Lee v. Westchester Fire Insurance Co.

534 S.W.2d 392, 1976 Tex. App. LEXIS 2515
CourtCourt of Appeals of Texas
DecidedFebruary 23, 1976
Docket8638
StatusPublished
Cited by10 cases

This text of 534 S.W.2d 392 (Lee v. Westchester Fire Insurance Co.) 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
Lee v. Westchester Fire Insurance Co., 534 S.W.2d 392, 1976 Tex. App. LEXIS 2515 (Tex. Ct. App. 1976).

Opinion

REYNOLDS, Justice.

A workmen’s compensation claimant, who recovered from the party liable for his injuries a sum greater than that paid by the intervening insurance carrier, seeks under Vernon’s Ann.Civ.St. art. 8307, § 6a, a fee for his attorney payable out of the carrier’s subrogation recoupment on the ground that the carrier’s interest was not actively represented by its attorney. The trial court, finding that the carrier’s interest was actively represented by its attorney, denied the motion for attorney’s fee. The claimant appeals, asserting that the evidence establishes his contention as a matter of law. There being some evidence to sustain the trial court’s finding, the contention must be overruled. Affirmed.

The claimant’s contention is referenced to workmen’s compensation legislation and the evidence heard by the trial court. As originally enacted, V.A.C.S. art. 8307, § 6a, provided that an employee injured by a party legally liable for the injury waived his claim to workmen’s compensation benefits if he elected to proceed against the liable party prior to the final determination of his compensation claim. See Campbell v. Sonford Chemical Company, 486 S.W.2d 932 (Tex. 1972). Effective 1 September 1973, the statute was amended to specify that if the injured employee proceeds against the person legally liable to pay damages for his injury, the employee shall not waive his rights to compensation under the law. The workmen’s compensation insurance carrier is subrogated to the rights of the injured claimant to the extent of the amount paid or assumed under its policy. The new enactment provides, insofar as material to the contention made here, that,

. when the claimant is represented by an attorney, and the association’s interest is not actively represented by an attorney, . . . the court shall allow a reasonable attorney’s fee to the claimant’s attorney for recovery of the association’s interest which in no case shall exceed thirty-three and one-third *394 per cent (33V3%) payable out of the association’s part of the recovery . . ,. 1

After the effective date of the amendment, Juan Lee was an employee of Lubbock attorney Mark Smith who had subscribed to a policy of workmen’s compensation insurance issued by Westchester Fire Insurance Company. Lee was injured on 5 September 1973 when the automobile he was operating in the course of his employment for Smith was involved in a collision with an automobile driven by Rose Sproles. Lee, acting by his employer, attorney Smith, filed a workmen’s compensation claim with the Industrial Accident Board and, from time to time, Westchester paid compensation benefits to, and medical expenses for, Lee.

At the time of the collision, Roel Garza was a passenger in Lee’s automobile. Four months after the collision and while West-chester was making payments under Lee’s compensation claim, Lee and Garza, represented by attorney Smith, filed their personal injury suit against Rose Sproles, whose liability was apparently clear. Smith did not give notice of the suit to Westches-ter, and he told the attorney for Sproles’ insurance company that he, Smith, was handling settlement negotiations. Upon learning of the suit from Sproles’ insurance company, Westchester retained, and submitted its complete investigation file to, the firm of Key, Carr, Evans & Fouts to intervene in the suit and represent its interests. A member of the law firm, after reviewing the file, filed Westchester’s plea in intervention which asserted its right through subrogation to first receive out of Lee’s recovery from Sproles the amount West-chester had paid to and on behalf of Lee, as well as the right to amend its pleadings for the recovery of any future amounts it was obligated to pay. Lee and Sproles were notified of the intervention by a copy of the pleading sent to their attorneys of record.

Thereafter and without notice to West-chester’s attorney whose policy was to actively participate in taking depositions, Smith, as Lee’s attorney, took the deposition of Sproles, whose insurance company attorney on the same day secured the depositions of Lee and Garza. Next, Smith addressed medical interrogatories to Lee’s treating doctor and furnished a copy to Westchester’s attorney. After reviewing Westchester’s file, its attorney thought Smith’s interrogatories were sufficient and deemed no further medical information was needed for Westchester’s purposes. However, neither the cross interrogatories directed to the treating doctor and to another doctor by the attorney for Sproles’ insurance company nor Smith’s re-direct inquiries to the doctors, as well as several other documents exchanged between these attorneys, are shown to have been furnished to Westchester’s attorney.

Subsequently, Westchester notified its attorney that Lee’s compensation claim had been settled for $20,721.65. The attorney then filed an amended petition in intervention to show the full amount of its subro-gated interest. At this time, the attorney for Sproles’ insurance company offered her policy limits of $25,000 to settle Lee’s suit against her. Smith, however, was also pressing for the settlement of Garza’s claim, and no agreement was reached then. On at least three occasions, Westchester’s attorney and the attorney for Sproles’ insurance company communicated as to the settlement.

Some eight or nine months after the settlement offer was made, Smith and Sproles’ *395 insurance company’s attorney agreed to settle Lee’s suit against Sproles for $25,000. Following the agreement, Lee filed in the suit his motion for assessment of a fee for his attorney out of Westchester’s recoupment, the material allegations of which are: “Plaintiff would show that although the Intervenor [Westchester] has retained an attorney to represent its interests in this suit, said attorney has not actively participated in obtaining a recovery for Interve-nor and that, therefore, pursuant to the provisions of the aforementioned statute [V.A.C.S. art. 8307, § 6a] Plaintiff’s Attorneys are entitled to a reasonable attorney’s fee of one third of the recovery of the Intervenor on its subrogated claim.” West-chester controverted the motion.

After severing Garza’s portion of the suit and hearing the evidence from which the foregoing was summarized, the trial court entered judgment on the $25,000 compromise and settlement between Lee and Sproles, apportioned Lee’s recovery to Westchester in the sum of $20,721.65 and to Lee in the amount of $4,278.35, and denied Lee’s motion for assessment of a fee for his attorney against Westchester’s subrogated recoupment. At Lee’s request, the court made and filed findings of fact and conclusions of law. One of the court’s findings is that Westchester’s subrogation claim has been actively represented by Key, Carr, Evans & Fouts at all material times; another finding is that the law firm actively represented Westchester to the full extent necessary to protect its subrogation interest and actively participated in obtaining a recovery.

Limited to that portion of the judgment denying an attorney’s fee, an appeal has been perfected by Lee. 2

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Bluebook (online)
534 S.W.2d 392, 1976 Tex. App. LEXIS 2515, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lee-v-westchester-fire-insurance-co-texapp-1976.