Holden v. Boone

569 S.E.2d 711, 153 N.C. App. 254, 2002 N.C. App. LEXIS 1119
CourtCourt of Appeals of North Carolina
DecidedOctober 1, 2002
DocketCOA01-1347
StatusPublished
Cited by9 cases

This text of 569 S.E.2d 711 (Holden v. Boone) 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
Holden v. Boone, 569 S.E.2d 711, 153 N.C. App. 254, 2002 N.C. App. LEXIS 1119 (N.C. Ct. App. 2002).

Opinion

*255 MARTIN, Judge.

The unnamed defendants, plaintiffs former employer and its workers’ compensation insurance carrier, appeal from a superior court order decreasing their compensation lien against plaintiffs third-party recovery pursuant to G.S. § 97-10.2®. Defendant Boone is not a party to this appeal.

On 6 March 1998, plaintiff was driving a van in the course of his employment with unnamed defendant-employer John Williams Plumbing, Inc. (“Williams Plumbing”), when he was rear-ended by defendant Boone. While there was $400.00 or less in damage to the van plaintiff was driving, plaintiff received personal injuries that required emergency room treatment and further medical care. Unnamed defendant-carrier Builders Mutual Insurance Company (“Builders Mutual”) was the carrier on the risk at the time of the accident and accepted plaintiffs claim as a compensable injury by accident and began paying compensation pursuant to an I.C. Form 63.

After an initial diagnosis of neck strain by the emergency room physician, plaintiff received chiropractic treatment for neck pain but eventually had to undergo surgery for a cervical disc protrusion. As part of plaintiffs claim, Builders Mutual paid $12,266.46 in compensation for temporary total disability and $29,076.46 in medical bills. Based on a rating of 10 percent permanent partial disability of the cervical spine, plaintiff and Williams Plumbing and Builders Mutual entered into an Agreement of Final Settlement and Release (“the Agreement”) on 13 May 1999. Under the terms of the Agreement, plaintiff received a lump sum payment of $15,000 and payment of all related medical bills up to the time of the Agreement. Under G.S. § 97-10.2, the temporary and permanent disability compensation and medical expenses paid by Builders Mutual would have provided Builders Mutual with a subrogation lien of $56,342.92. Recognizing the possibility of a third-party recovery against defendant Boone, the parties included the following provision in the Agreement:

As a part of this settlement the Employer and Insurer agree to reduce their lien pursuant to G.S. 97-10.2 to a net of $24,151.00. The parties agree that, in the event of a third-party recovery, the Employer and Insurer will receive a total of $24,151.00, not subject to a reduction for counsel fees, costs or expenses and not subject to reduction under G.S. 97-10.20) (emphasis added).

*256 The Agreement, which was executed after plaintiff had filed suit once against defendant Boone and taken a voluntary dismissal without prejudice, was approved by the Industrial Commission on 25 May 1999.

Plaintiff filed a second lawsuit against defendant Boone on 25 July 2000. As a result of mediation, plaintiff and Boone’s insurance carrier, State Farm, reached a settlement in the amount of $30,000. Builders Mutual was present at the negotiations and refused requests to reduce its lien amount further. Due to this refusal, plaintiff moved the trial court to decrease Builders Mutual’s lien pursuant to G.S. § 97-10.2Q). Plaintiff requested that the lien be reduced to $10,000 so that plaintiff, plaintiff’s counsel, and Builders Mutual would each receive one-third of the recovery amount.

After a hearing on the motion, the trial court found that since the Agreement had been executed, plaintiff had been diagnosed with a “more substantial disability.” It also found that “a favorable recovery to the plaintiff if the matter had gone to trial was speculative based upon representations from counsels for Plaintiff and Defendant based upon possible contributory negligence on the part of the Chiropractor....” Thus, the trial court reasoned that Builders Mutual stood to lose any chance of redeeming its lien if the jury verdict was for defendant Boone. The trial court entered an order decreasing Builders Mutual’s lien in accordance with plaintiff’s request.

Following the entry of the order decreasing the lien, plaintiff took a voluntary dismissal with prejudice of the civil claim against defendant Boone. Williams Plumbing and Builders Mutual submitted timely notice of appeal from the order.

Williams Plumbing and Builders Mutual challenge the trial judge’s order decreasing their compensation lien on two grounds. First, they assert that the trial court had no jurisdiction to modify the terms of the Agreement, which had been approved by the Industrial Commission. Next, they argue that even if the trial court had the necessary jurisdiction to decrease the lien, its decision to do so was an abuse of discretion. We agree with appellants’ first argument, and thus do not reach their second.

The primary question presented by this appeal is whether G.S. § 97-10.2(j) authorizes a superior court judge to override the terms of a settlement agreement approved by the Industrial Commission with *257 respect to an agreed-upon lien amount for the employer and carrier. The statute does not specifically address the rights of an employer or its carrier to enforce an agreement with the injured employee with respect to a lien upon proceeds of a recovery agreement with a third party. The statute provides:

(j) Notwithstanding any other subsection in this section, . . . in the event that a settlement has been agreed upon by the employee and the third party, either party may apply to the resident superior court judge of the county. . . to determine the sub-rogation amount. After notice to the employer and the insurance carrier, after an opportunity to be heard by all interested parties, and with or without the consent of the employer, the judge shall determine, in his discretion, the amount, if any, of the employer’s lien, whether based on accrued or prospective workers’ compensation benefits, and the amount of cost of the third-party litigation to be shared between the employee and employer. The judge shall consider the anticipated amount of prospective compensation the employer or . . . carrier is likely to pay to the employee in the future, the net recovery to plaintiff, the likelihood of the plaintiff prevailing at trial or on appeal, the need for finality in the litigation, and any other factors the court deems just and reasonable, in determining the appropriate amount of the employer’s lien.

Furthermore, there is no case precedent precisely on point in North Carolina. The general language of G.S. § 97-10.2(j) has been held to be clear and unambiguous, granting a trial judge authority to use its discretion in adjusting a compensation lien amount, even if the result is a double recovery for the plaintiff. See Allen v. Rupard, 100 N.C. App. 490, 397 S.E.2d 330 (1990). However, under the facts of this case, this subsection would appear to be in tension with the Industrial Commission’s exclusive jurisdiction over settlements of workers’ compensation claims. See N.C. Gen. Stat. § 97-10.1, 97-17 (2002).

Under G.S. § 97-17, parties to a workers’ compensation claim may submit a settlement agreement to the Industrial Commission for approval. If approved by the Commission, the agreement is considered binding on the parties involved, and can only be set aside by the Industrial Commission upon a showing of “fraud, misrepresentation, undue influence, or mutual mistake.” Id.; Pruitt v.

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Cite This Page — Counsel Stack

Bluebook (online)
569 S.E.2d 711, 153 N.C. App. 254, 2002 N.C. App. LEXIS 1119, Counsel Stack Legal Research, https://law.counselstack.com/opinion/holden-v-boone-ncctapp-2002.