In re Marriage of Washkowiak

2012 IL App (3d) 110174
Appellate Court of Illinois·Decided March 7, 2012·No. 3-11-0174·Published·Cited by 4 cases

Opinion

ILLINOIS OFFICIAL REPORTS Appellate Court

In re Marriage of Washkowiak, 2012 IL App (3d) 110174

Appellate Court In re MARRIAGE OF CHRISTOPHER WASHKOWIAK, Petitioner- Caption Appellant, and ROSANA WASHKOWIAK, Respondent-Appellee.

District & No. Third District Docket No. 3-11-0174

Filed March 7, 2012 Rehearing denied April 10, 2012 Held In marriage dissolution proceedings where the parties’ settlement (Note: This syllabus agreement awarded respondent 17.5% of the net proceeds of petitioner’s constitutes no part of workers’ compensation settlement as her interest in that settlement, the the opinion of the court trial court properly awarded respondent 17.5% of the $70,000 of the but has been prepared workers’ compensation settlement placed in a Medicare set-aside by the Reporter of account, notwithstanding petitioner’s contention that the funds in that Decisions for the account were not “net proceeds” of the workers’ compensation convenience of the settlement, since the funds in the account fell within the dissolution reader.) agreement’s definition of “net proceeds” where the parties agreed that monies identified for “medical payments” would be part of the “net proceeds” of the workers’ compensation settlement.

Decision Under Appeal from the Circuit Court of La Salle County, No. 09-D-478; the Review Hon. Daniel J. Bute, Judge, presiding.

Judgment Affirmed. Counsel on Jane M. Ryan (argued) and Nigel S. Smith, both of Law Offices of Peter Appeal F. Ferracuti, P.C., of Ottawa, for appellant.

Eric L. Miskell and Ryan Hamer (argued), both of Miskell Law Center, of Ottawa, for appellee.

Panel PRESIDING JUSTICE SCHMIDT delivered the judgment of the court, with opinion. Justice Wright concurred in the judgment and opinion. Justice McDade dissented, with opinion.

OPINION

¶1 Petitioner, Christopher Washkowiak, appeals from the trial court’s order awarding respondent, Rosana Washkowiak, $12,250, a figure which represents 17.5% of the portion of his workers’ compensation settlement that was placed in a Medicare set-aside account. For the reasons that follow, we affirm.

¶2 FACTS ¶3 Petitioner and respondent were married in 2004. In 2008, petitioner suffered a work- related injury while working for Northern Pipeline Construction (Pipeline). Petitioner subsequently filed a claim for workers’ compensation. ¶4 In 2009, petitioner filed a petition for dissolution of the parties’ marriage. On August 31, 2010, the trial court entered a judgment of dissolution of marriage, which incorporated the parties’ settlement agreement. Paragraph 10 of the judgment provides, in pertinent part: “10. The Respondent is awarded 17.5% of the net proceeds from the Petitioner’s workers’ compensation settlement as and for her interest in the same. Net proceeds are defined as the agreed award amount less workers’ compensation attorneys’ fees and usual and customary litigation fees and expenses. The Petitioner is ordered not to receive any funds from his settlement without first directing his attorney to provide a draft check to the Respondent for her portion herein. Net shall include any reimbursement for unemployment which he actually pays and medical payments he actually pays.” (Emphasis added.) ¶5 On December 9, 2010, an arbitrator of the Illinois Workers’ Compensation Commission approved a settlement agreement between petitioner and Pipeline. The agreement released Pipeline from “all past and future obligations for the payment of workers’ compensation benefits, indemnity and/or medical benefits.” The agreement included a “Workers’

-2- Compensation Medicare Set-aside Arrangement” (MSA). The agreement defined the MSA as “an interest bearing bank account funded solely by the Medicare Allocation and used solely to pay for future Medicare-covered medical and/or prescription drug expenses.” The monetary terms of the agreement were listed as follows: “THE ATTACHED TERMS OF THE SETTLEMENT Total amount of settlement $365,000 (does not include $70,000 MSA) Deduction: Attorney’s fees $67,903.35 Deduction: Medical reports, X-rays $766.60 Amount employee will receive $296,330” The settlement agreement also contained the following provisions: “4. The parties agree that *** Centers for Medicare Services approval of the MSA is not required under CMS policy. 5. The parties agree that of the total settlement amount of $435,000, the amount that is allocated to the MSA is $70,000. *** 14. In entering into this *** Agreement, it is not the intentions of the parties to shift responsibility of the Claimant’s future medical treatment and/or prescription drug treatment to the Federal government. The allocation of $70,000 is intended directly for payment of Claimant’s future treatment related to the work injury that would normally be covered by Medicare so that the parties are in compliance with the Medicare Secondary Payer Act (42 U.S.C. § 1395(b)) and applicable Medicare rules and regulations.” ¶6 The parties agree that per the terms of the judgment of dissolution, respondent was entitled to 17.5% of the $296,330 petitioner received under the settlement agreement. A dispute, however, arose as to whether respondent was entitled to 17.5% of the $70,000 set aside in the MSA. Petitioner asserted that respondent was not entitled to 17.5% of the MSA funds as the funds were not part of the “net proceeds” of the settlement. Instead, petitioner argued that the funds were set aside solely to satisfy Medicare’s interests. Respondent argued, inter alia, that she was entitled to 17.5% of the MSA funds as the $70,000 did not fall under the excluded category of “attorneys’ fees and usual and customary litigation fees and expenses,” as provided in paragraph 10 of the judgment of dissolution. The trial court held that the $70,000 set aside in the MSA was to be included in the net proceeds for purposes of calculating respondent’s 17.5% share. Since the undisputed amounts had already been paid, the trial court ordered petitioner to pay respondent $12,250.

¶7 ANALYSIS ¶8 Petitioner argues that the nature of the MSA precludes the funds in the MSA from being part of the “net proceeds” of the settlement. He does not argue that the funds in the MSA should be excluded from the “net proceeds” by operation of either of the exceptions stated in the dissolution decree: attorney fees and litigation expenses.

-3- ¶9 Normally a trial court’s determination that an asset is marital or nonmarital is reviewed for an abuse of discretion. However, in cases such as this where the determination is one of law and does not involve credibility determinations, our review is de novo. In re Marriage of Joynt, 375 Ill. App. 3d 817, 819 (2007). The terms of a settlement agreement incorporated into a dissolution decree are interpreted as any other contract. In re Marriage of Turrell, 335 Ill. App. 3d 297, 305 (2002). “When the terms are unambiguous, the court determines the parties’ intent solely from the language of the instrument.” Id. ¶ 10 According to the dissolution decree, “net proceeds” include reimbursement for medical payments actually paid by petitioner. The funds in the MSA are part of the settlement with petitioner and are to be used for petitioner’s medical payments. Unless there is something about an MSA that removes the MSA funds from the definition of “net proceeds,” the funds fall squarely within the dissolution decree’s definition of “net proceeds.” ¶ 11 We begin with a brief overview of the Medicare program as it relates to an MSA. Prior to 1980, Medicare generally paid for medical services whether or not the recipient was also covered by another health plan. New York Life Insurance Co. v. United States, 190 F.3d 1372, 1373 (Fed. Cir. 1999).

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