceed either at law against that person to recover damages or against the association for compensation under this law.... If compensation be claimed under this law by the injured employee or his legal beneficiaries, then the association shall be subrogated to the rights of the injured employee, and may enforce in the name of the injured employee or his legal beneficiaries the liability of said other person, and in case the recovery is for a sum greater than that paid or assumed by the association to the employee or his legal beneficiaries, then out of the sum so recovered the association shall reimburse itself and pay said costs and the excess shall be paid to the injured employee or his beneficiaries. However, when the claimant is represented by an attorney, and the association’s interest is not actively represented by an attorney, the association shall pay such fee to the claimant’s attorney not to exceed one-third (1/3) of said subrogation recovery or as may have been agreed upon between the claimant’s attorney and the association or in the absence of such agreement the court shall allow a reasonable attorney’s fee to the claimant’s attorney for recovery of the association’s interest which in no case shall exceed thirty-three and one-third percent (33 1/3%) payable out of the association’s part of the recovery....
⅜ ⅜ ⅜ ⅜ ⅜ ⅜
(c) If at the conclusion of a third party action a workmen’s compensation beneficiary is entitled to compensation, the net amount recovered by such beneficiary from the third party action shall be applied to reimburse the association for past benefits and medical expenses paid....

Act of May 17,1985, 69th Leg., R.S., ch. 326, § 1, 1985 Tex. Gen. Laws 1387, repealed by Act of December 11, 1989, 71st Leg., 2nd C.S., ch. 1, § 16.01(10), 1989 Tex. Gen. Laws *188 1, 114 (hereinafter referred to as article 8307). 3

Under the act, an injured employee who proceeds against a third-party tortfeasor is not precluded from claiming against the employer’s compensation carrier. Watson v. Glens Falls Ins. Co., 505 S.W.2d 793, 795 (Tex.1974). The claimant is prevented from receiving a double recovery, however, because the carrier is entitled to reimbursement for the compensation paid. Fort Worth Lloyds v. Haygood, 151 Tex. 149, 246 S.W.2d 865, 869 (1952).

When a compensation carrier pays compensation to an injured employee, the carrier has a statutory right to reimbursement out of the “first money” recovered in a subsequent suit against a third-party tortfea-sor. Watson, 505 S.W.2d at 795. The carrier is not required to intervene in the third party action to enforce its right to reimbursement. Home Indem. Co. v. Pate,

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Cite This Page — Counsel Stack

Bluebook (online)
933 S.W.2d 182, 1996 WL 445169, Counsel Stack Legal Research, https://law.counselstack.com/opinion/autry-v-dearman-texapp-1996.