Horne v. Insurance Company

203 Va. 282
CourtSupreme Court of Virginia
DecidedJanuary 15, 1962
DocketRecord No. 5364
StatusPublished
Cited by4 cases

This text of 203 Va. 282 (Horne v. Insurance Company) is published on Counsel Stack Legal Research, covering Supreme Court of Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Horne v. Insurance Company, 203 Va. 282 (Va. 1962).

Opinion

203 Va. 282 (1962)

ELLIS E. HORNE
v.
SUPERIOR LIFE INSURANCE COMPANY.

Record No. 5364.

Supreme Court of Virginia.

January 15, 1962.

Allan S. Reynolds and Stanley E. Sacks (Sam W. Nathan; White, Ryan & Reynolds; Sacks, Sacks & Kendall, on brief), for the appellant.

Present, All the Justices.

1. Horne was injured in the course of his employment by defendant Superior Life Insurance Company, while riding in a vehicle covered by a policy of liability insurance issued by Aetna and containing an uninsured motorist clause as required by Code 1950, section 38.1-381(b). Horne and Aetna (the driver of the other vehicle being uninsured) effected a compromise settlement of his claim upon his releasing Aetna and agreeing to share with Aetna any workmen's compensation benefits. He was denied an award by the Industrial Commission on the ground his release of Aetna had destroyed the right of his employer by subrogation to succeed to his claim under the policy. This was error. Such right of subrogation would exist only by statute, but was not conferred, as the Commission held, by Code 1950, section 65-38. Hence Horne had not destroyed any right of defendant employer.

2. The provision of the policy, that it was not to inure to the benefit of any workmen's compensation carrier or self-insurer, was not in conflict with Code 1950, section 38.1-381(h), nor did that section give the employer any right of subrogation against Aetna as the employee's insurer.

3. The employer's right of subrogation against the negligent third party given by section 65-38 is superior, however, to that of the insurance carrier under the uninsured motorist law, section 38.1-381(f).

4. The Commission erred also in denying Horne a reward on the ground he had received one full recovery, from Aetna, and could not under the policy of the Workmen's Compensation Act, be allowed a double recovery. The reasoning which prevents recovery against both employer and negligent third party does not apply where one recovery is against an outside insurer.

5. That the agreement between Horne and Aetna that they would share any compensation benefits received might be void (a matter Horne could test when Aetna demanded its share) was a matter irrelevant to the validity of his claim for such benefits.

Appeal from an award of the Industrial Commission of Virginia. The opinion states the case.

Spencer Gill (Rixey & Rixey, on brief), for the appellee.

SNEAD

SNEAD, J., delivered the opinion of the court.

This appeal resulted from an award made on April 21, 1961, by the Industrial Commission in which Ellis E. Horne, Appellant, was denied his claim for compensation against his employer, Superior Life Insurance Company, appellee, under the Workmen's Compensation Act, and his case was dismissed.

The facts are not in dispute. Horne was employed by Superior as an agent in Norfolk. On September 28, 1959, he was a passenger in his wife's car which was being operated by his son. The vehicle became involved in a collision with another operated by James T. Washington, who was an uninsured motorist. Horne received injuries which later necessitated the amputation of his right leg. There was in force and effect at the time of the collision a liability insurance policy issued to Mrs. Horne by Aetna Insurance Company covering her automobile. Horne was an insured under the terms of it. This policy contained an uninsured motorist coverage provision as required by | 38.1-381(b) [1], Code 1950, as amended. On the day following *284 the accident Horne notified the supervisor of Superior's Norfolk office of his injuries. It is conceded by Superior that the accident which caused Horne's injuries arose out of and in the course of his employment.

On January 12, 1960, Horne instituted an action at law for damages in the sum of $50,000 against Washington, giving the required statutory notice to his insurer, Aetna. Before trial of the case a settlement of $13,000 was reached between Horne and Aetna, without the knowledge and consent of Superior. Upon payment of this amount, Horne executed a "Policy Holder's Release and Trust Agreement." By this instrument, dated May 23, 1960, Horne released and discharged Aetna "of and from any and all claims, demands, actions and causes of actions which said Trustee [Horne] now has, or hereafter may have" against Aetna under the uninsured motorist coverage of its policy issued to Mrs. Horne by reason of the accident in question. It was further provided that Horne would hold for the benefit of Aetna all rights, claims and causes of action he has, or may have, "against any person or persons, organization, association or corporation," other than Aetna because of bodily injury, etc., which was the subject of the claim made against Aetna.

It was further provided that Horne would take such action in his name as deemed necessary or appropriate by Aetna to recover damages suffered by him from any one other than Aetna who may be legally liable therefor, and that any sum recovered not in excess of the amount paid Horne by Aetna in the settlement would be held in trust by Horne and paid to Aetna. There was also a provision that the release and agreement did not apply to any compensation benefits received by Horne as those benefits were dealt with in a separate agreement of the same date between the parties. That agreement provided that Horne "shall make claim for any and all workmen's compensation benefits" to which he was entitled or that Aetna believed he was entitled, and that any benefits received would be divided equally between them after deducting attorneys' fees, if awarded.

In accordance with the latter agreement Horne filed a claim against Superior for compensation benefits with the Industrial Commission for the injuries he sustained. His claim was denied by the Commission because Horne had voluntarily executed a release of his claim against Aetna and thus destroyed his employer's (Superior's) right of subrogation against Aetna, and because he had enjoyed one full recovery within the meaning of the Act. *285

Section 65-38, Code 1950, as amended, reads in part:

"The making of a lawful claim against an employer for compensation under this Act [Workmen's Compensation] for the injury or death of his employee shall operate as an assignment to the employer of any right to recover damages which the injured employee or his personal representative or other person may have against any other party for such injury or death, and such employer shall be subrogated to any such right and may enforce, in his own name or in the name of the injured employee or his personal representative, the legal liability of such other party. * * *"

Section 38.1-381(f), Code 1950, as amended, provides in part:

"Any insurer paying a claim under the endorsement or provisions required by paragraph (b) [uninsured motor vehicle] of this section shall be subrogated to the rights of the insured to whom such claim was paid against the person causing such injury, death or damage to the extent that payment was made; * * *."

In the former section (65-38) the employer, under the Workmen's Compensation Act, is unquestionably given subrogation to the rights of the employee against a negligent third party to the extent of the payments made. In the latter section the insurer is likewise given subrogation to the rights of the insured against a negligent third party to the extent of payments made.

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