Lewis v. Riverside Hospital

452 N.E.2d 611, 116 Ill. App. 3d 845, 72 Ill. Dec. 358, 1983 Ill. App. LEXIS 2108
CourtAppellate Court of Illinois
DecidedJuly 20, 1983
Docket82-773
StatusPublished
Cited by16 cases

This text of 452 N.E.2d 611 (Lewis v. Riverside Hospital) 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
Lewis v. Riverside Hospital, 452 N.E.2d 611, 116 Ill. App. 3d 845, 72 Ill. Dec. 358, 1983 Ill. App. LEXIS 2108 (Ill. Ct. App. 1983).

Opinion

JUSTICE WHITE

delivered the opinion of the court:

Aetna Casualty & Surety Company of Illinois (Aetna), the worker’s compensation insurance carrier for Kenneth Brock’s employer, appeals from an order of the circuit court of Cook County distributing the proceeds from the settlement of a lawsuit and temporarily suspending future workers’ compensation payments by Aetna to the conservator of Brock’s estate. The issues presented are: whether the circuit court properly determined the amount of credit against payment of future workers’ compensation benefits to which Aetna is entitled; whether the conservator’s attorney fees were properly assessed against this credit; and whether litigation costs assessed against Aetna should have been charged against the credit.

The relevant facts are largely undisputed. Kenneth Brock suffered severe injuries while in the course of his employment with Park-Ohio Industries, Inc., a division of Bennett Industries, Inc., and he was treated for these injuries by certain physicians at Riverside Hospital in Kankakee, Illinois. Subsequently, plaintiff, Cora Lee Lewis, conservator of the estate of Kenneth Brock, brought an action sounding in professional medical negligence and strict liability against the treating physicians, Riverside Hospital, and certain manufacturers of equipment used in Brock’s treatment. Since Aetna was the workers’ compensation insurance carrier for Brock’s employer, it was permitted to intervene so that it could protect its subrogation rights under section 5 of the Workers’ Compensation Act (Ill. Rev. Stat. 1981, ch. 48, par. 138.5).

The aforementioned lawsuit was settled for $2,100,000. At the time of the settlement, the lien for workers’ compensation benefits already paid by Aetna was $539,929.36, and as part of the settlement it was agreed that $350,000 would be paid to Aetna as the net recovery on its lien for benefits already paid. This $350,000 was a net figure, arrived at after deducting from the lien amount statutory attorney fees that would have otherwise been due on the lien amount and after deducting a portion of the pending lien amount which Aetna agreed to compromise in an effort to achieve the settlement.

The final order from which this appeal is taken requires Aetna to pay to an attorney for the conservator the sum of $20,678.65, the amount expended by the conservator’s attorneys in preparation and presentation of the case. This order also calculates the amount of the proceeds that should be paid to the conservator as follows:

U

Settlement
$2,100,000.00
Deductions:
(a) Pay to [Aetna] in accordance with its agreement to accept $350,000.00 net on its lien for $540,000.00 already expended
350,000
(b) Pay Plaintiff’s attorneys’ fees
700,000
Net Proceed to the Conservator
$1,050,000.00”

The order also fixes this $1,050,000 as the amount of credit to which Aetna was entitled against the payment of future workers’ compensation payments. The order states: “[A]ll compensation payments by [Aetna] to the disabled person shall be suspended, and no payment shall be necessary to be made by [Aetna] to the disabled person, until the amount of expenses for compensation and care and maintenance of the disabled person equals the amount of the net sum recovered by the Conservator on behalf of the disabled person, namely $1,050,000.00, when at which time [Aetna] will resume payments as provided in the decision of the Industrial Commission in the proceedings entitled, ‘Cora Lee Lewis, guardian of the Estate of Kenneth Brock v. Bennett Industries, Industrial Commission No. 74 WC 11450,’ ***.”

Aetna contends that the circuit court’s calculation of the amount of the credit against future workers’ compensation benefits is improper. In doing so, it relies upon Jones v. Melroe Division, Clark Equipment Co. (1981), 102 Ill. App. 3d 1103, 430 N.E.2d 1385, and that court’s construction of section 5(b) of the Workers’ Compensation Act (Ill. Rev. Stat. 1981, ch. 48, par. 138.5(b)). Section 5(b) provides:

“Where 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, then legal proceedings may be taken against such other person to recover damages notwithstanding such employer’s payment of or liability to pay compensation under this Act. In such case, however, if the action against such other person is brought by the injured employee or his personal representative and judgment is obtained and paid, or settlement is made with such other person, either with or without suit, then from the amount received by such employee or personal representative there shall be paid to the employer the amount of compensation paid or to be paid by him to such employee or personal representative including amounts paid or to be paid pursuant to paragraph (a) of Section 8 of this Act.
Out of any reimbursement received by the employer pursuant to this Section, the employer shall pay his pro rata share of all costs and reasonably necessary expenses in connection with such third-party claim, action or suit and where the services of an attorney at law of the employee or dependents have resulted in or substantially contributed to the procurement by suit, settlement or otherwise of the proceeds out of which the employer is reimbursed, then, in the absence of other agreement, the employer shall pay such attorney 25% of the gross amount of such reimbursement. ’ ’

Applying the formula for calculation of the credit involved in Jones (102 Ill. App. 3d 1103, 1109-10), Aetna computes the credit to which it is entitled as follows:

“GROSS REIMBURSEMENT
1. Settlement amount $2,100,000.00
2. Benefits paid 539,929.36
Gross Reimbursement 2,639,929.36
DISTRIBUTION OF CREDIT
1. Gross Reimbursement 2,639,929.36
2. Credit for repayment of benefits paid 539,929.36
Gross Credit 2,100,000.00
3. Attorney’s fees at 25 per cent 525,000.00
[2,100,000 x .25 = 525,000]
4. Litigation costs 0.00
(paid by Intervenor, thus the Conservator is not entitled to credit for this)
Net Credit $1,575,000.00”

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Bluebook (online)
452 N.E.2d 611, 116 Ill. App. 3d 845, 72 Ill. Dec. 358, 1983 Ill. App. LEXIS 2108, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lewis-v-riverside-hospital-illappct-1983.