Ellis Ex Rel. Ellis v. Kenworth Motor Truck Co.

466 F. Supp. 441, 1979 U.S. Dist. LEXIS 13904
CourtDistrict Court, N.D. Texas
DecidedMarch 9, 1979
DocketCiv. A. CA-3-76-1191-G
StatusPublished
Cited by3 cases

This text of 466 F. Supp. 441 (Ellis Ex Rel. Ellis v. Kenworth Motor Truck Co.) is published on Counsel Stack Legal Research, covering District Court, N.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ellis Ex Rel. Ellis v. Kenworth Motor Truck Co., 466 F. Supp. 441, 1979 U.S. Dist. LEXIS 13904 (N.D. Tex. 1979).

Opinion

ORDER

PATRICK E. HIGGINBOTHAM, District Judge.

I.

This wrongful death action was, except for the issue discussed here, terminated by a settlement approved by this court on October 2, 1978. Of the $140,000 total settlement, $16,740 was apportioned to the intervenor Transport Indemnity Company, the deceased’s workers compensation carrier. This $16,740 represents the amount paid by the intervenor in the form of worker’s compensation benefits, and was awarded pursuant to Transport’s subrogation lien created *442 by Tex.Civ.Stat.Ann. art. 8307 § 6a (Vernon Supp.1979). Of this sum, $5,580, or one-third, was awarded to the plaintiff’s attorney. The only question that remains is whether Transport is entitled to all of the $11,160 that remains.

The plaintiff’s argument is that Transport’s subrogation lien should extend only to that portion of the $11,160 that represents recovery for loss of support, because the worker’s compensation benefits paid by Transport from which the lien arises were in compensation only for loss of earning capacity.

The plaintiff’s argument is constructed largely around an analysis of the equitable nature of the doctrine of subrogation. The premise of the argument is that subrogation is an equitable doctrine whose purpose is to prevent fraud, injustice, or unjust enrichment. Thus, the plaintiffs argue, it should only be applied where the person asking for subrogation has a greater equity than the person who opposes the subrogation and where its application would not be contrary to public policy. Plaintiff further argues that to permit subrogation here to extend to the entire $11,160 would be inequitable, because Transport would in effect be subrogated to the plaintiff’s right of recovery for loss of care, counsel, services, and advice and for pain and suffering, even though the compensation paid to the plaintiffs by Transport did not compensate such losses.

Transport’s response, essentially, is that Texas courts have always permitted subrogation of an insurance carrier to the full amount of benefits paid by it, provided the recovery was greater than the lien for medical and indemnity, and have not limited a carrier’s subrogation right to the amount recovered for loss of support. Transport also urges this court to abstain from deciding this question of state law.

Before reaching an analysis of the issue presented, three points must be made. To begin with, it is important to note that, while this court may certainly consider the equitable arguments made by the plaintiff, it is not this court’s task to adopt what it considers to be an equitable resolution of the problem. Rather, this court must attempt to predict how the courts of Texas would resolve the question. Second, this is apparently a case of first impression. Neither party has cited, and the court has not found, a reported Texas decision in which the precise argument made here by the plaintiff has been faced. This only increases the difficulty of attempting to predict how a Texas court would respond to the plaintiff’s argument. Finally, this is not a proper case for abstention. While it is true, as the intervenor points out, that the Fifth Circuit has in the past indicated that abstention is appropriate simply where difficult questions of state law are involved, see United Services Life Ins. Co. v. Delaney, 328 F.2d 483 (5th Cir. 1964), cert. denied, 377 U.S. 935, 84 S.Ct. 1335, 12 L.Ed.2d 298, the courts in this circuit frequently decide such questions. See, e. g., Stephens v. State Farm Mutual Auto Ins. Co., 508 F.2d 1363 (5th Cir. 1975); Braniff Int’l Inc. v. Florida Public Service Comm’n, 576 F.2d 1100 (5th Cir. 1978) (federal question case); Sayers v. Forsyth Building Corp., 417 F.2d 65 (5th Cir. 1969). See also Colorado River Water Conservation District v. United States, 424 U.S. 800, 96 S.Ct. 1236, 47 L.Ed.2d 483 (1976). Indeed, the diversity jurisdiction could hardly function otherwise.

II.

The plaintiffs are correct in their assertion that subrogation is, in general, an equitable doctrine. Means v. United Fidelity Life Ins. Co., 550 S.W.2d 302 (Tex.Civ. App.—El Paso 1977, writ ref’d n. r. e.). And it is at least plausible that a Texas court, if confronted with a purely equitable claim for subrogation in a case such as this, would limit the subrogee’s recovery to that portion of the recovery from the third party that reflected loss of earnings. But here subrogation is not an equitable doctrine to be applied by a court in its discretion; rather, it is a statutory requirement under Tex. Civ.Stat. art. 8307 § 6a (Vernon Supp.1979). Thus the question here is more accurately characterized as one of statutory construe *443 tion than one of equity. See Finch v. Texas Employers’ Insurance Assoc., 535 S.W.2d 201 (Tex.Civ.App.—Texarkana 1976, writ ref’d n. r. e.).

The statute provides that:

If at the conclusion of a third party action a workmen’s compensation beneficiary is entitled to compensation the net amount recovered by such beneficiary from the third party shall be applied to reimburse the association for past benefits and medical expenses paid, and any amount in excess of past benefits and medical expenses shall be treated as an advance against future benefit payments of compensation to which the beneficiary is entitled to receive under the act.

The statute provides that the carrier is subrogated to the net amount recovered. It does not extend the lien only to the amount recovered as compensation for loss of support.

In that regard, Transport correctly points out that the Texas courts have consistently read the statute as granting a subrogation lien to the full extent of sums already paid by the carrier, provided the recovery by the plaintiff exceeded that amount. See, e. g., Home Indemnity Co. v. Thompson, 407 S.W.2d 530 (Tex.Civ.App.—Texarkana 1966, no writ); Capital Aggregates, Inc. v. Great American Title Ins. Co., 408 S.W.2d 922 (Tex.1966); Watson v. Glen Falls Ins. Co., 505 S.W.2d 793 (Tex.1974); Granite Stat e Ins. Co. v. Firebaugh, 558 S.W.2d 550 (Tex. Civ.App.—Eastland 1977, writ ref’d n. r. e.). In the Capitol Aggregates

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Texas Ass'n of School Boards, Inc. v. Ward
18 S.W.3d 256 (Court of Appeals of Texas, 2000)
Novak v. TRW, INC.
822 F. Supp. 963 (E.D. New York, 1993)
Dearing v. Perry
499 N.E.2d 268 (Indiana Court of Appeals, 1986)

Cite This Page — Counsel Stack

Bluebook (online)
466 F. Supp. 441, 1979 U.S. Dist. LEXIS 13904, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ellis-ex-rel-ellis-v-kenworth-motor-truck-co-txnd-1979.