Jason Wolk v. Grinnell Mutual Resinsurance Company

Missouri Court of Appeals·Decided October 22, 2024·No. ED112371·Published

Opinion

In the Missouri Court of Appeals Eastern District

DIVISION ONE

JASON WOLK, ET AL., ) No. ED112371 )

Appellants, ) Appeal from the Circuit Court ) of Ste. Genevieve County v. ) Cause No. 23SG-CC00025 )

GRINNELL MUTUAL REINSURANCE ) Honorable Timothy W. Inman CO., )

)

Respondent. ) Filed: October 22, 2024

Introduction

This case arises from a dispute between Jason Wolk and Jeffrey Meyer (“Appellants”) and Grinnell Mutual Reinsurance Company (“Respondent”) over a workers’ compensation subrogation lien held by Grinnell. After the parties entered a settlement agreement to resolve this dispute, Appellants sought a declaratory judgment from the trial court interpreting Section 287.150.3 and their agreement. Appellants argue the trial court erred in awarding Respondent the entire amount of its lien, the settlement agreement resulted from a mutual mistake, and we should rescind the agreement.

The trial court properly determined the “balance of the recovery” according to Section 287.150.3, then applied the parties’ settlement agreement to determine Respondent’s share of the

balance of the recovery. The parties’ agreement was not the result of a mutual mistake, and we decline to rescind the agreement. The amended judgment of the trial court is affirmed.

Factual and Procedural Background Facts

Appellants were injured while working for their employer, J. Wolk Construction LLC.

Respondent, the employer’s workers’ compensation insurer, paid Appellant Wolk $900,969.83 and Appellant Meyer $815,829.47 as compensation for their injuries under the Workers’ Compensation Act.

Procedural Background

Appellants brought a personal injury suit against multiple third parties. Before that suit went to trial, one of the defendants settled with Appellants for a total of $1,000,000, the limits of its insurance policy. As a result, each Appellant repaid Respondent $113,517.05, a portion of the workers’ compensation benefits it paid to Appellants.

On April 21, 2021, each of Appellants separately entered a settlement agreement (“Settlement Agreement”) with Respondent in anticipation of any future award Appellants might receive from the ongoing personal injury suit. The Settlement Agreement stated at the outset: “This is a compromise of a disputed case with respect to subrogation rights arising under Section 287.150 RSMo,” the statute setting out the method for repaying subrogation interests in workers’ compensation claims. 1 The parties agreed to first deduct attorney fees in the form of a 40 percent contingency fee. From the remaining amount, they would deduct 30 percent for Appellants’ wives’ loss of consortium claims. Next, they would divide the remaining 70 percent of the award into a one-third share to each Appellant, Appellants’ counsel, and Respondent in full satisfaction of its

1 Unless otherwise indicated, all statutory references are to RSMo (2016) as amended.

subrogation interests. The Settlement Agreement limited Respondent’s recovery “up to the amount at which [Respondent] is fully repaid for all moneys paid in workers’ compensation benefits to [Appellant].”

At the conclusion of the third party personal injury suit, the trial jury awarded Wolk $11,000,000, assessing comparative fault at 10 percent, and Wolk’s wife $1,000,000 for loss of consortium. The jury awarded Meyer $13,500,000, and Meyer’s wife $3,000,000 for loss of consortium. After the jury verdict, Appellants and the trial defendants entered a final settlement agreement limiting the defendants’ damages to $20,000,000, which Appellants agreed to split evenly.

Appellants and Respondent thereafter were unable to agree on the division of the proceeds from the personal injury suit to satisfy Respondent’s subrogation lien pursuant to Section 287.150.3 and the April 21, 2021 Settlement Agreement. Appellants thus filed a petition for declaratory judgment asking the trial court to interpret the Settlement Agreement in accord with Section 287.150.3.

On October 18, 2023, the trial court entered judgment. Appellants subsequently filed a motion to amend the judgment, and Respondent opposed the motion. The trial court granted the motion and entered an amended judgment on December 21, 2023.

In the amended judgment, the trial court interpreted Section 287.150.3 and applied its terms to the parties’ Settlement Agreement. Section 287.150.3 states, in pertinent part:

Whenever recovery against the third person is effected by the employee or his dependents, the employer shall pay from his share of the recovery a proportionate share of the expenses of the recovery, including a reasonable attorney fee. After the expenses and attorney fee have been paid, the balance of the recovery shall be apportioned between the employer and the employee or his dependents in the same ratio that the amount due the employer bears to the total amount recovered if there is no finding of comparative fault on the part of the employee, or the total damages determined by the trier of fact if there is a finding of comparative fault on the part

of the employee. Notwithstanding the foregoing provision, the balance of the recovery may be divided between the employer and the employee or his dependents as they may otherwise agree. . . . 2

From the plain language of the statute, the court concluded in the amended judgment:

34. . . . [T]he third sentence of Section 287.150.3 . . . specifically states “Notwithstanding the foregoing provision, the balance of the recovery . . . .”

35. It is quite clear from the reading of Section 287.150, that the term “balance of the recovery” is the amount left after the expenses and attorney fees have been deducted.

36. Both Petitioners and Respondents agree that Jason Wolk’s net recovery is $5,467.975.39, after deduction for attorney fees and expenses. Therefore, $5,467,975.39 is the “balance of recovery” as defined in Section 287.150.3.

37. Both Petitioners and Respondents agree that Jeffrey Meyer’s net recovery is $4,880,506.96, after deduction for attorney fees and expenses. Therefore, $4,880,506.96 is the “balance of recovery” as defined in Section 287.150.3.

(emphasis in original).

Thus, the court concluded the “Notwithstanding” clause in Section 287.150.3 allows the parties to agree to divide only the “balance of the recovery.” The “balance of the recovery,” as defined in Section 287.150.3, is the amount of the recovery from the third party suit, less the expenses of the recovery, including a reasonable attorney fee.

After deducting the attorney fees and expenses to arrive at the balance of the recovery, the trial court then divided that balance according to the terms of Appellants’ and Respondent’s Settlement Agreement. Respondent argued that the $113,517.05 each Appellant repaid it from the previous settlement should not be credited against the total amounts of $900,969.83 it paid Appellant Wolk and $815,829.47 it paid Appellant Meyer in workers’ compensation benefits. The trial court rejected Respondent’s argument based on the terms of the Settlement Agreement limiting Respondent’s recovery “up to the amount at which [Respondent] is fully repaid for all

2 In subrogation cases, workers’ compensation insurers may stand in the employer’s place for the purposes of Section 287.150.3. See Kerperien v. Lumberman’s Mut. Cas. Co., 100 S.W.3d 778 (Mo. banc 2003) (applying Section 287.150.3 to a workers’ compensation insurer as the “employer” for the purposes of Section 287.150.3).

moneys paid in workers’ compensation benefits to [Appellant].” Accordingly, the court found that Appellant Wolk owed Respondent $787,452.78 ($900,969.83, less $113,517.05), and Appellant Meyer owed Respondent $702,312.42 ($815,829.47, less $113,517.05), capping Respondent’s share of the balance of the recovery at the amount of its lien.

Appellants now appeal from the trial court’s amended judgment.

Discussion

Timeliness of Appeal

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