Insurance Co. of North America v. Andrew

564 N.E.2d 939, 206 Ill. App. 3d 515, 151 Ill. Dec. 484, 1990 Ill. App. LEXIS 1913
CourtAppellate Court of Illinois
DecidedDecember 21, 1990
Docket2-90-0148
StatusPublished
Cited by11 cases

This text of 564 N.E.2d 939 (Insurance Co. of North America v. Andrew) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Insurance Co. of North America v. Andrew, 564 N.E.2d 939, 206 Ill. App. 3d 515, 151 Ill. Dec. 484, 1990 Ill. App. LEXIS 1913 (Ill. Ct. App. 1990).

Opinion

JUSTICE INGLIS

delivered the opinion of the court:

Plaintiff, Insurance Company of North America, filed suit as subrogee of Lewis Truck Lines, Inc., and for' Victor Mikenas, individually, an injured employee, seeking, in part, reimbursement of workers’ compensation benefits paid to Mikenas. The named defendants in the suit are Timothy Andrew and Rely Maintenance Seal Coating & Stripping Company. Essentially, plaintiff raises only one issue on appeal: whether the trial court erred in dismissing the complaint based on a release signed by an injured employee who has accepted workers’ compensation benefits under the provisions of the Workers’ Compensation Act (Act) (Ill. Rev. Stat. 1989, ch. 48, par. 138.1 et seq.). We reverse and remand.

Plaintiff filed its complaint on September 29, 1989. It alleged that Lewis Truck Lines, Inc. (Lewis), was the named insured on a policy issued by plaintiff to provide coverage for injuries suffered by Lewis’ employees within the scope of their employment. On October 6, 1987, Victor Mikenas, an employee of Lewis, was injured when he was struck by a vehicle operated by defendant Timothy Andrew. Both Mikenas and Andrew were allegedly acting within the scope of their employment at the time of the accident. Andrew was operating a vehicle owned by his employer, defendant Rely Maintenance Seal Coating & Stripping Company.

The complaint alleges that Andrew was negligent in striking the vehicle owned by Lewis and that, as a result of Andrew’s negligent acts, Mikenas has suffered permanent and crippling injuries. The complaint further alleges that, as a result of the injuries suffered by Mikenas, plaintiff has paid Mikenas workers’ compensation benefits for medical bills and temporary total disability. A claim is pending for Mikenas’ permanent partial disability. The complaint asked that the court award damages on behalf of plaintiff and Mikenas.

On December 4, 1989, defendant Andrew filed a motion to dismiss plaintiff’s complaint pursuant to section 2 — 619(a)(6) of the Illinois Code of Civil Procedure (Ill. Rev. Stat. 1989, ch. 110, par. 2— 619(a)(6)). A release signed by Mikenas and dated September 26, 1989, was attached to the motion. The release stated that, in consideration of the payment of $24,000, Mikenas released Timothy Andrew, Binnie Andrew, and Prestige Casualty Company from liability for any and all actions arising out of the accident which occurred on October 6, 1987. The motion thus alleged that plaintiff’s cause of action, brought as subrogee, was released and barred by the prior settlement agreement.

Plaintiff filed a response to the motion, arguing that the amount of workers’ compensation paid to Mikenas far exceeded the $24,000 settlement. Plaintiff further argued that the release was invalid because, first, there was no consideration for the release and, second, because plaintiff did not negotiate or agree with the settlement as required by the Act.

On January 10, 1990, arguments were heard on the motion to dismiss. Plaintiff maintained that, based on the case of Villapiano v. Better Brands of Illinois, Inc. (1975), 26 Ill. App. 3d 512, the release should be set aside because the settlement was not approved by the entity liable for workers’ compensation. Defendants argued that Villapiano did not apply because neither defendant Andrew nor his insurance carrier had actual or constructive notice of the workers’ compensation claim, since Mikenas, according to defendants, was operating his own automobile at the time of the accident. Defendants also maintained that, unlike the plaintiff in Villapiano, plaintiff here was bringing a subrogation action rather than an action to set aside the release. Defendants further argued that the settlement was entered into in good faith and should therefore bar plaintiff’s action. Plaintiff responded by arguing that Mikenas was, in fact, a passenger in his employer’s truck at the time of the accident.

Following this argument, the trial judge stated that he did not have any option except to grant the motion to dismiss. A written order dismissing the cause was entered the same day. This appeal followed.

Plaintiff argues on appeal that the trial court erred in dismissing its complaint. It contends that the dismissal was in error because the Workers’ Compensation Act imposes a duty upon the trial court to protect the employer’s right to reimbursement for workers’ compensation benefits paid, and a release, signed by an injured employee who has accepted workers’ compensation benefits, does not bar the employer’s right to reimbursement.

Defendants have not filed an appellees’ brief in response. We will, however, consider the appeal under the standard set forth in First Capitol Mortgage Corp. v. Talandis Construction Corp. (1976), 63 Ill. 2d 128.

Section 5(b) of the Act deals with the situation “[wjhere the injury or death for which compensation is payable under this Act was caused under circumstances creating a legal liability for damages on the part of some person other than his employer to pay damages.” (Ill. Rev. Stat. 1989, ch. 48, par. 138.5(b).) The portions of the section relevant to this appeal provide the following.

First, an employer has a right to reimbursement for any workers’ compensation benefits paid, or to be paid, from any compensation the employee receives from a third party, with or without suit. (Ill. Rev. Stat. 1989, ch. 48, par. 138.5(b).) An employer may claim a lien upon any award, judgment, or fund that the employee recovers from the third party. (Blagg v. Illinois F.W.D. Truck & Equipment Co. (1989), 186 Ill. App. 3d 955, 959, appeal allowed, (1989), 128 Ill. 2d 661.) Therefore, an employee is entitled to retain only that portion of a recovery from the third party which exceeds the benefits received under the Act from the employer. Ullman v. Wolverine Insurance Co. (1970), 48 Ill. 2d 1, 7.

Second, the employer has the right to intervene in any suit filed by the employee against the third party at any stage prior to the satisfaction of judgment (Jackson v. Polar-Mohr (1983), 115 Ill. App. 3d 571, 574), so that all orders of the court after hearing and judgment shall be made for the employer’s protection (Ill. Rev. Stat. 1989, ch. 48, par. 138.5(b)).

Third, no release or settlement of claim for damages between the employee and third-party tort-feasor is valid without the written consent of the employer; however, the employer’s consent is not required where the employer has been fully indemnified or is protected by court order. (Ill. Rev. Stat. 1989, ch. 48, par. 138.5(b); Freer v. Hysan Corp. (1985), 108 Ill. 2d 421, 426; Mounce v. Tri-State Motor Transit Co. (1986), 150 Ill. App. 3d 806, 810.) Thus, what is protected by the Act is the employer’s right to reimbursement of the amount of workers’ compensation paid, or to be paid, by him to the employee. Freer, 108 Ill. 2d at 426.

Finally, the employer has the right under the statute to bring a suit during the three months prior to the expiration of the statute of limitations if the employee has not filed a suit. (Ill. Rev. Stat. 1989, ch. 48, par. 138.5(b).) “This language creates in the employer a right akin to the common law right of subrogation.” Chicago Transit Authority v. Yellow Cab Co. (1982), 110 Ill. App. 3d 379, 381; see also Beiermann v. Edwards (1990), 193 Ill. App.

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Bluebook (online)
564 N.E.2d 939, 206 Ill. App. 3d 515, 151 Ill. Dec. 484, 1990 Ill. App. LEXIS 1913, Counsel Stack Legal Research, https://law.counselstack.com/opinion/insurance-co-of-north-america-v-andrew-illappct-1990.