Breeden v. TCW, Inc./Tennessee Express

546 S.E.2d 657, 345 S.C. 201, 2001 S.C. App. LEXIS 43
CourtCourt of Appeals of South Carolina
DecidedMarch 12, 2001
DocketNo. 3319
StatusPublished
Cited by1 cases

This text of 546 S.E.2d 657 (Breeden v. TCW, Inc./Tennessee Express) is published on Counsel Stack Legal Research, covering Court of Appeals of South Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Breeden v. TCW, Inc./Tennessee Express, 546 S.E.2d 657, 345 S.C. 201, 2001 S.C. App. LEXIS 43 (S.C. Ct. App. 2001).

Opinion

ORDER WITHDRAWING ORIGINAL OPINION AND SUBSTITUTING OPINION, AND DENYING PETITIONS FOR REHEARING

PER CURIAM:

Opinion No. 3319, filed in the appeal above on March 12, 2001, is hereby withdrawn and the following opinion is substituted therefor. Furthermore, after careful consideration of the Petitions for Rehearing, this court is unable to discover any material fact or principle of law that has been overlooked or disregarded. It is, therefore, ordered that the petitions for rehearing be denied.

AND IT IS SO ORDERED.

/s/ Kaye G. Hearn, C.J.

/s/ C. Tolbert Goolsby, Jr., J.

/s/ H. Samuel Stilwell, J.

STILWELL, Judge:

TCW, Ine./Tennessee Express (Employer) and its workers’ compensation carrier, Granite State Insurance Company (Carrier), appeal the order of the circuit court affirming the full commission’s decision to reduce Carrier’s lien and the finding that Carrier’s lien does not include future medical expenses. James Breeden, Jr. cross-appeals asserting that the circuit court did not have jurisdiction to hear Employer’s and Carri[204]*204er’s appeal from the full commission because their notice of intent to appeal was deficient. As to Employer’s and Carrier’s appeal, we affirm in part, reverse in part, and remand. As to Breeden’s cross-appeal, we affirm.

FACTS

On December 14, 1993, Breeden was severely injured when a truck owned by Piggly Wiggly crossed the center line and hit Breeden’s truck head on. At the time of the accident Breeden was an owner/operator driving under Employer’s ICC license. Breeden filed a workers’ compensation claim which Employer denied on the theory that Breeden was an independent contractor, not an employee. The single commissioner found Breeden was an employee, and the fiill commission affirmed. Employer and Carrier did not appeal further. Workers’ compensation benefits were brought current and provided thereafter.

On July 28,1995, Breeden filed another Form 50 alleging he was totally disabled as a result of traumatic physical brain injury. The single commissioner found for Breeden and awarded lifetime benefits pursuant to S.C.Code Ann. § 42-9-10 (Supp.2000). Employer and Carrier did not appeal this decision.

During this same time, Breeden pursued a third party claim against Piggly Wiggly. Piggly Wiggly’s liability carrier advanced $50,000 to help defray expenses, including living expenses, for Breeden’s family. This was done with Carrier’s consent and with the understanding that this money would be included as part of the ultimate settlement. Piggly Wiggly had $11 million in liability insurance coverage, and the parties acknowledge that liability was clear. Breeden alleged economic losses alone that were over $9 million including future medical expenses and a range of total cognizable damages from $18 to $25 million. However, no lawsuit was ever filed against Piggly Wiggly, and Mr. Breeden’s claim was settled for $4.2 million while his wife’s loss of consortium claim was settled for $1.8 million. The Breedens’ attorney explained that the claims were settled for such a low sum compared to the amount of insurance available and the extent of provable [205]*205damages because “[w]e had to. This family was coming apart at the seams.”

Subsequent to settling the third party claim against Piggly Wiggly, Breeden notified the workers’ compensation commission of the settlement and moved to have the commission determine Carrier’s lien and the balance remaining to be paid to Carrier under S.C.Code Ann. § 42-1-560(g) (1985). At the hearing, Breeden took the position that Carrier’s lien should be reduced using the total cognizable damages provision of S.C.Code Ann. § 42-1-560(f). Both sides introduced detailed life care plans projecting Breeden’s future medical needs.

The single commissioner found that Breeden was not entitled to a hen reduction and ordered the proceeds from the third party claim distributed in accordance with section 42-1-560(g). He also found section 42-l-560(f) relating to total cognizable damages was not applicable and did not impact the provisions of 42-l-560(g). Additionally, he held “compensation” as used in section 42-1-560 to include all future medical expenses. The single commissioner awarded Breeden’s attorneys $1,456,626 in fees and litigation expenses and ordered $801,713.81 be paid to Carrier for its lien to date. He ordered the balance of the $4.2 million settlement paid to Carrier to hold in trust until further order of the commission. The single commissioner then ordered Dr. Weed, Breeden’s life care plan expert, to update the life care plan and provide it to an insurance annuities expert. The expert was ordered to determine the cost to annuitize future benefits, including future medical expenses, using rated age costs and an installment refund feature. The single commissioner then directed that this information would be utilized to determine the present value of future benefits. Carrier would be allowed to retain that amount and the balance would be paid to Breeden.

Breeden appealed to the full commission which reversed virtually every holding by the single commissioner. The full commission found that it would be appropriate under the statutory scheme to utilize the concept of total cognizable damages and determined them to be $13.5 million. The commission then found that the lien should be reduced, applying the factors from Kirkland v. Allcraft Steel Co., 329 S.C. 389, 496 S.E.2d 624 (1998). Using these factors, the full [206]*206commission reduced the Carrier’s lien to 31% of what it found its current value to be, applied the same reduction to future compensation, and held that Carrier’s lien did not apply to future medical expenses. Carrier appealed to the circuit court which affirmed the full commission.

ISSUES

Employer/Carrier’s Appeal

I. Did the full commission err in its application of the Kirkland factors when it determined that Carrier’s lien should be reduced?

II. Did the full commission err in applying the lien reduction to future compensation?

III. Did the full commission err in determining that under section 42-1-560 Carrier’s lien did not include future medical expenses not yet incurred at the time of the third party settlement?

IV. Did the full commission err in freezing the lien to its current amount of $801,713.81?

Breeden’s Cross-Appeal

Did the circuit court have jurisdiction to hear Employer’s and Carrier’s appeal because their notice of intent to appeal was defective?

LAW/ANALYSIS

Jurisdiction of the Circuit Court

In his cross-appeal, Breeden asserts the circuit court did not have jurisdiction to address the order of the full commission because Employer’s and Carrier’s notice of intent to appeal was deficient. We find this argument to be without merit.

Breeden contends Employer’s and Carrier’s notice of intent to appeal did not comply with the requirements of the Administrative Procedures Act because the grounds listed for alleged error did not reflect a complete explanation of the alleged [207]*207error. As support for this contention, Breeden cites Pringle v. Builders Transport,

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Related

Breeden v. TCW, Inc./Tennessee Express
584 S.E.2d 379 (Supreme Court of South Carolina, 2003)

Cite This Page — Counsel Stack

Bluebook (online)
546 S.E.2d 657, 345 S.C. 201, 2001 S.C. App. LEXIS 43, Counsel Stack Legal Research, https://law.counselstack.com/opinion/breeden-v-tcw-inctennessee-express-scctapp-2001.