In re the Estate of Kelly

110 Misc. 2d 356, 442 N.Y.S.2d 373, 1981 N.Y. Misc. LEXIS 3092
CourtNew York Surrogate's Court
DecidedJuly 30, 1981
StatusPublished
Cited by4 cases

This text of 110 Misc. 2d 356 (In re the Estate of Kelly) is published on Counsel Stack Legal Research, covering New York Surrogate's Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In re the Estate of Kelly, 110 Misc. 2d 356, 442 N.Y.S.2d 373, 1981 N.Y. Misc. LEXIS 3092 (N.Y. Super. Ct. 1981).

Opinion

OPINION OF THE COURT

Marie M. Lambert, S.

In the within estate, the court by decree dated June 27, 1980 compromised an action for wrongful death and pain and suffering and settled the account of the administratrix. Specifically reserved for determination was the claim of the State Insurance Fund (SIF) that its lien for the payment of workers’ compensation benefits should be recouped in full and should not be reduced by any share of the attorneys’ fees and costs incurred in the prosecution of the tort action which gave rise to the recoupment. Should this court find that apportionment of attorneys’ fees and costs is appropriate, SIF argues that it should pay a lesser share of fees and costs because it was both the workers’ compensation carrier and the general liability insurer and was liable to plaintiff in the tort action. The amount of the reduction which SIF asks for is the percentage of the judgment which it had to pay as insurer for the tort-feasor in the tort action. [357]*357This concept, established in France v Abstract Tit. Div. of Tit. Guar. Co. (57 AD2d 721, mod 43 NY2d 527), provides that where the workers’ compensation carrier is also the general liability insurer, the lienor’s proportionate share of the legal expenses should be reduced to reflect the fact that the recovery in the tort action is adverse to the interest of lienor.

In opposition to this claim, the administratrix states that the 1975 amendments to subdivision 1 of section 29 of the Workers’ Compensation Law (L 1975, ch 190), require the equitable apportionment of legal expenses between a plaintiff and a compensation carrier and that the carrier is statutorily mandated to pay a proportionate share of the legal expenses attributable to its recovery. The administratrix further states that the France doctrine undercuts the statutory scheme of equitable apportionment by allowing a compensation carrier, where it is also the . general liability insurer, to pay less than a proportionate share of the legal expenses. Finally, she argues that the proportionate share of legal expenses which a compensation carrier should pay should be calculated to include not just the amount of the lien actually recouped, but the benefits to the carrier which result from the termination of its obligation to pay any future compensation benefits. This concept, called the “total benefit theory” has been recently accepted by several courts. (O’Connor v Lee Hy Paving Corp., 480 F Supp 716; Cox v Belmont Iron Works, 104 Misc 2d 801).

The underlying tort action which engendered the issues sub judice involved the death of a sheetmetal worker who was electrocuted while using a hand held power drill. The decedent was survived by a wife who was 29 years old at the time of his death and a son who was born posthumously. An action was commenced against the City of New York, the general contractor for the construction project, and several other prime contractors. One of those prime contractors, M. C. Electric Co. (Electric), impleaded the decedent’s employer, Contractors Sheetmetal Co. (Contractors), as a third-party defendant and the city cross-claimed against the employer. After a jury verdict, the city was found 65% liable, Electric was found 35% liable and Contractors was found not liable. After a reduction in the [358]*358amount of the verdict by the Trial Judge from $550,000 to $315,000, an appeal was taken to the Appellate Division where a new trial with respect to apportionment was directed unless Contractors consented to the imposition on it of 32 Yz% liability (Kelly v M. C. Elec. Co., 68 AD2d 657). Contractors did so consent, and SIF, as its general liability carrier, was ultimately liable for that amount.

During the course of the lawsuit, SIF paid workers’ compensation benefits to the administratrix and her son in an amount in excess of $30,000. The compensation benefits were paid on a periodic basis and. were continued until June 30, 1980. Upon application to this court for the settlement of the causes of action, the account of the administratrix was settled and a reserve fund was established in an amount sufficient to cover the claim of SIF for the recoupment of its lien and sufficient to pay the fee of the guardian ad litem appointed to represent the infant son of the decedent. Said guardian ad litem has reviewed the issues raised in this proceeding and he concurs with the position taken by the administratrix. The court has been informed by letter dated March 20, 1981 that the parties wish to have the outstanding issues resolved on the basis of papers submitted to it.

With regard to the outstanding issues, the court finds no merit to the contention of SIF that its lien for compensation benefits should be recouped in full and should not be reduced by a proportionate share of the legal expenses incurred in the tort action which resulted in its recoupment.

Prior to 1975, subdivision 1 of section 29 of the Workers’ Compensation Law did not require a compensation carrier who had a lien against a third-party recovery for compensation benefits paid, to pay a proportionate share of the reasonable and necessary expenditures, including attorneys’ fees, incurred in the litigation which resulted in an excess recovery and in the recoupment of the lien. In other words, where the plaintiff received an excess recovery, the compensation carrier received a “free ride” by having its lien paid in full without regard to the costs incurred in bringing the action. The failure to apportion expenses was even more inequitable when subdivision 2 of section 29 of [359]*359the same act was considered. That provision allowed the carrier to take an assignment of the causes of action when the plaintiff, after notice by the carrier, failed to commence an action in an appropriate time period. Subdivision 2 of section 29 of the Workers’ Compensation Law further provided that, if the carrier achieved an excess recovery, that is, an amount which exceeded any lien for compensation awarded or medical expenses paid, the carrier could keep one third of the excess as a windfall. Importantly, the attorneys’ fees incurred as a result of the carrier’s litigation were treated as a prior lien and were deducted from the recovery before the compensation lien was satisfied and before the amount of the excess recovery was determined. Thus, section 29 of the Workers’ Compensation Law contained a dual standard with respect to apportionment of attorneys’ fees. When a plaintiff, under subdivision 1 of section 29 commenced an action, the lien of the compensation carrier, without regard to apportionment of attorneys’ fees, was deducted in full after the recovery. When a compensation carrier under subdivision 2 of section 29 commenced an action, the attorneys’ fees were first deducted before the compensation lien was satisfied in full and before the amount of any excess recovery was determined.

This double standard was recognized by the Law Revision Commission. (Recommendation of the NY Law Revision Comm to the 1975 Legis, McKinney’s 1975 Session Laws of NY, pp 1551, 1552), which described it as follows: “Two results of this procedure call for a change in New York law. First, the carrier receives its lien without contributing to the cost of securing the recovery. Employees, encouraged to sue by the structure of the act, obtain a recovery from which the carrier benefits and yet the carrier need not share in the costs. When the carrier sues, its attorneys’ fees are paid in full and then it receives the amount of its lien.

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Cite This Page — Counsel Stack

Bluebook (online)
110 Misc. 2d 356, 442 N.Y.S.2d 373, 1981 N.Y. Misc. LEXIS 3092, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-the-estate-of-kelly-nysurct-1981.