Bureau of Adult Corrections v. Dernberger

529 A.2d 245, 1987 Del. LEXIS 1221
CourtSupreme Court of Delaware
DecidedJuly 31, 1987
StatusPublished
Cited by3 cases

This text of 529 A.2d 245 (Bureau of Adult Corrections v. Dernberger) is published on Counsel Stack Legal Research, covering Supreme Court of Delaware primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bureau of Adult Corrections v. Dernberger, 529 A.2d 245, 1987 Del. LEXIS 1221 (Del. 1987).

Opinion

HOLLAND, Justice.

This is an appeal by the employer, State of Delaware [State], through its workmen’s compensation carrier, Pennsylvania Manufacturer’s Association Insurance Company [PMA], from a February 27, 1987 decision of the Superior Court, affirming a decision of the Industrial Accident Board [Board] which held that the statute of limitations of 19 Del.C. § 2361(b), had not run against the claim of Gary L. Demberger [Dember-ger] for permanent partial disability to his lower back.

The issue before this Court on appeal, is the Superior Court’s affirmation of the Board’s two legal conclusions. First, the conclusion that the applicable statute of limitations, 19 Del.C. 2361(b), was tolled by virtue of the payment by the employer. Second, that the carrier for the 1976 back injury, PMA, would remain liable for Dem-berger’s claim for permanent partial disability, if the applicable statute of limitations was tolled. We affirm the decision of the Superior Court.

*246 THE FACTS

Dernberger injured his back on February 7, 1976, while working within the scope of his employment with the State Bureau of Adult Corrections. At the time of the injury, PMA was the workmen’s compensation carrier for the State. PMA paid temporary total disability benefits and related medical expenses in connection with the February 7, 1976 injury to Dernberger’s back. PMA’s last payment for medical services relating to Demberger’s back injury was made in August, 1979.

On October 1, 1977, the State became self-insured. GAB Business Services, Inc. [GAB] was hired by the State to process its workmen’s compensation claims. On August 31, 1979, Dernberger, again during the course of his employment with the State, sustained a compensable injury to his right knee. The State, through GAB, entered into an agreement with Dember-ger for disability payments and assumed responsibility for the payment of medical bills relating to the “new” knee injury.

During the course of processing compen-sable payments for Demberger’s independent knee injury, GAB paid two separate bills for medical services relating to Dem-berger’s 1976 back injury. 1 The bills for the back injury that were paid through the State’s claims-adjusting agent GAB, were not forwarded to PMA for reimbursement, due to what GAB claims was a clerical error.

On September 28,1984, Dernberger filed a petition with the Board seeking compensation for permanent partial disability resulting from the 1976 back injury. PMA filed a motion to dismiss Demberger’s claim on the basis that it was barred by the five-year statute of limitations set forth in 19 Del. C. § 2361(b). On April 24,1985, the Board held that the payment of medical bills relating to Demberger’s back injury by his employer, the State, through its claims-adjuster GAB, effectively tolled the running of the five-year statute of limitations. Therefore, the Board held that Dernberger’s claim for permanent partial disability was not time barred and that PMA remained at risk for the 1976 back injury. PMA filed an appeal to the Superi- or Court. On February 27, 1987, the Superior Court affirmed the decision of the Board.

STATUTE OF LIMITATIONS

The applicable statute of limitations, 19 Del.C. § 2361(b) provides:

Where payments of compensation have been made in any case under an agreement approved by the Board or by an award of the Board, no statute of limitation shall take effect until the expiration of 5 years from the time of the making of the last payment for which a proper receipt has been filed with the Board.

This Court has previously held that “payments of compensation” includes payment of bills for medical services, Catalytic Construction Co. v. Balma, Del.Supr., 317 A.2d 872 (1974). There is no doubt that the payments made by GAB are payments of compensation as set forth in the statute. There is also no doubt that more than five years had elapsed since PMA itself had issued a payment to Dernberger for either medical or indemnity payments. PMA’s first argument is that the payment of the medical bills for Dernberger’s back injury by the employer [State through GAB] should not bind it [PMA] by tolling the statute of limitations.

In a recent decision, we did not reach a similar argument relating to the statute of limitations. Forbes Steel and Wire Co. v. Graham, Del.Supr., 518 A.2d 86 (1986). PMA’s “agency argument” to the effect that it cannot be bound by the action of GAB fails to take into consideration the pivotal nature of the employer/employee relationship in workmen’s compensation cases. The insurer is the surety for the employer. The Workmen’s Compensation Act requires that an application of the statute of limitations of 19 Del. C. § 2361(b) be governed by its relation to the employer *247 and not be confined to its relation to a particular surety. The rights of the employee are determined primarily according to the relationship of the employee and the employer.

In the case at bar, Demberger correctly submitted his bills to his employer [State], which forwarded the bills to its agent, GAB. GAB, acting as the State’s agent, paid the bills, thus tolling the statute of limitations. The fact that GAB paid the bills without forwarding it to PMA, cannot extinguish Demberger’s claim. To allow errors such as this, by the employer’s agent to eliminate Demberger’s claim, would cause unjust results simply because an employer changed surety.

The payment of the medical bills for Demberger’s back injury that are the focus of this dispute, came about, in part, because the State elected to become self-insured. This Court has recently held that a mere change in carriers should not “result in a loss of benefits for an employee who has continuously been receiving benefits for two separate accidents suffered while in the same employment.” Forbes Steel and Wire Co. v. Graham, Del.Supr., 518 A.2d 86, 89 (1986).

A similar issue was addressed by the Idaho Supreme Court in Facer v. E.R. Steel Equipment Co., 95 Idaho 608, 514 P.2d 841 (1973). In the Facer case, the first carrier was at risk for an injury a few months prior to a date on which an employer changed its surety. Id. The second carrier mistakenly made payments of compensation to an employee for a work-related injury that the first carrier was obligated to pay. Id. The first carrier disclaimed liability asserting that they could not be bound by the payment of compensation by a third party within the meaning of Idaho’s statute of limitations, I.C. § 74-270 (now I.C. § 72-706). Id. 514 P.2d at 844.

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Bluebook (online)
529 A.2d 245, 1987 Del. LEXIS 1221, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bureau-of-adult-corrections-v-dernberger-del-1987.