Cole v. Triangle Brick

524 S.E.2d 79, 136 N.C. App. 401, 2000 N.C. App. LEXIS 11
CourtCourt of Appeals of North Carolina
DecidedJanuary 18, 2000
DocketNo. COA98-1188
StatusPublished
Cited by6 cases

This text of 524 S.E.2d 79 (Cole v. Triangle Brick) is published on Counsel Stack Legal Research, covering Court of Appeals of North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cole v. Triangle Brick, 524 S.E.2d 79, 136 N.C. App. 401, 2000 N.C. App. LEXIS 11 (N.C. Ct. App. 2000).

Opinion

JOHN, Judge.

Defendants appeal an Opinion and Award of the North Carolina Industrial Commission (the Commission) reducing by twenty-five percent defendants’ credit for payments made under a disability [402]*402insurance policy fully funded by defendant Triangle Brick (Triangle). We affirm the Commission.

Pertinent facts and procedural history include the following: Plaintiff Bruce Cole’s “history of intermittent lower back problems” was aggravated by the demands of his position with Triangle. While working, plaintiff reinjured his lower back 25 November 1994 and 31 March 1995, and subsequently filed a workers’ compensation claim. During pendency of the claim, plaintiff received long-term disability payments from Paul Revere Insurance Company (the Revere payments) under a policy fully funded by Triangle (the Revere policy) from 31 March 1995 until 1 April 1997.

Plaintiff’s claim was disputed by defendant Aetna Insurance Company, Triangle’s insurer. Following a 25 September 1996 hearing, the Deputy Commissioner issued an Opinion and Award generally favorable to plaintiff on 22 April 1997. The case was subsequently reviewed on appeal by the Full Commission which entered a modified Opinion and Award 20 April 1998. The Commission in the main affirmed the Deputy Commissioner’s earlier decision, but modified portions thereof related to awarding of a credit to defendants and of counsel fees to plaintiff.

In its Opinion and Award, the Commission concluded as a matter of law that:

3. Defendant-employer shall receive a credit for the private, fully employer-funded benefits paid to plaintiff through Paul Revere Insurance Company, less twenty-five percent attorneys fees to be paid to the [plaintiff’s counsel] for collecting reimbursement of the same from the worker’s compensation carrier.

The Commission thereupon ordered:

2. Plaintiff’s request that attorneys fees be calculated on the total award and allowing the defendants a credit for payments made after March 31, 1995 through a fully employer-funded private disability policy, less a twenty-five percent attorney’s fee to be paid to [plaintiff’s counsel] ... is HEREBY ALLOWED.
3. Defendant-employer shall receive a credit for the fully employer-funded private disability benefits paid to plaintiff, less a twenty-five percent attorney’s fee to be paid to [plaintiff’s counsel] .... The weekly difference between what was paid to plaintiff and what was owed to plaintiff of $84.00 a week shall [403]*403be paid to plaintiff in a lump sum subject to the attorneys fees approved below.
4. A reasonable attorney’s fee of twenty-five percent of the total compensation awarded to plaintiff after March 31, 1995 ... is approved for plaintiffs counsel and shall be paid as follows: twenty-five percent of the dollar for dollar credit allowed the defendant from and after March 31, 1995 shall be paid to the plaintiffs counsel for so long as the defendants claim a credit for benefits paid the plaintiff from a fully employer-funded private disability insurance policy; thereafter, twenty-five percent of any compensation paid by the workers’ compensation carrier to the plaintiff shall be deducted and paid directly to counsel for the plaintiff.

Defendants timely appealed, assigning error to the

Full Commission’s Conclusions of Law 3 and Awards 2, 3, and 4 on the grounds that the reduction of defendants’ credit by 25% to provide plaintiff’s counsel additional fees is not supported by law.

N.C.G.S. § 97-42 (Supp. 1998)1 governs allocation of credit for payments made under private disability plans such as the Revere policy.

Payments made by the employer to the injured employee during the period of his disability, or to his dependents, which by the terms of this Article were not due and payable when made, may, subject to the approval of the Commission be deducted from the amount to be paid as compensation. . ..

G.S. § 97-42.

Defendants cite Evans v. AT&T Technologies, 332 N.C. 78, 418 S.E.2d 503 (1992) as precluding reduction by the Commission of defendants’ credit for the Revere payments. However, we believe the instant case is controlled by our decision in Church v. Baxter Travenol Laboratories, 104 N.C. App. 411, 409 S.E.2d 715 (1991). As in the case sub judice, the Commission in Church credited the employer for amounts paid the employee under a disability insurance plan, but reduced that credit by twenty-five percent “to fund [plaintiff’s] attorney’s fees.” Id. at 416, 409 S.E.2d at 718. In upholding the Commission, the Court noted that G.S. § 97-42

[404]*404dictates that any payments made by an employer to the injured employee during the period of her disability which were not due and payable when made, may, subject to the approval of the Industrial Commission, be deducted from the amount to be paid as workers’ compensation. . . .
The Commission’s award in its discretion of a 75% credit to defendant for payments made through its private insurer and the award of the remaining 25% to plaintiff to fund attorney’s fees based upon the full workers’ compensation award is well within the Commission’s discretionary authority. . . .

Id. at 416, 409 S.E.2d at 717-18.

Where a panel of this Court “has decided the same issue, albeit in a different case, a subsequent panel is bound by that precedent, unless it has been overturned by a higher court.” In the Matter of Appeal from Civil Penalty, 324 N.C. 373, 384, 379 S.E.2d 30, 37 (1989). Since the identical issue, i.e., reduction of defendants’ credit by 25% to provide counsel fees, is presented herein, we are bound by Church unless that decision has been overruled.

In that regard, defendants maintain that the decision of our Supreme Court in Evans implicitly overruled Church. We conclude otherwise.

At issue, inter alia, in Evans was the method of calculating an employer’s credit for payments made to an employee under a disability plan, the employer claiming “dollar-for-dollar credit” and the employee a “week-for-week credit.” Evans, 332 N.C. at 81-83, 418 S.E.2d at 506. The Court adopted the former approach, holding that “all payments made by an employer on account of its employee’s disability,” not due and payable within the meaning of G.S. § 97-42 when made, “may be deducted from the employee’s workers’ compensation award.” Id. at 83, 418 S.E.2d at 507 (second emphasis added).

The discretionary nature of the credit was highlighted throughout the opinion: “subject to approval by the Industrial Commission,” payments “not due and payable when made may be deducted from the employee’s workers’ compensation award-.” Id. (emphasis added); see also id. at 86, 418 S.E.2d at 509 (“[w]e conclude that the ordinary meaning of the language of [G.S. § 97-42] allows an employer, subject to Commission approval,

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Cite This Page — Counsel Stack

Bluebook (online)
524 S.E.2d 79, 136 N.C. App. 401, 2000 N.C. App. LEXIS 11, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cole-v-triangle-brick-ncctapp-2000.