BLUE CROSS & BLUE SHIELD v. Matthews

473 So. 2d 831, 10 Fla. L. Weekly 1912, 1985 Fla. App. LEXIS 15204
CourtDistrict Court of Appeal of Florida
DecidedAugust 9, 1985
DocketBD-67
StatusPublished
Cited by8 cases

This text of 473 So. 2d 831 (BLUE CROSS & BLUE SHIELD v. Matthews) is published on Counsel Stack Legal Research, covering District Court of Appeal of Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
BLUE CROSS & BLUE SHIELD v. Matthews, 473 So. 2d 831, 10 Fla. L. Weekly 1912, 1985 Fla. App. LEXIS 15204 (Fla. Ct. App. 1985).

Opinion

473 So.2d 831 (1985)

BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC., Appellant,
v.
Timothy L. Matthews, et al., Appellees.

No. BD-67.

District Court of Appeal of Florida, First District.

August 9, 1985.

*832 Edward P. Nickinson, III and Doreen Spadorcia of Carlton, Fields, Ward, Emmanuel, Smith & Cutler, Pensacola, for Appellant.

John N. Boggs of Barron, Redding, Boggs, Hughes, Fite, Bassett & Fensom, Panama City, for appellees.

William W. Tharpe, Jr. and Lisa S. Santucci, Dept. of Ins., Tallahassee, for Florida Dept. of Ins., amicus curiae.

ERVIN, Judge.

Blue Cross and Blue Shield of Florida, Inc., hereinafter Blue Cross, appeal from a final order denying its motion to intervene. We affirm.

Plaintiff Paul C. Tyson filed a personal injury action against appellees Timothy Matthews and J.N. Corporation Company, a foreign corporation, alleging that on March 26, 1983, appellee Matthews negligently and carelessly operated his automobile, thereby causing serious injuries to Tyson, resulting in extensive hospitalization, medical and nursing care and treatment. Tyson is insured under a group hospital and major medical contract through Tieco, Inc., his employer, which is issued by Blue Cross and Blue Shield of Alabama.[1] Blue Cross provided $18,844.44 in medical and hospital benefits arising from the accident between Mr. Tyson and Matthews, and thereafter moved to intervene in the personal injury action pursuant to a subrogation clause in the insurance contract, purportedly allowing Blue Cross the right to recover any medical benefit proceeds which Mr. Tyson might recover from appellee.[2]

*833 Although Blue Cross was aware of the collateral source statutes in Florida, sections 627.7372 and 627.736(3), which appear to preclude Blue Cross from asserting its subrogation rights, it argued that these statutory provisions are unconstitutional as applied to it, or, alternatively, that they are preempted by the Employee Retirement Income Security Act (ERISA), 29 U.S.C. §§ 1001-1381. The trial judge found Sections 627.736(3) and 627.7372, Florida Statutes, constitutional and that the statutes are not preempted by ERISA, and therefore denied the petition for leave to intervene.

Blue Cross first argues that Sections 627.736(3) and 627.7372, Florida Statutes,[3] violate that provision of the Florida Constitution guaranteeing access to courts. See Article I, Section 21, Florida Constitution. One's right to access, however, is not unlimited:

[W]here a right of access to the courts for redress for a particular injury has been provided by statutory law predating the adoption of the Declaration of Rights of the Constitution of the State of Florida, or where such right has become a part of the common law of the State pursuant to Fla. Stat. § 2.01, F.S.A., the Legislature is without power to abolish such a right without providing a reasonable alternative to protect the rights of the people of the State to redress for injuries, unless the Legislature can show an overpowering public necessity for the abolishment of such right.

Kluger v. White, 281 So.2d 1, 4 (Fla. 1973).

Sections 627.736(3) and 627.7372 reduce the amount of damages an injured plaintiff may recover from tortfeasors by the amount of benefits received from collateral sources, including any sickness, income disability, or health insurance such as that provided by Blue Cross. In other words, the amount of damages a plaintiff can recover is subject to a deduction for any and all collateral sources arising out of an automobile accident. The legislative enactment was designed to curb litigation and encourage settlements in the automobile insurance area. See Williams v. Gateway Insurance Co., 331 So.2d 301 (Fla. 1976); Lee & Polk, Insurance, 31 U.Miami L.Rev. 1061 (1977) (1976 Development in Florida Law).

Blue Cross asserts that as a result of the collateral source statutes, its right to common law subrogation has been abolished and the legislature has failed to provide a reasonable alternative as required by Kluger; therefore the statutes in question are unconstitutional. In Purdy v. Gulf Breeze Enterprises, Inc., 403 So.2d 1325 (Fla. 1981), the Florida Supreme Court addressed this same argument, finding that sections 627.736(3) and 627.7372 do not deprive plaintiffs injured in automobile accidents their right of access to courts since the purpose of the statutes was simply to *834 bar injured persons from receiving double benefits. The court observed that by barring the plaintiffs' carriers from seeking reimbursement for personal injury protection benefits paid to their insureds, litigation costs would be reduced, thereby leading, presumably, to reduced automobile insurance premiums. 403 So.2d at 1329.

Here, a health insurance company, Blue Cross, that has the status neither as an injured party plaintiff, nor as an automobile insurance carrier, is attempting to assert through subrogation its rights to collateral source proceeds. We find this purported distinction without any substantial significance. Blue Cross's right to subrogation is not an absolute, but rather a derivative right. The right arises out of the contract of insurance and is derived from that of the insured alone. Atlantic Coast Line R. Co. v. Campbell, 104 Fla. 274, 139 So. 886, 888 (1932). Therefore, if the insured, the injured party plaintiff, has no right to recover proceeds from collateral sources, his insurer similarly has no right of recovery under its subrogation clause. See Molyett v. Society National Life Insurance Co., 452 So.2d 1114 (Fla. 2d DCA 1984). Because the collateral source statutes cannot be considered as depriving injured party plaintiffs of their constitutional right of access to courts under Purdy, neither can they be considered as depriving subrogee Blue Cross of this same constitutional right, in that Blue Cross merely "stands in the shoes" and succeeds to only those rights held by its insured.[4]

We find appellant's remaining argument on this point[5] without merit and affirm the trial judge's finding that the collateral source statutes are not unconstitutional as applied to Blue Cross.

Appellant's second point on appeal is that Sections 627.736(3) and 627.7372, Florida Statutes, are preempted by ERISA. ERISA is a comprehensive federal statute which regulates employee pension and welfare plans. The act is "the result of a congressional endeavor to curb the funding and disclosure abuses of employee pension and welfare benefit plans by establishing minimum federal standards." Wadsworth v. Whaland, 562 F.2d 70, 73-74 (1st Cir.1977),[6]cert. denied, 435 U.S. 980, 98 S.Ct. *835 1630, 56 L.Ed.2d 72 (1978). As a result, ERISA "imposes upon pension plans a variety of substantive requirements relating to participation, funding, and vesting." Metropolitan Life Insurance Co. v. Massachusetts, ___ U.S. ___, ___, 105 S.Ct. 2380, 2385, 85 L.Ed.2d 728 (1985). However, ERISA does not impose any federal regulation in terms of the substantive content of benefit plans. Id. at ___, 105 S.Ct. at 2385; Shaw v. Delta Air Lines, Inc.,

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Bluebook (online)
473 So. 2d 831, 10 Fla. L. Weekly 1912, 1985 Fla. App. LEXIS 15204, Counsel Stack Legal Research, https://law.counselstack.com/opinion/blue-cross-blue-shield-v-matthews-fladistctapp-1985.