Federated Mut. Ins. Co. v. McNeal

943 So. 2d 658, 2006 Miss. LEXIS 678, 2006 WL 3437662
CourtMississippi Supreme Court
DecidedNovember 30, 2006
Docket2004-CA-02450-SCT
StatusPublished
Cited by19 cases

This text of 943 So. 2d 658 (Federated Mut. Ins. Co. v. McNeal) is published on Counsel Stack Legal Research, covering Mississippi Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Federated Mut. Ins. Co. v. McNeal, 943 So. 2d 658, 2006 Miss. LEXIS 678, 2006 WL 3437662 (Mich. 2006).

Opinion

943 So.2d 658 (2006)

FEDERATED MUTUAL INSURANCE COMPANY
v.
Kevin Darrin McNEAL.

No. 2004-CA-02450-SCT.

Supreme Court of Mississippi.

November 30, 2006.

William Bienville Skipper, attorney for appellant.

Robert G. Germany, Eugene Coursey Tullos, Mark K. Tullos, Jackson, attorneys for appellee.

EN BANC.

*659 ON MOTION FOR REHEARING

DICKINSON, Justice, for the Court.

¶ 1. The appellee's motion for rehearing is denied. The previous opinion is withdrawn, and these opinions are substituted therefor.

¶ 2. After collecting benefits from his employer's workers' compensation insurer, an injured employee filed suit against an allegedly negligent third party. When the suit was settled, the insurer requested reimbursement for workers' compensation benefits paid to the employee, but the circuit court, citing the "made whole" doctrine,[1] refused to order the repayment. Claiming an absolute statutory right to reimbursement, the insurer filed this appeal without first formally seeking intervention in the case. The questions presented are whether the insurer is properly before this Court and, if so, whether the judicially-created "made whole" doctrine preempts Miss.Code Ann. Section 71-3-71 (Rev.2000), which grants to a workers' compensation insurer a lien against any amount recovered by an employee from a third party.

BACKGROUND FACTS AND PROCEEDINGS

¶ 3. Kevin Darrin McNeal was injured while delivering fuel to a customer of his employer, John Weatherford, Inc., who maintained a workers' compensation insurance policy with Federated Mutual Insurance Company ("Federated"). McNeal applied for and was paid workers' compensation benefits.

¶ 4. McNeal filed a complaint in the Circuit Court of Smith County, Mississippi, against Navistar International Truck and Engines Corp. ABA Corporation, and Waters International Trucks, Inc., alleging these defendants negligently caused the accident that led to his injuries. A Smith County jury assessed McNeal's total damages at $2,250,000.00 against Navistar International Truck and Engines Corporation, ABA Corporation, and Waters International Trucks, Inc. The jury also found McNeal to be twenty-five percent at fault, and a judgment was entered in McNeal's favor for $1,687,500.00.

¶ 5. The defendants appealed to this Court, but the parties reached a settlement before the conclusion of the appeal. After being informed of the settlement, this Court remanded the matter to the Smith County Circuit Court. In its order approving the third-party settlement, the circuit court noted that McNeal disputed Federated's entitlement to a workers' compensation subrogation lien and directed the parties to deposit the disputed portion of the settlement funds in an interest bearing account maintained by McNeal's attorney.

¶ 6. Federated, who had never formally sought intervention in the case and was not a party, filed a Motion to Compel Compliance with Section 71-3-71 requesting the circuit court order McNeal to reimburse it for all workers' compensation benefits paid to him. The circuit court denied Federated's motion,[2] holding that the "made whole" doctrine announced in Hare v. State, 733 So.2d 277 (Miss.1999), applied to workers' compensation subrogation liens. The circuit court further held that *660 McNeal had not been made whole by the amount he received in settlement and that, until he was made whole, Federated was not entitled to repayment of its lien. Upon learning its motion was denied, Federated perfected an appeal to this Court.

DISCUSSION

¶ 7. On appeal, Federated raises only the question of "[w]hether the lower Court erred in holding the equitable `made whole' doctrine applies to statutory workers' compensation subrogation liens, despite the clear language of Miss.Code Ann. § 71-3-71."

I. Mississippi Workers' Compensation Act

¶ 8. The Mississippi Workers' Compensation Act grants to a workers' compensation insurer the statutory right to reimbursement of benefits paid an injured worker in the event the worker recovers from a responsible third party. The pertinent portion of the statute provides:

[A]ny amount recovered by the injured employee or his dependents (or legal representative) from a third party shall be applied as follows: reasonable costs of collection as approved and allowed by the court in which such action is pending, or by the commission of this state in case of settlement without suit, shall be deducted; the remainder, or so much thereof as is necessary, shall be used to discharge the legal liability of the employer or insurer; and any excess shall belong to the injured employee or his dependents.

Miss.Code Ann. § 71-3-71 (Rev.2000) (emphasis added).

¶ 9. Thus, the statute unambiguously provides that, after deducting the costs of collection and attorneys' fees, any recovery from a third party (whether by award or through settlement) must be applied first to repay the workers' compensation insurer for benefits it paid the claimant. This Court, stating the statute must be strictly interpreted according to its mandatory language, has uniformly and consistently applied the statute and required reimbursement. See, e.g., Miss. Power Co. v. Jones, 369 So.2d 1381, 1387 (Miss.1979) ("The statute is plain and unambiguous."); Litton Sys., Inc. v. Murphree, 301 So.2d 850, 852-53 (Miss.1974) (statute means "exactly what it says; that is, that the employer and insurer are entitled to recover compensation paid."); Merchants Co. v. Hutchinson, 199 So.2d 813, 815 (Miss.1967) ("Mississippi law is clear and unambiguous on the procedure to be followed by the employer or its insurer in intervening or joining in the cause of action. It is equally clear and unambiguous in setting forth the mandatory distribution to be made of any amount recovered.").

¶ 10. Clearly, the requirements for application of Section 71-3-71 are met by the facts of this case: Federated paid workers' compensation benefits to McNeal pursuant to the Mississippi workers' compensation statutes, and McNeal recovered money from the third-party defendants. Thus, the money recovered by McNeal from the defendants, after deducting collection and attorneys' fees, must next be used to reimburse the workers' compensation provider. Therefore, McNeal is statutorily required to reimburse Federated for the workers' compensation benefits it paid him.

II. The "Made Whole" Doctrine

¶ 11. In refusing to order the reimbursement, the circuit court relied on this Court's decision in Hare, 733 So.2d at 279, wherein Hare was insured by both a health insurance policy and an uninsured motorist policy. Hare suffered injuries in an automobile accident and collected approximately $6,000 in medical benefits from his health insurance policy, which *661 included the following subrogation language: "[t]he plan shall be subrogated and shall succeed to the right of the Employee . . . to recovery against any person, organization or other carrier." Id. Thereafter, Hare settled with his uninsured motorist carrier for $10,000, and the health insurance carrier sought reimbursement pursuant to its subrogation agreement. Id.

¶ 12. In Hare,

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Bluebook (online)
943 So. 2d 658, 2006 Miss. LEXIS 678, 2006 WL 3437662, Counsel Stack Legal Research, https://law.counselstack.com/opinion/federated-mut-ins-co-v-mcneal-miss-2006.