Levasseur v. Lowery

533 S.E.2d 511, 139 N.C. App. 235, 2000 N.C. App. LEXIS 888
CourtCourt of Appeals of North Carolina
DecidedAugust 1, 2000
DocketCOA99-598
StatusPublished
Cited by4 cases

This text of 533 S.E.2d 511 (Levasseur v. Lowery) is published on Counsel Stack Legal Research, covering Court of Appeals of North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Levasseur v. Lowery, 533 S.E.2d 511, 139 N.C. App. 235, 2000 N.C. App. LEXIS 888 (N.C. Ct. App. 2000).

Opinions

WALKER, Judge.

Plaintiff, an employee of appellant Beam Electric Co., Inc. (Beam), was injured in an automobile accident in the course of his employment. Defendant Lowery, the negligent third party, was covered by a liability automobile insurance policy in the amount of $25,000.00, issued by State Farm Mutual Automobile Insurance Company (State Farm). At the time of the accident, plaintiff was operating a vehicle owned by Beam which was insured by an underin-sured motorist (UIM) policy from Travelers Insurance Companies (Travelers), with policy limits of $1,000,000.00. Appellant Key Risk Management Services, Inc. (Key Risk) administers Beam’s workers’ compensation claims.

As a result of plaintiff’s injuries, Beam paid $92,723.45 in medical expenses, $5,754.93 in rehabilitation expenses, and $92,625.58 in indemnity benefits, for a total workers’ compensation lien of [237]*237$191,103.96, as it appeared on Form 28B dated 9 December 1998. Plaintiff received $65,000.00 in workers’ compensation benefits for his permanent partial disability ratings from the injuries. Additionally, plaintiff’s attorney was awarded a fee of $16,250.00 from the Industrial Commission (Commission) based on the $65,000.00 benefit payment.

On 1 July 1997, plaintiff filed suit against defendant Lowery and unnamed defendant Travelers. Prior to the filing of the lawsuit, State Farm tendered its policy limits of $25,000.00. The $25,000.00 was then advanced by Travelers to protect its subrogation rights under N.C. Gen. Stat. § 20-279.21(b)(4). Pursuant to N.C. Gen. Stat. § 97-10.2, Beam gave notice of appearance and notice of lien to the trial court on 17 October 1997. The Commission distributed the $25,000.00 recovery one-third ($8,333.33) to plaintiff, one-third to Beam, and one-third to plaintiff’s counsel for attorney fees.

On 11 March 1998, plaintiff moved the case against Travelers to binding arbitration. Plaintiff and Travelers agreed that the arbitrators would not decide:

the issue of what amount is recoverable under the UIM policy issued by Travelers because they will not decide any offsets for credits for payment by any liability carrier and any offsets for any credit for payments by the carrier pursuant to any workers’ compensation claim [plaintiff] has made, or the limits of the UIM policy, if any.

Instead, the issue of damages was limited to “what amount is the plaintiff entitled to recover as damages for his personal injuries from Travelers?” The arbitration resulted in an award of $625,000.00 to plaintiff.

Thereafter, Travelers took the position that no UIM proceeds were payable to plaintiff until his workers’ compensation claim was “closed.” On 29 September 1998, plaintiff moved, in the underlying action (97 CVS 2452), for a judgment on the arbitration award and to extinguish Beam’s workers’ compensation lien.

On 29 December 1998, prior to a hearing on plaintiff’s motion, plaintiff and Travelers entered into an agreement whereby Travelers would reduce its payment of the arbitration award by the amount of Beam’s workers’ compensation lien, receive credit for the $25,000.00 recovery from State Farm, and make a net payment of $450,000.00 to [238]*238plaintiff in full payment of the arbitration award. The parties determined Beam’s lien to be $185,349.03, as opposed to the $191,103.96 appearing on the Form 28B. All the parties, including Beam, stipulated that plaintiff, Travelers and State Farm “resolved all matters and things in dispute between them” through this agreement.

On 15 January 1999, the trial court ordered that (1) Beam’s workers’ compensation lien did not attach to the proceeds from plaintiff’s agreement with Travelers; and alternatively, (2) the trial court extinguished the lien in its discretion in the event it was later determined that Beam did have a lien on the plaintiff’s settlement proceeds.

Recently, in Liberty Mut. Ins. Co. v. Ditillo, 348 N.C. 247, 253, 499 S.E.2d 764, 768 (1998), our Supreme Court specifically declined to decide whether a workers’ compensation carrier has a right under N.C. Gen. Stat. § 97-10.2 to a lien on uninsured motorist (UM) benefits paid to an employee in a case where the UM coverage limits exceed the amount of workers’ compensation benefits. We are now presented with a case where the UIM benefits paid to an employee exceed the amount of workers’ compensation benefits.

Beam first argues that the trial court lacked jurisdiction to determine the amount of the workers’ compensation lien and distribute the third party recovery under N.C. Gen. Stat. § 97-10.2Q).

To determine whether the trial court had jurisdiction under N.C. Gen. Stat. § 97-10.2(j), we first consider whether Travelers is a “third party” within the meaning of N.C. Gen. Stat. § 97-10.2. Under the statute, “third party” is defined as follows:

The right to compensation and other benefits . . . shall not be affected by the fact that the injury . . . was caused under circumstances creating a liability in some person other than the employer to pay damages therefor, such person hereinafter being referred to as the “third party.”

N.C. Gen. Stat. § 97-10.2(a) (Cum. Supp. 1998) (emphasis added).

In Creed v. R.G. Swaim and Son, Inc., 123 N.C. App. 124, 128-29, 472 S.E.2d 213, 216 (1996), this Court held that, under N.C. Gen. Stat. § 97-10.2, payments made by the UIM carrier as well as the tort-feasor are from a “third party,” and that the workers’ compensation carrier “has a lien on the proceeds of plaintiff’s underinsured motorist policy” under the statute.

[239]*239Here, the policy states that Travelers will pay all sums the plaintiff is “legally entitled to recover as damages from” the underinsured motorist. This Court has held that an action under a UIM policy is based on the tort of the other motorist and that UIM coverage is a type of liability coverage. See Ensley v. Nationwide Mut. Ins. Co., 80 N.C. App. 512, 515, 342 S.E.2d 567, 569, cert. denied, 318 N.C. 414, 349 S.E.2d 594 (1986) (stating the UIM carrier “assumed... the liability of the uninsured motorist for damages which the plaintiff is legally entitled to recover from the uninsured motorist”). Traveler’s liability to plaintiff, while derivative, exists by reason of defendant Lowery’s negligence. See Baxley v. Nationwide Mutual Ins. Co., 104 N.C. App. 419, 424, 410 S.E.2d 12, 15 (1991), affirmed, 334 N.C. 1, 430 S.E.2d 895 (1993) (holding that an action under a UIM policy is “actually one for the tort allegedly committed by the [underinsured] motorist”) (citations omitted). Therefore, Travelers is a “third party” in that plaintiff’s injury was “caused under circumstances creating a liability in some person ... to pay damages therefor.” N.C. Gen. Stat. § 97-10.2(a).

N.C. Gen. Stat. § 97-10.2Q) establishes when the superior court is given jurisdiction. The statute, as in effect at the time of the present case, provides in part:

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Levasseur v. Lowery
533 S.E.2d 511 (Court of Appeals of North Carolina, 2000)

Cite This Page — Counsel Stack

Bluebook (online)
533 S.E.2d 511, 139 N.C. App. 235, 2000 N.C. App. LEXIS 888, Counsel Stack Legal Research, https://law.counselstack.com/opinion/levasseur-v-lowery-ncctapp-2000.