Insurance Co. of North America v. Wright

886 S.W.2d 337, 1994 WL 456789
CourtCourt of Appeals of Texas
DecidedOctober 6, 1994
Docket01-93-00327-CV
StatusPublished
Cited by17 cases

This text of 886 S.W.2d 337 (Insurance Co. of North America v. Wright) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas 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. Wright, 886 S.W.2d 337, 1994 WL 456789 (Tex. Ct. App. 1994).

Opinion

OPINION

COHEN, Justice.

Appellant, Insurance Company of North America (ICNA), appeals the trial court’s approval of an apportionment of settlement proceeds.

Factual and procedural background

In March 1991, Bobby Clinton Wright was killed when a train hit his pickup truck. Wright, self-employed, was killed in the course and scope of his employment. ICNA was his worker’s compensation carrier.

Wright was survived by his wife Sue, his mother Bertha, and his grown sons, Jeff, Mark, and Gary. After Wright’s death, ICNA paid Sue Wright medical expenses of $62.50, funeral expenses of $2,500, and worker’s compensation indemnity benefits of $37,-121.92. ICNA also began paying Sue Wright weekly death benefits of $428. As of the date of trial, the amount of benefits ICNA had paid Sue Wright, including weekly death benefits, totalled $40,968.42.

The surviving Wrights filed a wrongful death suit against: Southern Pacific Trans *339 portation Company, the owner of the train that hit Wright; three members of the train crew; and Missouri Pacific Railroad Company, which owned the track and right-of-way where Wright was killed. Trial was set for November BO, 1992. On that date, the plaintiffs and Southern Pacific announced they had settled for $600,000. All other defendants had been dismissed. The plaintiffs agreed to the following apportionment;

Sue Wright $100,000
Gary Wright $160,000
Mark Wright $160,000
Jeff Wright $160,000
Bertha Wright $20,000

Sue Wright made the decision to apportion the settlement in this fashion. Southern Pacific did not play a role in determining the apportionment of the settlement proceeds, but had no objection to the apportionment. ICNA expressly approved the amount of the settlement, but objected to the apportionment. ICNA requested a jury trial on the issue of apportionment, but the trial judge denied this request.

The judgment indicates Southern Pacific agreed to pay plaintiffs $600,000 and the plaintiffs agreed to the apportionment indicated above. The judgment further reflects that ICNA had objected to the apportionment, but that the trial judge approved both the settlement and the apportionment of the settlement proceeds. In her findings of fact, the trial judge stated she “approved as fair and reasonable Plaintiffs’ decision to apportion the settlement monies....”

The judgment also showed the following; ICNA and the plaintiffs had entered into a written stipulation that ICNA had a lien against Sue Wright for $40,968.42, an amount that would increase weekly as ICNA continued to pay weekly death benefits; Sue Wright’s attorney’s fees and expenses to-talled $68,757.81; Sue Wright’s net recovery was $31,242.19 ($100,000-$68,757.81); and ICNA was to resume Sue Wright’s weekly benefits when her net recovery was exhausted. The trial judge’s findings of fact reflect that Sue Wright’s $31,242.19 was awarded to ICNA, and that because the net amount recovered by Sue Wright was less than the stipulated amount of ICNA’s lien, there was no amount in excess of past benefits and medical expenses that could be treated as an advance against future medical payments. As a result of the judgment, ICNA recovered only $31,242.19 of its $40,968.42 lien; it also had to continue making weekly benefit payments of $428 to Sue Wright because, after paying attorney’s fees and costs and paying part of ICNA’s lien, there was nothing left of Sue Wright’s $100,000 that could be considered an advance against these payments.

ICNA brings 24 points of error. In its first point of error, ICNA complains that the trial judge erred in denying ICNA a jury trial on issues pertaining to its subrogation lien and credit for future benefits to be paid to Sue Wright. In points of error two through 24, ICNA complains that: (1) the trial judge erred by approving the plaintiffs’ apportionment scheme and by determining its subrogation interest based on this apportionment; (2) the evidence does not support the apportionment; (3) the trial judge improperly subtracted attorneys’ fees and litigation costs from Sue Wright’s $100,000 in determining the “net amount” subject to sub-rogation; (4) the trial judge incorrectly determined the amount of the $100,000 to be treated as an advance against future benefit payments; and (5) the trial judge improperly refused to allow ICNA to question the plaintiffs concerning the reasons for the apportionment.

The Texas Workers’ Compensation Act

In December 1989, the Texas legislature repealed the existing workers’ compensation act (the former Act) 1 and enacted a new workers’ compensation scheme (the 1989 Act). The 1989 Act, effective January 1991, has been recodified in the Labor Code. The 1989 Act provided in part:

If at the conclusion of a third party action, a workers’ compensation claimant is entitled to compensation, the net amount *340 recovered by the claimant from the third party action shall be applied to reimburse the insurance carrier for past medical benefits and medical expenses paid. Any amount in excess of past benefits and medical expenses shall be treated as an advance against future benefit payments of compensation that the claimant is entitled to receive under this Act. If the advance is adequate to cover all future compensation and medical benefit payments as provided by this Act, the insurance carrier is not required to make further payments. If the advance is insufficient, the insurance carrier shall resume payments when the advance is exhausted....

Tex.Rev.Civ.StatAnn. art. 8308-4.05(f). Act of December 13, 1989, 71st Leg., 2d C.S., ch. 1,1989 Tex.Gen.Laws 1, 33. The 1989 Act is applicable to this appeal because Bobby Wright died in March 1991.

Waiver of jury trial and right to complete subrogation

In its first point of error, ICNA asserts the trial judge improperly denied its right to a jury trial. In point of error 24, ICNA complains the trial judge erred in finding it waived its statutory right to complete subro-gation. We agree.

The trial judge’s conclusions of law included the following:

5. If intervenor, INA, had not approved the total settlement of all Plaintiffs’ claims and causes of action against all Defendants herein for the total sum of SIX HUNDRED THOUSAND DOLLARS AND NO CENTS ($600,000), the amount of damages, if any, to be awarded to each individual Plaintiff herein would have been determined by the jury.
6. Intervenor, INA expressly waived any right it might have had to a jury apportionment of damages to each individual Plaintiff herein by agreeing to the settlement set forth herein.

The statement of facts is replete with ICNA’s strenuous objections to the plaintiffs’ apportionment scheme. The judgment and the trial judge’s findings of fact both reflect that ICNA objected to the apportionment and that the trial judge approved the apportionment over ICNA’s objections.

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Cite This Page — Counsel Stack

Bluebook (online)
886 S.W.2d 337, 1994 WL 456789, Counsel Stack Legal Research, https://law.counselstack.com/opinion/insurance-co-of-north-america-v-wright-texapp-1994.