Darr Construction Co. v. Workmen's Compensation Appeal Board

677 A.2d 1301, 1996 Pa. Commw. LEXIS 261
CourtCommonwealth Court of Pennsylvania
DecidedJune 12, 1996
StatusPublished
Cited by4 cases

This text of 677 A.2d 1301 (Darr Construction Co. v. Workmen's Compensation Appeal Board) is published on Counsel Stack Legal Research, covering Commonwealth Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Darr Construction Co. v. Workmen's Compensation Appeal Board, 677 A.2d 1301, 1996 Pa. Commw. LEXIS 261 (Pa. Ct. App. 1996).

Opinions

PELLEGRINI, Judge.1

Darr Construction Company and its workers’ compensation carrier, Roekwood Casualty Insurance Company (together, Employer), petition for review of five orders of the Workmen’s Compensation Appeal Board (Board) which amended five separate referee decisions regarding Employer’s subrogation interest in the civil settlements of Richard Walker, Donald Reed, James Walker, Neil Rayman and Donald Ziegler (collectively, Claimants). Claimants filed cross-petitions for review of the same Board orders.2 All petitions were consolidated by this court.

I.

The facts are not in dispute. Claimants were working for Employer on August 31, 1988, when an explosion occurred at the job site. As a result of the explosion, Claimants sustained work-related injuries for which they received benefits pursuant to notices of compensation payable. Claimants and their spouses 3 also commenced civil actions in the Court of Common Pleas of Somerset County against Peoples Natural Gas Company (Peoples), seeking to recover damages for Claimants’ August 31, 1988 injuries. The actions also sought damages for loss of consortium. Ultimately, each Claimant settled his third-party action with Peoples. The spouses of the married Claimants also settled their loss of consortium claims and signed separate releases. Employer did not agree to the settlement amounts or the designation of the [1304]*1304loss of consortium amount and apparently was not involved in the settlement negotiations.4

Employer subsequently filed review petitions, alleging that each Claimant had received a third-party settlement for the same injury for which he was receiving workers’ compensation benefits. Employer further alleged that it was subrogated to each Claimant’s recovery pursuant to Section 319 of the Workers’ Compensation Act (Act), Act of June 2, 1915, P.L. 736, as amended, 77 P.S. § 671. Each Claimant filed an answer, admitting the settlement of the third-party action arising out of his work-related injury.

Before the respective referees hearing the cases, the parties entered into stipulations of fact. Specifically, the parties stipulated, inter alia, to the total amount of the third-party recovery; the amount of the consortium claim, if applicable; the total compensation lien at the time of settlement (including both indemnity payments and medical expenses); attorneys’ fees; total expenses; weekly compensation rate; and date of return to work, if applicable. However,, the parties were unable to agree on the amount or method of calculating Employer’s subro-gation interest.

Employer advocated application of the Net Method as set forth in Rollins Outdoor Advertising v. Workmen’s Compensation Appeal Board (Maas), 506 Pa. 592, 487 A.2d 794 (1985). Claimants asserted that Employer’s subrogation rights should be calculated by using the Gross Method contained in the Bureau of Workers’ Compensation Form LIBC-380 and applied in CNA Insurance Co. v. Workmen’s Compensation Appeal Board (Romeo), 134 Pa.Cmwlth. 478, 578 A.2d 1375 (1990).

Specifically, the parties could not agree regarding whether each Claimant was required to pay Employer its accrued compensation lien in full upon receipt of his civil settlement. Claimants advocated deducting Employer’s pro-rata share of expenses from the sum owed to Employer and then paying Employer the net amount. Employer, however, asserted that the accrued compensation lien should be paid in full at the time of settlement, with Employer reimbursing each Claimant its pro-rata share of expenses over the grace period.

The parties also disputed the extent of pro-rata expenses owed by Employer under Section 319 of the Act. Claimants argued that Employer must pay its pro-rata share of the expenses of recovery attributable to the accrued compensation lien and, in addition, Employer’s, pro-rata share of the expenses associated with future compensation that Employer is relieved of paying by virtue of each Claimant’s civil recovery. In contrast, Employer maintained that the Net Method levies a pro-rata share of expenses based solely upon the accrued compensation lien and, thus, relieves Employer of any obligation to pay a pro-rata share of expenses attributable to future benefits.

Finally, the married Claimants disagreed with Employer regarding whether Employer [1305]*1305had a right of subrogation over their respective spouses’ consortium settlements.

Upon consideration of the eases on the stipulations of fact, the referees concluded that Employer was entitled to calculate its subrogation rights under the Net Method. Therefore, Employer’s pro-rata share of expenses was to be calculated solely upon its accrued compensation lien, and no additional reimbursement for expenses attributable to the future grace period was necessary.5

With respect to the consortium settlements between Peoples and the spouses of Reed and Ziegler, the referee concluded that, because the spouses executed separate releases and received separate payments from Peoples, they established a distinct and separate loss; thus, Employer had no right of subro-gation over those consortium settlements. Regarding the consortium settlements between Peoples and the spouses of Walker and Rayman, a different referee concluded that because there was no jury verdict or court ruling concerning the claims, they were subject to Employer’s right of subrogation.

Based upon the foregoing conclusions, the referees ordered each Claimant to pay immediately to Employer the gross amount of its accrued compensation lien and directed Employer to pay each Claimant its pro-rata share of expenses during the grace period until paid in full.6 The referees also granted Employer a suspension for the duration of the grace periods.7

Claimants and Employer appealed to the Board, which, in each case, amended the referee’s determination of Employer’s subro-gation interest. Specifically, the Board utilized the Gross Method and held that Claimants should have paid Employer the net amount of its accrued compensation lien, i.e., the compensation hen less allocated costs and fees. The Board calculated the expenses attributable to the accrued compensation Ken by dividing the Ken by the third-party recovery and then multiplying that percentage by the total costs of recovery.8

To calculate the grace period, the Board appKed the foUowing formula:

Recovery — Compensation Lien
Weekly Compensation Rate

The Board required Employer to reimburse Claimants during the grace period for its pro-rata share of the expenses attributable to the future compensation Ken. It held that Employer was entitled to a credit for any medical expenses incurred by Claimants during the grace period, to the extent that the settlement exceeds the accrued Ken less expenses attributable to the excess. The Board explained that as Employer receives a credit for the medical bflls, the total credit aKowed Employer wiK be equaKy reduced, thus reducing the grace period.

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Bluebook (online)
677 A.2d 1301, 1996 Pa. Commw. LEXIS 261, Counsel Stack Legal Research, https://law.counselstack.com/opinion/darr-construction-co-v-workmens-compensation-appeal-board-pacommwct-1996.